Research Article

Chinese Herbal Formula Huo-Luo-Xiao-Ling Dan Protects against Bone Damage in Adjuvant Arthritis by Modulating the Mediators of Bone Remodeling

Figure 5

A schematic representation of the mechanisms involved in HLXL-induced suppression of bone damage in AA. HLXL suppressed bone damage via inhibiting the expression of osteoclastogenic mediators (receptor activator of nuclear factor kappa-B ligand: RANKL; granulocyte-macrophage colony-stimulating factor: GM-CSF; osteopontin: OPN; and insulin-like growth factor: IGF), cytokines (IL-18 and IL-1β), and matrix metalloproteinases (MMPs). (L: lymph node, I: inflamed joint, Mtb: heat-killed Mycobacterium tuberculosis H37Ra, osteoprotegerin: OPG.) Red arrows highlight increased amount/activity of the indicated mediators in arthritis, which are inhibited by HLXL treatment.
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