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恐伤孕鼠对其仔鼠早期长骨发育的影响及其机理研究
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摘要
中医理论认为肾主藏精,为先天之本,肾精主生长、发育及生殖;肾主骨,肾所藏之精能生髓,髓能养骨,据此我们提出了肾主骨生长发育的观点。并分别从理论探讨和实验研究两方面进行了研究。
     目的
     本实验采用“恐伤孕鼠”的方法复制肾精亏虚模型,研究孕鼠肾虚对其仔鼠早期长骨发育的影响及机制。
     方法
     ①本实验采用3月龄SD(sprague-Dawley)大鼠,雌性30只,雄性15只,将其按2:1的比例合笼配对。受孕后的雌鼠用随机分为正常组、模型组和补肾组,每组各10只。自怀孕第一天起,模型组和补肾组每日上、下午用猫恐吓孕鼠各2小时直至其分娩,在仔鼠出生后20天进行指标检测。自怀孕第一天起,补肾组每日予中药补肾填精方煎剂2ml/100g体重灌胃,正常组及模型组每日予生理盐水2ml/100g体重灌胃,直至孕鼠临产。
     ②记录孕鼠产子数,评估其生育力。记录仔鼠开眼、出牙、张耳、被毛生长的时间;测量仔鼠出生至20天内每隔4天的体重及身长,计算各时段增长值,各组间比较判断仔鼠的生长发育状况。
     ③仔鼠20日龄时每窝随机抽取1-2只,断头处死。从髋关节处切下右下肢,仔细清除所有肌肉和相连组织,去除腓骨,剩下胫骨。取右胫骨近端1/3,放入10%中性甲醛中固定1周,脱钙,常规石蜡包埋,5um厚连续纵向切片;20日龄时,每组随机抽取一只,断头处死,迅速分离右侧胫骨,切取1mm~3骨组织置入戊二醛固定液固定。分别在光学显微镜和电子显微镜下观察各组仔鼠出生后20天胫骨干骺端生长板的组织形态学改变。
     ④仔鼠20日龄时每组随机抽取5个右胫骨近端标本,进行切片检测。原位杂交法测定仔鼠出生后20天胫骨干骺端TGF-βmRNA表达。
     ⑤仔鼠出生后20天,每窝随机抽取1-2只,每组共抽取15只,断头取血,酶联免疫吸附试验法检测血清IGF-1、BALP含量。
     ⑥仔鼠出生后20天,每窝随机抽取3只或6只断头取血。化学发光法检测各组血清游离三碘甲腺原氨酸(FT_3)、游离四碘甲腺原氨酸(FT_4)及促甲状腺激素(TSH)的含量。⑦每组抽取30张右胫骨近端标本切片免疫组化SABC法观察仔鼠出生20天生长板软骨细胞Bcl-2/bax的表达。
     结果
     ①孕鼠产子数、仔鼠的生长发育状况:模型组孕鼠的平均每胎生产数低于正常组和补肾组(P<0.01)。从出生到出生后第20天内,模型组仔鼠平均体重显著低于正常组和补肾组;从出生后第8天起,模型组仔鼠平均身长显著短于正常组和补肾组;模型组各时段平均体重、身长增长情况明显落后;模型组仔鼠出牙及被毛生长的时间略晚于补肾组和正常组。
     ②仔鼠生后20天生长板形态学改变:模型组仔鼠生长板结构紊乱,增殖区软骨细胞发育不良,成骨作用减弱,骨量明显减少。电镜下模型组仔鼠生长板增殖区内多个视野下软骨细胞细胞器结构异常,部分细胞核固缩。正常组与补肾组仔鼠生长板形态学则无明显改变。
     ③仔鼠生后20天时TGF-β在干骺端的表达:阳性信号的细胞呈深蓝色,定位于细胞浆;阳性表达强度采用平均光度进行定量分析。模型组平均光度较正常组和补肾组下降,正常组和补肾组相比无差异。
     ④仔鼠出生20天断头取血,血清IGF-1、BALP含量:模型组显著降低(P<0.05),正常组和补肾组相比无差异。
     ⑤仔鼠生后20天断头取血,血清FT_3、FT_4,TSH的含量:模型组仔鼠血清FT_4的含量低于正常组(P<0.05),血清FT_3,TSH的含量与正常组相比无差异。补肾组仔鼠血清FT_3,FT_4、TSH的含量与正常组相比无统计学差异。
     ⑥仔鼠生后20天免疫组化阳性反应为棕黄色颗粒,Bcl-2表达位于细胞浆;bax表达位于细胞浆和细胞核。Bcl-2主要在静止区、增殖区表达,bax主要在肥大区表达,各组阳性细胞的表达率情况比较:模型组仔鼠Bcl-2表达较正常组和补肾组显著下降(p<0.05);模型组仔鼠bax表达较正常组和补肾组表达上调(p<0.05)。
     结论
     ①模型组孕鼠的每胎生产数低于正常组和补肾组;仔鼠从出生到出生后第20天内,平均体重、平均身长、各时段平均体重、身长增长情况、出牙、被毛生长时间较补肾组和正常组明显落后,结合恐伤肾的病因病机,说明模型组孕鼠表现出生殖功能减退,存在肾精亏虚;同时,其仔鼠也存在先天肾虚,故其机体发育迟缓。
     ②模型组仔鼠胫骨生长板组织学改变、增殖区软骨细胞超微结构变化,提示其软骨细胞增殖未达到正常水平,生长板生长速度降低,软骨内成骨缓慢;成骨区成骨量明显减少。
     ③模型组仔鼠胫骨生长板TGF-β在增殖层和肥大层受到抑制,表达减少,导致软骨内成骨形成缓慢,影响长骨生长。
     ④肾虚致骨发育障碍的分子机制可能为:模型组仔鼠存在先天肾虚、长骨发育障碍和血清TH水平下降,IGF-1含量减少。结合现代研究认为存在下丘脑-垂体-甲状腺轴的功能紊乱,肾虚与IGF-1的含量密切相关,推测TH降低影响IGF-1的表达从而影响生长板的生长障碍;模型组仔鼠存在先天肾虚、长骨发育障碍、生长板TGF-β表达下降,同时血清IGF-1含量减少,伴随着Bcl-2基因表达的下调。结合现代肾虚对IGF-1、TGF-β表达的影响,Bcl-2基因的表达与肾虚的密切关系,推测IGF-1、TGF-β的协同作用及调控Bcl-2/bax的表达为肾虚致骨发育障碍的另一分子调控机制。
     ⑤本课题首次提出了“肾主骨发育”的观点,并从肾对骨的结构和功能影响的角度进行了深入的理论探讨。实验方面采用“恐伤孕鼠”的方法成功复制出肾精亏虚模型,发现模型组仔鼠具有先天肾虚的表现,其长骨发育存在明显的障碍,中药补肾填精方可逆转上述异常,有效阻断肾虚对骨的正常发育的影响。
According to Chinese medicine theory,the main function of kidney is the possession of Shenjing,which is the essence of birth and also the main essence associated with growth,development and reproduction of our bodies.Kidney is in charge of bone,while Shenjing can made Sui,which can provide nutrition to bone.Therefore,we have put forward the main opinion of kidney controlling bone growth and development,and separately from the theoretical and experimental aspects to study.
     Objective
     The study was designed to investigate the mechanism that" horror hurt pregnant rat "had effect on the long bone development.
     Methods
     ①3-month-old SD(Sprague-Dawley) female rats 30,male 15 to be combined according to the proportion of 2:1 matching cage.Female after conception using a random access method is divided into normal group,model group and bu-shen group,10 in each group.During gestational period,the rats of the model and bushen group were frighented by cat four hours(2 hours Am,2 hours Pm) a day until the birth.The results were examined at postnatal day 20.Bushen group model since the first day,a day to the Chinese side Bushen Tianjing 2ml-/100g weight decoction orally,the normal group and model group also based on body weight given normal saline orally.Time model for gestational.
     ②Record the number of pregnant rats given birth and assess their fertility.Record the eye,the teeth,the ear,the hair growth time;measurement of rats from birth up to 20 days once every four days in length and weight to calculate the progress in the growth period,compared among the three groups of rats to determine the growth and development of the situation.
     ③20- day-old rats were randomly selected when the litter is only 1-2,broken to death.From the hip,cutting the right lower limb,carefully remove all the muscles and connected organization,remove the fibula,and the remaining tibia. Put right proximal tibia from 1/3 removal of soft tissue into 10%neutral formaldehyde fixed one week,decalcified,paraffin-embedded conventional,5 urn thick con- tinuous vertical sections;20-day-old rats were randomly selected, decapitated executed quickly separated from the right tibia,1 mm~3 cut into the bone tissue fixative glutaraldehyde fixed.Separately in the optical microscope and electron microscope observation of the growth plate of rats in each group metaphyseal tibia morphological changes of the organization.
     ④20-day-old rats were randomly selected at each of five specimens of the right proximal tibia,the detection section.Determination of in situhybridizal pups born tibial metaphysis expression of TGF-PmRNA.The average optical density were determined by photo analysis technique.
     ⑤Rats 20 days after birth,1-2 litter were randomly selected,each group collected a total of 15,collectting blood,enzyme-linked immunosorbent assay serum IGF-1,BALP content.
     ⑥Rats 20 days after birth,litter three or six randomly selected,collectting blood. Chemilum inescence detection of three groups of serum FT_3?FT_4 and T-SH levels.
     ⑦Each taking 30 right proximal tibia biopsy specimens by immunohistoche-mical SABC,growth plate chondrocytes were observed the expression of Bcl -2/bax.The positive ratio were determined by photo-analysis technique.All the results were showed by mean value±SEM.
     Results
     ①The number of neonatal rats and their conditions of growth and development :the model group of pregnant rats produce lower than normal or bushen group (P<0.01).From postnal day 1 to day 20,the average weight of the model g -roup rats have significantly reduced campared with normal group and bushen group;from the 8th day after birth,the model group rats average length compared with the normal group and bushen group have great decrease;In model group,the average weight and length of the major time were obviously lagging behind.At the same time,their teeth and hair growing out of time slightly later than the bushen group and normal group.
     ②Rats 20 days after birth,the morphological changes of growth plate:In the model group,the structure of rat growth plate disorders,proliferative zone chondrocytes are stunted and weakened the bone formation,bone volume decreased significantly.Form electron microscope,in model group rats,a number of vision in growth plate cartilage cells have abnormal structure,some nuclear pyknosis.Normal and bushen rats showed no significant change in morpholog -y.
     ③Rats 20 days after birth the TGF-βexpression in the metaphysis:positive signals in cells,dark blue,located in cytoplasm;positive expression intensity of the use of quantitative analysis of optical density.The average brightness of m odel group has a decline while the normal group has no difference compared with bushen group.
     ④Rats of 20 days blood serum IGF-1,BALP concentration:a significant reduction in the model group(P<0.05),the normal group has no difference compared with bushen group.
     ⑤Rats of 20 days after birth,blood serum FT_3,FT_4,TSH levels:Compared with the other two groups,the model group rats FT_4 serum levels lower than normal group(P<0.05),while serum FT3,TSH levels has no difficence.Bushen rats serum FT3,FT4,TSH levels compared with normal group have no statisstical difference.
     ⑥Immunohistochemical positive reaction for the brown-yellow granules,Bcl-2 expression is located in cytoplasm;bax expression located in cytoplasm and nucleus.Bcl-2 mainly in the static and the proliferation areas;bax expression mainly in the hypertrophic zone;the rate of positive cells compared each other: the model group rats Bcl-2 expression than normal and bushen group has decreased significantly(p<0.05)while bax expression has increased(p<0.05).
     Conclusion
     ①Model group of pregnant rats have lower fertility than normal and bushen group;rats from birth to the first 20 days,the average weight,average length, average weight and length growth of each period,the teeth,the hair growth time are significantly behind.Combined with fear of injury etiology and pathogenesis of the kidney,the model group of pregnant rats showed decreased reproductive function,at the same time its existence essence deficiency of the kidney resulting to their offspring body growth retardation.
     ②Model group rats tibial growth plate histology changes and the ultrastructture of proliferative zone delicate that chondrocytes of cartilage cell proliferation prompting change does not meet the normal level,together with reducing the growth rate of growth plate cartilage into bone.
     ③The expression of TGF-βin model rats tibial growth plate(Prolierative and Hypertrophic zone)was reduced,which causing the formation from cartilage into bone slow and affecting the growth of long bones.
     ④Bone developmental disorder caused by deficiency of the kidney of the molecular mechanisms were likely to be:the existence of the model group rats congenital deficiency of the kidney,long bones stunted growth,decreased serum levels of thyroid ho- rmones and IGF-1.Kidney deficiency of modern research studies suggest that the existence of hypothalamic-pituitary -thyroid axis dysfunction,kidney deficiency and IGF-1 is closely related,consider the impact of thyroid hormone to IGF-1 expression causing the development of the growth plate;model group congenital deficiency of the kidney,stunting of long bone,growth plate decreased the expression of TGF-β,while serum IGF 1 content,accompanied by Bcl-2 gene expression declines.There are close relationship between kidney deficiency and the expression of IGF-1,TGF-P with Bcl-2.We can conclud that IGF-1,TGF-P have synergies and their adjustment on expression of Bc-1-2/bax is another molecular regulatory mechanism.
     ⑤The topic of "kidney is bone growth decision " was raised for the first time, and from the angles of the impacts of kidney to the bone structure and function,we made an in-depth study.Experiments using "horror hurt pregnant rats" approach successfully replicated the essence deficiency model and found that the model group rats with the performance of a congenital deficiency of the kidney,existing an obvious obstacle of the long bone development,whiile Chinese medicine can reversed the abovementioned abnormal and effectively block the impacts of kidney deficiency on bone development.
引文
1.全国十三省市骨矿含量调查合作组.骨骼生长衰老规律和原发性骨质疏松[J].中国骨质疏松杂志,1995;1(1):1.
    2.薛延.骨代谢生化指标随年龄的变化及其临床意义[J].中国骨质疏松杂志,1995;11(1):35.
    3.贺县宪,魏春山,陈孝印.“肾主骨”在骨伤临床中的运用[J].安徽中医学院学报,2004;23(1):4.
    4.罗佐杰,冼苏,梁淡媚.高健美治疗正常儿童青少年矮身材的临床研究[J].广西医学,1999:21(1):35.
    5.刘宝林.儿童少年生长发育研究的回顾与展望[J].中国学校卫生,2006;1(27):1-4.
    6.Javiaid MK,Cooper C.Prenatal and childhood influences on osteoporosis[J].Best Pract Res Clin Endocrinol Metab,2002;16:349-367.
    7.苗研,李坚.新生儿骨发育研究[J].中国新生儿科杂志,2006;21(3):179-181.
    8.袁春华,徐劲松.儿童青少年的骨钙、骨密度及骨量与生长发育的关系[J].中国临床康复,2004;8(24):5092-5096.
    9.荫士安.儿童营养与骨骼发育的最新进展[J].卫生研究,2004;11(33): 768-769.
    10.Vander S,Muinck Keizer Schrama SMPF.Osteoporosis in Childhood Bone density of children in health and disease[J].Pediatr Endocrinol Metah,2001;14:817-832.
    11.吕学敏,杨庆铭.WNT家族在脊椎动物骨骼发育中的作用机制[J].遗传,2004;26(6):947-952.
    12.沈雁,匡调元,张伟荣,等.“恐伤肾”的实验研究[J].中国医药学报,1991;6(1):13-16.
    13.王米渠,曾祥国,马向东,等.恐伤肾造模对子代鼠脑超微结构的观察[J].成都中医药大学学报,1996;19(4):37-39.
    14.王米渠,吴斌,冯韧.“肾为先天之本“后代鼠行为遗传的脑形态表征[J].北京中医药大学学报,1997;20(3):37-38.
    15.王米渠,吴斌,冯韧.恐伤母研究子代肾虚的行为遗传[J].福建中医学院学报,2003;13(2):1-3.
    16.王米渠,蔡玉泉.中医遗传学概论[M].成都:四川科学技术出版社2001;106-118.
    17.王米渠,吴斌.“恐伤肾”母子两代的生理研究[J].福建中医药,2003;2(34):3-6.
    18.冯新玲.恐伤孕鼠对其仔鼠脑发育的影响及其机制研究2006届湖北中医学院博士论文.
    19.施献煪.医用实验动物学[M].陕西科学技术出版社.1989;388.
    1.孙洁,李秋芬,周安方.“肾为先天之本”考辨[J].中国中医基础医学杂志,2006:12(7):506-508.
    2.王宏,丁继华.浅谈《内经》肾与骨的关系[J].北京针灸骨伤学院学报,1999;6(2):59.
    3.李如辉.肾脏生理功能的发生学诠解[J].浙江中医学院学报,2000;24(5):12.
    4.张进,徐志伟,陈群,等.干细胞与中医基础理论中的先天之精学说[J].中国临床康复,2006;10(7):189-192.
    5.Buckwalter J,Glimcher M,Cooper R,et al.Bone Biology[J].The Journal of Bone and Joint Surgery,1995;8(7):1256.
    6.任颖,刘静兰.“肾主骨”的物质基础[J].长春中医学院学报,1998;12(56):8.
    7.张亚琴.“肾主骨生髓”与肾脏的内分泌功能[J].辽宁中医药大学学报,2 008;2(10):11-14.
    8.周文祥.“肾亏髓空”的实验研究[J].中国中西医结合肾病杂志,2001;2(11):628-632.
    9.赵欣.胎肾细胞移植预防和改善骨质疏松的动物实验研究[J].陕西中医,2002;9(23):856-858.
    10.孙庆,章培标.年龄相关的骨髓细胞分化对成骨细胞和破骨细胞影响的实验研究[J].中国老年学杂志,2004;4(24):345-348.
    11.杨淑霞,洪华容.人胚中肾发育和生长因子及其受体的表达[J].解剖学杂志,2006;29(2):192-195.
    12.何风屏,冼苏,罗佐杰.广西南宁市300例健康老人甲状腺激素水平观察[J].广西医科大学学报,2000;17(3):15.
    13.薛延.骨骼质量与遗传基因有关[J].健康报国外医药,2001;8(6):32.
    14.王米渠,吴斌,冯韧,等.恐伤母研究子代肾虚的行为遗传[J].福建中医学院学报,2003;13(2):1-3.
    1.陈淑涛,刘凤琳,王米渠.一种妊娠肾虚鼠的造模方法研究[J].四川中医,2003;21(9):20-21.
    1.王米渠,蔡玉泉.中医遗传学概论[M].成都:四川科学技术出版社,2001;106-118.
    2.王米渠,吴斌.“恐伤肾”母子两代的生理研究[J].福建中医药,2003;34(2):3-6.
    3.胡汉波,王米渠,余曙光,等.恐伤孕鼠对子鼠成年及老年期行为学影响的跳台实验研究[J].中国行为医学科学,1998;7(2):83-84.
    4.朱飞鹏.肾主骨理论的现代理解与补肾法研究[J].中国骨伤,2000;13(3):141-144.
    5.刘连起.强骨冲剂对去势大鼠骨密度及骨组织形态计量学参数的影响[J].北京中医药大学学报,2001;24(3):41-44.
    6.张荣华,欧阳菁.肾主骨生髓理论与骨髓间充质干细胞骨向分化[J].中医杂志,2006;47(1):731-735.
    7.黎晖,周健洪,陈东风.龟板对人鼠骨髓间充质干细胞向成骨分化的影响[J].中药新药与临床药理,2005;16(3):159-161.
    8.臧洪敏.补肾活血方对成骨细胞增殖等生物学特性影响的实验研究[J].中药材,2005;9(28):803-805.
    9.张宁.补肾活血中药对体外培养成骨细胞活性的影响[J].中国中医药信息杂志,2005;1(12):40-42.
    10.任艳玲.补肾健脾药物血清对体外培养成骨细胞增殖和分化的影响[J].中国中医药信息杂志,2 004;9(11):36-38.
    11.王玉东.补肾宁心方对小鼠成骨细胞增殖和抗凋亡作用[J].中国中西医结合杂志,2004;3(24):32.
    1.Michal C,Mark C,et al.Transforming growth factor-beta gene family members and bone[J].Endocrine Rev,1994,15:27.
    2.Gxiao D.Thomas M,et al.Mapk pathways active and phosphory[J].Biol Chem,2000,275(6):453-459
    3.Centrella M,Mcarthy T,Canal is E.Transforming growth factor-beta and remodeling of bone[J].Bone Joint Srug(Am),1991,73:141-149.
    4.Kronenberg HM.Developmental regulation of the growth plate[J].Nature,2003,423:332-336.
    5.王凡,刘德鸿.转化生长因子TGF-β对骺板肥大区软骨细胞分化作用的研究[J].中国口腔种植学杂志,2000;5(2):151-154.
    6.王凡,刘德鸿,李瑞祥.转化生长因子一β(TGFβ)对骺板肥大区软骨细胞分化作用的研究[J].中国口腔种植学杂志,1998;3(4):151-154.
    7.苏佳灿,许硕贵,张春才.生长因子与骨重建研究进展[J].临床骨科杂志,2001;4(2):155.
    8.Hughes D,Wright K,Mundy G,et al.TGF-β1 induces osteoclast apoptosis in vitro[J].Bone Miner Res,1994;9:71.
    9.Schmid Y,M assague J.Mechanism of TGF-beta signaling from cell membrane to the nucleus[J].Cell,2003;113(6):685-700.
    10.Marie L.Growth factor and bone formation in osteoporosis:roles for IGF-1 and TGF-β[J].Bone Miner Res,1997(64):44.
    11.李灵芝.大黄酸雌酮对髓板TGF-β1及其受体蛋白表达的影响[J].第三军医大学学报,2008;18(30):1743-1746.
    12.Joyce ME,Robert AB,Sporn AB,et al.Transforming growth factor beta in the regulation of fracture repair[J].Orthop Clin North Am,1990,21:199.
    13.杜俊杰,郭书权.BMP-2诱导成骨及传送的研究进展[J].第三军医大学 学报,2005;8(27):1707-1710.
    14.Mikie B,Battaglia T,Taylor EA,et al.The effect of growth differentiation factor-5 deficiency on femoral composition and mechanical behavior in mice[J].Bone,2002;30(5) 733-737.
    15.张宇坤.生长分化因子5在小鼠肢体骨骼发育中的表达规律[J].中国临床康复,2006;3(10):81-84.
    16.刘诗荣,沈霖.补肾法对去卵巢大鼠骨组织中TGF-β1及Fas的影响[J].中国中医骨伤科杂志,2003;11(2):26-28.
    17.张胜利,王全平.骨折愈合过程中TGF-β1 mRNA的基因表达[J].第四军医大学学报,2001;22(6):497-500.
    18.刘献祥,沈霖.针灸对去卵巢大鼠骨组织TGF-β1 mRNA,VEGF mRNA 表达及凋亡基因Fas的影响[J].中医杂志,2003;44(11):180-183.
    1.Ohlsson C,Bensson B.Endocr Bev,Isakeson OGP,Growth bone hormone[J].Bone Mineral Res,1998;19:55-79.
    2.陈红珊.生长激素一胰岛素样生长因Ⅰ轴对儿童生长和代谢的调控[J].国外医学儿科分册,1999;26:194-196.
    3.Camacho-Huhner C,Savage M.Insulin-like growth factor-Ⅰ deficiency Hormone Research[J].Basel,2001;55.
    4.Gluckman PD,Handing JE.The physiology and pathophysiology of intrauterine growth retardation[J].Horm-Res.1997;48 Suppl 1:11-16.
    5.张娟.IGF-I及其基因多态性与婴儿生长发育的关系[J].中国现代医生,2007;8(45):111-114.
    6.刘忠厚主编.骨质疏松学[M].北京科学出版社,1998;614-631.
    7.魏波.重组胰岛素样生长因子I对成骨细胞增殖分化的影响[J].中国临床康复,2005;6(9)22:84-86.
    8.闫震,汤春生.IGF系统与胎儿生长发育[J].国外医学妇幼保健分册,2004:15(1):17-20.
    9.丁晓春.生长激素及胰岛素样生长因子I对新生儿生长发育调控的观察[J].中国实用儿科杂志,2003;7(18):65.
    10.AKcakus M,Koklu E,Kurtogle S,et al,The relationship among intrauterine growth,insulin-like growth factor I,IGF-binding protein-3,and bone mineral status in newborn infants[J].Am J perinator,2006,23(8):473-480.
    11.David J,Jim P,Edith R.Growth factors and the reeulation of fetal growth[J].Diabetes care,1998;21:B60-69.
    12.张娟.胰岛素样生长因子1启动子区域基因多态性与新生儿血清IGF-I 水平的关系[J].中国新生儿科杂志,2007;22(5):264-267.
    13.Yakar S,Rosen CI,Beamer Wesley G,et al.Circulating levels of IGF-1 directly regulate bone growth and density[J].Clin Invest,2002;110.
    14.Jurgen Kratzsch,Wieland Kiess,et al.Circulating ICF-Ⅰ Levels in Childhood are related to both current body composition and early postnatal rate[J].Clinical Endocrinol Metab,2003;87(3):1041-1044.
    15.薛亚梅.IGF-1对细胞凋亡的抑制调控[J].生命科学,2007;2(19):68-90.
    16.姜学明.补肾健脾活血方对去卵巢大鼠IGF血清含量的影响[J].湖北中医杂志,2005;27(11):5-8.
    17.汤耿民,沈霖.补肾活血方实验性骨折愈合过程中对血清胰岛素样生长因子1的影响[J].中国中医骨伤科杂志,2000;6(8):1-3.
    18.赵咏芳,詹红生.补肾益精中药调控体外培养成骨细胞IGF-I分泌与表达的研究[J].上海中医药杂志,2006;4(12):4-7.
    19.Rosen HN,Chen V.Treatment with growth hormone and IGF-1 in growing rats increase bone mineral content but not bone mineral density[J].Bone Miner Res,1995,10(9);1352.
    20.Seibel MJ.Molecular markers of bone turnover:biochemical aspects[J].Osteopros Int,2000;11:18-19.
    21.胡亚美,江载芳,诸福棠.《实用儿利学》[M].第7版北京人民卫生出版社,2001;548-550.
    22.郑柔.骨碱性磷酸酶测定在婴幼儿佝偻病诊断中的意义[J].中国实验诊断学,2005;9(3):443.
    23.邢国胜,谈志龙,王淑云等.补肾健骨汤对成骨细胞增殖及BALP、骨钙素合成的影响[J].中草药,2001;32:1020-1022.
    1.Isakasson OG,Lindal A,Nilsson A,et al.Mechanism of the stimulatory effect of growth hormone on longitudinal bone growth [J].Endocr Rev,1987;8(4):426-438.
    2.Lewinson D,Harel Z,Shenzer P,et al.Effect of thyroid hormone and growth hormone on recovery from hypothyroid is of epiphyseal growth plate cartilage and adjacent bone[J].Endocrinology,1989;124(2):937-945.
    3.林燕萍,王和鸣.实验性骨折愈合过程中垂体-甲状腺轴变化的免疫细胞化学研究[J].中国中医骨伤科,2005;2(5):7-9.
    4.宋春风,尹桂山等.补肾益气中药对肾阳虚大鼠垂体-甲状腺超微结构的影响[J].中国中医基础医学杂志,1999;5(9):22-24.
    5.郭刚,郭若霖.碘缺乏所致甲状腺功能低下大鼠骨发育障碍的病理学观察[J].西安交通大学学报(医学版),2003;2:191.
    6.沈自尹.肾的研究[M].上海:上海科学技术出版社,1990;3:195-331.
    7.罗卫芳,郭树仁,程士德.中医学肾本质现代研究概述[J].中国中医基 础医学杂志,2001;7(4):75-76.
    8.林燕萍,李咏高.健骨颗粒对骨质疏松模鼠垂体甲状腺轴的影响[J].中国骨伤,2002;3(15):154-157.
    9.武密山,李恩,赵索芝.补肾方药对实验性骨质疏松症大鼠垂体-甲状腺轴及其骨密度的影响[J].中国临床康复,2005;9(11):187-189.
    10.张玲,文俐,李青,等.慢性肾功不全患者甲状腺激索的改变及意义[J].重庆医科大学学报,2000,25(3):176.
    11.Rodriguez Amao J,Miell J,Thomas M,et aL.Changes in hepatic insuline-like growth factor-binding proteins 1 mRNA levels in rat with altered thyroid status[J].Endocrinol 1994,140:251-255.
    12.刘建华,易著文.血清甲状腺激素浓度与肾病大鼠GH-IGF轴紊乱及生长障碍的关系[J].湖南医科大学学报,2001,26(3):263.
    13.冯新玲.恐伤孕鼠对其仔鼠脑发育的影响及其机制研究.2006届湖北中医学院博士论文.
    14.Gremaschi GA,Gorelik Q,Klecha AJ,Chronic stress influences the immune system through the thyroid axis[J].Life Sciences,2000;67(26):3171-3179.
    15.杨宇虹.关于骨组织和成骨细胞中甲状腺激素受体的研究.天津医科大学2006届博士学位论文.
    16.Sandier B,Webb P,Apriletti JW,et al.Thyroxine-thyroid hormone receptor interactions[J].Biol Chem 2004;279:55801-8.
    1.杨珺.软骨细胞凋亡与骨关节病退行性变关系的研究进展[J].中国地方病学杂志,2002;3(21):154.
    2.Hunziker EB,Schenk RK,CruzOrive IM.The apoptosis of cartilage cells in rat metaphysis[J].Bone Jiont Sung Am,1987;69(2): 162-173.
    3.李松.细胞凋亡及其调控基因在骨、关节发育和炎症损伤中的意义[J].国外医学.创伤和外科基本问题分册,1998;19(4):212-214.
    4.Kamada S,Shimono A,Shinto Y,bcl-2 deficiency in mice leads to pleiotropic abnormalities:accelerated lymphoid cell death in thymus and spleen,polycystic kidney[J].Cancer Res,1995,55(2):354.
    5.Veis DJ,Sorenson CM,Shutter JR.Bcl-2 deficient mice demonstrate fulm in antlymphoid apoptosis,polycystic kidneys,and hypopigmented hair[J].Cell,1993,75(2):229.
    6.Wang Y,Toury R,Hauchecornc M,et al.The expression and significance of Bcl-2 and bax protein in rat tibial metaphysic [J].Histochem Cell Biol,1997;108(1):45.
    7.张晓.Bax蛋白在骺板软骨细胞中的表达[J].四川大学学报(医学版),2003;34(1):64-66.
    8.Amling M,NeffL,Tanaaka S et al.Invivo incident of apoptosis evaluate with the TDT Fragel DAN fragmentation detection kit in cartilage and bone cells of the rat tibia[J].Cell Biol,1997;136(1):205-213.
    9.彭黎明,王曾礼主编.细胞凋亡的基础与临床[M].北京:人民卫生出版社出版,2000;99.
    10.Kawamura C.Kizaki M.Yamato K,et al.Bone morphogenetic protein induces apoptosis in human myeloma cells with modulation of Staus[J].Blood,2000;15(6):96.
    1.Smith SM,Vale WW.The role of the hypothalamic-pituitary-adrenal axis in neuroendocrine responses to stress[J].Dialogues Clin Neurosci.2006;8(4):383-95.
    2.李慧吉,武成.情志医学的研究[J].天津中医,2000;17:37-39.
    3.王米渠,曾祥国.先天恐惧的肾虚鼠的神经内分泌研究[J].现代中西医结合杂志,2006,15(22):3027.
    4.Davis,M.The role of the amygadal in fear-potentiated startl:implication for animal modles of anxiety[J].Trends Pharmacol sci,1992;13(1):35-41[J].
    5.刘晓伟,张红梅,曲宏达,等.怒恐伤气动物模型制作及行为评估[J]. 中国行为医学科学,2006;15(1):10-12.
    6.Barbazanges A,Piazza PV.Maternal glucocorticoid secretion mediates long-term effects of prenatal stress[J].Neurosci,1996;5(12):3943-9.
    7.Baravalle C,Salvetti NR,Mira GA,et al.The role of ACTH in the pathogenesis of polycysticovarian syndrome in rats:honnonal profiles and ovarian morphology[J].Physiol Res,2007;56(1):67-78.
    8.Schneider ML.Prenatal stress exposure alters postnatal behavioral expression under conditions of novelty challenge in rhesus monkey infants[J].Dev Psychobiol,1992 Nov;25(7):529-40.
    9.邓颖.情绪应激动物模型的建立及评估[J].华西医学,2007;22(4):901
    10.李震,贾素菊,李檬,等.应用诱导“劳倦过度.房事不节”法建立肾虚模型的研究[J].实用中西医结合杂志,1995;8(8):585-586.
    11.马渊,周文霞,程军平.六味地黄汤对悬吊应激小鼠下丘脑-垂体-卵巢轴激素的影响[J].中国实验方剂学杂志,2002;8(6):18.
    12.张丽萍,张伯礼.情志病的中医药研究现状分析与思考[J].辽宁中医杂志,2008;35(3):349.
    13.王米渠,马向东.“肾为先天之本”行为遗传中关于“恐伤肾”的表征[J].中国中医基础医学杂志,1997;3(4):23-26.
    14.沈雁,匡调元,张伟荣等.“恐伤肾”的实验研究[J].中国医药学报,1991:6(1):13--I6.
    15.王米渠,蔡玉泉.中医遗传学概论[M].成都:四川科学技术出版社,2001;106-118.
    16.王米渠,吴斌.“恐伤肾”母子两代的生理研究[J].福建中医药,2003;2(34):3-6
    17.胡汉波,王米渠,余曙光,等.恐伤孕鼠对子鼠成年及老年期行为学影 响的跳台实验研究[J].中国行为医学科学,1998;7(2):83-84.
    18.王米渠,丁维俊,曾祥国,等.造模先天肾虚证对子代鼠肇丸病理形态初报[J].浙江中医学院学报,1998;22(2):33-34.
    19.王米渠,薛嘉莲,王刚,等.“恐伤肾”基因心理学的前沿研究[J].中国中医药,2005;3(1):35.
    20.王米渠,林乔.论“恐伤”心理的基因定势表达[J].2003;22(2):13-16.
    21.金沈锐,王米渠.“恐伤肾”与即早基因表达的相关性研究[J].上海中医药大学学报,2002;14(4):45-49.
    22.宁显明,樊粤光.补肾中药对膝骨关节炎软骨TGF-β表达的影响[J].中国中医骨伤科杂志,2004;12(1):36-39.
    23.Gluckman PD,Handing JE.The physiology and pathophysiology of intrauterine growth retardation[J].Horm-Res,1997;48 Suppl 1:11-16.
    24.Kamada S,Shimono A,Shinto Y.etal.Bcl-2 deficiency in mice leads to pleiotropic abnormalities:Accelerated lymphoid cell death in thymus and spleen,polycystic kidney,hair hypopigmentation,and distorted smaLL intestine[J].Cancer Research,1995;55(2):354-359.
    25.Veis DJ,Sorenson CM,Shutter JR,etal.Bcl-2-deficient mice demonstrate fulminant lymphoid apoptosis,polycystic kidneys,and hypopigmented hair[J].Cell,1993;75(2):229-240.
    26.张登海,凌昌全,刘颖等.现代细胞生物学与中医学说—Bcl-2家族与中医肾本质关系探讨[J].细胞生物学杂志,1999;21(3):125-128.
    27.潘浩.补肾壮筋汤对兔早期实验性骨关节炎软骨细胞凋亡及PCNA表达的影响[J].中国中医骨伤科杂志,2004;8(12):16.
    28.肖黎.补肾方药对慢性肾小球肾炎肾虚证人群BcI-2基因表达变化的影响[J].中华实用中西医杂志,2 003;3(16):1895-1897.
    29.Rondi L,Dubreuil Y.Fear decrease in transgenic Miceover expressing bcl-2 in neurons[J].Neuroreport,1997;8(11):92-98.
    30.Ames SK.Ellis KJ,Gunn SK,et al.Vitanin D receptor gene Fok polymorphism predicts calcium absorption and bone mineral density in children[J].Bone Miners Bes,1999;14:740-746.
    31.Greenfield EM,Bi Y,Miyauchi A.Regulation of osteoclast activity [J].Life Sci,1999;65:1087-1102.
    32.苏佳灿.骨生长因子与骨重建研究进展[J].临床骨科杂志,2001;4(2):64.
    33.Khosla S,Atkinson EJ,et al.Effect oesterogen versus testosterone on circulating osteoprotegerin and other cytokine levels in normal elderly man[J].Clin Endocrinol Metab,2002;87(4):1550-1554.
    34.Isakasson OG,Lindal A,Nilsson A,et al.Mechanism of the stimulatory effect of growth hormone on longitudinal bone growth [J].Endocr Rev,1987,8(4):426-438.
    35.刘宁隆.胰岛素样生长因子在免疫与神经内分泌网络中的作用[J].中华儿科杂志,2000;38(3):469-470.
    36.Lewinson D,Harel Z,Shenzer P,et al.Effect of thyroid hormone and growth hormone on recovery from hypothyroid is of epiphyseal growth plate cartilage and its adjacent bone[J].Endocrinology,1989,124(2):937-945.
    37.郭若霖.甲状腺功能与骨生长因子基因BMP-2、IGF-1表达的关系[J].西安交通大学学报,2005;2(3):191.
    38.Henry M,Kronenberg.Developmental regulation of the growth plate[J].Nature,2003;42(3):332-336.
    39.Eingartner C,Coerpers,Fritz J,et al.Immunohistological pattern of TGF-β and IGF-Ⅰ in human callus induced by distraction osteogenesis[J].Int Orthop,1999;23(5):253-259.
    40.梁晓萍.骨质疏松大鼠血清IGF-1水平和TGF-β骨表达的实验研究[J].中国老年学杂志,2002;1(22):47-49.
    41.宁旭.TGF-β与IGF-I对体外培养兔软骨细胞增殖的影响[J].贵阳医学院学报,2005;2(1):26-28.
    42.Morales O,Samuelsson M K.Effects of lalpha25-dihydroxy vitamin D3 and growth hormone on apoptosis and pro-liferation in UM R osteoblast-like cells[J].Endocrinology,2004;145:87-94.
    43.张娟.IGF-I及其基因多态性与婴儿生长发育的关系[J].中国现代医生,2007:8(45):111-114.
    44.刘忠厚主编.骨质疏松学[M].北京科学出版社,1998:614-631.
    45.魏波.重组胰岛素样生长因子-1对成骨细胞增殖分化的影响[J].中国临床康复,2005;6(9)22:84-86.
    46.薛亚梅.IGF-1对细胞凋亡的抑制调控[J].生命科学,2007;2(19):68-90.
    47.Xian CJ,Howarth GS,Cool,JC,et al.Effects of acute 5-fluorouracil chemotherapy and insulin-like growth factor-1pretreatment on growth plate cartillage and metaphyseal bonein rats[J].Bone,2004;35:739-749.
    48.郑丽,董进.IGF-1对MC3T3-E1细胞凋亡及凋亡调控蛋白Bax,Bcl-2表达的影响[J].中西医结合心脑血管病杂志,2006;6(6):688-691.
    49.刘杨,亢登峰,王英元.大鼠脊髓损伤后IGF-1和Bcl-2表达变化免疫组织化学研究[J].中西医结合心脑血管病杂志,2007;2(5):134-136.
    50.Marie p,Growth factors and bone formation in osteoporosis:role for IGF-1 and TGF-beta[J].Rev Rhum Eng Ed,1997,64:44-53.
    51.王松.二期骨折愈合过程中骨痂软骨细胞凋亡与VEGF和TGF-β的表达[J].中国运动医学杂志,2003;9(22):463.
    52.李代强,伍汉文.去卵巢大鼠骨质疏松凋亡细胞及其相关因素观察[J].中华内科杂志,2001;2(2):98-101.
    53.李平,张梅.腰痛舒胶囊对骨关节炎模型鼠中P_(53)、bcl-2、PCNA、TGF-β的影响[J].北京医药大学学报,2006:6(6):385-388.
    54.王艾丽.TGF-β对骨髓间充质干细胞在无氧血清条件下凋亡的影响[J].武汉大学学报医学版,2007:11(28):729-732.
    55.江莲,陈健中.胰岛素样生长因-1对新生大鼠缺氧缺血性脑损伤保护机制的研究[J].华围产医学杂志,2004;7(3):152-155.
    56.初桂兰,徐华美.转化生长因子β对缺氧缺血性脑损伤新生大鼠bcl-2及Bax蛋自表达的影响[J].中华小儿急救医学,2006;13(5):451-456.
    1.赵慧.补肾壮骨冲剂对绝经后骨质疏松症患者骨密度和骨代谢指标的影响[J].中国临床康复,2003;7(9):48-53.
    2.唐义泉.益肾壮骨汤配合手法治疗膝骨性关节炎42例[J].福建中医药,2003:34(1):20-23.
    3.程栋,龙攀,周海艇,等.中医药治疗骨质疏松症研究近况[J].中国骨质疏松症杂志,2003;9(1):86-89.
    4.刘宝英.自拟壮骨汤为主治疗骨折迟缓愈合14例[J].云南中医学院学报,1997;20(3):33-36.
    5.刘亚玲.补肾健骨散治疗晚发性佝偻病57例疗效观察[J].现代中西医结合杂志,2003;12(10):1032.
    6.陈玉玲,莫穗林,罗素珍.小儿脑瘫从肾虚论治[J].甘肃中医,1999;12(6):1-2.
    7.刘维倩.中药胎育龄治疗胎儿官内发育迟缓的临床研究[J].北京医学,1990:(12):129.
    8.罗佐杰,冼苏.高健美治疗正常儿童青少年矮身材的临床研究[J].广西医学,1999;21(1):35.
    9.孙广仁主编.中医基础理论[M].中国中医药出版社,2002:92-94.
    10.白云静,窦迎春.试论“肾为封藏之本”[J].河北中医药学报,2001;16,(3):10-11.
    11.张登本.“肾主骨”理论的发生及其意义[J].河南中医学院学报,2007:5(3):5-10.
    12.张进,徐志伟,陈群,等.干细胞与中医基础理论中的先天之精学说[J].中国临床康复,2006;10(7):189-192.
    13.王米渠,吴斌,王刚,等.恐伤肾模型研究的深入问题[J].福建中医药,2002;33(5):1-2.
    14.李勇枝.中医肾虚证研究进展[J].中国中医基础医学杂志,1996;2(4):56-60.
    15.严石林,王米渠,吴斌等.肾虚与补肾的基因研究态势分析[J].中医药学刊,2002;20(5):627-628.
    16.张亚琴.“肾主骨生髓”与肾脏的内分泌功能[J].辽宁中医药大学学报,2008:2(10):11-14.
    17.王米渠,曾祥国,马向东,等.恐伤肾造模对子代鼠脑超微结构的观察[J].成都中医药大学学报,1996;19(4):37-39.
    18.王米渠,吴斌,冯韧,等.恐伤母研究子代肾虚的行为遗传[J].福建中医学院学报,2003;13(2):1-3.
    19.王米渠,吴斌,冯韧,等.“恐伤肾”母子两代的生理研究[J].福建中医药,2003;34(1):3-4.
    20.王米渠,蔡玉泉.中医遗传学概论[M].成都:四川科学技术出版社2001:106-118.
    21.张俊龙.从肾精虚动物模型揭示“肾在志为智”之本质[J].中国医院学报,2000;15(5):15-18.
    22.刘连起,孙丽萍.强骨冲剂对去势大鼠骨密度及骨组织形态计量学参数的影响[J].北京中医药大学学报,2001;5(3):41-45.
    23.张荣华,欧阳菁.肾主骨生髓理论与骨髓间充质干细胞骨向分化[J].中医杂志,2006;1(47):731-735.
    24.黎晖,周健洪,陈东风.龟板对人鼠骨髓间充质干细胞向成骨分化的影响[J].中药新药与临床药理,2005;16(3):159-161.
    25.臧洪敏.补肾活血方对成骨细胞增殖等生物学特性影响的实验研究[J].中药材,2005;9(28):803-805.
    26.张宁.补肾活血中药对体外培养成骨细胞活性的影响[J].中国中医药 信息杂志,2005;1(12):40-42.
    27.任艳玲.补肾健脾药物血清对体外培养成骨细胞增殖和分化的影响[J].中国中医药信息杂志,2 004;9(11):36-38.
    28.王玉东.补肾宁心方对小鼠成骨细胞增殖和抗凋亡作用[J].中国中西医结合杂志,2004;3(24):32.
    29.卢思俭.补肾为主对兔膝骨关节炎模型软骨细胞凋亡的影响[J].山东中医杂志,2006;10(25):696.
    30.沈霖,沈耀,杨述华.丹参注射液对维甲酸诱导的软骨细胞凋亡的影响[J].中国中医骨伤科杂志,2002;10(5):1-4.
    31.万荣,杨庆铭,邓廉夫.黑虎丹治疗兔骨关节炎的实验研究[J].中国骨伤,2001;14(2):85-87.
    32.赵咏芳.补肾益精中药调控体外培养成骨细胞GH-IGF分泌与表达的研究[J].上海中医药杂志,2006;40(12):23.
    33.林燕萍,李咏高.健骨颗粒对骨质疏松模鼠垂体甲状腺轴的影响[J].中国骨伤,2002;3(15):154-157.
    34.武密山,李恩,赵索芝.补肾方药对实验性骨质疏松症大鼠垂体-甲状腺轴及其骨密度的影响[J].中国临床康复,2005;9(11):187-189.
    35.许兰芝,蒋淑君.肾阳虚大鼠下丘脑-垂体-甲状腺轴内分泌及钙调蛋白基因表达与淫羊藿总黄酮的干预[J].中国临床康复,2006;10(11):138-142.
    36.程志安.健骨二仙丸对成骨细胞分化及IGF-ImRNA表达的影响[J].中国中医骨伤科杂志,2004;2(12):16.
    37.及金宝,李嫔.滋阴泻火中药合剂对青春期大鼠垂体生长激素和干骺端胰岛素样生长因子1基因表达的调节[J].中国临床康复,2006;10(7):37-39.
    38.沈霖.补肾中药密骨片对成骨细胞生长因子转化生长因子βmRNA表达的影响[J].中国临床康复,2006;3(10):36.
    39.刘诗荣,沈霖,杨艳萍.补肾法对去卵巢大鼠骨组织中TGF-β及Fas 的影响[J].中国中医骨伤科杂志,2003;11:23-26.
    40.沈霖,杜靖远,曾晖.补肾方对成骨细胞生长因子[J]TGF-βmRNA表达的影响[J].中医正骨,2001;13:3-5.
    41.夏远军,沈霖.补肾中药密骨片对成骨细胞生长因子转化生长因子TGF-βmRNA表达的影响[J].中国临床康复,2006;3(10):177-179.
    42.任艳玲,郑洪新.补肾健脾药物血清对大鼠成骨细胞Smad2 mRNA表达影响的研究[J].中医药学刊,2005;4(23):618-620.
    43.王华松,许申明.肾碎补对肾折愈合中TGF-β表达的影响[J].中国中医骨伤科杂志,2001;9(4):10.
    44.潘浩.补肾壮筋汤对兔早期实验性骨关节炎软骨细胞凋亡及PCNA表达的影响[J].中国中医骨伤科杂志,2004;8(12):16.
    45.吕学敏,杨庆铭.WNT家族在脊椎动物骨骼发育中的作用机制[J].遗传,2004;26(6):947-952.
    46.苏佳灿,骨生长因子与骨重建研究进展[J].临床骨科杂志,2001;4(2):64.
    47.Camacho-Huhner C,Savage M.Insulin-like growth factor-Ⅰdeficiency[J].Hormone Research(Basel),2001;55.
    48.Gluckman PD,Handing JE.The physiology and pathophysiology of intrauterine growth retardation[J].Horm-Res,1997;48 Suppl 1:11-16
    49.张娟.IGF-Ⅰ及其基因多态性与婴儿生长发育的关系[J].中国现代医生,2007;8(45):111-114.
    50.刘忠厚主编,骨质疏松学[M].北京科学出版社1998:614-631.
    51.魏波.重组胰岛素样生长因子Ⅰ对成骨细胞增殖分化的影响[J].中国临床康复,2005;6(9)22:84-86.
    52.闫震,汤春生.IGF系统与胎儿生长发育[J].国外医学妇幼保健分册, 2004:15(1):17-20.
    53.丁晓春.生长激素及胰岛素样生长因子Ⅰ对新生儿生长发育调控的观察[J].中国实用儿科杂志,2003;7(18):65.
    54.David J,Jim P,Edith R,Growth factors and the reeulation of fetal growth[J].Diabetes care,1998;21:60-69.
    55.张娟.胰岛素样生长因子1启动子区域基因多态性与新生儿血清IGF-Ⅰ水平的关系[J].中国新生儿科杂志,2007;22(5):264-267.
    56.Yakar S,Rosen CI,Beamer Wesley G,et al.Circulating levels of IGF-1 directly regulate bone growth and density[J].Clin Invest,2002;11(2):265.
    57.薛亚梅.IGF-1对细胞凋亡的抑制调控[J].生命科学,2007;2(19):68-90
    58.Michal C,Mark C,et al.Transforming growth factor-beta gene family members and bone[J].Endocrine Rev,1994,15:27
    59.Hughes D,Wright K,Mundy G,et al.TGF-β induces osteoclast apoptosis in vitro[J].Bone Miner Res,1994;9:71.
    60.苏佳灿,许硕贵,张春才.生长因子与骨重建研究进展[J].临床骨科杂志,2001;4(2):155.
    61.王凡,刘德鸿,李瑞祥.转化生长因子-β对骺板肥大区软骨细胞分化作用的研究[J].中国口腔种植学杂志,1998;3(4):151-154.
    62.Gxiao D,Thomas M,et al.Mapk pathways active and phosphorylate the steoblast-specific transcription factor cbfal[J].Biol Chem,2000,275(6):453-459.
    63.杜俊杰,郭书权.BMP-2诱导成骨及传送的研究进展[J].第三军医大学学报,2005;8(27):1707-1710.
    64.Mikie B,Battaglia T,Taylor EA,et al.The effect of growth differentiation factor-5 deficiency on femoral composition and mechanical behavior in mice[J].Bone,2002;30(5)733-737.
    65.张宇坤.生长分化因子5在小鼠肢体骨骼发育中的表达规律[J].中国临床康复,2006;3(10):81-84.
    66.Marie L.Growth factor,and bone formation in osteoporosis:roles for IGF1 and TGF[J].Bone Miner Res,1997;(64):44.
    67.王艾丽.TGF-β1对骨髓间充质干细胞在无氧血清条件下凋亡的影响[J].武汉大学学报医学版,2007;11(28):729-732.
    68.Isakasson OG,Lindal A,Nilsson A,et al.Mechanism of the stimulatory effect of growth hormone on longitudinal bone growth [J].Endocr Rev,1987;8(4):426-438.
    69.刘宁隆.胰岛素样生长因子在免疫与神经内分泌网络中的作用[J].中华儿科杂志,2000;38(3):469-470.
    70.Lewinson D.Effect of thyroid hormone and growth hormone on recovery from hypothyroid is of epiphyseal growth plate cartilage and its adjacent bone[J].Endocrinology,1989;124(2):937-945.
    71.林燕萍,王和鸣.实验性骨折愈合过程中垂体-甲状腺轴变化的免疫细胞化学研究[J].中国中医骨伤科,2005;2(5):7-9.
    72.宋春风,尹桂山等.补肾益气中药对肾阳虚大鼠垂体一甲状腺超微结构的影响[J].中国中医基础医学杂志,1999;5(9):22-24.
    73.郭刚,郭若霖.碘缺乏所致甲状腺功能低下大鼠骨发育障碍的病理学观察[J].西安交通大学学报(医学版),2003;2:191.
    74.Gremaschi GA,Gorelik Q,Klecha AJ,Chronic stress influences the immune system through the thyroid axis[J].Life Sciences 2000;67(26):3171-3179.
    75.Hunziker EB,Schenk RK,CruzOrive IM.The apoptosis of cartilage cells in rat metaphysis[J].Bone Jiont Sung Am,1987;69(2):162-173.
    76.李松.细胞凋亡及其调控基因在骨、关节发育和炎症损伤中的意义[J].国外医学.创伤和外科基本问题分册,1998;19(4):212-214.
    77.Kamada S,Shimono A,Shinto Y,bcl-2 deficiency in mice leads to pleiotropic abnormalities:accelerated lymphoid cell death in thymus and spleen,polycystic kidney[J].Cancer Res,1995;55(2):354.
    78.Veis DJ,Sorenson CM,Shutter JR.Bcl-2 deficient mice demonstrate fulm in antlymphoid apoptosis,polycystic kidneys,and hypopigmented hair[J].Cell,1993;75(2):229.
    79.Amling M,NeffL,Tanaaka S et al.Invivo incident of apoptosis evaluate with the TDT Fragel DAN fragmentation detection kit in cartilage and bone cells of the rat tibia[J].Cell Biol,1997;136(1):205-213.
    80.Wang Y,Toury R,Hauchecornc M et al.The expression and significance of Bcl-2 and bax protein in rat tibial metaphysic [J].Histochem Cell Biol,1997;108(1):45.
    81.王松.二期骨折愈合过程中骨痂软骨细胞凋亡与VEGF和TGF-β1的表达[J].中国运动医学杂志,2003;9(22):463.

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