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Nell-1诱导颅骨缺损处的骨再生。

Nell-1-induced bone regeneration in calvarial defects.

作者信息

Aghaloo Tara, Cowan Catherine M, Chou Yu-Fen, Zhang Xinli, Lee Haofu, Miao Steve, Hong Nichole, Kuroda Shun'ichi, Wu Benjamin, Ting Kang, Soo Chia

机构信息

Dental and Craniofacial Research Institute, Department of Bioengineering, School of Dentistry, University of California, Los Angeles, 10833 Le Conte Ave., CHS 30-117, Los Angeles, CA 90095, USA.

出版信息

Am J Pathol. 2006 Sep;169(3):903-15. doi: 10.2353/ajpath.2006.051210.

Abstract

Many craniofacial birth defects contain skeletal components requiring bone grafting. We previously identified the novel secreted osteogenic molecule NELL-1, first noted to be overexpressed during premature bone formation in calvarial sutures of craniosynostosis patients. Nell-1 overexpression significantly increases differentiation and mineralization selectively in osteoblasts, while newborn Nell-1 transgenic mice significantly increase premature bone formation in calvarial sutures. In the current study, cultured calvarial explants isolated from Nell-1 transgenic newborn mice (with mild sagittal synostosis) demonstrated continuous bone growth and overlapping sagittal sutures. Further investigation into gene expression cascades revealed that fibroblast growth factor-2 and transforming growth factor-beta1 stimulated Nell-1 expression, whereas bone morphogenetic protein (BMP)-2 had no direct effect. Additionally, Nell-1-induced osteogenesis in MC3T3-E1 osteoblasts through reduction in the expression of early up-regulated osteogenic regulators (OSX and ALP) but induction of later markers (OPN and OCN). Grafting Nell-1 protein-coated PLGA scaffolds into rat calvarial defects revealed the osteogenic potential of Nell-1 to induce bone regeneration equivalent to BMP-2, whereas immunohistochemistry indicated that Nell-1 reduced osterix-producing cells and increased bone sialoprotein, osteocalcin, and BMP-7 expression. Insights into Nell-1-regulated osteogenesis coupled with its ability to stimulate bone regeneration revealed a potential therapeutic role and an alternative to the currently accepted techniques for bone regeneration.

摘要

许多颅面先天性缺陷包含需要骨移植的骨骼成分。我们之前鉴定出一种新的分泌型成骨分子NELL-1,首次发现它在颅缝早闭患者颅骨缝线的过早骨形成过程中过度表达。Nell-1的过度表达显著增加成骨细胞的分化和矿化,而新生的Nell-1转基因小鼠显著增加颅骨缝线处的过早骨形成。在当前研究中,从Nell-1转基因新生小鼠(伴有轻度矢状缝早闭)分离出的培养颅骨外植体显示出持续的骨生长和重叠的矢状缝。对基因表达级联的进一步研究表明,成纤维细胞生长因子-2和转化生长因子-β1刺激Nell-1表达,而骨形态发生蛋白(BMP)-2没有直接作用。此外,Nell-1通过降低早期上调的成骨调节因子(OSX和ALP)的表达但诱导后期标志物(OPN和OCN)来诱导MC3T3-E1成骨细胞的成骨作用。将Nell-1蛋白包被的PLGA支架植入大鼠颅骨缺损处显示出Nell-1诱导骨再生的成骨潜力与BMP-2相当,而免疫组织化学表明Nell-1减少了产生osterix的细胞并增加了骨唾液蛋白、骨钙素和BMP-7的表达。对Nell-1调节的成骨作用及其刺激骨再生能力的深入了解揭示了其潜在的治疗作用以及一种替代目前公认的骨再生技术的方法。

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