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[吡罗昔康对关节软骨结构和功能的影响]

[Effect of piroxicam on the structure and function of joint cartilage].

作者信息

Mohr W, Kirkpatrick C J, Wildfeuer A, Leitold M

出版信息

Z Rheumatol. 1983 Mar-Apr;42(2):70-7.

PMID:6880405
Abstract

Experimental studies on the dog were performed to investigate possible deleterious effects of non steroidal anti-inflammatory agents, in particular piroxicam, on healthy articular cartilage. Piroxicam, diclofenac, and indomethacin were administered orally to beagles over an 8-week period. Control animals received empty capsules during the same period. A variety of morphological investigations were carried out on the tissues of the knee joint following treatment. Macroscopically and at light microscopical level no differences in the structure of cartilage or synovial membrane were detected between control and test animals. Similarly, with the transmission electron microscope, no structural changes were observed between control and test groups (piroxicam-treated). The incorporation of radioactively labeled sulfur into cartilage proteoglycans was similar in piroxicam-treated and control dogs. Related studies involving the addition of piroxicam to isolated chondrocytes in vitro showed that the proliferative capacity and proteoglycan synthesis of chondrocytes were unaffected by this antirheumatic agent. It is concluded that piroxicam exerts no damaging effect on normal cartilage in the knee joint of the dog.

摘要

对狗进行了实验研究,以调查非甾体抗炎药,特别是吡罗昔康,对健康关节软骨可能产生的有害影响。在8周的时间里,给比格犬口服吡罗昔康、双氯芬酸和吲哚美辛。同期对照动物服用空胶囊。治疗后对膝关节组织进行了多种形态学研究。在宏观和光学显微镜水平上,对照动物和试验动物之间未检测到软骨或滑膜结构的差异。同样,通过透射电子显微镜,对照和试验组(吡罗昔康治疗组)之间未观察到结构变化。在吡罗昔康治疗的狗和对照狗中,放射性标记的硫掺入软骨蛋白聚糖的情况相似。涉及在体外分离的软骨细胞中添加吡罗昔康的相关研究表明,这种抗风湿药不影响软骨细胞的增殖能力和蛋白聚糖合成。得出的结论是,吡罗昔康对狗膝关节的正常软骨没有损害作用。

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