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Role of osteoprotegerin/receptor activator of nuclear factor kappa B/receptor activator of nuclear factor kappa B ligand axis in nonalcoholic fatty liver disease 被引量:11
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作者 Lucia Pacifico Gian Marco Andreoli +2 位作者 Miriam D'Avanzo Delia De Mitri Pasquale Pierimarchi 《World Journal of Gastroenterology》 SCIE CAS 2018年第19期2073-2082,共10页
Concomitantly with the increase in the prevalences of overweight/obesity, nonalcoholic fatty liver disease(NAFLD) has worldwide become the main cause of chronic liver disease in both adults and children. Patients with... Concomitantly with the increase in the prevalences of overweight/obesity, nonalcoholic fatty liver disease(NAFLD) has worldwide become the main cause of chronic liver disease in both adults and children. Patients with fatty liver display features of metabolic syndrome(Met S), like insulin resistance(IR), glucose intolerance, hypertension and dyslipidemia. Recently, epidemiological studies have linked obesity, Met S, and NAFLD to decreased bone mineral density and osteoporosis, highlighting an intricate interplay among bone, adipose tissue, and liver. Osteoprotegerin(OPG), an important symbol of the receptor activator of nuclear factor-B ligand/receptor activator of nuclear factor kappa B/OPG system activation, typically considered for its role in bone metabolism, may also play critical roles in the initiation and perpetuation of obesityrelated comorbidities. Clinical data have indicated that OPG concentrations are associated with hypertension, left ventricular hypertrophy, vascular calcification, endothelial dysfunction, and severity of liver damage in chronic hepatitis C. Nonetheless, the relationship between circulating OPG and IR as a key feature of Met S as well as between OPG and NAFLD remains uncertain. Thus, the aims of the present review are to provide the existent knowledge on these associations and to discuss briefly the underlying mechanisms linking OPG and NAFLD. 展开更多
关键词 Nonalcoholic fatty liver disease Insulin resistance Metabolic syndrome OSTEOPROTEGERIN receptor activator of nuclear factor KAPPA B receptor activator of nuclear factor KAPPA B ligand
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Effect of Triptolide on Expression of Receptor Activator of Nuclear Factor-κB Ligand in Rat Adjuvant Induced Arthritis 被引量:1
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作者 胡永红 罗波 +2 位作者 张明敏 涂胜豪 曾克勤 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2006年第3期344-346,共3页
The effect of triptolide (TP) on the expression of receptor activator of nuclear factor-κB ligand (RANKL) and osteoprotegerin (OPG) was explored in rat adjuvant induced arthritis (AA). AA was induced in Wista... The effect of triptolide (TP) on the expression of receptor activator of nuclear factor-κB ligand (RANKL) and osteoprotegerin (OPG) was explored in rat adjuvant induced arthritis (AA). AA was induced in Wistar rats. Arthritis rats were treated with TP and methotrexate (MTX) at the onset (day 9) of arthritis. On the peak of arthritis (day 24), the expression of RANKL and OPG protein in the joints and RANKL mRNA in peripheral blood mononuclear cells (PBMC) was detected. TNF-α and IL-1β levels in peripheral blood were determined. Bone erosion scores were also evaluated. The results showed that bone erosion scores in TP and MTX groups were lower than in AA group (.P〈0.01) ; The expression levels of RANKL in the synovium (P〈0.01) and bone (P〈0.05), and OPG level in synovium (P〈0.05) were lower in TP group than in AA group (P〈0.05). In TP group, the expression levels of RANKL mRNA and TNF-α, IL-1β in PBMC were lower than in AA group (all P〈0.01). It was concluded that TP could inhibit rat adjuvant arthritis bone erosion by suppressing the expression of RANKL. 展开更多
关键词 arthritis experimental TRIPTOLIDE METHOTREXATE receptor activator of nuclear factor-κB ligand OSTEOPROTEGERIN
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Receptor activator of nuclear factorκB ligand/osteoprotegerin axis and vascular calcifications in patients with chronic kidney disease 被引量:5
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作者 Michalis Spartalis Aikaterini Papagianni 《World Journal of Nephrology》 2016年第1期1-5,共5页
Vascular calcifications are commonly observed in patients with chronic kidney disease(CKD) and contribute to the excessive cardiovascular morbidity and mortality rates observed in these patients populations. Although ... Vascular calcifications are commonly observed in patients with chronic kidney disease(CKD) and contribute to the excessive cardiovascular morbidity and mortality rates observed in these patients populations. Although the pathogenetic mechanisms are not yet fully elucidated, recent evidence suggests a link between bone metabolism and the development and progression of vascular calcifications. Moreover, accumulating data indicate that receptor activator of nuclear factor κB ligand/osteoprotegerin axis which plays essential roles in the regulation of bone metabolism is also involved in extra-osseous bone formation. Further studies are required to establish the prognostic significance of the above biomarkers as predictors of the presence and severity of vascular calcifications in CKD patients and of cardiovascular morbidity and mortality. Moreover, randomized clinical trials are needed to clarify whether inhibition of osteoclast activity will protect from vascular calcifications. 展开更多
关键词 慢性肾脏病 血管钙化 治疗方法 临床分析
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Influence of baicalin on the expression of receptor activator of nuclear factor-κB ligand and osteoprotegerin in human periodontal ligament cells
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作者 Yue ChenDepartment of Periodontology and Oral Medicine,Hospital of Stomatology,Xi’an Jiaotong University,Xi’an 710004,China 《Journal of Pharmaceutical Analysis》 SCIE CAS 2009年第4期256-262,共7页
Objective To study the effect of baicalin on the expression of receptor activator of nuclear factor-κB ligand(RANKL)and osteoprotegerin(OPG)in cultured human periodontal ligament(HPDL)cells.Methods Small interfering ... Objective To study the effect of baicalin on the expression of receptor activator of nuclear factor-κB ligand(RANKL)and osteoprotegerin(OPG)in cultured human periodontal ligament(HPDL)cells.Methods Small interfering RNA(siRNA)eukaryotic expression vector targeted transforming growth factor βⅡ receptor(TGF-β RⅡ)was constructed and transfected into T cells.HPDL cells with T cells transfected with siRNA or not were placed in the culture medium that had been added with lipopolysaccharide(LPS)and baicalin.The obtained solution was divided into six groups according to the components(group Ⅰ:HPDL cells+LPS+T cells transfected with siRNA1+baicalin;group Ⅱ:HPDL cells+LPS+T cells transfected with siRNA1;group Ⅲ:HPDL cells+LPS+T cells+baicalin;group Ⅳ:HPDL cells+LPS+T cells;group Ⅴ:HPDL cells+baicalin;group Ⅵ:HPDL cells)and was cultured for 48 hours.RT-PCR was used to observe the effect of baicalin on the expression of OPG-RANKL in HPDL cells.Results The ratio of RANKL/OPG in group Ⅰ was lower than that in group Ⅱ(P<0.01)and higher than that in group Ⅲ(P<0.01);The ratio of RANKL/OPG in group Ⅲ was lower than that in group Ⅳ(P<0.01);the ratio of RANKL/OPG in group Ⅳ was higher than that in group Ⅵ(P<0.01);the ratio of RANKL/OPG in group Ⅴ was lower than that in group Ⅵ(P<0.05).Conclusion ① Baicalin could decrease the ratio of RANKL/OPG in HPDL cells.② The TGF-β signaling transduction plays an important role in the effect of baicalin on the RANKL/OPG ratio in HPDL cells.③ Baicalin acts not only through TGF-β to regulate RANKL/OPG in HPDL cells,but also through other pathways. 展开更多
关键词 transforming growth factor βⅡ receptor small interfering RNA OSTEOPROTEGERIN receptor activator of nuclear factor-κB ligand human periodontal ligament cell
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PTHrP促进RANKL诱导巨噬细胞分化为破骨细胞参与中耳胆脂瘤骨破坏
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作者 谢淑敏 金丽 +4 位作者 符金凤 袁秋林 殷团芳 任基浩 刘伟 《中南大学学报(医学版)》 CAS CSCD 北大核心 2024年第5期655-666,共12页
目的:骨质进行性吸收破坏是中耳胆脂瘤最重要的临床特征之一,可导致一系列颅内外并发症,而目前中耳胆脂瘤骨破坏的机制尚未明确。本研究旨在探究甲状旁腺激素相关蛋白(parathyroid hormone-related protein,PTHrP)参与中耳胆脂瘤骨破坏... 目的:骨质进行性吸收破坏是中耳胆脂瘤最重要的临床特征之一,可导致一系列颅内外并发症,而目前中耳胆脂瘤骨破坏的机制尚未明确。本研究旨在探究甲状旁腺激素相关蛋白(parathyroid hormone-related protein,PTHrP)参与中耳胆脂瘤骨破坏的机制。方法:收集后天性中耳胆脂瘤患者的25例胆脂瘤标本和13例外耳道正常皮肤组织标本。采用免疫组织化学染色方法检测PTHrP、核因子κB受体活化因子配体(receptor activator for nuclear factor-kappa B ligand,RANKL)和骨保护素(osteoprotegerin,OPG)在中耳胆脂瘤和外耳道正常皮肤组织中的表达,抗酒石酸酸性磷酸酶(tartrate-resistant acid phosphatase,TRAP)染色法检测中耳胆脂瘤和外耳道正常皮肤组织中是否存在TRAP阳性多核巨噬细胞。选取小鼠单核巨噬细胞RAW264.7细胞进行干预,分为RANKL干预组和PTHrP+RANKL共同干预组,采用TRAP染色法检测2组破骨细胞的生成情况,实时聚合酶链反应(real-time polymerase chain reaction,real-time PCR)检测干预后2组破骨细胞相关基因TRAP、组织蛋白酶K(cathepsin K,CTSK)和活化T细胞核因子1(nuclear factor of activated T cell cytoplasmic 1,NFATc1)的mRNA表达水平,骨吸收陷窝实验检测2组破骨细胞的骨吸收功能。结果:免疫组织化学染色结果显示,PTHrP和RANKL在中耳胆脂瘤组织中的表达均显著增高,OPG表达降低(均P<0.05),且PTHrP的表达与RANKL、RANKL/OPG比值均呈显著正相关,与OPG表达呈显著负相关(分别r=0.385、r=0.417、r=-0.316,均P<0.05)。同时,PTHrP、RANKL的表达水平与中耳胆脂瘤的骨破坏程度均呈显著正相关(分别r=0.413、r=0.505,均P<0.05)。TRAP染色结果显示中耳胆脂瘤上皮周围基质中有大量TRAP阳性细胞,并存在细胞核数量为3个或3个以上的TRAP阳性破骨细胞。RANKL或PTHrP+RANKL联合干预5 d后,与RANKL干预组相比,PTHrP+RANKL联合干预组的破骨细胞数量显著增加(P<0.05),且破骨细胞相关基因TRAP、CTSK和NFATc1的mRNA表达水平均升高(均P<0.05)。骨吸收陷窝扫描电镜结果显示RANKL干预组、PTHrP+RANKL联合干预组的骨片表面均形成骨吸收陷窝;与RANKL干预组相比,PTHrP+RANKL联合干预组的骨片表面骨吸收陷窝数量显著增加(P<0.05),面积也更大。结论:PTHrP可能通过促进RANKL诱导胆脂瘤组织周围基质中的巨噬细胞分化为破骨细胞,参与中耳胆脂瘤骨破坏。 展开更多
关键词 甲状旁腺激素相关蛋白 中耳胆脂瘤 核因子ΚB受体活化因子配体 骨保护素 破骨细胞 巨噬细胞
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Er,Cr:YSGG激光治疗对高糖环境下微螺钉周围炎症及对RANK/RANKL信号通路的影响
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作者 刘阳 牛家慧 《口腔颌面修复学杂志》 2024年第3期170-174,共5页
目的:探讨铒铬铱钪镓石榴石(Er,Cr:YSGG)激光治疗对高糖环境下微螺钉周围炎症治疗的疗效,并分析与RANK/RANKL信号通路的关系。方法:20只正常健康雄性新西兰兔随机分为A组(微螺钉周健康组)、B组(微螺钉周围炎症组)、C组(微螺钉周围炎症... 目的:探讨铒铬铱钪镓石榴石(Er,Cr:YSGG)激光治疗对高糖环境下微螺钉周围炎症治疗的疗效,并分析与RANK/RANKL信号通路的关系。方法:20只正常健康雄性新西兰兔随机分为A组(微螺钉周健康组)、B组(微螺钉周围炎症组)、C组(微螺钉周围炎症激光治疗组),皮下注射2%四氧嘧啶建立糖尿病模型,下颌双侧无牙区植入微螺钉种植体,3个月后,A组进行菌斑控制,B组、C组用丝线拴结于微螺钉种植体颈部基台处引入炎症,C组予以Er,Cr:YSGG激光治疗。记录菌斑指数、探诊深度、牙龈指数和龈沟液量;ELISA检测龈沟液炎性细胞白细胞介素1β(IL-1β)、肿瘤坏死因子α(TNF-α)和白细胞介素6(IL-6)水平;CBCT检查微螺钉种植体周围炎周围骨吸收状态;Western blot检测牙龈组织中核因子κB(NF-κB)/NF-κB受体性活化因子(RANK)/NF-κB受体活化因子配体(RANKL)通路相关蛋白表达。结果:CBCT检查显示与A组比较,B组微螺钉种植体周围牙槽骨有明显的炎性吸收,微螺钉种植体-骨界面愈合差,骨附着不足;与B组比较,C组一侧牙槽骨有少量新生纤维成骨。与A组比较,B组PI、PD、GI水平较高,龈沟液量较多,龈沟液中IL-1β、TNF-α和IL-6水平较高,牙龈中NF-κBp65、RANK、RANKL蛋白表达水平较高(P<0.05);与B组比较,C组PI、PD、GI水平较低,龈沟液量较少,龈沟液中IL-1β、TNF-α和IL-6水平较低,牙龈中NF-κBp65、RANK、RANKL蛋白表达水平较低(P<0.05)。结论:Er,Cr:YSGG激光治疗糖尿病兔颌骨微螺钉种植体周围炎的疗效显著,且在NF-κB/RANK/RANKL通路表达调控上可能发挥一定作用。 展开更多
关键词 铒铬铱钪镓石榴石激光 糖尿病 微螺钉周围炎 核因子κB(NF-κB)/NF-κB受体性活化因子(RANK)/NF-κB受体活化因子配体(rankl)通路
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围绝经期女性外周血OSTF1、OPG/RANKL对骨质疏松症的预测价值
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作者 薛国丽 李园 +1 位作者 薛乔 赵英英 《检验医学与临床》 CAS 2024年第7期948-953,共6页
目的探讨围绝经期女性外周血破骨细胞刺激因子1(OSTF1)、护骨素(OPG)/核因子-κB受体活化因子配基(RANKL)对骨质疏松症的预测价值。方法选择2021年3月至2023年1月河北省妇幼保健中心收治的165例围绝经期骨质疏松症患者为疾病组,并纳入同... 目的探讨围绝经期女性外周血破骨细胞刺激因子1(OSTF1)、护骨素(OPG)/核因子-κB受体活化因子配基(RANKL)对骨质疏松症的预测价值。方法选择2021年3月至2023年1月河北省妇幼保健中心收治的165例围绝经期骨质疏松症患者为疾病组,并纳入同期120例围绝经期骨密度正常的健康志愿者为对照组。采用Pearson相关分析外周血OSTF1、OPG/RANKL与骨密度的相关性,并收集基线资料,采用单因素分析和多因素Logistic回归分析骨质疏松症发生的影响因素,并使用受试者工作特征(ROC)曲线分析外周血OSTF1、OPG/RANKL对骨质疏松症的预测价值。结果疾病组患者血清OSTF1、RANKL水平明显高于对照组,血清OPG水平、OPG/RANKL明显低于对照组,差异均有统计学意义(P<0.05)。疾病组患者整体骨密度、腰椎骨密度和T值明显低于对照组(P<0.05)。多因素Logistic回归分析结果显示,OSTF1、OPG/RANKL、OPG、整体骨密度、腰椎骨密度、T值和RANKL是骨质疏松症发生的影响因素(P<0.05)。ROC曲线分析结果显示:血清OSTF1预测骨质疏松症发生的曲线下面积(AUC)为0.772(95%CI:0.705~0.843);OPG/RANKL的AUC为0.616(95%CI:0.531~0.699);2项联合的AUC为0.906(95%CI:0.864~0.952)。结论围绝经期女性外周血OSTF1、OPG/RANKL异常表达,OSTF1和OPG/RANKL可应用于骨质疏松症预测,值得临床进一步研究并推广。 展开更多
关键词 围绝经期 骨质疏松症 护骨素 核因子-κB受体活化因子配基 破骨细胞刺激因子1
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慢阻肺合并骨质疏松患者血清IL-31、IL-33水平与OPG/RANK/RANKL系统相关性研究
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作者 张海婷 徐丽敏 《临床肺科杂志》 2024年第5期695-698,共4页
目的 探讨血清白细胞介素31(IL-31)、白细胞介素33(IL-33)在慢性阻塞性肺疾病(COPD)合并骨质疏松患者中的表达情况及与骨保护素(OPG)/核因子κB受体活化因子(RANK)/RANK配体(RANKL)系统的关联性。方法 收集2019年6月~2023年1月于惠州市... 目的 探讨血清白细胞介素31(IL-31)、白细胞介素33(IL-33)在慢性阻塞性肺疾病(COPD)合并骨质疏松患者中的表达情况及与骨保护素(OPG)/核因子κB受体活化因子(RANK)/RANK配体(RANKL)系统的关联性。方法 收集2019年6月~2023年1月于惠州市第一人民医院就诊的男性稳定期COPD患者90例为COPD组,并纳入同期健康体检者45例为对照组。COPD组患者根据骨密度检测结果,分为非骨质疏松组(n=49)和骨质疏松组(n=41)。测定病例组、对照组入组当天血清IL-31、IL-33、OPG及RANKL水平。结果 (1)相比正常对照组,COPD组患者血清IL-31、RANKL水平及RANKL/OPG比值明显升高,而血清IL-33水平明显下降(均P<0.05);(2)与COPD非骨质疏松组患者相比,骨质疏松组血清IL-31、RANKL水平及RANKL/OPG比值显著升高,而血清IL-33水平、体重指数(BMI)、骨密度及FEV_(1)(%)、FEV_(1)/FVC(%)明显降低(均P<0.05);(3) COPD患者骨密度与血清IL-33水平、BMI、FEV_(1)%呈正相关,而与RANKL/OPG比值及血清IL-31、RANKL水平呈负相关。血清IL-31与RANKL水平、RANKL/OPG比值呈正相关。血清IL-33水平与RANKL水平、RANKL/OPG比值呈负相关(均P<0.05)。结论 IL-31在COPD骨质疏松症中表达升高,而IL-33表达下降,提示IL-31为COPD骨质疏松症的可能危险因素,而IL-33为可能保护因素。 展开更多
关键词 慢性阻塞性肺疾病 骨质疏松 白细胞介素 骨保护素 核因子ΚB受体活化因子配体
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芹菜素调节OPG/RANKL/RANK信号通路对创伤性骨折大鼠骨折愈合的影响 被引量:2
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作者 陈月 苗存良 +4 位作者 安志辉 杜蒙蒙 刘国峰 贾天阳 李盼 《国际检验医学杂志》 CAS 2023年第12期1446-1451,共6页
目的 探讨芹菜素对骨保护素(OPG)/核因子κB受体活化因子配体(RANKL)/核因子κB受体活化因子(RANK)信号通路的调控作用及对创伤性骨折大鼠骨折愈合的影响。方法 采用闭合式股骨干骨折术构建创伤性骨折大鼠模型,将造模成功的大鼠随机分... 目的 探讨芹菜素对骨保护素(OPG)/核因子κB受体活化因子配体(RANKL)/核因子κB受体活化因子(RANK)信号通路的调控作用及对创伤性骨折大鼠骨折愈合的影响。方法 采用闭合式股骨干骨折术构建创伤性骨折大鼠模型,将造模成功的大鼠随机分为模型组,芹菜素低、中、高剂量组和阳性对照组,每组10只,另取10只健康大鼠作为对照组。各组给予相应干预30 d。采用计算机断层扫描测定大鼠骨小梁密度和厚度,番红O-固绿染色观察大鼠软骨组织病理学变化,酶联免疫吸附试验检测大鼠血清中骨钙素(BGP)、碱性磷酸酶(ALP)、诱导型一氧化氮合酶(iNOS)、肿瘤坏死因子-α(TNF-α)、白细胞介素(IL)-6水平,实时荧光定量PCR和蛋白质印迹法检测大鼠股骨组织OPG、RANKL、RANK mRNA和蛋白水平。结果 对照组大鼠软骨组织正常,结构完整;与对照组比较,模型组大鼠软骨组织出现严重损伤,骨小梁密度和厚度、血清BGP、ALP及股骨组织OPG mRNA和蛋白水平降低(P<0.05),血清iNOS、TNF-α、IL-6及股骨组织RANKL、RANK mRNA和蛋白水平升高(P<0.05);与模型组比较,芹菜素低、中、高剂量组大鼠软骨组织病理损伤改善,骨小梁密度和厚度、血清BGP、ALP及股骨组织OPG mRNA和蛋白水平依次升高(P<0.05),血清iNOS、TNF-α、IL-6及股骨组织RANKL、RANK mRNA和蛋白水平依次降低(P<0.05);芹菜素高剂量组与阳性对照组各项指标比较,差异无统计学意义(P>0.05)。结论 芹菜素可以减轻创伤性骨折大鼠炎症反应,促进骨折愈合,其机制可能与上调OPG表达,抑制RANKL/RANK信号通路有关。 展开更多
关键词 芹菜素 创伤性骨折大鼠 骨保护素/核因子κB受体活化因子配体/核因子κB受体活化因子信号通路 骨折愈合
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RANKL/RNAK/OPG信号通路影响小鼠膝关节假体无菌性松动的作用机制
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作者 王皓 凃峰 +1 位作者 赵文斌 张麟 《医学研究与战创伤救治》 CAS 北大核心 2023年第6期567-572,共6页
目的研究RANKL/RANK/OPG信号通路在小鼠膝关节假体无菌性松动中的作用机制。方法28只小鼠以计算机随机数字表法分成正常组、实验组,最终均分别纳入12只。实验组通过在胫骨近端骨髓腔中注射钴铬颗粒悬液建立小鼠膝关节假体无菌性松动模型... 目的研究RANKL/RANK/OPG信号通路在小鼠膝关节假体无菌性松动中的作用机制。方法28只小鼠以计算机随机数字表法分成正常组、实验组,最终均分别纳入12只。实验组通过在胫骨近端骨髓腔中注射钴铬颗粒悬液建立小鼠膝关节假体无菌性松动模型,正常组注射等量等渗盐水。采用实时荧光定量PCR(qRT-PCR)法检测界膜组织中RANKL、RNAK、OPG mRNA表达量;免疫组化染色法检测界膜组织中RANKL、RNAK、OPG、抗酒石酸酸性磷酸酶(TRAP)蛋白表达量。结果与正常组比较,实验组建模后6、12周界膜组织RANKL、RNAK mRNA及蛋白表达量,RANKL/OPG升高,OPG mRNA及蛋白表达量降低(P<0.05)。与建模后6周比较,正常组建模后12周界膜组织RANKL、RNAK mRNA及蛋白表达量及RANKL/OPG降低,OPG mRNA及蛋白表达量升高(P<0.05),实验组界膜组织RANKL、RNAK mRNA及蛋白表达量及RANKL/OPG升高,OPG mRNA及蛋白表达量降低(P<0.05)。与正常组比较,实验组建模后6、12周界膜组织TRAP蛋白表达量升高(P<0.05)。与建模后6周比较,正常组建模后12周界膜组织TRAP蛋白表达量降低(P<0.05),实验组界膜组织TRAP蛋白表达量升高(P<0.05)。结论小鼠膝关节假体无菌性松动的界膜组织中RANKL、RNAK表达量及RANKL/OPG升高,OPG表达量降低,RANKL/RNAK/OPG信号通路表达失衡与其发生、发展相关。 展开更多
关键词 膝关节假体无菌性松动 核因子ΚB受体活化因子配体 细胞核因子κB受体活化因子 骨保护蛋白
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牙周炎伴类风湿性关节炎患者牙龈浆细胞表型及RANKL表达特点分析
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作者 于艳 于程程 韩亚琨 《吉林大学学报(医学版)》 CAS CSCD 北大核心 2023年第3期757-764,共8页
目的:分析类风湿性关节炎(RA)对牙周炎患者牙龈浆细胞表型及核因子κB受体活化因子配体(RANKL)表达的影响,阐明其可能的机制。方法:选择于本科就诊的60例研究对象,按入组标准分为健康组、牙周炎组和牙周炎+RA组,每组20例。记录各组研究... 目的:分析类风湿性关节炎(RA)对牙周炎患者牙龈浆细胞表型及核因子κB受体活化因子配体(RANKL)表达的影响,阐明其可能的机制。方法:选择于本科就诊的60例研究对象,按入组标准分为健康组、牙周炎组和牙周炎+RA组,每组20例。记录各组研究对象牙龈指数(GI)、探诊深度(PD)、探诊出血指数(BOP)和临床附着丧失量(CAL)。采用实时荧光定量PCR(RTqPCR)法检测各组研究对象牙龈组织中增殖诱导配体(APRIL)和B淋巴细胞刺激因子(BLyS)mRNA表达水平。采用流式细胞术分析各组研究对象牙龈组织中CD38+和CD138+细胞百分率,采用流式细胞术和酶联免疫吸附测定(ELISA)法检测各组研究对象牙龈浆细胞中RANKL+细胞百分率和RANKL水平,抗酒石酸酸性磷酸酶(TRAP)染色观察各组研究对象破骨样细胞生长情况,RT-qPCR法检测各组研究对象牙龈浆细胞中RANKL、核因子κB受体活化因子(RANK)和肿瘤坏死因子受体相关分子6(TRAF6)mRNA表达水平。结果:与健康组比较,牙周炎组和牙周炎+RA组患者GI、PD、BOP和CAL均升高(P<0.05);与牙周炎组比较,牙周炎+RA组患者PD和CAL升高(P<0.05)。与健康组比较,牙周炎组和牙周炎+RA组患者牙龈组织中APRIL和BLyS mRNA表达水平均升高(P<0.05);与牙周炎组比较,牙周炎+RA组患者APRIL mRNA表达水平升高(P<0.05)。与健康组比较,牙周炎组和牙周炎+RA组患者牙龈组织中CD38+和CD138+细胞百分率升高(P<0.05);与牙周炎组比较,牙周炎+RA组患者牙龈组织中CD138+细胞百分率升高(P<0.05)。与健康组比较,牙周炎组和牙周炎+RA组患者牙龈浆细胞中RANKL+细胞百分率升高(P<0.05);与牙周炎组比较,牙周炎+RA组患者牙龈浆细胞中RANKL+细胞百分率升高(P<0.05)。与健康组比较,牙周炎组和牙周炎+RA组患者牙龈浆细胞中RANKL水平升高(P<0.05)。与健康组比较,牙周炎组和牙周炎+RA组正常诱导TRAP+破骨样细胞数增加(P<0.05);与牙周炎组比较,牙周炎+RA组正常诱导TRAP+破骨样细胞数增加(P<0.05);与正常诱导破骨样细胞比较,各组anti-RANKL诱导的TRAP+破骨样细胞数均减少(P<0.05)。与健康组比较,牙周炎组和牙周炎+RA组患者牙龈浆细胞中RANKL、RANK和TRAF6 mRNA表达水平均升高(P<0.05);与牙周炎组比较,牙周炎+RA组患者牙龈浆细胞中RANKL、RANK和TRAF6 mRNA表达水平均升高(P<0.05)。结论:牙周炎伴RA患者牙龈浆细胞分化水平及其诱导破骨样细胞分化能力均高于单纯牙周炎患者,可能是RA导致牙周炎患者牙周组织破坏加剧的潜在原因。 展开更多
关键词 牙周炎 类风湿性关节炎 浆细胞 核因子ΚB受体活化因子配体
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Cannabinoid receptor-2 selective antagonist negatively regulates receptor activator of nuclear factor kappa B ligand mediated osteoclastogenesis 被引量:8
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作者 GENG De-chun XU Yao-zeng YANG Hui-lin ZHU Guang-ming WANG Xian-bin ZHU Xue-song 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第4期586-590,共5页
Background The cannabinoid receptor-2 (CB2) is important for bone remodeling. In this study, we investigated the effects of CB2 selective antagonist (AM630) on receptor activator of nuclear factor kappa B (RANK)... Background The cannabinoid receptor-2 (CB2) is important for bone remodeling. In this study, we investigated the effects of CB2 selective antagonist (AM630) on receptor activator of nuclear factor kappa B (RANK) ligand (RANKL)induced osteoclast differentiation and the underlying signaling pathway using a monocyte-macrophage cell line-RAW264.7.Methods RAW264.7 was cultured with RANKL for 6 days and then treated with AM630 for 24 hours. Mature osteoclasts were measured by tartrate-resistant acid phosphatase (TRAP) staining using a commercial kit. Total ribonucleic acid (RNA)was isolated and real-time reverse transcriptase-polymerase chain reaction (RT-PCR) was done to examine the expression of RANK, cathepsin K (CPK) and nuclear factor kappa B (NF-κB). The extracellular signal-regulated kinase (ERK),phosphorylation of ERK (P-ERK) and NF-κB production were tested by Western blotting. The effect of AM630 on RAW264.7 viability was determined using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazoliumbromide (MTT) assay.Results AM630 did not affect the viability of RAW264.7. However, this CB2 selective antagonist markedly inhibited osteoclast formation and the inhibition rate was dose-dependent. The dose of 〉100 nmol/L could reduce TRAP positive cells to the levels that were significantly lower than the control. AM630 suppressed the expression of genes associated with osteoclast differentiation and activation, such as RANK and CPK. An analysis of a signaling pathway showed that AM630 inhibited the RANKL-induced activation of ERK, but not NF-κB.Conclusion AM630 could inhibit the osteoclastogenesis from RAW264.7 induced with RANKL. 展开更多
关键词 RAW264.7 OSTEOCLASTOGENESIS receptor activator of nuclear factor kappa B ligand AM630 cannabinoid receptor-2
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Receptor activator of nuclear factor kappa B ligand and osteoprotegerin expression in chronic apical periodontitis:possible association with inflammatory cells 被引量:5
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作者 FAN Rong SUN Bin +4 位作者 ZHANG Cheng-fei Lu Ya-lin XUAN Wei WANG Qian-qian YIN Xing-zhe 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第14期2162-2166,共5页
Background Receptor activator of nuclear factor kappa B (NF-κB) ligand (RANKL) and osteoprotegerin (OPG) have been recently shown to play important roles in bone resorption. The aim of this study was to investi... Background Receptor activator of nuclear factor kappa B (NF-κB) ligand (RANKL) and osteoprotegerin (OPG) have been recently shown to play important roles in bone resorption. The aim of this study was to investigate the possible association between the expression of bone resorption regulators (RANKL and OPG) and inflammatory cell infiltration in chronic apical periodontitis.Methods The samples of chronic periapical lesions (n=40) and healthy periapical tissues (n=10) were examined for immunohistochemical analysis of RANKL and OPG. Lesion samples were further analyzed for the inflammatory infiltration condition. The inflammatory cell infiltration was scored in relation to immunohistochemical reactivity for CD3, CD20 and CD68.Results The number of RANKL-positive cells and the ratio of RANKL/OPG in chronic apical periodontitis were significantly higher than those in healthy periapical tissues (P<0.001). The number of RANKL-positive cells was higher in lesions with severe inflammatory infiltration than in those with light inflammatory infiltration (P<0.05). Significantly increased RANKL expression was found with T lymphocytes (CD3+), macrophages (CD68+) and B lymphocytes (CD20+)infiltration (P<0.05). No association was found between the ratio of RANKL/OPG and inflammatory cell infiltration.Conclusions RANKL expression was increased with T, B lymphocytes and macrophages infiltration, respectively in chronic periapical lesions. RANKL appears to be closely related to periapical inflammatory infiltrates. The relative ratio of RANKL/OPG may be a key determinant of RANKL-mediated bone resorption. 展开更多
关键词 apical periodontitis receptor activator of nuclear factor kappa B ligand OSTEOPROTEGERIN INFLAMMATION bone resorption IMMUNOHISTOCHEMISTRY
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Effect of Wenhua Juanbi Recipe(温化蠲痹方) on Expression of Receptor Activator of Nuclear Factor Kappa B Ligand,Osteoprotegerin,and Tumor Necrosis Factor Receptor Superfamily Member 14 in Rats with Collagen-Induced Arthritis 被引量:2
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作者 LIU Xi-de WANG Yun-qing +3 位作者 CAI Long YE Li-hong WANG Fang FENG Ying-ying 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2017年第3期208-214,共7页
Objective: To study the effect of Wenhua Juanbi Recipe(温化蠲痹方, WJR) on expression of receptor activator of nuclear factor kappa B ligand(RANKL), osteoprotegerin(OPG), and tumor necrosis factor receptor supe... Objective: To study the effect of Wenhua Juanbi Recipe(温化蠲痹方, WJR) on expression of receptor activator of nuclear factor kappa B ligand(RANKL), osteoprotegerin(OPG), and tumor necrosis factor receptor superfamily member 14(TNFRSF14, also known as LIGHT) in rats with collagen-induced arthritis(CIA). Methods: CIA rats were generated by subcutaneous injection of bovine collagen type-Ⅱ at the tail base. Sixty CIA rats were randomly assigned(10 animals/group) to: model, methotrexate(MTX)-treated(0.78 mg/kg body weight), and WJR-treated(22.9 g/kg) groups. Healthy normal rats(n=10) were used as the normal control. Treatments or saline were administered once daily by oral gavage. Rats were sacrificed at day 28 post-treatment and knee synovium and peripheral blood serum were collected. Toe swelling degree and expression of RANKL, OPG, and LIGHT were determined by Western blot and immunohistochemistry. Results: Compared with the normal group, toe swelling degree was significantly increased in the model group(P〈0.01). After treatment, toe swelling degree decreased significantly in the WJR and MTX groups compared with the model group(P〈0.01). Compared with the normal group, expression of RANKL and LIGHT were significantly increased and OPG significantly decreased in peripheral blood and synovium of the model group(P〈0.01). Conversely, RANKL and LIGHT expression were significantly reduced and OPG increased in the WJR and MTX groups compared with the model group(P〈0.01). No statistically significant difference existed between WJR and MTX groups. Conclusion: WJR likely acts by reducing RANKL expression and increasing OPG expression, thus inhibiting RANKL/RANK interaction and reducing LIGHT expression, thereby inhibiting osteoclast formation/activation to block bone erosion. 展开更多
关键词 Wenhua Juanbi Recipe collagen-induced arthritis receptor activator of nuclear factor kappa B ligand osteoprotegerin tumor necrosis factor receptor superfamily member 14 synovium peripheral blood Chinese medicine
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幼鼠脓毒症模型中Rankl调控胸腺自然调节性T细胞免疫平衡的作用机制研究 被引量:1
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作者 吴婵 杨欣 +4 位作者 王闽蓉 张峰 段蓉蓉 李忠妮 鲁利群 《发育医学电子杂志》 2023年第3期161-167,173,共8页
目的探讨核因子κB受体激活因子配体(receptor activator of nuclear factor kappa-B ligand,Rankl)对脓毒症幼鼠胸腺自然调节性T细胞(regulatory T cell,Treg)的免疫调控机制。方法采用脂多糖(lipopolysaccharide,LPS)腹腔注射构建SD... 目的探讨核因子κB受体激活因子配体(receptor activator of nuclear factor kappa-B ligand,Rankl)对脓毒症幼鼠胸腺自然调节性T细胞(regulatory T cell,Treg)的免疫调控机制。方法采用脂多糖(lipopolysaccharide,LPS)腹腔注射构建SD雄性幼鼠脓毒症模型。48只幼鼠按LPS浓度梯度分为4组,分别注射生理盐水(对照组)和5、8、10 mg/kg LPS,每组12只。24只幼鼠按给药分组,随机分为对照组、脓毒症组、野黄芩苷(Rankl抑制剂)组、白桦脂酸(NF-κB激动剂)组共4组,每组6只。取胸腺组织行免疫组化染色,计算Rankl、自身免疫调节因子(autoimmunity regulator,Aire)、叉头翼状螺旋转录因子(forkhead box P3,Foxp3)阳性细胞的平均光密度。胸腺组织匀浆免疫印迹法测定Rankl、核因子κB(nuclear factor kappa-B,NF-κB)p65、Aire、Foxp3的蛋白表达水平。统计学分析采用单因素方差分析和t检验。结果不同浓度梯度模型中,对照组与腹腔注射LPS 5、8、10 mg/kg组,48 h时胸腺组织阳性细胞平均光密度比较[Rankl:(0.209±0.021)%、(0.256±0.008)%、(0.302±0.015)%、(0.361±0.023)%;Aire:(0.279±0.017)%、(0.350±0.021)%、(0.402±0.013)%、(0.459±0.024)%;Foxp3:(0.207±0.014)%、(0.237±0.010)%、(0.277±0.011)%、(0.310±0.016)%],蛋白表达水平比较(Rankl:0.577±0.079、0.740±0.079、0.935±0.043、1.240±0.109;NF-κBp 65:0.150±0.064、0.306±0.055、0.534±0.077、0.949±0.077;Aire:0.324±0.039、0.571±0.062、0.737±0.091、1.019±0.120;Foxp3:0.226±0.098、0.475±0.035、0.824±0.070、1.148±0.087),LPS造模组均高于对照组(P值均<0.05);且随LPS剂量增加而增加,10 mg/kg组增加最明显。不同给药模型中,脓毒症组、野黄芩苷组、白桦脂酸组的胸腺组织阳性细胞平均光密度比较[Rankl:(0.343±0.022)%、(0.262±0.014)%、(0.299±0.020)%;Foxp3:(0.380±0.016)%、(0.340±0.013)%、(0.426±0.012)%;Aire:(0.671±0.079)%、(0.437±0.109)%、(0.893±0.034)%],蛋白表达水平比较(Rankl:0.945±0.059、0.626±0.072、0.801±0.052;NF-κB p65:0.671±0.079、0.633±0.191、1.229±0.106;Aire:0.815±0.144、0.437±0.109、1.219±0.114;Foxp3:0.773±0.093、0.453±0.143、1.256±0.086),野黄芩苷组均低于脓毒症组,白桦脂酸组除了Rankl,其余指标均高于脓毒症组(P值均<0.05)。结论在幼鼠脓毒症模型中,Rankl通过激活NF-κB/Aire/Foxp3信号通路使胸腺Treg大量增殖,发生免疫失调。Rankl抑制剂野黄芩苷可调节此失衡状态,对脓毒症幼鼠产生保护效应。 展开更多
关键词 核因子κB受体激活因子配体 胸腺 调节性T细胞 脓毒症 幼鼠
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慢性阻塞性肺疾病并骨质疏松患者血清IL-6、TNF-α水平的变化及其对OPG、RANKL表达的影响 被引量:8
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作者 陈灿 郑林鑫 +1 位作者 麦玉梅 李伟峰 《临床肺科杂志》 2023年第1期35-38,共4页
目的探讨慢性阻塞性肺疾病(COPD)并骨质疏松患者血清白细胞介素-6(IL-6)及肿瘤坏死因子α(TNF-α)水平的变化及其与OPG/RANK/RANKL系统的相关性。方法选取2020年1月~2021年11月于我院就诊的男性稳定期COPD患者80例及同期健康体检者40例... 目的探讨慢性阻塞性肺疾病(COPD)并骨质疏松患者血清白细胞介素-6(IL-6)及肿瘤坏死因子α(TNF-α)水平的变化及其与OPG/RANK/RANKL系统的相关性。方法选取2020年1月~2021年11月于我院就诊的男性稳定期COPD患者80例及同期健康体检者40例为研究对象。根据骨密度检测结果将COPD患者分为骨质疏松组(n=33)和非骨质疏松组(n=47),检测所有研究对象入组当天血清IL-6、TNF-α、核因子κB受体活化因子配体(RANKL)及骨保护素(OPG)水平并进行统计学分析。结果(1)80例COPD患者中33例合并骨质疏松,占比41%。与对照组相比,COPD组患者RANKL/OPG比值及IL-6、TNF-α、RANKL水平明显升高(均P<0.05);(2)与COPD非骨质疏松组患者相比,骨质疏松组患者RANKL/OPG比值及IL-6、TNF-α、RANKL水平明显升高,而FEV_(1)(%)、FEV_(1)/FVC(%)明显降低(均P<0.05);(3)COPD患者骨密度与血清IL-6、TNF-α、RANKL水平及RANKL/OPG比值呈负相关。血清IL-6、TNF-α水平与RANKL水平及RANKL/OPG比值呈正相关,与FEV_(1)(%)呈负相关(均P<0.05)。结论COPD并骨质疏松患者炎症因子水平表达升高及骨代谢吸收增强,其发病机制可能与IL-6、TNF-α作用于OPG/RANK/RANKL系统相关。 展开更多
关键词 慢性阻塞性肺疾病 骨质疏松 白细胞介素-6 肿瘤坏死因子α 骨保护素 核因子ΚB受体活化因子配体
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龈沟液RANKL、音猬因子水平对牙缺失Nobel种植体早期稳定性评估价值
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作者 王国光 李丹 +1 位作者 郝锐 郅晓雷 《国际检验医学杂志》 CAS 2023年第6期645-650,共6页
目的探讨龈沟液核因子-κB受体活化因子配体(RANKL)、音猬因子水平对牙缺失Nobel种植体早期稳定性评估价值。方法选取2020年6月至2021年12月邯郸市第一医院牙缺失患者128例作为观察组,均为Nobel种植体修复,选取同期体检健康者64例作为... 目的探讨龈沟液核因子-κB受体活化因子配体(RANKL)、音猬因子水平对牙缺失Nobel种植体早期稳定性评估价值。方法选取2020年6月至2021年12月邯郸市第一医院牙缺失患者128例作为观察组,均为Nobel种植体修复,选取同期体检健康者64例作为对照组。对比两组及观察组术后即刻、术后3个月龈沟液RANKL、音猬因子水平、种植体稳定系数(ISQ)值,多重线性回归模型分析Nobel种植体早期稳定性影响因素,并分析龈沟液RANKL、音猬因子水平对早期稳定性评估价值。结果观察组术后3个月龈沟液RANKL、音猬因子水平低于术后即刻,差异有统计学意义(P<0.05);观察组术后3个月ISQ值高于术后即刻,差异有统计学意义(P<0.05)。术后即刻龈沟液RANKL、音猬因子水平与术后3个月ISQ值呈负相关(P<0.05)。术后即刻及术后3个月龈沟液RANKL、音猬因子水平对应的线性系数差异有统计学意义(P<0.05);建立多重线性回归模型:术后3个月ISQ值=100.968-4.607×术后咬(牙合)痛-2.886×常食坚果-0.254×术后即刻龈沟液RANKL-0.280×术后即刻龈沟液音猬因子,回归模型具有统计学意义(P<0.05),自变量可解释术后3个月ISQ值74.59%的变异量。结论牙缺失患者进行Nobel种植后龈沟液RANKL、音猬因子呈低表达,术后通过检测二者水平可有效判断种植体早期稳定性。 展开更多
关键词 核因子-ΚB受体活化因子配体 音猬因子 牙缺失
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超前镇痛方案对跟骨关节内骨折患者OPG/RANKL信号通路因子表达的影响
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作者 鲁智勇 沈劼颖 《中国医学创新》 CAS 2023年第1期42-46,共5页
目的:探讨超前镇痛方案对跟骨关节内骨折患者骨保护素(osteoprotegerin,OPG)/核因子-κB受体活化因子配基(receptor activator of nuclear factor-κB ligand,RANKL)信号通路因子表达的影响。方法:选择2019年2月-2021年11月在南京中医... 目的:探讨超前镇痛方案对跟骨关节内骨折患者骨保护素(osteoprotegerin,OPG)/核因子-κB受体活化因子配基(receptor activator of nuclear factor-κB ligand,RANKL)信号通路因子表达的影响。方法:选择2019年2月-2021年11月在南京中医药大学附属苏州市中医医院诊治的跟骨关节内骨折患者74例,按照入院顺序,根据1∶1随机数字表法把患者分为超前组与对照组各37例。所有患者给予切开复位内固定治疗,对照组给予常规静脉自控镇痛(patient controlled intravenousanalgesia,PCIA),超前组在对照组镇痛的基础上给予术前30 min静注地佐辛超前镇痛。记录两组围手术指标;术前、术后1、2、3、7 d的疼痛状况;两组不良反应发生情况;术后1、7 d检测血清OPG、RANKL含量。结果:超前组的术后引流量、术后引流时间与术后住院时间均少于对照组(P<0.05)。超前组术后1、2、3、7 d的疼痛VAS评分均少于对照组(P<0.05)。超前组术后7 d的恶心呕吐、寒战、延迟苏醒等并发症发生率为8.1%,低于对照组的32.4%(P<0.05)。两组术后7 d的血清OPG、RANKL含量均高于术后1 d(P<0.05),超前组也均高于对照组(P<0.05)。结论:超前镇痛方案应用在跟骨关节内骨折患者中能促进OPG/RANKL信号通路因子表达,能提高镇痛效果,促进患者术后康复,还可减少患者术后并发症的发生。 展开更多
关键词 超前镇痛 骨保护素 跟骨关节内骨折 核因子-κB受体活化因子配基
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丹参酮ⅡA调节骨关节炎小鼠骨代谢的作用机制
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作者 张超 周迎锋 +4 位作者 路坦 赵红星 耿晓林 陶金刚 徐海斌 《西北药学杂志》 CAS 2024年第2期74-80,共7页
目的探讨丹参酮ⅡA(TanⅡA)通过介导Yes激酶相关蛋白(Yes-associated protein,YAP)、核因子-κB受体活化因子配基(receptor activator of nuclear factor-κB ligand,RANKL)/核因子κB受体活化因子(eceptor activator of nuclear factor... 目的探讨丹参酮ⅡA(TanⅡA)通过介导Yes激酶相关蛋白(Yes-associated protein,YAP)、核因子-κB受体活化因子配基(receptor activator of nuclear factor-κB ligand,RANKL)/核因子κB受体活化因子(eceptor activator of nuclear factor-κB,RANK)/骨保护蛋白(osteoprotegerin,OPG)调节骨关节炎小鼠骨代谢的作用机制。方法建立骨关节炎小鼠模型,将60只小鼠随机分成假手术组、模型组、TanⅡA低剂量组和TanⅡA高剂量组,每组15只,造模成功后灌胃给药,连续4周。HE和番红O固绿染色观察软骨组织病理损伤并进行Mankin评分。酶联免疫吸附试验(enzyme-linked immunosorbent assay,ELISA)检测血清骨碱性磷酸酶(bone alkaline phosphatase,BALP)、骨钙素(osteocalcin,OC)、Ⅰ型胶原交联羧基末端肽(C-telopeptide of typeⅠcollagen,CTX)、白细胞介素(interleukin,IL)-1β、IL-6、IL-8和肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)。蛋白质印迹法(Western blotting)检测基质金属蛋白酶(matrix metalloproteinases,MMPs)、YAP、RANK、RANKL和OPG蛋白。结果TanⅡA可改善小鼠软骨组织病理变化并降低Mankin评分。与假手术组比较,模型组BALP、OC水平下降,CTX、TNF-α、IL-6、IL-1β、IL-8、MMP1、MMP3和MMP13水平升高(P<0.05)。与模型组比较,TanⅡA低剂量组、TanⅡA高剂量组BALP、OC水平升高,CTX、TNF-α、IL-6、IL-1β、IL-8、MMP1、MMP3和MMP13水平降低(P<0.05)。与假手术组比较,模型组小鼠软骨组织中YAP、OPG和RANK蛋白水平下降,RANKL蛋白水平升高(P<0.05);与模型组比较,TanⅡA 2组小鼠软骨组织中YAP、OPG和RANK蛋白水平上升,RANKL蛋白水平下降(P<0.05)。结论TanⅡA可能通过介导YAP、RANK/RANKL/OPG信号通路调控骨关节炎。 展开更多
关键词 丹参酮ⅡA 骨关节炎 Yes激酶相关蛋白 核因子-κB受体活化因子配基 核因子ΚB受体活化因子 骨保护蛋白
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基于骨免疫学论中医药抑制类风湿关节炎骨破坏的研究进展
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作者 夏璇 陈杰君 +3 位作者 张磊 王茂杰 黄闰月 储永良 《世界中医药》 CAS 北大核心 2024年第15期2352-2356,共5页
类风湿关节炎(RA)是一种以滑膜炎、软骨与骨破坏为主要病理表现的自身免疫性疾病,致残率较高。RA免疫及炎症反应与骨细胞代谢互为影响,其核心环节为破坏机体核因子κB受体活化因子配体/核因子κB受体活化因子/骨保护素(RANKL/RANK/OPG)... 类风湿关节炎(RA)是一种以滑膜炎、软骨与骨破坏为主要病理表现的自身免疫性疾病,致残率较高。RA免疫及炎症反应与骨细胞代谢互为影响,其核心环节为破坏机体核因子κB受体活化因子配体/核因子κB受体活化因子/骨保护素(RANKL/RANK/OPG)信号通路的平衡,导致成骨细胞减少,以及破骨细胞凋亡减退及异常活化。西药目前以抑制炎症反应及相关细胞因子分泌,减缓疾病进展,但长期使用其不良反应难以忽视。中医药在防治骨破坏中研究逐步深入,但在基础及临床研究方面仍存在一定局限性。 展开更多
关键词 骨免疫学 中医药 类风湿关节炎 骨破坏 炎症反应 核因子ΚB受体活化因子 核因子ΚB受体活化因子配体 骨保护素
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