人膝关节骨关节炎半月板酸性粘蛋白的组织化学研究

S. Yadav, V. Shirol, J. Prasad, Shilpa M. Bhimalli
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摘要

了解人类骨关节炎(OA)半月板中蛋白多糖(酸性粘蛋白)的变化可能有助于理解半月板变性的发展。因此,本研究拟通过对人膝关节骨性关节炎半月板内侧和外侧不同部位的组织化学分析来了解酸性粘蛋白的变化。从110个男女膝关节中收集内侧和外侧OA半月板。以绵羊正常半月板组织为对照,用pH为2.5的阿新蓝进行组织学染色,以发现OA半月板中酸性粘蛋白的变化。使用MS Excel通过双变量和单因素方差分析对数据进行分析。骨关节炎在女性中比男性更常见。在60-69岁的病例中,OA的变化在女性的右侧和男性的左侧更为常见,而OA在双腿更为常见。此外,与对照半月板相比,在双腿内侧和外侧OA半月板的不同部位观察到酸性粘蛋白的染色强度降低。在双腿内侧和外侧OA半月板的前部、中部和后部观察到酸性粘蛋白水平的显著变化(P值=0.0306)。人类OA半月板中酸性粘蛋白的显著变化为OA进展提供了科学证据,有助于卫生专业人员开发用于OA治疗的结构修饰药物。
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Histochemical study of acid mucins in osteoarthritic menisci of the human knee joint
Knowledge regarding changes of proteoglycans (acid mucins) in human osteoarthritis (OA) meniscus may help in understanding development of meniscal degeneration. Therefore, present study was planned to know changes in acid mucins in human knee OA menisci by histochemical analysis of different parts of medial and lateral menisci of both legs. Medial and lateral OA menisci were collected from 110 human knee joints of both sexes. Normal meniscal tissue of sheep was taken as control and studied for histological stain with alcian blue pH 2.5, to find acid mucins changes in OA menisci. Data were analyzed by bivariate and one-way ANOVA using MS-Excel. Osteoarthritis is more common in females than males. OA changes were found to be more on right side in females and on left side in males, while OA was more common in both legs in number of cases in 60-69 years. Further, decreased staining intensity for acid mucins was observed in different parts of medial and lateral OA menisci of both legs than control meniscus. A significant change in level of acid mucin was observed at anterior, middle, and posterior parts of medial and lateral OA menisci of both legs (P-value=0.0306). Significant changes in acid mucins in human OA meniscus provide information on scientific evidence of OA progression, which could help health professionals in development of structure-modifying drugs for OA therapy.
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