基础医学与临床 ›› 2007, Vol. 27 ›› Issue (9): 970-974.

• 研究论文 • 上一篇    下一篇

关节突关节失稳致兔椎间盘退变的分子生物学评价

黄宗强 刘尚礼 郑召民   

  1. 河南郑州郑州大学第一附属医院骨科 中山大学第二附属医院骨科部 中山大学附属经一医院骨科
  • 收稿日期:2006-05-15 修回日期:2006-11-13 出版日期:2007-09-25 发布日期:2007-09-25
  • 通讯作者: 黄宗强

Molecular biology change of intervertebral disk degeneration caused by bilateral zygapophysial joint unstability

Zong-qiang Huang Shang-li Liu Zhao-min Zhen   

  • Received:2006-05-15 Revised:2006-11-13 Online:2007-09-25 Published:2007-09-25
  • Contact: Zong-qiang Huang

摘要: 目的 探讨新西兰大白兔腰椎关节突关节失稳诱发椎间盘退变(IVDD)的蛋白多糖和I、II型胶原基因的表达。方法 30只新西兰大白兔。随机分为骨性手术组和软组织手术组。软组织手术组仅骨膜下剥离L3~L7的椎旁肌肉;骨性手术组完整切除L4、L5双侧下关节突、L5棘突,保留L5、L6上关节突。骨性手术组L4 5、L5 6椎间盘为实验组椎间盘,上下相邻的L3 4、L6 7为自身对照组椎间盘;软组织手术组L4 5、L5 6椎间盘为实验对照组椎间盘。术后1、2、4及8个月处死实验动物,RT-PCR检测椎间盘中蛋白多糖和I、II型胶原基因表达,并用磷酸甘油醛脱氢酶(GAPDH)做内参照行半定量。结果 随着术后时间的延长,各组蛋白多糖、II型胶原表达量逐渐下降,I型胶原表达量逐渐上升。相同时间段,蛋白多糖、II型胶原实验组最低,实验对照组最高;I型胶原实验组最高,实验对照组最低。结论 椎间失稳后可以诱发出IVDD。蛋白多糖、I、II型胶原基因表达能够较早反映出IVDD。

Abstract: Objective: To study aggrecan, collagen type I and collagen type II gene expression of intervertebral disk degeneration through destroying bilateral zygapophysial joints of New-Zealand rabbit. Methods 30 male New-Zealand rabbits were randomly divided into operation group on the bone and operation group on the soft tissue. In operation group on the bone, L4 and L5 inferior articular processes were en bloc excised, L5 and L6 superior articular processes were retained. In the operation group on the soft-tissue, Only L3 to L7 paravertebral muscles was stripped. In operation group on the bone, L4-5 and L5-6 intervertebral disks were acted as experimental group; L3-4 and L6-7 acted as self-control group. In the operation on the soft tissue, L4-5 and L5-6 were acted as experimental control group. One、two、four and eight months post-operation, New-Zealand rabbits were killed. Aggrecan, collagen type I and collagen type II gene expression were performed with semiquantitative reverse transcriptase-polymerase chain reaction (RT-PCR). Results Aggrecan and collagen type II mRNA levels had decreased markedly, whereas type I collagen mRNA gradually increased with time. At the same time point, aggrecan, collagen type II gene expression were the least in experiment group, whereas were most in the experiment-control group. Collagen type I showed the contra-tendency. Conclusions Intervertebral disk degeneration can be induced through destroying L4-5 and L5-6 zygapophysial joints of New-Zealand rabbit.Aggrecan, collagen type I and collagen type II gene expression can reflect intervertebral disk degeneration.