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李卫平,蹇 睿,胥方元.超声波对实验性兔膝骨关节炎软骨细胞基质金属蛋白酶-1表达的影响[J].中国康复医学杂志,2011,26(10):911~914
超声波对实验性兔膝骨关节炎软骨细胞基质金属蛋白酶-1表达的影响    点此下载全文
李卫平  蹇 睿  胥方元
四川省泸州医学院附属医院康复科,泸州,646000
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摘要:
      摘要 目的:探讨超声波治疗对兔膝骨关节炎(KOA)模型软骨细胞基质金属蛋白酶-1(MMP-1)表达的影响。 方法:30只新西兰大白兔随机分为正常对照组、模型组和超声波治疗组,每组10只。将模型组和超声波治疗组的兔左膝于伸直位石膏固定6周制作KOA模型。造模后超声波治疗组实施超声波治疗2周。8周后取各组软骨观察膝软骨病理学形态改变、MMP-1表达的变化。 结果:采用Mankin评分比较病理学形态改变,正常对照组与模型组、模型组与超声波治疗组间比较,差异均有显著性意义(P<0.01)。软骨免疫组化MMP-1测定,正常对照组与模型组、模型组与超声波治疗组间比较,差异均有显著性意义(P<0.01)。 结论:超声波能有效治疗膝骨性关节炎,其作用机制可能与减少软骨细胞MMP-1的含量而利于软骨细胞的修复有关。
关键词:骨关节炎  软骨细胞  超声波  基质金属蛋白酶-1
The effect of ultrasonic therapy on expression of matrix-metalloproteinase-1 in cartilage cells of rabbit with knee osteoarthritis    Download Fulltext
Department of Rehabilitation Medicine, Affiliated Hospital of Luzhou Medical College, Luzhou, 646000
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Abstract:
      Abstract Objective: To study the effect of ultrasound therapy on expression of matrix-metalloproteinase-1(MMP-1) in cartilage cells of rabbit with knee osteoarthritis(KOA). Method: Thirty healthy New Zealand white rabbits were randomly divided into 3 groups: normal control group contained 10 rabbits, not modeling; the other 20 rabbits were randomly divided into model group and ultrasonic experimental group, being created osteoarthritis. The rabbits' left knees were fixed within plaster cast in stretch position for 6 weeks to created KOA models. Then ultrasonic, experimental group was given ultrasonic treatment for 2 weeks. After 8 weeks cartilage changes on pathological morphology and expression of MMP-1 were observed in all groups. Result: By Mankin's score the severity of pathological lesion in model group was higher than that in normal control group and ultrasonic experimental group (P<0.01). The expression of MMP-1 in model group was higher than that in normal control group and ultrasonic experimental group, the difference was significant (P<0.01). Conclusion: The ultrasonic treatment can effectively improve the rabbits' KOA, and its mechanism probably is correlated with reducing MMP-1 level in cartilage cells, which will be helpful for repairing cartilage cells.
Keywords:osteoarthritis  cartilage cells  ultrasound  matrix metalloproteinase-1
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