山东大学学报 (医学版) ›› 2020, Vol. 58 ›› Issue (2): 29-35.doi: 10.6040/j.issn.1671-7554.0.2019.830
李源1,王强2,石晓蕾2,张晓丽2,徐欣1
LI Yuan1, WANG Qiang2, SHI Xiaolei2, ZHANG Xiaoli2, XU Xin1
摘要: 目的 探讨卷曲受体蛋白4(Frizzled4)在高脂血症大鼠种植体周围组织中早期的表达。 方法 48只成年雄性SD大鼠,随机分为实验组和对照组,每组24只。分别喂食高脂饲料和普通饲料8周。均于股骨干骺端植入直径1.5 mm、长2.5 mm的种植体。分别于术后第1天、第3天、第5天和第28天时处死大鼠,获取种植体周围骨组织。用Inveon MM CT扫描组织标本,扫描完成后将图像中种植体周围1 mm区域设置为兴趣区(ROI),进行ROI内三维重建,分析骨小梁参数:骨小梁体积/ROI体积(BV/TV)、骨小梁厚度(Tb.Th)、骨小梁数目(Tb.N)、骨小梁间隙(Tb.S)。RT-PCR法检测成骨细胞、破骨细胞分化标志物Runt相关转录因子2(RUNX2)、组织蛋白酶K(CTSK)和Frizzled4的基因表达情况,Western blotting法检测Frizzled4蛋白表达情况。 结果 实验组种植体植入第1天、第3天时,实验组和对照组BV/TV、Tb.S、Tb.Th和Tb.N比较差异无统计学意义(P>0.05)。植入第5天、第28天时,实验组BV/TV、Tb.Th和Tb.N均低于对照组,而Tb.S高于对照组,差异有统计学意义(P<0.05)。实验组种植体植入第1天、第3天、第5天和第28天后,Runx2 mRNA表达水平均低于对照组,而CTSK mRNA表达水平高于对照组,差异有统计学意义(P<0.05)。对照组种植体植入3 d内,Frizzled4 mRNA和蛋白表达水平明显增加,第5天、第28天时有所下降,但是仍高于实验组(P<0.05)。实验组植入3 d内,Frizzled4 mRNA和蛋白表达水平明显下降,并且在第5天、第28天时升高(P<0.05)。对照组种植体植入3 d内,Wnt/β-catenin蛋白表达水平明显增加,第5天,第28天时有所下降,但是仍高于实验组(P<0.05)。实验组植入3 d内,Wnt/β-catenin蛋白表达水平显著上升,并且在第5天、第28天下降(P<0.05)。 结论 高脂血症可抑制种植体的早期骨结合,这种作用可能与下调Frizzled4的表达有关,未来需要进一步地进行机制研究。
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