内翻型膝关节炎对踝关节软骨退变影响的小鼠模型研究
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江苏省高等学校重点学术发展项目(PAPD),苏州“科教促进健康”青年科技项目(KJXW2022065)


Effects of Knee Osteoarthritis with Varus Deformity on Ankle Cartilage Degeneration:A Mouse Model Study
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    摘要:

    目的 通过建立小鼠半月板失稳型(destabilization of the medial meniscus,DMM)关节炎和慢性踝关节失稳型(chronic ankle instability,CAI)关节炎模型,对比研究内翻型膝关节炎对其同侧踝关节软骨退变的影响。方法 30只6周龄C57BL/6J雄性小鼠随机分为对照组和2组手术组(DMM组、CAI组),在12周内通过行为学、影像学和组织病理学定量分析各组小鼠踝关节退变情况。结果 手术组小鼠步态稳定性和平衡性均有下降。与对照组相比,DMM组术后12周平衡木通过时间上升23.20%,滑落次数增加43.26%,踝关节骨体积分数和骨密度均增加;同时踝关节软骨磨损并有骨赘生成,OARSI评分增加88.89%,但相较于CAI组较轻。结论 基于小鼠模型发现,膝关节与踝关节的运动存在耦合关系,内翻型膝关节炎会导致其同侧踝关节显著退变,但相比于CAI导致的踝关节损伤较轻。

    Abstract:

    Objective To establish two osteoarthritis models of destabilization of the medial meniscus (DMM) and chronic ankle instability (CAI) in mice, and compare the effects of knee osteoarthritis with varus deformity on ipsilateral ankle cartilage degeneration. Methods Thirty 6-week-old C57BL/6J male mice were randomly divided into a control group and two surgical groups (DMM group and CAI group), respectively. The progression of ankle joint degeneration was quantitatively evaluated through behavioral observation, imaging techniques and histopathology analysis in each group of mice over a 12-week period. Results A decline in gait stability and balance was observed in two surgical groups. Compared to the control group, the time required to cross the balance beam was increased by 23.20%, and the number of slips was increased 43.26% at 12th week postoperatively in the DMM group. The bone volume fraction and bone mineral density of ankle joints also increased. Meanwhile, wear and tear of the ankle cartilage were found, with the formation of osteophytes, and OARSI score was increased by 88.89%. These changes in ankle joint were more pronounced in the CAI group. Conclusions This mouse model-based study revealed a coupling relationship between the knee and ankle motion. Knee osteoarthritis with varus deformity could lead to a significant ankle joint degeneration, while the damage was less severe than that observed in CAI.

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杨反磊,冯巍,杜妍,蔡文斌,罗宗平,陈植,徐浩,余嘉.内翻型膝关节炎对踝关节软骨退变影响的小鼠模型研究[J].医用生物力学,2025,40(1):106-112

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  • 收稿日期:2024-09-27
  • 最后修改日期:2024-11-18
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  • 在线发布日期: 2025-02-26
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