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骨痂胶囊促进股骨缺损处血管内皮生长因子表达、血管发生及成骨分化的作用机制
刘汉涛,赵良虎,刘财
攀枝花学院附属医院骨科四川攀枝花 617000
摘要:
目的:探讨骨痂胶囊(GJ)促进股骨粗隆间骨折和股骨缺损愈合的作用机制。方法:将骨髓间充质干细胞(BMSCs)分为5组:对照组、分化诱导组、10 μg/mL GJ组、50 μg/mL GJ组、100 μg/mL GJ组。体外诱导BMSCs向成骨细胞方向分化,向血管内皮细胞方向分化。CCK-8法测定BMSCs的细胞增殖能力。Western blot法测定细胞内成骨细胞分化标志物碱性磷酸酶(ALP)、骨钙素(OCN)和Runt相关转录因子2(RUNX2)的表达水平,以及血管内皮细胞分化标志物血管内皮生长因子(VEGF)和血管生成素-2(Ang-2)的表达水平。将18只小鼠随机均分为在体对照组、模型组及GJ治疗组,每组6只。模型组及GJ治疗组建立骨质疏松合并股骨缺损小鼠模型。Micro-CT法测定小鼠右股骨近端缺损处骨密度(BMD)和骨体积分数(BV/TV)。HE染色、组织病理学分析骨痂胶囊促进股骨缺损愈合的功效。免疫组织化学染色法(IHC)测定小鼠右股骨近端缺损处VEGF的表达情况。结果:与分化诱导组相比,100 μg/mL GJ处理后BMSCs增殖能力增强(P <0.05);ALP、OCN、RUNX2、VEGF和Ang-2表达水平升高(P <0.05)。与10 μg/mL GJ组和50 μg/mL GJ组相比,100 μg/mL GJ处理后ALP、OCN、RUNX2、VEGF和Ang-2表达水平升高(P <0.05)。与在体对照组相比,模型组软骨内骨化程度降低,少见胶原蛋白沉积和成骨细胞、软骨细胞分化;模型组BMD值、BV/TV值和IHC-VEGF相对着色光密度值降低(P <0.05)。与模型组相比,GJ治疗组软骨内骨化程度升高,存在大量胶原蛋白沉积和成骨细胞、软骨细胞分化;GJ治疗组BMD值、BV/TV值和IHC-VEGF相对着色光密度值升高(P <0.05)。结论:骨痂胶囊通过上调VEGF在股骨缺损处的表达促进血管发生和成骨分化,增强骨愈合能力。
关键词:  股骨粗隆间骨折  股骨缺损  骨痂胶囊  血管内皮生长因子  骨愈合能力
DOI:10.3969/j.issn.1007-6948.2026.03.025
投稿时间:2025-12-12
基金项目:四川省中医药管理局科研课题(2023MS007) 攀枝花学院附属医院骨科(四川攀枝花 617000)
Effect of Gujia capsules on promoting vascular endothelial growth factor expression, angiogenesis and osteogenic differentiation in femoral defects
LIU Han-tao,ZHAO Liang-hu,LIU Cai
Orthopedics Department of Panzhihua University Affiliated Hospital, Panzhihua617000, China
Abstract:
Objective To investigate the mechanisms of Gujia capsules (GJ) in promoting intertrochanteric fractures and femoral defects healing. Methods Cells were divided into Control group, Vehicle group, 10 μg/mL GJ group, 50 μg/mL GJ group, 100 μg/mL GJ group. Bone marrow mesenchymal stem cells (BMSCs) were induced to differentiate into osteoblasts and vascular endothelial cells in vitro. The proliferation ability of BMSCs were determined by CCK-8 assay. The expression levels of osteoblasts differentiation markers ALP, OCN and RUNX2; the vascular endothelial cell differentiation markers VEGF and Ang-2 were determined by Western blot. An OVX-induced osteoporosis and femoral defects mouse model was established. 18 mice were randomly divided into three groups: In vivo control group, Model group and GJ treatment group, 6 mice in each. Bone mineral density (BMD) and bone volume fraction (BV/TV) in the right proximal femoral defect were measured by Micro-CT. HE staining and histopathology were used to analyze the effects of GJ on the healing of femoral defects. The expression of VEGF in the right proximal femoral defects were determined by immunohistochemical staining. Results Compared with Induction group, BMSCs proliferation ability was enhanced after 100 μg/mL GJ treatment (P <0.05). The relative expression levels of ALP, OCN, RUNX2, VEGF and Ang-2 were increased (P <0.05) in 100 μg/mL GJ treatment group cells. Compared with 10 μg/mL GJ group and 50 μg/mL GJ group, the relative expression levels of ALP, OCN, RUNX2, VEGF and Ang-2 were increased (P <0.05) in 100 μg/mL GJ treatment group cells. Compared with In vivo control group, in Model group the degree of intrachondral ossification was lower, and collagen deposition and differentiation of osteoblasts and chondrocytes were rare. BMD values, BV/TV values and IHC-VEGF relative optical densities were decreased (P <0.05). Compared with Model group, in GJ treatment group, the degree of intrachondral ossification was higher, with a large amount of collagen deposition and differentiation of osteoblasts and chondrocytes. BMD values, BV/TV values and IHC-VEGF relative optical densities were increased (P <0.05). Conclusion GJ could promote angiogenesis, osteogenic differentiation and enhance bone healing ability by up-regulating VEGF expression in femoral defects.
Key words:  Intertrochanteric fractures  femoral defects  Gujia capsule  vascular endothelial growth factor  bone healing ability

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