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骨髓間充質(zhì)干細(xì)胞干預(yù)治療骨質(zhì)疏松癥中的骨組織生物力學(xué)性能

Biomechanical properties of bone tissue in the treatment of osteoporosis with bone marrow mesenchymal stem cells

作者: 李云龍  黃炳哲  李正偉  樸成東 
單位:吉林大學(xué)第二醫(yī)院(長春 130026)
關(guān)鍵詞: 骨質(zhì)疏松動(dòng)物模型;  骨髓間充質(zhì)干細(xì)胞;  雷洛昔芬;  骨密度;  剪切;  沖擊;  生物力學(xué) 
分類號(hào):R318.01
出版年·卷·期(頁碼):2021·40·1(74-78)
摘要:

目的  以雷洛昔芬干預(yù)治療骨質(zhì)疏松為對(duì)照,用生物力學(xué)性能指標(biāo)驗(yàn)證骨髓間充質(zhì)干細(xì)胞(bone mesenchymal stem cells ,BMSCs)干預(yù)治療骨質(zhì)疏松動(dòng)物的效果。方法 取6月齡雌性SD大鼠88只,隨機(jī)分為骨質(zhì)疏松動(dòng)物模型組22只,正常對(duì)照組22只,雷洛昔芬干預(yù)組22只,骨髓間充質(zhì)干細(xì)胞干預(yù)組22只。以摘除大鼠卵巢的方法建立骨質(zhì)疏松動(dòng)物模型。動(dòng)物飼養(yǎng)4周后,分別以骨髓間充質(zhì)干細(xì)胞和雷洛昔芬對(duì)骨質(zhì)疏松動(dòng)物進(jìn)行干預(yù)治療。于給藥6周后檢測各組大鼠血清Ca 、P 、堿性磷酸酶(alkaline  phosphatase,ALP),并取脛骨進(jìn)行剪切實(shí)驗(yàn),取股骨進(jìn)行沖擊實(shí)驗(yàn),測試肱骨的骨密度(bone mineral density,BMD)。結(jié)果 骨髓間充質(zhì)干細(xì)胞干預(yù)組肱骨BMD,血清Ca、ALP,脛骨各項(xiàng)剪切力學(xué)性能指標(biāo)和股骨各項(xiàng)沖擊力學(xué)性能指標(biāo)大于模型組及雷洛昔芬干預(yù)組,其血清P小于模型組及雷洛昔芬干預(yù)組(P<0.05)。結(jié)論 骨質(zhì)疏松動(dòng)物通過以骨髓間充質(zhì)干細(xì)胞干預(yù)后,肱骨BMD,血清Ca、ALP,骨的強(qiáng)度和韌性可以得到一定恢復(fù)。

Taking raloxifene intervention in the treatment of osteoporosis as a control, biomechanical performance indicators are used to verify the effect of bone marrow mesenchymal stem cells (BMSCs) in the treatment of osteoporosis in animals. Methods 88 SD rats were randomly divided into 22 osteoporosis animal model group, 22 normal control group, 22 raloxifene intervention group, and 22 bone marrow mesenchymal stem cell intervention group. The osteoporosis animal model was established by removing the ovaries of rats. After the animals were raised for 4 weeks, bone marrow mesenchymal stem cells and raloxifene were used to intervene in osteoporotic animals. After 6 weeks of administration, the serum Ca, P, alkaline phosphatase (ALP) of each group of rats were measured, and tibia was taken for shearing experiment, femur was taken for impact experiment, and the bone mineral density (BMD) of humerus was tested. ). Results The humerus BMD, serum Ca, ALP, tibia and various impact mechanical performance indexes of the bone marrow mesenchymal stem cell intervention group were greater than those of the model group and the raloxifene intervention group, and the serum P was lower than the model group and Raloxifene intervention group (P<0.05). Conclusions After the intervention of bone marrow mesenchymal stem cells in osteoporotic animals, humerus BMD, serum Ca, ALP, bone strength and toughness can be restored to a certain extent.

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