基础医学与临床 ›› 2009, Vol. 29 ›› Issue (4): 366-370.

• 研究论文 • 上一篇    下一篇

微米级磨损微粒刺激溶骨性细胞因子表达

陈明(苏州) 董启榕 雷宇(华东)   

  1. 苏州大学附属第二医院 苏州大学附属第二医院 华东交通大学职业技术学院
  • 收稿日期:2007-11-06 修回日期:2008-07-16 出版日期:2009-04-25 发布日期:2009-04-25
  • 通讯作者: 陈明(苏州)

Expression of osteolytic cytokines stimulated by micrometer-diameter wear particles

Ming CHEN, Qi-rong DONG, Yu LEI   

  1. the Second Affiliated Hospital,Suzhou University the Second Affiliated Hospital,Suzhou University Vocation and Technical College,East China Jiaotong University
  • Received:2007-11-06 Revised:2008-07-16 Online:2009-04-25 Published:2009-04-25
  • Contact: Ming CHEN,

摘要: 目的 比较钛合金和超高分子质量聚乙烯两种微米级磨损微粒对溶骨性细胞因子表达的影响。 方法 每2d 1次于大鼠背部皮下注射过滤后的空气 3ml,共6次。1周后,囊腔内分别注射微粒悬液(A组为钛合金,B组为超高分子质量聚乙烯)和生理盐水(C组)。14 d后取囊腔组织称重,石蜡包埋、HE染色,光镜下观察,全自动生化分析仪测定血清AKP活性,免疫组化法检测IL-6及TNF-α的表达,实时定量PCR法检测细胞外基质金属蛋白酶诱导因子(EMMPRIN)的mRNA含量。结果 囊腔组织类似于无菌性松动假体周围界膜组织。B组重量高于C组(P<0.05)。光镜下,A、B组可见大量吞噬细胞。A、B组血清AKP活性、IL-6的表达和EMMPRIN的mRNA含量均高于C组(P<0.05)。 结论 钛合金和超高分子质量聚乙烯微粒均能刺激溶骨性细胞因子产生及活性,形成人工关节无菌性松动。

Abstract: Objective: To evaluate the influence of the expression of osteolytic cytokines induced by micrometer-diameter wear particles (Ti-6Al-4V and UHMWPE). Methods: Filtration air was injected subcutaneously into rats'back 6 times ( 3ml qod ). After a week, wear particles suspension (Group A: Ti-6Al-4V, Group B: UHMWPE) or physiological saline(Group C) was injected into air pouch tissues. After 14 days, pouch tissues were obtained from killed rats, and were weighted, wax embedded and stained with hematoxylin and eosin, observed under microscope. AKP of serium with Automated Biochemical Analyzer, IL-6 and TNF-α expression with immunohistochemical method, and mRNA expression of extracellular matrix metalloproteinase inducer (EMMPRIN) with real-time Polymerase Chain Reaction method were detected. Results: Air pouch tissues were similar to limiting membrane of periprothesis tissue in the cases of aseptic loosening. As to pouch tissue weight, there was a significant increase in group B than in group C (p<0.05). Microscopy illustrated a large amount of phagocytes in group A and B. The activities of AKP, expression of IL-6 and mRNA expression of EMMPRIN in group A and group B were higher than in group C (P<0.05). Conclusions: The two wear particles both can modulate the production and expression of osteolytic cytokines, lead to aseptic loosening.