Białecki P
Katedry i Kliniki Ortopedii i Traumatologii, Pomorskiej Akademii Medycznej w Szczecinie.
Ann Acad Med Stetin. 1999;45:195-209.
The influence of sodium fluoride on the course of repair process in the mechanically injured rat bone was studied. Thirty six male Wistar rats aged 5 months, weighing 460-540 g were investigated. The animals lived under standard conditions and were fed ad libidum with the standard LSM food including 0.7 mg/kg of fluorine on the average. The animals randomly divided into 3 groups that comprised study and control groups, 6 rats each. The rats in the first group were given water with 20 mg (1.05 mmol) of sodium fluoride per kg of body weight for 24 h over a period of 2 weeks--group Ia. In the second group--IIa--animals were given water with sodium fluoride at a dose of 1.5 mmol/kg b.w./24 h for a period of 4 weeks. In the third group--IIIa--the animals were given sodium fluoride in a dose of 1.5 mmol/kg b.w./24 h for a period of 6 weeks. The rats from the control groups I, II and III were given water without sodium fluoride for the period of 2, 4 and 6 weeks, respectively. At the beginning of the experiment a hole was drilled in both femoral bones in rat under barbiturate anaesthesia. According to the protocol the rats underwent ether euthanasia after 2, 4 and 6 weeks after surgery and the following samples were collected: blood from the heart for biochemical studies and both femoral bones for biochemical and histological studies. The following parameters were evaluated in blood serum: fluorine, calcium, magnesium contents, serum concentrations of urea, creatinine, bilirubin and activity levels of enzymes: aspartate aminotransferase, alanine aminotransferase, cholinesterase, base phosphatase. Fluorine, calcium magnesium and zinc contents were estimated in bone samples. The concentration of fluorine ions in animal serum after 2, 4 and 6 weeks of experiment increased significantly as compared with the corresponding controls. The highest fluorine concentrations were observed in serum of rats supplemented with NaF for 6 weeks. The fluorine concentrations in the bone tissue and fresh and dried granulation tissues in all studied groups also revealed statistically significant increase as compared to the controls. The rats fed with sodium fluoride for the period of 6 weeks revealed statistically significant increase of serum magnesium concentration as compared to the remaining study groups. Bone magnesium concentrations in animals fed with NaF for the period of 2 and 6 weeks were higher as compared to the corresponding control groups, with the highest differences observed after 6 weeks of experiment. Animals fed with sodium fluoride for the period of 6 weeks revealed increased serum calcium concentrations as compared to the study groups after 2 and 4 weeks of experiment. Similar results were achieved in bone tissue samples (Fig. 1 and 2, Tab. 1-6). Basing on the achieved results in biochemical studies and histological pictures it should be assumed that laboratory animals fed with sodium fluoride in doses recognised as non-toxic reveal intensified healing process within mechanically injured bones. The use of sodium fluoride led to accelerated chondrogenesis process in the area of insufficiently perfused bone, osteogenesis including temporary callus formation and mineralization of the new bone, as well as remodelling into mature lamellar bone. The greatest differences in the repair dynamics for both groups occurred between the second and fourth week of experiment. These results could be the base of clinical studies on application of the sodium fluoride in the acceleration of fracture healing.
研究了氟化钠对机械损伤大鼠骨骼修复过程的影响。对36只5月龄、体重460 - 540 g的雄性Wistar大鼠进行了研究。动物在标准条件下饲养,随意喂食标准LSM食物,平均含氟量为0.7 mg/kg。将动物随机分为3组,包括研究组和对照组,每组6只大鼠。第一组大鼠在2周内,每千克体重给予含20 mg(1.05 mmol)氟化钠的水24小时——Ia组。第二组——IIa组——动物在4周内,每千克体重每天给予1.5 mmol氟化钠的水。第三组——IIIa组——动物在6周内,每千克体重每天给予1.5 mmol氟化钠的水。对照组I、II和III的大鼠分别在2周、4周和6周内给予不含氟化钠的水。实验开始时,在巴比妥麻醉下,在大鼠的双侧股骨上钻一个孔。按照实验方案,大鼠在手术后2周、4周和6周进行乙醚安乐死,并采集以下样本:心脏血液用于生化研究,双侧股骨用于生化和组织学研究。检测血清中的以下参数:氟、钙、镁含量,尿素、肌酐、胆红素的血清浓度以及酶的活性水平:天冬氨酸转氨酶、丙氨酸转氨酶、胆碱酯酶、碱性磷酸酶。测定骨样本中的氟、钙、镁和锌含量。与相应对照组相比,实验2周、4周和6周后动物血清中的氟离子浓度显著增加。在补充氟化钠6周的大鼠血清中观察到最高的氟浓度。与对照组相比,所有研究组的骨组织以及新鲜和干燥肉芽组织中的氟浓度也有统计学显著增加。与其余研究组相比,喂食氟化钠6周的大鼠血清镁浓度有统计学显著增加。喂食氟化钠2周和6周的动物骨镁浓度高于相应对照组,实验6周后差异最大。与实验2周和4周后的研究组相比,喂食氟化钠6周的动物血清钙浓度增加。在骨组织样本中也得到了类似结果(图1和图2,表1 - 6)。基于生化研究结果和组织学图片,可以认为以公认无毒剂量喂食氟化钠的实验动物,其机械损伤骨骼的愈合过程得到增强。使用氟化钠导致灌注不足区域的软骨生成过程加速,包括临时骨痂形成和新骨矿化的成骨过程,以及重塑为成熟的板层骨。两组修复动力学的最大差异出现在实验的第二周和第四周之间。这些结果可为氟化钠在加速骨折愈合方面的临床研究提供依据。