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三七皂苷调控Wnt/β-catenin信号通路对激素性股骨头坏死大鼠的作用机制研究
崔雅囡,宋少峰,杜志娟,乔宗巍,王礼栓
张家口市第二医院创伤科河北张家口 075000
摘要:
目的 探究不同剂量三七皂苷对激素性股骨头坏死模型大鼠骨力学参数的影响及对Wnt/β-catenin信号通路分子的干预作用。方法:50只SD大鼠分为对照组、模型组、三七皂苷低剂量组、三七皂苷中剂量组和三七皂苷高剂量组,每组10只,采用20 mg/(kg·d)甲基强的松龙诱导激素性股骨头坏死大鼠模型, 每周注射3次,连续注射3周,对照组注射等量生理盐水。造模成功后,三七皂苷低、中、高剂量分别给予5、10、20 mg/(kg·d)剂量的三七皂苷灌胃6周,对照组和模型组给予等量生理盐水灌胃。实验终点检测大鼠骨密度、骨生物力学指标,骨形态学指标;通过ELISA法检测各组大鼠血清中抗酒石酸碱性磷酸酶(TRAP)、尿I型胶原交联N末端肽(U-NTX)、骨碱性磷酸酶(BALP)、雌二醇(E2)、尿型胶原交联C末端肽(U-CTX)、骨钙蛋白(BGP)等骨转化指标;通过qPCR、Western blot法及免疫组化检测骨组织中Wnt/β-catenin信号通路关键分子Wnt5a和c-Myc的mRNA和蛋白表达水平。结果:三七皂苷能显著增加股骨头坏死大鼠股骨、脊柱骨的骨密度,提高股骨生物力学参数水平(P<0.01);增加皮质骨面积百分比、骨小梁平均厚度、骨小梁面积、骨小梁体积(P<0.01),增高血清中的BALP、E2水平(P<0.01),降低血清中的BGP、TRAP、U-NTX、U-CTX水平(P<0.01);显著增加Wnt5a和c-Myc的mRNA和蛋白表达水平(P<0.01)。结论:三七皂苷可以提高雌激素性股骨头坏死大鼠骨力学参数,并且调控Wnt5a和c-Myc的表达,有利于雌激素性股骨头坏死的治疗。
关键词:  三七皂苷  雌激素性股骨头坏死  骨代谢指标  Wnt5a/β-catenin信号通路
DOI:10.3969/j.issn.1007-6948.2023.04.021
基金项目:河北医学科学研究课题计划(20221882)
Mechanism of Panax notoginseng saponins regulate Wnt/β-catenin signaling pathway on steroid induced femoral head necrosis in rats
CUI Ya-nan,SONG Shao-feng,DU Zhi-juan
The Second Department of Trauma, Zhangjiakou Second Hospital 075000,China
Abstract:
Objective To explore the effects of different doses of Panax notoginseng saponins on bone mechanical parameters and Wnt/β-catenin signal pathway molecules in rats with steroid induced femoral head necrosis. Methods 50 SD rats were divided into control group, model group, low dose notoginsenoside group, medium dose notoginsenoside group and high dose notoginsenoside group. The rat model of steroid induced femoral head necrosis was induced by 20 mg/(kg·d) methylprednisolone. It was injected 3 times a week for 3 weeks, and the control group was injected with the same amount of normal saline. After successful modeling, each treatment group was given 5, 10, 20 mg/(kg·d) doses of Panax notoginseng saponin by gavage for 6 weeks, and the control group and model group were given the same amount of normal saline by gavage. The bone mineral density, bone biomechanical indexes and bone morphological indexes were measured at the end of the experiment; Serum tartrate resistant acid-base phosphatase (TRAP), urinary type I collagen cross-linked N-terminal peptide (U-NTX), bone alkaline phosphatase (BALP), estradiol (E2), urinary type collagen cross-linked C-terminal peptide (U-CTX), osteocalcin (BGP) and other bone transformation indicators were detected by ELISA; The mRNA and protein expression levels of Wnt5a and c-Myc of Wnt/ β-catenin pathway molecules in bone tissue were detected by qPCR, Western blot and immunohistochemistry. Results Panax notoginseng saponins can significantly increase the bone mineral density of femur and spine in osteoporosis rats, and improve the level of biomechanical parameters of femur (P < 0.01); The percentage of cortical bone area, average trabecular thickness, trabecular area and trabecular volume were increased (P < 0.01), the levels of BALP and E2 in serum were increased, and the levels of BGP, TRAP, U-NTX and U-CTX in serum were decreased (P < 0.01); The mRNA and protein expression levels of Wnt5a/ β-catenin pathway molecules were significantly increased (P < 0.01). Conclusion Panax notoginseng saponins can improve the bone mechanical parameters of rats with estrogen induced femoral head necrosis and regulate the expression of Wnt5a and c-Myc, which is conducive to the treatment of estrogen induced femoral head necrosis.
Key words:  Panax notoginseng saponins  Estrogen induced necrosis of femoral head  Bone metabolism index  Wnt5a/ β- Catenin signaling pathway

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