1
|
Peng X, Xie AM, Fan HG, Zhu HL, Yang D, Wan DE, He F, Luo C, Li H, Shuang F. The clinical application value of 3.0T magnetic resonance T2 mapping imaging in evaluating the degree of acetabular cartilage degeneration in joint replacement surgery running title: MRI and acetabular cartilage degeneration. J Orthop Surg Res 2024; 19:414. [PMID: 39030606 PMCID: PMC11264721 DOI: 10.1186/s13018-024-04898-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2024] [Accepted: 07/03/2024] [Indexed: 07/21/2024] Open
Abstract
BACKGROUND To explore and compare the values of 3.0T magnetic resonance imaging (MRI) T2 mapping in evaluating the degree of acetabular cartilage degeneration in hip replacement surgery. METHODS A total of 26 elderly patients with femoral neck fractures who were scanned in 3.0T MRI T2 mapping quantification technique were included. Basing on MRI images, the degree of acetabular cartilage degeneration was classified into Grade 0, 1, 2, 3 and 4, according to the International Cartilage Repair Society (ICRS) scores. In addition, 8 healthy volunteers were included for control group. RESULTS By comparison with health population, T2 relaxation values in the anterior, superior, and posterior regions of acetabular cartilage in patients with femoral neck fracture were obviously increased (P < 0.001). Among the patients with femoral neck fractures, there were 16 hip joint with Grade 1-2 (mild degeneration subgroup) and 10 hip joints with Grade 3-4 (severe degeneration subgroup), accounting for 61.54% and 38.46%, respectively. Additionally, T2 relaxation values in the anterior and superior bands of articular cartilage were positively related to the MRI-based grading (P < 0.05); while there was no significant difference of T2 relaxation values in the posterior areas of articular cartilage between severe degeneration subgroup and mild degeneration subgroup (P > 0.05). Importantly, acetabular cartilage degeneration can be detected through signal changes of T2 mapping pseudo-color images. CONCLUSION 3.0T MRI T2 mapping technology can be used to determine the degree of acetabular cartilage degeneration, which can effectively monitor the disease course.
Collapse
Affiliation(s)
- Xiang Peng
- Department of Orthopedics, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, No.1028 Jinggangshan Street, Qingyunpu District, Nanchang, 330002, Jiangxi Province, China
| | - An-Min Xie
- Department of Diagnostic Radiology, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, Nanchang, 330002, Jiangxi Province, China
| | - Hua-Gang Fan
- Department of Diagnostic Radiology, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, Nanchang, 330002, Jiangxi Province, China
| | - Hong-Liang Zhu
- Department of Orthopedics, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, No.1028 Jinggangshan Street, Qingyunpu District, Nanchang, 330002, Jiangxi Province, China
| | - Di Yang
- Department of Orthopedics, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, No.1028 Jinggangshan Street, Qingyunpu District, Nanchang, 330002, Jiangxi Province, China
| | - De-En Wan
- Department of Orthopedics, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, No.1028 Jinggangshan Street, Qingyunpu District, Nanchang, 330002, Jiangxi Province, China
| | - Fei He
- Department of Quality Management, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, Nanchang, 330002, Jiangxi Province, China
| | - Chong Luo
- Department of Orthopedics, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, No.1028 Jinggangshan Street, Qingyunpu District, Nanchang, 330002, Jiangxi Province, China
| | - Hao Li
- Department of Orthopedics, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, No.1028 Jinggangshan Street, Qingyunpu District, Nanchang, 330002, Jiangxi Province, China.
| | - Feng Shuang
- Department of Orthopedics, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, No.1028 Jinggangshan Street, Qingyunpu District, Nanchang, 330002, Jiangxi Province, China.
| |
Collapse
|
2
|
Shang P, Liu Y, Ren J, Liu Q, Song H, Jia J, Liu Q. Overexpression of miR-532-5p restrains oxidative stress response of chondrocytes in nontraumatic osteonecrosis of the femoral head by inhibiting ABL1. Open Med (Wars) 2024; 19:20240943. [PMID: 38584839 PMCID: PMC10997031 DOI: 10.1515/med-2024-0943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 03/05/2024] [Accepted: 03/06/2024] [Indexed: 04/09/2024] Open
Abstract
This study is to probe into the meaning of serum miR-532-5p in nontraumatic osteonecrosis of the femoral head (ONFH), and a molecular mechanism of miR-532-5p in the development of nontraumatic ONFH. This study enrolled 96 patients diagnosed with nontraumatic ONFH and 96 patients with femoral neck fracture. The levels of miR-532-5p, ABL1, MMP-3, MMP-13, and cleaved-caspase3 were determined. Radiographic progression was assessed by ARCO staging system. Visual analog scale (VAS) and Harris hip score (HHS) were employed for evaluation of the symptomatic severity of nontraumatic ONFH. Cell viability and apoptosis in chondrocytes isolated from clinical samples were investigated with CCK-8 and flow cytometry. The levels of lactic dehydrogenase (LDH), superoxide dismutase (SOD), and malondialdehyde (MDA), mitochondrial membrane potential (ΔΨm), and reactive oxygen species (ROS) were determined. miR-532-5p was downregulated in tissues and serum of patients with nontraumatic ONFH, negatively related with ARCO staging and VAS, and positively correlated with HHS. Cell apoptosis, LDH, MDA, and ROS strengthened, while cell viability, ΔΨm, and SOD reduced in chondrocytes of nontraumatic ONFH patients. ABL1 was upregulated in cartilage tissues from nontraumatic ONFH patients. miR-532-5p targeted ABL1, and overexpressed miR-532-5p alleviated nontraumatic ONFH-induced oxidative stress damage of chondrocytes by restraining ABL1. miR-532-5p ameliorated oxidative stress injury in nontraumatic ONFH by inhibiting ABL1.
Collapse
Affiliation(s)
- Peng Shang
- Department of Orthopedics, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Shanxi, 030032, P.R. China
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, P.R. China
| | - Ying Liu
- Department of Oncology, Second Hospital of Shanxi Medial University, Taiyuan, Shanxi, 030001, P.R. China
| | - Jie Ren
- Department of Orthopedics, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Shanxi, 030032, P.R. China
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, P.R. China
| | - Qingqing Liu
- Department of Orthopedics, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Shanxi, 030032, P.R. China
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, P.R. China
| | - Haobo Song
- Department of Orthopedics, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Shanxi, 030032, P.R. China
| | - Junqing Jia
- Department of Orthopedics, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, No. 99, Longcheng Street, Taiyuan, Shanxi, 030032, P.R. China
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095, Jiefang Avenue, Wuhan, Hubei, 430030, P.R. China
| | - Qiang Liu
- Department of Orthopedics, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, No. 99, Longcheng Street, Taiyuan, Shanxi, 030032, P.R. China
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095, Jiefang Avenue, Wuhan, Hubei, 430030, P.R. China
| |
Collapse
|
3
|
Shi W, Zhang X, Xu C, Pang R, Fan Z, Wan X, Jiang Z, Li H, Li Z, Zhang H. Identification of Hub Genes and Pathways Associated with Oxidative Stress of Cartilage in Osteonecrosis of Femoral Head Using Bioinformatics Analysis. Cartilage 2022; 13:19476035221074000. [PMID: 35118903 PMCID: PMC9137318 DOI: 10.1177/19476035221074000] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
OBJECTIVE This study aimed to identify the hub genes and pathways of genes related to oxidative stress of cartilage in osteonecrosis of femoral head (ONFH), and to predict the transcription factors of the hub genes. METHODS The GSE74089 was obtained from the Gene Expression Omnibus (GEO) database, including 4 necrotic tissues and 4 normal tissues, and the differentially expressed genes (DEGs) were identified by limma package in R language. Simultaneously, we searched for the genes related to oxidative stress in the Gene Ontology (GO) database. GO and signaling pathways analysis were performed using DAVID, Metascape, and GSEA. Protein-protein interaction (PPI) network was constructed using the STRING database, and the Degree algorithm of Cytoscape software was used to screen for hub genes. Finally, the NetworkAnalyst web tool was used to find the hub genes' transcriptional factors (TFs). RESULTS In total, 440 oxidative stress-related genes were found in GSE74089 and GO database, and 88 of them were significantly differentially expressed. These genes were mainly involved in several signaling pathways, such as MAPK signaling pathway, PI3K-AKT-mTOR signaling pathway, FOXO signaling pathway. The top 10 hub genes were JUN, FOXO3, CASP3, JAK2, RELA, EZH2, ABL1, PTGS2, FBXW7, MCL1. Besides, TFAP2A, GATA2, SP1, and E2F1 may be the key regulatory factors of hub genes. CONCLUSIONS We identified some hub genes and signaling pathways associated with oxidative stress in ONFH through a series of bioinformatics analyses.
Collapse
Affiliation(s)
- Wei Shi
- Department of Orthopedics, General Hospital of Tianjin Medical University, Tianjin, P.R. China
| | - Xinglong Zhang
- Department of Orthopedics, General Hospital of Tianjin Medical University, Tianjin, P.R. China
| | - Chunlei Xu
- Department of Orthopedics, General Hospital of Tianjin Medical University, Tianjin, P.R. China
| | - Ran Pang
- Department of Orthopedics, General Hospital of Tianjin Medical University, Tianjin, P.R. China
| | - Zhenqi Fan
- Department of Orthopedics, General Hospital of Tianjin Medical University, Tianjin, P.R. China
| | - Xin Wan
- Department of Orthopedics, General Hospital of Tianjin Medical University, Tianjin, P.R. China
| | - Zhaohui Jiang
- Department of Orthopedics, General Hospital of Tianjin Medical University, Tianjin, P.R. China
| | - Hui Li
- Department of Orthopedics, General Hospital of Tianjin Medical University, Tianjin, P.R. China
| | - Zhijun Li
- Department of Orthopedics, General Hospital of Tianjin Medical University, Tianjin, P.R. China,Zhijun Li, Department of Orthopedics, General Hospital of Tianjin Medical University, Tianjin 300052, P.R. China.
| | - Huafeng Zhang
- Department of Orthopedics, General Hospital of Tianjin Medical University, Tianjin, P.R. China
| |
Collapse
|
4
|
Song J, Wu J, Poulet B, Liang J, Bai C, Dang X, Wang K, Fan L, Liu R. Proteomics analysis of hip articular cartilage identifies differentially expressed proteins associated with osteonecrosis of the femoral head. Osteoarthritis Cartilage 2021; 29:1081-1092. [PMID: 33892138 DOI: 10.1016/j.joca.2021.04.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Revised: 03/16/2021] [Accepted: 04/12/2021] [Indexed: 02/06/2023]
Abstract
OBJECTIVE The cartilage degeneration that accompanies subchondral bone necrosis plays an important role in the development of osteonecrosis of femoral head (ONFH). To better understand the molecular basis of cartilage degradation in ONFH, we compared the proteomic profiles of ONFH cartilage with that of fracture control. DESIGN Hip cartilage samples were collected from 16 ONFH patients and 16 matched controls with femoral neck fracture. Proteomics analysis was conducted using tandem mass tag-based quantitation technique. Gene ontology (GO) analysis, KEGG pathway and protein-protein interaction analysis were used to investigate the functions of the altered proteins and biological pathways. Differentially expressed proteins including alpha-2-HS-glycoprotein (AHSG) and Cytokine-like protein 1 (Cytl1) were validated by Western blot (WB) and immunohistochemistry (IHC). RESULTS 303 differentially expressed proteins were identified in ONFH cartilage with 72 up-regulated and 231 down-regulated. Collagen turnover, glycosaminoglycan biosynthesis, metabolic pathways, and complement and coagulation cascades were significantly modified in ONFH cartilage. WB and IHC confirmed the increased expression of AHSG and decreased expression of Cytl1 in ONFH cartilage. CONCLUSIONS Our results reveal the implication of altered protein expression in the development of ONFH, and provide novel clues for pathogenesis studies of cartilage degradation in ONFH.
Collapse
Affiliation(s)
- J Song
- Department of Orthopaedics, The Second Affiliated Hospital, Xi'an Jiaotong University, NO.157, Xiwu Road, Xi'an, Shaanxi, 710004, PR China.
| | - J Wu
- Department of Orthopaedics, The Second Affiliated Hospital, Xi'an Jiaotong University, NO.157, Xiwu Road, Xi'an, Shaanxi, 710004, PR China; Department of Orthopaedics, Luoyang Central Hospital Affiliated to Zhengzhou University, Luoyang, Henan Province, 471009, PR China.
| | - B Poulet
- Institute of Ageing and Chronic Disease, University of Liverpool, William Henry Duncan Building, West Derby Road, Liverpool, L7 8TX, UK.
| | - J Liang
- Department of Orthopaedics, The Second Affiliated Hospital, Xi'an Jiaotong University, NO.157, Xiwu Road, Xi'an, Shaanxi, 710004, PR China.
| | - C Bai
- Department of Orthopaedics, The Second Affiliated Hospital, Xi'an Jiaotong University, NO.157, Xiwu Road, Xi'an, Shaanxi, 710004, PR China.
| | - X Dang
- Department of Orthopaedics, The Second Affiliated Hospital, Xi'an Jiaotong University, NO.157, Xiwu Road, Xi'an, Shaanxi, 710004, PR China.
| | - K Wang
- Department of Orthopaedics, The Second Affiliated Hospital, Xi'an Jiaotong University, NO.157, Xiwu Road, Xi'an, Shaanxi, 710004, PR China.
| | - L Fan
- Department of Orthopaedics, The Second Affiliated Hospital, Xi'an Jiaotong University, NO.157, Xiwu Road, Xi'an, Shaanxi, 710004, PR China.
| | - R Liu
- Department of Orthopaedics, The Second Affiliated Hospital, Xi'an Jiaotong University, NO.157, Xiwu Road, Xi'an, Shaanxi, 710004, PR China; Institute of Ageing and Chronic Disease, University of Liverpool, William Henry Duncan Building, West Derby Road, Liverpool, L7 8TX, UK.
| |
Collapse
|
5
|
Chen L, Hong G, Hong Z, Lin T, Chen Z, Zhang Q, He W. Optimizing indications of impacting bone allograft transplantation in osteonecrosis of the femoral head. Bone Joint J 2020; 102-B:838-844. [PMID: 32600141 DOI: 10.1302/0301-620x.102b7.bjj-2019-1101.r2] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
AIMS The aim of this study was to report the medium-term outcomes of impaction bone allograft and fibular grafting for osteonecrosis of the femoral head (ONFH) and to define the optimal indications. METHODS A total of 67 patients (77 hips) with ONFH were enrolled in a single centre retrospective review. Success of the procedure was assessed using the Harris Hip Score (HHS) and rate of revision to total hip arthroplasty (THA). Risk factors were studied, including age, aetiology, duration of hip pain, as well as two classification systems (Association Research Circulation Osseous (ARCO) and Japanese Investigation Committee (JIC) systems). RESULTS After a mean follow-up period of 8.61 years (SD 1.45), 81.3% (52/64) of enrolled cases had a good or excellent HHS at latest follow-up (declining to 76.0% (38/50) for those with more than eight years of follow-up). Overall survival was 92.1% at eight years' follow-up (95% CI 83.2% to 96.4%). A total of 12 hips (19.0%) failed (reoperation or HHS < 70 points) at final follow-up. Rate of success was adversely affected by increasing age, duration of pain, and more severe disease as measured using the ARCO and JIC classifications, but not by aetiology of the ONFH. CONCLUSION We report favourable medium-term results of this procedure. Best outcomes can be expected in patients matching the following indications: younger than 40 years; less 12-month hip pain before surgery; femoral head collapse being less than 2 mm; and integrated lateral wall of femoral head. Cite this article: Bone Joint J 2020;102-B(7):838-844.
Collapse
Affiliation(s)
- Leilei Chen
- Department of Orthopedic, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.,Institute of Orthopedics, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Guoju Hong
- Institute of Orthopedics, Guangzhou University of Chinese Medicine, Guangzhou, China.,Division of Orthopaedic Surgery, the University of Alberta, Edmonton, Canada
| | - Zhinan Hong
- Institute of Orthopedics, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Tianye Lin
- Institute of Orthopedics, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Zhenqiu Chen
- Department of Orthopedics, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Qingwen Zhang
- Department of Orthopedics, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Wei He
- Institute of Orthopedics, Guangzhou University of Chinese Medicine, Guangzhou, China.,Department of Orthopedic, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.,Jinshazhou Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
| |
Collapse
|