山东大学学报(医学版) ›› 2014, Vol. 52 ›› Issue (9): 48-53.doi: 10.6040/j.issn.1671-7554.0.2014.033
黄来刚, 崔宝娟, 王晓红, 王道清, 曾凡硕, 孙敏, 刘本玲, 孙强三
HUANG Laigang, CUI Baojuan, WANG Xiaohong, WANG Daoqing, ZENG Fanshuo, SUN Min, LIU Benling, SUN Qiangsan
摘要: 目的 观察Ghrelin对兔激素性股骨头缺血性坏死(sANFH)中血管内皮生长因子(VEGF)表达的影响。方法 选择24周龄以上雄性新西兰兔34只,随机分为正常组(n=8)和造模组(n=26)。造模采用马血清联合甲基强的松龙的方法,每组各取4只行股骨头磁共振及病理组织学检查,明确造模是否成功。将造模组造模成功的20只随机分为对照组(n=10)和Ghrelin干预组(n=10),正常组剩余4只纳入空白组。Ghrelin干预组连续2周耳缘静脉注射Ghrelin[25μg/(kg·d)],对照组连续2周耳缘静脉注射相同剂量生理盐水;2周后空气栓塞法处死动物,收集标本,行股骨头组织形态学观察、RT-PCR法检测股骨头组织中VEGF的表达。结果 对照组股骨头病理组织学检查可见骨小梁广泛稀疏、大部分断裂,脂肪细胞可见融合现象;Ghrelin干预组可见骨小梁稀疏,偶见断裂;脂肪细胞较多并轻度肥大,在骨髓中所占比例多于正常组,未见融合现象。RT-PCR法检测结果显示,对照组和Ghrelin干预组VEGF表达均高于空白组(P<0.05);同时Ghrelin干预组VEGF表达明显高于对照组(P<0.05)。结论 Ghrelin可促进激素性缺血性股骨头坏死组织中VEGF mRNA的表达,从而改善坏死股骨头组织微循环,进一步改善激素性缺血性股骨头坏死的进程。
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