[1]孙龙泰,姚华海,王晓洛,等.强骨饮对假体周围骨溶解模型大鼠骨密度的影响及其作用机制研究[J].中医正骨,2017,29(09):19-22.
 SUN Longtai,YAO Huahai,WANG Xiaoluo,et al.Effect of Qianggu Yin(强骨饮)on bone density of peri-prosthetic osteolysis rat models and its mechanism of action[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(09):19-22.
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强骨饮对假体周围骨溶解模型大鼠骨密度的影响及其作用机制研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期数:
2017年09期
页码:
19-22
栏目:
基础研究
出版日期:
2017-09-20

文章信息/Info

Title:
Effect of Qianggu Yin(强骨饮)on bone density of peri-prosthetic osteolysis rat models and its mechanism of action
作者:
孙龙泰1姚华海1王晓洛1崔龙慷1吴连国2
1.浙江中医药大学,浙江 杭州 310053; 2.浙江中医药大学附属第二医院,浙江 杭州 310005
Author(s):
SUN Longtai1YAO Huahai1WANG Xiaoluo1CUI Longkang1WU Lianguo2
1.Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang,China 2.The Second Affiliated Hospital of Zhengjiang Chinese Medical University,Hangzhou 310005,Zhejiang,China
关键词:
关节成形术置换 强骨饮 骨质溶解 假体失效 骨密度 大鼠Sprague-Dawley 动物实验
Keywords:
Key words arthroplastyreplacement Qianggu Yin osteolysis prosthesis failure bone density ratsSprague-Dawley animal experimentation
摘要:
目的:探讨强骨饮对假体周围骨溶解模型大鼠骨密度的影响及其作用机制。方法:选取30只成年雄性SD大鼠,随机分为空白组、模型组和强骨饮组,每组10只。空白组不进行造模; 模型组和强骨饮组大鼠右侧股骨植入高密度聚乙烯颗粒和钛棒,制备聚乙烯颗粒诱导的假体周围骨溶解模型。造模手术3 d后,强骨饮组大鼠以制备好的强骨饮药液灌胃,每周3次,连续给药11周。空白组和模型组均不进行药物干预。造模后12周,取大鼠静脉血用ELISA法测定血清抗酒石酸酸性磷酸酶5b(tartrate resistant acid phosphatase 5b,TRACP5b)水平,取右侧股骨进行骨密度检测,并以ELISA法测定股骨组织中肿瘤坏死因子-α(tumor necrosis factor α,TNF-α)水平。结果:实验过程中各组大鼠日常行为无差别,精神状况良好,反应灵敏,体质量逐渐增加。模型组和强骨饮组大鼠术后1周切口愈合。实验全过程中各组均无大鼠死亡。3组大鼠血清TRACP5b水平比较,差异有统计学意义[(1.83±0.42)U·L-1,(2.40±0.43)U·L-1,(1.90±0.28)U·L-1,F=9.323,P=0.002]。模型组血清TRACP5b水平高于空白组和强骨饮组(P=0.001; P=0.002)。3组大鼠股骨骨密度比较,差异有统计学意义[(0.162±0.009)g·cm-2,(0.119±0.010)g·cm-2,(0.140±0.007)g·cm-2,F=74.323,P=0.000]。模型组股骨骨密度低于空白组和强骨饮组(P=0.000; P=0.000)。3组大鼠股骨组织中TNF-α水平比较,差异有统计学意义[(70.21±8.83)pg·mL-1,(175.32±14.95)pg·mL-1,(129.73±12.86)pg·mL-1,F=160.242,P=0.000]。模型组股骨组织TNF-α水平高于空白组和强骨饮组(P=0.000; P=0.000)。结论:强骨饮可以增加假体周围骨溶解模型大鼠的骨密度,其机制可能是通过减轻炎症反应,抑制破骨细胞活性,从而减少假体周围骨吸收。
Abstract:
ABSTRACT Objective:To explore the effects of Qianggu Yin(强骨饮,QGY)on bone density of peri-prosthetic osteolysis rat models and its mechanism of action.Methods:Thirty adult male SD rats were selected and randomly divided into blank group,model group and QGY group,10 cases in each group.High density polyethylene(HDPE)particles and titanium rods were implanted into the right femurs of rats in model group and QGY group to build the peri-prosthetic osteolysis models induced by HDPE particles.At 3 days after the molding operation,the rats in QGY group were intragastric administrated with prepared QGY,3 times a week for consecutive 11 weeks.No drug intervention were performed on rats in blank group and model group.At 12 weeks after the modeling,the venous blood were fetched out and the serum levels of tartrate resistant acid phosphatase 5b(TRACP5b)were measured by using ELISA.The right femurs were taken from rats for detecting the bone densities,and the levels of tumor necrosis factor α(TNF-α)in femoral tissues were measured by using ELISA.Results:There were no difference in the daily actions of rats between the 3 groups during the course of experiment.The rats were in good mental states and rapid response and their body masses gradually increased.The incisions of rats in model group and QGY group were healed at 1 week after the surgery.No rats died in each group during the experiment.There was statistical difference in the serum levels of TRACP5b between the 3 groups(1.83+/-0.42,2.40+/-0.43,1.90+/-0.28 U/L,F=9.323,P=0.002).The serum levels of TRACP5b were higher in model group compared to blank group and QGY group(P=0.001; P=0.002).There was statistical difference in the femoral bone density between the 3 groups(0.162+/-0.009,0.119+/-0.010,0.140+/-0.007 g/cm(2),F=74.323,P=0.000).The femoral bone densities were lower in model group compared to blank group and QGY group(P=0.000; P=0.000).There was statistical difference in the TNF-α levels in femoral tissues between the 3 groups(70.21+/-8.83,175.32+/-14.95,129.73+/-12.86 pg/ml,F=160.242,P=0.000).The TNF-α levels in femoral tissues were higher in model group compared to blank group and QGY group(P=0.000; P=0.000).Conclusion:QGY can alleviate the inflammatory reaction and inhibit the cytoactive of osteoclasts and accordingly reduce peri-prosthetic bone resorption,which may be its mechanisms of action for increasing bone density of peri-prosthetic osteolysis rat models.

参考文献/References:

[1] SANTAMBROGIO L.Biomaterials in Regenerative Medicine and the Immune System[M].Berlin:Springer International Publishing,2015:225-256. [2] JIN S,PARK JY,HONG JM,et al.Inhibitory effect of(-)-epigallocatechin gallate on titanium particle-induced TNF-α release and in vivo osteolysis[J].Exp Mol Med,2011,43(7):411-418. [3] LIU XQ,QU XH,WU CL,et al.The effect of enoxacin on osteoclastogenesis and reduction of Titanium particle-induced osteolysis via suppression of JNK signaling pathway[J].Biomaterials,2014,35(22):5721-5730. [4] 吴连国,刘康,黄俊俊,等.强骨饮对股骨颈骨折患者人工股骨头置换术后假体周围骨密度的影响[J].中医正骨,2014,26(4):15-18. [5] 吴连国,叶健,吴风晴.右归饮对聚乙烯颗粒诱导破骨细胞性骨溶解的抑制作用[J].中国中医骨伤科杂志,2015,23(11):1-4. [6] GALLO J,GOODMAN SB,KONTTINEN YT,et al.Osteolysis around total knee arthroplasty:A review of pathogenetic mechanisms[J].Acta Biomater,2013,9(9):8046-8058. [7] JIANG X,SATO T,YAO Z,et al.Local delivery of mutant CCL2 protein-reduced orthopaedic implant wear particle-induced osteolysis and inflammation in vivo[J].J Orthop Res,2016,34(1):58. [8] BURTON L,PAGET D,BINDER NB,et al.Orthopedic wear debris mediated inflammatory osteolysis is mediated in part by NALP3 inflammasome activation[J].J Ortho Res,2013,31(1):73-80. [9] BAKER PN,JAMESON SS,DEEHAN DJ,et al.Mid-term equivalent survival of medial and lateral unicondylar knee replacement:an analysis of data from a National Joint Registry[J].J Bone Joint Surg Br,2012,94(12):1641-1648. [10] NICH C,GOODMAN SB.Role of macrophages in the biological reaction to wear debris from joint replacements[J].J Long Term Eff Med Implants,2014,24(4):259-265. [11] SUÑER S,BLADEN CL,GOWLAND N,et al.Investigation of wear and wear particles from a UHMWPE/multi-walled carbon nanotube nanocomposite for total joint replacements[J].Wear,2014,317(1/2):163-169. [12] 徐伟锋,叶健,吴连国.强骨饮对骨质疏松性股骨颈骨折患者全髋关节置换术后血清骨代谢生化指标和骨密度的影响[J].中医正骨,2015,27(2):12-16. [13] ANDO K,MORI K,RÉDINI F,et al.RANKL/RANK/OPG:key therapeutic target in bone oncology[J].Curr Drug Discov Technol,2008,5(3):263-268. [14] TAMAKI J,IKI M,KADOWAKI E,et al.Biochemical markers for bone turnover predict risk of vertebral fractures in postmenopausal women over 10 years:the Japanese Population-based Osteoporosis(JPOS)Cohort Study[J].Osteoporos Int,2013,24(3):887-897. [15] IWADATE H,KOBAYASHI H,KANNO T,et al.Plasma osteopontin is correlated with bone resorption markers in rheumatoid arthritis patients[J].Int J Rheum Dis,2014,17(1):50-56. [16] KRUMPEL M,REITHMEIER A,SENGE T,et al.The small chemical enzyme inhibitor 5-phenylnicotinic acid/CD13 inhibits cell migration and invasion of tartrate-resistant acid phosphatase/ACP5-overexpressing MDA-MB-231 breast cancer cells[J].Exp Cell Res,2015,339(1):154-162.

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备注/Memo

备注/Memo:
基金项目:浙江省一流学科(B类)建设项目; 浙江省科技厅公益技术应用研究计划项目(2016C33128); 教育部高等学校博士学科点专项科研基金联合资助课题(20133322120004) 通讯作者:吴连国 E-mail:mdwu8535@126.com
更新日期/Last Update: 2018-02-23