小鼠尺骨疲劳加载致非移位性骨折的愈合。
Healing of non-displaced fractures produced by fatigue loading of the mouse ulna.
机构信息
Department of Orthopaedic Surgery, Washington University, St. Louis, Missouri, USA.
出版信息
Bone. 2010 Jun;46(6):1604-12. doi: 10.1016/j.bone.2010.02.030. Epub 2010 Mar 6.
We developed a fatigue loading protocol in mice to produce a non-displaced ulnar fracture in vivo, and characterized the early healing response. Using adult (5 month) C57Bl/6 mice, we first determined that cyclic compression of the forelimb under load-control leads to increasing applied displacement and, eventually, complete fracture. We then subjected the right forelimbs of 80 mice to cyclic loading (2 Hz; peak force approximately 4N) and limited the displacement increase to 0.75 mm (60% of the average displacement increase at complete fracture). This fatigue protocol created a partial, non-displaced fracture through the medial cortex near the ulnar mid-shaft, and reduced ulnar strength and stiffness by >50%. Within 1 day, there was significant upregulation of genes related to hypoxia (Hif1a) and osteogenesis (Bmp2, Bsp) in loaded ulnae compared to non-loaded, contralateral controls. The gene expression response peaked in magnitude near day 7 (e.g., Osx upregulated 8-fold), and included upregulation of FGF-family genes (e.g., Fgfr3 up 6-fold). Histologically, a localized periosteal response was seen at the site of the fracture; by day 7 there was abundant periosteal woven bone surrounding a region of cartilage. From days 7 to 14, the woven bone became denser but did not increase in area. By day 14, the woven-bone response resulted in complete recovery of ulnar strength and stiffness, restoring mechanical properties to normal levels. In the future, the fatigue loading approach can be used create non-displaced bone fractures in transgenic and knockout mice to study the mechanisms by which the skeleton rapidly repairs damage.
我们开发了一种疲劳加载方案,在小鼠体内产生非移位尺骨骨折,并对早期愈合反应进行了特征描述。使用成年(5 个月)C57Bl/6 小鼠,我们首先确定,在负荷控制下对前肢进行循环压缩会导致施加的位移增加,最终导致完全骨折。然后,我们对 80 只小鼠的右前肢进行循环加载(2Hz;峰值力约为 4N),并将位移增加限制在 0.75mm(完全骨折时平均位移增加的 60%)。这种疲劳方案通过尺骨干的内侧皮质产生部分非移位性骨折,并使尺骨强度和刚度降低>50%。在 1 天内,与未加载的对侧对照相比,加载的尺骨中有大量与缺氧(Hif1a)和成骨(Bmp2、Bsp)相关的基因上调。基因表达反应在第 7 天左右达到峰值(例如,Osx 上调 8 倍),并包括 FGF 家族基因的上调(例如,Fgfr3 上调 6 倍)。组织学上,在骨折部位可见局部骨膜反应;第 7 天,在软骨周围有丰富的骨膜编织骨。从第 7 天到第 14 天,编织骨变得更加致密,但面积没有增加。第 14 天,编织骨反应导致尺骨强度和刚度完全恢复,使机械性能恢复正常水平。将来,疲劳加载方法可用于在转基因和敲除小鼠中产生非移位性骨骨折,以研究骨骼快速修复损伤的机制。