阿仑膦酸盐抑制骨重塑对豚鼠原发性骨关节炎软骨下骨组织三维微观结构的影响。

The effects of bone remodeling inhibition by alendronate on three-dimensional microarchitecture of subchondral bone tissues in guinea pig primary osteoarthrosis.

作者信息

Ding Ming, Danielsen Carl Christian, Hvid Ivan

机构信息

Orthopedic Research Laboratory, Department of Orthopedics, Aarhus University Hospital, Aarhus, Denmark.

出版信息

Calcif Tissue Int. 2008 Jan;82(1):77-86. doi: 10.1007/s00223-007-9093-2. Epub 2008 Jan 4.

Abstract

We assessed whether increase of subchondral bone density enhances cartilage stress during impact loading, leading to progressive cartilage degeneration and accelerated osteoarthrosis (OA) progression. Sixty-six male guinea pigs were randomly divided into six groups. During a 9-week treatment period, four groups received twice-weekly subcutaneous injections of alendronate (ALN) in two doses: two groups received 10 microg/kg and two groups received 50 microg/kg. The two control groups received vehicle. After 9 weeks, one 10 microg/kg ALN group, one 50 microg/kg ALN group, and one control group were killed. The remaining three groups (17-week groups) were left for an additional 8 weeks, receiving the same treatment regimen before death. The left proximal tibiae were scanned by micro-computed tomography to quantify the microarchitecture of subchondral bone, followed by mechanical testing and determination of collagen and mineral. The control groups had typical OA-related cartilage degeneration at 9 and 17 weeks, whereas the 50 microg/kg ALN group had even worse degeneration in the medial condyle. It is unclear whether there is a direct or a secondary effect of ALN on the cartilage. The 9-week ALN group had significantly greater subchondral plate thickness. The 9- and 17-week groups had similar changes of cancellous bone microarchitecture, with greater volume fraction and connectivity and an extremely plate-like structure. The 9-week ALN group had greater bone mineral concentration, and the 17-week ALN group had reduced collagen concentration and greater mineral concentration. Treatment with ALN did not significantly change the mechanical properties of the cancellous bone.

摘要

我们评估了软骨下骨密度增加是否会在冲击负荷期间增强软骨应力,从而导致软骨进行性退变和加速骨关节炎(OA)进展。66只雄性豚鼠被随机分为6组。在为期9周的治疗期内,4组每周两次皮下注射两种剂量的阿仑膦酸盐(ALN):两组接受10μg/kg,两组接受50μg/kg。两个对照组接受赋形剂。9周后,处死一个10μg/kg ALN组、一个50μg/kg ALN组和一个对照组。其余三组(17周组)再留8周,在处死前接受相同的治疗方案。对左侧胫骨近端进行微计算机断层扫描,以量化软骨下骨的微观结构,随后进行力学测试并测定胶原蛋白和矿物质。对照组在9周和17周时出现典型的OA相关软骨退变,而50μg/kg ALN组在内侧髁的退变更严重。尚不清楚ALN对软骨是直接作用还是间接作用。9周ALN组的软骨下板厚度明显更大。9周和17周组的松质骨微观结构变化相似,体积分数和连通性更大,且结构极似板层状。9周ALN组的骨矿物质浓度更高,17周ALN组的胶原蛋白浓度降低,矿物质浓度更高。ALN治疗并未显著改变松质骨的力学性能。

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