%0 Journal Article %T 机械应力联合维拉帕米对骨关节炎软骨细胞-琼脂糖三维模型蛋白聚糖代谢的作用 %A 罗丹▲ %A 申艳▲ %A 闾坚强 %A 范永前 %A 黄东辉 %A 林伟龙 %A 沈海敏 %A 徐沪济 %A 管剑龙△ %J 复旦大学(医学报) %D 2016 %X </br>Objective To investigate the effect of mechanical stress and verapamil on aggrecan (AGC) metabolism by osteoarthritic chondrocytes-agarose constructs. Methods Patients with osteoarthritis were treated with knee joint replacement.Chondrocytes were isolated to construct chondrocytes-agarose model,and then were divided into placebo group,stress group and stress combined with verapamil group.Flexcell FX-5000TM was applied to impose cyclic mechanical stress (24 kPa,0.33 Hz,2 h),and verapamil (40 μmol/L) was added into stress combined with verapamil group.RT-PCR and ELISA were performed to measure the expression of AGC,ADAMTS-4 and ADAMTS-5 at both mRNA and proteins levels,respectively.Results Compared with the control group,AGC mRNA level was increased (P=0.000),and ADAMTS-5 mRNA level was significantly decreased (P=0.000) in stress alone group.Compared with the stress group,the expression of AGC mRNA was significantly elevated (P=0.012),the expressions of ADAMTS-4 mRNA (P=0.000) and ADAMTS-5 mRNA (P=0.000) were decreased in stress combined with verapamil group.Compared with the placebo group,AGC mRNA level was increased (P=0.000),and ADAMTS-5 level was significantly decreased (P=0.000) in stress group.Compared with the stress group,AGC level was increased further (P=0.008),both ADAMTS-4 and ADAMTS-5 levels were decreased (P=0.000) in stress combined with the verapamil group.Conclusions Mechanical stress can promote chondrocyte AGC synthesis,and verapamil can strengthen the role of mechanical stress. %K < %K /br> %K osteoarthritis chondrocytes aggrecan mechanical stress verapamil %U http://jms.fudan.edu.cn/CN/abstract/abstract1256.shtml