骨康对不同诱导条件下MSCs分化影响及BMP-2对成骨分化的作用
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摘要
实验研究
     目的:
     1.在成脂诱导的条件下,观察骨康含药血清对体外培养的大鼠骨髓基质干细胞的分化特性的影响;
     2.在与成骨细胞共培养的条件下,观察大鼠骨髓基质干细胞的成骨特性以及骨形态发生蛋白-2在其中的作用;
     3.在与成骨细胞共培养的条件下,采用中药血清学方法,观察骨康含药血清联合共培养对大鼠骨髓基质干细胞的成骨分化特性以及骨形态发生蛋白-2在其中的作用。
     方法:
     1.分离,鉴定并扩增MSCs,传至第四代时分为空白组与骨康组,均以成脂诱导液培养,骨康组中加入含药血清,对照组中加入空白兔血清,倒置相差显微镜下观察,培养第4天、7天、10天后行油红O染色,并计数脂肪细胞转化率。
     2.以淋巴细胞分离液自2月龄大鼠骨髓中分离骨髓基质干细胞,扩增后以免疫组化法鉴定其表型,成骨细胞取自1日龄乳鼠,酶消化法获得,扩增后用Gomori's法行骨碱性磷酸酶染色以及茜素红染色钙结节进行鉴定。骨髓基质干细胞消化后分为A组:MSCs单独培养组,未进行共培养,培养液为完全培养基;B组:MSCs+雌激素含药血清组,培养液为完全培养基和雌激素含药血清;C组:MSCs+骨康含药血清组,培养液为完全培养基和骨康含药血清;D组:共培养组,培养液为完全培养基;E组:空白血清+共培养组,培养液为完全培养基和空白组兔血清;F组:雌激素含药血清+共培养组,培养液为完全培养基和雌激素含药血清;G组:骨康含药血清+共培养组,培养液为完全培养基和骨康含药血清。每3d换液1次。观察骨髓基质干细胞的形态学变化及矿化能力,酶联免疫吸附法检培养上清中骨形态发生蛋白-2、骨碱性磷酸酶以及骨钙素含量。
     3.所有数据均使用SPSS11.5进行统计处理。
     结果:
     1.随着诱导时间的延长,脂肪细胞转化率呈上升趋势;
     2.骨康组脂滴出现较空白组晚,第4天、7天、10天空白组中脂肪细胞转化率分别为24.31+12.53%、39.19±15.64%、50.13±15.13%,骨康组中则分别为11.73±9.09%、20.95±8.05%、30.73±9.52%,不同时相的两组之间比较差异有统计学意义(P<0.05);
     3.上清中OC含量A组与C组无显著性差异(P=0.229),A组与B组比较有显著性差异(P<0.05),D、E组与A组比较有非常显著性差异(P<0.01),二者之间差异无统计学意义(P>0.05),F组、G组与B、C、D组比较差异有统计学意义(P<0.01),二者之间差异无统计学意义(P>0.05),各组上清中B-ALP含量变化规律类似于OC,与之不同的是,A组与C组有显著性差异(P<0.05);
     4.MSCs培养形成钙化结节数A组与B、C组比较以及B、C两组之间比较,有显著性差异(P<0.05),B、D、E组与A组比较有非常显著性差异(P<0.01),三者之间差异无统计学意义(P>0.05),F组、G组与B、C、D、E组比较差异有统计学意义(P<0.01),二者之间差异无统计学意义(P>0.05)。经Spearman相关分析,上清中BMP-2浓度与钙化结节形成数之间存在正相关,相关系数γP=0.923,P=0.000。
     结论:
     1.随着诱导时间的延长,脂肪细胞转化率呈上升趋势;
     2.骨康含药血清可抑制成脂诱导剂对MSCs向脂肪细胞分化的促进作用,这可能是骨康治疗骨质疏松作用的机制之一;
     3.体外构建的共培养模型部分模拟了体内成骨环境;与成骨细胞共培养的骨髓基质干细胞成骨能力增强;
     4.骨康及雌激素含药血清联合共培养时,其成骨分化能力强于单一的干预因素施加;
     5.上清中BMP-2浓度与钙化结节形成数之间存在正相关,BMP-2浓度越高,钙化结节形成数量越多。
     临床研究
     目的:
     探讨绝经后骨质疏松症妇女血清BMP-2水平与腰椎侧位骨密度以及绝境年限的关系。
     方法:
     选择经骨密度测定及临床检查确诊为绝经后骨质疏松症患者88例,另外10名20-30岁未婚健康青年女性为对照组。对骨质疏松组的患者按照绝经年份进行分组,每5年为一个等级。测定血清中BMP-2水平,探讨绝经期后骨质疏松症患者绝经年限、骨量与BMP-2的相关性。
     结果:
     绝经后骨质疏松症妇女各组血清BMP-2水平与对照组相比较差异有统计学意义(P<0.01),各绝经年限分组之间血清BMP-2水平差异无统计学意义(P>0.05),但随着绝境年限增长呈现下降趋势。血清BMP-2水平与绝经年限呈负相关,相关系数γP=-0.570,P=0.000。绝经年限与腰椎骨密度之间存在负相关,相关系数γP=-0.471。腰椎骨密度与血清中BMP-2浓度二者之间存在正相关,γP=0.638,P=0.000。
     结论:
     1.绝经后骨质疏松症患者骨密度且随着绝经年限的延长而降低,二者存在负相关关系。绝经年限不同,腰椎骨量丢失速度不同,以绝经后2-10年间骨量丢失速度最快;
     2.绝经后骨质疏松症患者血清中BMP-2浓度明显较健康青年女性下降,与绝经年限存在负相关;
     3.腰椎骨密度与血清中BMP-2浓度存在正相关。随着妇女绝经的发生,BMP-2表达下调可能是绝经后骨质疏松症发生的原因之一。
Experimental Study
     Objective
     1.In order to study the effects of gukang on the differentiation of mesenchymal stem cells into adipocytes in vitro;
     2.To investigate osteogenic characteristics of rat bone marrow mesenchymal stem cells(MSCs)co-cultured with osteoblast(OB)indirectlyand effect of bone morphogenetic protein 2(BMP-2)in osteoblastic differentiation of MSCs;
     3.To observe the influence of pharmacal serum of GuKang and Estradiol-2(E-2) to osteogenic characteristics of rat bone MSCs under co-cultured with OB indirectly,and effect of bone morphogenetic protein 2(BMP-2)in osteoblastic differentiation of MSCs.
     Methods
     1.MSCs were isolated from 2 months old rats marrow,then separated by lymphocyte separating medium and proliferated in culture medium,detected in cell purity by flow cytometry analyzing cell phenotypes.The 4th passage MSCs were digested with 0.25%trypsin for 3-5 minutes and made into monoplast suspension.Cells were adjusted into 1×10~5 and then inoculated in 6 holes plates,divided into gukang group and control group.All groups were induced to differentiate into adipocytes in induction medium containing desamethasone,insulin and 1-methyl-3-isobutylxanthine.The induction medium of gukang contained the rabbits pharmacal serum of GuKang,and the control group' s induction medium contained the normal rabbits serum.All groups were observed under microscopic lens.After 4days,7 days and 10days of adipocyte inducing,all groups were stained by Oil Red O;
     2.MSCs were isolated from normal 2 months old rats marrow,then separated by lymphocyte separating medium and proliferated in culture medium,detected in cell purity by immunohistochemistry method analyzing cell phenotypes. Osteoblast was got from 1 day old rat' s skull by enzyme digestion method and the cells were observed through inverted microscope.ALP staining was made through Gomori' s method and alizarin red staining of mineralized nodus to do the functional indentification.MSCs were adjusted into 1×10~5 and then inoculated in plates,divided into 7 groups:A group,MSCs group;B group, MSCs combine with pharmacal serum of E-2;C group,MSCs combine with pharmacal serum of GuKang;D group,MSCs co-cultured with OB group;E group, co-cultured combine with pharmacal serum of control rabit;F group, co-cultured combine with pharmacal serum of E-2;G group,co-cultured combine with pharmacal serum of GuKang;and control group.The change of morphology and mineralization ability of bone marrow MSCs were observed,and the contents of BMP-2 and bone alkaline phosphatase(BALP)and osteocalein(OC)in supernatant fluid was detected with enzyme-linked immunosorbent assay(ELISA) method.And the correlation between activity of mineralization ability and contents of BMP-2 in supernatant fluid was analyzed.
     3.All the data was processed and analyzed with SPSS11.5.
     Results
     1.The formation of lipid drop lets was in time-dependent manner;
     2.The formation of lipid drop lets in gukang groups were retarded,compared with control group.The adipocytes diferentiation rate of the control group at 4days,7 days and 10days were24.31±12.53%、39.19±15.64%、50.13±15.13%, and the rate of the gukang group were 11.73±9.09%、20.95±8.05%、30.73±9.52%,as detected by Red Oil O stain.There were significant difference between two groups in different time(P<0.05).
     3.the contents of OC in supernatant fluid of A group and C group was no significant difference(P=0.229);A group and B group was significant difference(P<0.05);D,E groups had very significant difference compared with A group(P<0.01),and there had no significant difference between D,E groups(P>0.05);F,G groups had very significant difference compared with B,C,D groups(P<0.01),and there had no significant difference between F,G groups(P>0.05).The change of contents of B-ALP in supernatant fluid of all groups liked OC,A group and C group was significant difference(P<0.05).
     4.The activity of mineralization ability of A group and B,C group was significant difference(P<0.05),B,C group also had significant difference(P<0.05);B,D,E groups had very significant difference compared with A group(P<0.01),and there had no significant difference between B,D,E groups(P>0.05);F,G groups had very significant difference compared with B,C,D,E groups(P<0.01),and there had no significant difference between F,G groups(P>0.05).The activity of mineralization ability was positively correlated with BMP-2(γP=0.923,P=0.000).
     Conclusions
     1.The formation of lipid drop lets was in time-dependent manner;
     2.The pharmacal serum of GuKang could inhibit differentiation of rat MSCs leading to differentiation into adipocytes,which maybe one of the mechanisms of GuKang in treatment of osteoporosis;
     3.The co-cultured model partly imitates osteogenic surroundings in vivo.Osteoblastic differentiation/proliferation of MSCs were improved when co-cultured with OB;
     4.The pharmacal serum of GuKang or E-2 combine with co-cultured increase the ability of osteoblastic differentiation/proliferation of MSCs.
     5.The activity of mineralization ability was positively correlated with BMP-2,The higher the contents of BMP-2 in supernatant fluid,the more of the activity of mineralization ability were.
     The Clinical Study
     Objective
     To observe the correlation between lumbar vertebrae(lateral position), menopausal years,serum BMP-2 in the postmenopausal osteoporosis(PMOP).
     Methods
     88 PMOP cases were taken part in the study,other 10 healthy young women whose age ranged from 20 to 30 years old were choosen as control group.88 PMOP cases were derided into 6 groups based on each 5 years of menopausal years.Bone mineral density(BMD)of lumbar vertebrae(lateral position)were tested through dual-photon sbsorptiometry(DXA),and the level of BMP-2 in serum were testd by ELISA method.The correlation between lumbar vertebrae(lateral position),menopausal years,serum BMP-2 in the PMOP who were difined as kidney-yang deficiency were observed.
     Results
     The level of BMP-2 in serum of PMOP had significant difference compared with healthy control group(P<0.01),and was negative correlated with menopause years(γP=-0.570,P=0.000).The level of BMP-2 of 6 groups of PMOP had no significant difference(P>0.05).The level of BMP-2 was negative correlated with menopause years(γP=-0.471,P=0.000).There was positively correlated between BMD and BMP-2(γP=0.638,P=0.000).
     Conlusions
     1.BMD decreased as the durations of menopause increased,there was negative correlated between menopause years and BMD.The bone loss rate in lumbar varies among diferent groups of menopause years,and the rate was fastest in 2-10 years postmenopausal.
     2.the level of BMP-2 in serum of PMOP had significant difference compared with healthy young women,and was negative correlated with menopause years.
     3.BMD of lumbar vertebrae was positively correlated with BMP-2.the expression of BMP-2 decreased in the postmenopausal women may be one of the mechanisms of PMOP.
引文
[1]刘庆思主编.中西医结合诊治骨质疏松症[M].北京:中国中医药出版社,2001.
    [2]Wang Y,Volloch V,Pindrus MA,et al.Murine osteoblasts regulate mesenchymal stem cells via WNT and cadherin pathways:mechanism depends on cell-cell contact mode.[J]Tissue Eng Regen Med.2007;1(1):39-50.
    [3]Sim WY,Park SW,Park SH,et al.A pneumatic micro cell chip for the differentiation of human mesenchymal stem cells under mechanical stimulation.[J]Lab Chip.2007;7(12):1775-82.
    [4]Wang XJ,Dong Z,Zhong XH,et al.Transforming growth factor-betal enhanced vascular endothelial growth factor synthesis in mesenchymal stem cells.[J]Biochem Biophys Res Commun.2008;365(3):548-54.
    [5]Suzdal'tseva YG,Burunova VV,Vakhrushev Ⅳ,et al.Capability of human mesenchymal cells isolated from different sources to differentiation into tissues of mesodermal origin.[J].Bull Exp Biol Med.2007;143(1):114-21.
    [6]Verma S,Rajaratnam JH,Denton J,et al.Adipocytic proportion of bone marrow is inversely related to bone formation in osteoporosis.[J].Clin Pathol,.2002;55:693-98.
    [7]黄定强,杨大鉴,黎万荣,等.骨髓间充质干细胞定向诱导条件下向脂肪细胞和成骨细胞诱导分化的关系[J].中国临床康复.2006;10(1):31-33.
    [8]Milne M,Quail JM,Baran DT.Dexamethasone stimulates osteogenic differentiation in vertebral and femoral bone marrow cell cultures:comparison of IGF-I gene expression.[J].J Cell Biochem,1998,71(3):382-91
    [9]Lisignoli G,Remiddi G,Cattini L,et al.An elevated number of differentiated osteoblast colonies can be obtained from rat bone marrow stromal cells using a gradient isolation[J].Connect Tissue Res.2001;42(1):49-58.
    [10]Lennon DP,Edmison JM,Caplan AI.Cultivation of rat marrow derived mesenchymal stem cells in reduced oxygen tension:effect on in vitro and vivo osteochondrogensis[J].J Cell Physiol,2001,187(3):345-355
    [11]Yoshikawa T,Peel SA,Gladstone JR,et al.Biochemical analysis of the response in rat bone marrow cell culture to mechanical stimulation[J].Biomed Mater Eng,1997,7(6):369-377.
    [12]Stone CA.A molecular approach to bone regeneration[J].Br J Plast Surg.1997,50(5):369-73
    [13]Reddi AH.Morphogenesis and tissue engineering of bone and cartilage:inductive signals stem cells and biomimetic biomaterials[J].Tisue Eng,2000,6(4):351-9
    [14]Einbrom TA,Majeska RJ,Oloumi RJ,et al.Enhancement of experimental Fracture healing with a local percutaneous injection of recombinant human bone morphogenetie protein-2[J].Trans Am Acad Orthop Surg,1997,64:216.procedure.Connect Tissue Res,2001,42:49-58
    [5]Varkey M,Kucharski C,Haque T,et al.In vitro osteogenic response of rat bone marrow cells to b-FGF and BMP-2 treatments[J].Clin Orthop Relat Res.2006;443(2):113-23
    [6]Farhadi J,Jaquiery C,Barbero A,et al.Differentiation-dependent up-regulation of BMP-2,TGF-betal,and VEGF expression by FGF-2 in human bone marrow stromal cells[J].Plast Reconstr Surg,2005,116(5):1379-86
    [17]Fleet JC,Cashman K,Cox K.The effects of aging on the bone inductive activity of recombinant human bone morphogenetic protein-2[J].Endocrinology,1996,137(11):4605-11
    [18]宋纯理,党耕町.洛发他汀对成骨细胞骨形态发生蛋白2表达及碱性磷酸酶活性的影响[J].中华老年医学杂志,2002,21:362-5
    [19]邹德波,周东生,王永会,等.人骨形态发生蛋白-2基因转染兔骨髓基质干细胞及其表达[J].中华创伤骨科杂志,2006,8(2):148-52
    [20]康焱,廖威明,盛蹼义,等.人骨形态发生蛋白质7基因转染兔骨髓基质干细胞向成骨细胞的分化[J].中国临床康复,2006,10(21):161-3
    [21]Park DJ,Choi JH,Leong KW,et al.Tissue-engineered bone formation with gene transfer and mesenchymal stem cells in a minimally invasive technique.[J].Laryngoscope.2007;117(7):1267-71.
    [22]李建军,许晓军,杨军,等.骨形态发生蛋白2基因转染对人骨髓间充质干细胞成骨分化的影响[J].中国医科大学学报;2006,35(1):69-70
    [23]Kelly KA,Gimble JM.1,25-Dihydroxy vitamin D3 inhibits adipocyte differentiation and gene expression in mudne bone marrow stromal cell clones and primary cultures[J].Endocrinology.1998;139(5):2622-8
    [24]Duque G,Macoritto M,Kremer R.1,25(OH)2D3 inhibits bone marrow adipogenesis in senescence accelerated mice(SAM-P/6)by decreasing the expression of peroxisome proliferator-activated receptor gamma 2(PPARgamma2)[J].Exp Gerontol.2004;39(3):333-8
    [25]Hansen CM,Hansen D,Holm PK,et al.Vitamin D compounds exert anti-apoptotic effects in human osteosarcoma cells in vitro[J].Steroid Biochem Mol Biol,2001,77(1):1-11
    [26]Martin I,Muraglia A,Caplam AL,et al.Fibroblast growth factor-2 suports ex vivo expansion and maintenance of osteogenic precursors from humane bone marrow[J].Endocrinology,1997,138:4456-4462
    [27]Hanada K,Dennis JE,Caplan AI.Stimulatory effects of basic fibroblast growth factor and bone morphogenetic protein-2 on osteogenic differentiation of rat bone marrow-derived mesenchymal stem cells[J].Bone Miner Res,1997,12(10):1606-1614
    [28]Minamide A,Yoshida M,Kawakami M,et al.The effects of bone morphogenetic protein and basic fibroblast growth factor on cultured mesenchymal stem cells for spine fusion[J].Spine.2007 May 1;32(10):1067-71
    [29]曲强,郭伟,张柳,等.地塞米松对骨髓基质干细胞体外增殖的影响[J].中国骨质疏松杂志.2006,12(5):452-4
    [30]刘杰,孙正义,曹蕾.地塞米松对骨髓基质干细胞生物学特性的影响[J].中华骨科杂志.2003,23(11):691-3
    [31]Nuttelman CR,Tripodi MC,Anseth KS.Dexamethasone-functionalized gels induce osteogenic differentiation of encapsulated hMSCs[J].J Biomed Mater Res A.2006;76(1):183-95
    [32]Cheng S,Yang JW,Rifas L,et al.Diferentiation of human bone marrow osteogenic stromal cells in vitro:induction of the osteoblast phenotype by dexamethasone[J].Endocrinology,2000,134:277-286
    [33]Song SJ,Jeon O,Yang HS,et al.Effects of culture conditions on osteogenic differentiation in human mesenchymal stem cells.[J].J Microbiol Biotechnol.2007;17(7):1113-9
    [34]Otsuka E,Yamaguchi A,Shigehisa H,et al.Characterizations of osteoblastic differentiation of stromal cell line ST2 that is induced by ascorbic acid[J].Am J Physiol,1999,277(Cell Physiol 46):C132-C138
    [35]Koyama A,Otsuka E,Inoue A,et al.Nitric oxide accelerates the ascorbic acid-induced osteoblastic differentiation of mouse stromal ST2 cells by stimulating the production of prostaglandin E(2)[J].Eur J Pharmacol.2000;391(3):225-31
    [36]Tripple SB,Coutss RD,Einhom TA,et al.Growth factor as therapeutic agents[J].J Bone Joint Surg,1996,78:1272-1277
    [37]Andrades JA,Han B,Becerra J,et al.Areconabinant human TGF-β fusion protein with collagen binding domain promotes migration growth and diferentiation of bone marrow mesenchymal cells[J].Exp Cell Res,1999,250:485-491
    [38]Ocklin RM,Williamson MC,Beresford JN,et al.In vitro effects of growth factors and dexamethasone on rat marrow stromal cells[J].Clin Orthop,2001,313:27-33
    [39]俞猛,徐万鹏,于方,等.TGF-β1和bFGF对骨髓基质干细胞增殖、分化的影响[J].中国骨肿瘤骨病.2006;5(6):321-5
    [40]Okazaki R,Inoue D,Shibata M,et al.Estrogen promotes early osteoblast differentiation and inhibits adipocyte differentiation in mouse bone marrow stromal cell lines that express estrogen receptor(ER)alpha or beta[J].Endocrinology,2002,143:2349-2356
    [41]Dang ZC,van Bizooijen RL,Karperien M,et al.Exposure of KS483 cells to estrogen enhances osteogenesis and inhibits adipogenesis[J].J Bone Miner Res,2002,17:394-405
    [42]Liu BY,Wu PW,Hsu YT,et al.Estrogen blocks parathyroid hormone-stimulated osteoclast-like cell formation in modulating differentiation of mouse marrow stromal cells in vitro[J].J Formos Med Assoc,2002,101:24-33
    [43]Zhou S,Zilbennan Y,Wassermaun K,et al.Estrogen modulates estrogen receptor alpha and beta expression,osteogenic activety,and apoptosis in mesenchymal stem cells(MSCs)of osteoporotic mice[J].Cell Biochem Suppl,2001,36(Suppl):144-155
    [44]Shuanhu Z,Yoram Z,Karsten W,et al.Estrogen Modulates Estrogen Receptor a and b Expression,Osteogenic Activity,and Apoptosis in Mesinchymal Stem Cells (MSCs)of Osteoporotic Mice[J].Cellular Biochemistry Supplement,2001,36:144-155
    [45]Leskela HV,Olkku A,Lehtonen S,et al.Estrogen receptor alpha genotype confers interindividual variability of response to estrogen and testosterone in mesenchymal-stem-cell-derived osteoblasts[J].Bone.2006;39(5):1026-34.
    [46]袁成良,薛萍,黄海,等.雌二醇对MSCs分化的作用[J].西南军医,2006,8(1):4-7
    [47]Mizuno M,Kuboki.Osteoblast-related gine expression of bone marrow cell during the osteoblastic differentiation induced by type 1 collagen[J].J Biochem.2001;129(1):133-8
    [48]Kihara T,Hirose M,Oshima A,et al.Exogenous type Ⅰ collagen facilitates osteogenic differentiation and acts as a substrate for mineralization of rat marrow mesenchymal stem cells in vitro[J].Biochem Biophys Res Commun,2006,341(4):1029-35
    [49]潘海涛,郑启新,郭晓东,等.Ⅰ型胶原在PLGA-[ASP-PEG]表面修饰对兔骨髓基质干细胞生物力学的影响[J].中华创伤骨科杂志.2006,8(10):938-43
    [50]刘刚,胡蕴玉,赵建宁,等.Ⅰ型胶原促进骨髓基质干细胞粘附的细胞机制[J].中华创伤骨科杂志.2006,8(6):549-52
    [51]Li X,Cui Q,Kao C,et al.Lovastatin inhibits adipogenic and stimulates osteogenic differentiation by suppressing PPARgamma2 and increasing Cbfa1/Runx2expression in bone marrow mesenchymal cell cultures[J].Bone.2003;33(4):652-9
    [52]曲强,郭伟,陈翠珠.辛伐他汀在骨髓基质干细胞向成骨细胞分化过程中的作用[J].中国骨质疏松杂志,2004,10(3):319-29
    [53]白宇,张柳,吕志伟,等.辛伐他汀在人骨髓基质干细胞向成骨细胞分化过程中的作用[J].中国骨质疏松杂志.2007;13(6):381-4
    [54]Kha HT,Basseri B,Shouhed D,et al.Oxysterols regulate differentiation of mesenchymal stem cells:pro-bone and anti-fat[J].J Bone Miner Res.2004;19(5):830-40
    [55]Richardson JA,Amantea CM,Kianmahd B,et al.Oxysterol-induced osteoblastic differentiation of pluripotent mesenchymal cells is mediated through a PKC- and PKA-dependent pathway[J].J Cell Biochem.2007;100(5):1131-45.
    [56]Duque G,Rivas D.Alendronate has an anabolic effect on bone through the differentiation of mesenchymal stem cells[J].J Bone Miner Res.2007;22(10):1603-11
    [57]Ohgushi H,Yoshikawa T,Nakajima H,et al.Al/2O/3 doped apatite-wollastonete containing glass ceramic provokes osteogenic differentiation of marrow stromal stem cells[J].J Biomed Mater Res.1999,44(4):381-388
    [58]Rodriguez JP,Rios S,Gonzalez M.Modulation of the proliferation and differentiation of human mesenchymal stem cells by eopper[J].J Cell Biochem.2002;85(1):92-100.
    [59]Komori T,Yagi H,Nomura S,Yamaguchi A,et al.Targeted disruption of Cbfa1results in a complete lack of bone formation owing to maturational arrest of osteoblasts[J].Cell.1997;89(5):755-64
    [60]Ducy P,Zhang R,Geoffroy V,et al.Osf2/Cbfa1:a transcriptional activator of osteoblast differentiation[J].Cell.1997;89(5):747-54
    [61]Ogawa E,Maruyama M,Kagoshima H,et al.PEBP2/PEA2 represents a family of transcription factors homologous to the products of the Drosophila runt gene and the human AML1 gene[J].Proc Natl Acad Sci U S A.1993;90(14):6859-63.
    [62]Mundlos S,Otto F,Mundlos C,at al.Mutations involving the transcription factor CBFA1 cause cleidocranial dysplasia[J].Cell.1997;89(5):677-80
    [63]McNeil S,Zeng C,Harrington KS,et,al.The t(8;21)chromosomal translocation in acute myelogenous leukemia modifies intranuclear targeting of the AML1/CBFalpha2 transcription factor[J].Proc Natl Acad Sci U S A.1999;96(26):14882-7
    [64]Thirunavukkarasu K,Mahajan M,McLarren KW,et al.Two domains unique to osteoblast-specific transcription factor Osf2/Cbfal contribute to its transactivation function and its inability to heterodimerize with Cbfbeta[J].Mol Cell Biol.1998;18(7):4197-208
    [65]Kobayashi H,Gao Y,Ueta C,et al.Multilineage differentiation of Cbfa1-deficient calvarial cells in vitro[J].Biochem Biophys Res Commun.2000;273(2):630-6
    [66]李华壮,周跃,郭国宁,等.AdEaLsy1/Cbfa1诱导间充质干细胞向成骨细胞分化的实验研究[J].西北国防医学杂志.2006;27(3):205-7
    [67]Nakashima K,Zhou X,Kunkel G,el al.The novel zinc finger-containing transcription factor osterix is required for osteoblast differentiation and bone formation[J].Cell.2002;108(1):17-29
    [68]Liu W,Toyosawa S,Furuichi T,et,al.Overexpression of Cbfa1 in osteoblasts inhibits osteoblast maturation and causes osteopenia with multiple fractures[J].J Cell Biol.2001;155(1):157-66.
    [69]Lee MH,Javed A,Kim HJ,et al.Transient upregulation of CBFA1 ha response to bone morphogenetic protein-2 and transforming growth factor beta1 in C2C12 myogenic cells coincides with suppression of the myogenic phenotype but is not sufficient for osteoblast differentiation[J].J Cell Biochem.1999;73(1):114-25
    [70]Kato Y,Windle JJ,Koop BA,et al.Establishment of an osteocyte-like cell line,MLO-Y4[J].J Bone Miner Res.1997;12(12):2014-23.
    [71]刘文广,王洪振,曾宪录.骨骼发育中的转录因子Cbfa1[J].生物化学与生物物理进展.2003;30(1):27-31
    [72]Lengner CJ,Drissi H,Choi JY,et al.Activation of the bone-related Runx2/Cbfa1promoter in mesenchymal condensations and developing chondrocytes of the axial skeleton[J].Mech Dev.2002;114(1-2):167-70
    [73]Pereira RC,Delany AM,Canalis E.Effects of cortisol and bone morphogenetic protein-2 on stromal cell differentiation:correlation with CCAAT-enhancer binding protein expression.Bone.2002;30(5):685-91
    [74]Duque G.Will reducing adopogenesis in bone increase bone mass?:PPARgamma2as a key target in the treatment of age-related bone loss[J].Drug News Perspect.2003;16(6):341-6
    [75]Morrison RF,Farmer SR.Role of PPARgamma in regulating a cascade expression of cyclin-dependent kinase inhibitors,p18(INK4c)and p21(Waf1/Cip1),during adipogenesis[J].J Biol Chem.1999;274(24):17088-97
    [76]Wu Z,Bucher NL,Farmer SR.Induction of peroxisome proliferator-activated receptor gamma during the conversion of 3T3 fibroblasts into adipocytes is mediated by C/EBPbeta,C/EBPdelta,and glucocorticoids[J].Mol Cell Biol.1996;16(8):4128-36
    [77]Klemm DJ,Roesler WJ,Boras T,Insulin stimulates cAMP-response element binding protein activity in HepG2 and 3T3-L1 cell lines[J].J Biol Chem.1998;273(2):917-23
    [78]Ricote M,Glass CK.PPARs and molecular mechanisms of transrepression[J].Biochim Biophys Acta.2007;1771(8):926-35
    [79]许莹莹,金慰芳,王洪复.PPARγ2信号通路的调节及其对成骨特异因子的影响[J].中国骨质疏松杂志2005;11(4):523-8
    [80]Tontonoz P,Hu E,Spiegelman BM.Stimulation of adipogenesis in fibroblasts by PPAR gamma 2,a lipid-activated transcription factor[J].Cell.1994;79(7):1147-56
    [81]Barak Y,Nelson MC,Ong ES,et al.PPAR gamma is required for placental,cardiac,and adipose tissue development[J].Mol Cell.1999;4(4):585-95
    [82]Akune T,Ohba S,Kamekura S,PPARgamma insufficiency enhances osteogenesis through osteoblast formation from bone marrow progenitors.J Clin Invest.2004Mar;113(6):846-55
    [83]Lecka-Czernik B,Moerman EJ,Grant DF,et al.Divergent effects of selective peroxisome proliferator-activated receptor-gamma 2 ligands on adipocyte versus osteoblast differentiation[J].Endocrinology.2002;143(6):2376-84
    [84]Rzonca SO,Suva LJ,Gaddy D,et al.Bone is a target for the antidiabetic compound rosiglitazone[J].Endocrinology.2004;145(1):401-6
    [85]Klein RF,Allard J,Avnur Z,et al.Regulation of bone mass in mice by the lipoxygenase gene Alox15[J].Science.2004;303(5655):229-32
    [86]董友,郭昭庆,宋存理.PPAR—γ在糖皮质激素诱导的骨质疏松中的表达[J].中国比较医学杂志.2003,13(3):150-4
    [87]Wiper-Bergeron N,Wu D,Pope L,et al.Stimulation of preadipocyte differentiation by steroid through targeting of an HDAC1 complex[J].EMBO J.2003;22(9):2135-45
    [88]陈槐卿,药蓉,韩君,等.增龄对大鼠MSCs分化的影响[J].中国医学科学院学报.2003:25(3):244-9
    [89]Tokalov SV,Gruener S,Schindler S,et al.A number of bone marrow mesenchymal stem cells but neither phenotype nor differentiation capacities changes with age of rats[J].Mol Cells.2007;24(2):255-60
    [90]Zhou S,Greenberger JS,Eppedy MW,et al.Age-Related Intrinsic Changes in Human Bone Marrow-Derived Mesenchymal Stem Cells and Their Differentiation to Osteoblasts[J].Aging Cell.2008
    [91]丰盛梅,金慰芳,高建军,等.大鼠骨髓细胞PPAR γ和Cbf α 1mRNA表达的增龄变化及相关性研究[J].中国骨质疏松杂志.2005;11(2):164-6
    [92]罗毅文,李爽,程英雄,等.中药骨康对去卵巢大鼠腰椎骨形态计量学的影响[J].中国骨质疏松杂志.2006:12(2):173-6
    [93]廖二元,谭丽华主编.代谢性骨病学[M].北京:人民卫生出版社,2003,第一版
    [94]Ioannidis JP,Stavrou I,rikalinos TA,et alAssociation of polymorphisms of the estrogen receptor alpha gene with bone mineral density and fracture risk in women:a meta-analysis[J].J Bone Miner Res.2002;17(11):2048-60
    [95]王华松,陈庄洪,罗永湘.MSCs定向成脂分化的实验研究[J].华南国防医学杂志.2005;19(4):12-5
    [96]郑良朴,李楠,王和鸣.补骨合剂对体外培养MSCs分化影响的观察[J].福建中医学院学报.2003;13(6):33-5
    [97]徐传毅,何伟,方斌,等.生脉成骨方对股骨头坏死Ⅰ型胶原表达的调节作用研究[J].现代中西医结合杂志.2003:12(6):574-6
    [98]史风雷,李刚,王海彬,等.袁氏生脉成骨胶囊对激素诱导MSCs成脂分化的拮抗作用[J].广州中医药大学学报,2003,20(4):302-4
    [99]王和鸣,王力,李楠.巴戟天对MSCs向成骨细胞分化影响的实验研究[J].福建中医学院学报,2004,14(3):16-20
    [100]王和鸣,王力,李楠.巴戟天对MSCs向成骨细胞分化过程Cbf α 1表达的影响[J].中国中医骨伤科杂志,2004,12(6):22-6
    [101]许春姣,翦新春,成洪泉,等.黄芪对兔MSCs增殖和向成骨细胞分化的影响[J].中南大学学报(医学版),2004,29(4):489-91
    [102]王义生,熊腾滨,李月白,等.葛根素抑制酒精诱导MSCs成脂分化的实验研究[J].中国骨肿瘤骨病.2004;3(1):55-8
    [103]殷晓雪,陈仲强,党耕町,等.淫羊藿苷对人成骨细胞增殖与分化的影响[J].中国中药杂志.2005;30(4):289-91
    [104]刘钰瑜,姚卫民,艾春媚,等.大黄素对体外大鼠MSCs向成骨细胞方向分化的影响[J].中国临床药理学与治疗学.2005:10(2):191-5
    [105]刘钰瑜,崔燎,吴铁,等.大黄素对体外大鼠MSCs向脂肪细胞方向分化的影响[J].中国药理学通报.2005:21(7):842-7
    [106]吴云刚,张志平.右归饮含药血清对人骨髓基质干细胞诱导为成骨细胞的影响[J].江西中医药.2006:37(7):57-8
    [107]徐展望,张建新,谭国庆.等.中药骨碎补提取液对兔MSCs体外成骨分化的影响[J].中医正骨.2006:18(6):15-6
    [108]梁翔,彭太平,刘胜才,等.杜仲对大鼠MSCs增殖及成骨分化影响的实验研究[J].江西中医学院学报.2007;19(3):58-60
    [109]艾春媚,魏泉德,吴怡,等.羊胎素对体外MSCs的增殖和向成骨细胞分化的影响[J].时珍国医国药.2007;18(2):355-7
    [110]胡黎平,周金美,涂平生,等.补肾方剂拮抗地塞米松促MSCs向成脂细胞分化的实验研究[J].中国骨质疏松杂志.2007;13(8):576-9
    [111]王斌,罗毅文,胡年宏.骨康方含药血清诱导大鼠MSCs向成骨细胞方向分化的实验研究[J].中国中医骨伤科杂志.2007;15(11):32-6
    [112]赵治友,邬亚军.骨质疏松症的中医辨证思路与治法研究[J].浙江中医药大学学报.2007:31(3):275-6
    [113]中医研究院西苑医院主编.岳美中医话集[M].中医古籍出版社.1984:46
    [114]庄洪,梁祖建.从瘀论治原发性骨质疏松症研究态势评析[J].中医正骨.2006;18(2):69-71
    [115]王全权,陈海林,宗芳,等.补骨脂复方制剂干预绝经后骨质疏松症的作用[J].中国临床康复.2006,10(35):145-7
    [116]朱志刚,宋利格,张秀珍.淫羊藿总黄酮对去卵巢大鼠骨组织Ⅰ型胶原代谢及组织蛋白酶K表达的影响[J].中华内分泌代谢杂志,2006,22(3):213-7
    [117]YIN Xiao-xue,CHEN Zhong-qiang,LIU Zhong-jun,et al.Icariine stimulates proliferation and differentiation of human osteoblasts by increasing production of bone morphogenetic protein 2[J].Chin Med J,2007,120(3):204-10
    [118]王晓敏,王建红,伍庆华,等.菟丝子黄酮对去势雌性大鼠血清雌激素水平和血 管平滑肌细胞的影响[J].天津医药,2005,33(10):650-2
    [119]吴波,付玉梅.肉苁蓉总苷对亚急性衰老小鼠抗脂质过氧化作用的研究[J].中国药理学通报,2005,21(5):639
    [120]陈华庭,王虎,郑菁,等.黄芪总黄酮提取物对维甲酸所致大鼠骨质疏松的影响[J].中国药师,2005,8(11):895-7
    [121]盛莉,邢国胜,王毅,等.熟地对去卵巢大鼠骨代谢生化指标及骨密度的影响[J].中国骨质疏松杂志,2006,12(5):496-8
    [122]施新猷.现代医学实验动物学[M].北京:人民军医出版社,2000:334-5
    [123]Jiang Y,Jahagirdar BN,Reinhardt RL,et al.Plufipotency of mesenchymal stem cells derived from adult marrow[J].Nature,2002,418(6893):41-49
    [124]Hermann A,Gastl R,Liebau S,et al.Efficient generation of neural stem cell-like cells from adult human bone marow stromal cells[J].Cell Sci,2004.117(19):4411-22
    [125]#12
    [126]#12
    [127]李仪奎,吴健宇.中药的血清药理研究方法[M].北京:人民卫生出版社,1998
    [128]Fink E,Cormier C,Steinmetz P,et al.Differences in the capacity of several biochemical bone markers to assess high bone turnover in early menopause and response to alendronate therapy[J].Osteoporos Int.2000;11(4):295-303
    [129]Avbersek-Luznik I,Gmeiner Stopar T,et al.Activity or mass concentration of bone-specific alkaline phosphatase as a marker of bone formation[J].Clin Chem Lab Med.2007;45(8):1014-8
    [130]Peichl P,Griesmacher A,Muller MM,et al.Serum osteocalcin and urinary crosslaps are suitable markers of bone turnover in response to short-term hormone replacement therapy[J].Gynecol Endocrinol.2000;14(5):374-81
    [131]Kramer P,Simkin P,Newell-Morris L,et al.Markers of cartilage and bone matrix metabolism differ between the sera of macaque and squirrel monkeys[J].Med Primatol.2007;36(3):143-7
    [132]林一峰,魏合伟,黄宏兴,等.骨康含药血清对新生大鼠成骨细胞增殖影响的研究[J].中医药学刊.2003;21(7):1116-7
    [133]魏合伟.中药骨康防治去势大鼠骨丢失的实验研究[J].中国中医骨伤科杂志,2000,8(1):19
    [134]邵敏,庄洪.含药血清对体外培养成骨细胞的影响[J].中国骨质疏松杂志.2003;9(2):117
    [135]庄洪,魏合伟,林一峰,等.中药骨康含药血清中类雌二醇样物质含量的测定[J].中医正骨,2003,15(11):14-5
    [136]邵敏,黄宏兴,赵静.中药骨康治疗绝经后骨质疏松症疗效观察[J].中医正骨,2003;15(3):11-4
    [137]邵敏,赵静,王斌.不同中药含药血清对体外培养成骨细胞影响的实验研究[J].中国中医骨伤科杂志.2006;14(5):19-21
    [138]邵敏,庄洪.骨密度、骨矿含量与椎体生物力学的相关性及中药骨康的干预作用[J].中医药临床杂志.2006;18(3):249-51
    [139]中国老年学学会骨质疏松委员会骨质疏松诊断标准学科组.中国人骨质疏松症建议诊断标准(第二稿)[J].中国骨质疏松杂志.2000;6(1):1-3
    [140]沈自尹.肾的中西医结合研究成就[J].中西医结合杂志.1998;(特2):8-10
    [141]黄何平.骨量下降期成年人骨密度与体质量指数的相关性[J].中国组织工程研究与临床康复.2007;11(19):3775-7
    [142]Consensus development conference:diagnosis,prophylaxis,and treatment of osteoporosis[J].Am J Med,1993,94(6):646-50
    [143]Balderramo DC,Ramacciotti CF,Douthat WG.Primary osteoporosis risk factors in women from Cordoba[J].Argentina Medicina(B Aires).2004;64(5):400-6
    [144]汤亭亭,岳冰,陆斌,等.年龄因素对大鼠骨髓间充质干细胞数量及组织中BMP2含量的影响[J].中国骨质疏松杂志.2005;11(2):156-8

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