激素致股骨头骨细胞坏死、凋亡及对bcl-2表达影响的实验研究
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作者Author单位AddressE-Mail
李卫哲 LI Wei-zhe 吉林大学第一医院骨科,吉林长春130021 Department of Orthopaedics,the First Affiliated Hospital of Jilin University Lize1632111@163.com 
李景南 LI Jing-nan 梅河口市医院  
张新 ZHANG Xin 吉林大学第一医院骨科,吉林长春130021 Department of Orthopaedics,the First Affiliated Hospital of Jilin University  
期刊信息:《中国骨伤》2004年,第17卷,第9期,第540-541页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的:探讨激素性股骨头坏死的发病机制。

方法:选用健康成年大白鼠30只,体重约200g,随机分为实验组(冲击注射地塞米松)和对照组。实验8周处死动物,取股骨头作骨细胞组织病理学、超微结构观察,并用TUNEL及免疫组化技术分别检测骨细胞凋亡和bcl-2表达情况。

结果:光镜下实验组较对照组股骨头骨小梁变细、稀疏、空骨陷窝明显增多,脂肪细胞增大。电镜下实验组骨细胞体积缩小,核固缩,线粒体及高尔基体肿胀,染色质边聚较多见。实验组凋亡骨细胞增多,bcl-2表达骨细胞轻度增加。

结论:激素性股骨头坏死是骨细胞凋亡和坏死共同作用的结果。
【关键词】股骨头坏死  免疫组织化学  细胞凋亡  骨坏死
 
Study of necrosis and apoptosis of osteocytes in steroid-induced osteonecrosis of the femoral head
ABSTRACT  

Objective:To observe necrosis,apoptosis and the expression of bcl-2 protein of osteocytes in dexamethasone(DEX)-induced osteonecrosis of the femoral head (ONFH) in rats and study the pathogenesis of the DEX-induced ONFH.

Methods:Thirty healthy mature white rats,weighted about 200 g,were selected without sexual restriction and randomly divided into experimental group (injected with massive dose of DEX)and control group.Pathological changes,apoptosis and the expression of bcl-2 protein of the femoral heads were observed in 8 weeks.

Results:The trabecula of femoral head of the experimental group changed to thinner and more sparse,empty bone lacune increased,the bone marrow cavity with edema and larger fatty cells were also observed and compared with the control group.Under electron microscope,experimental group showed a great deal of necrotic osteocytes with pyknotic nucleus,the cytoplasm and organell were swelling.Apoptosis and the expression of bcl-2 protein in experimental group were more than that of control group.

Conclusion:Necrosis and apoptosis of osteocytes are coagents of the steroid-induced osteonecrosis of the femoral head.
KEY WORDS  Femur head necrosis  Immunohistochemistry  Apoptosis  Osteonecrosis
 
引用本文,请按以下格式著录参考文献:
中文格式:李卫哲,李景南,张新.激素致股骨头骨细胞坏死、凋亡及对bcl-2表达影响的实验研究[J].中国骨伤,2004,17(9):540~541
英文格式:LI Wei-zhe,LI Jing-nan,ZHANG Xin.Study of necrosis and apoptosis of osteocytes in steroid-induced osteonecrosis of the femoral head[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(9):540~541
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