Takamiya Masataka, Fujita Sachiko, Saigusa Kiyoshi, Aoki Yasuhiro
Department of Legal Medicine, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan.
Leg Med (Tokyo). 2008 May;10(3):131-7. doi: 10.1016/j.legalmed.2007.11.003. Epub 2008 Feb 20.
We investigated mRNA expressions of interleukin 10 (IL-10) during fracture healing for wound age determination. Macroscopically, calluses were formed at 144 h post-injury, and thickening of the fracture edge was observed at 240 h post-injury. Slight infiltration of neutrophils and macrophages was detected at 3 h post-injury, and moderate infiltration of T and B lymphocytes was detected at 72 h post-injury. In addition, osteoblasts proliferated at 24 h post-injury. IL-10 mRNA increased immediately after the intervention and peaked at 24 h, and the expressions were detected in osteocytes before and after injury, and in osteoblasts at 3 h post-injury. Although the intensity was stable in osteocytes, that in osteoblasts was strongest at 24 h post-injury. Among inflammatory cells, the expressions were exclusively detected in macrophages. These results indicated that examinations of macroscopic and microscopic changes in fracture edges, and mRNA expressions of IL-10, would be informative for fracture healing and dating.
我们研究了骨折愈合过程中白细胞介素10(IL-10)的mRNA表达情况,以确定伤口形成时间。宏观上,伤后144小时形成骨痂,伤后240小时观察到骨折边缘增厚。伤后3小时检测到中性粒细胞和巨噬细胞轻度浸润,伤后72小时检测到T和B淋巴细胞中度浸润。此外,伤后24小时成骨细胞开始增殖。IL-10 mRNA在干预后立即增加,并在24小时达到峰值,在损伤前后的骨细胞以及伤后3小时的成骨细胞中均检测到其表达。虽然在骨细胞中表达强度稳定,但在成骨细胞中伤后24小时表达最强。在炎性细胞中,仅在巨噬细胞中检测到表达。这些结果表明,检查骨折边缘的宏观和微观变化以及IL-10的mRNA表达,将有助于了解骨折愈合情况和确定时间。