Yin C, Wayne J S, Jiranek W A, Zuelzer W A
Department of Orthopaedic Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0694, USA.
J Orthop Res. 1999 Nov;17(6):823-8. doi: 10.1002/jor.1100170606.
The patellar tendon is the most commonly used graft source in reconstruction of the anterior cruciate ligament. The performance of a patellar tendon graft in such a reconstruction is largely related to the structural and functional differences between patellar tendons and anterior cruciate ligaments. From a genetic point of view, the structural and functional differences are ultimately decided by the differential patterns of gene expression between the two tissues. In the present study, the genetic differences between normal patellar tendons and normal anterior cruciate ligaments were explored by screening a large number of mRNA species to detect the species unique to each tissue. Of the approximately 1,000 mRNAs screened, 20 differentially expressed mRNA species were detected. Eight were unique to patellar tendons, and 12 were unique to anterior cruciate ligaments. Of these 20 unique mRNA species, 12 did not match any of the known sequences in gene databases and were probably novel genes. Transcriptional control is a major step in the genetic pathway; therefore, the variations found between patellar tendons and anterior cruciate ligaments at this level of gene expression indicate that the differences between the two tissues are likely more extensive than previously thought. These differences probably influence the survival of patellar tendon autografts and should be explored further.
髌腱是前交叉韧带重建中最常用的移植物来源。髌腱移植物在这种重建中的性能很大程度上与髌腱和前交叉韧带之间的结构和功能差异有关。从遗传学角度来看,结构和功能差异最终由两种组织之间基因表达的差异模式决定。在本研究中,通过筛选大量mRNA种类以检测每种组织特有的种类,探索了正常髌腱和正常前交叉韧带之间的遗传差异。在筛选的约1000种mRNA中,检测到20种差异表达的mRNA种类。其中8种是髌腱特有的,12种是前交叉韧带特有的。在这20种独特的mRNA种类中,有12种与基因数据库中的任何已知序列均不匹配,可能是新基因。转录控制是遗传途径中的一个主要步骤;因此,在这个基因表达水平上髌腱和前交叉韧带之间发现的差异表明,这两种组织之间的差异可能比以前认为的更为广泛。这些差异可能会影响髌腱自体移植物的存活,应进一步加以探索。