Nakamura M, Watanabe J, Ogawa R, Kanamura S
Department of Orthopaedics and Anatomy, Kansai Medical University, Osaka, Japan.
Histochem J. 1997 Sep;29(9):645-54. doi: 10.1023/a:1026496530576.
The immunohistochemical localization of type II and type I collagens was examined in the articular cartilage of the femoral head of growing rats injected systemically with 5 mg kg-1 dexamethasone for 2 weeks every other day. The intensities of immunostaining for type II collagen, measured by microphotometry, was highest in the flattened cell layer and high in the hypertrophic cell layer, moderate in the proliferative cell and transitional cell layers and low in the superficial layer. After dexamethasone administration, the intensities decreased markedly in the flattened cell layer and slightly in the hypertrophic cell layer, although the decreases in other layers were negligible. The staining intensities for type I collagen were highest in the flattened cell layer, low in the superficial and transitional cell layers and very low in the proliferative and hypertrophic cell layers. After dexamethasone administration, the intensities increased markedly in the flattened cell layer and slightly in the superficial and proliferative cell layers, but did not change in the transitional and hypertrophic cell layers. Thus, dexamethasone administration caused a decrease in type II collagen and an increase in type I collagen in the matrix of the surface portion of articular cartilage. The composition of isoforms of collagen in the matrix changed after the steroid administration. The results strongly that the shift in collagen composition from type II to type I predominance is a cause of the degeneration of the articular cartilage after glucocorticoid administration.
每隔一天给生长中的大鼠全身注射5mg/kg地塞米松,持续2周,然后检测其股骨头关节软骨中II型和I型胶原蛋白的免疫组化定位。通过显微光度法测量,II型胶原蛋白的免疫染色强度在扁平细胞层最高,在肥大细胞层较高,在增殖细胞层和过渡细胞层中等,在表层较低。给予地塞米松后,扁平细胞层的强度明显降低,肥大细胞层略有降低,而其他层的降低可忽略不计。I型胶原蛋白的染色强度在扁平细胞层最高,在表层和过渡细胞层较低,在增殖细胞层和肥大细胞层非常低。给予地塞米松后,扁平细胞层的强度明显增加,表层和增殖细胞层略有增加,但过渡细胞层和肥大细胞层没有变化。因此,给予地塞米松导致关节软骨表面部分基质中II型胶原蛋白减少,I型胶原蛋白增加。给予类固醇后,基质中胶原蛋白同工型的组成发生了变化。结果有力地表明,胶原蛋白组成从II型占主导转变为I型占主导是糖皮质激素给药后关节软骨退变的一个原因。