%0 Journal Article %T 三七皂苷对激素性股骨头坏死早期细胞凋亡的影响及其机制<br>Panax notoginseng saponins inhibits early-stage cell apoptosis in steonecrosis of rabbit femoral head %A 强 %A 辉 %A 冯 %A 敏 %A 刘慧通 %A 王坤正 %J 西安交通大学学报(医学版) %D 2018 %R 10.7652/jdyxb201801024 %X 摘要:目的 探讨三七皂苷(panax notoginseng saponins, PNS)对激素性股骨头坏死(steonecrosis of the femoral head, SONFH)早期细胞凋亡的影响及其作用机制。方法 选取健康成年新西兰兔24只,分为正常对照组、模型组及PNS组3组。模型组采用马血清(10mL/kg)加激素(40mg/kg)的方法建立兔SONFH模型;PNS组在模型组基础上同时给予PNS(50mg/kg)干预;正常对照组常规饲养。2周后处死动物取双侧股骨头进行脱钙包埋,TUNEL染色观察细胞内凋亡变化,BCA法检测股骨头内caspase-3活性变化,免疫组化及Western blot 检测各组股骨头内Bax及Bcl-2含量的变化。结果 TUNEL染色结果发现,模型组骨组织内可见大量凋亡细胞,PNS组骨组织内凋亡细胞明显减少(P<0.05);与模型组相比,经PNS预处理后股骨头组织内的caspase-3活性明显下降(P<0.05);免疫组化染色及Western blot检测结果证实,模型组骨组织内Bax蛋白表达量明显增加,而Bcl-2蛋白表达量明显减少,而与之相反的是PNS组骨组织内检测到的Bax蛋白表达量明显下降(P<0.05),而Bcl-2蛋白表达量明显增加(P<0.05)。结论 PNS可能通过增强Bcl-2表达,降低Bax表达,抑制caspase-3活性,减少早期SONFH股骨头组织内的细胞凋亡。<br>ABSTRACT: Objective To investigate the effects of panax notoginseng saponins (PNS) on early-stage apoptosis in steonecrosis of rabbit femoral head. Methods The 24 rabbits were randomly divided into three groups: normal control group, model group, and PNS group. In model group, equine serum (10mL/kg) and methylprednisolone (40mg/kg) were injected alternatively to induce osteonecrosis of the femoral head. In PNS group, PNS (50mg/kg, i.v.) was administered continuously before methylprednisolone management. In control group, the rabbits were fed routinely. TUNEL method was used to detect apoptotic cells. Caspase-3 activity in the femoral head was measured by caspase-3 assay kit. Immunohistochemistry method and Western blot analysis were applied to detect the expressions of Bcl-2 and Bax. Results In model group, typical appearance of apoptotic cells was observed in the femoral head by TUNEL staining (P<0.05). PNS treatment significantly inhibited cell apoptosis of the femoral head in model group. Furthermore, pretreatment with PNS significantly reversed the inhibition of Bcl-2 expression, augmentation of Bax expression and caspase-3 activity (P<0.05). Conclusion PNS could up-regulate the expression of Bcl-2, down-regulate that of Bax, reduce the activity of caspase-3, and inhibit cell apoptosis of the femoral head %K 激素诱导股骨头坏死 %K 三七皂苷 %K 细胞凋亡 %K caspase-3 %K Bax %K Bcl-2< %K br> %K steonecrosis of the femoral head %K panax notoginseng saponins %K apoptosis %K caspase-3 %K Bax %K Bcl-2 %U http://yxxb.xjtu.edu.cn//oa/darticle.aspx?type=view&id=201801024