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α-SMA在先天性肌性斜颈中的表达及意义
Hits: 1875   Download times: 1435   Received:December 05, 2003    
作者Author单位UnitE-Mail
陈根强 CHEN Gen-qiang 浙江大学医学院附属第二医院,浙江杭州310009 Department of Orthopaedics and Pathological Division,The Second Affiliated Hospital,The Medical Collego of Zhejian University  
潘志军 PAN Zhi-jun 浙江大学医学院附属第二医院,浙江杭州310009 Department of Orthopaedics and Pathological Division,The Second Affiliated Hospital,The Medical Collego of Zhejian University  
周燕 ZHOU Yan 浙江大学医学院附属第二医院,浙江杭州310009 Department of Orthopaedics and Pathological Division,The Second Affiliated Hospital,The Medical Collego of Zhejian University  
陈丽荣 CHEN Li-rong 浙江大学医学院附属第二医院,浙江杭州310009 Department of Orthopaedics and Pathological Division,The Second Affiliated Hospital,The Medical Collego of Zhejian University  
期刊信息:《中国骨伤》2004年17卷,第8期,第452-454页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:研究α平滑肌肌动蛋白(alphasmoothmuscleactin,αSMA)在先天性肌性斜颈(congenitalmusculartorticollis,CMT)中的表达及意义。

方法:利用免疫组化辅以计算机图象定量分析技术,对21例先天性肌性斜颈及10例正常肌肉腱性组织标本αSMA的表达进行观察和检测。

结果:αSMA在对照组中未见明显表达,3例先天性肌性斜颈标本αSMA染色阴性,18例病变标本中αSMA染色阳性,病变组与对照组两者差异有非常显著性意义(P<0.001);αSMA在肌性斜颈中表达强度与年龄有关,6岁以上组表达明显减弱,与6岁以下组(包括6岁)比较差异有显著性意义(P<0.001)。

结论:①肌纤维母细胞是先天性肌性斜颈发病关键病理因素。②先天性肌性斜颈中肌纤维母细胞的表达在6岁以上组明显减弱,这给临床治疗提供新思路。
[关键词]:先天性肌性斜颈  肌动蛋白  肌纤维母细胞  免疫组织化学
 
Expression and significance of alpha-smooth muscle actin in congenital muscular torticollis
Abstract:

Objective:To study the expression and distribution of alpha-smooth muscle actin(α-SMA)in congenital muscle torticollis and discuss its clinical significance and relationship with congenital muscular torticollis.

Methods:Twenty specimens from congenital muscular torticollis were collected.The control specimens were collected from normal tendon samples.Expression of α-SMA was detected using immunohistochemistry and computer image evaluation in twenty-one cases and ten normal tendon smaples.

Results:There was no significant expression of α-SMA in control group except for the positive reaction in the smooth muscle cells of the small vascular walls.Eighteen specimens of congenital muscular torticollis were positive for α-SMA.Three specimens of congenital muscle torticollis were negative for α-SMA.α-SMA was expressed in the diseased group,which carried a striking difference from its constrasting group(P<0.001);In the congenital muscle torticollis group,the expression of α-SMA of those aged over six-years old was also weakened obviously,whose difference from the those aged less than six-years old(including six)was alse with significant different(P<0.001).

Conclusion:① Myofibroblasts appear to be one of the most important factors in the pathogenesis of congenital muscular torticollis.② The expression of myofibroblast in congenital muscular torticollis,aged over six group weakened obviously,which gives fresh thought to cure of these diseases.
KEYWORDS:Congenital muscular torticollis  Actins  Myofibroblast  Immunohistochemical
 
引用本文,请按以下格式著录参考文献:
中文格式:陈根强,潘志军,周燕,陈丽荣.α-SMA在先天性肌性斜颈中的表达及意义[J].中国骨伤,2004,17(8):452~454
英文格式:CHEN Gen-qiang,PAN Zhi-jun,ZHOU Yan,CHEN Li-rong.Expression and significance of alpha-smooth muscle actin in congenital muscular torticollis[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(8):452~454
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