scholarly journals Extracorporeal Shockwave Therapy Modulates the Expressions of Proinflammatory Cytokines IL33 and IL17A, and Their Receptors ST2 and IL17RA, within the Articular Cartilage in Early Avascular Necrosis of the Femoral Head in a Rat Model

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Jai-Hong Cheng ◽  
Shun-Wun Jhan ◽  
Chieh-Cheng Hsu ◽  
Hung-Wen Chiu ◽  
Shan-Ling Hsu
Keyword(s):  
Articular Cartilage ◽  
Femoral Head ◽  
Avascular Necrosis ◽  
Volume Fraction ◽  
Bone Volume Fraction ◽  
Trabecular Thickness ◽  
Extracorporeal Shockwave Therapy ◽  
Extracorporeal Shockwave ◽  
Shockwave Therapy ◽  
Trabecular Number

Avascular necrosis (AVN) of the femoral head (AVNFH) is a disease caused by injury to the blood supply of the femoral head, resulting in a collapse with osteonecrosis and damage to the articular cartilage. Extracorporeal shockwave therapy (ESWT) has been demonstrated to improve AVNFH owing to its anti-inflammation activity, angiogenesis effect, and tissue regeneration in clinical treatment. However, there are still so many pieces of the jigsaw that need to be fit into place in order to ascertain the mechanism of ESWT for the treatment of AVNFH. The study demonstrated that ESWT significantly protected the trabecular bone volume fraction BV/TV ( P < 0.01 ) and the trabecular thickness ( P < 0.001 ), while in contrast, the trabecular number and trabecular separation were not significantly different after treatment as compared with AVNFH. ESWT protected the articular cartilage in animal model of AVNFH. The levels of IL1-β and IL33 were significantly induced in the AVNFH group ( P < 0.001 ) as compared with Sham and ESWT groups and reduced in ESWT group ( P < 0.001 ) as compared with AVNFH group. In addition, the expression of the receptor of IL33, ST2, was reduced in AVNFH and induced after ESWT ( P < 0.001 ). The expression of IL17A was induced in the AVNFH group ( P < 0.001 ) and reduced in the ESWT group ( P < 0.001 ). Further, the expression of the receptor of IL17A, IL17RA, was reduced in the AVNFH group ( P < 0.001 ) and improved to a normal level in the ESWT group as compared with Sham group ( P < 0.001 ). Taken together, the results of the study indicated that ESWT modulated the expression of IL1-β, pro-inflammatory cytokines IL33 and IL17A, and their receptors ST2 and IL17RA, to protect against loss of the extracellular matrix in the articular cartilage of early AVNFH.

scholarly journals Extracorporeal shockwave therapy for avascular necrosis of femoral head

2015 ◽  
Vol 24 ◽  
pp. 184-187 ◽  
Author(s):  
Ching-Jen Wang ◽  
Jai-Hong Cheng ◽  
Chung-Cheng Huang ◽  
Han-Kan Yip ◽  
Sergio Russo
Keyword(s):  
Femoral Head ◽  
Avascular Necrosis ◽  
Extracorporeal Shockwave Therapy ◽  
Extracorporeal Shockwave ◽  
Shockwave Therapy ◽  
Necrosis Of Femoral Head

scholarly journals Extracorporeal shockwave therapy in osteonecrosis of femoral head

Medicine ◽  
2017 ◽  
Vol 96 (4) ◽  
pp. e5897 ◽  
Author(s):  
Qingyu Zhang ◽  
Lihua Liu ◽  
Wei Sun ◽  
Fuqiang Gao ◽  
Liming Cheng ◽  
...  
Keyword(s):  
Femoral Head ◽  
Extracorporeal Shockwave Therapy ◽  
Osteonecrosis Of Femoral Head ◽  
Extracorporeal Shockwave ◽  
Shockwave Therapy

scholarly journals Comparison of Trabecular Bone Mineral Density Measurement Using Hounsfield Unit and Trabecular Microstructure in Orthodontic Patients Using Cone-Beam Computed Tomography

2021 ◽  
Vol 11 (3) ◽  
pp. 1028
Author(s):  
Tae-Hyun Kim ◽  
Dong-Yul Lee ◽  
Seok-Ki Jung
Keyword(s):  
Bone Mineral Density ◽  
Bone Mineral ◽  
Volume Fraction ◽  
Cervical Vertebra ◽  
Hounsfield Unit ◽  
Mineral Density ◽  
Bone Volume Fraction ◽  
Trabecular Thickness ◽  
Trabecular Microstructure ◽  
Trabecular Number

The aim of this study was to measure the bone mineral density of specific regions of maxilla, mandible, and first cervical vertebra using the Hounsfield unit and trabecular microstructure pattern analysis and to compare the two methods. In this study, cone-beam computed tomography (CBCT) images were obtained from 58 patients. Trabecular thickness, trabecular number, trabecular separation, and bone volume fraction were measured in 484 regions for trabecular microstructure parameters and Hounsfield unit was measured for the grayscale value. There was no difference in bone mineral density between the right and left side in every site and between males and females. Trabecular thickness and trabecular number were high in the order of anterior base of the maxilla, mandibular body, first cervical vertebra, and mandibular condyle. Bone volume fraction and Hounsfield unit were high in the order of anterior base of the maxilla, mandibular body, mandibular condyle, and first cervical vertebra (p < 0.05). Trabecular thickness, trabecular number, and bone volume fraction was positively correlated to the Hounsfield unit, and trabecular separation was negatively correlated to the Hounsfield unit (p < 0.005). This study suggests that it is possible to compare the bone mineral density of trabecular bone in various sites using the Hounsfield unit and trabecular microstructure pattern analysis.

scholarly journals Measurement of trabecular bone parameters with different bone thickness and voxel size in mice using micro CT

2019 ◽  
Vol 15 (1) ◽  
pp. 65-68
Author(s):  
Nurin Nadzlah Abu Bakar ◽  
Basri Saidi ◽  
Lyana Shahirah Mohamad Yamin
Keyword(s):  
Trabecular Bone ◽  
Volume Fraction ◽  
Bone Volume ◽  
Bone Morphology ◽  
Bone Volume Fraction ◽  
Voxel Size ◽  
Trabecular Thickness ◽  
Bone Parameters ◽  
Trabecular Separation ◽  
Trabecular Number

Micro-CT is one of the best modalities in assessing bone morphology and microarchitecture in small animal models. Voxel size is directly related to the image resolution as it influences the bone morphology results. The purpose of this study was to assess the effects of t different thicknesses of structures on the trabecular bone qualitative parameters. It was also to find out the most appropriate voxel size when scanning a certain or specific body part with different thicknesses. Five BALB-C breed mice carcasses were scanned using two different voxel sizes of 18 and 35 µm. The scanning acquisition times were recorded to be compared and the trabecular bone parameters measurements were taken. Both trabecular number and trabecular separation were increased in thicker structures meanwhile bone volume fraction and trabecular thickness values were inconsistent with the increment of the structure thickness. The bone volume fraction, trabecular thickness and trabecular separation were higher in larger voxel size and vice versa for trabecular number. The scanning acquisition time has no apparent correlation with the trabecular bone parameters. The thickness of the bone structure did affect trabecular number and trabecular separation significantly but less affecting bone volume fraction and trabecular thickness. All trabecular bone parameters were found affected by the size of scanning voxel size used. The usage of 35 µm voxel was more recommended than 18 µm to save time and give out less radiation dose to specimen unless the detailed features of the trabecular pattern was very important.

scholarly journals Cross-sex testosterone therapy in ovariectomized mice: addition of low-dose estrogen preserves bone architecture

2017 ◽  
Vol 313 (5) ◽  
pp. E540-E551 ◽  
Author(s):  
Teddy G. Goetz ◽  
Ramanaiah Mamillapalli ◽  
Maureen J. Devlin ◽  
Amy E. Robbins ◽  
Masoumeh Majidi-Zolbin ◽  
...  
Keyword(s):  
Low Dose ◽  
Volume Fraction ◽  
Estrogen Therapy ◽  
Bone Volume ◽  
Bone Architecture ◽  
Bone Volume Fraction ◽  
Trabecular Thickness ◽  
Trabecular Separation ◽  
Bone Acquisition ◽  
Trabecular Number

Cross-sex hormone therapy (XHT) is widely used by transgender people to alter secondary sex characteristics to match their desired gender presentation. Here, we investigate the long-term effects of XHT on bone health using a murine model. Female mice underwent ovariectomy at either 6 or 10 wk and began weekly testosterone or vehicle injections. Dual-energy X-ray absorptiometry (DXA) was performed (20 wk) to measure bone mineral density (BMD), and microcomputed tomography was performed to compare femoral cortical and trabecular bone architecture. The 6-wk testosterone group had comparable BMD with controls by DXA but reduced bone volume fraction, trabecular number, and cortical area fraction and increased trabecular separation by microcomputed tomography. Ten-week ovariectomy/XHT maintained microarchitecture, suggesting that estrogen is critical for bone acquisition during adolescence and that late, but not early, estrogen loss can be sufficiently replaced by testosterone alone. Given these findings, we then compared effects of testosterone with effects of weekly estrogen or combined testosterone/low-dose estrogen treatment after a 6-wk ovariectomy. Estrogen treatment increased spine BMD and microarchitecture, including bone volume fraction, trabecular number, trabecular thickness, and connectivity density, and decreased trabecular separation. Combined testosterone-estrogen therapy caused similar increases in femur and spine BMD and improved architecture (increased bone volume fraction, trabecular number, trabecular thickness, and connectivity density) to estrogen therapy and were superior compared with mice treated with testosterone only. These results demonstrate estradiol is critical for bone acquisition and suggest a new cross-sex hormone therapy adding estrogens to testosterone treatments with potential future clinical implications for treating transgender youth or men with estrogen deficiency.

scholarly journals Subchondral Trabecular Microstructure and Articular Cartilage Damage Variations Between Osteoarthritis and Osteoporotic Osteoarthritis: A Cross-sectional Cohort Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Feng Zhou ◽  
Linyang Chu ◽  
Xuqiang Liu ◽  
Zihao He ◽  
Xuequan Han ◽  
...  
Keyword(s):  
Articular Cartilage ◽  
Trabecular Bone ◽  
Volume Fraction ◽  
Cartilage Damage ◽  
Linear Regression Analysis ◽  
Bone Volume ◽  
Bone Volume Fraction ◽  
Articular Cartilage Damage ◽  
Femoral Heads ◽  
Trabecular Number

Osteoporotic osteoarthritis (OP-OA) is a specific type of OA. In this study, we aimed to assess the subchondral plate and rod microstructural differences between OA and OP-OA patients by using an individual trabeculae segmentation (ITS) system and to analyze the relationships between subchondral microstructures and cartilage damage in OA and OP-OA patients. Overall, 31 femoral heads were included in this study, which included 11 samples with OA and 13 samples with OP-OA; the normal control (NC) group contained 7 healthy femoral heads. ITS was performed to segment the subchondral trabecular bone into plate and rod trabeculae based on microcomputed tomography (micro-CT) images. We compared the plate and rod trabeculae of the subchondral trabecular bone between OA and OP-OA patients. The Osteoarthritis Research Society International (OARSI) score was employed to evaluate cartilage damage based on histological observations. Pearson's correlation coefficient and linear regression analysis were applied to analyze the relationships between subchondral microstructures and articular cartilage damage. Results showed that several microstructural parameters, including bone volume fraction (BV/TV), plate bone volume fraction (pBV/TV), rod bone volume fraction (rBV/TV), plate trabecular number (pTb.N), rod trabecular number (rTb.N), junction density between rod and plate (R-P Junc.D), and junction density between plate and plate (P-P Junc.D), were significantly decreased in patients with OP-OA compared with those in patients with OA (p &lt; 0.05). Histological observations indicated that cartilage damage was more serious in patients with OP-OA than that in patients with OA (p &lt; 0.05). Moreover, BV/TV, pBV/TV, pTb.N, and pTb.Th were significantly related to the OARSI score in both OA and OP-OA patients. These results indicated that there were differences in the subchondral rod and plate trabeculae between OA and OP-OA patients. Subchondral decreased plate trabeculae (pBV/TV, pTb.N, and pTb.Th) might account for cartilage damage in the progression of OP-OA. This study provided new insights to research OA when it is combined with OP.

Sign in / Sign up

Export Citation Format

Share Document