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Regional variations in knee joint articular cartilage mechanobiology: A consideration in the initiation of osteoarthritis.

机译:膝关节关节软骨力学生物学的区域性变化:引发骨关节炎的考虑因素。

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摘要

The theory that the physical changes to the knee joint following anterior cruciate ligament injury, including altered gait kinematics and increased levels of proinflammatory cytokines, may result in cartilage degradation has gained prominence, although the implications of these changes at the tissue and cellular level have received little attention. Thus, the purpose of this thesis was to characterize regional variations in porcine tibial plateau articular cartilage. Three studies were performed to characterize topographical variations in: (1) cartilage matrix content and mechanical properties, (2) chondrocyte gene expression and response to in vitro dynamic compression, and (3) chondrocyte response to the proinflammatory cytokine tumor necrosis factor alpha (TNFalpha).;Biochemical analysis indicated that central regions of the tibial plateau subjected to greater functional loading in vivo were thicker with approximately 50% greater proteoglycan and 35% greater collagen content relative to peripheral regions. Topographical variations in matrix content were paralleled by variations in matrix mechanical properties: the equilibrium Young's Modulus was 490kPa in central region explants and 250kPa in peripheral region explants while the dynamic complex shear modulus (at 0.1 Hz) was 1170kPa in central region explants and 310kPa in peripheral region explants. Consistent with these observations, baseline mRNA levels for type II collagen and aggrecan were approximately twofold greater in central regions compared with peripheral regions of the tibial plateau. In response to in vitro dynamic compression, central region chondrocytes showed greater upregulation of CII and aggrecan than peripheral region cells. Chondrocytes from both regions responded to exogenous TNFalpha with increased expression of matrix degrading enzymes, including matrix metalloproteinases 1, 3, and 13, aggrecanases 1 and 2, and TNFalpha itself. There was significant interaction between TNFalpha and dynamic compression that resulted in a greater upregulation of proteases and TNFalpha than by TNFalpha alone.;These regional variations likely represent adaptation to loading history, and may be important in understanding the fate of cartilage under conditions that cause chronic changes in knee joint loading and biochemistry, such as anterior cruciate ligament injury and meniscectomy, which appear to precede degenerative changes in articular cartilage.
机译:尽管已认识到这些变化在组织和细胞水平的影响已得到认可,但前十字韧带损伤后膝关节的物理变化(包括步态运动学改变和促炎性细胞因子水平升高)可能导致软骨退化的理论已得到重视。很少注意。因此,本论文的目的是表征猪胫骨平台关节软骨的区域变化。进行了三项研究以表征以下方面的地形变化:(1)软骨基质含量和力学性能;(2)软骨细胞基因表达和对体外动态压缩的响应;(3)软骨细胞对促炎性细胞因子肿瘤坏死因子α(TNFalpha)的响应)。生化分析表明,在体内承受较大功能负荷的胫骨平台中央区域较厚,相对于周围区域而言,蛋白聚糖的含量大约增加了50%,胶原蛋白含量增加了35%。基质含量的形貌变化与基质力学性能的变化平行:中部外植体的平衡杨氏模量为490kPa,周围区域外植体的平衡杨氏模量为250kPa,而中部外植体的动态复数剪切模量(0.1 Hz)为1170kPa,中部外植体的平衡杨氏模量为310kPa外围区域外植体。与这些观察结果一致,与胫骨平台的外围区域相比,中心区域的II型胶原蛋白和聚集蛋白聚糖的基线mRNA水平大约高出两倍。响应体外动态压缩,中央区域软骨细胞比周围区域细胞表现出更大的CII和聚集蛋白聚糖上调。来自两个区域的软骨细胞均对外源性TNFα产生反应,并增加了基质降解酶的表达,包括基质金属蛋白酶1、3和13,聚集蛋白聚糖酶1和2以及TNFalpha本身。 TNFα和动态压缩之间存在显着的相互作用,从而导致蛋白酶和TNFalpha的上调程度高于单独的TNFalpha .;这些区域性变化可能代表着对负荷史的适应,对于理解导致慢性的条件下软骨的命运可能很重要膝关节负荷和生化方面的变化,例如前十字韧带损伤和半月板切除术,这些变化似乎先于关节软骨的退行性变化。

著录项

  • 作者

    Bevill, Scott Leon.;

  • 作者单位

    Stanford University.;

  • 授予单位 Stanford University.;
  • 学科 Engineering Biomedical.;Engineering Mechanical.
  • 学位 Ph.D.
  • 年度 2009
  • 页码 153 p.
  • 总页数 153
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 生物医学工程;机械、仪表工业;
  • 关键词

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