非甾类抗炎药物对软骨细胞内游离钙的影响

In vitro effects of NSAIDs on intracellar calcium ion in human articular chondrocytes

  • 摘要: 目的:了解不同种类非甾类抗炎药(NSIADs)在低浓度水平(相当于常用口服剂量药物下的人体平均血浆最高浓度)对体外培养的人软骨细胞内游离钙的影响。方法:培养3d的人膝关节软骨细胞经钙的荧光指示剂Fluo-3/AM染色后,在激光扫描共聚焦显微镜下动态观察NSAIDs对软骨细胞内平均荧光强度的即刻变化。结果:在高浓度的消炎痛、阿司匹林、扶他林和奇诺力作用下,软骨细胞内平均荧光强度变化值均明显高于正常对照生理盐水组(P<0.001,n=6);而在低浓度作用下,仅扶他林对软骨细胞的平均荧光强度变化值与正常对照组无显著性差异(P>0.05,n=6)。结论:不同种类和不同浓度非甾类抗炎药物,对正常软骨细胞内游离钙产生不同影响,扶他林在低浓度下对正常软骨细胞内游离钙的影响最小或无影响,并提示该药物对正常软骨细胞的损伤作用比其它3种药物小。

     

    Abstract: Objective:The purpose of this study was attempted to investigate the direct effects of various non-steroid antiinflammatory drugs (NSAIDs) at low concentration equivalent to serum level at normal oral dosage on intracellular calcium ion in human knee articular chondrocytes in vitro.Methods:After the chondrocytes were cultured for 3 days, the instant change of average fluorescent intensity (AFI) within chondrocytes stained by Fluo-3/AM (cacium fluorescence probe) under the treatment of high and low concentration of NSAIDs (aspirin, sulindac,indomethacin and diclofenac sodium) was detected with laser scanning confocal microscope. Results:The AFI was significantly decreased with rapid speed under the high concentration of all NSAIDs tested compared to that of normal saline in control (P<0.001,n=6). At the low concentration, however, diclofenac sodium had a minimum influence on intracellular AFI compared with sulindac, aspirin and indomethacin. Conclusion:These observations suggest normal human chondrocytes respond differently to various NSAIDs. Each drug may exhibit unique attributes with respect to instant efficacy on free calcium within chondrocytes. In addition, diclofenac sodium probably induces less damage on the normal chondrocytes than others.

     

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