Bland Y S, Ashhurst D E
Department of Anatomy, St George's Hospital Medical School, Tooting, London, UK.
Histochem J. 1996 May;28(5):325-34. doi: 10.1007/BF02331395.
The collateral ligaments can be clearly distinguished in the 25-day fetal rabbit knee joint. Type I and V collagens are present in the extracellular matrix between the cells of the lateral and medial collateral ligaments and this distribution persists until the rabbit is skeletally mature. From 8 months onwards type III collagen is also present, particularly around the cells. Type I collagen mRNA is expressed by the cells from the 25-day fetal to 8-month-old adult ligament. The ligament sheath is composed of types III and V collagens. The cruciate ligaments are present between the femur and tibia in the 20-day fetus. The matrix is composed of types I and V collagens from the 25-day fetus until at 12- to 14-weeks postnatal, type III collagen appears in the pericellular regions together with type V. At 8 months and 2 years the amount of type III collagen has increased. All the cells express the mRNA for type I collagen at 12- to 14-weeks, but only isolated cells express this mRNA at 8 months. Thus, both the collateral and cruciate ligaments undergo changes in their complement of collagens during postnatal development and ageing. The implications of these complex interactions of different types of collagen are discussed in relation to healing and the surgical replacement of torn ligaments by tendons.
在25日龄的兔胎儿膝关节中,侧副韧带可清晰分辨。I型和V型胶原蛋白存在于外侧和内侧副韧带细胞之间的细胞外基质中,这种分布一直持续到兔子骨骼成熟。从8个月起,III型胶原蛋白也开始出现,尤其在细胞周围。从25日龄胎儿到8月龄成年韧带,细胞均表达I型胶原蛋白mRNA。韧带鞘由III型和V型胶原蛋白组成。在20日龄胎儿的股骨和胫骨之间存在交叉韧带。从25日龄胎儿到出生后12至14周,基质由I型和V型胶原蛋白组成,出生后12至14周时,III型胶原蛋白与V型胶原蛋白一起出现在细胞周围区域。在8个月和2岁时,III型胶原蛋白的含量增加。在12至14周时,所有细胞均表达I型胶原蛋白mRNA,但在8个月时只有个别细胞表达该mRNA。因此,在出生后发育和衰老过程中,侧副韧带和交叉韧带的胶原蛋白组成都会发生变化。本文结合愈合以及用肌腱手术替代撕裂韧带的问题,讨论了不同类型胶原蛋白这些复杂相互作用的意义。