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BMP-7 可刺激去势雌性大鼠早期骨干骨折愈合。

BMP-7 stimulates early diaphyseal fracture healing in estrogen deficient rats.

机构信息

Department of Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.

出版信息

J Orthop Res. 2012 May;30(5):720-5. doi: 10.1002/jor.22013. Epub 2011 Nov 16.

Abstract

Estrogen deficiency causes postmenopausal osteoporosis. The relationship between estrogen deficiency and the high failure rate after osteoporotic fracture treatment is unclear, as is the effect of possible interventions, either with anti-resorptive agents or with anabolic agents such as bone morphogenetic proteins (BMPs). To investigate the influence of estrogen deficiency as well as the effect of early intervention, forty female wistar rats underwent ovarectomy (OVX) followed by low calcium diet. Ten rats underwent sham operations, followed by normal diet. After 6 weeks, a closed midshaft femoral fracture was induced. Ten animals received a systemic bisphosphonate injection, 10 injection of BMP-7 in the fracture, and 10 a combination. All then received a normal diet. After 2 weeks healing was evaluated using radiographs, CT, biomechanical testing, and histology. Radiography showed significant increase of bridging in groups treated with BMP-7. Callus volume was higher in these groups. Bending stiffness and strength were similar between OVX and sham, and not influenced by bisphosphonates. Significant increase was seen in groups treated with BMP-7. Histology was in accordance with other endpoints. Early fracture healing was not affected by estrogen deficiency. While no beneficiary effect of bisphosphonate treatment was found, injection of BMP-7 stimulated healing in ovarectomized rats.

摘要

雌激素缺乏导致绝经后骨质疏松症。雌激素缺乏与骨质疏松性骨折治疗后高失败率之间的关系尚不清楚,也不清楚可能的干预措施(如抗吸收剂或骨形态发生蛋白(BMPs)等合成剂)的效果。为了研究雌激素缺乏的影响以及早期干预的效果,四十只雌性 wistar 大鼠接受卵巢切除术(OVX),然后接受低钙饮食。十只大鼠接受假手术,然后接受正常饮食。 6 周后,诱导闭合的股骨干中段骨折。十只动物接受全身双膦酸盐注射,十只在骨折处注射 BMP-7,十只联合治疗。所有动物随后接受正常饮食。 2 周后,通过 X 线、CT、生物力学测试和组织学评估愈合情况。X 线片显示 BMP-7 治疗组的桥接明显增加。这些组的骨痂体积较高。弯曲刚度和强度在 OVX 和假手术组之间相似,不受双膦酸盐的影响。在 BMP-7 治疗组中观察到显著增加。组织学与其他终点相符。早期骨折愈合不受雌激素缺乏的影响。虽然未发现双膦酸盐治疗的有益作用,但 BMP-7 注射可刺激去卵巢大鼠的愈合。

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