国际口腔医学杂志

国际口腔医学杂志 ›› 2021, Vol. 48 ›› Issue (4): 417-425.doi: 10.7518/gjkq.2021070

• 论著 • 上一篇    下一篇

颞下颌关节退行性变早期髁突软骨细胞行为改变的实验研究

方苓力(),谭玺,叶雨丝,黄兰,何瑶()   

  1. 重庆医科大学附属口腔医院 口腔疾病与生物医学重庆市重点实验室重庆市高校市级口腔生物医学工程重点实验室 重庆 401147
  • 收稿日期:2021-01-11 修回日期:2021-04-06 出版日期:2021-07-01 发布日期:2021-06-30
  • 通讯作者: 何瑶
  • 作者简介:方苓力,住院医师,硕士,Email： 2018110874@stu.cqmu.edu.cn
  • 基金资助:
    国家自然科学基金(31800786);中国博士后基金面上项目(2018M640902)

Experimental study on behavior changes of condylar chondrocytes in early stage of temporomandibular joint degeneration

Fang Lingli(),Tan Xi,Ye Yusi,Huang Lan,He Yao()   

  1. Stomatological Hospital of Chongqing Medical University & Chongqing Key Laboratory of Oral Diseases and Biomedical Science & Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing 401147, China
  • Received:2021-01-11 Revised:2021-04-06 Online:2021-07-01 Published:2021-06-30
  • Contact: Yao He
  • Supported by:
    National Natural Science Foundation of China(31800786);General projects of China Postdoctoral fund(2018M640902)

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摘要：

目的 探索应力诱导颞下颌关节（TMJ）退行性变早期,髁突软骨细胞增殖、凋亡和自噬行为表现及相关信号通路的变化。方法 使用小鼠强制张口模型分别对小鼠加力0 d（对照组）和10 d（实验组）,加力结束后取样。髁突软骨行激光共聚焦扫描,5-乙炔基-2’脱氧尿嘧啶核苷（EdU）染色检测增殖;完整关节区切片行苏木精/伊红、甲苯胺蓝以及免疫组化染色检测增殖、凋亡、自噬及磷脂酰肌醇3-激酶/丝氨酸/苏氨酸蛋白激酶（PI3K/Akt）通路关键蛋白的表达。结果 实验组小鼠与对照组小鼠相比,髁突软骨增厚,细胞密度降低,基质分泌减少;且增殖和凋亡阳性细胞增多,自噬活性增加;伴随PI3K/Akt通路活化。结论 应力诱导TMJ退行性变早期,软骨细胞在增殖、凋亡及自噬活性上均有一定程度的激活,并伴随了PI3K/Akt通路活化。

关键词: 应力, 髁突软骨, 退行性变, 自噬

Abstract:

Objective To explore the biological behavioural changes in the proliferation, apoptosis and autophagy of condylar chondrocytes and changes in the related signal pathway in the early stage of cartilage degeneration under stress.Methods The forced mouth opening model was used, and samples were taken after 0 d (control group) and 10 d (experiment group) of inducing overloading force. After the laser confocal scanning of the condylar cartilage, 5-ethynyl-2’-deoxyuridine (EdU) staining was performed to detect cell proliferation. The expression of proliferation, apoptosis, autophagy and key proteins of the phosphatidylinositol 3-kinase/ protein kinase B (PI3K/Akt) pathway was detected by haematoxylin/eosin, toluidine blue and immunohistochemical stainings with paraffin sections of the intact temporomandibular joint. Results The thickness of the condylar cartilage increased, but the cell density and cartilage matrix secretion decreased in the experimental group. In addition, the number of proliferation and apoptosis positive cells and the expression of autophagy markers increased. At the same time, the PI3K/Akt pathway was also active. Conclusion The prolife-ration, apoptosis and autophagy activity of chondrocytes were activated to some extent in the early stage of cartilage degeneration induced by stress, with the activation of the PI3K/Akt pathway.

Key words: stress, condyle cartilage, degeneration, autophagy

中图分类号: 

  • R782.6

图1

应力刺激下TMJ软骨的组织形态学表现 A~B：强制张口模型及流程模式图;C~F：伊红-苏木素染色（黑框表示放大区域E和F）;G~H：甲苯胺蓝染色;I~J：激光共聚焦扫描重建图;Con：对照组,Ex：实验组。"

图2

TMJ软骨的基质表达变化 A~C：蛋白聚糖免疫组化染色及IOD值统计图;D~F：Ⅱ型胶原免疫组化染色及IOD值统计图;G~I：基质金属蛋白酶13免疫组化染色及IOD值统计图;Con：对照组,Ex：实验组。"

图3

TMJ软骨细胞在应力作用下的增殖与凋亡表现 A~C：冰冻切片EdU染色（红色标记阳性细胞）及阳性细胞统计图;D~F：PCNA免疫组化染色及IOD值统计图;G~I：caspase3免疫组化染色及IOD值统计图;Con：对照组,Ex：实验组。"

图4

应力作用下髁突软骨细胞中自噬的表达 A~C：Beclin1免疫组化染色及IOD值统计图;D~F：LC3免疫组化染色及IOD值统计图;Con：对照组;Ex：实验组。"

图5

p-Akt及p-mTOR在应力诱导的TMJ软骨中的表达 A~C：p-Akt免疫组化染色及IOD值统计图;D~F：p-mTOR免疫组化染色及IOD值统计图;Con：对照组;Ex：实验组。"

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