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单次经皮注射碱性成纤维细胞生长因子对大鼠闭合性股骨干骨折愈合的影响。

Effects of a single percutaneous injection of basic fibroblast growth factor on the healing of a closed femoral shaft fracture in the rat.

作者信息

Nakajima Fumitake, Nakajima Arata, Ogasawara Akira, Moriya Hideshige, Yamazaki Masashi

机构信息

Department of Orthopedic Surgery, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677, Japan.

出版信息

Calcif Tissue Int. 2007 Aug;81(2):132-8. doi: 10.1007/s00223-007-9048-7. Epub 2007 Jul 19.

Abstract

Recently, bioactive agents to stimulate bone formation have been available in the orthopedic field. We have shown previously that a single, local injection of basic fibroblast growth factor (bFGF) contributes to the formation of a larger cartilage (soft callus) but does not promote replacement of the cartilage by osseous tissue during experimental closed femoral fracture healing. Aiming at a clinical application, the present study was undertaken to clarify the effects of locally injected bFGF on bone (hard callus) formation and the mechanical properties of the callus in closed fracture healing in rats. Immediately after fracture, a carrier (200 muL of fibrin gel) containing 100 mug of bFGF or carrier alone was applied to the fracture site. At days 42 and 56 postfracture, the bone union rate, bone mineral density (BMD), and mechanical properties (strength and stiffness) of the callus were evaluated. Unexpectedly, with the exception of reduced stiffness in the FGF-injected callus at day 56, none of these parameters showed a significant difference between the control and the FGF-injected groups. Furthermore, the temporal expression pattern of OPN mRNA during healing was very similar between groups. We conclude that, in the healing of closed fractures of long bones, administration of bFGF forms a larger callus but does not necessarily accelerate the healing process.

摘要

最近,在骨科领域已出现用于刺激骨形成的生物活性剂。我们之前已经表明,在实验性闭合性股骨骨折愈合过程中,单次局部注射碱性成纤维细胞生长因子(bFGF)有助于形成更大的软骨(软骨痂),但不会促进软骨被骨组织替代。为了实现临床应用,本研究旨在阐明局部注射bFGF对大鼠闭合性骨折愈合过程中骨(硬骨痂)形成以及骨痂力学性能的影响。骨折后立即将含有100μg bFGF的载体(200μL纤维蛋白凝胶)或仅载体应用于骨折部位。在骨折后第42天和第56天,评估骨痂的骨愈合率、骨矿物质密度(BMD)和力学性能(强度和刚度)。出乎意料的是,除了在第56天注射FGF的骨痂刚度降低外,这些参数在对照组和注射FGF组之间均未显示出显著差异。此外,两组愈合过程中骨桥蛋白(OPN)mRNA的时间表达模式非常相似。我们得出结论,在长骨闭合性骨折愈合过程中,给予bFGF可形成更大的骨痂,但不一定能加速愈合过程。

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