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正常及骨关节炎人类软骨中增大软骨粒的发生率及其相对基质密度。

The incidence of enlarged chondrons in normal and osteoarthritic human cartilage and their relative matrix density.

作者信息

Lee G M, Paul T A, Slabaugh M, Kelley S S

机构信息

Department of Orthopaedics and Thurston Arthritis Research Center, University of North Carolina, Chapel Hill, NC 27599, USA.

出版信息

Osteoarthritis Cartilage. 2000 Jan;8(1):44-52. doi: 10.1053/joca.1999.0269.

Abstract

OBJECTIVE

To quantitate changes in the pericellular matrix in osteoarthritic (OA) articular cartilage.

DESIGN

Chondrons were enzymatically isolated from normal and OA human cartilage. The cross-sectional area of the chondrons were measured. After immunolabeling for keratan sulfate, type VI collagen and type II collagen, the relative matrix density was determined for different size classes of chondrons with quantitative fluorescence microscopy.

RESULTS

For individual chondrons, the average cross-sectional area (344+/-28 microm(2), mean+/-SE) for the normal specimens was significantly smaller than the average area (439+/-30 microm(2)) for the OA specimens. Using 496 microm(2) (mean+2 SD of the normal area) as the cut-off for enlarged chondrons, 33% of individual OA chondrons were enlarged compared to 16% for the normal. Chondrons under 300 microm(2) had a significantly higher density of keratan sulfate and type VI collagen than larger chondrons, while chondrons over 400 microm(2) had similar matrix densities.

CONCLUSIONS

There is a higher incidence of enlarged chondrons in OA cartilage than in normal cartilage. The enlargement may initially be due to hydrodynamic swelling but further increases in size are due to increased matrix deposition.

摘要

目的

定量分析骨关节炎(OA)关节软骨细胞周围基质的变化。

设计

从正常和OA患者的软骨中酶解分离出软骨粒。测量软骨粒的横截面积。用硫酸角质素、VI型胶原和II型胶原进行免疫标记后,通过定量荧光显微镜测定不同大小类别的软骨粒的相对基质密度。

结果

对于单个软骨粒,正常标本的平均横截面积(344±28μm²,均值±标准误)显著小于OA标本的平均面积(439±30μm²)。以496μm²(正常面积均值 + 2倍标准差)作为增大软骨粒的截断值,33%的单个OA软骨粒增大,而正常软骨粒的这一比例为16%。小于300μm²的软骨粒硫酸角质素和VI型胶原的密度显著高于较大的软骨粒,而大于400μm²的软骨粒基质密度相似。

结论

OA软骨中增大软骨粒的发生率高于正常软骨。其增大最初可能是由于流体动力学肿胀,但进一步增大则是由于基质沉积增加。

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