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机构地区:[1]青岛大学医学院附属医院脊柱外科,266003 [2]青岛市骨伤科医院
出 处:《中华骨科杂志》2010年第3期287-292,共6页Chinese Journal of Orthopaedics
基 金:基金项目:国家自然科学基金(30471750)
摘 要:目的研究腺相关病毒(adeno—associated virus2,AAV2)介导的结缔组织生长冈子(connective tissue growth factor,CTGF)和基质金属蛋白酶组织抑制因子1(tissue inhibitor of metalloproteinasesl,TIMP1)双基因体内转染退变的恒河猴腰椎间盘的生物学效应。方法恒河猴9只,雌性4只,雄性5只;年龄4-7岁,体重4.5-7kg。CT引导下经皮穿刺纤维环诱导恒河猴腰椎间盘退变,微创经皮注入携带CTGF和TlMPI双基因腺相关病毒颗粒。应用Rrr_PCR测定细胞因子的表达,RT—PCR、35S整合法观察双基因联合转染对退变椎间盘的生物学作用。结果双基因转染后8、16、24周时CTGFmRNA表达量分别为PBS对照组的10.02、2.39、0.91倍;TIMPImRNA表达量分别为PBS对照组的6.08、3.8l、2.67倍;Ⅱ型胶mRNA表达量分别为PBS对照组的145.51%、174.72%、113.73%;蛋白多糖mRNA表达量分别为PBS对照组的461.19%、191.46%、301.39%;蛋白多糖合成效率为分别PBS对照组的455.06%、285.97%、165.58%。结论CTGF和TIMPI双基因联合转染后可以在体内较长期表达,并能促进体内蛋白多糖和Ⅱ型胶原的合成,延缓椎间盘的退变。Objective To study the biological effect of connective tissue growth factor (CTGF) and tissue inhibitor of metalloproteinases 1 (TIMPI) mediated by adeno-associated virus 2 (AAV2) to rhesus monkey lumbar intervertebral discs in vivo. Methods To establish a novel model of lumbar disc degenera- tion in the rhesus monkey using percutaneous needle puncture guided by CT. The rAAV2-CTGF-IRES- TIMPI was injected percutaneously with minimal invasive technique. The mRNA expression of CTGF and TIMP1 was determined through RT-PCR. The biological effect of rAAV2-CTGF-IRES-TIMPI was examined by RT-PCR, ~5S incorporation assay. Results At the 8th0 16th, 24th week 'after gene transfection, the ex- pression of CTGF mRNA were 10.02, 2.39, 0.91 times respectively compared with the PBS control group; TIMPI mRNA expression were 6.08, 3.81, 2.67 times respectively compared with the PBS control group; col- lagen type II mRNA expression for the PBS control group were 145.51%, 174.72%, 113.73% respectively; proteoglycan mRNA expression were 461.19%, 191.46%, 301.39% respectively compared with the PBS con- trol group; the efficiency of proteoglycan synthesis were 455.06%, 285.97%, 165.58% respectively compared with PBS control group. Conclusion The longer-term expression of CTGF and TIMPI genes mediated by adeno-associated virus can achieve in vivo after transferring into the intervertebral disc, and 'also can in- crease the proteoglycan and collagen type II synthesis, which delay disc, degeneration.
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