Fujioka H, Wang G J, Mizuno K, Balian G, Hurwitz S R
Department of Orthopaedic Surgery, University of Virginia School of Medicine, Charlottesville 22908, USA.
J Orthop Res. 1997 Sep;15(5):675-81. doi: 10.1002/jor.1100150508.
This study histologically and immunohistochemically demonstrated developmental changes in cell morphology and expression of type-X collagen in the attachment of the Achilles tendon to the calcaneus in the rat. Although the site of attachment in the mature rat showed a well organized, direct insertion that was composed of tendon, fibrocartilage, calcified fibrocartilage, and bone, this four-zone structure was not observed in the immature 1-week-old rat. Formation of fibrocartilage was observed at 2 weeks, together with the hypertrophy of chondrocytes and the appearance of the secondary center of ossification. Type-X collagen was not detected either in chondrocytes in the attachment area at 1 week or in hypertrophic chondrocytes at the attachment at 2 weeks. In the 3-week-old rat, the secondary center of ossification extended to the area of attachment and type-X collagen was detected both in cartilage spicules within the secondary center of ossification and in cells found at the attachment adjacent to the secondary center of ossification. A four-zone structure had been established by 6 weeks and remained through 20 weeks. After 6 weeks, type-X collagen was identified both in the attachment of the tendon and beneath the calcaneal fibrocartilage. Type-X collagen is produced by cells in transitional zones between calcified and noncalcified tissue, such as the interface between articular cartilage and subchondral bone. In these areas, the expression of this protein persists through maturity and is not transient.
本研究通过组织学和免疫组织化学方法,证实了大鼠跟腱与跟骨附着处细胞形态的发育变化以及X型胶原蛋白的表达情况。尽管成熟大鼠的附着部位呈现出由肌腱、纤维软骨、钙化纤维软骨和骨组成的结构良好的直接附着,但在1周龄的未成熟大鼠中未观察到这种四区结构。在2周龄时观察到纤维软骨的形成,同时伴有软骨细胞肥大和次级骨化中心的出现。在1周龄时附着区域的软骨细胞以及2周龄时附着处的肥大软骨细胞中均未检测到X型胶原蛋白。在3周龄大鼠中,次级骨化中心扩展至附着区域,并且在次级骨化中心内的软骨小梁以及与次级骨化中心相邻的附着处细胞中均检测到X型胶原蛋白。到6周龄时已建立起四区结构,并持续至20周龄。6周龄后,在肌腱附着处以及跟骨纤维软骨下方均鉴定出X型胶原蛋白。X型胶原蛋白由钙化组织和非钙化组织之间的过渡区细胞产生,如关节软骨与软骨下骨之间的界面。在这些区域,该蛋白的表达在成熟过程中持续存在,并非短暂性的。