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基质金属蛋白酶3在骨关节炎患者膝关节滑膜不同阶段的表达及意义

Expression and significance of MMP3 in synovium of knee joint at different stage in osteoarthritis patients.

作者信息

Chen Jun-Jie, Huang Jie-Feng, Du Wen-Xi, Tong Pei-Jian

机构信息

Department of Orthopedics, First Hospital Affiliated to Zhejiang University of Traditional Chinese Medicine, Hangzhou 310006, Zhejiang, China.

Department of Orthopedics, First Hospital Affiliated to Zhejiang University of Traditional Chinese Medicine, Hangzhou 310006, Zhejiang, China.

出版信息

Asian Pac J Trop Med. 2014 Apr;7(4):297-300. doi: 10.1016/S1995-7645(14)60042-0.

Abstract

OBJECTIVE

To investigate the expression and significance of MMP-3 in synovium of knee joint at different stage in osteoarthritis (OA) patients.

METHODS

Knee synovial tissue were collected in 90 OA patients (the OA group). Patients in the OA group was divided into 3 subgroups: grade I subgroup (n=30), grade II subgroup (n=30), grade III; subgroup (n=30). Thirty patients served as control group. Immunohistochemical assay was used to detect the expression of MMP-3 protein in the knee synovial tissue.

RESULTS

MMP-3 protein was detected in all knee synovial tissue. The expression of MMP-3 protein in the OA group was significantly higher that in the normal synovium (P<0.05), and the MMP-3 protein was mainly located in the cytoplasm. There was significant difference in the expression of MMP-3 protein between the grade I subgroup and the grade II, grade III subgroups (all P<0.05). The expression of MMP-3 protein was positively related to the severity of OA (r=0.912, P<0.05).

CONCLUSIONS

The expression of MMP-3 protein are closely related to pathogenic mechanism of OA. It may be an important indicator of early diagnosis and the activity of the disease of osteoarthritis.

摘要

目的

探讨基质金属蛋白酶-3(MMP-3)在骨关节炎(OA)患者膝关节滑膜不同阶段的表达及意义。

方法

收集90例OA患者的膝关节滑膜组织(OA组)。OA组患者分为3个亚组:Ⅰ级亚组(n = 30)、Ⅱ级亚组(n = 30)、Ⅲ级亚组(n = 30)。30例患者作为对照组。采用免疫组织化学法检测膝关节滑膜组织中MMP-3蛋白的表达。

结果

所有膝关节滑膜组织均检测到MMP-3蛋白。OA组MMP-3蛋白表达明显高于正常滑膜(P < 0.05),且MMP-3蛋白主要位于细胞质中。Ⅰ级亚组与Ⅱ级、Ⅲ级亚组MMP-3蛋白表达差异有统计学意义(均P < 0.05)。MMP-3蛋白表达与OA严重程度呈正相关(r = 0.912,P < 0.05)。

结论

MMP-3蛋白表达与OA发病机制密切相关。它可能是骨关节炎早期诊断及病情活动的重要指标。

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