Suehiro Masatsugu, Hirano Toru, Shindo Hiroyuki
Department of Orthopaedic Surgery, Nagasaki Genbaku Hospital, 3-15 Morimachi, Nagasaki 852-8511, Japan.
J Orthop Sci. 2005 Sep;10(5):501-7. doi: 10.1007/s00776-005-0927-3.
Wistar Kyoto (WKY) rats bred in ordinary rat cages rarely develop osteonecrosis of the epiphyseal nucleus of the femoral head (OENFH), a pathological condition with findings similar to those of early-stage Perthes' disease in humans. OENFH occurs frequently in spontaneously hypertensive rats. Interestingly, when rats are forced to stand upright on the hindlimbs at feeding time, OENFH is frequently encountered.
Experiment I investigated the stage of growth development at which osteonecrosis might be generated. Forty male WKY rats 5 weeks of age were kept and fed in high (27 cm height) rat cages. Twenty femora from 10 WKYs per observation time were resected under deep ether anesthesia at 9, 12, 15, and 20 weeks. Histologic examination of the femoral head focused on OENFH and abnormalities of the growth plate. Experiment II defined the period after postnatal week 5 when OENFH was generated while standing upright. The standing posture was lessened up to postnatal weeks 9 and 12 using a low (10 cm height) rat cage and then reenforced at feeding time with a high rat cage until 15 weeks. Forty femora from the 20 WKYs were then resected as in experiment I.
The onset of OENFH was observed only at 12 and 15 weeks of age in experiment I, revealing that OENFH occurred specifically during this growth period. In experiment II the osteonecrosis was minimal. Abnormalities in the growth plates of experiment II animals were less pronounced than those of rats killed 15 weeks after birth in experiment I.
Repetitive mechanical stress on the femoral heads from 5 to 9 weeks of age played an important role in the etiology of osteonecrosis in WKYs. This etiological finding could provide a clue to the pathogenesis and prevention of Perthes' disease in humans.
饲养在普通鼠笼中的Wistar Kyoto(WKY)大鼠很少发生股骨头骨骺核骨坏死(OENFH),这是一种病理状况,其表现与人类早期佩吉特病相似。OENFH在自发性高血压大鼠中经常发生。有趣的是,当大鼠在进食时被迫用后肢直立时,经常会出现OENFH。
实验I研究了可能发生骨坏死的生长发育阶段。将40只5周龄的雄性WKY大鼠饲养在高(27厘米高)鼠笼中并喂食。在9、12、15和20周时,在深度乙醚麻醉下切除每组10只WKY大鼠的20个股骨。对股骨头的组织学检查重点关注OENFH和生长板异常。实验II确定了出生后第5周后直立时发生OENFH的时期。使用低(10厘米高)鼠笼将直立姿势减少至出生后第9周和第12周,然后在喂食时用高鼠笼恢复直立姿势直至15周。然后按照实验I的方法切除20只WKY大鼠的40个股骨。
在实验I中,仅在12周和15周龄时观察到OENFH的发生,表明OENFH专门在此生长期间发生。在实验II中,骨坏死程度最小。实验II动物生长板的异常不如实验I中出生后15周处死的大鼠明显。
5至9周龄时股骨头反复受到的机械应力在WKY大鼠骨坏死的病因中起重要作用。这一病因学发现可为人类佩吉特病的发病机制和预防提供线索。