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手术诱导性骨关节炎犬模型中血清标志物联合变化及胫骨平台软骨体积定量MRI评估的诊断价值

Diagnostic value of combined serum marker changes and quantitative MRI evaluation of cartilage volume of tibial plateau in a surgically-induced osteoarthritis dog model.

作者信息

Ren Jiangdong, Ma Jinsai, Zhang Xiaogang, Aimaiti Abdusami, Saiyiti Maimaitiming, Chen Yuming, Cao Li

机构信息

1 Department of Joint Surgery, First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.

3 Department of Orthopaedics, Changji Branch of the First Affiliated Hospital of Xinjiang Medical University, Changji, China.

出版信息

J Int Med Res. 2017 Dec;45(6):2023-2035. doi: 10.1177/0300060517730452. Epub 2017 Nov 10.

Abstract

Objective To evaluate the combined diagnostic value of two serum osteoarthritis (OA) markers and quantitative magnetic resonance imaging (MRI) evaluation of the cartilage volume of the tibial plateau in a canine model of experimental OA. Methods A total of 18 male Beagle dogs were used in this longitudinal study. OA was surgically induced via anterior cruciate ligament transection (ACLT) of the right knee in 10 dogs. The remaining eight dogs formed the sham operation control group and underwent the same procedure without ACLT. At various times after surgery, enzyme-linked immunosorbent assay was used to measure serum C-telopeptide of type II collagen (CTX-II) and type X collagen (ColX) levels. Quantitative evaluation of the tibial plateau volume was undertaken using MRI and ImageJ software. Results The serum CTX-II levels were significantly higher in the OA group at weeks 8, 12 and 16 after surgery, but not at week 4, compared with the control group. The serum ColX levels in the OA group were significantly higher than in the control group at weeks 8 and 12. The tibial plateau cartilage volumes in the OA group were significantly lower than in the control group at weeks 8 and 16. Conclusion Serum CTX-II and ColX levels combined with quantitative MRI evaluation of the tibial plateau cartilage volume in a canine model of OA demonstrated the potential to detect and monitor OA progression.

摘要

目的 评估两种血清骨关节炎(OA)标志物以及定量磁共振成像(MRI)对实验性OA犬模型胫骨平台软骨体积的联合诊断价值。方法 本纵向研究共使用了18只雄性比格犬。10只犬通过手术切断右膝前交叉韧带(ACLT)诱导OA形成。其余8只犬作为假手术对照组,接受相同手术操作但不切断ACLT。在术后不同时间,采用酶联免疫吸附测定法测量血清Ⅱ型胶原C端肽(CTX-II)和Ⅹ型胶原(ColX)水平。使用MRI和ImageJ软件对胫骨平台体积进行定量评估。结果 与对照组相比,OA组术后第8、12和16周血清CTX-II水平显著升高,但第4周时未升高。OA组血清ColX水平在第8周和第12周显著高于对照组。OA组胫骨平台软骨体积在第8周和第16周显著低于对照组。结论 在OA犬模型中,血清CTX-II和ColX水平与胫骨平台软骨体积的定量MRI评估相结合,显示出检测和监测OA进展的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ff/5805226/92c126e18880/10.1177_0300060517730452-fig1.jpg

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