短期跳跃负荷下兔髌腱起止点微细结构变化及炎性因子表达特征
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江苏省产学研合作项目(BY2019022),江苏省体育局重大体育科研课题(ST192101)


Microstructure Changes at Bone-Patellar Tendon Junctions in Rabbits under Short-Term Jumping Loads and Expression Characteristics of Inflammatory Factors
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    摘要:

    目的 探讨短期跳跃负荷下兔髌骨髌腱结合部(patella patellar tendon junction,PPTJ)与胫骨髌腱结合部(tibial patellar tendon junction,TPTJ)的适应性反应。方法 19只18周龄雌性新西兰大白兔,随机分为对照组(n=4)与跳跃1 d组(J1)、3 d组(J3)、5 d组(J5)(每组n=5)。使用电刺激定量跳跃装置使兔每日完成150次跳跃(10组×15次,每组3 min,第4组与第8组结束后休息6 min,其余组结束后休息3 min,平均跳跃速度0.083次/s,每日训练总时长约70 min),训练结束24 h后处死动物,取左右后肢膝关节相应组织,行常规HE染色与免疫组化处理,定性描述组织形态学结果,并定量监测细胞密度、软骨带厚度与IL-1β、IL-6、TGF-β1表达量。结果 跳跃组(J1、J3和J5组)PPTJ与TPTJ均发生不同程度的微损伤;J5组PPTJ中IL-1β和IL-6表达量均显著高于对照组与J1组;J3组PPTJ中IL-6表达量显著高于对照组;J5组TPTJ软骨带厚度显著大于对照、J1、J3组;对照组PPTJ的IL-1β与IL-6表达显著低于TPTJ;J1组PPTJ的IL-1β、TGF-β1、IL-6表达量显著低于TPTJ;J3组PPTJ的IL-6表达量显著低于TPTJ。结论 短期跳跃负荷致兔PPTJ病理改变早于TPTJ,在短期跳跃负荷下的受损过程中,兔PPTJ炎性因子IL-1β、IL-6上调,而兔TPTJ则无明显炎性因子变化。研究结果为髌腱病的发病机制提供实验室依据。

    Abstract:

    Objective To investigate the adaptive response of patella patellar tendon junction (PPTJ) and tibial patellar tendon junction (TPTJ) in rabbits under short-term jumping loads. Methods Nineteen 18-week old female New Zealand white rabbits were randomly divided into control group (n=4) and 1-day jump (J1), 3-day jump (J3), 5-day jump (J5) group (n=5 in each group). Electrical stimulation quantitative jumping device was used to make rabbits complete 150 jumps per day (10 groups × 15 jumps, 3 minutes’ per group, 6 minutes rest after completion of 4th and 8th groups, 3 minutes rest after completion of the other groups, the average jumping speed was 0.083 times/s, the total training time per day was about 70 minutes). The rabbits were executed at 24th hour after the training. The corresponding knee tissues from left and right hind limbs were taken for HE staining and immunohistochemistry. The histomorphological results were qualitatively described. The cell density, cartilage thickness, and the expression of IL-1β, IL-6, and TGF-β1 were quantitatively monitored. Results The micro-injury of PPTJ and TPTJ occurred at different degrees in jump groups (J1, J3, J5 groups). The IL-1β and IL-6 expressions of PPTJ in J5 group were significantly higher than those in control group and J1 group; the IL-6 expressions of PPTJ in J3 group were significantly higher than those in control group; the thickness of TPTJ cartilage band in J5 group was significantly greater than that in control, J1 and J3 groups; in control group, the IL-1β and IL-6 expressions of PPTJ were significantly lower than those of TPTJ; in J1 group, the IL-1β, TGF-β1, IL-6 expressions of PPTJ were significantly lower than those of TPTJ;in J3 group, the IL-6 expressions of PPTJ were significantly lower than those of TPTJ. ConclusionsThe pathological changes of PPTJ induced by short-term jumping loads were earlier than those of TPTJ. The rabbit PPTJ inflammatory factors IL-1β and IL-6 were up-regulated during injury process under short-term jumping loads, but there was no significant change of inflammatory factors in rabbit TPTJ. The results provide laboratory evidence for the pathogenesis of patellar tendinopathy.

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陈一言,陆阿明,齐亚楠,王琳.短期跳跃负荷下兔髌腱起止点微细结构变化及炎性因子表达特征[J].医用生物力学,2022,37(5):918-924

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  • 收稿日期:2021-10-12
  • 最后修改日期:2021-12-10
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  • 在线发布日期: 2022-10-25
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