Qiu Yong, Wu Liang, Wang Bin, Yu Yang, Zhu Ze-zhang, Qian Bang-ping, Ma Wei-wei
Spine Service, Gulou Hospital, Medical School of Nanjing University, Nanjing 210008, China.
Zhonghua Wai Ke Za Zhi. 2006 Jun 15;44(12):826-9.
To study the change of melatonin receptor mRNA expression in paravertebral muscles in adolescent idiopathic scoliosis (AIS), and analyze its relationship with the etiology of AIS.
Twenty cases with average age of (15.1 +/- 2.2) years and average Cobb angle of 56 degrees +/- 16 degrees , including 10 cases with Cobb angle > 50 degrees and 10 cases with Cobb angle <or= 50 degrees , were in AIS group. The apical vertebrae were from T(6 - 11). Twelve cases with average age of (11.6 +/- 3.2) years and average Cobb angle of 59 degrees +/- 33 degrees were in congenital scoliosis (CS) group. The apical vertebrae were from T(7 - 12). Ten cases without scoliosis were in control group. The mRNA expression of melatonin receptor subtype MT1 and MT2 were detected by RT-PCR method.
The MT2 mRNA expression of paravertebral muscles on concave side was higher than that on convex side in AIS and CS groups (P < 0.05), but the MT1 mRNA expression showed no significant difference (P > 0.05). In AIS group, the ratio of MT2 mRNA expression on concave side compared with convex side in cases with Cobb angle > 50 degrees and cases with Cobb angle <or= 50 degrees showed no significant difference (P > 0.05). The MT1 and MT2 mRNA expression showed no significant difference in control group (P > 0.05).
The melatonin receptor expression in bilateral paravertebral muscles in AIS is asymmetric, which may be a secondary change and has no important role in the pathogenesis of AIS.
研究青少年特发性脊柱侧凸(AIS)患者椎旁肌褪黑素受体mRNA表达的变化,并分析其与AIS病因的关系。
AIS组20例,平均年龄(15.1±2.2)岁,平均Cobb角56°±16°,其中Cobb角>50°者10例,Cobb角≤50°者10例,顶椎位于T(6 - 11)。先天性脊柱侧凸(CS)组12例,平均年龄(11.6±3.2)岁,平均Cobb角59°±33°,顶椎位于T(7 - 12)。对照组10例无脊柱侧凸。采用RT-PCR法检测褪黑素受体亚型MT1和MT2的mRNA表达。
AIS组和CS组椎旁肌凹侧MT2 mRNA表达高于凸侧(P < 0.05),但MT1 mRNA表达差异无统计学意义(P > 0.05)。AIS组中,Cobb角>50°者与Cobb角≤50°者凹侧与凸侧MT2 mRNA表达比值差异无统计学意义(P > 0.05)。对照组MT1和MT2 mRNA表达差异无统计学意义(P > 0.05)。
AIS患者双侧椎旁肌褪黑素受体表达不对称,可能是继发性改变,在AIS发病机制中无重要作用。