Department of Orthopaedics, Huashan Hospital, Fudan University, 12 Wulumuqi Middle Road, Shanghai 200040, China.
Int Orthop. 2012 Apr;36(4):887-93. doi: 10.1007/s00264-011-1423-3. Epub 2011 Dec 9.
The reason for enhanced fracture healing in traumatic brain injury patients is not clearly understood. It is possible that factors inherent in the brain passing through the blood-brain barrier to the peripheral circulation, or a disruption of central nervous system (CNS) control of the sympathetic nervous system (SNS), stimulates the process of fracture healing.
In this study, we assessed proliferation [using the 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide (MTT) assay] and differentiation [using alkaline phosphatase (ALP)] in rat osteoblasts incubated with gray matter or other tissue extracts with and without the addition of an α- or β-adrenergic receptor blocker (phentolamine or propranolol).
Gray matter extract from normal brain caused a dose-dependent increase in osteoblast proliferation and differentiation. Serum from normal rats enhanced differentiation but not proliferation. Alpha-receptor blockade had no effect on proliferation or differentiation. Beta-receptor blockade caused a partial, but statistically significant, decrease in gray matter stimulation of osteoblast differentiation.
The results of this study indicate that gray matter extract from normal brain increases osteoblast proliferation and differentiation and that β receptors may be involved in differentiation under these conditions.
创伤性脑损伤患者骨折愈合增强的原因尚不清楚。可能是大脑中的固有因素通过血脑屏障进入外周循环,或中枢神经系统(CNS)对交感神经系统(SNS)的控制中断,刺激了骨折愈合过程。
在这项研究中,我们评估了与添加α-或β-肾上腺素能受体阻滞剂(苯乙胺或普萘洛尔)与否,用灰质或其他组织提取物孵育的大鼠成骨细胞的增殖[使用 3-(4,5-二甲基噻唑-2-基)-2,5-二苯基四氮唑溴盐(MTT 测定)]和分化[使用碱性磷酸酶(ALP)]。
正常大脑的灰质提取物引起成骨细胞增殖和分化的剂量依赖性增加。正常大鼠的血清增强了分化,但不增强增殖。α-受体阻断对增殖或分化均无影响。β-受体阻断导致灰质对成骨细胞分化的刺激作用部分但统计学上显著降低。
这项研究的结果表明,正常大脑的灰质提取物可增加成骨细胞的增殖和分化,并且在这些条件下β受体可能参与分化。