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骨硬化蛋白抗体对非关键性大小股骨干骨缺损愈合的影响。

Effects of sclerostin antibody on healing of a non-critical size femoral bone defect.

机构信息

Department of Orthopaedic Surgery, Stanford University, 450 Broadway Street, Mail Code 6342 Redwood City, Stanford, California 94063, USA.

出版信息

J Orthop Res. 2013 Jan;31(1):155-63. doi: 10.1002/jor.22186. Epub 2012 Aug 8.

Abstract

Sclerostin is a glycoprotein secreted by osteocytes and inhibits osteoblastogenesis via inhibition of Wnt signaling. We hypothesized that sclerostin antibody (Scl-AbIII) would accelerate the healing of a murine femoral non-critical size bone defect model. A unilateral and unicortical 0.8 mm-sized drill hole was made in the proximal femoral shaft of adult female nude mice. One group of mice received subcutaneous injections of Scl-AbIII and a second group received vehicle only. Reporter MC3T3 osteoprogenitor cells were injected via the tail vein 3 days after surgery to monitor systemic trafficking of exogenous osteoprogenitors. Bioluminescence imaging (BLI), microcomputed tomography (microCT), micropositron emission tomography (microPET) and histological analysis were used to compare the bone healing responses to Scl-AbIII treatment. Bone mineral density (BMD) significantly increased at the defect site after week 1, and was significantly higher in the treatment compared with the control group at all time points. This finding was also confirmed on histological analysis by increased deposition of new woven bone. MicroPET scanning showed a trend for greater activity in the control group at day 21 compared with the Scl-AbIII group, indicating early bone maturation following treatment with Scl-AbIII. Whereas the BLI signals derived from the injected osteoprogenitor cells showed no differences between vehicle and Scl-AbIII treated groups, systemic migration of MC3T3 cells to the bone defect was clearly identified in both groups using immunohistochemistry. Systemic administration of Scl-AbIII resulted in earlier healing and maturation of a non-critical size bone defect. These findings underscore the potential use of Scl-AbIII for treatment of complicated fractures, non-unions, and other clinical scenarios.

摘要

骨硬化蛋白是成骨细胞分泌的糖蛋白,通过抑制 Wnt 信号通路抑制成骨细胞生成。我们假设骨硬化蛋白抗体(Scl-AbIII)将加速鼠股骨非临界大小骨缺损模型的愈合。在成年雌性裸鼠股骨近端干骺端做一个单侧和单皮质 0.8mm 大小的钻孔。一组小鼠接受 Scl-AbIII 皮下注射,另一组仅接受载体注射。在手术后 3 天,通过尾静脉注射报告 MC3T3 成骨前体细胞,以监测外源性成骨前体细胞的全身迁移。使用生物发光成像(BLI)、微计算机断层扫描(microCT)、微正电子发射断层扫描(microPET)和组织学分析来比较 Scl-AbIII 治疗对骨愈合反应的影响。在第 1 周,骨缺损部位的骨矿物质密度(BMD)显著增加,并且在所有时间点治疗组均显著高于对照组。组织学分析也证实了新编织骨沉积增加的结果。MicroPET 扫描显示在第 21 天,对照组的活性较 Scl-AbIII 组有升高的趋势,这表明 Scl-AbIII 治疗后早期骨成熟。虽然来自注射的成骨前体细胞的 BLI 信号在载体和 Scl-AbIII 处理组之间没有差异,但用免疫组织化学法在两组中均清楚地识别到 MC3T3 细胞向骨缺损的系统迁移。Scl-AbIII 的系统给药导致非临界大小骨缺损的早期愈合和成熟。这些发现强调了 Scl-AbIII 治疗复杂骨折、骨不连和其他临床情况的潜在用途。

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