Zhang Kun, Zhao Jinmin, Su Wei, Lu Rongbin, Lv Peizhen
Department of Orthopedic Trauma and Hand Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi Zhuang Autonomous Region, China.
Eur J Orthop Surg Traumatol. 2015 Jul;25 Suppl 1:S63-8. doi: 10.1007/s00590-014-1534-9. Epub 2014 Sep 9.
The object of this study was to investigate the effects of licofelone on the prevention of epidural fibrosis (EF) formation in post-laminectomy rat models.
A controlled double-blinded study was conducted in sixty, healthy adult Wistar rats that underwent laminectomy at the L1-L2 vertebrae levels. All the rats were divided randomly into three groups according to the treatment (via oral gavage): (1) licofelone treatment group; (2) vehicle treatment group; (3) sham group (laminectomy without treatment). All rats were euthanized humanely 4 weeks postoperatively. The macroscopic assessment of EF, hydroxyproline content in epidural scar tissue, histological analysis, and the mRNA measurements of interleukin-6 (IL-6) and transforming growth factor-β1 were performed.
The Rydell score, hydroxyproline content, epidural scar density, and inflammatory factors expressions all suggested better results in licofelone group than the other two groups.
The application of licofelone could reduce hydroxyproline deposits, inflammatory factors expressions and prevent epidural adhesions in post-laminectomy rats.
本研究旨在探讨利考昔酮对椎板切除术后大鼠模型硬膜外纤维化(EF)形成的预防作用。
对60只健康成年Wistar大鼠进行L1-L2椎体水平的椎板切除术,开展一项对照双盲研究。所有大鼠根据治疗方式(经口灌胃)随机分为三组:(1)利考昔酮治疗组;(2)赋形剂治疗组;(3)假手术组(行椎板切除术但未治疗)。所有大鼠在术后4周实施安乐死。对EF进行宏观评估、检测硬膜外瘢痕组织中的羟脯氨酸含量、进行组织学分析,并测量白细胞介素-6(IL-6)和转化生长因子-β1的mRNA。
Rydell评分、羟脯氨酸含量、硬膜外瘢痕密度及炎症因子表达均显示,利考昔酮组的结果优于其他两组。
应用利考昔酮可减少羟脯氨酸沉积、炎症因子表达,并预防椎板切除术后大鼠的硬膜外粘连。