HIF-1α和GLUT-1在人体退变腰椎间盘中的表达及意义

    The expressions of HIF-1α and GLUT-1 in human lumbar disc degeneration and its significance

    • 摘要: 目的:研究低氧诱导因子-1α(hypoxia inducible factor-1α,HIF-1α)和葡萄糖转运蛋白-1(glucosetransporter-1,GLUT-1)在人体退变腰椎间盘髓核中的表达及意义。方法:对照组为取自青壮年腰椎爆裂性骨折患者的正常椎间盘髓核组织;实验组取自临床患者退变椎间盘髓核组织,依据术前MRI影像表现分为2组。术中所取标本分别进行免疫组织化学染色及RT-PCR检测,比较3组椎间盘髓核组织中HIF-1α和GLUT-1的表达,并对检测结果进行统计学分析。结果:免疫组织化学结果显示在正常人类腰椎间盘组织中HIF-1α和GLUT-1的表达呈弱阳性,中度退变组中HIF-1α和GLUT-1的表达为阳性,重度退变组中HIF-1α和GLUT-1的表达为强阳性,且随着腰椎间盘组织退变的程度加重其表达也进行性加强(P<0.01)。RT-PCR结果显示,HIF-1α和GLUT-1基因存在于人体椎间盘髓核组织中,3组患者差异有统计学意义(P<0.01)。结论:HIF-1α和GLUT-1均可能参与了人类腰椎间盘组织的退变过程,二者在人体退变腰椎间盘组织中有相同的增高趋势。可以考虑通过检测HIF-1α和GLUT-1在椎间盘组织中表达来检测腰椎间盘组织退变情况,从而为预防和治疗腰椎间盘退变的提供新思路和切入点。

       

      Abstract: Objective: To explore the expressions of hypoxia-inducible factor-1α(HIF-1α) and glucose transporter protein-1(GLUT-1) in human lumbar disc degeneration and its significance.Methods: The nucleus pulposus tissues from the normal intervertebral disc of younger with lumbar burst fracture and degenerative intervertebral disc of patients were divided into the control group and experiment group,respectively,and the experiment group were subdivided into two groups according to their preoperative MRI images.The expressions of HIF-1α and GLUT-1 in 3 groups were analyzed by immunohistochemistry and RT-PCR.Results: Immunohistochemistry showed that the HIF-1α and GLUT-1 expressions were weak positive in control group,positive in moderate degeneration group and strongly positive in severe degeneration group.The expressions of HIF-1α and GLUT-1 strengthened with the degeneration degree of lumbar intervertebral disc aggravating(P<0.01).RT-PCR showed that the expressions of HIF-1α and GLUT-1 genes were found in human disc tissue,and the differences of the expressions of HIF-1α and GLUT-1 between 3 groups were statistically significant(P<0.01).Conclusions: HIF-1α and GLUT-1 are likely to participate in the degeneration of human lumbar disc,and their expressions show the same increasing trend.The detections of HIF-1α and GLUT-1 in human lumbar disc tissue can predict the degeneration of human lumbar disc,which can provide a new knowledge in the prevention and treatment of lumbar disc degeneration.

       

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