[1]魏峰,岳树锦,陈婧,等.柚皮苷结合骨髓间充质干细胞对软骨下骨重塑的影响[J].中国中医骨伤科杂志,2025,33(03):7-11+17.[doi:1005-0205(2025)03-0007-05]
 WEI Feng,YUE Shujin,CHEN Jing,et al.Effects of Naringin Combined with Bone Marrow Mesenchymal Stem Cells on Subchondral Bone Remodeling[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(03):7-11+17.[doi:1005-0205(2025)03-0007-05]
点击复制

柚皮苷结合骨髓间充质干细胞对软骨下骨重塑的影响()
分享到:

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年03期
页码:
7-11+17
栏目:
实验研究
出版日期:
2025-03-15

文章信息/Info

Title:
Effects of Naringin Combined with Bone Marrow Mesenchymal Stem Cells on Subchondral Bone Remodeling
文章编号:
10.20085/j.cnki.issn1005-0205.250302
作者:
魏峰1 岳树锦2 陈婧3 李鹏洋1 赵久丽1 周连新1 韩志华1 权英1 叶超1△
1北京中医药大学东直门医院(北京,100700)
2北京中医药大学护理学院
3北京中医药大学第三附属医院
Author(s):
WEI Feng1 YUE Shujin2 CHEN Jing3 LI Pengyang1 ZHAO Jiuli1 ZHOU Lianxin1 HAN Zhihua1 QUAN Ying1 YE Chao1△
1Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China; 2School of Nursing,Beijing University of Chinese Medicine,Beijing 102401,China; 3Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China.
关键词:
膝骨关节炎 软骨下骨 柚皮苷 微计算机断层扫描技术 骨髓间充质干细胞
Keywords:
knee osteoarthritis subchondral bone naringin Micro-CT scanning technique bone marrow mesenchymal stem cells
分类号:
R-33
DOI:
1005-0205(2025)03-0007-05
文献标志码:
A
摘要:
目的:基于Micro-CT扫描技术,观察柚皮苷结合骨髓间充质干细胞(BMSCs)对兔膝关节软骨下骨重塑的影响。方法:将兔骨髓间充质干细胞进行体外增殖,兔膝关节进行关节损伤造模,将骨髓间充质干细胞植入关节损伤处,并以柚皮苷汤或去离子水灌胃,分为假手术组、模型组、骨髓间充质干细胞组、柚皮苷结合骨髓间充质干细胞组,于第12周后对修复组织进行Micro-CT扫描检测(以软骨损伤修复区域缺损处为中心,数据三维重建后,通过分析软件CT Analyser量化数据),苏木精-伊红(HE)染色,X型胶原免疫组化染色。结果:从骨体积分数、骨小梁厚度及骨小梁数量看,柚皮苷结合骨髓间充质干细胞组高于模型组,且差异有统计学意义(P<0.05)。从骨表面积骨体积比及骨小梁分离度看,柚皮苷结合骨髓间充质干细胞组低于模型组和骨髓间充质干细胞组,且差异有统计学意义(P<0.05)。膝关节软骨下骨Micro-CT检测三维影像学比较,模型组的骨小梁明显减少,骨髓间充质干细胞组的骨小梁分布欠规律,柚皮苷结合骨髓间充质干细胞组的骨小梁数量增多,分布较密集,排列较规整。从HE染色看,柚皮苷结合骨髓间充质干细胞组可见软骨下骨修复处的骨小梁数量及密度增加,排列清晰。从X型胶原免疫组化看,柚皮苷结合骨髓间充质干细胞组可见关节软骨损伤修复处的X型胶原表达明显减少。结论:骨髓间充质干细胞具有促进兔膝关节损伤软骨下骨重塑的作用,加用柚皮苷能提高软骨下骨重塑的质量和数量,减少关节软骨X型胶原的表达,该效果的产生可能与柚皮苷激活TGF-β/Smad信号通路,促进骨髓间充质干细胞在软骨下骨处成骨方向的分化有关。
Abstract:
Objective:Based on micro-CT scanning technology,the effect of naringin combined with bone marrow mesenchymal stem cells(BMSCs)on subchondral bone remodeling was observed.Methods:Between rabbit bone marrow mesenchymal stem cells in vitro proliferation,the rabbit knee joint defect building,planted bone marrow mesenchymal stem cells joint defect,and with naringin soup or deionized water to fill the stomach,to set up sham operation group,model group,bone marrow mesenchymal stem cells group,naringin between bone marrow mesenchymal stem cells group,in the 12 weeks to repair tissue for Micro-CT scans,and look for areas of interest under the ROI through setting up the quantitative data.Results:In terms of BV/TV,Tb.Th and Tb.N,naringin between bone marrow mesenchymal stem cells group was higher than model group,and the difference was statistically significant(P<0.05).In terms of BS/BV,Tb.Sp,naringin between bone marrow mesenchymal stem cells group was lower than model group and bone marrow mesenchymal stem cells group,and the difference was statistically significant(P<0.05).According to three-dimensional imaging comparison of knee subchondral bone Micro-CT,bone trabeculae in the model group were significantly reduced,while bone trabeculae in the bone marrow mesenchymal stem cells group were not regularly distributed,while bone trabeculae in the naringin between bone marrow mesenchymal stem cells group were increased,more densely distributed,and more orderly arranged.HE staining showed that naringin between bone marrow mesenchymal stem cells group increased the number and density of bone trabeculae in subchondral bone repair,and the arrangement was clear.According to the immunohistochemistry of type X collagen,naringin between bone marrow mesenchymal stem cells group showed a significant decrease in the expression of type X collagen at the repair site of articular cartilage injury.Conclusion:BMSCs can promote subchondral bone remodeling in rabbit knee defect.The addition of naringin can improve the quality and quantity of subchondral bone remodeling,reduce the expression of type X collagen of articular cartilage.This effect may be related to naringin activation TGF-β/Smad signaling pathway.Stimulation is associated with promoting osteogenic differentiation of bone marrow mesenchymal stem cells at subchondral bone defects.

参考文献/References:

[1] 王前源,刘水涛,卫小春,等.软骨下骨在骨性关节炎进程中的作用[J].中国医学前沿杂志(电子版),2017,9(2):53-57.
[2] 李春根,曲弋,叶超,等.组织工程软骨与柚皮苷联合修复兔膝关节软骨缺损的组织学证实[J].中国组织工程研究,2014,18(20):3165-3171.
[3] YE C,CHEN J,QU Y,et al.Naringin and bone marrow mesenchymal stem cells repair articular cartilage defects in rabbit knees through the transforming growth factor-β superfamily signaling pathway[J].Experimental and Therapeutic Medicine,2020,20(5):59-72.
[4] YAO Q,WU X,TAO C,et al.Osteoarthritis:pathogenic signaling pathways and therapeutic targets[J].Signal Transduct Target Ther,2023,8(1):56.
[5] 廖德发.我国骨性关节炎流行病学调查现状[J].微创医学,2017,12(4):521-524.
[6] 刘军,曾令烽,杨伟毅,等.基于中医大健康理念探讨膝骨关节炎循证分期及阶梯治疗[J].中华中医药杂志,2019,34(4):1321-1327.
[7] 牛烁,易军,朱凡茂,等.内质网应激信号通路在骨关节炎中的研究进展[J].赣南医学院学报,2024,44(8):840-844.
[8] LI G,YIN J,GAO J,et al.Subchondral bone in osteoarthritis:insight into risk factors and microstructural changes[J].Arthritis Research & Therapy,2013,15(6):223.
[9] 严铮,徐妍,刘应泉,等.外泌体影响关节软骨再生修复及软骨下骨骨代谢平衡的研究进展[J].中国中医骨伤科杂志,2024,32(5):92-96.
[10] HU W,CHEN Y,DOU C,et al.Microenvironment in subchondral bone:predominant regulator for the treatment of osteoarthritis[J].Ann Rheum Dis,2021,80(4):413-422.
[11] 朱孟铸,葛瑞彩,李梦迪.补肾强督清化汤联合依那西普治疗肾虚湿热证强直性脊柱炎患者的疗效观察[J].世界中西医结合杂志,2024,19(7):1393-1397.
[12] 周荣魁,陈昌红,李贺,等.口服骨碎补总黄酮治疗膝骨关节炎患者的临床观察[J].中国医药导报,2011,8(2):77-78.
[13] 张金虎.骨碎补总黄酮联合硫酸氨基葡萄糖对膝骨关节炎患者症状、骨代谢和炎症因子的影响[J].中国骨质疏松杂志,2018,24(7):884-887.
[14] 李晋玉,赵学千,孙旗,等.骨碎补总黄酮的实验及临床研究概况[J].中国骨质疏松杂志,2018,24(10):1357-1364.
[15] 吴刚,童培建.补肾活血汤含药血清干预体外培养大鼠骨髓间充质干细胞成软骨分化及补肾活血汤联合骨髓间充质干细胞治疗大鼠膝骨关节炎的实验研究[J].中医正骨,2018,30(1):6-11.
[16] 李鹏洋,李春根,叶超,等.中药柚皮苷结合兔骨髓间充质干细胞治疗兔膝关节软骨缺损实验研究[J].辽宁中医药大学学报,2014,16(8):34-38.
[17] 李建业,董金波,王继祥,等.miR-218-5p与SOST在OA患者软骨下骨中的表达[J].中国老年学杂志,2024,44(19):4743-4745.
[18] BELLIDO M,LUGO L,ROMANBLAS J A,et al.Improving subchondral bone integrity reduces progression of cartilage damage in experimental osteoarthritis preceded by osteoporosis[J].Osteoarthr Cartilage,2011,19(10):1228-1236.
[19] CHAWLA S,MAINARDI A,MAJUMDER N,et al.Chondrocyte hypertrophy in osteoarthritis:mechanistic studies and models for the identification of new therapeutic strategies[J].Cells,2022,11(24):4034.
[20] XU X,ZHENG L,YUAN Q,et al.Transforming growth factor-β in stem cells and tissue homeostasis[J].Bone Research,2018,6(1):1-31.

备注/Memo

备注/Memo:
基金项目:中央高校基本科研业务费专项基金项目(2018-JYBZZ-JS091,2015-JYB-JSMS058)
国家自然科学基金青年科学基金项目(82104710)
通信作者 E-mail:yechao@bucm.edu.cn
更新日期/Last Update: 2025-03-10