[1]江涛 侯秋科 陈善创 刘子桃 刘启宇 苏海涛 黄永铨△.骨松安促进骨质疏松大鼠骨折愈合的信号通路研究[J].中国中医骨伤科杂志,2021,29(12):6-11.
 JIANG Tao HOU Qiuke CHEN Shanchuang LIU Zitao.Study of Signal Pathway of Gusongan Promoting Fracture Healing in Rats with Osteoporosis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(12):6-11.
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骨松安促进骨质疏松大鼠骨折愈合的信号通路研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年12期
页码:
6-11
栏目:
实验研究
出版日期:
2021-12-15

文章信息/Info

Title:
Study of Signal Pathway of Gusongan Promoting Fracture Healing in Rats with Osteoporosis
文章编号:
1005-0205(2021)12-0006-06
作者:
江涛1 侯秋科2 陈善创1 刘子桃1 刘启宇1 苏海涛1 黄永铨1△
Author(s):
JIANG Tao1 HOU Qiuke2 CHEN Shanchuang1 LIU Zitao1
1The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510006,China; 2The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China.
关键词:
骨松安 破骨细胞 骨吸收 骨质疏松 骨折愈合
Keywords:
gusongan osteoclast bone resorption osteoporosis fracture healing
分类号:
R285.5
文献标志码:
A
摘要:
目的:初步探索影响骨松安促进骨质疏松大鼠骨折愈合的信号通路。方法:建立骨质疏松骨折大鼠模型,采用院内制剂骨松安胶囊进行治疗,7,14,21 d后采用ELISA法检测血清OPG、RANKL的表达,同时取出骨折端骨痂,采用Masson染色检测骨折端胶原蛋白变化,并采用免疫组化检测OPG、RANKL的表达。结果:在骨折后不同时期,骨松安治疗均可明显促进骨折端软骨细胞增殖,促进纤维胶原形成; ELISA、免疫组化结果显示OPG在治疗7 d及14 d表达持续上升,到21 d达到顶峰,与没有骨松安治疗大鼠相比,差异有统计学意义(P<0.05)。RANKL在骨折早期处于较高水平,骨质疏松骨折组大鼠最为明显,而骨松安治疗可明显抑制其表达,与没有骨松安治疗比较,差异有统计学意义(P<0.05)。骨松安治疗组OPG/RANKL比值较无骨松安治疗组高,治疗14 d最高,到21 d有所下降,差异均有统计学意义(P<0.05)。结论:骨松安可调控OPG/RANKL信号通路,抑制破骨细胞分化与成熟,抑制骨吸收,从而促进骨形成,能有效促进骨折愈合。
Abstract:
Objective:To explore the signal pathways that affects Gusongan’s promotion of fracture healing in osteoporotic rats.Methods:A rat model of osteoporotic fracture was established and treated with Gusongan Capsules.After 7,14 and 21 d,the expression of serum OPG and RANKL was detected by ELISA.At the same time,the bone callus at the fractured end was taken out.Masson staining was used to detect the changes of collagen at the fracture end,and immunohistochemistry was used to detect the expression of OPG and RANKL.Results:In different periods after fracture,gusongan significantly promoted the proliferation of chondrocytes at the fracture end and promote the formation of fibrous collagen; ELISA and immunohistochemistry results showed that the expression of OPG increased continuously at 7 and 14 d of treatment,and reaches the peak at 21st day.Compared with rats without Gusongan treatment,the difference was statistically significant.RANKL was at a high level in the early stage of fracture,which was most obvious in the osteoporotic fracture group,while the treatment with Gusongan significantly inhibited its expression.Compared with rats without Gusongan treatment,the difference was statistically significant.The OPG/RANKL ratio of the Gusongan treatment group was higher than that of the no gusongan treatment group,and reached the highest level in the 14th day and decreased in the 21st day.The differences were statistically significant.Conclusion:Gusongan can regulate OPG/RANKL signaling pathway,inhibit osteoclast differentiation and maturation and inhibit bone resorption,thereby promote bone formation and effectively promote fracture healing.

参考文献/References:

[1] World congress on osteoporosis,osteoarthritis and musculoskeletal diseases(WCO-IOF-ESCEO 2019):ESCEO-WHO collaborating centre for public health aspects of musculoskeletal health and ageing symposium abstracts(ESCEO-WHO CC)[J].Osteoporosis International,2019,30(Suppl 2):191-192.
[2] LESLIE WD, LIX LM, BINKLEY N.Osteoporosis treatment considerations based upon fracture history,fracture risk assessment,vertebral fracture assessment,and bone density in Canada[J].Archives of Osteoporosis,2020,15(1):93.
[3] YANG B, LI S, CHEN Z, FENG F,et al.Amyloid beta peptide promotes bone formation by regulating Wnt/beta-catenin signaling and the OPG/RANKL/RANK system[J].FASEB Journal,2020,34(3):3583-3593.
[4] LIAO L,LIN Y,LIU Q,et al.Cepharanthine ameliorates titanium particle-induced osteolysis by inhibiting osteoclastogenesis and modulating OPG/RANKL ratio in a murine model[J].Biochemical and Biophysical Research Communications,2019,517(3):407-412.
[5] CHEN D,YE Z,WANG C,et al.Arctiin abrogates osteoclastogenesis and bone resorption via suppressing RANKL-induced ROS and NFATc1 activation[J].Pharmacological Research,2020,159:104944.
[6] FU D,QIN K,YANG S,et al.Proper mechanical stress promotes femoral head recovery from steroid-induced osteonecrosis in rats through the OPG/RANK/RANKL system[J].BMC Musculoskeletal Disorders,2020,21(1):281.
[7] 黄永明,许少健,石宇雄,等.骨松安胶囊治疗绝经后骨质疏松症34例[J].陕西中医,2006,27(8):954-956.
[8] WANG H,LI Y K,CUI M,et al.Effect of lncRNA AK125437 on postmenopausal osteoporosis rats via MAPK pathway[J].European Review for Medical and Pharmacological Sciences,2020,24(5):2173-2180.
[9] 王斌,罗毅文,黄永铨,等.补肾活血汤促骨折端间充质干细胞体外迁移及CCR2表达的研究[J].中国中医骨伤科杂志,2015,23(8):1-5.
[10] 王斌,胡年宏,罗毅文.从中医“肾主骨”“髓生骨”理论出发防治骨质疏松[J].辽宁中医药大学学报,2008,1(3):3-4.
[11] 黄宏兴,吴青,李跃华,等.肌肉、骨骼与骨质疏松专家共识[J].中国骨质疏松杂志,2016,22(10):1221-1229.
[12] TSUDA E, GOTO M, MOCHIZUKI S,et al.Isolation of a novel cytokine from human fibroblasts that specifically inhibits osteoclastogenesis[J].Biochemical and Biophysical Research Communications,1997,234(1):137-142.
[13] SIMONET W S, LACEY D L, DUNSTAN C R,et al.Osteoprotegerin:a novel secreted protein involved in the regulation of bone density[J].Cell,1997,89(2):309-319.
[14] WANG P,CAO Y,ZHAN D,et al.Influence of DNA methylation on the expression of OPG/RANKL in primary osteoporosis[J].International Journal of Medical Sciences,2018,15(13):1480-1485.
[15] BERNARDI S, BOSSI F, TOFFOLI B,et al.Roles and clinical applications of OPG and TRAIL as biomarkers in cardiovascular disease[J].BioMed Research International,2016:1752854.
[16] MA Q L,FANG L,JIANG N,et al.Bone mesenchymal stem cell secretion of sRANKL/OPG/M-CSF in response to macrophage-mediated inflammatory response influences osteogenesis on nanostructured Ti surfaces[J].Biomaterials,2018,154:234-247.
[17] MIZUNO A, AMIZUKA N, IRIE K,et al.Severe osteoporosis in mice lacking osteoclastogenesis inhibitory factor/osteoprotegerin[J].Biochemical and Biophysical Research Communications,1998,247(3):610-615.
[18] BUCAY N, SAROSI I, DUNSTAN C R,et al.osteoprotegerin-deficient mice develop early onset osteoporosis and arterial calcification[J].Genes & Development,1998,12(9):1260-1268.
[19] 孙晓新,张柳,姜小华,等.脑外伤对大鼠骨折愈合过程中OPG/RANKL表达的影响[J].中国组织化学与细胞化学杂志,2009,18(4):412-416.
[20] WANG J,HE M,WANG G,et al.Organic gallium treatment improves osteoporotic fracture healing through affecting the OPG/RANKL ratio and expression of serum inflammatory cytokines in ovariectomized rats[J].Biological Trace Element Research,2018,183(2):270-279.

备注/Memo

备注/Memo:
基金项目:国家自然科学基金青年基金(82004387)广东省自然科学基金(2018A030313694)1广州中医药大学第二附属医院(广州,510006)2广州中医药大学第一附属医院通信作者 E-mail:huangyongquan@gzcum.edu.cn
更新日期/Last Update: 1900-01-01