Abstract

The present study aimed to compare the effect of autograft or allograft anterior cruciate ligament (ACL) reconstruction on the expressions of lipoxygenases (LOXs) and matrix metalloproteinases (MMPs) in a New Zealand white rabbit model. New Zealand white rabbits were divided randomly into control, sham, autograft and allograft groups. At the 4th and 8th week after operation, biomechanical testing was performed to measure the primary length, cross-sectional area, maximum tensile load and stiffness of ACL, and HE staining was used to observe cell morphology and fibre alignment of ACL. At the 2nd, 4th and 8th week after operation, quantitative real-time PCR (qRT-PCR), Western blotting and immunohistochemistry were applied to detect LOXs and MMPs expressions, and expressions of adenomatous polyposis coli (APC)/Wnt signalling pathway-related proteins. At the 4th and 8th week after operation, the maximum tensile load and stiffness were higher in the autograft group than in the allograft group, and the values at the 8th week were higher than those at the 4th week after operation. The fibroblast proliferation in the allograft group was more significant than that in the autograft group. Compared with the control group, LOXs and MMPs expressions and the positive expression rates of LOXs and MMPs proteins were elevated, and the values in the allograft group were higher than those in the autograft group at all time points. At 8th week after operation, compared with the autograft group, Wnt expression was higher and APC expression was lower in the allograft group. Autograft and allograft ACL reconstruction can promote LOXs and MMPs expressions by activating the APC/Wnt signalling pathway.

Highlights

  • Anterior cruciate ligament (ACL), the most frequently injured ligament in the knee, had an occurrence of approximately 250000–300000 ACL injuries in the United States annually [1,2]

  • The rabbits were implanted with the native ACL in the autograft group and the ACL excised from other animal models in the allograft group

  • Compared with the control group, the mRNA expressions of LOXs and matrix metalloproteinase (MMP) were elevated in the autograft and allograft groups at the 2nd, 4th and 8th week after operation, while there were no significant differences in the mRNA expressions of LOXs and MMPs between the control group and the sham group

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Summary

Introduction

Anterior cruciate ligament (ACL), the most frequently injured ligament in the knee, had an occurrence of approximately 250000–300000 ACL injuries in the United States annually [1,2]. Graft failure is an important clinical outcome after ACL reconstruction. Non-physiological loading in the knee can be caused by mismatched biomechanical properties of the tendon graft tissue to replace the native ligament tissue [8]. It is important to better understand the role of gene expression in normal and inc 2017 The Author(s). To investigate the associations of autograft and allograft ACL reconstruction with the expressions of LOXs and MMPs, the present study was carried out in rabbit models undergoing ACL reconstruction with tendon autograft or allograft

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