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在创伤后挛缩中,成肌纤维细胞上调因子在关节囊中升高。

Myofibroblast upregulators are elevated in joint capsules in posttraumatic contractures.

作者信息

Hildebrand Kevin A, Zhang Mei, Hart David A

机构信息

McCaig Centre for Joint Injury and Arthritis Research. University of Calgary, Calgary, Canada.

出版信息

Clin Orthop Relat Res. 2007 Mar;456:85-91. doi: 10.1097/BLO.0b013e3180312c01.

Abstract

We hypothesized specific growth factors are increased in the elbow capsules of patients with post traumatic elbow contractures. A model of surgically induced joint contracture in rabbit knees was developed to study the growth factor expression in joint contractures. This study demonstrates this model mimics the human condition and analyzes how the growth factor levels decrease with time in rabbit knees with contractures. Reverse transcription polymerase chain reaction was used to measure mRNA levels of transforming growth factor-beta1, connective tissue growth factor, ED-A of fibronectin, and alpha-smooth muscle actin normalized to a housekeeping gene, glyceraldehyde-3-phosphate dehydrogenase. In the joint capsules of patients with elbow contractures, mRNA levels were increased for transforming growth factor- beta1, connective tissue growth factor, and alpha-smooth muscle actin. In the joint capsules of rabbit knees with contractures, mRNA levels were increased for transforming growth factor- beta1, connective tissue growth factor, ED-A of fibronectin, and alpha-smooth muscle actin. The mRNA levels for transforming growth factor-beta1, connective tissue growth factor, and alpha-smooth muscle actin decreased with time in rabbit knees. The elevated levels of these myofibroblast up-regulators and fibrogenic growth factors could explain the previously reported increase in myofibroblasts and collagen mRNA levels. The rabbit knee model correlated well with the human post traumatic elbow contractures.

摘要

我们假设创伤后肘关节挛缩患者的肘关节囊内特定生长因子会增加。我们建立了兔膝关节手术诱导关节挛缩的模型,以研究关节挛缩中生长因子的表达。本研究表明该模型模拟了人类情况,并分析了挛缩兔膝关节中生长因子水平如何随时间下降。采用逆转录聚合酶链反应来测量转化生长因子-β1、结缔组织生长因子、纤连蛋白ED-A和α-平滑肌肌动蛋白的mRNA水平,并以管家基因甘油醛-3-磷酸脱氢酶进行标准化。在肘关节挛缩患者的关节囊中,转化生长因子-β1、结缔组织生长因子和α-平滑肌肌动蛋白的mRNA水平升高。在挛缩兔膝关节的关节囊中,转化生长因子-β1、结缔组织生长因子、纤连蛋白ED-A和α-平滑肌肌动蛋白的mRNA水平升高。在兔膝关节中,转化生长因子-β1、结缔组织生长因子和α-平滑肌肌动蛋白的mRNA水平随时间下降。这些肌成纤维细胞上调因子和促纤维化生长因子水平的升高可以解释先前报道的肌成纤维细胞和胶原蛋白mRNA水平的增加。兔膝关节模型与人类创伤后肘关节挛缩情况相关性良好。

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