Teare J A, Ramoshebi L N, Ripamonti U
Bone Research Unit, Medical Research Council/University of the Witwatersrand, Johannesburg, South Africa.
J Periodontal Res. 2008 Feb;43(1):1-8. doi: 10.1111/j.1600-0765.2007.00987.x.
Osteogenic proteins of the transforming growth factor-beta superfamily induce periodontal tissue regeneration in animal models, including primates. To our knowledge, no studies have been performed in periodontal regeneration using the transforming growth factor-beta 3 isoform. In the present study, recombinant human transforming growth factor-beta 3 was examined for its ability to induce periodontal tissue regeneration in the nonhuman primate, Papio ursinus.
Class II furcation defects were surgically created bilaterally in the maxillary and mandibular molars of four adult baboons. Heterotopic ossicles, for transplantation to selected furcation defects, were induced within the rectus abdominis muscle by recombinant human transforming growth factor-beta 3. Forty days later, the periodontal defects were implanted with recombinant human transforming growth factor-beta 3 in Matrigel as the delivery system, with recombinant human transforming growth factor-beta 3 plus minced muscle tissue in Matrigel, or with the harvested recombinant human transforming growth factor-beta 3-induced ossicles. Sixty days after periodontal implantation, the animals were killed and the specimens harvested. Histological analysis on undecalcified sections measured the area and volume of new alveolar bone and the coronal extension of newly formed alveolar bone and cementum.
Morphometric analyses showed pronounced periodontal regeneration in experimental defects compared with controls. Substantial regeneration was observed in defects implanted with fragments of heterotopically induced ossicles and with recombinant human transforming growth factor-beta 3 plus minced muscle tissue.
Recombinant human transforming growth factor-beta 3 in Matrigel significantly enhanced periodontal tissue regeneration in the nonhuman primate, P. ursinus.
转化生长因子-β超家族的成骨蛋白可在包括灵长类动物在内的动物模型中诱导牙周组织再生。据我们所知,尚未有关于使用转化生长因子-β3亚型进行牙周再生的研究。在本研究中,检测了重组人转化生长因子-β3在非人灵长类动物南非狒狒中诱导牙周组织再生的能力。
在4只成年狒狒的上颌和下颌磨牙双侧手术制造II类根分叉缺损。通过重组人转化生长因子-β3在腹直肌内诱导形成用于移植到选定根分叉缺损处的异位骨块。40天后,将牙周缺损处植入以基质胶为递送系统的重组人转化生长因子-β3、以基质胶包裹的重组人转化生长因子-β3加切碎的肌肉组织,或植入收获的重组人转化生长因子-β3诱导的骨块。牙周植入60天后,处死动物并采集标本。对未脱钙切片进行组织学分析,测量新牙槽骨的面积和体积以及新形成牙槽骨和牙骨质的冠向延伸。
形态计量分析显示,与对照组相比,实验缺损处有明显的牙周再生。在植入异位诱导骨块碎片以及植入重组人转化生长因子-β3加切碎肌肉组织的缺损处观察到大量再生。
基质胶中的重组人转化生长因子-β3显著增强了南非狒狒这一非人灵长类动物的牙周组织再生。