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The mechanisms and treatments of muscular pathological changes in immobilization-induced joint contracture: A literature review 被引量:17
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作者 Feng Wang Quan-Bing Zhang +4 位作者 Yun Zhou Shuang Chen Peng-Peng Huang Yi Liu Yuan-Hong Xu 《Chinese Journal of Traumatology》 CAS CSCD 2019年第2期93-98,共6页
The clinical treatment of joint contracture due to immobilization remains difficult.The pathological changes of muscle tissue caused by immobilization-induced joint contracture include disuse skeletal muscle atrophy a... The clinical treatment of joint contracture due to immobilization remains difficult.The pathological changes of muscle tissue caused by immobilization-induced joint contracture include disuse skeletal muscle atrophy and skeletal muscle tissue fibrosis.The proteolytic pathways involved in disuse muscle atrophy include the ubiquitin-proteasome-dependent pathway,caspase system pathway,matrix metalloproteinase pathway,Ca2+-dependent pathway and autophagy-lysosomal pathway.The important biological processes involved in skeletal muscle fibrosis include intermuscular connective tissue thickening caused by transforming growth factor-β1 and an anaerobic environment within the skeletal muscle leading to the induction of hypoxia-inducible factor-1α.This article reviews the progress made in understanding the pathological processes involved in immobilization-induced muscle contracture and the currently available treatments.Understanding the mechanisms involved in immobilization-induced contracture of muscle tissue should facilitate the development of more effective treatment measures for the different mechanisms in the future. 展开更多
关键词 Immobilization-induced joint CONTRACTURE DISUSE SKELETAL muscle ATROPHY SKELETAL muscle fibrosis Treatment
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不同电流强度电针对兔骨骼肌钝器伤后改善微循环、抗纤维化和抗氧化能力的作用 被引量:15
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作者 王荣国 王云亭 +2 位作者 肖诚 段田田 仝乐 《中国康复医学杂志》 CAS CSCD 北大核心 2012年第5期400-405,共6页
目的:观察在相同频率(2Hz)下,0.2mA、0.4mA和0.6mA电针对家兔骨骼肌钝器伤后修复过程中改善微循环、抗纤维化和抗氧化的作用效果。方法:将24只新西兰兔随机分为模型组、0.2mA组、0.4mA组和0.6mA组;建立腓肠肌急性钝器伤模型,治疗组分别... 目的:观察在相同频率(2Hz)下,0.2mA、0.4mA和0.6mA电针对家兔骨骼肌钝器伤后修复过程中改善微循环、抗纤维化和抗氧化的作用效果。方法:将24只新西兰兔随机分为模型组、0.2mA组、0.4mA组和0.6mA组;建立腓肠肌急性钝器伤模型,治疗组分别以0.2mA、0.4mA和0.6mA电针刺激足三里和阿是穴,频率2Hz,15min/次,隔日1次,模型组自然愈合;在28d时检测腓肠肌表面血流灌注值;14d、28d时通过HE和Masson染色,观察病理变化,分析胶原纤维和肌纤维面密度;分别在造模前、造模后第1d、4d、7d、14d、28d检测血清肌酸激酶(CK)、总抗氧化能力(T-AOC)、丙二醛(MDA)水平。结果:0.4mA组血流灌注值显著高于模型组、0.6mA组(P<0.05),0.4mA与0.2mA组比较差异不显著(P>0.05);0.4mA电针能促进肌纤维再生反应,在第28天时胶原纤维面密度显著低于其他3组(P=0.05),肌纤维面密度显著高于其他3组(P=0.05),胶原纤维和肌纤维面密度整体呈负相关(r14=-0.783,P<0.01;r28=-0.839,P<0.01);第14天和28天,0.6mA组CK显著高于其他3组(P<0.05);第14天,0.4mA组T-AOC显著高于其他3组(P<0.05),0.2mA组次之;第7天和第14天,0.6mA组MDA显著高于其他3组(P<0.05)。结论:0.4mA电针对骨骼肌钝器伤后改善局部微循环、减少胶原纤维面密度、增加肌纤维面密度和提高抗氧化能力效果最好,0.2mA次之,0.6mA电针有损害效应。 展开更多
关键词 骨骼肌 钝器伤 电针 微循环 纤维化 氧化性应激
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Protective Effect of Hydroxysafflor Yellow A on Bleomycin-Induced Pulmonary Inflammation and Fibrosis in Rats 被引量:12
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作者 JIN Ming WANG Lin +2 位作者 WU Yan ZANG Bao-xia TAN Li 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2018年第1期32-39,共8页
Objective: To observe the effect of hydroxysafflor yellow A (HSYA), an active ingredient of a traditional Chinese herbal medicine Carthamus tinctorius L., on lung inflammation and pulmonary fibrosis induced by bleo... Objective: To observe the effect of hydroxysafflor yellow A (HSYA), an active ingredient of a traditional Chinese herbal medicine Carthamus tinctorius L., on lung inflammation and pulmonary fibrosis induced by bleomycin (BLM) in rats. Methods: Animals were divided into 6 groups including normal group, model group, three HSYA groups and dexamethasone (DXM) group. Three doses of HSYA (35.6, 53.3, and 80.0 mg?kg–1?day–1) were intraperitoneally (i.p.) injected in rats for 3 weeks after BLM administration and DXM was used as the positive control (n=8 or 12). Arterial blood gas was assayed and morphological changes were observed. Lung mRNA expressions of tumor necrosis factor (TNF)-α, interleukin (IL)-1β, IL-6 and some cytokines in lung tissue were detected by real-time polymerase chain reaction. Nuclear factor-κB p65 or α-smooth muscle actin (α-SMA) protein distribution in rat lung tissue was observed by immunohistochemistry. Results: On the 7th day after BLM administration, lung tissue showed serious inflammation. Treatment with HSYA or DXM ameliorated lung inflammation. After treatment with HSYA or DXM, oxygen partial pressure (PaO2) increased (HSYA 80.0 mg?kg–1, P〈0.01) and CO2 partial pressure (PaCO2) decreased (HSYA 53.3, 80.0 mg?kg–1, P〈0.05). Moreover, the mRNA expression of TNF-α, IL-1β, and IL-6; and the number of NF-κB p65 positive cells was lower in HSYA 53.3 and 80.0 mg?kg–1 groups than those in the model group (all P〈0.05). Twenty-one days after BLM administration, HSYA or DXM treatment ameliorated fibrosis, increased PaO2 (HSYA 53.3, 80.0 mg?kg–1, P〈0.01), and decreased PaCO2 (53.3 and 80.0 mg?kg–1, P〈0.05). Further, the mRNA expression of TGF-β1, α-SMA, and collagen Ⅰ as well as the number of α-SMA positive cells increased in the model group and HSYA can attenuate these changes (53.3, 80.0 mg?kg–1, P〈0.05). Hematoxylin and eosin and Masson's trichrome staining indicated th 展开更多
关键词 hydroxysafflor yellow A pulmonary fibrosis pulmonary inflammation nuclear factor- K B p65 α-smooth muscle actin Chinese medicine
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骨骼肌纤维化的细胞与分子机制研究进展 被引量:12
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作者 邓修元 吴志彬 杨忠 《中国康复理论与实践》 CSCD 北大核心 2014年第2期142-147,共6页
骨骼肌是具有完全再生能力的组织,在急性创伤性损害后骨骼肌多能完成再生修复。当出现慢性退行性病变如进行性肌营养不良和反复肌纤维损伤时,骨骼肌修复过程常伴随着纤维化的发生。通过近十余年来对骨骼肌纤维化机制的研究,发现多种细... 骨骼肌是具有完全再生能力的组织,在急性创伤性损害后骨骼肌多能完成再生修复。当出现慢性退行性病变如进行性肌营养不良和反复肌纤维损伤时,骨骼肌修复过程常伴随着纤维化的发生。通过近十余年来对骨骼肌纤维化机制的研究,发现多种细胞和系列调控分子参与该过程,特别是肌卫星细胞来源的肌成纤维细胞等相关细胞和转化生长因子β(TGF-β)等促纤维化发展的生长因子。本文就骨骼肌纤维化的细胞分子机制及相关拮抗策略进行综述。 展开更多
关键词 骨骼肌 纤维化 肌卫星细胞 肌成纤维细胞 转化生长因子Β 综述 TRANSFORMING growth factorβ
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I_κB kinase-beta inhibitor attenuates hepatic fibrosis in mice 被引量:8
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作者 Jue Wei Min Shi Wei-Qi Wu Hui Xu Ting Wang Na Wang Jia-Li Ma Yu-Gang Wang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第47期5203-5213,共11页
AIM: To investigate the anti-fibrosis effect of IκB kinase-beta inhibitor (IKK2 inhibitor IMD0354) in liver fibrosis. METHODS: Twenty male C57BL6 mice were divided into four groups. Five high-fat fed mice were inject... AIM: To investigate the anti-fibrosis effect of IκB kinase-beta inhibitor (IKK2 inhibitor IMD0354) in liver fibrosis. METHODS: Twenty male C57BL6 mice were divided into four groups. Five high-fat fed mice were injected with lipopolysaccharide (LPS, 10 mg/kg) intraperitoneally and five high-fat fed mice were without LPS injection to build models of liver injury, and the intervention group (five mice) was injected intraperitoneally with IKK2 inhibitor (IMD 30 mg/kg for 14 d), while the remaining five mice received a normal diet as controls. Hepatic function, pathological evaluation and liver interleukin-6 (IL-6) expression were examined. Western blotting and real-time polymerase chain reaction were used to detect the expressions of nuclear factor-κB (NF-κB), alpha-smooth muscle actin (α-SMA), tumor growth factor-beta1 (TGF-β1), tumor necrosis factor-alpha (TNF-α), typeⅠand type Ⅲ collagen proteins and mRNA. RESULTS: A mouse model of liver injury was successfully established, and IMD decreased nuclear transloca-tion of NF-κB p65 in liver cells. In the IMD-treated group, the levels of alanine aminotransferase (103 ± 9.77 μ/L vs 62.4 ± 7.90 μ/L, P < 0.05) and aminotransferase (295.8 ± 38.56 μ/L vs 212 ± 25.10 μ/L, P < 0.05) were significantly decreased when compared with the model groups. The histological changes were significantly ameliorated. After treatment, the expressions of IL-6 (681 ± 45.96 vs 77 ± 7.79, P < 0.05), TGF-β1 (Western blotting 5.65% ± 0.017% vs 2.73% ± 0.005%, P < 0.05), TNF-α (11.58% ± 0.0063% vs 8.86% ± 0.0050%, P < 0.05), typeⅠcollagen (4.49% ± 0.014% vs 1.90% ± 0.0006%, P < 0.05) and type Ⅲ collagen (3.46% ± 0.008% vs 2.29% ± 0.0035%, P < 0.05) as well as α-SMA (6.19 ± 0.0036 μ/L vs 2.16 ± 0.0023 μ/L, P < 0.05) protein and mRNA were downregulated in the IMD group compared to the fibrosis control groups (P < 0.05). CONCLUSION: IKK2 inhibitor IMD markedly improved non-alcoholic fatty liver disease in mice by lowering NF-κB activation, which could become a 展开更多
关键词 Liver fibrosis IKK2 inhibitor Nuclear factor-kappa B Tumor growth factor-beta1 INTERLEUKIN-6 Alpha-smooth muscle actin C57BL mouse
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柚皮素调控巨噬细胞极化和肌卫星细胞增殖修复骨骼肌损伤 被引量:5
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作者 徐明奎 许日明 +4 位作者 林业武 罗原泰 张熙辉 周理 袁仕国 《中国组织工程研究》 CAS 北大核心 2023年第14期2133-2138,共6页
背景:研究表明,巨噬细胞的极化精确调控在组织损伤的修复进程中十分重要,肌卫星细胞增殖及分化在骨骼肌损伤的修复中也有重要作用,并显示柚皮素能改善骨骼肌损伤修复中的过度纤维化。目的:探讨柚皮素对于骨骼肌修复的作用及其机制,为用... 背景:研究表明,巨噬细胞的极化精确调控在组织损伤的修复进程中十分重要,肌卫星细胞增殖及分化在骨骼肌损伤的修复中也有重要作用,并显示柚皮素能改善骨骼肌损伤修复中的过度纤维化。目的:探讨柚皮素对于骨骼肌修复的作用及其机制,为用于骨骼肌损伤提供理论依据。方法:取80只10周龄SPF级SD大鼠随机分为2组(n=40),采用重物击打方法构建骨骼肌损伤模型后,实验组腹腔注射柚皮素(2μg/g)14 d,对照组注射等剂量1%二甲基亚砜。于伤后12 h及1,3,5,7,14 d分别每组采集6只大鼠腓肠肌。Masson和苏木精-伊红染色观测骨骼肌组织纤维化程度;酶联免疫吸附法(ELISA)检测炎症因子白细胞介素4、白细胞介素13、干扰素α、干扰素γ表达;实时荧光定量PCR检测促纤维化基因(Ⅰ、Ⅲ型胶原蛋白)和成肌分化抗原的m RNA表达;流式细胞术检测巨噬细胞极化程度;免疫荧光(Pax7、成肌分化抗原)染色观察肌卫星细胞增殖情况。结果与结论:(1)组织学观察:伤后5,7,14 d时实验组纤维化面积比值低于对照组(P <0.05),再生肌纤维百分比均明显大于对照组(P <0.05);(2)ELISA检测:与对照组相比,实验组伤后7,14 d白细胞介素4以及5,7,14 d时白细胞介素13和干扰素α的表达增加(P<0.05),而干扰素γ的表达出现下降;(3)实时荧光定量PCR检测:与对照组比较,实验组伤后3,5,7,14 dⅠ、Ⅲ型胶原m RNA相对表达量均下降(P<0.05);3,5,7 d成肌分化抗原m RNA相对表达量增加(P<0.05);(4)流式细胞术检测:伤后3,5,7,14 d实验组M1型巨噬细胞数量均少于对照组,而M2型巨噬细胞数量均多于对照组(P <0.05);(5)免疫荧光染色:术后3 d的实验组肌卫星细胞增殖高于对照组(P <0.05);(6)结论:柚皮素能够通过调控巨噬细胞发生M2型极化从而促进肌卫星细胞增殖的方式治疗骨骼肌损伤。 展开更多
关键词 骨骼肌 损伤 柚皮素 纤维化 巨噬细胞极化 大鼠
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TGF-β1/ERK/CTGF通路在针刺干预运动致骨骼肌纤维化中的作用 被引量:9
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作者 雷槟恺 赵硕 +4 位作者 徐涛 周越 许寿生 王瑞元 李俊平 《针刺研究》 CAS CSCD 北大核心 2021年第4期306-311,共6页
目的:观察长期离心运动和针刺干预后大鼠骨骼肌纤维化的情况及转化生长因子β1(TGF-β1)/细胞外信号调节激酶(ERK)/结缔组织生长因子(CTGF)通路的变化,探讨针刺干预在运动导致骨骼肌纤维化中的作用及其机制。方法:SD大鼠随机分为正常组... 目的:观察长期离心运动和针刺干预后大鼠骨骼肌纤维化的情况及转化生长因子β1(TGF-β1)/细胞外信号调节激酶(ERK)/结缔组织生长因子(CTGF)通路的变化,探讨针刺干预在运动导致骨骼肌纤维化中的作用及其机制。方法:SD大鼠随机分为正常组、运动组和针刺组,每组10只。运动组和针刺组大鼠进行3周离心跑台运动,建立大鼠骨骼肌纤维化模型;针刺组在每次运动结束后即刻用针灸针从远端沿小腿三头肌纵向斜刺,穿过小腿三头肌肌腹,留针2 min。扫描电镜观察各组大鼠骨骼肌胶原纤维沉积情况,Western blot法检测各组大鼠腓肠肌Ⅰ型胶原蛋白(CollagenⅠ)、TGF-β1、ERK、磷酸化(p)ERK、CTGF蛋白表达变化。结果:与正常组比较,运动组大鼠骨骼肌胶原纤维出现明显的增生和沉积;针刺组胶原纤维增生程度明显轻于运动组。与正常组比较,运动组大鼠腓肠肌CollagenⅠ、TGF-β1、CTGF蛋白表达及p-ERK/ERK明显升高(P<0.01,P<0.05);与运动组比较,针刺组大鼠腓肠肌CollagenⅠ、TGF-β1、CTGF蛋白表达显著降低(P<0.05,P<0.01)。结论:慢性运动损伤可使骨骼肌胶原纤维沉积,骨骼肌纤维化,针刺可在一定程度上抑制骨骼肌纤维化,可能与下调TGF-β1/ERK/CTGF通路有关。 展开更多
关键词 离心运动 骨骼肌 针刺 TGF-β1/ERK/CTGF信号通路 纤维化
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针灸联合低温冲击治疗鼻咽癌放疗后颈部肌肉纤维化的效果分析 被引量:9
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作者 古琨如 余芳菲 李小霞 《川北医学院学报》 CAS 2017年第4期529-531,550,共4页
目的:探讨针灸联合低温冲击治疗鼻咽癌放疗后颈部肌肉纤维化的疗效及作用机制。方法:选取广东省中医院就诊的70例鼻咽癌放疗后肌肉纤维化患者纳入研究,按照随机数字表法分成两组:试验组35例,采用针灸和低温冲击辅助康复训练治疗;对照组3... 目的:探讨针灸联合低温冲击治疗鼻咽癌放疗后颈部肌肉纤维化的疗效及作用机制。方法:选取广东省中医院就诊的70例鼻咽癌放疗后肌肉纤维化患者纳入研究,按照随机数字表法分成两组:试验组35例,采用针灸和低温冲击辅助康复训练治疗;对照组35例,采用康复训练治疗。比较两组的肌肉纤维化和生活质量改善情况。结果:两组治疗后的LENTSOMA评估等级从Ⅲ~Ⅳ级向I~Ⅱ级转移,试验组治疗后的Ⅱ级人数比例明显升高,Ⅲ级人数比例明显下降(P<0.05);两组治疗后的EORTC QLQ-C30评分均升高(P<0.05),试验组治疗后的EORTC QLQ-C30各项功能领域(躯体、角色、认知、情绪、社会)得分和总健康状况评分均高于对照组(P<0.05)。结论:针灸能活血通络、舒筋解痉,低温冲击可以减轻炎症、消瘀止痛,二者辅助康复训练治疗鼻咽癌放疗后颈部肌肉纤维化的疗效肯定,有助于提高患者的生活质量。 展开更多
关键词 针灸 低温冲击 鼻咽癌 肌肉纤维化 生活质量
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Myofibroblastic cell activation and neovascularization predict native liver survival and development of esophageal varices in biliary atresia 被引量:7
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作者 Janne S Suominen Hanna Lampela +3 位作者 Pivi Heikkil Jouko Lohi Hannu Jalanko Mikko P Pakarinen 《World Journal of Gastroenterology》 SCIE CAS 2014年第12期3312-3319,共8页
AIM: To study the relation between collagen 1, &#x003b1;-smooth muscle actin (&#x003b1;-SMA) and CD34 expression and the most essential portoenterostomy (PE) outcomes.
关键词 Biliary atresia Liver fibrosis Neovascularization Collagen 1 α -smooth muscle actin CD34
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Association of low muscle strength with metabolic dysfunctionassociated fatty liver disease:A nationwide study 被引量:3
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作者 Gyu Bae Lee Youn Huh +7 位作者 Sang Hyun Lee Byoungduck Han Yang-Hyun Kim Do-Hoon Kim Seon Mee Kim Youn Seon Choi Kyung Hwan Cho Ga Eun Nam 《World Journal of Gastroenterology》 SCIE CAS 2023年第45期5962-5973,共12页
BACKGROUND There is limited evidence regarding the association between muscle strength and metabolic dysfunction-associated fatty liver disease(MAFLD).AIM To investigate the association between muscle strength and MAF... BACKGROUND There is limited evidence regarding the association between muscle strength and metabolic dysfunction-associated fatty liver disease(MAFLD).AIM To investigate the association between muscle strength and MAFLD in the general population in Korea.METHODS This nationwide representative cross-sectional study included 31649 individuals aged≥19 years who participated in the Korea National Health and Nutrition Examination Survey between 2015 and 2018.Odds ratios(ORs)and 95%confidence intervals(95%CIs)for MAFLD according to sex-specific quartiles of muscle strength,defined by relative handgrip strength,were calculated using multivariable logistic regression analysis.Additionally,multivariable logistic regression analysis was used to assess the association between muscle strength and probable liver fibrosis in patients with MAFLD.RESULTS Of all the participants,29.3%had MAFLD.The prevalence of MAFLD was significantly higher in the lower muscle strength quartile groups for all participants,sexes,and age groups(P<0.001).A 1.92-fold(OR=1.92,95%CI:1.70–2.16)and 3.12-fold(OR=3.12,95%CI:2.64–3.69)higher risk of MAFLD was observed in the lowest quartile(Q1)group than in the other groups(Q2–Q4)and the highest quartile(Q4)group,respectively.The ORs of MAFLD were significantly increased in the lower muscle strength quartile groups in a dose-dependent manner(P for trend<0.001).These associations persisted in both sexes.An inverse association between muscle strength and the risk of MAFLD was observed in all subgroups according to age,obesity,and diabetes mellitus.In patients with MAFLD,the odds of severe liver fibrosis were higher in Q1(OR=1.83,95%CI:1.25–2.69)than in other groups(Q2–Q4).CONCLUSION Among Korean adults,low muscle strength was associated with an increased risk of MAFLD and liver fibrosis in patients with MAFLD. 展开更多
关键词 muscle strength Handgrip strength Metabolic dysfunction-associated fatty liver disease Liver fibrosis Korea National Health and Nutrition Examination Survey
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Effects of Acupotomy on Immobilization-Induced Gastrocnemius Contracture and Fibrosis in Rats via Wnt/β-Catenin Signaling
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作者 HU Rui PAN Jun-kang +3 位作者 LI Jia-hui ZHANG Han LI Shao-rong ZHANG Yi 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2024年第7期633-642,共10页
Objective To determine whether acupotomy ameliorates immobilization-induced muscle contracture and fibrosis via Wnt/β-catenin signaling pathway.Methods Thirty Wistar rats were randomly divided into 5 groups(n=6)by a ... Objective To determine whether acupotomy ameliorates immobilization-induced muscle contracture and fibrosis via Wnt/β-catenin signaling pathway.Methods Thirty Wistar rats were randomly divided into 5 groups(n=6)by a random number table,including control,immobilization,passive stretching,acupotomy,and acupotomy 3 weeks(3-w)groups.The rat model of gastrocnemius contracture was established by immobilizing the right hind limb in plantar flexion for 4 weeks.Rats in the passive stretching group received passive stretching at gastrocnemius,a daily series of 10 repetitions for 30 s each at 30-s intervals for 10 consecutive days.Rats in the acupotomy and acupotomy 3-w groups received acupotomy once and combined with passive stretching at gastrocnemius a daily series of 10 repetitions for 30 s each at 30-s intervals for 10 consecutive days.Additionally,rats in the acupotomy 3-w group were allowed to walk freely for 3 weeks after 10-day therapy.After treatment,range of motion(ROM),gait analysis[i.e.,paw area,stance/swing and maximum ratio of paw area to paw area duration(Max dA/dT)],gastrocnemius wet weight and the ratio of muscle wet weight to body weight(MWW/BW)were tested.Gastrocnemius morphometric and muscle fiber cross-sectional area(CSA)were assessed by hematoxylin-eosin staining.Fibrosis-related mRNA expressions(i.e.,Wnt 1,β-catenin,axin-2,α-smooth muscle actin,fibronectin,and types I and III collagen)were measured using real-time quantitative polymerase chain reactions.Wnt 1,β-catenin and fibronectin concentrations were measured by enzyme-linked immunosorbent assay.Types I and III collagen in the perimysium and endomysium were analyzed using immunofluorescence.Results Compared with the control group,ROM,gait function,muscle weight,MWW/BW and CSA were significantly decreased in the immobilization group(all P<0.01),while protein levels of types I and III collagen,Wnt 1,β-catenin,fibronectin and mRNA levels of fibrosis-related genes were obviously increased(all P<0.01).Treatment with passive stretching or acupotom 展开更多
关键词 ACUPOTOMY immobilization muscle contracture muscle fibrosis Wnt/β-catenin signaling
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理筋手法减轻兔损伤骨骼肌纤维化的作用机制
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作者 李开颖 魏晓歌 +5 位作者 赵振宁 宋斐 杨楠 王燕 穆静 马惠昇 《中国组织工程研究》 CAS 北大核心 2025年第14期2914-2921,共8页
背景:理筋手法能够减少纤维化瘢痕增生,促进骨骼肌修复。但不恰当的激活Wnt/β-catenin信号通路,能加剧损伤骨骼肌纤维化,对骨骼肌修复过程产生不利影响。开展理筋手法对Wnt/β-catenin信号通路的调控作用研究,有利于阐述理筋手法减少... 背景:理筋手法能够减少纤维化瘢痕增生,促进骨骼肌修复。但不恰当的激活Wnt/β-catenin信号通路,能加剧损伤骨骼肌纤维化,对骨骼肌修复过程产生不利影响。开展理筋手法对Wnt/β-catenin信号通路的调控作用研究,有利于阐述理筋手法减少纤维化瘢痕增生、促进骨骼肌损伤修复的相关机制。目的:探讨理筋手法促进兔骨骼肌损伤修复的作用机制。方法:45只普通级健康成年日本大耳兔随机分为空白组、模型组和理筋组,每组15只。模型组和理筋组均进行腓肠肌打击造模,理筋组于造模后第3天开始进行理筋手法治疗,1次/d,15 min/次。各组在造模后第7,14,21天分别取5只进行取材。苏木精-伊红染色观察腓肠肌一般形态结构,Masson染色观察腓肠肌胶原纤维含量,Western blot检测腓肠肌Wnt3a、β-catenin、GSK3β、p-GSK3β、TCF、Ⅰ型胶原蛋白、Ⅲ型胶原蛋白表达,RT-PCR检测腓肠肌Wnt3a、β-catenin、TCF mRNA表达,免疫荧光法检测腓肠肌β-catenin的表达,免疫组化法检测腓肠肌Ⅰ型胶原蛋白、Ⅲ型胶原蛋白的表达。结果与结论:①苏木精-伊红染色及Masson染色结果显示:与模型组比较,理筋组各观察点炎性细胞浸润减少,胶原纤维量减少(P<0.001),肌纤维逐渐愈合;②Western blot结果显示:与模型组比较,理筋组各观察点Wnt3a、β-catenin、TCF、Ⅰ型胶原蛋白、Ⅲ型胶原蛋白的蛋白表达量均显著降低(P<0.05),而p-GSK3β/GSK3β比值较模型组则明显升高(P<0.05);③RT-PCR结果显示:与模型组比较,理筋组各观察点Wnt3a、β-catenin、TCF的mRNA表达量均显著降低(P<0.001);④免疫荧光结果显示:与模型组比较,理筋组各观察点β-catenin核表达荧光强度明显降低,且逐渐与空白组相近(P<0.001);⑤免疫组化结果显示:理筋组各观察点Ⅰ型胶原蛋白、Ⅲ型胶原蛋白的表达量相较于模型组均显著降低(P<0.01)。结果表明:理筋手法能够抑制Wnt/β-caten 展开更多
关键词 理筋手法 筋伤 骨骼肌损伤 腓肠肌 纤维化 瘢痕 修复 WNT/Β-CATENIN信号通路
Role of Transforming Growth Factor-β1 in the Process of Fibrosis of Denervated Skeletal Muscle 被引量:5
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作者 孟繁斌 陈江海 +5 位作者 刘娟 王旸 翁雨雄 陈燕花 李涛 陈振兵 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2011年第1期77-82,共6页
In order to investigate the biological function of transforming growth factor-β1(TGF-β1) during fibrosis in denervated skeletal muscle,we recruited sciatic nerve injury model of SD rats in which denervated gastroc... In order to investigate the biological function of transforming growth factor-β1(TGF-β1) during fibrosis in denervated skeletal muscle,we recruited sciatic nerve injury model of SD rats in which denervated gastrocnemius was isolated for analysis.At different time points after operation,denervated muscle was examined by several methods.Masson trichrome staining showed morphological changes of denervated skeletal muscle.Quantitative RT-PCR detected the rapid increase of TGF-β1 expression at mRNA level after nerve injury.It was found that a peak of TGF-β1 mRNA expression appeared one week post-operation.The expression of collagen Ⅰ(COL Ⅰ) mRNA was up-regulated in the nerve injury model as well,and reached highest level two weeks post-injury.Immunoblot revealed similar expression pattern of TGF-β1 and COL Ⅰ in denervated muscles at protein level.In addition,we found that the area of the gastrocnemius muscle fiber was decreased gradually along with increased interstitital fibrosis.Interestingly,this pathological change could be prevented,at least partly,by local injection of TGF-β1 antibodies,which could be contributed to the reduced production of COL Ⅰ by inhibiting function of TGF-β1.Taken together,in this study,we demonstrated that the expression of TGF-β1 was increased significantly in denervated skeletal muscle,which might play a crucial role during muscle fibrosis after nerve transection. 展开更多
关键词 transforming growth factor β1 DENERVATION muscle fibrosis
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利鲁唑改善肌萎缩侧索硬化小鼠的运动功能及肌肉纤维化
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作者 张秀芬 李晓梅 +5 位作者 聂露琳 何开武 李沫 王星星 张朝晖 杨细飞 《中南医学科学杂志》 CAS 2024年第4期523-528,共6页
目的探究利鲁唑对肌萎缩侧索硬化(ALS)小鼠的运动功能和肌肉纤维化的影响。方法选取13周龄雄性转基因ALS小鼠12只,随机均分为模型组、利鲁唑组,另选取6只野生型雄性小鼠作为正常组。通过悬挂测试、爬杆测试、转棒测试、抓握力测试、步... 目的探究利鲁唑对肌萎缩侧索硬化(ALS)小鼠的运动功能和肌肉纤维化的影响。方法选取13周龄雄性转基因ALS小鼠12只,随机均分为模型组、利鲁唑组,另选取6只野生型雄性小鼠作为正常组。通过悬挂测试、爬杆测试、转棒测试、抓握力测试、步态测试评估各组小鼠运动能力。比较各组小鼠体质量和血清肌酸激酶、乳酸脱氢酶水平。采用肌肉病理组织学评估肌肉萎缩情况。采用免疫组化分析各组脊髓病变情况。结果与正常组相比,模型组ALS小鼠体质量明显下降,运动功能显著减弱,表现为爬杆时间增加,悬挂时间和前肢抓力减少,步幅长度缩短,肌酸激酶、乳酸脱氢酶水平升高(P<0.05);骨骼肌炎症细胞浸润和组织纤维化,脊髓运动神经元大量丢失,星形胶质细胞和小胶质细胞异常激活。与模型组相比,利鲁唑组显著改善了ALS小鼠的运功功能,降低骨骼肌炎症细胞浸润和组织纤维化,减少了脊髓运动神经元丢失数量,抑制星形胶质细胞和小胶质细胞异常激活。结论利鲁唑早期治疗具有改善ALS小鼠运动功能减退、步态缓滞失衡和肌肉纤维化的作用。 展开更多
关键词 肌萎缩侧索硬化 运动功能 利鲁唑 肌肉纤维化 小鼠
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针刺对骨骼肌拉伤恢复进程中纤维化因子的影响 被引量:6
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作者 杨宁 周越 +1 位作者 王瑞元 李俊平 《北京体育大学学报》 CSSCI 北大核心 2018年第9期70-74,82,共6页
目的:探讨针刺对骨骼肌拉伤后纤维化进程的抑制效应及可能机制。方法:224只雄性SD大鼠随机分为对照组、拉伤组、针刺组和拉伤后针刺组。每组又分为即刻、2、4、7、14、21和28 d组,每组8只。对照组无干预;拉伤组用大鼠腓肠肌拉断仪建模;... 目的:探讨针刺对骨骼肌拉伤后纤维化进程的抑制效应及可能机制。方法:224只雄性SD大鼠随机分为对照组、拉伤组、针刺组和拉伤后针刺组。每组又分为即刻、2、4、7、14、21和28 d组,每组8只。对照组无干预;拉伤组用大鼠腓肠肌拉断仪建模;拉伤后针刺组在拉伤后每隔天针刺1次;针刺组与拉伤后针刺组同步。干预末次取腓肠肌备用。采用Masson染色法观察肌纤维损伤及炎症、Western blot检测TGF-β1、CTGF、MMP-1、TIMP-1蛋白的表达。结果:与对照组相比,拉伤组骨骼肌TGF-β1,CTGF,MMP-1,TIMP-1不同时相起蛋白表达均出现显著增加(P <0. 05,P <0. 01);与拉伤组相比,拉伤后针刺组骨骼肌TGF-β1,CTGF,TIMP-1不同时相起蛋白表达均出现显著减少(P <0. 05),MMP-1无显著变化(P> 0. 05)。拉伤组MMP-1/TIMP-1蛋白比值仅在2 d、4 d明显高于对照组(P <0. 05),之后迅速恢复(P> 0. 05);拉伤后针刺组MMP-1/TIMP-1蛋白比值7 d起持续明显高于拉伤组(P <0. 01)。结论:针刺可能通过下调TGF-β1/CTGF通路、上调MMP-1/TIMP-1蛋白比值抑制骨骼肌损伤修复中纤维化的发生发展。 展开更多
关键词 骨骼肌 拉伤 纤维化 针刺
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推拿疗法对骨骼肌纤维化大鼠MMP-1和TIMP-1表达的影响 被引量:6
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作者 庞赓 李沙 +1 位作者 唐新月 赵娜 《天津中医药大学学报》 CAS 2020年第2期209-214,共6页
[目的]观察推拿疗法对大鼠急性腓肠肌钝挫伤后纤维修复的影响,探讨其可能的作用机制。[方法]将30只雄性SD大鼠随机分为对照组、模型组、推拿治疗组(n=10),运用自制砸伤装置复制经典骨骼肌钝挫伤模型。治疗组进行推拿治疗,每次干预10 min... [目的]观察推拿疗法对大鼠急性腓肠肌钝挫伤后纤维修复的影响,探讨其可能的作用机制。[方法]将30只雄性SD大鼠随机分为对照组、模型组、推拿治疗组(n=10),运用自制砸伤装置复制经典骨骼肌钝挫伤模型。治疗组进行推拿治疗,每次干预10 min,每日1次,连续实施25 d。通过苏木精-伊红(HE)染色观察大鼠腓肠肌纤维化程度;qPCR和蛋白印迹检测大鼠腓肠肌基质金属蛋白酶-1(MMP-1)、金属蛋白酶组织抑制因子-1(TIMP-1)蛋白的表达情况。[结果]HE染色镜下发现对照组大鼠骨骼肌纤维排列整齐,形态结构完整;模型组大鼠骨骼肌纤维排列紊乱,甚至断裂,肌成纤维细胞增多,细胞外基质ECM)增多且胶原纤维明显沉积;治疗组大鼠骨骼肌纤维排列较整齐、间距小,且大小均一,胶原纤维生成减少,仅有少量ECM生成,损伤基本恢复。qPCR和蛋白印迹结果显示模型组大鼠损伤腓肠肌MMP-1的mRNA和蛋白表达量及MMP-1/TIMP-1比值明显降低(P<0.01),而TIMP-1的mRNA和蛋白表达水平明显升高;给予推拿治疗后可明显提高损伤大鼠腓肠肌MMP-1的mRNA和蛋白水平及MMP-1/TIMP-1的比值(P<0.01,P<0.05),且降低TIMP-1的转录水平(P<0.01,P<0.05)。[结论]推拿治疗可有效减轻骨骼肌钝挫伤后纤维化程度,其作用可能与上调MMP-1/TIMP-1比值有关。 展开更多
关键词 推拿 骨骼肌 纤维化 MMP-1 TIMP-1
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维生素D受体敲除诱导AT2R(-/-)小鼠骨骼肌纤维化
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作者 魏英达 郭怡洵 +2 位作者 夏师慧 张起越 张岩 《中国骨质疏松杂志》 CAS CSCD 北大核心 2024年第7期947-952,979,共7页
目的 探讨血管紧张素2型受体(angiotensin type 2 receptor, AT2R)、维生素D受体(vitamin D receptor, VDR)对小鼠骨骼肌纤维化的潜在调控作用。方法 使用16周龄野生型(wild type, WT)与AT2R(-/-)小鼠,12周龄AT2R(-/-)小鼠与AT2R(-/-)/V... 目的 探讨血管紧张素2型受体(angiotensin type 2 receptor, AT2R)、维生素D受体(vitamin D receptor, VDR)对小鼠骨骼肌纤维化的潜在调控作用。方法 使用16周龄野生型(wild type, WT)与AT2R(-/-)小鼠,12周龄AT2R(-/-)小鼠与AT2R(-/-)/VDR(-/-)(DKO)小鼠分别进行抓力测试,并对后肢肌肉作湿重系数比、纤维化因子、促纤维化因子表达的检测。结果 (1)与WT相比,虽然AT2R(-/-)小鼠的骨骼肌湿重比无明显差异,但纤维粘连蛋白(FN)、促纤维化因子CTGF、VEGF(P<0.05)、以及MSTN等mRNA水平都有不同程度的下降,Col-IV、TGF-β蛋白表达显著下降(P<0.05),AT2R(-/-)小鼠骨骼肌MSTN的含量显著降低(P<0.05);(2)与AT2R(-/-)小鼠相比,DKO小鼠纤维化指标Col-IV、TGF-β、VEGF蛋白表达均显著升高(P<0.05),肾素(Renin)的蛋白表达显著上调(P<0.05),免疫荧光检测显示DKO小鼠腓肠肌FN的表达强度、阳性面积都明显升高(P<0.05)。结论 AT2R基因敲除小鼠的肌肉纤维化程度减轻,而VDR敲除加重AT2R(-/-)小鼠骨骼肌纤维化,可能与肾素-血管紧张素系统活性升高导致组织纤维化程度增强有关。 展开更多
关键词 骨骼肌 纤维化 维生素D受体 血管紧张素2型受体 肾素-血管紧张素系统
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转化生长因子-β参与骨骼肌损伤修复的机制探讨及研究进展
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作者 宋宁静 周晶 +4 位作者 曹必伟 赵焰 余韵扬 雷函莉 罗昱君 《实用医学杂志》 CAS 北大核心 2024年第5期721-726,共6页
骨骼肌损伤是临床上常见的疾病,对其修复机制的深入了解对于制定有效的治疗策略至关重要。本文聚焦于TGF-β在骨骼肌损伤修复中的关键作用,介绍了其家族成员的多样性和信号传导途径,探讨在骨骼肌损伤后TGF-β的表达与调控部分,解析了其... 骨骼肌损伤是临床上常见的疾病,对其修复机制的深入了解对于制定有效的治疗策略至关重要。本文聚焦于TGF-β在骨骼肌损伤修复中的关键作用,介绍了其家族成员的多样性和信号传导途径,探讨在骨骼肌损伤后TGF-β的表达与调控部分,解析了其早期表达动态和调控因素,深入研究TGF-β对骨骼肌修复的影响,揭示了其在炎症调节、细胞活化与增殖以及纤维化等方面的关键作用。特别关注了其在肌肉再生中的作用机制及在细胞水平上的调控机制。此外,对TGF-β在骨骼肌损伤修复中的潜在临床应用进行了讨论,探索了将其作为治疗靶点和调控剂的发展与应用。然而,当前研究中仍存在争议与不足,如TGF-β的双重作用和个体差异对治疗的影响。未来的研究方向应包括深入挖掘信号通路的细节以及生物标志物的发现。通过克服这些挑战,TGF-β在骨骼肌损伤修复中的潜在临床应用有望迎来新的突破,为患者提供更为个体化和有效的治疗策略。 展开更多
关键词 骨骼肌 TGF-Β 卫星细胞 纤维化 信号通路
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Acupotomy ameliorates knee osteoarthritis-related collagen deposition and fibrosis in rabbit skeletal muscle through the TGF-β/Smad pathway
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作者 Tingyao Hu Einar Khavaza +7 位作者 Chuxi Liang Longfei Xing Xilin Chen Yue Xu Weiwei Ma Farid Mokhtari Juan Lu Changqing Guo 《Journal of Traditional Chinese Medical Sciences》 CAS 2024年第3期376-385,共10页
Objective To investigate the effects of acupotomy on skeletal muscle fibrosis and collagen deposition in a rabbit knee osteoarthritis(KOA)model.Methods Rabbits(n=18)were randomly divided into control,KOA,and KOA+acupo... Objective To investigate the effects of acupotomy on skeletal muscle fibrosis and collagen deposition in a rabbit knee osteoarthritis(KOA)model.Methods Rabbits(n=18)were randomly divided into control,KOA,and KOA+acupotomy(Apo)groups(n=6).The rabbits in the KOA and Apo groups were modeled using the modified Videman's method for 6 weeks.After modeling,the Apo group was subjected to acupotomy once a week for 3 weeks on the vastus medialis,vastus lateralis,rectus femoris,biceps femoris,and anserine bursa tendons around the knee.The behavior of all animals was recorded,rectus femoris tissue was obtained,and histomorphological changes were observed using Masson staining and transmission electron microscopy.The expression of transforming growth factor-β1(TGF-β1),Smad 3,Smad 7,fibrillar collagen types I(Col-I)and III(Col-III)was detected using Western blot and real-time polymerase chain reaction(RT-PCR).Results Histological analysis revealed that acupotomy improved the microstructure and reduced the collagen volume fraction of rectus femoris,compared with the KOA group(P=.034).Acupotomy inhibited abnormal collagen deposition by modulating the expression of fibrosis-related proteins and mRNA,thus preventing skeletal muscle fibrosis.Western blot and RT-PCR analysis revealed that in the Apo group,Col-I,and Col-III protein levels were significantly lower than those in the KOA group(both P<.01),same as Col-I and Col-III mRNA levels(P=.0031;P=.0046).Compared with the KOA group,the protein levels of TGF-β1 and Smad 3 were significantly reduced(both P<.01),as were the mRNA levels of TGF-β1 and Smad 3(P=.0007;P=.0011).Conversely,the levels of protein and mRNA of Smad 7 were significantly higher than that in the KOA group(P<.01;P=.0271).Conclusion Acupotomy could alleviate skeletal muscle fibrosis and delay KOA progress by inhibiting collagen deposition through the TGF-β/Smad pathway in the skeletal muscle of KOA rabbits. 展开更多
关键词 ACUPOTOMY Knee osteoarthritis Skeletal muscle fibrosis Collagen deposition
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Smoothelin,a new marker to determine the origin of liver fibrogenic cells 被引量:2
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作者 Sébastien Lepreux Christelle Guyot +4 位作者 Fabrice Billet Chantal Combe Charles Balabaud Paulette Bioulac-Sage Alexis Desmoulière 《World Journal of Gastroenterology》 SCIE CAS 2013年第48期9343-9350,共8页
AIM: To explore this hypothesis that smooth muscle cells may be capable of acquiring a myofibroblastic phenotype, we have studied the expression of smoothelin in fibrotic conditions.
关键词 Smooth muscle cells Myofibroblasts α -smooth muscle actin Smoothelin fibrosis/cirrhosis Hepatocellular carcinoma
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