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骨质疏松症中骨骼肌线粒体的功能变化及机制研究
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摘要
目的:
     从线粒体的角度探讨骨骼肌与骨质疏松的关系,以期为骨骼肌作为治疗靶点提供客观合理的量化依据,同时为中医“肾主骨、脾主肌、脾肾相关”理论治疗骨质疏松症提供科学的依据。
     方法:
     一、临床实验
     选择自2008年5月到2008年12月期间在广州中医药大学第一附属医院因腰椎间盘突出或者腰椎管狭窄症需要行手术治疗的女性骨质疏松患者13例,另选同时期需上述手术治疗的女性非骨质疏松患者13例,总共26例。于术中收集肌肉组织,提取骨骼肌线粒体,进行细胞色素C氧化酶和线粒体通透转换孔的活性检测,并进行相关性分析;
     二、动物实验
     选择雌性未孕的SD大鼠52只,按随机数字表法分为手术组36只,空白组16只,手术组行双侧卵巢切除,空白组不切除卵巢。术后3个月,从两组中分别随机选取6只大鼠,进行骨密度检查。在确定造模成功后,将手术组剩下的36只大鼠再随机分为3组,每组10只,分别为模型组、雌激素组、中药组。空白组中剩下的10只大鼠为空白对照组。各组进行灌胃给药治疗,灌胃给药容积为10ml/kg,空白组、模型组灌服蒸馏水;中药组给予中药按4.8g/kg灌胃(相当于临床剂量的10倍),药物以蒸馏水定容至所需浓度,即10ml/kg灌服给药,每日一次;尼尔雌醇组给予尼尔雌醇1mg/kg灌胃,使用前配成混悬液(浓度为0.167mg/ml),1次/周,其余时间给予蒸馏水10ml/kg灌胃。治疗3个月后,收集肌肉组织进行细胞色素C氧化酶、线粒体活性氧和线粒体通透转换孔的活性检测。
     结果:
     一、临床实验,
     ①在线粒体通透转换孔在0 min和30 min的OD值比较中,非骨质疏松组在0 min的OD值为0.182±0.047,而在30 min的OD值为0.181±0.046;骨质疏松组在0 min的OD值为0.143±0.071,而在30 min的OD值为0.141±0.071。随着时间的推移,两组的OD值均呈下降的趋势,30 min的OD值与0 min比较,有统计学意义(P<0.05),表明线粒体通透孔的活性增强;但两组在同一时间点比较,无统计学意义P>0.05)。
     ②在线粒体通透转换孔活性变化的比较方面,非骨质疏松组的OD比值为0.994±0.007,而骨质疏松组为0.985±0.006,两者比较,有统计学意义(P<0.05)。
     ③在线粒体细胞色素C氧化酶的活性比较方面,非骨质疏松组为0.338±0.142,骨质疏松组为0.124±0.093,两者比较,有统计学意义(P<0.05)。
     ④在线粒体通透转换孔与细胞色素C氧化酶的相关性分析中,线粒体通透转换孔的OD比值与细胞色素C氧化酶的活性存在着正相关的关系(r=0.405,P=0.04<0.05),回归方程如下:Y(细胞色素C氧化酶的活性)=-7.127+7.435X(线粒体通透转换孔的OD值)。
     二、动物实验
     ①最后纳入研究的动物35只。
     ②在线粒体通透转换孔在0 min、30 min和60min的OD值比较中,各组线粒体通透转换孔的变化,均呈下降趋势。空白对照组在60min时的OD值与30min时比较,有统计学意义(P<0.05);模型组在60 min时的OD值与0min与30min时比较,差异有统计学意义(P<0.05),而且30min时的OD值与0min时的比较,也有统计学意义(P<0.05);而雌激素组在各个时间点上的比较,差异均无统计学意义(P>0.05);中药组在60min时的OD值;与0min与30min时比较,差异有统计学意义(P<0.05),但30min时的OD值与0min,时的比较,差异无统计学意义(P>0.05)。
     ③在线粒体通透转换孔活性比较方面,各组在线粒体通透转换孔活性比较方面,在30min/0minOD比值的比较中,空白对照组的OD值为1.000±0.025,模型组为0.975±0.014,雌激素组为0.993±0.022,中药组为0.990±0.010。雌激素组、空白对照组与模型组比较,差异均有统计学意义(P<0.05),而中药组与其他各组比较,差异无统计学意义(P>0.05)。而在60min/0minOD比值的比较中,空白对照组的OD值为1.000±0.047,模型组为0.956±0.016,雌激素组为0.984±0.030,中药组为0.976±0.025,雌激素组和空白对照组与模型组比较,差异均有统计学意义(P<0.05),而中药组与其他各组比较,差异无统计学意义(P>0.05)。各组在30min/0min与60min/0minOD比值比较中,除空白对照组的两个比值,差异无统计学意义外(P>0.05),其余各组的比值,差异均有统计学意义。
     ④在细胞色素C氧化酶比较方面,空白对照组为0.0200±0.0141,模型组为0.0070±0.0051,雌激素组为0.0134±0.0064,中药组为0.0130±0.0092,空白对照组的活性与模型组的比较,差异有统计学意义(P<0.05)。雌激素组、中药组与模型组比较,差异无统计学意义(P>0.05);
     ⑤在线粒体活性氧比较方面,空白对照组(1898.89±1078.39、1900.00±1078.76、1911.33±1078.14、1911.33±1077.37)、模型组(2271.22±1349.76、2282.79±1350.78、2297.22±1376.74、2297.00±1375.35)、雌激素组(2227.67±1365.95、2239.89±1363.75、2244.11±1363.55、2242.00±1357.36)和中药组(1536.25±835.51、1576.38±836.50、1550.86±835.27、1550.86±835.27)在15min、20min、30min、45min比较,差异均无统计学意义(P>0.05),但在这些时间点上,模型组的含量最高,其次为雌激素组和空白对照组,最后为中药组。
     结论:骨骼肌线粒体变化和骨质疏松存在着互相影响的关系,而通过药物干预后,能有效地调控线粒体的活性变化,抑制肌细胞的凋亡,从而有效地调控骨质疏松的发展。主要结论如下:
     ①在线粒体通透转换孔的通透性方面,骨质疏松骨骼肌的通透性增大,表示有更多的促凋亡的物质刺激或通过该孔,从而更快地诱导细胞的凋亡,也提示骨质疏松骨骼肌的线粒体损伤程度较非骨质疏松的严重。
     ②在细胞色素C氧化酶方面,骨质疏松骨骼肌的细胞色素C氧化酶活性较非骨质疏松低,提示骨质疏松骨骼肌的线粒体外膜完整性较非骨质疏松的差,从而揭示骨质疏松骨骼肌的细胞凋亡速度较非骨质疏松快。
     ③在线粒体通透转换孔的通透性与细胞色素C氧化酶的关系方面,线粒体通透转换孔的OD比值与细胞色素C氧化酶的活性存在着正相关的关系,而线粒体OD比值与通透性是反比的关系,这说明,线粒体通透转换孔的通透性越大(OD比值越小),细胞色素C氧化酶的活性越小。这揭示了只要维持细胞色素C氧化酶的活性,就能有效地防治细胞的过早衰老。从另一个侧面来说,这就为治疗骨质疏松提供一个新的治疗靶点。
     ④在活性氧的活性方面,骨质疏松和非骨质疏松没有明显的差异,可能的原因是活性氧含量的多少对雌激素缺乏大鼠骨骼肌的影响表现不敏感。但随着时间的推移,其含量是不断增加的,这表示细胞在不断积累,当到达一定量时启动细胞的凋亡程序。
     ⑤补肾健脾中药在线粒体通透转换孔、细胞色素C氧化酶和或活性氧这三个指标中,尽管与雌激素相比,未能达到明显的效果,但从其数值的变化来说,认为该中药可以改善线粒体通透转换孔的通透性,提高细胞色素C氧化酶和降低活性氧的含量,是未来研究以骨骼肌为作用靶点的药物之一。
Objective
     Investigate the relationship between osteoporosis and skeletal muscle from the perspective of mitochondrion,which to provide the objective reasonable quantification basis for the skeletal muscle as a therapeutic target,and provide a scientific basis for chinese medicine theory of "kidney controlling bones,spleen controlling muscle and spleen-renal interrelationship" in the treatment of osteoporosis.
     Method
     The clinical experiment
     26 female patients were selected from the first hospital affiliated to Guangzhou university of CM between May 2008 and December 2008,who were diagnosed for lumbar intervertebral disc herniation or lumbar spinal stenosis to need surgery.They were divided into Osteoporosis group(n=13) and non-osteoporosis group(n=13).Mitochondrion were extracted from the muscle tissue that was collecte during the operation,and cytochrome coxidase(COX) and the mitochondrial permeability transition pore(MPPT) were detected. The animal experiment
     52 female non-pregnant SD rats were randomly divided into normal control and operation group,normal control group were 16,and operation group were 36.The operation group were ovariectomized,while sham operation was performed in normal control group.After 3 monthes,the two groups were randomly selected 10 rats to measured the BMD.After establishing modle,the operation group of 36 were divided into 3 groups:ovariectomized,estrogen supplemented and traditional chinese herbs,the rats of traditional chinese herbs were given the intragastric administration with herbs of reinforcing the kidney and invigorating the spleen according to 4.8g/kg(using the quantity is equal to clinical dosage 10 times),one day at a time.The rats of estrogen supplemented were given nilestriol according to 1mg/kg,once a week.the others were given distilled water,one day at a time.After treating 3 months, mitochondrion were extracted from the muscle tissue that was collecte during the operation,and cytochrome coxidase(COX),the mitochondrial permeability transition pore(MPPT) and reactive oxygen species(ROS) were detected.
     Result
     The clinical experiment
     ①In the optical delnsity(OD) value of MPPT,OD value of non-osteoporosis group were 0.182±0.047 at 0 min and 0.181±0.046 at 30min.OD value of Osteoporosis group were 0.143±0.071 at 0 min and 0.141±0.071 at 30min. Over time,OD value of the two groups showed a downward trend,there was a statistically significant difference between OD value of 30 min and of 0 min in two group(p<0.05),that showed MPPT activity,but there was no a statistically significant difference between OD value of two group at the same time(p>0.05).
     ①In the permeability of MPPT,the ratio of OD value of non-osteoporosis group were 0.994±0.007,osteoporosis group were 0.985±0.006,there was a statistically significant difference between two group(p<0.05).In the COX, non-osteoporosis group were 0.338±0.142,osteoporosis group were 0.124±0.093,there was a statistically significant difference between two group(p<0.05).
     ③In the correlation analysis of MPPT and COX,there was positive correlation between the ratio of OD value of MPPT and COX(r=0.405,P=0.04<0.05),the regression equation was Y(COX)=388.8-647.402X(the ratio of OD value of MPPT).
     The animal experiment
     ①35 rats were all involved into the result analysis.
     ②In the optical delnsity(OD) value of MPPT,the change of MPPT of each group showed a downward trend.There was a statistically significant difference between OD value of 30 min and of 60 min in normal control group(p<0.05). There was a statistically significant difference between OD value of 60 min and of other time in ovariectomized group(p<0.05).There was also a statistically significant difference between OD value of 30 min and of 0 min in ovariectomized group(p<0.05).There was no a statistically significant difference in all time in estrogen supplemented group(p>0.05). There was a statistically significant difference between OD value of 60 min and of other time in traditional chinese herbs group(p<0.05),but there was no a statistically significant difference between OD value of 30 min and of 0 min(p>0.05).
     ③In the permeability of MPPT,in the ratio of OD value of 30min/0min,the ratio of OD value of normal control group were 1.000±0.025,the ovariectomized group were 0.975±0.014,the estrogen supplemented group were 0.993±0.022 and the traditional chinese herbs group were 0.990±0.010.in 60min/0min,the ratio of OD value of normal control group were 1.000±0.047,the ovariectomized group were 0.956±0.016,the estrogen supplemented group were 0.976±0.025 and the traditional chinese herbs group were 0.976±0.025.There was a statistically significant difference that the ratio of OD value of normal control group,of the estrogen supplemented group respectively compared with the ovariectomized group in 30min/0min and 60min/0min(p<0.05),and there was no a statistically significant difference between the traditional chinese herbs group and other groups in 30min/0min and 60min/0min(p>0.05).Compared with the ratio of OD value of 30min/0min and of 60min/0min,There was a statistically significant difference in the normal control group(p<0.05),there was no a statistically significant difference in the other groups(p>0.05).
     ④In the COX,the value of normal control group were 0.0200±0.0141,the ovariectomized group were 0.0070±0.0051,the estrogen supplemented group were 0.0134±0.0064 and the traditional chinese herbs group were 0.0130±0.0092。There was a statistically significant difference between the normal control group and the ovariectomized(p<0.05).There was no a statistically significant difference that the value of the estrogen supplemented group,of the traditional chinese herbs group respectively compared with of the ovariectomized group(p>0.05).
     ⑤In the ROS,the value of normal control group were 1898.89±1078.39,1900.00±1078.76,1911.33±1078.14 and 1911.33±1077.37,the ovariectomized group were 2271.22±1349.76,2282.79±1350.7,2297.22±1376.74 and 2297.00±1375.35,the estrogen supplemented group were 2227.67±1365.95, 2239.89±1363.75,2244.11±1363.55 and 2242.00±1357.36,the traditional chinese herbs group were 1536.25±835.51,1576.38±836.50,1550.86±835.27 and 1550.86±835.27.There was no a statistically significant difference in all groups in all time,but in these time,the ovariectomized group's content were highest,next were the estrogen supplemented group and the normal control group,finally were the traditional chinese herbs group.
     Conclusion
     The change of muscle mitochondria and osteoporois have a relationship of mutual influence.Through drug intervention,The change of muscle mitochondria could be effective in controlling,muscle cell apoptosis could be inhibited,and finally the development of osteoporosis could be controlled effectively.The main conclusions are as follows.
     ①In the permeability of MPPT,the permeability of MMPT of osteoporotic muscle is more greater,it means that there is more apoptosis tostimulate or passes MPPT,and induces the cell apoptosis more quickly.It shows that the damage of muscle mitochondria in osteoporosis compares the non-osteoporosis to be serious
     ②In the COX,the enzymatic activity of COX of osteoporotic muscle is worse than non-osteoporosis,that shows mitochondrial outer membrane integrity of osteoporotic muscle is worse than non-osteoporosis,and apoptosis rate of osteoporotic muscle cell is faster than non-osteoporosis.
     ③In the relationship between the ratio of OD value of MPPT and the enzymatic activity of COX,there is positive correlation between the ratio of OD value of MPPT and COX,but the ratio of OD value of MPPT and the permeability are the inverse relationship.It means that the permeability of MPPT is greater,the smaller the enzymatic activity of COX,as long as maintain the enzymatic activity of COX,we could effectively controll cell premature aging.From another side,it provide a new therapeutic target for the treatment of osteoporosis
     ④In the ROS,there is no significant differences in non-osteoporosis and osteoporosis.The possible reason is that ROS is insensitive to rat skeletal muscle tha is lack of estrogen.But over time,the Content of ROS is increasing that means cells continue to accumulate,and start apoptosis when reached a certain amount.
     ⑤In the MMPT,COX and ROS,herbs of reinforcing the kidney and invigorating fails to achieve significant results,compared with estrogen.But from its value,we believe that herbs of reinforcing the kidney and invigoratin improves the permeability of MPPT and the enzymatic activity of COX,reduces the the content of ROS.So it is one of drug that research the skeletal muscle as a therapeutic target in the future.
引文
[1]NIH Consensus Development Panel on Osteoporosis Prevention,Diagnosis,and Therapy,March 7-29,2000:highlights of the conference[J].South Med J.2001;94(6):569-573.
    [2]Klein RF,Allard J,Avnur Z,et al.Regulation of bone mass in mice by the lipoxygenase gene Alox15[J].Science,2004;303(5655):229-232.
    [3]HaradaS,Rodan GA.Control of osteoblast function and regulation of bone mass[J].Nature,2003;423(6937):349-355.
    [4]秦岭,张戈,译.美国国家卫生院有关骨质疏松症的预防、诊断和治疗的共识文件[J].中国骨质疏松杂志,2002:8(1):90-93.
    [5]中华人民共和国国家统计局.中华人民共和国2006年国民经济和社会发展统计公报[EB/OL].http://www.stats.gov.cn/tjgb/ndtjgb/qgndtjgb /t 20070228 402387821.htm.2007;2.28.
    [6]廖二元,谭利华.代谢性骨病学[M].北京,人民卫生出版社,2003:669.
    [7]Kousteni S,Chen JR,Bellido T,et al.Reversal of bone loss in mice by nongenotropic signaling of sex steroids[J].Science,2002;298(5594):843-846.
    [8]Chen JR,Plotkin LI,Aguirre Jl,eta].Transient versus sustained phosphorylation and nuclear accumulation of ERKs underlie anti-versus pro-apoptotic effects of estrogens[J].J Biol Chem,2005;280(6):4632-4638.
    [9]Kousteni S,Bellido T,Plotkin LI,et al.Nongenotropic,sex-nonspecific signaling through the estrogen or androgen receptors:dissociation from transcriptional activity[J]._Cell,2001;104(5):719-730.
    [10]Prior JC.Progesterone as a bone-trophic hormone,[J].Endocr Rev,1990;11(2):386-398.
    [11]吴晓虹,孙爱军.孕激素在骨骼生长发育及骨质疏松症中的作用[J].生殖医学杂志,2008:17(4):314-317.
    [12]刘忠厚主编.骨矿与临床[M].北京,中国科学技术出版社,2006:641.
    [13]Pedersen M,Steensberg A,Keller C,et al.Does the aging skeletal muscle maintain its endocrine function?[J].Exerxise Immunology Review,2004;10(1):42-55.
    [14]Kritz-Silverstein D,Barrett-Connor E.Grip strength and bone mineral density in older women[J].J Bone Miner Res,1994;9(1):45-51.
    [15]Tuck SP,Datta HK.Osteoporosis in the aging male:treatment options [J].Clin Interv Aging,2007;2(4):521-536.
    [16]Blain H,Vuillemin A,Teissier A,et al.Influence of muscle strength and body weight and composition on regional bone mineral density in healthy women aged 60 years and over[J].Gerontology,2001;4:207-212.
    [17]Brown AB,McCartney N,Sale DG.Positive adaptations to weight-lifting training in the elderly[J].J Appl Physiol,1990;69(5):1725-1733.
    [18]Dixon WG,Lunt M,Pye SR.Low grip strength is associated with bone mineraldensity and vertebral fracture in women[J].Rheumatology,2005;44:642-646.
    [19]聂伟志,石关桐,郑昱新,等.骨密度的生物力学影响因素及骨质疏松症骨强度诊断和骨密度诊断的初步比较[J].中国骨伤,2004;17(1):22-24.
    [20]许俐,陈艳,卢斌.中老年妇女骨密度与体成份、下肢肌力及抗骨折能力的相关性分析[J].现代预防医学,2006:33(8):1384-1385.
    [21]Blain H,Vuillemin A,Teissier A,et al.Influence of muscle strength and body weight and composition on regional bone mineral density in healthy women aged 60 years and over[J].Gerontology,2001;47(4):207-212.
    [22]Fielding RA,Meydani M.Exercise,free radical generation,and aging[J].Aging(Milano),1997:9:12-18.
    [23]Douch T,Kuwahata R,Matsuo T,et al.Relative contribution of lean and fat mass component to bone mineral density in males[J].J Bone Miner Metab,2003;21(1):17-21.
    [24]Bayramo(?)lu M,S(o|¨)zay S,Karata(?) M.Relationships between muscle strength and bone mineral density of three body regions in sedentary postmenopausal women[J].Rheumatol Int,2005:25(7):513-517.
    [25]Widrick JJ,Fuchs R,Maddalozzo GF,et al.Relative effects of exercise training and alendronate treatment on skeletal muscle function of ovariectomized rats[J].Menopause,2007;14(3):528-534.
    [26]Calbet JA,Dorado C,Diaz-Herrera P,et al.High femoral bone mineral content and density in male football(soccer) players[J].Med Sci Sports Exerc,2001;33(10):1682-1687.
    [27]李远能,陈湘定,雷署丰,等.绝经前的健康女性中瘦体重、体脂含量和骨密度的关系[J].湖南师范大学自然科学学报,2007;30(1):107-109.
    [28]Tothill P,Hannah WJ,Cowen S,et al.Anomalies in the measurement of changes in total-body bone mineral by dual-energy X-ray absorptiometry during weight change[J].J Bone Miner Res,1997;12(11):1908-19211.
    [29]夏亚一,赵慧,孙正义,等.绝经妇女身体软组织重量与骨密度的相关性[J].中国康复,2003;18(4):220-222.
    [30]Miller LE,Nickols Richardson SM,Wootten DF,et al.Relationships among bonemineral density,body composition,and isokinetic strength in young women[J].Calcif Tissue Int,2004;3:229-235.
    [31]Liu Youzhang.An Exploration of the Nature of "Spleen" in Traditional Chinese Medicine on a Subcellular Level:A Study on the Gastric Mucosal Ultrastructure of 51 Cases[J].Traditional Chinese Medicine Digest,1987;11:3-20.
    [32]杨维益.脾气虚证大鼠骨骼肌的形态学和形态计量研究[J].中国运动医学杂志,1993:12(3):157-159.
    [33]程学仁,王建华,劳绍贤.脾虚证患者十二指肠吸收细胞线粒体的观察[J].安徽中医学院学报,1999;18(5):33-34.
    [34]柳和培,侯燕呜,长晓枫.脾气虚证骨骼肌线粒体超微结构图像分析研究[J].电子显微学报,1993:12(1):54.
    [35]李乐红,谢锦玉.“脾气虚”大鼠骨骼肌细胞化学研究[J].中国医药学报,1990;5(5):16-18.
    [36]NewmeyerD,Ferguson MS.Mitochandria:releasing power for life and unleashing the machineries of death[J].Cell,2003;112(4):481-490.
    [37]Bernardi P,Scorrano L,Colonna R,et al.Mitochondria and cell death:mechanistic aspects and methodological issues[J].Eur J Biochem,1999:264(3):687-701.
    [38]Cummins Jm.Mitochondria:potential roles in embryogenesis and nucleocytoplasmic transfer[J].Hum Reprod Update,2001:7:217-228.
    [39]Kawane K,Fukuyama H,Yoshida H,et al.Impaired thymic development in mouse embryos deficient in apoptotic DNA degradation[J].Nat Immunol,2003;4(2):138-144.
    [40]Herr I,Debatin KM.Cellular stress response and apoptosis in cancer therapy[J].Blood,2001;98(9):2603-2614.
    [41]Goldstein JC,Waterhouse NJ,Juin P,et al.The coordinate release of cytochrome c during apoptosis is rapid,complete and kinetically invariant[J].Nat Cell Biol,2000;2(3):156-162.
    [42]Wei MC,Zong WX,Cheng EH,et al.Proapoptotic BAX and BAK:a requisite gateway to mitochondrial dysfunction and death[J].Science,2001;292(5517):727-730.
    [43]张锦,赵翠翠,韩维娜,等.黄酮类化合物对心肌细胞凋亡的作用[J].中国药理学通报,2008;24(5):635-639.
    [44]Huisman C,Ferreira CG,Br(o|¨)ker LE,et al.Paclitaxel triggers cell death primarily via caspase-independent routes in the non-small cell lung cancer cell line NCI-H460[J].Clin Cancer Res,2002;8(2):596-606.
    [45]Ashkenazi A,Dixit VM.Death receptors:signaling and modulation[J].Science,1998;281(5581):1305-1308.
    [46]Stewart JH 4th,Nguyen DM,Chert GA,et al.Induction of apoptosis in malignant pleural mesothelioma cells by activation of the Fas(Apo-1/CD95)death-signal pathway[J].J Thorac Cardiovasc Surg,2002;123(2):295-302.
    [47]Milhavet O,Martindale JL,Camandola S,et al.Involvement of Gadd153in the pathogenic action of presenilin-1 mutations[J].J Neurochem,2002;83:673-681.
    [48]Nakamura K,Bossy-Wetzel E,Burns K,et al.Changes in endoplasmic reticulum luninal environment affect ceil sensitivity toapoptosis[J].J Cell Biol,2000;150(4):731-740.
    [49]Morishima N,Nakanishi K,Takenouchi H,et al.An endoplasmic reticulum stress-specific caspase cascade in apoptosis.Cytochrome c-independent activation of caspase-9 by caspase-12[J].J Biol Chem,2002;277(37):34287-34294.
    [50]Ferri KF,Kroemer G.Organelle-specific initiation of cell death pathways[J].Nat Cell Biol,2001;3(11):E255-263.
    [51]Nakagawa T,Yuan J.Cross-talk between two cysteine protease families.Activation of caspase-12 by calpain in apoptosis[J].J Cell Biol,2000;150(4):887-894.
    [52]Yoneda T,Imaizumi K,Oono K,et al.Activation of caspase-12,an endoplastic reticulum(ER) resident caspase,through tumor necrosis factor receptor-associated factor 2-dependent mechanism in response to the ER stress[J].J Biol Chem,2001;276(17):13935-13940.
    [53]Patel HH,rsutsumi YM,Roth DM.Mito-controversies:mitochondrial permeability transition pore and myocardial reperfusion injury[J].Anesthesiology,2008;108(2):182-184.
    [54]Rostovtseva TK,Komarov A,Bezrukov SM,et al.VDAC channels differentiate between natural metabolites and synthetic molecules[J].J Membr Biol,2002:187(2):147-156.
    [55]汤新慧,高静,徐强.线粒体电压依赖性阴离子通道及其调控功能[J].细胞生物学杂志,2005;27:113-116.
    [56]V Shoshan-Barmatz,D Gincel.The Voltage-Dependent Anion Channel:Characterization,Nodulation,and Role in Mitochondrial Function in Cell Life and Death[J].Cell Biochem Biophys,2003;39(3):279-292.
    [57]Rostovtseva TK,Bezrukov SM.ATP transport through a single mitochondrial channel,VDAC,studied by current fluctuation analysis[J].Biophys J,1998;74(5):2365-2373.
    [58]Shimizu S,Narita M,Tsujimoto Y.Bcl-2 family proteins regulate the release of apoptogenic cytochrome c by the mitochondrial channel VDAC[J].Nature,1999;399(6735):483-487.
    [59]Fiore C,Tr(?)z(?)guet V,Le Saux A.The mitochondrial ADP/ATP carrier:structural,physiological and pathological aspects[J].Biochimie,1998;80(2):137-150.
    [60]李从洋,柳君泽.腺苷酸转运体的结构、功能及与疾病的关系[J].国际病理科学与临床杂志,2006;26(2):371-374.
    [61]Kokoszka JE,Waymire KG,Levy SE,et al.The ADP/ATP translocator is not essential for the mitochondrial permeability transition pore[J].Nature,2004;427(6973):461-465.
    [62]郭虹霞,余长缨,陈静,等.线粒体渗透性转变孔结构和功能的研究进展[J].生命科学,2005;17(1)49-54.
    [63]Waldmeier PC,Zimmermann K,Qian T,et al.Cyclophilin D as a drug target[J].Curr Med Chem,2003;10(16):1485-1506.
    [64]Lin DT,Lechleiter JD.Mitochondrial targeted cyclophilin D protects cells from cell death by peptidyl prolyl isomerization[J].J Biol Chem,2002;277(34):31134-31141.
    [65]He L,Lemasters JJ.Regulated and unregulated mitochondrial permeability transition pores:a new paradigm of pore structure and function[J].FEBS Lett,2002;512(1-3):1-7.
    [66]Gavish M,Bachman I,Shoukrun R,et al.Enigma of the peripheral benzodiazepine receptor[J].Pharmaco]Rev,1999;51(4):629-650.
    [67]Godbole A,Varghese J,Satin A,et al.VDAC is a conserved element of death pathways in plant and animal systems [J].Biochim Biophys Acta,2003;1642 (1-2):87-96.
    [68]Kroemer G,Zamzami N,Susin SA.Mitochondrial control of apoptosis[J].Immunol Today,1997;18(0:44-51.
    [69]Broekemeier KM,Dempsey ME,Pfeiffer DR.Cyclosporin A is a potent inhibitor of the inner membrane permeability transition in liver mitochondriaQ].J Biol Chem,1989;264(14):7826-7830.
    [70]Chandra D,Liu JW,Tang DG.Early mitochondrial activation and cytochrome c up-regulation during apoptosis[J].J Biol Chem,2002;277 (52):50842-50854.
    [71]Costantini P,Jacotot E,Decaudin D,et al.Mitochondrion as a novel target of anticancer chemotherapy [J].J Natl Cancer Inst,2000;92(13):1042-1053.
    [72]Strasser A,O'Connor L,Dixit VM.Apoptosis signaling [J].Annu Rev Biochem,2000;69:217-245.
    [73]Ravagnan L,Roumier T,Kroemer G.Mitochondria,the killer organelles and their weapons[J].J Cell Physiol,2002;192(2):131-137.
    [74]Halestrap AP.Calcium,mitochondria and reperfusion injury:a pore way to die[J].Biochem Soc Trans,2006;34(Pt 2):232-237.
    [75]Hsu SY,Hsueh AJ.Tissue-specific Bcl-2 protein partners in apoptosis:An ovarian paradigm[J].Physiol Rev,2000;80(2):593-614.
    [76]Shimizu S,Narita M,Tsujimoto Y.Bcl-2 family proteins regulate the release of apoptogenic cytochrome c by the mitochondrial channel VDAC [J].Nature,1999;399(6735):483-487.
    [77]Kuwana T,Mackey MR,Perkins G,et al.Bid,Bax,and lipids cooperate to form supramolecular openings in the outer mitochondrial membrane[J].Cell,2002;111(3):331-342.
    [78]Vander Heiden MG,Chandel NS,Williamson EK,et al.Bcl-xL regulates the membrane potential and volume homeostasis of mitochondria[J].Cell,1997;91 (5):627-637.
    [79]Brenner C,Cadiou H,Vieira HL,et al.Bcl-2 and Bax regulate the channel activity of the mitochondrial adenine nucleotide translocator [J].Oncogene,2000;19 (3):329-336.
    [80]Minn AJ,V(?)lez P,Schendel SL,et al.Bcl-x(L) forms an ion channel in synthetic lipid membranes [J].Nature,1997;385(6614):353-357.
    [81]Wu C,Fujihara H,Yao J,et al.Different expression patterns of Bcl-2,Bcl-xl,and Bax proteins after sublethal forebrain ischemia in C57Black/Crj6 mouse striatum[J].Stroke,2003;34(7):1803-1808.
    [82]Scorrano L,Ashiya M,Buttle K,ET AL.A distinct pathway remodels mitochondrial cristae and mobilizes cytochrome c during apoptosis[J].Dev Cell,2002;2(1):55-67.
    [83]Ott M,Robertson JD,Gogvadze V,et al.Cytochrome c release from mitochondria proceeds by a two-step process[J].Proc Natl Acad Sci USA,2002;99(3):1259-1263.
    [84]Klein JA,Longo-Guess CM,Rossmann MP,et al.The harlequin mouse mutation downregulates apoptosis-inducingfactor[J].Nature,2002;419(6905):367-374.
    [85]Susin SA,Lorenao HK,Zamzami N,et al.Molecular characterization of mitoehondrial apoptosis in ducing factor[J].Nature,1999;397(6718):441-446.
    [86]Newmeyer DD,Ferguson-Miller S.Mitochondria:releasing power for life and unleashing the machineries of death[J].Cell,2003;112(4):481-490.
    [87]Loeffler M,Kroemer G.The mitochondrion in cell death control:certainties and incognita[J].Exp Cell Res,2000;256(1):19-26.
    [88]Shimizu S,Shinohara Y,Tsujimoto Y.Bax and Bcl-x_L independently regulate apoptotic changes of yeast mitochondria that require VDAC but not adenine nucleotide translocator[J].Oncogene,2000;19(38):4309-4318.
    [89]Halestrap AP,Brennerb C.The adenine nucleotide translocase:a central component of the mitochondrial permeability transition pore and key player in cell death[J].Curr Med Chem,2003;10(16):1507-1525.
    [90]Baines C P,Kaiser RA,Purcell N H,et al.Loss of cyclophitin D reveals a critical role for mitochondrial permeability transition in cell death[J].Nature,2005;434(7033):658-662.
    [91]Gottlieb RA,Granville DJ.Analyzing mitochondrial changes during apoptosis[J].Methods,2002;26(4):341-347.
    [92]Ostermeier C,Iwata S,Michel H.Cytochrome c oxidase[J].Curr Opin Struct Biol,1996;6(4):460-466.
    [93]李连之,黄仲贤.细胞色素c氧化酶研究新进展[J].无机化学学报,2001;17(6):761-774.
    [94]Tsou CL.Exogenous and endogenous cytochrome c[J].Biochem J,1952;50(4): 493-499.
    [95]Liu X,Kim CN,Yang J,et al.Induction of apoptotic program in cell-free extracts:requirement for dATP and cytochrome c[J].Cell,1996;86(1):147-157.
    [96]Zhao Y,Wang ZB,Xu JX.Effect of Cytochrome c on the Generation and Elimination of O_2and H_2O_2 in Mitochondria[J].J Biol Chem,2003;278(4):2356-2360.
    [97]Gennis R,Ferguson-Miller S.Structure of cytochrome c oxidase,energy generator of aerobic life[J].Science,1995;269(5227):1063-1064.
    [98]Reed JC.Cytochrome c:can't live with it—can't live without it[J].Cell,1997;91(5):559-562.
    [99]Desagher S,Martinou JC.Mitochondrial permeability transition is a central coordinating event of apoptosis[J].Trend in Cell Biol,2000;10(9):369-377.
    [100]Dingman A,Lee SY,Derugin N,et al.Aminoguanidine inhibits caspase-3and calpain activation without affecting microglial activation following neonatal transient cerebral ischemia[J].J Neurochem,2006;96(5):1467-1479.
    [101]Paul M,Fraser A,Leibovici L.Chlamydia pneumoniae and acute coronary syndrome[J].N Engl J Med,2005;353(5):525-528.
    [102]张文华,周璐,徐淑军,等.Caspase-3激活和细胞色素C释放在脑缺血再灌注损伤中的作用[J].山东大学学报(医学版),2007;45(12):1193-1196.
    [103]Xue L,Fletcher GC,Tolkovsky AM.Autophagy is activated by apoptotic signalling in sympathetic neurons:an alternative mechanism of death execution[J].Mol Cell Neurosci,1999;14(3):180-198.
    [104]Sperandio S,de Belle I,Bredesen DE.An alternative,nonapoptotic form of programmed cell death[J].Proc Natl Acad Sci,2000;97(26):14376-14381.
    [105]Forcer C,Ye X,Granger L,et al.The dependence receptor DCC(deleted in colorectal cancer) defines an alternative mechanism for caspase activation[J].Proc Natl Acad Sci,2001;98(6):3416-3421.
    [106]Margaret E,Tome AF,Baker GP.Catalase-overexpressing thymocytes are resistant to glucocorticoid-induced apoptosis and exhibit increased net tumor growth[J].Cancer Res,2001;16(6):2766-2773.
    [107]Haga N,Fujita N,Tsuruo T.Mitochondrial aggregation precedes cytochrome c release from mitochondria during apoptosis[J].Oncogene,2003;22(36):557955-557985.
    [108]Cynthia A,Bradham,Ting Qian,et al.The Mitochondrial Permeability Transition Is Required for Tumor Necrosis Factor Alpha-Mediated Apoptosis and Cytochrome c Release [J].Molecular and Cellular Biology,November,1998;18(11):6353-6364.
    [109]Shimizu S,Narita M,Tsujimoto Y.Bcl-2 family proteins regulate the release of apoptogenic cytochrome c by the mitochondrial channel VDAC[J].Nature,1999;399(6735):483-487.
    [110]Maurer M,Tsai M,Metz M,et al.A role for Bax in the regulation of apoptosis in mouse mast cells[J].J Invest Dermatol,2000;114 (6):1205-1206.
    [111]Basa(?)ez G,Nechushtan A,Drozhinin 0,et al.Bax,but not Bcl-xL,decreases the lifetime of planar phospholipid bilayer membranes at subnanomolar concentrations[J].Proc Natl Acad Sci,1999;96(10):5492-5497.
    [112]Muchniore SW,Sattler M,Liang H,,et al.X-ray and NMR structure of human Bcl-xL,an inhibitor of programmed cell death[J].Nature,1996;381(6580):335-341.
    [113]Eskes R,Desagher S,Antonsson B,et al.Bid induces the oligomerization and insertion of Bax into the outer mitochondrial membrane [J].Mol Cell Biol,2000;20(3):929-935.
    [114]Vander Heiden MG,Chandel NS,Williamson EK,et al.Bcl-xL regulates the membrane potential and volume homeostasis of mitochondria[J].Cell,1997;91(5):627-637.
    [115]Li Y,Huang TT,Carlson EJ,et al.Dilated eardiomyoPathy and neonatal lethality in mutant mice lacking mamganese superoxide dismutase[J].NatGene,1995;11(4):376-381.
    [116]Kaufmann J A,Bickford P C,Taglialatela G.Free radical dependent change in constit utive nuclear factor kappa B in the aged hippocampus [J].Neuroreport,2002;13(15):1971-1928.
    [117]LIU Y,Fiskum G,Schubert D.Genenration of reactive oxygen species by the mitochondrial electron transport chain [J].J Neurochem,2002;80(5):780-787.
    [118]Liu Shu-sen.Cooperation of a "reactive oxygen cycle" with the Q cycle and the proton cycle in the respiratory chain-superoxide generating and cycling mechanisms in mitochondria[J].J Bioenerg Biomembr,1999;31(4):367-376.
    [119]Inoue M,Sato E,Fnishikwaa M,et al.Mitoehondrial generation of reaetive oxygen speeies and its role in aerobie lief[J].Curr Med Chem,2003;10(23):2495-2505.
    [120]Nohl H,Gille L,Kozlov A,et al.Are mitoehondria a spontnaeous and pemrnaeni source of reaetive oxygen speeies?[J].Redox ReP,2003;8(3):135-141.
    [121]Ischiropoulos H,Beckman JS.Oxidative stress and nitration in neurodegeneration:cause,effect,or association[J].J Clin Invest,2003;111(2):163-169.
    [122]郑荣梁,概述细胞癌变自由基机理的新证据[M].原子能出版社,1998:112-138.
    [123]Bolwell G P,Wojtaszek P.Mechanisms for the generation of reactive oxygen species in plant defence:a broad perspective[J].Physiological and molecular plant pathology,1997;51(6):347-366.
    [124]冯京海,张敏红,郑姗姗,等.日循环高温对肉鸡线粒体ROS产生量、钙泵活性及胸肌品质的影响[J].畜牧兽医学报,2006;37(12):1304-1311.
    [125]朱茂祥,杨陟华,龚诒芬,等.辐射诱发细胞内活性氧增高与DNA氧化损伤研究[J].辐射研究与辐射工艺学报,2001;19(4):270-273.
    [126]Mitler R,Shuluev V,etal.Inhibition of programmed cell death intobacoo plants during a pathogen-induced hypersensitive response at lowoxygen pressing[J].Plant Cell,1996;8(11):1991-2001.
    [127]Raha S,Robinson BH.Mitoebondr,oxygen free radieals,disease and ageing[J].Trends Bioehem Sei,2000;25(10):502-508.
    [128]Calabrese V,Lodi R,Tonon C,et al.Oxidative stress,mitochondrial dysfunction and cellular stress response in Fried reichataxia[J].Journal of Neurolog icalSciences,2005;233(122):145-162.
    [129]Vlasimir Misik,Peter Riesz.EPR characterization of free radical intermediates formed during ultrasound exposure of cell culture media [J].Free radical Biology and Medicine,1999;26:936-9431.
    [130]裴凌鹏.缺氧条件下玉米黄质对视网膜色素上皮细胞生长的影响[J].山东大学学报(医学版),2008;46(7):657-659.
    [131]Gonzalo R.Free radicals-mediated damage in transmitochondrial cells harboring the T14487C mutation in the ND6 gene of mtDNA[J].FEBS Lett,2005;579(30):6909-6913.
    [132]Raha S,Robinson BH.Mitochondria,oxygen free radicals,disease and ageing[J].Trends Biochem Sci.2000,25(10):502-508.
    [133]唐敏,樊莹,傅扬,等.视网膜色素上皮细胞线粒体DNA的氧化损伤研究[J].眼科研究,2007;25(11):861-864.
    [134]Thompson LV.Oxidative stress,mitochondria and mtDNA-mutator mice[J].Exp Gerontol,2006;41(12):1220-1222.
    [135]Chen X,Stern D,Yah SD.Mitochondrial dysfunction and Alzheimer's disease[J].Curr Alzheimer Res,2006;3(5):515-520.
    [136]张国桥,凌贤龙,陈正堂.线粒体DNA缺失肝癌细胞内活性氧、线粒体膜电位变化实验研究[J].第三军医大学学报,2007;29(8):711-713.
    [137]ER Stadtman,RL Levine.Free radical-mediated oxidation of free amino acids and amino acid residues in proteins[J].Amino Acids,2003;25(3-4):207-218
    [138]Levine RL.Carbonyl modified proteins in cellular regulation,aging,and disease[J].Free Radical Bio Med,2002;32(9):790-796.
    [139]Vaux DL.Toward an understanding of the molecular mechanisms of physiologicai cell death[J].Proc Natl Acad Sci U S A,1993;90(3):786-789.
    [140]Buttke TM,Sandstrom PA.Oxidative stress as a mediator of apoptosis[J].Immunol Today,1994;15(1):7-10.
    [141]Julia M,Chandler,Gerald M,et al.Different Subcellular Distribution of Caspase-3 and Caspase-7 following Fas-induced Apoptosis in Mouse Liver[J].J Biol them,1998;273(18):10815-10818.
    [142]Faleiro L,Lazebnik Y.Caspases Disrupt the Nuclear-Cytoplasmic Barrier [J].J Cell Biol,2000;151(5):951-959.
    [143]Huang H,Joazeiro CA,Bonfoco E,et al.The inhibitor of apoptosis CIAP2,functions as a ubiquitin-protein ligase and promotes in vitro monoubiquitination of caspase 3 and 7[J].J Biol Chem,2002;275(35):26661-26664.
    [144]Kennedy JG,O'Grady P,McCarthy DR,et al.An investigation into the role of oxygen free radical scavengers in preventing polymethylmethacrylate-induced necrosis in an osteoblast cell culture[J].Orthopedics,2000;23(5):481-485.
    [145]CortizoAM,Bruzzone L,Molinuevo S,et al.Apossible role of oxidative stress in the vanadium-induced cytotoxicity in the MC3T3E1 osteoblast and UMR106 osteosarcoma cell lines[J].Toxicology,2000;147(2):89-99.
    [146]Park YH,Han DW,Suh H,et al.Protective effects of green teapolyphenol against reactive oxygen species-induced oxidative stress in cultured rat calvarial osteoblast[J].Cell Biol Toxicol,2003;19(5):325-337.
    [147]Bai XG,Lu D,Liu AL,et al Reactive oxygen species stimulates receptor activator of NF-kappaB ligandexpression inosteoblast[J].J Biol Chem,2005;280(17):1497-1506.
    [148]KimH,Kim IY,Lee SY,et al.Bimodal actions of reactive oxygen species in the differentiation and bone-resorbing functions of osteoclasts[J].FEBSLett,2006;580(24):5661-5665.
    [149]Halleen JM,Raisanen SR,Alatalo SL,et al.Potential function for the ROS-generating activity of TRACP:Recent advances.in TRACP/PAP biochemistry,molecular biology,and clinical application[J].J Bone Miner Res,2003;18(10):1908-1911.
    [150]Fuller K,Murphy C,Kirstein B,et al.rNF-α Potently Activates Osteoclasts,through a Direct Action Independent of and Strongly Synergistic with RANKL[J].Endocrinology,2002;143(3):1108-1118.
    [151]Nam SH,Jung SY,Yoo CM,et al.H_2O_2 enhances Ca~(2+) release from osteoblast internal stores[J].Yonsei Med J,2002;43(2):229-235.
    [152]任会荣,王新兴,弓景波,等.应激对大鼠心肌细胞线粒体膜通透性转换孔开放的影响及其分子基础的研究[J].中国病理生理杂志,2004:20(4):537-540.
    [153]杨锡让,傅浩坚.运动生理学进展—质疑与思考[M].北京:北京体育大学出版社,2000:227-243.
    [154]梁清华,陈疆,谭勇,等.平肝熄风汤对脑出血大鼠海马细胞色素C氧化酶活性和细胞凋亡影响同步研究[J].实用预防医学,2004;11(6):1108-1111.
    [155]姜敏,于向民.酒精对心肌细胞超微结构及细胞色素C氧化酶活性的影响[J].电子显微学报,2004;23(6:633-636.
    [156]李保良,赵晓山,罗仁,等.亚健康疲劳状态时血清对骨骼肌细胞线粒体膜细胞色素C氧化酶活性和线粒体能量负荷的影响[J].中国组织工程研究与临床康复,2008;12(37):7258-7262.
    [157]Perty(?)ska MP,Tch(?)rzewski H,Lewkowicz P,et al.Evaluation of the hormonal replace therapy(HRT) effect on generation of reactive oxygen intermediates(ROI) by neutrophil in peripheral blood of menopausal women[J].Ginekol Pol,2000;71(2):55-62.
    [158]KimYD,Chen B,Beauregard B,et al.17β-Estradiol Prevents Dysfunction of Canine Coronary Endothelium and Myocardium and Reperfusion Arrhythmias After Brief Ischemia/Reperfusion[J].Circulation,1996;94(11):2901-2908.
    [159]林远方,卿茂盛,李昂,等.雌激素抗氧化作用与绝经后骨质疏松症的关系[J].中国骨质疏松杂志,2006;12(6):565-568.
    [160]林远方,冯新送,庄洪,等.活性氧与骨质疏松症[J].中国中医骨伤科杂志,2002:10(2):58-60.
    [161]庄洪,邵敏.中药骨康对去势大鼠骨吸收与骨形成影响的实验研究[J].中国中医骨伤科杂志,2002;10(4):26-29.
    [162]庄洪,李颖,黄宏兴,等.中药骨康对去势大鼠的骨密度和Ih-1、Ih-6的影响[J].中国老年学杂志,2008:28(12):1074-1076.
    [163]黄宏兴,李颖,刘庆思,等.补肾方对骨质疏松模型大鼠骨密度及胰岛素样生长因子Ⅰ和肿瘤坏死因子α的影响[J].中国组织工程研究与临床康复,2008;12(37):7219-7222.
    [164]魏彦明.脾虚症家兔胃、肠、肝、脾超微结构与微量元素含量[J].甘肃农业大学学报,1995;30(1):7-12.
    [165]邓伟民,康庚云,劳绍贤等.脾虚证胃粘膜主、壁细胞线粒体立体计量学研究及临床意义.解放军医学杂志,1997;22(2):130-131.
    [166]Anderson,JB.The effects of phytoestrogens on bone[]].Nutr Res,1997;277:1508.
    [167]庄洪,魏合伟,林一峰.中药骨康含药血清中类雌二醇样物质含量的测定[J].中医正骨,2003;15(11):14-16.
    [168]陈国栋,吴赛珠,阮云军,等.雌激素对血管内皮细胞线粒体的保护作用[J].南方医科大学学报,2008:28(7):1154-1156.

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