Higuchi Yusuke, Kabasawa Yuhji, Sato Masaru, Kikuchi Tsuyoshi, Aoki Kazuhiro, Ohya Keiichi, Maruoka Yutaka, Omura Ken
Oral and Maxillofacial Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan.
Congenit Anom (Kyoto). 2010 Jun;50(2):95-104. doi: 10.1111/j.1741-4520.2010.00272.x. Epub 2010 Feb 11.
This study was designed to evaluate the effect of recombinant human fibroblast growth factor-2 (rhFGF-2) on the amount and period of new bone formation in rabbit mandibular distraction models using beta-tricalcium phosphate (beta-TCP) as a bone graft substitute. Sixteen male Japanese White rabbits were divided into the following four experimental groups: 1, distraction alone; 2, distraction with beta-TCP granules; 3, distraction with rhFGF-2 (25 microg/50 microL) injected into beta-TCP granules; and 4, distraction with rhFGF-2 (100 microg/50 microL) injected into beta-TCP granules. The bones were harvested at 4 weeks after the operation and examined using soft radiography, micro-computed tomography (micro-CT), and peripheral quantitative computed tomography (pQCT). The dissected mandibles were stained using the Villanueva bone staining method, and the amount of new bone formed, bioresorption of beta-TCP, and new blood vessel formation were morphometrically calculated using bone histomorphometry. Radiopaque areas were observed more frequently in the distracted area of groups 3 and 4. Micro-CT analysis revealed partial new bone formation in the central region of the distracted area in groups 3 and 4. pQCT analysis revealed increased bone mineral density in groups 3 and 4. Histomorphometric analysis revealed increased newly formed bone and blood vessel areas in groups 3 and 4. In group 4, the number of osteoclasts around the beta-TCP granules had significantly increased. The present findings suggested that the combined use of rhFGF-2 and beta-TCP reduced the treatment period for distraction osteogenesis and accelerated the formation of a new high-quality bone.
本研究旨在评估重组人成纤维细胞生长因子-2(rhFGF-2)对以β-磷酸三钙(β-TCP)作为骨移植替代物的兔下颌骨牵张成骨模型中新生骨形成的量和时间的影响。16只雄性日本白兔被分为以下四个实验组:1,单纯牵张组;2,牵张加β-TCP颗粒组;3,牵张加向β-TCP颗粒中注射rhFGF-2(25微克/50微升)组;4,牵张加向β-TCP颗粒中注射rhFGF-2(100微克/50微升)组。术后4周采集骨骼,采用软组织X线摄影、显微计算机断层扫描(micro-CT)和外周定量计算机断层扫描(pQCT)进行检查。对解剖后的下颌骨采用维拉纽瓦骨染色法进行染色,使用骨组织形态计量学方法对新生骨形成量、β-TCP的生物吸收和新生血管形成进行形态计量学计算。在第3组和第4组的牵张区域更频繁地观察到不透射线区域。Micro-CT分析显示第3组和第4组牵张区域中央部分有新生骨形成。pQCT分析显示第3组和第4组骨密度增加。组织形态计量学分析显示第3组和第4组新生骨和血管面积增加。在第4组中,β-TCP颗粒周围破骨细胞数量显著增加。目前的研究结果表明,rhFGF-2与β-TCP联合使用可缩短牵张成骨的治疗时间,并加速高质量新骨的形成。