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IL-17和RANKL在胶原诱导性关节炎大鼠关节滑膜的表达及99锝-亚甲基二膦酸盐的干预作用
作者:施青 王美美 
单位:东南大学附属中大医院
关键词:胶原诱导性关节炎大鼠 类风湿关节炎 IL-17 RANKL 99锝-亚甲基二膦酸盐 
分类号:
出版年·卷·期(页码):2010·38·第二期(116-122)
摘要:

目的 探讨IL-17和RANKL在胶原诱导性关节炎(CIA)大鼠关节滑膜病变中的作用及99锝-亚甲基二膦酸盐(99Tc-TDP)的干预作用。方法 通过完全弗氏佐剂乳化的鸡Ⅱ型胶原构建CIA大鼠模型。模型大鼠随机分为模型对照组、99Tc-TDP组(0.05μg/kg/d99Tc,尾静脉注射)。正常对照组与模型对照组等量生理盐水尾静脉注射。三周后关节炎指数(AI)评分,ELISA法检测血清及关节液IL-17和RANKL浓度,计算滑膜病理积分,免疫组织化学法半定量检测滑膜IL-17和RANKL蛋白表达。结果 与正常对照组相比,模型对照组、99Tc-TDP组AI值、血清及关节液IL-17浓度、关节液RANKL浓度、滑膜病理积分、滑膜IL-17和RANKL蛋白表达均增加(P<0.05),99Tc-TDP组上述指标较模型对照组均降低(P<0.05),各组血清RANKL浓度无显著性差异(P>0.05)。结论 IL-17和RANKL参与了CIA大鼠关节滑膜病变的发生发展, 99Tc-TDP可能通过抑制滑膜IL-17和RANKL的表达延缓关节滑膜病变的进展。

Objectives To study the expression of IL-17 and RANKL in synovium of CIA rat.To explore the influence of 99Tc-TDP on IL-17 and RANKL and the treatment mechanisms of 99Tc-TDP.Methords The rats were induced by injecting of typeⅡcollagen and complete Freud's adjuvant. The rats successfully induced CIA(n=20) were divided into two groups randomly: the model group and the 99Tc-TDP group(0.05μg/kg/d99Tc, tail vein injection). The blank group and the model group were treated with saline tail vein injection. Arthritis were evaluated by arthritis index (AI), the serum and synovial fluid concentration of IL-17 and RANKL, the histopathological score, the expression of IL-17 and RANKL in synovium detected by immunohistochemistry. Results The arthritis index, the serum and synovial fluid concentration of IL-17, the synovial fluid concentration of RANKL, the expression of IL-17 and RANKL in synovium increased in CIA rats(P<0.05). The 99Tc-TDP treatment prevented the increase of all above indexes(P<0.05).The serum concentration of RANKL of all the groups was low(P>0.05). Conclutions IL-17 and RANKL play an important role in the synovium lesions of CIA rat.99Tc-TDP can relieve the arthritis syndrome and retard the bone erosion and the mechanisms are at least in part inhibiting IL-17 and RANKL production.

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