去势小鼠椎体骨质疏松和终板重塑导致椎间盘退变
Osteoporosis of vertebra and osteochondral remodeling of endplate caused intervertebral disc degeneration in ovariectomized mice
  
DOI:10.3969/j.issn.1006-7108.2018.10.004
中文关键词:  椎间盘退变  骨质疏松  终板  骨-软骨重塑  去卵巢  动物实验
英文关键词:intervertebral disc degeneration  osteoporosis  endplate  osteochondral remodeling  ovariectomy  animal experimentation
基金项目:国家自然科学基金面上项目 (81673992);广东省科技计划项目(20160226)
作者单位
肖志锋1 林定坤1,2* 何剑波1 苏国义2 侯宇2 陈树东2 1.广州中医药大学-岭南医学研究中心中医骨伤科实验室广东 广州 510006 2.广东省中医院广东 广州 510405 
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中文摘要:
      目的 通过去势小鼠模型探讨椎体骨质疏松(osteoporosis,OP)是否影响椎间盘退变(intervertebral disc degeneration,IVDD),并初步阐明OP相关性IVDD的发病机制。方法 30只8周龄健康雌性C57BL/6J小鼠(16.8±0.6)g,随机分为正常对照组(CT组,n=15)和去势组(OVX组,n =15)。适应性饲养3 d后分别行假手术和双侧卵巢摘除,记录体重等一般资料。术后12周处死小鼠,取下L4/5脊柱节段。Micro-CT检测小鼠L5椎体骨量、微结构、终板孔隙率以及L4/5椎间盘体积变化;番红O-固绿染色观察椎间盘病理改变;免疫组织化学法检测椎间盘Col2的表达,免疫荧光检测椎间盘血管内皮生长因子(vascular endothelial growth factor,VEGF)的表达。结果 OVX组小鼠与CT组相比,腹腔内可见大量脂肪堆积,卵巢明显萎缩,伴随体重明显增加及子宫重量明显减轻(*P<0.05)。Micro-CT结果显示,OVX小鼠可见明显的椎体骨质疏松,与CT组相比骨结构参数骨体积分数、骨小梁数量、骨小梁连接密度明显降低,而骨小梁变异系数及模型指数明显升高(*P<0.05);终板出现明显的骨化重塑和孔隙率增加,同时伴有椎间盘体积的明显降低(*P<0.05)。番红O-固绿染色显示OVX小鼠L4/5椎间盘出现明显退变,可见终板明显骨化和增厚,髓核细胞外基质的降解和结构紊乱。椎间盘免疫组化显示OVX小鼠椎间盘中Col2表达明显降低,在终板骨化区和纤维环中尤其明显,免疫荧光显示在椎间盘终板中VEGF表达明显增加。结论 OVX小鼠椎体OP和终板骨化重塑可促使椎间盘发生退变,终板孔隙的增加及血管新生并不能为椎间盘修复提供更多营养,反而是导致IVDD的重要因素。
英文摘要:
      Objective Reports concerning the relationship between osteoporosis (OP) and intervertebral disc degeneration (IVDD) are inconsistent. Accordingly, we assessed whether IVDD is affected by vertebral OP in ovariectomized (OVX) mice and investigated the underlying pathogenesis of IVDD related to OP. Methods Thirty healthy female C57BL/6J mice aged 8 weeks were randomly divided into two groups. Sham operation (CT group, n=15) or bilateral ovariectomy (OVX group, n=15) were implemented individually, and body weight was recorded. At 12 weeks post-surgery, the bone quality and microstructure of the lumbar vertebra as well as endplate, and the volume of L4/5 disc space were evaluated by micro-computed tomography (micro-CT). The occurrence of IVDD and characteristic alterations of the degenerative disc were identified via histiopathological staining. Type II Collagen (Col2) and vascular endothelial growth factor (VEGF) expression in the intervertebral disc were detected by immunehistochemical analyses. Results Compared with CT mice, OVX mice had significantly greater fat tissue accumulated in the abdominal cavity, ovarian atrophy, increased body weight and decreased uterus weight (*P<0.05). The micro-CT analysis showed that the OVX group had vertebral OP, significantly lower BV/TV, Tb.N and CONN.D, and significantly higher Tb.pf and SMI (*P<0.05). The endplate showed obvious microstructure remodeling, with increased porosity and decreased disc volume detected in the OVX group when compared with the CT group (*P<0.05). Likewise, histological evaluation revealed that IVDD occurred at 12 weeks after ovariectomy, with significant degenerative changes of L4/5 disc, ossified and thickened endplate, and degradation and structural disorder of extramedullary matrix of nucleus pulposus. Immunohistochemical analysis demonstrated that Col2 was decreased in the disc of OVX mice while VEGF expression in the endplate was significantly elevated. Conclusion Vertebral OP and osteochondral remodeling of cartilaginous endplate caused an increased permeability at endplate’s bone-cartilage surface which had detrimental effects on the intervertebral disc.
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