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压缩负荷对椎骨和胫骨生长的调节作用:昼夜负荷与全天负荷

Modulation of vertebral and tibial growth by compression loading: diurnal versus full-time loading.

作者信息

Stokes Ian A, Gwadera Jodie, Dimock Abigail, Farnum Cornelia E, Aronsson David D

机构信息

Department of Orthopaedics and Rehabilitation, McClure Musculoskeletal Research Center, Robert T. Stafford Hall, University of Vermont, Burlington, VT 05405-0084, USA.

出版信息

J Orthop Res. 2005 Jan;23(1):188-95. doi: 10.1016/j.orthres.2004.06.012.

Abstract

PURPOSE

This study was designed to determine whether the amount of endochondral growth response to mechanical compression and the underlying growth mechanism differed with night-time or day-time loading, relative to full-time loading.

METHODS

Mechanical compression (nominally 0.1 MPa stress) was applied across tibial and tail vertebral growth plates of growing Sprague-Dawley rats. Four groups of animals (five per group) were used: 24/24 h (full-time loading); 12/24 h (day-loading); 12/24 h (night-loading); and 0/24 h (sham instrumented). Contralateral tibiae and adjacent vertebrae served as within-animal controls. The animals were euthanized after eight days. Growth plates were processed for quantitative histology to measure 24-h growth, total and BrdU-positive proliferative zone chondrocyte counts, and hypertrophic chondrocytic enlargement in the growth direction.

RESULTS

Growth as a percentage of within-animal control averaged 82% (full-time); 93% (day-loading); 90% (night-loading); 100% (sham) for vertebrae. For proximal tibiae it averaged 70% (full-time); 84% (day-loading); 86% (night-loading); 89% (sham). Reduced amount of hypertrophic chondrocytic enlargement explained about half of this effect in full-time loaded growth plates, but was not significantly altered in half-time loaded growth plates. The remaining variation in growth was apparently explained by reduced total numbers of proliferative zone chondrocytes. These findings indicate that sustained compression loading suppressed growth more than intermittent loading at both anatomical locations.

摘要

目的

本研究旨在确定相对于全时加载,软骨内生长对机械压缩的反应量以及潜在的生长机制在夜间或白天加载时是否有所不同。

方法

对生长中的斯普拉格-道利大鼠的胫骨和尾椎生长板施加机械压缩(名义应力为0.1MPa)。使用四组动物(每组五只):24/24小时(全时加载);12/24小时(白天加载);12/24小时(夜间加载);以及0/24小时(假手术植入)。对侧胫骨和相邻椎体作为动物体内对照。八天后对动物实施安乐死。对生长板进行定量组织学处理,以测量24小时生长、增殖区软骨细胞总数和BrdU阳性细胞计数,以及生长方向上肥大软骨细胞的增大情况。

结果

相对于动物体内对照,椎体生长的百分比平均值为82%(全时加载);93%(白天加载);90%(夜间加载);100%(假手术)。近端胫骨的平均值为70%(全时加载);84%(白天加载);86%(夜间加载);89%(假手术)。在全时加载的生长板中,肥大软骨细胞增大数量的减少约占这种效应的一半,但在半时加载的生长板中没有显著改变。生长的其余差异显然是由增殖区软骨细胞总数的减少所解释。这些发现表明持续压缩加载比间歇性加载在两个解剖位置上对生长的抑制作用更大。

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