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氦氖激光对实验性骨关节炎应激蛋白水平及关节炎组织病理学的影响。

Effects of helium-neon laser on levels of stress protein and arthritic histopathology in experimental osteoarthritis.

作者信息

Lin Yueh-Shuang, Huang Mao-Hsiung, Chai Chee-Yin, Yang Rei-Cheng

机构信息

Kun Shan University of Technology, Kaohsiung, Taiwan.

出版信息

Am J Phys Med Rehabil. 2004 Oct;83(10):758-65. doi: 10.1097/01.phm.0000137310.15943.19.

Abstract

OBJECTIVE

To investigate the effect of low-power laser therapy on levels of stress proteins (SPs) in experimental arthritis and their relation to the bioeffects on arthritic cartilage repair.

DESIGN

A total of 42 rats with similar degrees of induced arthritis evaluated by means of bone scan were divided randomly into two groups. In the treated group, 21 rats received helium-neon laser treatment; in the control group, 21 rats received sham laser treatment. The changes in chondrocytes of SPs were measured by electrophoresis of proteins extracted from chondrocytes of arthritic cartilage at various time periods. The histopathologic changes and the presence of SP of arthritic cartilage were identified by hematoxylin and eosin stain and by immunostains of SP72 antibody individually from frozen sections of arthritic cartilage.

RESULTS

SP density increased markedly in rats after laser treatment and was closely related to the repair of arthritic cartilage. Furthermore, the pathohistology of arthritic cartilage improved significantly with the decline of SP levels in the follow-up period.

CONCLUSION

Helium-neon (632 nm) low-power laser can enhance SP production in arthritic chondrocytes. The extragenic production of SP is well correlated with the therapeutic effect of low-power laser in preserving chondrocytes and the repair of arthritic cartilage in rats.

摘要

目的

研究低功率激光疗法对实验性关节炎中应激蛋白(SPs)水平的影响及其与对关节炎软骨修复的生物效应的关系。

设计

通过骨扫描评估,将42只诱导性关节炎程度相似的大鼠随机分为两组。治疗组21只大鼠接受氦氖激光治疗;对照组21只大鼠接受假激光治疗。在不同时间段,通过对关节炎软骨的软骨细胞提取的蛋白质进行电泳,测量SPs在软骨细胞中的变化。通过苏木精和伊红染色以及从关节炎软骨冰冻切片中单独进行SP72抗体免疫染色,鉴定关节炎软骨的组织病理学变化和SP的存在情况。

结果

激光治疗后大鼠的SP密度显著增加,且与关节炎软骨的修复密切相关。此外,在随访期间,随着SP水平的下降,关节炎软骨的病理组织学有显著改善。

结论

氦氖(632nm)低功率激光可增强关节炎软骨细胞中SP的产生。SP的额外产生与低功率激光在保护大鼠软骨细胞和修复关节炎软骨方面的治疗效果密切相关。

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