OP-1和甲状旁腺激素在一种用于研究干骺端骨愈合的新实验模型中的作用。

Effects of OP-1 and PTH in a new experimental model for the study of metaphyseal bone healing.

作者信息

Tsiridis Eleftherios, Morgan Elise F, Bancroft Jared M, Song Mike, Kain Michael, Gerstenfeld Louis, Einhorn Thomas A, Bouxsein Mary L, Tornetta Paul

机构信息

Department of Orthopaedic Surgery, Boston University Medical Center, Laboratory of Orthopaedic Research, 715 Albany Street, R-205, Boston, Massachusetts 02118, USA.

出版信息

J Orthop Res. 2007 Sep;25(9):1193-203. doi: 10.1002/jor.20420.

Abstract

The purpose of this study was to establish a reliable model of metaphyseal bone healing and to use this model to investigate the effect of recombinant human osteogenic protein 1 (rhOP-1; BMP-7) and parathyroid hormone fragment (PTH 1-34) on healing. A wedge-shaped osteotomy was created in the distal tibia of 16-week-old female New Zealand White rabbits (n = 20) and was bridged with a custom-made external fixator. Five experimental groups of four animals each were investigated. In groups 1-4 the osteotomy gap was filled with tricalcium phosphate (TCP), and the gap was left unfilled in group 5 ("normal healing"). In group 1, 200 microg OP-1 was mixed in with the TCP. Groups 2 and 3 received daily subcutaneous injections of 10 and 40 microg/kg PTH, respectively, beginning on postoperative day 1. Radiographs were taken weekly. Following sacrifice on postoperative day 28, peripheral quantitative computed tomography (pQCT), histology, and mechanical testing (axial compression and torsion) were performed. Only one animal failed to complete the full 4-week time course, and no infections were encountered. Bone healing occurred in all animals. OP-1 stimulated bone formation locally, while the lower dose of PTH enhanced bone formation systemically (p < 0.05). Tibiae treated with OP-1 exhibited higher torsional strength (p = 0.04) than those in the normal healing group. These results indicate that a reliable and reproducible surgical model of metaphyseal healing has been established. In addition, differences in systemic versus local effects of PTH and OP-1 in accelerating metaphyseal fracture healing were found.

摘要

本研究的目的是建立一个可靠的干骺端骨愈合模型,并利用该模型研究重组人骨生成蛋白1(rhOP-1;骨形态发生蛋白-7)和甲状旁腺激素片段(PTH 1-34)对愈合的影响。在16周龄雌性新西兰白兔(n = 20)的胫骨远端制作楔形截骨,并使用定制的外固定器进行桥接。对五个实验组进行研究,每组四只动物。在第1-4组中,截骨间隙用磷酸三钙(TCP)填充,第5组间隙不填充(“正常愈合”)。在第1组中,200微克OP-1与TCP混合。第2组和第3组分别从术后第1天开始每天皮下注射10和40微克/千克PTH。每周拍摄X线片。在术后第28天处死动物后,进行外周定量计算机断层扫描(pQCT)、组织学检查和力学测试(轴向压缩和扭转)。只有一只动物未能完成完整的4周时间进程,且未发生感染。所有动物均发生骨愈合。OP-1局部刺激骨形成,而较低剂量的PTH全身增强骨形成(p < 0.05)。用OP-1处理的胫骨表现出比正常愈合组更高的抗扭强度(p = 0.04)。这些结果表明已建立了一个可靠且可重复的干骺端愈合手术模型。此外,还发现了PTH和OP-1在加速干骺端骨折愈合方面全身与局部作用的差异。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索