He Xiao-bing, Lu Wei-zhong, Tang Kang-lai, Yang Liu, He Jing, Zhu Qing-he, Liu Xiao-dong, Xu Jian-zhong
Department of Orthopedics, Chongqing Fuling Central Hospital, Chongqing, P.R. China 408000.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2003 May;17(3):185-8.
To investigate the effects of exogenous bone morphogenetic protein (BMP) and transforming growth factor-beta (TGF-beta) on biomechanical property for ulna of fracture healing.
Thirty-six adult rabbits were made the model of right ulnar fracture and treated locally with TGF-beta/PLA, BMP/PLA, TGF-beta + BMP/PLA or PLA (as control group). Fracture healing was evaluated by measurement of the mechanical parameters and geometric parameters.
As compared with control group, the geometric parameters, the bending broken load, the ultimate bending strength, the bending elastic modulus, the ultimate flexural strength, the flexural elastic modulus, the ultimate compressing strength, the compressing elastic modulus, and the ultimate tensile strength for ulna of fracture healing increased significantly in the treatment groups(P < 0.01). These parameters were higher in TGF-beta + BMP/PLA group than in TGF-beta/PLA group or in BMP/PLA group and in TGF-beta/PLA group than in BMP/PLA group(P < 0.05). There was no significant difference in bone density between the treatment groups and control group.
Local application of exogenous TGF-beta and BMP can increase the callus formation and enhance biomechanical strength of bone after fracture healing. A combination of TGF-beta and BMP has synergetic effect in enhancing fracture healing.
探讨外源性骨形态发生蛋白(BMP)和转化生长因子-β(TGF-β)对骨折愈合期尺骨生物力学性能的影响。
将36只成年家兔制成右侧尺骨骨折模型,分别用TGF-β/聚乳酸(PLA)、BMP/PLA、TGF-β+BMP/PLA或PLA(作为对照组)进行局部治疗。通过测量力学参数和几何参数来评估骨折愈合情况。
与对照组相比,各治疗组骨折愈合期尺骨的几何参数、弯曲破坏载荷、极限弯曲强度、弯曲弹性模量、极限抗弯强度、抗弯弹性模量、极限抗压强度、抗压弹性模量和极限抗拉强度均显著增加(P<0.01)。TGF-β+BMP/PLA组的这些参数高于TGF-β/PLA组或BMP/PLA组,TGF-β/PLA组高于BMP/PLA组(P<0.05)。各治疗组与对照组之间的骨密度无显著差异。
局部应用外源性TGF-β和BMP可增加骨痂形成,提高骨折愈合后骨的生物力学强度。TGF-β和BMP联合应用在促进骨折愈合方面具有协同作用。