Abstract:Objective To observe the effect of puerarin on treating acute gouty arthritis (AGA) rats, and to discuss the mechanism of puerarin on the basis of TLR4/NF-κB signal pathway. Methods Sixty male SD rats were randomly divided into 4 groups: normal group, model group, colchicine group and puerarin group, and 15 rats in each gruop. After establishing AGA rats by Coderre method and a 2-week treatment, AGA rats joint swelling data were recorded; the pathological changes of synovial tissue were observed by optical microscope; the content of IL-1β and TNF-α in joint cavity washing liquid, the expression of TLR4 and NF-κB in synovial tissues were detected by ELISA and immunohistochemistry respectively. Results After treatment, each observation index improved in varying degrees. Among 3 groups, variance analysis showed that AGA rats joints swelling data, the content of IL-1β and TNF-α in joint cavity washing liquid and the expression of TLR4 and NF-κB in synovial tissues have seen the remarkable difference (P?0.05). Q test showed that joints swelling data, the content of IL-1β and TNF-α in joint cavity washing liquid and the expression of TLR4 and NF-κB in synovial tissues all decreased significantly in puerarin group, compared with model group and colchicine group. 【Conclusions】 Puerarin may inhibite TLR4/NF-κB pathway, thus inhibiting IL-1β and TNF-α, and consequently plays a crucial role in the treatment of AGA rats.