Volume 37 Issue 9
Sep.  2021
Turn off MathJax
Article Contents
Gong X,Ye ZQ,Yu G,et al.Changes in the related indicators of bone formation and bone resorption in severely burned rats[J].Chin J Burns,2021,37(9):839-845.DOI: 10.3760/cma.j.cn501120-20200505-00253.
Citation: Gong X,Ye ZQ,Yu G,et al.Changes in the related indicators of bone formation and bone resorption in severely burned rats[J].Chin J Burns,2021,37(9):839-845.DOI: 10.3760/cma.j.cn501120-20200505-00253.

Changes in the related indicators of bone formation and bone resorption in severely burned rats

doi: 10.3760/cma.j.cn501120-20200505-00253
Funds:

Scientific Research Project of Health and Family Planning Commission of Wuhan City of China WX17Q11

More Information
  • Corresponding author: Xie Weiguo, Email: wgxie@hotmail.com
  • Received Date: 2020-05-05
  •   Objective  To observe the changes in the related indicators of bone formation and bone resorption in severely burned rats.  Methods  The experimental research method was adopted. Thirty female Sprague-Dawley rats aged 6 to 8 weeks were divided into sham injury group, 12% total body surface area (TBSA) full-thickness burn group, and 24%TBSA full-thickness burn group according to the random number table, with 10 rats in each group. The rats were treated on the back correspondingly, after which, the burned rats were rehydrated by intraperitoneal injection according to the Parkland formula, and the wound was coated with 20 g/L iodophor until wound healing. On post injury day (PID) 28, the tibia tissue of rats in each group was collected. The new bone tissue and the number of osteoclasts were observed after staining with Masson and tartrate-resistant acid phosphatase, respectively. The abdominal aortic blood of rats in each group was harvested for serum preparation. The bone metabolism indexes of serum calcium ion and phosphorus ion concentration were determined by the methyl thymol blue colorimetric method and phosphomolybdic acid method, respectively. The serum levels of bone formation marker of aminoterminal propeptide of type 1 procollagen (P1NP) and bone resorption marker of beta-carboxy-terminated peptide of type Ⅰ collagen (β-CTX) were determined by enzyme-linked immunosorbent assay. The first lumbar spine tissue of rats in each group was collected, and the mRNA expression levels of osteoprotegerin, receptor activator of nuclear factor-κB ligand (RANKL), tumor necrosis factor receptor-associated factor 6 (TRAF-6), nuclear factor of activated T cell 1 (NFATC1), c-Fos, and c-Src were detected by real-time fluorescent quantitative reverse transcription polymerase chain reaction. Data were statistically analyzed with one-way analysis of variance, Bonferroni method, Welch test, Games-Howell test, Kruskal-Wallis test, Mann-Whitney U test, and Bonferroni correction.  Results  On PID 28, compared with that in sham injury group, the formation of new bone tissue in the tibia tissue of rats in the two burn groups was decreased, and the larger the burn area, the more obvious the decrease. The numbers of osteoclasts in the tibia tissue of rats in the two burn groups were similar, both significantly more than the number in sham injury group. On PID 28, the serum calcium ion concentration and serum level of β-CTX of rats in the three groups were similar (P>0.05). The serum phosphorus ion concentration of rats in 24%TBSA full-thickness burn group was significantly higher than that in 12%TBSA full-thickness burn group (P<0.05), and the serum phosphorus ion concentrations in the two burn groups were significantly higher than the concentration in sham injury group (P<0.01). The serum level of P1NP of rats in 24%TBSA full-thickness burn group was significantly lower than that in sham injury group (P<0.01). On PID 28, the mRNA expression levels of osteoprotegerin in the first lumbar spine tissue of rats in sham injury group, 12%TBSA full-thickness burn group, and 24%TBSA full-thickness burn group were 1.01±0.20, 1.71±0.83, and 2.24±0.51, respectively, and that in 24%TBSA full-thickness burn group was significantly higher than that in sham injury group (P<0.01). The mRNA expression level of RANKL in the first lumbar spine tissue of rats in 24%TBSA full-thickness burn group was 1.31±0.17, which was significantly higher than 1.00±0.14 in sham injury group and 0.97±0.10 in 12%TBSA full-thickness burn group (P<0.01). The mRNA expression levels of TRAF-6, NFATC1 (Z=3.141, 3.782), and c-Src in the first lumbar tissue of rats in 12%TBSA full-thickness burn group and 24%TBSA full-thickness burn group and the mRNA expression level of c-Fos in the first lumbar tissue of rats in 12%TBSA full-thickness burn group were significantly higher than those in sham injury group (P<0.05 or P<0.01). The mRNA expression levels of c-Fos and c-Src in the first lumbar spine tissue of rats in 12%TBSA full-thickness burn group were significantly higher than those in 24%TBSA full-thickness burn group (P<0.01).  Conclusions  Severe burns can cause a decrease in the generation of new bone tissue, an increase in the number of osteoclasts and the serum phosphorus ion concentration, and a decrease in the serum level of P1NP in rats. The level of osteoprotegerin, RANKL, TRAF-6, NFATC1, c-Fos, and c-Src in bone tissue showed an increasing trend while the level of NFATC1, c-Fos, and c-Src showed a decreasing trend with the increase of burn area.

     

  • loading
  • [1]
    KaewboonchooO,SungFC,LinCL,et al.Risk of osteoporosis and fracture in victims with burn injury[J].Osteoporos Int,2019,30(4):837-843.DOI: 10.1007/s00198-018-04818-2.
    [2]
    KaewboonchooO,SungFC,LinCL,et al.Hip fracture risk in patients with burn injury: a retrospective cohort study in Taiwan[J].Osteoporos Int,2017,28(12):3415-3420.DOI: 10.1007/s00198-017-4209-7.
    [3]
    MayesT,GottschlichM,ScanlonJ,et al.Four-year review of burns as an etiologic factor in the development of long bone fractures in pediatric patients[J].J Burn Care Rehabil,2003,24(5):279-284.DOI: 10.1097/01.BCR.0000085844.84144.E0.
    [4]
    龚翔,谢卫国.烧伤后骨代谢异常[J].中华烧伤杂志,2016,32(8):502-504.DOI: 10.3760/cma.j.issn.1009-2587.2016.08.015.
    [5]
    HerndonDN,TompkinsRG.Support of the metabolic response to burn injury[J].Lancet,2004,363(9424):1895-1902.DOI: 10.1016/S0140-6736(04)16360-5.
    [6]
    LeblebiciB,SezginN,UlusanSN,et al.Bone loss during the acute stage following burn injury[J].J Burn Care Res,2008,29(5):763-767.DOI: 10.1097/BCR.0b013e31818480f4.
    [7]
    KleinGL.Burn-induced bone loss: importance, mechanisms, and management[J].J Burns Wounds,2006,5:e5.
    [8]
    O'HalloranE,KularJ,XuJK,et al.Non-severe burn injury leads to depletion of bone volume that can be ameliorated by inhibiting TNF-α[J].Burns,2015,41(3):558-564.DOI: 10.1016/j.burns.2014.09.004.
    [9]
    DuanJZ,YangY,ZhangEL,et al.Co-Cr-Mo-Cu alloys for clinical implants with osteogenic effect by increasing bone induction, formation and development in a rabbit model[J/OL].Burns Trauma,2020,8:tkaa036[2021-05-05]. http://www.ncbi.nlm.nih.gov/pubmed/33376752.DOI: 10.1093/burnst/tkaa036.
    [10]
    RathinaveluS,Guidry-ElizondoC,BanuJ.Molecular modulation of osteoblasts and osteoclasts in type 2 diabetes[J].J Diabetes Res,2018,2018:6354787.DOI: 10.1155/2018/6354787.
    [11]
    ChenX,ZhiX,PanPP,et al.Matrine prevents bone loss in ovariectomized mice by inhibiting RANKL-induced osteoclastogenesis[J].FASEB J,2017,31(11):4855-4865.DOI: 10.1096/fj.201700316R.
    [12]
    中华医学会骨质疏松和骨矿盐疾病分会.骨代谢生化标志物临床应用指南[J].中华骨质疏松和骨矿盐疾病杂志,2015,8(4):283-293.DOI: 10.3969/j.issn.1674-2591.2015.04.001.
    [13]
    苏延林,宁斌.骨质疏松的骨转换生物标志物及其临床应用[J/CD].转化医学电子杂志,2017,4(6):64-68.DOI: 10.3969/j.issn.2095-6894.2017.06.016.
    [14]
    NagyV,PenningerJM.The RANKL-RANK story[J].Gerontology,2015,61(6):534-542.DOI: 10.1159/000371845.
    [15]
    赵超莉,叶子青,阮琼芳,等.臭氧气浴对大鼠深Ⅱ度烧伤创面愈合及细胞因子表达的影响[J].中华实验外科杂志,2017,34(12):2084-2086.DOI: 10.3760/cma.j.issn.1001-9030.2017.12.022.
    [16]
    周季平,高智,孙业祥,等.高渗钠盐溶液复苏对严重烫伤大鼠早期肝脏损伤的影响[J].中华烧伤杂志,2017,33(1):31-36.DOI: 10.3760/cma.j.issn.1009-2587.2017.01.008.
    [17]
    KleinGL.The role of the musculoskeletal system in post-burn hypermetabolism[J].Metabolism,2019,97:81-86.DOI: 10.1016/j.metabol.2019.06.001.
    [18]
    徐晓东,邓洋洋,郑洪新.糖皮质激素诱导肾虚骨质疏松症大鼠骨组织中OPG/RANKLmRAN及蛋白表达的影响[J].中华中医药学刊,2013,31(12):2623-2627.
    [19]
    AugerC,SamadiO,JeschkeMG.The biochemical alterations underlying post-burn hypermetabolism[J].Biochim Biophys Acta Mol Basis Dis,2017,1863(10 Pt B):2633-2644.DOI: 10.1016/j.bbadis.2017.02.019.
    [20]
    JeschkeMG,MlcakRP,FinnertyCC,et al.Burn size determines the inflammatory and hypermetabolic response[J].Crit Care,2007,11(4):R90.DOI: 10.1186/cc6102.
    [21]
    KleinGL.Burns: where has all the calcium (and vitamin D) gone?[J].Adv Nutr,2011,2(6):457-462.DOI: 10.3945/an.111.000745.
    [22]
    KleinGL,BenjaminDA,HerndonDN.Calcemic response to burns differs between adults and children: a review of the literature[J].Osteoporos Sarcopenia,2017,3(4):170-173.DOI: 10.1016/j.afos.2017.10.001.
    [23]
    KleinGL,HerndonDN,ChenTC,et al.Standard multivitamin supplementation does not improve vitamin D insufficiency after burns[J].J Bone Miner Metab,2009,27(4):502-506.DOI: 10.1007/s00774-009-0065-7.
    [24]
    RechMA,Colon HidalgoD,LarsonJ,et al.Vitamin D in burn-injured patients[J].Burns,2019,45(1):32-41.DOI: 10.1016/j.burns.2018.04.015.
    [25]
    KleinGL,ChenTC,HolickMF,et al.Synthesis of vitamin D in skin after burns[J].Lancet,2004,363(9405):291-292.DOI: 10.1016/S0140-6736(03)15388-3.
    [26]
    龚翔,叶子青,张伟,等.重度烧伤患者早期血清护骨因子/核因子κ B受体激活蛋白配体和钙磷相关指标的变化[J].中华烧伤杂志,2020,36(8):704-709.DOI: 10.3760/cma.j.cn501120-20190616-00272.
    [27]
    HolickMF,BinkleyNC,Bischoff-FerrariHA,et al.Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline[J].J Clin Endocrinol Metab,2011,96(7):1911-1930.DOI: 10.1210/jc.2011-0385.
    [28]
    KleinGL.The role of calcium in inflammation-associated bone resorption[J].Biomolecules,2018,8(3):69.DOI: 10.3390/biom8030069.
    [29]
    HohmanEE,HodgesJK,WastneyME,et al.Serum calcium concentration is maintained when bone resorption is suppressed by osteoprotegerin in young growing male rats[J].Bone,2018,116:162-170.DOI: 10.1016/j.bone.2018.08.001.
    [30]
    KregeJH,LaneNE,HarrisJM,et al.PINP as a biological response marker during teriparatide treatment for osteoporosis[J].Osteoporos Int,2014,25(9):2159-2171.DOI: 10.1007/s00198-014-2646-0.
    [31]
    RousseauAF,DamasP,DelanayeP,et al.Bone markers during acute burn care: relevance to clinical practice?[J].Burns,2017,43(1):176-181.DOI: 10.1016/j.burns.2016.07.020.
    [32]
    HuT,YangQC,XuJ,et al.Role of β-isomerized C-terminal telopeptides (β-CTx) and total procollagen type 1 amino-terminal propeptide (tP1NP) as osteosarcoma biomarkers[J].Int J Clin Exp Med,2015,8(1):890-896.
    [33]
    KleinGL,XieYX,QinYX,et al.Preliminary evidence of early bone resorption in a sheep model of acute burn injury: an observational study[J].J Bone Miner Metab,2014,32(2):136-141.DOI: 10.1007/s00774-013-0483-4.
    [34]
    WalshMC,ChoiY.Biology of the RANKL-RANK-OPG system in immunity, bone, and beyond[J].Front Immunol,2014,5:511.DOI: 10.3389/fimmu.2014.00511.
    [35]
    JørgensenHS,WintherS,BøttcherM,et al.Bone turnover markers are associated with bone density, but not with fracture in end stage kidney disease: a cross-sectional study[J].BMC Nephrol,2017,18(1):284.DOI: 10.1186/s12882-017-0692-5.
    [36]
    MuschitzGK,SchwabeggerE,KocijanR,et al.Early and sustained changes in bone metabolism after severe burn injury[J].J Clin Endocrinol Metab,2016,101(4):1506-1515.DOI: 10.1210/jc.2015-3575.
    [37]
    SchryverE,KleinGL,HerndonDN,et al.Bone metabolism in pediatric burned patients: a review[J].Burns,2018,44(8):1863-1869.DOI: 10.1016/j.burns.2018.04.014.
    [38]
    KleinGL.Disruption of bone and skeletal muscle in severe burns[J].Bone Res,2015,3:15002.DOI: 10.1038/boneres.2015.2.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(2)  / Tables(3)

    Article Metrics

    Article views (171) PDF downloads(11) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return