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慢性氟中毒大鼠骨骼自由基含量及病理形态学研究
http://www.100md.com 《中国地方病学杂志》 2000年第5期
     作者:于燕妮 刘家骝 王守立 高勤 梁任又 金嗣昭 徐云华

    单位:于燕妮 刘家骝 王守立 高勤(贵阳医学院 病理教研室,贵州 贵阳 550004);梁任又 金嗣昭 徐云华(中国科技 大学 结构分析中心,安徽 合肥 230000)

    关键词:氟中毒;骨骼;自由基;大鼠

    中国地方病学杂志000507 [摘要] 目的 研究慢性氟中毒大 鼠骨骼自由基含量及其对骨骼形态变化的影响。方法 用电子自旋共振仪测定骨骼自由基含量,同时测定 红细胞超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-Px)活性及血浆丙二醛( MDA)含量,并观察骨骼形态学变化及进行形态计量指标测定。结果 与对照组比较,氟中毒大鼠红细胞SOD、GSH-P x活性降低,MDA升高,同时骨骼自由基含量升高,骨皮质变薄,骨小梁变窄,骨细胞减 少。结论 ①过量氟蓄积可引起体内抗氧化系统失衡,使骨骼 自由基含量增高,造成骨骼损伤,出现形态病变。②保护或恢复体内抗氧化系统功能,清除 过多的自由基,可使组织免受损伤。
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    [中图分类号] R599.9 [文献标识码] A [文章编号]1000-4955(2000)05-337-03

    Study on the free radical and morphological changes in the bone of r ats with chronic fluorosis

    YU Yan-ni,LIU Jia-ju,WANG Shou-li,et al

    (Department of Pathology,Guiyang Medical College,Guiyang 550004,China)

    Abstract: Objective In order to investigate free radic al and morphologic bone change in rats with chronic fluorosis,three groups of ra ts were used.Methods The free radical (FR) bone content was demonstr ated by the electronic spin resonance techinque (ESR).Superoxide dismutase (SOD) and gluotglutathionealhion perxidase (GSH-Px) activities were tested at the sa me time.Malonaldehydic acid (MDA) and morphological bone changes were also asses sed.Results Results showed urinary fluoride levels were inc reased,erythrocyte SOD and GSH-Px activities were markedly elevated and plasma MDA levels were markedly decreased in rats with fluorosis in comparison with a n ormal control group of rats.Meanwhile in the fluoride-exposed rats with markedl y elevate FR levels there was a thinning of bone contexes and trabeculae.The num ber of osteocytes was also reduced.However,the SOD and GSH-Px activiteis were within normal ranges,FR and MDA contents were also within normal limits and no p athological changes were found in this fluoride-exposed group treated with Gype nosides-Danshen Conmposite.Conclusions Results suggest excessive fluoride levels i n the bodies of the rats with chronic fluorosis induce an imbalance in the anti -oxidate system and result in bone changes along with decreased activities of S OD and GSH-Px,FR and MDA contents are increased.Quite possibly FR changes in t he body may be a key link in fluorosis pathogenesis.
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    Key words: Fluorosis; Bone; Free radical; Rat

    慢性氟中毒是累及各系统各器官的一种全身性疾病,主要危害骨齿,引 起骨骼出现不同的病理变化。近年来氟中毒发病机理的自由基学说受到广泛关注。有研究表 明[1~3],氟中毒动物和人群的抗氧化物酶系统均可见异常,造成组织损伤。但体 内自由基的变化与骨骼的病变关系如何?目前尚未见报道。我们应用电子自旋共振技术直接 测定实验性氟中毒大鼠骨骼自由基含量,同时测定红细胞抗氧化酶类和脂质过氧化物酶,并 观察骨骼的形态变化,为深入研究氟中毒骨骼病变的发病机理提供实验依据。

    1 材料与方法

    1.1 动物分组及处理 Wistar大鼠30只alonaldehydic acid (MDA) and morphological bone changes were also asses sed.Results Results showed urinary fluoride levels were inc reased,erythrocyte SOD and GSH-Px activities were markedly elevated and plasma MDA levels were markedly decreased in rats with fluorosis in comparison with a n ormal control group of rats.Meanwhile in the fluoride-exposed rats with markedl y elevate FR levels there was a thinning of bone contexes and trabeculae.The num ber of osteocytes was also reduced.However,the SOD and GSH-Px activiteis were within normal ranges,FR and MDA contents were also within normal limits and no p athological changes were found in this fluoride-exposed group treated with Gype nosides-Danshen Conmposite.Conclusions Results suggest excessive fluoride levels i n the bodies of the rats with chronic fluorosis induce an imbalance in the anti -oxidate system and result in bone changes along with decreased activities of S OD *?1.2.4.2 形态计量检查 HE切片,用直形或方格形测微尺测定有关数据 ,每组5例,每例每项指标随机测计5个视野,取均值,并进行统计学处理。
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    2 结果

    2.1 大鼠尿氟含量 见表1。

    表1 大鼠尿氟含量(±s) 组别

    例数

    尿氟含量(μg/ml)

    Ⅰ阴性对照组Ⅱ氟中毒组

    Ⅲ氟中毒+抗氧化中药组

    7

    8

    8

    9.78±3.52
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    24.54±8.42

    32.00±12.15

    注:Ⅰ组与Ⅱ组比较,P<0 .05;Ⅰ组与Ⅲ组比较,P<0.05;Ⅱ组与Ⅲ组比较,P>0.05

    表1显示,氟中毒大鼠尿氟含量明显高于对照组,差异有显著意义( P<0.05),表明氟中毒大鼠体内有过量氟蓄积;用抗氧化中药后,尿氟排泄明显增多,与 对照组比较,差异有显著意义(P<0.05),表明抗氧化中药有促使尿氟排泄的作用。

    2.2 抗氧化酶类和脂质过氧化物的测定 见表2。

    表2 大鼠红细胞SOD活性、GSH-Px活性及血 浆MDA含量测定结果 组别

    例数

    SOD(U/g)
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    GSH-Px(U /g)

    MDA含量(ng/ml)

    ⅠⅡ

    Ⅲ

    10

    10

    10

    19.79×103±2.88×103

    15.20×103±2.03×103*

    18.81×103±2.56×1 03
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    5.21×103±1.32×103

    3.16×103±1.12×103*

    4.94×103±1.73×10 3

    8.38±2.00

    15.46±3.24*

    9.56±3.41

    注:*与对照组比较,P<0.05

    表2显示,氟中毒大鼠红细胞SOD活性及GSH-Px活性明显降低,血 浆MDA含量显著升高,差异均有显著意义(P<0.05),说明氟中毒大鼠体内抗氧化系 统出现异常;用抗氧化中药后大鼠体内SOD活性、GSH-Px活性及MDA含量均无明显变 化,差异无显著意义(P>0.05)。
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    2.3 大鼠骨骼自由基测定 见表3。

    表3 大鼠骨骼自由基含量测定结果 组别

    骨自由基相对信号强度

    骨自 由基相对单位

    Ⅰ

    Ⅱ

    Ⅲ

    2.0012

    2 .0027*

    2.0017

    41

    83*
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    47

    注:*与对照组比较,P<0.05

    表3显示,与对照组比较,氟中毒大鼠骨骼自由基相对单位明显升高, 差异有显著意义(P<0.05),而氟中毒+抗氧化中药组大鼠骨骼自由基含量无明显 差异(P>0.05),说明氟中毒大鼠骨骼自由基含量明显高于非氟中毒大鼠,应用抗氧化中药 大鼠骨骼自由基含量无明显变化(P>0.05)。

    2.4 大鼠骨骼形态计量指标 见表4。

    表4 大鼠骨骼形态计量指标 组别

    骨皮质厚度(μm)

    骨小 梁宽度(μm)

    骨细胞数(个/mm2)
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    Ⅰ

    Ⅱ

    Ⅲ

    498.01±96.10

    235.05±37.06*

    503.97±82.56

    50.22±2.50

    37.32±3.77*

    49.35±3.46

    81.56±9.91

    66.20±11.54*
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    78.31±13.02

    注:*与对照组比较,P<0.05

    表4显示,与对照组比较,氟中毒大鼠骨骼的皮质厚度及骨小梁宽度明 显变窄,骨细胞数明显减少,差异有显著意义(P<0.05),而用抗氧化中药大鼠骨骼各 形态计量指标均无明显变化(P>0.05)(图1,图2和图3)。

    3 讨论

    本实验大鼠饮高氟水5个月后,尿氟含量明显升高,表明体内有过多氟 蓄积。过量氟可引起机体抗氧化系统异常,造成脑、肝、肾等组织损伤。实验发现氟中毒 大鼠红细胞SOD及GSH-Px活性降低,MDA含量升高,提示氟中毒大鼠体内抗氧化酶活 性降低,脂质过氧化反应增强,使MDA大量堆积,出现氧化和抗氧化系统失衡。与此同时 ,测定大鼠骨骼自由基含量,发现氟中毒大鼠骨骼自由基含量显著升高,骨骼形态异常,表 现为骨皮质变薄,骨小梁变细,骨细胞数减少。由于氟中毒引起机体抗氧化系统失衡,骨骼 自由基产生过多,造成骨组织的脂质过氧化损伤,出现骨骼的病理形态变化。
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    图1 阴性对照组大鼠骨骼显示:骨小梁粗细均匀,骨细胞分布均匀 HE×200

    图2 氟中毒组大鼠骨骼显示:骨小梁变细,骨细胞减少,骨质上见散 在分布兰黑色异常钙化颗粒 HE×200

    图3 氟中毒+抗氧化中药组大鼠骨骼显示:骨小梁粗细比较均匀,骨细胞分 布均匀,骨质上见少数散在细小的兰黑色异常钙化颗粒 HE×200

    许多实验及临床研究已证实,绞股蓝-丹参能诱导内源性SOD合成,增加SOD含量,提 高组织中SOD活性,并可清除体内氧自由基,抑制脂质过氧化,降低LPO或MDA含量 [6~9]。本实验对饮高氟水大鼠同时给予抗氧化中药后发现,尿氟排泄增多, 血红细胞SOD及GSH-Px活性和血浆MDA含量均无明显变化,与对照组相比,差异无显 著意义(P>0.05),表明在给予大鼠高氟水的同时,应用绞股蓝-丹参中 药复方,可使机体内过量的氟经尿液排除,这与我们以往的实验结果一致;并且在尿氟排泄 增多的同时,机体SOD、GSH-Px活性恢复,MDA含量降低,显示出抗氧化中药对体内 抗氧化系统有刺激作用以及对脂质过氧化反应的抵抗能力,因而,可减少自由基对组织的损 伤,骨骼形态变化与对照组表现类似,骨皮质厚度及骨细胞数与对照组大鼠比较,均无明 显差异(P>0.05)。因此推测:①氟中毒时,骨组织出现骨皮质变薄、骨小梁变细及骨 细胞减少等病理变化是由于机体SOD、GSH-Px活性降低,MDA含量及骨自由基升高所 致。②绞股蓝-丹参可促使尿氟排泄,提高体内SOD、GSH-Px活性,增强清除自由基能 力,减少MDA等脂质过氧化物产生,从而保护组织不受损伤。
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    [作者简介]于燕妮(1955-),女 ,副教授,硕士。

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    [收稿日期]1999-11-29

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