[1]李 鹏,李晓博,王林钦.神经干细胞促进大鼠局部神经元降钙素基因相关肽生成及脊柱骨折愈合机制研究[J].陕西医学杂志,2022,51(9):1066-1070,1075.[doi:DOI:10.3969/j.issn.1000-7377.2022.09.005]
 LI Peng,LI Xiaobo,WANG Linqin.Mechanism of neural stem cell promoting calcitonin gene-related peptide production in local neurons and spinal fracture healing in rats[J].,2022,51(9):1066-1070,1075.[doi:DOI:10.3969/j.issn.1000-7377.2022.09.005]
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神经干细胞促进大鼠局部神经元降钙素基因相关肽生成及脊柱骨折愈合机制研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
51
期数:
2022年9期
页码:
1066-1070,1075
栏目:
基础研究
出版日期:
2022-09-05

文章信息/Info

Title:
Mechanism of neural stem cell promoting calcitonin gene-related peptide production in local neurons and spinal fracture healing in rats
作者:
李 鹏1李晓博2王林钦1
(1.安康市人民医院脊柱外科,陕西 安康 725000; 2.西北妇女儿童医院骨科,陕西 西安 710061)
Author(s):
LI PengLI XiaoboWANG Linqin
(Department of Spine Surgery,Ankang People's Hospital,Ankang 725000,China)
关键词:
脊柱骨折 神经干细胞 降钙素基因相关肽 神经元 骨折愈合 机制
Keywords:
Spinal fracture Neural stem cell Calcitonin gene-related peptide Neuron Fracture healing Mechanism
分类号:
R 683.2
DOI:
DOI:10.3969/j.issn.1000-7377.2022.09.005
文献标志码:
A
摘要:
目的:探讨神经干细胞促进大鼠局部神经元中降钙素基因相关肽(CGRP)生成和脊柱骨折愈合的机制。方法:将30只成年SD雄性大鼠分为对照组、脊柱骨折组和神经干细胞组,每组10只。采用酶联免疫吸附试验(ELISA)检测受损脊髓组织蛋白样品中的神经营养素-3(NT-3)和CGRP水平。通过蛋白印迹分析巢蛋白(Nestin)、CGRP和神经元核心抗原(NeuN)的蛋白表达。通过网格显微镜对切片组织中的神经元进行计数分析。使用ELISA试剂盒检测血清骨钙素(OC)、Ⅰ型前胶原氨基端延长肽(P1NP)、抗酒石酸酸性磷酸酶(TRACP-5b)和Ⅰ型胶原交联C-末端肽(CTX-1)。使用高分辨率显微CT扫描检测大鼠骨骼微结构。对大鼠骨组织形态学进行分析。结果:脊柱骨折组NT-3和CGRP水平较对照组降低,神经干细胞组NT-3和CGRP水平较脊柱骨折组升高(均P<0.05)。脊柱骨折组Nestin蛋白表达较对照组升高,神经干细胞组Nestin蛋白表达较脊柱骨折组升高(均P<0.05)。脊柱骨折组CGRP和NeuN蛋白表达较对照组降低,神经干细胞组CGRP和NeuN蛋白表达较脊柱骨折组升高(均P<0.05)。脊柱骨折组锥体外系、内锥体层和L1脊髓节段处神经元数量较对照组减少,神经干细胞组锥体外系、内锥体层和L1脊髓节段处神经元数量较脊柱骨折组增多(均P<0.05)。脊柱骨折组骨钙素和P1NP水平较对照组降低,TRAcP-5b和CTX-1水平较对照组升高(均P<0.05)。神经干细胞组骨钙素和P1NP水平较脊柱骨折组升高,TRAcP5-b和CTX-1水平较脊柱骨折组降低(均P<0.05)。脊柱骨折组骨矿物质密度(BMD)、每总体积的骨体积(BV/TV)、小梁数(Tb.N)、小梁厚度(Tb.Th)和皮质厚度(Ct.Th)较对照组减小,神经干细胞组BMD、BV/TV、Tb.N、Tb.Th和Ct.Th较脊柱骨折组增加(均P<0.05)。脊柱骨折组矿物沉积率(MAR)、骨形成率/骨表面(BFR/BS)和成骨细胞数量/骨表面(N.Ob/BS)较对照组降低,神经干细胞组MAR、BFR/BS和N.Ob/BS较脊柱骨折组升高(均P<0.05)。结论:神经干细胞能促进局部神经元中CGRP生成和神经元存活,从而促进大鼠骨折愈合和功能恢复。
Abstract:
Objective:To investigate the mechanism of neural stem cell promoting the generation of calcitonin gene-related peptide(CGRP)in local neurons and the healing of spinal fractures in rats.Methods:A total of 30 adult SD male rats were divided into control group,spinal fracture group and neural stem cell group.Enzyme-linked immunosorbent assay(ELISA)was used to detect the levels of NT-3 and CGRP in protein samples of injured spinal cord tissue.The protein expression of Nestin,CGRP and NeuN was analyzed by Western blot.Neurons in sliced tissues were counted and analyzed by grid microscopy.Osteocalcin,P1NP,TRAcP-5b and CTX-1 were measured by using ELISA kits.Bone microstructure was detected in rats by using high-resolution micro-CT scans.Bone histomorphology of rats was analyzed.Results:The levels of NT-3 and CGRP in the spinal fracture group were lower than those in the control group,and the levels of NT-3 and CGRP in the neural stem cell group were higher than those in the spinal fracture group(all P<0.05).The expression of Nestin protein in the spinal fracture group was higher than that in the control group,and the expression of Nestin protein in the neural stem cell group was higher than that in the spinal fracture group(all P<0.05).The protein expressions of CGRP and NeuN in the spinal fracture group were lower than those in the control group,and the protein expressions of CGRP and NeuN in the neural stem cell group were higher than those in the spinal fracture group(all P<0.05).The number of neurons in the extrapyramidal system,inner pyramidal layer and L1 spinal cord segment in the spinal fracture group were decreased in comparison with the control group,and the number of neurons in the extrapyramidal system,inner pyramidal layer and L1 spinal cord segment in the neural stem cell group were increased in comparison with the spinal fracture group(all P<0.05).The levels of osteocalcin and P1NP in the spinal fracture group were lower than those in the control group,and the levels of TRAcP-5b and CTX-1 in the spinal fracture group were higher than those in the control group(all P<0.05).The levels of osteocalcin and P1NP in the neural stem cell group were higher than those in the spinal fracture group,and the levels of TRAcP-5b and CTX-1 in the neural stem cell group were higher than those in the spinal fracture group(all P<0.05).BMD,BV/TV,Tb.N,Tb.Th and Ct.Th were decreased in the spinal fracture group in comparison with the control group,while BMD,BV/TV,Tb.N,Tb.Th and Ct.Th were increased in the neural stem cell group in comparison with the spinal fracture group(all P<0.05).MAR,BFR/BS and N.Ob/BS in the spinal fracture group were lower than those in control group,and MAR,BFR/BS and N.Ob/BS in the neural stem cell group were higher than those in the spinal fracture group(all P<0.05).Conclusion:Neural stem cell can promote the generation of CGRP in local neurons and the survival of neurons,thus promoting fracture healing and functional recovery in rats.

参考文献/References:

[1] 杨 进,荔 琦,常春峰.脊柱骨质疏松骨折患者椎体成形术后再骨折发生率及危险因素研究[J].陕西医学杂志,2020,49(12):1573-1576.
[2] 刘志刚,秦 琳,张挥武.温针灸联合经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折疗效及对患者骨密度和血钙的影响[J].陕西中医,2020,41(6):823-826.
[3] 樊李瀛,薛建利,程 斌,等.单侧和双侧入路经皮穿刺椎体成形术在老年病理性脊柱骨折中的临床应用[J].中国医药导报,2020,17(6):81-84.
[4] 李贝贝,于海洋,崔西龙,等.脊柱后凸柔韧性在骨质疏松性脊柱骨折伴后凸畸形治疗中的意义[J].颈腰痛杂志,2020,41(3):267-271.
[5] 宋 鑫,张 锋,韩 帅,等.后正中入路Quadrant通道下椎管减压复位联合经皮椎弓根螺钉内固定术治疗合并神经损伤的单节段AO分型A3型胸腰段脊柱骨折[J].脊柱外科杂志,2021,19(5):289-295.
[6] 杨永涛,陈 伟,孙国静.脊柱骨折合并脊髓损伤患者血清HMGB1、NF-κB表达水平及其作为预后情况预测因素的临床意义[J].中国骨与关节损伤杂志,2021,36(9):938-940.
[7] 杜 婵,胡 丽,冯 婷,等.64层螺旋CT及MPR技术对车祸脊柱骨折患者术前评估意义分析[J].中国CT和MRI杂志,2021,19(7):138-140.
[8] Del-Lama RS,Candido RM,Chiari-Correia NS,et al.Computer-aided diagnosis of vertebral compression fractures using convolutional neural networks and radiomics[J].J Digit Imaging,2022,35(3):446-458.
[9] Etemadifar MR,Andalib A,Farzinnia S.Pain relief and associated factors in patients undergoing vertebroplasty due to osteoporotic vertebral fracture[J].Int J Burns Trauma,2020,10(5):210-217.
[10] 卫永鲲,雷 涛,赵利明,等.人脐带间充质干细胞对脊柱骨折大鼠愈合及神经功能的影响[J].现代生物医学进展,2021,21(12):2212-2215.
[11] 罗安玉,李景峰,刘瀚霖,等.3D打印技术结合椎弓根螺钉治疗老年胸腰段脊柱骨折的临床效果[J].中国老年学杂志,2020,40(14):3017-3020.
[12] 吴 波,房体刚,陈爱国,等.经皮与开放椎弓根螺钉内固定治疗脊柱骨折疗效对比[J].中国烧伤创疡杂志,2019,31(5):340-345.
[13] 吴 威,孟德轩,王文静,等.血清神经突起因子、神经元特异性烯醇化酶与脊柱骨折合并脊髓损伤神经功能的关系及预后预测[J].中华实验外科杂志,2020,37(10):1919-1921.
[14] 卢绪章,吴俊涛,张春旺.右美托咪定对脊柱骨折并发脊髓损伤患者炎症因子及神经功能的影响[J].药品评价,2020,17(24):44-48.
[15] 邱洪波,唐 乐,边卫国,等.后路减压植骨治疗脊柱骨折的疗效及对脊髓神经功能的影响[J].中国医刊,2021,56(5):514-517.
[16] 李长明,邵荣学,邓小梅,等.尿液细胞来源iPSCs-NSCs联合3D打印支架移植修复大鼠急性脊髓损伤的研究[J].浙江医学,2021,43(3):238-243,345.
[17] 朱双芳,黄学良,林雨聪,等.Wnt通路调控NSCs在脊髓损伤修复中的研究进展[J].国际外科学杂志,2020,47(7):501-504.
[18] 王玉珏,辛宁宁.mGluR6对大鼠胚胎神经干细胞生物学功能的影响[J].陕西医学杂志,2020,49(3):279-284.
[19] 高 潇,陶嘉隆,王艳丽,等.电芒针对脊髓横断大鼠运动功能及损伤区域GAP-43、SOD、Caspase-3及iNOS表达的影响[J].针灸临床杂志,2021,37(6):69-73.
[20] 邓悦宁,周达岸,马贤德,等.电针对T10脊髓横断后神经源性膀胱大鼠尿流动力学及Wnt/β-catenin信号通路的影响[J].吉林大学学报:医学版,2020,46(2):221-227,431.

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备注/Memo

备注/Memo:
基金项目:陕西省安康市科学技术研究发展计划项目(AK2019SF-05)
更新日期/Last Update: 2022-09-05