机构地区:[1]上海交通大学医学院附属瑞金医院老年病科,上海200025 [2]上海交通大学医学院医学遗传学教研室
出 处:《中国骨质疏松杂志》2013年第5期441-445,449,共6页Chinese Journal of Osteoporosis
基 金:上海市科委基础研究重大项目(09JC1410300)
摘 要:目的利用卵巢切除骨质疏松症小鼠模型,研究仙灵骨葆抗骨质疏松症的疗效。方法 30只129SV品系雌性小鼠随机分为三组:卵巢假切+安慰剂组(SHAM+NS,0.2 ml.d-1);卵巢切除+安慰剂组(OVX+NS,0.2 ml.d-1),卵巢切除+仙灵骨葆组(OVX+XLGB,500 mg.kg-1.d-1),持续治疗12周后取材,应用Micro-CT检测骨密度(BMD)和骨小梁结构、组织病理切片观察骨形态、三点弯曲试验和压缩试验检测骨生物力学指标。结果 Micro-CT检测股骨BMD,OVX+NS组BMD(498.6±13.0 mg/cm2)较SHAM+NS组(636.5±12.4 mg/cm2)下降22%(P<0.01),OVX+XLGB组BMD(561.0±18.6 mg/cm2)与OVX+NS组相比提高了13%(P<0.05)。Micro-CT检测小鼠腰椎(L2-5)骨小梁结构显示:OVX+NS组骨小梁BV/TV、Tb.Th分别低于SHAM+NS组22%、35%,Tb.Sp高于SHAM+NS组11%,差异有统计学意义(P<0.05)。给予仙灵骨葆治疗后,腰椎BV/TV及Tb.Th分别高于OVX+NS组15%、16%,Tb.Sp低于OVX+NS组9%,具有显著性差异(P<0.05)。三点弯曲和压缩试验检测OVX+NS组股骨和腰椎的最大载荷和最大应力,股骨最大载荷和最大应力较SHAM+NS组显著降低42%、49%,腰椎最大载荷和最大应力显著降低42%、43%(P<0.05)。仙灵骨葆治疗后,股骨和腰椎的最大载荷分别提高了75%和47%,最大应力分别提高了47%和47%,差异有统计学意义(P<0.05)。结论仙灵骨葆能够显著提高卵巢切除引起的骨密度,改善骨微结构破坏,提高骨生物力学参数,表明仙灵骨葆具有良好的抗骨质疏松症疗效。Objective To investigate the therapeutic effect of Xianlinggubao (XLGB) on osteoporosis in ovariectomized (OVX) mouse model. Methods Thirty female 129SV mice underwent OVX (n = 20) or Sham (n = 10) operation. They were then randomly divided into 3 groups: SHAM + normal saline (NS 0.2 ml/d, ic) group, OVX + NS (NS 0.2 ml/d, ic) group, and OVX + XLGB group (500 mg/kg/d). All mice were consecutively treated for 12 weeks. Then bone mineral density (BMD) and bone trabecula structure were detected using micro-CT. Bone morphology was observed in tissue pathological sections. Bone biomechanical parameters were detected using three-point bending test and compression test. Results Micro-CT data showed that BMD significantly decreased by 22% in OVX + NS group (498.6 ± 13.0 mg/cm2 ) compared to that in SHAM + NS group (636. 5 ± 12.4 mg/cm2 , P 〈0.01 ). Compared with that in OVX + NS group, BMD in OVX + XLGB group (561.0 ± 18.6 mg/cm2 ) was significantly increased by 13% after 12 - week garage of XLGB (P 〈 0. 05). Bone volume/tissue volume (BV/TV) and trabecular thickness (Tb. Th) in OVX + NS group significantly decreased, and bone surface/bone volume (BS/BV) and trabecular separation (Tb. Sp) increased when compared to that in sham group (P 〈 0.05). XLGB could significantly improve BV/TV and Tb. Th in the femur ( + 6% and + 11% ) compared with that in OVX + NS group. Meanwhile BS/BV decreased by 10% and Tb. Sp decreased by 6% (P 〈 0. 05).According to three-point bending test and compression test, the maximum load and stress of the femur decreased significantly compared to that in SHAM + NS group ( - 42% and - 49% ). The decrease in the lumbar vertebrae was - 42% and - 43% ( P 〈 0.05). After XLGB treatment, the maximum load of the femur and the lumbar vertebrae increased by 75% and 47% , and the maximum stress of the femur and the lumbar vertebrae increased by 47% and 47% (P 〈 0.05 ). Conclusion Tra
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