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Decreased serum 4-Hydroxynonenal level as a biomarker for the progression of steroid-induced osteonecrosis of the femoral head

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机构: [1]Guangzhou University of Chinese Medicine, Guangzhou, China. [2]Lingnan Medical Research Center of Guangzhou University of Chinese Medicine, Guangzhou, China. [3]Department of Orthopedics, Bijie Hospital of Chinese Medicine, Bijie, Guizhou, China. [4]Guangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine, Guangzhou, China. [5]Department of Orthopaedics, The Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. [6]Guangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine, Guangzhou, China. [7]Department of Orthopaedics, The Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
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关键词: Oxidative stress 4-Hydroxynonenal Steroid-induced osteonecrosis of the femoral head Biomarker Collapse

摘要:
Osteonecrosis of the femoral head (ONFH) is becoming a prevalent global health problem. 4-Hydroxynonenal (4-HNE) serves as a common marker of oxidative stress. This study aims to study the potential role of 4-HNE in the progression of steroid-induced osteonecrosis of the femoral head (SIONFH).Between April 2021 and December 2021, 64 subjects were enrolled in this cross-sectional case‒control study. Thirty-six patients were grouped based on the Association Research Circulation Osseous (ARCO) classification, and 28 healthy volunteers without hip pain or any lesions shown in anteroposterior and frog-leg lateral pelvic radiographs served as the normal control group. Bone hematoxylin-eosin (HE) staining, microcomputed tomography (micro-CT), immunohistochemistry, and levels of plasma 4-HNE were evaluated.The 4-HNE level was higher in the SIONFH group than in the normal control group (P < 0.001), and 4-HNE levels were significantly higher in SIONFH patients in the early stage of disease (stage II). The 4-HNE level was negatively correlated with ARCO stage (r = - 0.6875, P < 0.001). Immunohistochemistry revealed the presence of 4-HNE in the trabecular bone, osteocytes, and bone marrow.The 4-HNE level is negatively associated with ARCO stages. Lower levels of 4-HNE may serve as a critical biomarker for the progression of SIONFH.© 2023. BioMed Central Ltd., part of Springer Nature.

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出版当年[2022]版:
大类 | 3 区 医学
小类 | 3 区 骨科
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 骨科
第一作者:
第一作者机构: [1]Guangzhou University of Chinese Medicine, Guangzhou, China. [2]Lingnan Medical Research Center of Guangzhou University of Chinese Medicine, Guangzhou, China.
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通讯作者:
通讯机构: [4]Guangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine, Guangzhou, China. [5]Department of Orthopaedics, The Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. [6]Guangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine, Guangzhou, China. [7]Department of Orthopaedics, The Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
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