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α-平滑肌肌动蛋白在臀肌挛缩症中的表达及意义
Hits: 1958   Download times: 1357   Received:July 15, 2004    
作者Author单位UnitE-Mail
陈根强 CHEN Gen-qiang 金华职业技术学院医学院骨科, 浙江?? 金华?? 321000 zhenggenqiang510@ sina.com 
潘志军 PAN Zhi-jun 浙江大学医学院附属二院 浙江杭州310009 The Second Affiliated Hospital of Medical College of Zhejiang University,Zhejiang Hangzhou,310009,China  
周燕 ZHOU Yan 浙江大学医学院附属二院 浙江杭州310009 The Second Affiliated Hospital of Medical College of Zhejiang University,Zhejiang Hangzhou,310009,China  
陈丽荣 CHEN Li-rong 浙江大学医学院附属二院 浙江杭州310009 The Second Affiliated Hospital of Medical College of Zhejiang University,Zhejiang Hangzhou,310009,China  
期刊信息:《中国骨伤》2005年18卷,第4期,第219-221页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:观察α-平滑肌肌动蛋白(alphasmoothmuscleactin,α-SMA)在臀肌挛缩症的表达、分布。

方法:利用免疫组化染色辅以计算机图像定量分析技术,对26例臀肌挛缩症及12例正常臀肌标本α-平滑肌肌动蛋白的表达进行检测。

结果:α-SMA在对照组中未见明显表达。12例臀肌挛缩症组织中α-SMA染色阳性,14例臀肌挛缩组织中染色阴性,病变组与对照组比较差异有显著性(P<0.001);7岁以上组臀肌挛缩症组织α-SMA表达明显减弱,与7岁以下组臀肌挛缩症组织(包括7岁)比较差异有显著性(t=2.364,P=0.028)。

结论:①肌纤维母细胞是臀肌挛缩症发病的关键病理因素;②臀肌挛缩症中肌纤维母细胞的表达强度与病程有关,7岁以上组病程较长,表达明显减弱,这给临床治疗提供了新思路。
[关键词]:臀肌挛缩症  肌动蛋白类  肌纤维母细胞  免疫组织化学
 
Expression and significance of a alpha-smooth muscular actin in the gluteal muscle contracture
Abstract:

Objective:To observe the expression and distribution of alpha-smooth muscular actin(α-SMA)in gluteal muscle contracture and discuss its clinical significance and relationship.

Methods:26 patients suffered from gluteal muscle contracture were collected from Oct.1994 to Oct.2002.The control specimens were collected from normal gluteal muscle and fascia.Expression and localization of alpha-smooth muscular actin in different groups were assessed after incubation of paraffin section with a mouse monoclonal antibody.The expression level of α-SMA was detected by computer graph analysis system.

Results:There was no significant expression of α-SMA in control group except for the positive reaction in the smooth muscular cells of the small vascular walls.12 specimens of gluteal muscle contracture were positive for α-SMA actin,while 14 specimens of gluteal muscle contracture were negative.α-SMA was expressed in the diseased group,with a striking difference from control group(P<0.001);In the gluteal muscle contracture group,the expression of α-SMA of those aged over 7 weakened obviously,whose difference from those aged less than 7 was of striking difference(t=2.364,P=0.028).

Conclusion:①Myofibroblast appeared to be one of the most important factors in the pathogenesis of gluteal muscle contracture.②The expression intensity of myofibroblast in gluteal muscle contracture was related to history of disease.In the gluteal muscle contracture group,The expression of α-SMA of those aged over 7 weakened obviously,which gives fresh thought to clinical diagnosis and cure of these diseases.
 
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-平滑肌肌动蛋白在臀肌挛缩症中的表达及意义[J].中国骨伤,2005,18(4):219~221
英文格式:CHEN Gen-qiang,PAN Zhi-jun,ZHOU Yan,CHEN Li-rong.Expression and significance of a alpha-smooth muscular actin in the gluteal muscle contracture[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(4):219~221
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