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化学诱导性关节软骨损伤后早期骨赘形成

Early osteophyte formation after chemically induced articular cartilage injury.

作者信息

Williams J A, Thonar E J

机构信息

Department of Anatomy, Rush Medical College, Chicago, Illinois 60612.

出版信息

Am J Sports Med. 1989 Jan-Feb;17(1):7-15. doi: 10.1177/036354658901700102.

Abstract

We examined the early changes that follow injection of sodium iodoacetate (IA) into the guinea pig knee joint, using Safranin-O (SO) to stain the proteoglycan (PG)-rich matrix and the incorporation of Na35 SO4 to determine which cells have maintained, lost, or developed the ability to synthesize significant amounts of PGs. Within 24 hours following injection of IA, articular chondrocytes exhibited a marked loss in ability to synthesize PGs; this inhibition was complete after 2 weeks. Focal loss of SO staining of the interterritorial matrix was noted after 24 hours, progressing to a complete loss of staining after 2 weeks. In sharp contrast to the degenerative changes in the habitually loaded articular cartilage, cells at the chondrosynovial junction began incorporating Na35 SO4 and producing a matrix that stained with SO as early as 72 hours following injection. With time, this resulted in the development of prominent osteophytic cartilage that involved bone remodeling beneath the overlying cartilaginous cap after 3 weeks.

摘要

我们研究了向豚鼠膝关节注射碘乙酸钠(IA)后早期发生的变化,使用番红O(SO)对富含蛋白聚糖(PG)的基质进行染色,并通过掺入Na35SO4来确定哪些细胞保持、丧失或发展出了合成大量PG的能力。注射IA后24小时内,关节软骨细胞合成PG的能力显著丧失;2周后这种抑制作用完全显现。24小时后可见区域间基质的SO染色出现局灶性丧失,2周后染色完全消失。与习惯性负荷关节软骨的退行性变化形成鲜明对比的是,软骨滑膜交界处的细胞早在注射后72小时就开始掺入Na35SO4并产生能用SO染色的基质。随着时间推移,这导致了明显的骨赘性软骨的形成,3周后在覆盖的软骨帽下方出现骨重塑。

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