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作 者:段圆慧[1] 尹芸生[1] 庞润明[2] 薛晓峰[1] 杜玉勇[1] 李增慧[1]
机构地区:[1]山西医科大学第二医院骨科,太原030001 [2]太原市杏花岭区中心医院骨科
出 处:《中国药物与临床》2008年第10期785-788,共4页Chinese Remedies & Clinics
基 金:山西省留学归国人员科研基金资助项目(04025)
摘 要:目的探讨塞来昔布(Celecoxib)对老年大鼠骨质疏松性骨折早期愈合过程中转化生长因子(TGF)-β1的影响。方法选用22月龄老年雄性SD大鼠60只,经随机抽取10只测出全身骨密度,与随机抽取的10只12月龄雄性SD大鼠的骨密度对比并做统计学分析,数值降低(P<0.05),确立老年大鼠骨质疏松模型。将老年大鼠制成左股骨骨折模型,随机分为对照组和Celecoxib组,Celecoxib组于术后给予Celecoxib 3 mg·kg-1·d-1灌胃,对照组给予同体积0.9%氯化钠注射液灌胃,共10d。术后在不同阶段处死,取骨痂进行苏木素-伊红(HE)染色、TGF-β1免疫组织化学染色观察及免疫组织化学图像分析。结果HE染色:塞来昔布组软骨生成及软骨内成骨过程较对照组延迟;TGF-β1免疫组织化学染色:两组TGF-β1表达的定位无差别,经图像分析,塞来昔布组在各个时间段TGF-β1蛋白阳性表达的积分吸光度(IA)值均弱于对照组,差异有统计学意义。结论塞来昔布通过抑制TGF-β1的表达,延缓老年大鼠骨质疏松性骨折的愈合。Objective To investigate the effects of Celecoxib on expression of TGF-β1 during the early healing process of osteoporotie fracture in aged rats. Methods The status of osteoporosis in 22-month-old male rats was confirmed by total body bone mineral density measurement. Fracture healing model was established by osteotomy with a wire saw and fixation with a Kirschner wire on left lemur. Sixty model rats were randomized into two groups: 30 for control group, and 30 for Celecoxib group. Celecoxib group was given daily by garage at dose of 3 mg/kg for a total of 10 days, while control group was given an equivalent volume of saline. The rats were sacrificed in batches at 3 days, 1, 2, 3, 4, 8 weeks after operation, and the callus formation was examined with histological and immunohistochemistry (transforming growth factor beta 1,TGF-beta 1) assessment. Results Histomorphological analysis revealed delayed cartilage formation and transformation in Celecoxib group. Immunohistochemical localization showed comparable levels of TGF-β1 expression in the two groups. By the image analysis, the Celecoxib group showed lower integral optical density of TGF-β1 protein expression at all time spots as compared with the control group, with a statistically significant difference. Conclusion Celecoxib may delay the osteoporotic fracture healing in aged rats by inhibiting TGF-β1 expression.
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