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韩娜,张殿英,王天兵,张培训,姜保国.降钙素基因相关肽对大鼠胫骨骨折早期愈合的影响[J].陆军军医大学学报(原第三军医大学学报),2008,30(21):2011-2014.
HAN Na,ZHANG Dian-ying,WANG Tian-bing,ZHANG Pei-xun,JIANG Bao-guo.Effects of calcitonin gene-related peptide on tibial fracture healing at early stage in rats[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(21):2011-2014.
韩娜,张殿英,王天兵,张培训,姜保国.降钙素基因相关肽对大鼠胫骨骨折早期愈合的影响[J].陆军军医大学学报(原第三军医大学学报),2008,30(21):2011-2014. DOI:
HAN Na,ZHANG Dian-ying,WANG Tian-bing,ZHANG Pei-xun,JIANG Bao-guo.Effects of calcitonin gene-related peptide on tibial fracture healing at early stage in rats[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(21):2011-2014. DOI:
目的 建立大鼠单纯胫骨骨折模型,分别给予大鼠腹腔注射不同浓度的外源性降钙素基因相关肽(calcitonin gene-related peptide,CGRP)及其特异性受体拮抗剂,评价并探讨CGRP对骨折早期愈合的影响及其对骨形成蛋白-2 (bone morphogenetic protein-2,BMP-2)的表达。 方法 制作单纯胫骨骨折模型,将SD大鼠应用随机数字表法随机分为3组,每组10只,分别给予腹腔注射生理盐水(对照组)、CGRP及CGRP受体拮抗剂。术后1、2周和4周时取材,进行骨折部骨痂测量, HE染色观察骨折局部形态变化;利用免疫组织化学检测骨组织中BMP-2的表达情况。 结果 大鼠腹腔内注射CGRP 1周时,各组均可见到少许骨痂,组间未见明显差别;术后2周时
各组外观有差别
CGRP组大鼠胫骨骨折部呈膨大样,大鼠骨痂量多于盐水对照组和拮抗剂组;术后4周CGRP组骨折部膨大明显缩小
骨皮质连续性好
各组外形已接近正常胫骨形态及大小。免疫组织化学结果显示:CGRP组胫骨骨折大鼠在骨折断端附近BMP-2的表达信号强于对照组和拮抗剂组。用药1周时, BMP-2免疫活性细胞从对照组的(18.52±10.08)增加为(36.80±11.18),增加了近2.2倍,拮抗剂组则减少为(14.50±8.80);用药2周时,BMP-2免疫活性细胞从对照组的(20.26±6.78)增加为(52.18±10.42),拮抗剂组减少为(11.21±8.40),变化幅度最大;用药4周时, BMP-2免疫活性细胞的增加从对照组的(21.25±8.65)增加为(31.41±9.18),拮抗剂组则减少为(18.32±10.28)。 结论 CGRP可能具有促进大鼠胫骨骨折早期愈合的作用,CGRP可以诱导骨组织中BMP-2的表达,推测CGRP的成骨作用与BMP-2的表达具有相关性。
Objective To investigate the effect of calcitonin gene-related peptide (CGRP) on early-stage bone fracture healing and on the expression of bone morphogenetic protein-2 (BMP-2) in bone tissue of rats. Methods Totally 30 SD rats with tibial fracture were randomly and equally divided into 3 group and received normal saline (control group)
CGRP or CGRP receptor antagonist injection intraperitoneally. In 1
2 and 4 weeks later
the fracture sites from the 3 groups were subjected to X-ray scanning
callus measurement and HE staining. The expression of the BMP-2 was detected by immunohistochemical method. Results There was no obvious difference on callus amounts among the 3 groups
but at 2 weeks after treatment
there were significantly more callus in CGRP group with enlargement in the fracture site than in the other 2 groups; The enlargement of CGRP group became minimized with fused cortex and almost normal morphology and size. So were the other 2 groups. Immunohistochemical results showed that exogenous CGRP significantly increased BMP-2 expression
but the expression was decreased significantly after administration of CGRP receptor antagonist. Conclusion Our results suggest that CGRP may participate in the regulation of bone fracture healing
and induce BMP-2 production
implying that BMP-2 may be related functionally with CGRP in the mechanism of bone metabolism.
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