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骨骼肾素-血管紧张素系统和激肽释放酶-激肽系统在雌激素缺乏的1型糖尿病小鼠骨退化中的作用。

Involvement of skeletal renin-angiotensin system and kallikrein-kinin system in bone deteriorations of type 1 diabetic mice with estrogen deficiency.

作者信息

Zhang Yan, Wang Liang, Liu Jin-Xin, Wang Xin-Luan, Shi Qi, Wang Yong-Jun

机构信息

Spine Disease Research Institute, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China.

Department of Orthopaedics, The 309th hospital of Chinese People's Liberation Army, Beijing 100091, China.

出版信息

J Diabetes Complications. 2016 Nov-Dec;30(8):1419-1425. doi: 10.1016/j.jdiacomp.2016.08.016. Epub 2016 Aug 24.

Abstract

AIMS

This study was aimed to investigate the involvement of skeletal renin-angiotensin system (RAS) and kallikrein-kinin system (KKS) in bone deteriorations of mice in response to the combination treatment of estrogen deficiency and hyperglycemia.

METHODS

The female C57BL/6J mice were sham-operated or ovariectomized with vehicle or streptozotocin (STZ) treatment. Two weeks later, the biochemistries in serum and urine were determined by standard colorimetric methods or ELISA. The H&E and TRAP staining were performed at the tibial proximal metaphysis. The polymerase chain reaction and immunoblotting were applied for molecular analysis on mRNA and protein expression.

RESULTS

The mice after treating with ovariectomy and STZ showed the decreased level of serum Ca and the increased level of serum PTH and urine Ca. The H&E staining showed trabecular bone abnormalities as demonstrated by the loss, disconnection and separation of trabecular bone network as well as the loss of chondrocytes and appearance of chondrocyte cluster at growth plate of tibia. The significant increase of matured osteoclast number was shown in group with double treatments. The combination treatment significantly up-regulated mRNA expression of AGT, ACE, renin receptor, MMP-9 and CAII, and protein expression of renin, and decreased the ratio of OPG/RANKL and the expression of bradykinin receptors in bone tissue.

CONCLUSION

Ovariectomy combined with STZ induction produced more detrimental actions on bone through the activation of local bone RAS and the down-regulation of bradykinin receptors, as compared to the respective single treatment.

摘要

目的

本研究旨在探讨骨骼肾素 - 血管紧张素系统(RAS)和激肽释放酶 - 激肽系统(KKS)在雌激素缺乏和高血糖联合治疗所致小鼠骨骼退变中的作用。

方法

对雌性C57BL/6J小鼠进行假手术或卵巢切除,并给予赋形剂或链脲佐菌素(STZ)处理。两周后,采用标准比色法或ELISA测定血清和尿液中的生化指标。在胫骨近端干骺端进行苏木精 - 伊红(H&E)和抗酒石酸酸性磷酸酶(TRAP)染色。应用聚合酶链反应和免疫印迹法对mRNA和蛋白质表达进行分子分析。

结果

卵巢切除并给予STZ处理后的小鼠血清钙水平降低,血清甲状旁腺激素(PTH)水平和尿钙水平升高。H&E染色显示小梁骨异常,表现为小梁骨网络的丢失、中断和分离,以及胫骨生长板处软骨细胞的丢失和软骨细胞簇的出现。双重处理组成熟破骨细胞数量显著增加。联合治疗显著上调了骨组织中血管紧张素原(AGT)、血管紧张素转换酶(ACE)、肾素受体、基质金属蛋白酶 - 9(MMP - 9)和碳酸酐酶II(CAII)的mRNA表达以及肾素的蛋白质表达,降低了骨保护素(OPG)/核因子κB受体活化因子配体(RANKL)的比值和缓激肽受体的表达。

结论

与各自的单一处理相比,卵巢切除联合STZ诱导通过激活局部骨RAS和下调缓激肽受体对骨骼产生更有害的作用。

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