Loading...

Table of Content

    09 July 2013, Volume 17 Issue 28 Previous Issue    Next Issue
    For Selected: Toggle Thumbnails
    Three-dimensional structure and morphology of the mandible in type 1 diabetes mellitus mice
    Zhang Jun, Jiang Li-ting, Wang Jin-shen, Zhou Qi, Gao Yi-ming1
    2013, 17 (28):  5101-5107.  doi: 10.3969/j.issn.2095-4344.2013.28.001
    Abstract ( 740 )   PDF (600KB) ( 785 )   Save

    BACKGROUND:Diabetes mellitus is one of the most common systemic diseases, which often leads to the changes of the jaw and other bone structure, as well as the abnormal changes of mineral metabolism.

    OBJECTIVE: To observe the three-dimensional structure and histopathological changes of the mandible in type 1 diabetes mellitus mice.

    METHODS: The mice were randomly divided into control group and diabetes mellitus group. The diabetes mellitus group received intraperitoneal injection of 50 mg/kg streptozotocin for 5 days to establish a type 1 diabetes mellitus model, and the control group received intraperitoneal injection of citrate buffer.

    RESULTS AND CONCLUSION: At 3 weeks after modeling, the micro-CT technique was used to observe the three-dimensional structure of the mandibles in the two groups. The quantitative analysis on the microstructure of cancellous bone and cortical bone showed that the bone mineral density, bone volume fraction, trabecular number and trabecular thickness of cancellous bone in the interest region in the mandible of type 1 diabetes mellitus mice were significantly decreased when compared with that in the control group (P < 0.01, P < 0.05), while the structure model index was increased significantly (P < 0.05); the mineral density and area of cortical bone were decreased in the diabetes mellitus group (P < 0.05). Hematoxylin-eosin staining showed that the number and volume of mandibular trabeculae of type 1 diabetes mellitus mice were decreased. The results suggest that the three-dimensional structure of the cancellous bone and cortical bone in the streptozotocin-induced type 1 diabetes mellitus mice are changed significantly, and the microstructure change of the cancellous bone is more obvious.

    Figures and Tables | References | Related Articles | Metrics
    miR-376b-3p promotes Runx2-induced early osteogenic differentiation of C2C12 cells
    Geng Qian-qian, Yu Shou-he, Zhang Yue, Wang Hong-mei, Sun Fen-yong
    2013, 17 (28):  5108-5112.  doi: 10.3969/j.issn.2095-4344.2013.28.002
    Abstract ( 565 )   PDF (394KB) ( 556 )   Save

    BACKGROUND: The transcription factor Runx2 is the key factor that regulates osteogenic differention and bone development. It has been reported that the C2C12 mesenchymal cells can be induced to differentiate into osteoblasts by Runx2 overexpression, but the molecular mechanism of induction is still largely unclear.

    OBJECTIVE: To investigate the role of the members of the miR-376 family during Runx2-induced osteogenic differentiation in C2C12 cells.

    METHODS: The expression of the members of the miR-376 family was detected by real-time quantitative PCR at different time points using C2C12/Runx2Dox sub-line with conditional Runx2 expression. In miR-376b-3p-transfected C2C12/Runx2Dox cells, the expression of osteoblast markers, such as alkaline phosphatase and osteocalcin, was detected by real-time quantitative PCR, and the alkaline phosphatase activity was also examined by alkaline phosphatase staining. The putative miR-376b-3p targets were commonly predicted by online tools (miRanda, miRWalk and TargetScan). The functional classification of these putative targets was performed by DAVID Bioinformatics Resources database.

    RESULTS AND CONCLUSION: The expression of miR-376b-3p was significantly increased during Runx2-induced osteogenic differentiation of C2C12 cells, but the expression of other members was not changed. Transfection of miR-376b-3p mimic upregulated alkaline phosphatase expression, but had no effect on osteocalcin expression. The alkaline phosphatase activity was also increased by transfection of miR-376b-3p. The functional classification of miR-376b-3p putative targets showed that miR-376b-3p is involved in the skeleton development, indicating the role of miR-376b-3p in osteoblast differentiation. Taken together, these results suggest that Runx2promotes early osteogenic differentiation in C2C12 cells by regulating the expression of genes related to osteogenic differentiation through upregulation of miR-376b-3p.

    Figures and Tables | References | Related Articles | Metrics
    Correlation between bone mineral density and serum vascular endothelial growth factor levels in ovariectomized rats
    Bao Xiao-ming, Wang Yun, Hou Yong-xin, Li Jun, Zhang Min, Wei Xiao-chun
    2013, 17 (28):  5113-5119.  doi: 10.3969/j.issn.2095-4344.2013.28.003
    Abstract ( 298 )   PDF (436KB) ( 467 )   Save

    BACKGROUND: Vascular endothelial growth factor play an important role in promoting healing of osteoporotic fractures, but whether it can affect the bone mineral density is not clear.

    OBJECTIVE: To observe the correlation between serum vascular endothelial growth factor, bone mineral density and the number of osteoblasts in the ovariectomized rats.

    METHODS: Forty female Sprague-Dawley rats were randomly divided into ovariectomized group and control group. After 3 months, the bone mineral density of the whole body, femur and lumbar spine was measured. Rat enzyme-linked immunosorbent assay kit was used to measure the level of serum vascular endothelial growth factor. Then, the rats in two groups received femoral metaphyseal fixation, decalcified, dehydrated, embeding in paraffin, slicing and hematoxylin-eosin staining. Each slice was free to take five fields of view (10×40) in order to count the osteoblasts of femur distal metaphysis under optical microscope.

    RESULTS AND CONCLUSION: After ovariectomized for 3 months, the rats body mass was increased significantly (P < 0.05), and the bone mineral density of the whole body, femur and lumbar spine in the ovariectomized group was lower than that in the control group (P < 0.05), indicating the successful establishment of osteoporosis model. There was no significant difference in vascular endothelial growth factor level between the ovariectomized group and the control group (P > 0.05), and the difference of the osteoblast number between ovariectomized group and control group was not significant (P > 0.05). This indicated that there was no correlation between bone mineral density and the number of osteoblasts and vascular endothelial growth factor level in the ovariectomized group and the control group. These findings suggest that the bone mineral density is reduced and the body mass is increased in the ovariectomized rats, and the reduced bone mineral density of ovariectomized rats may be irrelevant with the change of serum vascular endothelial growth factor.

    Figures and Tables | References | Related Articles | Metrics
    L-arginine effects on osteoporotic fracture healing and blood biochemistry
    Zhang Shi-xu, Lu Kao-sheng, Shi Chang-hao, Fan Yan, Yao Zhi-wei, Yin Yun-sheng
    2013, 17 (28):  5120-5125.  doi: 10.3969/j.issn.2095-4344.2013.28.004
    Abstract ( 428 )   PDF (479KB) ( 502 )   Save

    BACKGROUND: Nitric oxide plays an important role in bone metabolism. However, the effects of different doses of L-arginine, nitric oxide substrate, on the healing of osteoporotic fractures remain unclear.

    OBJECTIVE: To investigate the influence of different doses of L-arginine on the healing of osteoporotic fractures and blood biochemistry in rats.

    METHODS: A total of 50 female Wistar rats, aged 6-month-old, were randomly divided into sham-surgery (n=10) and osteoporosis (bilateral ovariectomy, n=40). After osteoporosis model was established, left middle femoral fractures were made in all 50 rats, and the osteoporosis group was further divided into four groups, low, middle and high dose of L-arginine, and control groups. The L-arginine groups were intraperitoneally injected with 1, 3, and 5 mg/kg L-arginine at the second day following surgery, while the control and sham-surgery groups were injected with the same volume of normal saline. At 8 weeks, the lumbar and callus bone mineral density, serum nitric oxide, and nitric oxide synthase were detected. Meanwhile, the bone callus histological examination was conducted.

    RESULTS AND CONCLUSION: During fracture healing, osteoporosis rats showed a low level of serum nitric oxide and nitric oxide synthase compared with normal fractured rats (P < 0.05). L-arginine can improve the concentration of serum nitric oxide and nitric oxide synthase in osteoporosis rats. Moreover, middle dose of L-arginine can increase the callus and lumbar spine bone mineral density of osteoporosis rats, so the number and continuity of bone trabecula were enhanced. These findings suggest that middle dose of L-arginine (3 mg/kg) can promote healing process of osteoporotic fractures and improve osteoporosis.

    Figures and Tables | References | Related Articles | Metrics
    Basis of anti-osteoporosis drug application: Bone biochemical metabolic markers and bone histopathology
    Yu Hua-wei, Wang Zhao-jie, Hu Xiao-jun, Zhao Jun-yan, Qi Xin-wen
    2013, 17 (28):  5126-5132.  doi: 10.3969/j.issn.2095-4344.2013.28.005
    Abstract ( 542 )   PDF (539KB) ( 1019 )   Save

    BACKGROUND:Now, dual-energy X-ray absorptiometry is internationally recognized as gold standard for the diagnosis of osteoporosis, but the errors can be found in the measurement results due to the heterotopic ossification and bone hyperplasia exists in the measurement part.

    OBJECTIVE: To investigate the clinical significance of bone metabolic markers in the diagnosis and treatment of elderly patients with osteoporotic fractures, and to research its correlation with the changes of pathologicalhistology and bone mineral density.

    METHODS:Four bone biochemical markers in 50 elderly patients with osteoporosic fractures were measured preoperatively. According to the results, 25 patients had significantly increased tartrate-resistant acid phosphatase 5b (considered as the increased tartrate-resistant acid phosphatase 5b group), and 25 patients had increased bone alkaline phosphatase (considered as the increased bone alkaline phosphatase group). During operation, the bone tissues of eight patients in each group were treated with hematoxylin-eosin staining and electron microscopy scanning in order to detect the pathological changes. After operation, the patients in the increased tartrate-resistant acid phosphatase 5b group received salmon calcitonin anti-osteoporosis treatment, and the patients in the increased bone alkaline phosphatase group received the anti-osteoporosis treatment of bone peptide injection. The bone mineral density and the four bone biochemical markers were detected again at 6 months after treatment.

    RESULTS AND CONCLUSION: There were no significant differences in the preoperative bone mineral density and four biomechanical markers between two groups (P > 0.05). The pathological examination results of bone tissue on the fracture site showed that the number of osteoblasts was reduced and the number of oeteoclasts was increased in the increased tartrate-resistant acid phosphatase 5b group; while in the increased bone alkaline phosphatase group, the pathological examination results showed the number of osteoblasts was reduced; the trabecular bone/bone area ratio was decreased in two groups, and there was a significant difference in the decrease degree between two groups      (P < 0.05). The electron microscope scanning showed that the osteoclasts of two groups were more active than that of the normal group. The sloppy of trabecular bone in the increased tartrate-resistant acid phosphatase 5b group was more obvious than that in the increased bone alkaline phosphatase group, and the absorption vacuoles were increased. There were significant differences in the bone mineral density and four biomechanical markers between two groups before and after anti-osteoporosis treatment (P < 0.05). The detection of bone metabolic markers could help us to make it clearly that the main function of osteoblast reduce or osteoclast increase in bone tissue of patients, and guide us to use anti-osteoporosis drugs in target. Pathological histology examination can better reflect the condition of osteoblasts, osteoclasts and trabecular bone in bone tissue on the fracture site. Target application of anti-osteoporosis drugs in the osteoporosis patients can effectively improve the efficacy and reduce the relative complications.

    Figures and Tables | References | Related Articles | Metrics
    Does ischemia/reperfusion impact apoptosis of articular chondrocyte in the femoral head epiphyses
    Zhang Jing-dong, Yi Xian-hong, Li Yu-an
    2013, 17 (28):  5133-5138.  doi: 10.3969/j.issn.2095-4344.2013.28.006
    Abstract ( 300 )   PDF (420KB) ( 403 )   Save

    BACKGROUND:Ischemia/reperfusion can induce degenerative alterations in articular cartilage. However, the precise mechanism remains poorly understood.

    OBJECTIVE: To observe the morphological changes and the apoptosis of articular cartilage of femoral head epiphyses with ischemia/reperfusion. 

    METHODS: A total of 80 Sprague-Dawley rats were randomly assigned to two groups: ischemia/reperfusion (model of ischemia/reperfusion in hip joint) and sham-surgery (exposure of abdominal aorta for 5 minutes) groups, with 40 animals in each group. Articular cartilages of femoral head epiphysis were collected in 6, 12, 24, and 48 hours, 5 days, and 2 and 4 weeks after operation. Morphology of articular cartilage of femoral head epiphyses was examined by light microscope, and cell apoptosis was detected by TUNEL method.

    RESULTS AND CONCLUSION: Light microscopy showed chondrocytes degeneration and reduction, as well as fibrosis in matrix of cartilage in the ischemia/reperfusion group. Chondrocyte apoptosis was observed in both groups by TUNEL. Several apoptotic cells, less than five, were observed in the sham-surgery, while 10-30 apoptotic cells were found in ischemia/reperfusion group at 48 hours. Results indicated that ischemia/reperfusion can induce degenerative changes in articular cartilage of femoral head epiphyses, and cell apoptosis in developing hip joint may participate in damage of articular cartilage. Inhibition of chondrocyte apoptosis in articular cartilage may be useful for the prevention and cure of early osteoarthritis.

    Figures and Tables | References | Related Articles | Metrics
    Biological characteristics of nucleus pulposus cells from human degenerative intervertebral disc using the improved simple method
    Wang Hai, Huang Bo, Zhou Yue, Wang Jian, Li Chang-qing
    2013, 17 (28):  5139-5144.  doi: 10.3969/j.issn.2095-4344.2013.28.007
    Abstract ( 469 )   PDF (465KB) ( 451 )   Save

    BACKGROUND: The commonly used culture methods for primary intervertebral disc cells are type Ⅱ collagenase alone digestion method, and type Ⅱ collagenase combined trypin digestion method. However,   the acquired cells are few.

    OBJECTIVE: To acquire nucleus pulposus cells from human degenerative intervertebral disc using a systemic and simplified method.

    METHODS: Nucleus pulposus cells were isolated and cultured. The morphology of nucleus pulposus cells was observed under inverted phase contrast microscope every day. Primary and subcultured cell suspension was applied for the determination of cell viability using trypan blue staining. The cell growth was detected with MTT assay. The cell morphology was observed under laser confocal microscopy.

    RESULTS AND CONCLUSION: Nucleus pulposus cells were successfully isolated from from human degenerative intervertebral disc using the improved method, and cells were subcultured to passage 3. Primary cells were fusiform shaped, while cells at passage 1 and 2 were triangle or polygonal, which were similar to fibroblasts. When cells almost reached the confluence, the cells showed slabstone-like appearance. Trypan blue staining showed that, the primary cell viability was 99%, and passage 3 cells had 93%-95% viability. The proliferation of nucleus pulposus cells gradually decreased as the generation increased. Compared with passage1 cells, passage 2 and 3 cells at logarithmic phase trended to be smoother. The cell morphology observed under laser confocal microscopy was similar to the results under phase contrast microscope. The improved simple method can successfully acquire a variety of cells from human degenerative intervertebral disc, and these cells show fine biological properties.

    Figures and Tables | References | Related Articles | Metrics
    Autologous platelet rich plasma repair facial nerve injury
    Zhang Xing-an, Wu Shu-jiang, Lu Hai-bin, Shi Xiu-quan, Wang Hong-ling, Cao Yun-liang, Li Yuan-xiu
    2013, 17 (28):  5145-5150.  doi: 10.3969/j.issn.2095-4344.2013.28.008
    Abstract ( 513 )   PDF (483KB) ( 542 )   Save

    BACKGROUND: Therapeutic methods for of peripheral facial nerve injury include surgery, physical therapy and drug treatment, but the treatment effect is not ideal in some certain cases.
    OBJECTIVE: To study the effect of autologous platelet rich plasma on repair of facial nerve injury.
    METHODS: The bilateral destroyed buccal nerve branches of the 10 white rabbits were put in silica gel nerve regeneration chamber, one side injected with platelet rich plasma as experimental group, the other side injected with normal saline as control group. The general observation, neuroelectrophysiology detection, histological observation, image analysis and evaluation of facial nerve regeneration recovery were performed at 8 weeks after surgery.
    RESULTS AND CONCLUSION: The action potential latency of the orbicularis oris at the experimental side was significantly lower than that at the control side, and the action potential amplitude (M wave) of compound nerve muscle of the experimental side was significantly higher than that of the control side (P < 0.01). Compared with the control side, the regenerative nerves of the experimental side were more mature with more regenerative axons, and the differentiation of myelin sheath was more mature and the thickness of myelin sheath was well-distributed. Meanwhile, the diameters of axons were closed to the normal diameter, and the nerve axons were more intensive and arranged more regularly, the outer membrane of nerve fiber was thicker and the collagen fiber and elastic fiber layer were increased when compared with the control group. The number of regenerative axons of the control side was less, and the axons were distributed irregularly and poorly developed, and a large number of fibrous connective tissues were observed. The vacuolar degeneration at the control side was more than the experimental side. The regenerated nerve in the experimental side was better than the control side in the diameter of myelinated axon, area, myelin sheath thickness and axon count, and there were significant differences between two groups (P < 0.01). It indicates that platelet rich plasma has a promoting effect in the repair and regeneration of facial nerve

    Figures and Tables | References | Related Articles | Metrics
    Optimized method for isolating and culturing human nucleus pulposus cells
    Zhang Zi-yan, Tong Shen, Yan Hua-dong, Jiang Rui, Wu Han
    2013, 17 (28):  5151-5156.  doi: 10.3969/j.issn.2095-4344.2013.28.009
    Abstract ( 682 )   PDF (457KB) ( 546 )   Save

    BACKGROUND: There are different methods to isolate and culture human nucleus pulposus cells, and the differences in digestive enzymes components and digestion time quite are significant. So how to rapidly and efficiently harvest human nucleus pulposus cells has become a research hotspot.

    OBJECTIVE: To optimize the digestive enzymes components and digestion methods for the preparation of human nucleus pulposus cells.

    METHODS: Nucleus pulposus tissue specimens were selected from three adult discs in the Department of Orthopedics, China-Japan Union Hospital of Jilin University. The acute traumatic disc tissues that outstanding to the spinal canal were taken under aseptic conditions, and then the peripheral white annulus and jelly-like nucleus pulposus in the center could be seen. According to different mixed enzyme concentration ratio, the samples were divided into two groups. The enzyme Ⅰ group was treated with 0.2% Ⅱ collagenase; and the mixed enzyme Ⅱ group was digested with 0.25% trypsin for 30 minutes, and then treated with 0.2% Ⅱ collagenase. According to digestion time, each group was divided into three subgroups: 2 hours group, 4 hours group, and overnight group. Finally, suspended cell volume was decided as 2 mL to count cells. Dulbecco’s modified Eagle’s medium containing fetal bovine serum was used for cell culture in vitro. Trypan blue staining was performed to count   total cell number and ratio of living cells. Methylthiazolyldiphenyl-tetrazolium bromide assay was used to detect the growth curve of nucleus pulposus cells.

    RESULTS AND CONCLUSION: Based on the two digestion enzyme concentration, the number of digested cells in the enzyme Ⅰ group was larger than that in the enzyme Ⅱ group after digested for 2 and 4 hours, but the difference was not significant (P > 0.05). Overnight, cell survival rate was decreased in the enzyme Ⅰ group after digested for 2 and 4 hours when compared with the enzyme Ⅱ group, and the difference was significant (P < 0.05). After digested for 4 hours, tissue blocks disappeared, and the number of cells reached maximum. The results indicate that enzyme Ⅰ group composite with Ⅱ collagenase is benefit for the separation of nucleus pulposus cells, and the digestion time is appropriate to 4 hours. This condition has the advantages of simple operation, high efficiency and low cost, and it considered that digestion of nucleus pulposus tissues with 0.2% Ⅱ collagenase for 4 hours is the best condition to obtain nucleus pulposus cells.

    Figures and Tables | References | Related Articles | Metrics
    Cyclic tensile stress affects the expression of matrix metalloproteinases in chondrocytes
    Liu Xing-mo, Sun Qing, Xiang Yu-cheng, Mei Xin-jun, Huang Sheng, Pan Tao
    2013, 17 (28):  5157-5163.  doi: 10.3969/j.issn.2095-4344.2013.28.010
    Abstract ( 472 )   PDF (546KB) ( 538 )   Save

    BACKGROUND: Previous studies have confirmed that in the animal models of articular cartilage defects and osteoarthritis, the chondrocytes can overexpress the matrix metalloproteinases. Various abnormal stimuli are likely to break the balance between matrix metalloproteinase and tissue inhibitor of metalloproteinase, thus leading to degeneration of extracellular matrix of articular cartilage, as well as the decline and offset of cartilage chondrocytes. 

    OBJECTIVE: To observe the effect of cyclic tensile strain on the expression of matrix metalloproteinases during the repairing process of rabbit articular cartilage defects.

    METHODS: The animal models of articular cartilage defects were established, and chondrocytes were separated for culture at 10 weeks after operation. The chondrocytes on the non-surgical side were considered as the normal group, and the chondrocytes on the surgical side were randomly divided into high cyclic tensile strain group, low cyclic tensile strains group and control group, and the load amplitude was sin10%. Then 0.1, 1.0 and 0 Hz cyclic tensile strains were loaded respectively. The expressions of matrix metalloproteinases 2, 3, 9 and 13 in each group were detected with reverse transcription-PCR at 24, 48 hours, 1, 2 and 4 weeks after loading cyclic tensile strain. 

    RESULTS AND CONCLUSION: There were significant differences in the expressions of matrix metalloproteinases 2, 3, 9 and 13 at 24 hours after loading cyclic tensile strain between the normal group and the control group (P < 0.05); and there were significant differences in the expressions between the high cyclic tensile strain group and the low cyclic tensile strain group at 1, 2 and 4 weeks after loading cyclic tensile strain (P < 0.05). At the same time, the expressions of matrix metalloproteinases 2, 3, 9 and 13 in the low cyclic tensile strain group were continued to decline, and there were significant differences in the expressions after loading cyclic tensile strain for 24 hours and 4 weeks (P < 0.05). The results indicate that mechanical load can affect the expression of matrix metalloproteinases in the healing process of rabbit articular cartilage defects. In the cellular and molecular level, the incidence and development of pathological articular cartilage defect and stress should affect each other.

    Figures and Tables | References | Related Articles | Metrics
    Three-dimensional finite element analysis of buccal-lingual mandibular width
    Zhang Jia-yu, Cui Jie, Liu Qin, He Hui-yu
    2013, 17 (28):  5164-5170.  doi: 10.3969/j.issn.2095-4344.2013.28.011
    Abstract ( 476 )   PDF (621KB) ( 545 )   Save

    BACKGROUND: Due to dentition defect, dentition loss, periodontal disease, trauma and tumor, many patients have to face insufficient buccal-lingual mandibular width. At present, there is no consistent conclusion in suitable peri-implant buccal-lingual mandibular width.

    OBJECTIVE: To investigate the stress of implant-bone interface with three-dimensional finite element method, in order to evaluate buccal-lingual mandibular width suitable for implants.

    METHODS: Classes Ⅰ and Ⅲ mandible implant models (the buccal-lingual width of implant neck region was 1, 1.5, 2, 2.5, 3 and 3.5 mm) were loaded with 200 N forces vertically and at 60° oblique. Then, the stress and strain in the implant-bone interfacial were analyzed. 

    RESULTS AND CONCLUSION: Almost 2 mm or more than 2 mm of mandible bone width could result in good stress distribution in implant-bone interface. The stress distribution of oblique loading was much greater than that of vertical loading. Proper quantity of peri-implant mandibular width is good for stress distribution in implant-bone interface. In the clinical treatment, the oblique loading should be avoided or reduced.

    Figures and Tables | References | Related Articles | Metrics
    Icariin inhibits orthodontically induced inflammatory root resorption
    Zhou Yan-ni, Cao Bao-cheng, Jiang Xiao-long, Cao Shuai
    2013, 17 (28):  5171-5176.  doi: 10.3969/j.issn.2095-4344.2013.28.012
    Abstract ( 384 )   PDF (439KB) ( 562 )   Save

    BACKGROUND: Icariin as one of the main components of Epimedium has an inhibitory effect on osteoclasts..
    OBJECTIVE: To further investigate the influence of icariin on the root absorption of the maxillary first molar at mesial part during orthodontic treatment in rats.
    METHODS: Orthodontic root resorption models were established in the left maxilla of rats. Local injection of     200 mg/kg icariin (icariin group) or normal saline (positive control group) was administrated into the left first molar buccal periosteum. The right maxilla of rats served as negative control group that was treated with neither appliance nor drug injection. The mesial distance between bilateral first molars and the contralateral maxillary incisor was measured before and after the appliance was placed. Mesial surface of the mesial root of bilateral maxillary first molars was observed using scanning electron microscope.
    RESULTS AND CONCLUSION: Mesial movement of the maxillary molars in the icariin group was significantly less than that in the positive control group (P < 0.05). Under the scanning electron microscope, small absorption lacunae were scattered in the icariin group, while the positive control group showed a large amount of absorption lacunae and they were interconnected into a sheet, showing a stark contrast with the smooth root surface of the negative control group. It is indicated that icariin can inhibit root resorption caused by orthodontic treatment, while reducing the amount of mesial movement of the molar under corrective force.

    Figures and Tables | References | Related Articles | Metrics
    Long-term effect of quad helix expansion of dental arch
    Wang Feng, Lu Huai-xiu, Lin Song-shan
    2013, 17 (28):  5177-5183.  doi: 10.3969/j.issn.2095-4344.2013.28.013
    Abstract ( 747 )   PDF (262KB) ( 595 )   Save

    BACKGROUND: Rapid expansion of the dental arch is an effective way to rapidly expanse the jaw. Compared with rapid expansion, the slow expansion has higher stability and less recurrence, but the reports on the long-term stability of quad helix expansion are rare.    
    OBJECTIVE: To retrospectively analyze the clinical effect of quad helix expansion in orthodontics.
    METHODS: Twenty-two subjects with dental arch stenosis in mixed dentition and early permanent dentition who experienced an expansion of at least 3 mm with quad helix appliance were selected for this study. Plaster dental casts and posteroanterior radiographs were evaluated at the beginning of the treatment (T1), at the completion of phase I quad helix expansion or full treatment (T2), and approximately 2 years following the completion of treatment (T3). The distance between two first molars was measured on the model. J point was drawn on the posteroanterior radiograph in order to measure the distance between the bilateral base bones and the molar inclination, as well as to evaluate the corrective and orthopedic effects of dental arch expansion. 
    RESULTS AND CONCLUSION: Compared with that before expansion, the first permanent molar inclination and the distance between base bones on two sides were significant increased after quad helix expansion; there were no significant differences in the distance between two first permanent molars, first permanent molar inclination and the distance between bilateral base bones on two sides when compared after quad helix expansion and after 2-year follow-up (P > 0.05). The results indicate that the long-term effect of quad helix expansion is stable with orthopedic effect.

    Figures and Tables | References | Related Articles | Metrics
    Telomere-associated factor expression in replicative senescence of human embryonic lung fibroblasts
    Du Hua, Xu Xiao-yan, Hai Ling, Shi Ying-xu
    2013, 17 (28):  5184-5190.  doi: 10.3969/j.issn.2095-4344.2013.28.014
    Abstract ( 434 )   PDF (664KB) ( 447 )   Save

    BACKGROUND: Telomere-associated proteins will directly affect the function of telomeres, adjust the length of telomeric DNA, which are closely related with cell senescence and carcinogenesis.
    OBJECTIVE: To find the key regulatory molecules in the cell senescence process through observing the telomere-associated factor expression in normal cell replicative senescence process.
    METHODS: Based on established cell replicative senescence model, reverse transcription-PCR and western blot were used to detect the telomere-associated factor expression on the molecular and protein levels, including the telomere-associated factor human telomere binding protein 1, tankyrase 1, telomerase RNA, telomere protection protein 1 and P53 expressions in the human embryonic lung fibroblast replicative senescence.
    RESULTS AND CONCLUSION: The results showed that with the cell senescence, transcription of human telomere binding protein 1 did not changed, while the protein expression of human telomere binding protein 1 was increased gradually and then decreased rapidly; mRNA and protein expressions of telomere protection protein 1 did not changed; with the human embryonic lung fibroblast replicative senescence, expression of telomere protection protein 1 was decreased gradually; with cell senescence, telomerase RNA component showed an increasing trend; protein expression of P53 did not changed. Human telomere binding protein 1, telomere protection protein 1 and telomerase RNA play an important role in cell senescence.

    Figures and Tables | References | Related Articles | Metrics
    High-density seeding affects transforming growth factor-beta1-induced epithelial-mesenchymal transition of HaCaT cells
    Zhang Dian-bao, Wang Zhe, Shi Ping, Pang Xi-ning
    2013, 17 (28):  5191-5197.  doi: 10.3969/j.issn.2095-4344.2013.28.015
    Abstract ( 531 )   PDF (554KB) ( 519 )   Save

    BACKGROUND: The cell density is one of the factors involved in the state of cell differentiation, and the effect of cell density on transforming growth factor-β1-induced epithelial-mesenchymal transition of HaCaT cells is still unclear.
    OBJECTIVE: To observe the effect of cell density on transforming growth factor-β1-induced epithelial-mesenchymal transition of HaCaT cells.
    METHODS: HaCaT cells was seeded in 6-well plates at low density of 103/cm2 and high density of 105/cm2, and then treated by 2 μg/L transforming growth factor-β1 for 48 hours, thereafter observed the changes in cell morphology. The transcription levels of epithelial cadherin, tight junction protein-1, vimentin, neuronal-cadherin were detected by real-time PCR, and expression levels of epithelial cadherin and vimentin were detected by Western blot.
    RESULTS AND CONCLUSION: Cell gap of HaCaT cells grew larger after treated with transforming growth factor-β1 for 48 hours, and cell morphology was long spindle rather than polygonal in low-density group, while in high-density group without obvious morphological changes. The real-time PCR showed that the transcriptions of epithelial cell marker epithelial cadherin and tight junction protein-1 were suppressed when compared with the control group (P < 0.05), and the decreasing deree in the high-density group was higher than that in the low-density group (P < 0.05), mesenchymal cell marker neuronal-cadherin and vimentin were upregulated in the high-density group and the low-density group when compared with the control group (P < 0.05), and there were no significant differences between high-density group and low-density group. Western blot results verified the changes of neuronal-cadherin and vimentin expression level. These results suggest that the high seeding density can inhibit transforming growth factor-β1-induced epithelial-mesenchymal transition of HaCaT cells.

    Figures and Tables | References | Related Articles | Metrics
    Expression of nerve growth factor p75 receptor and sortilin in the skin fibroblasts and scar fibroblasts
    Feng Zhang, Zhang Rui, Feng Yong-qiang, Zhou Yi-chong, Wang Yi-bing
    2013, 17 (28):  5198-5203.  doi: 10.3969/j.issn.2095-4344.2013.28.016
    Abstract ( 1010 )   PDF (475KB) ( 776 )   Save

    BACKGROUND:Previous studies have found that nerve growth factors play an important role in the process of wound healing, but there is less research for the low-affinity nerve growth factor receptor p75 and sortilin in fibroblasts, and no reports on whether there are differences in expression of p75 and sortilin in the scar fibroblasts and normal skin fibroblasts.  

    OBJECTIVE: To study the expression of low-affility nerve growth factor receptor p75 and sortilin in the normal human skin fibroblasts and the human keloid fibroblasts.

    METHODS: The keloid fibroblasts and normal hunman skin fibroblasts were cultured in vitro, and the immortalized epithelial cells HaCaT were used as the positive control. The real-time PCR was used to detect the mRNA expression of the p75 and sortilin in the keloid fibroblasts and normal human skin fibroblasts, and western blot and immunocytochemical staining were used to detect the protein expression of p75 and sortilin.

    RESULTS AND CONCLUSION: The real-time PCR and western blot results showed that in the protein and mRNA levels, p75 and sortilin showed positive expression in the keloid fibroblasts and normal human skin fibroblasts, and there was no significant difference in the expression of p75 between keloid fibroblasts and normal human skin fibroblasts, and the expressions of p75 and sortilin in the keloid fibroblasts and normal human skin fibroblasts were significantly lower than those in HaCaT. There was no significant difference of p75 expression between keloid fibroblasts and normal human skin fibroblasts, and the expression of sortilin in the keloid fibroblasts was significantly lower than that in the normal human skin fibroblasts (P < 0.05). Immunocytochemical staining result showed that the expression of p75 and sortilin in the keloid fibroblasts and normal human skin fibroblasts were distributed in the membrane and cytoplasm. Precursor nerve growth factor combined with high-affinity p75 receptor could promote the apoptosis of the cells with the help of sortilin, and the expression of sortilin in the keloid fibroblasts was significantly lower than that in the normal human skin fibroblasts, which may associated with the high proliferation of the keloid fibroblasts. The results provide a new target for the prevention and treatment of pathological scars.   

    Figures and Tables | References | Related Articles | Metrics
    Nerve growth factor promotes endogenous growth factor releasing from burn wounds
    Ye Lan-ping, Wu Yuan-yuan, Cao Guang-tong
    2013, 17 (28):  5204-5208.  doi: 10.3969/j.issn.2095-4344.2013.28.017
    Abstract ( 376 )   PDF (458KB) ( 420 )   Save

    BACKGROUND: Studies have confirmed that nerve growth factor can promote wound tissue to release all kinds of endogenous growth factors and growth factor receptors, which play a positive regulatory role. The nerve growth factor can promote cell proliferation and accelerate wound healing, thus making the wound healing developed from the passive waiting healing to active control healing.

    OBJECTIVE: To investigate the effects of local application of nerve growth factor on the expressions of transforming growth factor β1 and basic fibroblast growth factor in rat burn wounds.

    METHODS:Twenty-four adult Sprague Dawley rats were used in the study, and Ⅱ degree deep burn wound was made on the back of rats. Then, these rats were randomly divided into four groups. After burn wound debridement, the wounds were covered with gauzes containing 1, 2.5 and 5 μg/mL nerve growth factor solution and normal saline respectively. At 3, 5, 9 and 14 days after treatment, the wound healing time and percentage of residual wound were observed. Then, wound tissues were cut for histological examination, in order to detect the expressions of transforming growth factor β1 and basic fibroblast growth factor in wounds, as well as the cellular DNA cycle.

    RESULTS AND CONCLUSION: The wound healing time in the treatment groups was shorter than that in the control group, especially in 5 ug/mL nerve growth factor treatment group (P < 0.01), and the percentage of residual wound in the treatment groups was less than that in the control group. The histological examination showed the number of nucleated cells in the superficial dermis of the treatment groups was significant increased when compared with that in the control group; the expressions of transforming growth factor β1and basic fibroblast growth factor in the treatment groups at different time points were stronger than those in the control group, and the expressions at 5 and 9 days were stronger than those at 3 and 14 days; percentage of cells in S phase of the treatment groups was significantly increased, especially in 5 mg/L nerve growth factor group (P < 0.01). The results indicate that local application of nerve growth factor can accelerate wound healing by increasing the expressions of transforming growth factor β1 and basic fibroblast growth factor, stimulating mitosis and promoting proliferation.

    Figures and Tables | References | Related Articles | Metrics
    Apoptosis of human primary ovarian granulose cells infected with lentivirus carrying bcl-2 gene
    Wang Xue-feng, Tan Feng, Chen Yan-ying, Liu Mu-biao, He Yuan-li
    2013, 17 (28):  5209-5215.  doi: 10.3969/j.issn.2095-4344.2013.28.018
    Abstract ( 358 )   PDF (515KB) ( 539 )   Save

    BACKGROUND: Lentivirus can infect divided and undivided cells. It remains uncertain whether the lentivirus can successfully infect primary ovarian granulosa cells.

    OBJECTIVE: To investigate infecting ratio and cell apoptosis of lentivirus carrying bcl-2 gene in primary human ovarian granulose cells cultured in vitro.

    METHODS: The lentiviral vector carrying bcl-2 gene was constructed using molecular biology, and packaged into lentivirus with high titer. The resulting recombinant lentivirus carrying bcl-2 genes were then used to infect primary human ovarian granulosa cells in vitro at different multiplicity of infection, 10, 50, 100, 200, and 400. Infection efficiency and cell proliferation were observed at 24, 48, 72, and 96 hours following infection. Cell apoptosis was detected by flow cytometry, and bcl-2 gene transcription was assessed using reverse transcription PCR.

    RESULTS AND CONCLUSION: Primary human ovarian granulosa cells adhered at 24 hours, and exhibited polygon- or fusiform-shape and colony-like growth. When multiplicity of infection was 100, cell appearance and growth remained unchanged, and infection efficiency was high, which reached the peak up to 72 hours. Moreover, the positive rate was up to 60% in granulosa cells. Lentivirus carrying bcl-2gene could increase expression of Bcl-2 protein and inhibit apoptosis of primary ovarian granulosa cells.

    Figures and Tables | References | Related Articles | Metrics
    Alpha-lipoic acid inhibits mitochondrial oxidative stress in the rat skeletal muscle with chronic hypoxia exposure
    Xiao Pin, Pang Yi-hui, Peng Peng, Bo Hai
    2013, 17 (28):  5216-5222.  doi: 10.3969/j.issn.2095-4344.2013.28.019
    Abstract ( 455 )   PDF (401KB) ( 618 )   Save

    BACKGROUND: α-lipoic acid is named as “nature antioxidant” and “mitochondrial nutrition”. But it is unclear whether α-lipoic acid can be used to protect skeletal muscle with chronic hypoxia exposure, as well as the relative mechanism.
    OBJECTIVE: To observe the effect of α-lipoic acid on the antioxidant enzymes and oxidative stress in rat skeletal muscle with chronic hypoxia exposure, and to investigate the relative signaling pathway of α-lipoic acid.
    METHODS: Thirty-six Sprague Dawley rats were randomly divided into three groups: normoxia control group, hypoxia control group, and hypoxia+α-lipoic acid group. Rats in the hypoxia control group were subjected to hypoxia exposure in normobaric hypoxic tent with 11.3% oxygen concentration. Rats in the hypoxia+α-lipoic acid group were induced by adding α-lipoic acid (0.25%) in the normal diet. All the interventions were lasted for 4 weeks.
    RESULTS AND CONCLUSION: α-lipoic acid in hypoxia could markedly enhance the mitochondrial Sirtuin-3 expression, improve the mitochondrial adenosine triphosphate synthesis activity and membrane potential, up-regulate the mitochondrial state 3 respiratory rate, respiratory control ratio and ratio of phosphorus to oxygen, down-regulate the mitochondrial state 4 respiratory rate and promote and up-regulate the activity of mitochondrial antioxidant enzymes such as manganese superoxide dismutase, glutathione peroxidase and catalase, thus inhibiting mitochondrial H2O2 generation rate and reducing mitochondrial malondialdehyde level. The results indicated that α-lipoic acid could improve the efficiency of energy metabolism of chronic hypoxia skeletal muscle mitochondria and inhibit reactive oxygen generation, and it could inhibit the oxidative stress through improving  antioxidant enzyme activity of mitochondria. The protection mechanism of α-lipoic acid on hypoxia skeletal muscle mitochondria may be related to the increasing of mitochondrial state 3 respiratory rate.

    Figures and Tables | References | Related Articles | Metrics
    An efficient and practical method for culturing human ovarian surface epithelial cells
    Zhou Cong, Kang Jia-li, Wang Xiao-xia, Yang Wen-juan, Jiang Wen-yan
    2013, 17 (28):  5223-5228.  doi: 10.3969/j.issn.2095-4344.2013.28.020
    Abstract ( 596 )   PDF (540KB) ( 517 )   Save

    BACKGROUND: It is difficult to in vitro isolate and culture the ovarian surface epithelium with high purity, strong vitality and stable biological characteristics. Tissue adherence and enzymatic digestion are commonly used for primary culture, but there are certain problems in cell collection, cell viability and cell purity.  
    OBJECTIVE: To establish a method for primary isolating, culturing and identifying human ovarian epithelium.
    METHODS: The ovarian surface epithelium was obtained with cell brush innovatively, and then the cells were isolated and purified with erythrocyte spallation and differential adherence. The epidermal growth factor was added into the serum-free Dulbecco’s modified Eagle’s medium-F12 medium for cell culture. The cell morphology was observed under inverted microscope, and hematoxylin-eosin staining and immunocytochemical staining were used to identify the cells, then the growth curve was draw.

    RESULTS AND CONCLUSION: The ovarian surface epithelium became adherent after cultured for 24 hours, and reached fusion basically after cultured for 6-12 days. The cells were polygonal or flat with strong transparency and refraction. The morphological characteristics of the cells were in line with those of the normal epithelial cells, and almost all the isolated cells could express the epithelial cells surface marker CK19. The cells could be passaged for 6-8 generations with well growth and the cell growth curve was in “S” shape. The purity of the cells was more than 95%. The results suggest that cell brush method is simple to operate and can obtain a large amount of ovarian surface epithelium rapidly. The purity of the isolated cells can reach to 95% after treated with erythrocyte spallation and differential adherence method and the cells are in stable growth.

    Figures and Tables | References | Related Articles | Metrics
    Human telomerase reverse transcriptase protects human embryonic cortical neurons
    Wei Gui-fen, Liu Yan, Li Yan-ling, Zhang Hui-ai, Kong Ling-ping
    2013, 17 (28):  5229-5235.  doi: 10.3969/j.issn.2095-4344.2013.28.021
    Abstract ( 533 )   PDF (498KB) ( 407 )   Save

    BACKGROUND:Telomerase can maintain the telomere length and avoid cell replicative senescence and apoptosis in somatic cells. Its catalytic subunit called telomerase reverse transcriptase has roles in mediating cell survival and anti-apoptotic functions. 

    OBJECTIVE:To evaluate the effects of human telomerase reverse transcriptase on amyloid β1-40-induced human embryonic cortical neurons injury.

    METHODS: Human cortical neurons derived from 12-16 weeks old aborted fetuses were transfected with recombinant adenovirus vector encoding human telomerase reverse transcriptase. Expression of human telomerase reverse transcriptase was evaluated by immunocytochemical staining. Telomerase activity was measured using a PCR-based telomeric repeat amplification protocol enzyme-linked immunosorbent assay kit. Human embryonic cortical neurons were treated with 10 μmol/L ol/L amyloid β1-40 after transfected for 3 days. Cell viability, reactive oxygen species levels and glutathione contents in human embryonic cortical neurons were respectively detected by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay, fluorescent probe 2',7'-dichlorodihydrofluorescein diacetate and chromatometry.

    RESULTS AND CONCLUSION:Expression of human telomerase reverse transcriptase reached peak at 3 days after transfection, and the telomerase activity was rebuilt; 10 μmol/L amyloid β1-40 could significantly reduce the cell viability of neurons and glutathione content (P < 0.05 and P < 0.01), and increase the reactive oxygen species levels (P < 0.05). The neurons transfected with human telomerase reverse transcriptase gene could be significantly against the toxicity of amyloid β1-40 and increase the cell viability and glutathione content (P < 0.05 and P < 0.01), and decrease the reactive oxygen species levels (P < 0.05). The results indicate that human telomerase reverse transcriptase can protect amyloid β1-40-induced human embryonic cortical neurons injury

    Figures and Tables | References | Related Articles | Metrics
    Does Dlx abnormal expression regulate the migration of cranial neural crest cells and development of the first brachial arch?
    Liu Zhi-xu, Sun Hao, Wang Xu-dong
    2013, 17 (28):  5236-5242.  doi: 10.3969/j.issn.2095-4344.2013.28.022
    Abstract ( 460 )   PDF (560KB) ( 550 )   Save

    BACKGROUND: Dlx gene family is highly expressed in the cranial neural crest cells, and regulates the cranial neural crest cell migration and differentiation.
    OBJECTIVE: To review the mechanism that the highly-expressed Dlx genes mediate the cranial neural crest cell migration and differentiation.
    METHODS: An online search of CNKI and Medline databases was performed for articles published before 2013 using keywords of “cranial neural crest cells, migration of cranial neural crest cells, Dlx, Dlx overexpression, Fgf, chodrogenesis, osteogenesis” in Chinese and English, respectively. Relevant articles were summarized from three aspects: the migration of cranial neural crest cells, Dlx over-expression’s impact on the migration of cranial neural crest cells, interaction between the environment and Dlx genes. A total of 63 articles were included. According to inclusion criteria, 43 articles were retained at last.
    RESULTS AND CONCLUSION: Dlx abnormal-expression will lead to cell-cell adhesion. Dlx over-expression will induce most of the cranial neural crest cells aggregate and migrate to a wrong place, and result in skeletal dysmorphology. Dlx over-expression will also lead to ectopic chondrogenesis, and the interaction between cell factors can be the possible reason for this. 

    Figures and Tables | References | Related Articles | Metrics
    p38 mitogen-activated protein kinase signal transduction pathway is involved in osteoarthritis
    Tian Jia, Wang Wen-ya, Zhang Liu
    2013, 17 (28):  5243-5248.  doi: 10.3969/j.issn.2095-4344.2013.28.023
    Abstract ( 385 )   PDF (442KB) ( 597 )   Save

    BACKGROUND: p38 mitogen-activated protein kinase signal transduction pathway is a member of the mitogen-activated protein kinase family. It plays an important role in the development of osteoarthritis.
    OBJECTIVE: To review the progress of p38 mitogen-activated protein kinase signal transduction pathway in the pathological process of osteoarthritis.
    METHODS: An online search of CNKI and PubMed databases was performed for articles using keywords of “p38 mitogen-activated protein kinase signal transduction pathway, osteoarthritis, articular cartilage, chondrocyte” in Chinese and English, respectively. Relevant articles were summarized from three aspects of introduction of p38 signal transduction pathway, the role of p38 mitogen-activated protein kinase signal transduction pathway in osteoarthritis and the inhibitor of p38 in osteoarthritis. A total of 90 articles were included. According to inclusion criteria, a number of 46 articles were retained at last.
    RESULES AND CONCLUSION: p38 mitogen-activated protein kinase signal transduction pathway has a close relation with chondrocyte hypertrophy and calcification, chondrocyte apoptosis, synthesis of cartilage matrix metalloproteinase, production of proinflammatory cytokines, and exerts a significant effect on the development of osteoarthritis. p38 mitogen-activated protein kinase is involved in the formation and development of osteoarthritis through a variety of complex mechanisms and plays a very important role. Therefore, blocking p38 mitogen-activated protein kinase signaling pathway may be a new target in the treatment of osteoarthritis.

    Figures and Tables | References | Related Articles | Metrics
    Weightlessness causes lower limb muscle atrophy
    Han Zhong-yu, Jia Yi-jie, Tian Jing
    2013, 17 (28):  5249-5254.  doi: 10.3969/j.issn.2095-4344.2013.28.024
    Abstract ( 795 )   PDF (487KB) ( 793 )   Save

    BACKGROUND: Weightlessness is one of the important reasons to cause lower limb muscle atrophy of the astronauts, which is serious harm to the health of astronauts.
    OBJECTIVE: To explore the progress of weightlessness that cause lower limb muscle atrophy.
    METHODS: A computer-based online search of PubMed database and CNKI database was performed to search related articles between May 1981 and March 2013 with the key words of “weightless, weightlessness, muscle, atrophy, space” in English and Chinese, respectively. Literatures related to progress of weightlessness that cause lower limb muscle atrophy were selected; in the same field, the literatures published lately in authoritative journals were preferred.
    RESULTS AND CONCLUSION: A total of 409 literatures were primarily selected, and 47 documents were involved for summary according to the inclusion criteria. The progress of weightlessness that cause muscle atrophy is the hot topic among the space medical research. The main reasons that cause weightlessness muscular atrophy include the reduced muscle spindle neurotrophic factor synthesis caused by reduced information transmission of peripheral sensory nerve, damage of muscle cell ultrastructure, substantial decline in mitochondrial myofibrils, troponin decreasing, decreased intracellular calcium content, and decreased antigravity muscle blood flow in lower limbs.

    Figures and Tables | References | Related Articles | Metrics
    Effect and mechanism of acupuncture in the treatment of knee osteoarthritis
    Zhou Jing-hui, Wu Yao-chi, Xie Yan-yan, Zhang Jun-feng, Huang Cheng-fei, Sun Yi-jun
    2013, 17 (28):  5255-5260.  doi: 10.3969/j.issn.2095-4344.2013.28.025
    Abstract ( 1217 )   PDF (513KB) ( 895 )   Save

    BACKGROUND: Studies have shown that acupuncture combined with Chinese medicine has a certain effect in the treatment of knee osteoarthritis.
    OBJECTIVE: To investigate the mechanism and effect of acupuncture combined with Chinese medicine for the treatment of knee osteoarthritis.
    METHODS: The animal models of knee osteoarthritis were established to detect the expression levels of related factors, including matrix metalloproteinase 3, transforming growth factor β, interleukin-1β and tumor necrosis factor-α. The knee osteoarthritis patients treated with acupuncture combined with Chinese medicine were followed-up, and the patients received acupuncture in the main points and the adjunct points, as well as the Chinese medicine administration and the external application and fumigation. Then, the active function recovery of the knee joint was observed to identify the effect of acupuncture combined with Chinese medicine.
    RESUTLS AND CONCLUSION: Acupuncture can delay the destruction of knee joint articular cartilage and improve the knee function through decreasing the contents of matrix metalloproteinase 3, transforming growth factor β, interleukin-1β and tumor necrosis factor-α, thus playing the treatment effect on knee osteoarthritis. The knee osteoarthritis patients treated with acupuncture combined with Chinese medicine can obtain better effect, and the treatment efficiency is more than 90%. Compared with the single application of sodium hyaluronate or acupuncture treatment, acupuncture combined with Chinese medicine has higher treatment efficiency and better treatment effect.

    Figures and Tables | References | Related Articles | Metrics