经关节穿刺注射ADSCs修复兔激素性股骨头坏死的研究  

Repair of rabbit steroid-induced avascular necrosis of femoral head by ADSCs injection through the joint puncture

作　　者：谭伟源[1] 安荣泽[1] 齐新文[1] 谢嘉清 TAN Weiyuan ,AN Rongze ,QI Xinwen, XIE Jiaqing(Department of Orthopedics, the Fifth Affiliated Hospital of Zunyi Medical College, Guangdong Province, Zhuhai 519100, Chin)

机构地区：[1]遵义医学院第五附属(珠海)医院骨二科,广东珠海519100

出　　处：《中国医药导报》2018年第6期175-180,共6页China Medical Herald

摘　　要：目的探讨经关节穿刺注射脂肪源性干细胞(ADSCs)修复兔激素性股骨头缺血性坏死的疗效。方法取成年新西兰大白兔颈背部脂肪组织提取脂肪源性干细胞培养并传代,36只新西兰大白兔通过马血清联合激素法建立激素性股骨头缺血性坏死模型,随机分为对照组、髓芯减压组及ADSCs组,每组各12只,并作骨密度检测。对照组不作干预处理,髓芯减压组股骨头钻孔减压,ADSCs组经关节穿刺注射ADSCs。分别于干预后4、8周每组取6只兔行骨密度检测及X线检查,处死后收集股骨头样本作大体观察,采用HE染色及PCR检测BMP-2 mRNA的表达,通过各组比较探讨经关节穿刺注射ADSCs修复激素性股骨头缺血性坏死的效果。结果干预后4、8周,三组骨密度呈下降趋势,但对照组下降幅度更大,与髓芯减压组、ADSCs组比较差异有统计学意义(P<0.05),而髓芯减压组与ADSCs组相比较差异无统计学意义(P>0.05);大体观察、影像学及组织学表现,干预后4、8周与对照组比较,经关节穿刺注射ADSCs及髓芯减压均可延缓股骨头坏死的进展,对股骨头坏死起修复作用,ADSCs组优于髓芯减压组;干预后4、8周,ADSCs组及髓芯减压组BMP-2 mRNA的表达水平均高于对照组,差异有统计学意义(P<0.05),而髓芯减压组与ADSCs比较差异无统计学意义(P>0.05)。结论经关节穿刺注射ADSCs对兔激素性股骨头缺血性坏死有修复作用。Objective To investigate the effect of adipose derived stem cells （ADSCs） injection through the joint punc- ture on the repair of steroid-induced avascular necrosis of femoral head in rabbits. Methods ADSCs were isolated and passaged from the neck adipose tissue of adult New Zealand white rabbits. Thirty-six New Zealand white rabbits were used to establish the model of steroid-induced avascular necrosis of femoral head by horse serum combined with hor- mone. These rabbits were randomly divided into control group, core decompression group and ADSCs group （12 rabbits in each group）, and all for bone density detection. Control group：no intervention; core decompression group： femoral head drilling decompression; ADSCs group：by intra-articular injection of ADSCs. At 4 weeks and 8 weeks after inter- vention, 6 rabbits in each group were examined with bone mineral density （BMD） and X-ray examination. After the death, their femur samples were collected for gross observation, HE staining and PCR were used for the measurement of BMP-2 mRNA. Through the comparison of each group to explore the effect of ADSCs repairing steroid-induced avas- cular necrosis of the femoral head by joint puncture injection. Results 4 weeks and 8 weeks after intervention three groups of BMI）, but the control group decreased, compared with core decompression group and ADSCs group were sta- tistically significant （P 〈 0.05）, but there was no significant difference between the core decompression group and the ADSCs group （P 〉 0.05）. General observation, imaging and histological findings at 4 weeks and 8 weeks after interven- tion, compared with the control group, ADSCs treatment by joint puncture injection and core decompression both can delay the progress of femoral head necrosis. There had a repair effect on femoral head necrosis, and the effects in AD- SCs group were better than those in core decompression group; at 4 weeks and 8 weeks after intervention, the expres- sion of BMP-2 mRNA in the ADSCs group and the co

关 键 词：激素性股骨头缺血性坏死 脂肪源性干细胞 关节穿刺 修复 

分 类 号：R687.4[医药卫生—骨科学]