Gabet Yankel, Müller Ralph, Regev Eran, Sela Jona, Shteyer Arie, Salisbury Kristy, Chorev Michael, Bab Itai
Bone Laboratory, Institute of Dental Sciences, Faculty of Dental Medicine, The Hebrew University of Jerusalem, Israel.
Bone. 2004 Jul;35(1):65-73. doi: 10.1016/j.bone.2004.03.025.
The osteogenic growth peptide (OGP) is a key factor in the mechanism of the systemic osteogenic response to local bone marrow injury. Recent histologic studies have shown that OGP enhances fracture healing in experimental animals. To assess the effect of systemically administered OGP on the biomechanical and quantitative structural properties of the fracture callus, the present study used an integrated approach to evaluate the early stages (up to 4 weeks) of healing of unstable mid-femoral fractures in rats, which included biomechanical, micro-computed tomographic (microCT) and histomorphometric measurements. During the first 3 weeks after fracture, all the quantitative microCT parameters increased in the OGP- and vehicle-treated animals alike. After 4 weeks, the volume of total callus, bony callus, and newly formed bone was approximately 20% higher in animals administered with OGP, consequent to a decrease in the controls. The 4-week total connectivity was 46% higher in the OGP-treated animals. At this time, bridging between the fracture ends by newly formed bone was observed predominantly in the OGP-treated fractures. After 3 and 4 weeks, the OGP-treated animals showed higher biomechanical toughness of the fracture callus as compared to the PBS controls. Significant correlations between structural and biomechanical parameters were restricted to the OGP-treated rats. These data imply that the osteogenic effect of OGP results in enhanced bridging across the fracture gap and consequently improved function of the fracture callus. Therefore, OGP and/or its derivatives are suggested as a potential therapy for the acceleration of bone regeneration in instances of fracture repair and perhaps other bone injuries.
成骨生长肽(OGP)是全身对局部骨髓损伤产生成骨反应机制中的关键因子。近期的组织学研究表明,OGP可促进实验动物的骨折愈合。为评估全身给予OGP对骨折痂生物力学和定量结构特性的影响,本研究采用综合方法评估大鼠股骨中段不稳定骨折愈合的早期阶段(长达4周),包括生物力学、显微计算机断层扫描(microCT)和组织形态计量学测量。在骨折后的前3周,OGP处理组和赋形剂处理组动物的所有定量microCT参数均增加。4周后,给予OGP的动物中,总骨痂、骨痂和新形成骨的体积比对照组减少的情况下高出约20%。OGP处理组动物的4周总连通性高出46%。此时,在OGP处理的骨折中主要观察到新形成的骨在骨折端之间形成桥接。3周和4周后,与PBS对照组相比,OGP处理组动物的骨折痂表现出更高的生物力学韧性。结构参数与生物力学参数之间的显著相关性仅限于OGP处理的大鼠。这些数据表明,OGP的成骨作用导致骨折间隙桥接增强,从而改善骨折痂的功能。因此,OGP和/或其衍生物被认为是在骨折修复及可能的其他骨损伤情况下加速骨再生的潜在治疗方法。