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骨质疏松症中的骨灌注减少:去卵巢大鼠模型中的可能原因。

Reduced bone perfusion in osteoporosis: likely causes in an ovariectomy rat model.

机构信息

Departments of Diagnostic Radiology and Organ Imaging, Anatomy, Physiology, and Orthopedics and Traumatology, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, NT, Hong Kong.

出版信息

Radiology. 2010 Mar;254(3):739-46. doi: 10.1148/radiol.09090608.

Abstract

PURPOSE

To investigate the cause of reduced vertebral perfusion in a rat ovariectomy model.

MATERIALS AND METHODS

Experimental protocol was approved by the local Animal Experiment Ethics Committee. Twenty-two Sprague-Dawley rats were studied. Computed tomographic bone densitometry and magnetic resonance perfusion imaging were performed at baseline and 2, 4, and 8 weeks after ovariectomy (n = 11) or sham surgery (n = 11). Perfusion parameters analyzed were maximum enhancement (E(max)) and enhancement slope (E(slope)). After the animals were sacrificed, the aorta and femoral artery were analyzed for vessel reactivity, and the lumbar vertebrae were analyzed for marrow content.

RESULTS

In control rats, bone mineral density (BMD), E(max), and E(slope) remained constant. In ovariectomy rats, a comparable reduction in BMD and the perfusion parameters at two weeks post-ovariectomy (BMD, 9.3%; E(max), 11.6%; E(slope), 9%) was seen 2 weeks after ovariectomy, and further reductions were seen 4 weeks (BMD, 17.5%; E(max), 15.6%; E(slope), 33%) and 8 weeks (BMD, 18.8%; E(max), 14.2%; E(slope), 33%) after ovariectomy. Endothelial dysfunction was observed in both the aorta and femoral artery of the ovariectomy group but not of the control group. Increased marrow fat area was seen in the ovariectomy group (52.9% vs 21.6%; P < .01) owing to an increase in fat cell number. Decreased erythropoetic marrow area (32.5% vs 48.6%; P < .05) was also observed in the ovariectomy group.

CONCLUSION

Reduced bone perfusion occurs in synchrony with reduced BMD. The most likely causes of reduced bone perfusion are a reduction in the amount of erythropoetic marrow and endothelial dysfunction after ovariectomy.

SUPPLEMENTAL MATERIAL

http://radiology.rsna.org/lookup/suppl/doi:10.1148/radiol.09090608/-/DC1.

摘要

目的

研究大鼠卵巢切除模型中椎体灌注减少的原因。

材料与方法

本实验方案经当地动物实验伦理委员会批准。共 22 只 Sprague-Dawley 大鼠纳入研究。在卵巢切除(n = 11)或假手术(n = 11)后 2、4、8 周时行 CT 骨密度测量和磁共振灌注成像,分析最大增强(E(max))和增强斜率(E(slope))等灌注参数。处死动物后,分析主动脉和股动脉的血管反应性,以及腰椎的骨髓含量。

结果

在对照组大鼠中,骨密度(BMD)、E(max)和 E(slope)保持不变。在卵巢切除组大鼠中,术后 2 周时 BMD 和灌注参数(BMD,减少 11.6%;E(max),减少 11.6%;E(slope),减少 9%)即出现类似程度的降低,术后 4 周和 8 周时进一步降低(BMD,减少 33%;E(max),减少 33%;E(slope),减少 33%)。卵巢切除组的主动脉和股动脉均出现内皮功能障碍,但对照组未见此现象。卵巢切除组骨髓脂肪面积增加(52.9%比 21.6%;P <.01),这归因于脂肪细胞数量增加。卵巢切除组红骨髓面积也减少(32.5%比 48.6%;P <.05)。

结论

骨灌注减少与 BMD 减少同步发生。骨灌注减少的最可能原因是卵巢切除后红骨髓量减少和内皮功能障碍。

补充材料

http://radiology.rsna.org/lookup/suppl/doi:10.1148/radiol.09090608/-/DC1.

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