Sant'Ana Adriana C P, Marques Márcia M, Barroso T Emildre C, Passanezi Euloir, de Rezende Maria Lúcia Rubo
Department of Prosthodontics, School of Dentistry at Bauru, University of São Paulo, Bauru, SP, Brazil.
J Periodontol. 2007 Oct;78(10):2007-17. doi: 10.1902/jop.2007.070119.
Considering the role of growth factors in periodontal regeneration, the aim of this study was to evaluate the influence of platelet-derived growth factor (PDGF)-BB, insulin-like growth factor (IGF)-1, and transforming growth factor-beta 1 (TGF-beta1), alone or in combination, on the rate of proliferation and adhesion of periodontal ligament (PDL) cells in vitro.
After establishment and characterization of a primary culture of PDL cells, 72 culture dishes were plated with 10(3) cells distributed among four test groups and a control group. Test groups had PDGF-BB, TGF-beta1, IGF-1, or a combination of all three added to the culture medium, whereas the control group received no growth factor. The samples were counted in triplicate 1, 3, 5, and 7 days after seeding. For the adhesion assay, 14 patients provided 30 root fragments distributed among 10 groups: scaling and root planing (SRP), SRP + growth factors, SRP + citric acid plus tetracycline (CA+T), and SRP + (CA+T) + growth factors. The data were evaluated statistically by analysis of variance complemented by Tukey, Dunnett, and Student-Newman-Keuels methods.
Maximum rates of proliferation were observed at day 3 for all groups. TGF-beta1 induced a 344.17% +/- 58.80% increased proliferation rate over control (P < 0.05), followed by the combination (277.5% +/- 29.38%), PDGF-BB (238.79% +/- 5.79%), and IGF-1 (233.16% +/- 19.19%). Groups treated by (CA+T) showed increased numbers of cells attached to root fragments, especially SRP + (CA+T) + combination (13.25 +/- 1.79), with significant differences (P < 0.05) from groups treated only by SRP.
This combination of growth factors stimulated a mitogenic response and favored the adhesion of PDL cells in vitro, suggesting its possible role in periodontal regeneration.
考虑到生长因子在牙周组织再生中的作用,本研究旨在评估血小板衍生生长因子(PDGF)-BB、胰岛素样生长因子(IGF)-1和转化生长因子-β1(TGF-β1)单独或联合应用对体外牙周膜(PDL)细胞增殖率和黏附的影响。
在建立并鉴定PDL细胞原代培养后,将72个培养皿接种10³个细胞,分为四个试验组和一个对照组。试验组在培养基中添加PDGF-BB、TGF-β1、IGF-1或三者的组合,而对照组不添加生长因子。接种后1、3、5和7天对样本进行三次重复计数。对于黏附试验,14名患者提供30个牙根片段,分为10组:龈下刮治术(SRP)、SRP+生长因子、SRP+柠檬酸加四环素(CA+T)以及SRP+(CA+T)+生长因子。数据采用方差分析,并辅以Tukey、Dunnett和Student-Newman-Keuels方法进行统计学评估。
所有组在第3天观察到最大增殖率。与对照组相比,TGF-β1使增殖率提高了344.17%±58.80%(P<0.05),其次是联合组(277.5%±29.38%)、PDGF-BB(238.79%±5.79%)和IGF-1(233.16%±19.19%)。接受(CA+T)治疗的组显示附着在牙根片段上的细胞数量增加,尤其是SRP+(CA+T)+联合组(13.25±1.79),与仅接受SRP治疗的组相比有显著差异(P<0.05)。
这种生长因子组合在体外刺激了促有丝分裂反应并有利于PDL细胞的黏附,表明其在牙周组织再生中可能发挥作用。