Nassar P O, Felipetti F A, Nassar C A, Spolidorio L C
Department of Periodontology, Cascavel Dental School, State University of West of Parana, UNIOESTE, Cascavel, Parana, Brazil.
Transplant Proc. 2013 Mar;45(2):778-82. doi: 10.1016/j.transproceed.2012.02.029. Epub 2012 Sep 11.
The administration of cyclosporine A (CsA) has been associated with significant bone loss and increased bone remodeling. The present investigation was designed to evaluate the effects of CsA on alveolar bone of rats subjected to experimental periodontitis, using histomorphometric and histological analysis. Twenty-four rats were divided into groups with 6 animals each: 1, control; 2, rats with ligature around the lower first molars; 3, rats with ligature around the lower first molars and that were treated with 10 mg CsA/kg of body weight/d; and 4, rats treated with 10 mg CsA/kg of body weight/d. At the end of 30 days, rats were humanely killed and subjected to a histological processing, with analysis of the distance cemento-enamel junction and alveolar bone crest, bone area, eroded bone area, and cemento surface. All of them were assessed at the mesial region of the alveolar bone. The CsA therapy combined with ligature placement decreased bone area and increased the eroded bone area around the tooth surface. The results at the histological analysis showed the same combination and changes. Therefore, in spite of the lack of a direct effect on the alveolar bone height, the CsA therapy intensified the imbalance of the alveolar bone homeostasia in a rat model of experimental periodontitis.
环孢素A(CsA)的使用与显著的骨质流失和骨重塑增加有关。本研究旨在通过组织形态计量学和组织学分析,评估CsA对实验性牙周炎大鼠牙槽骨的影响。将24只大鼠分为4组,每组6只:1组为对照组;2组为下颌第一磨牙结扎大鼠;3组为下颌第一磨牙结扎且每天接受10 mg CsA/kg体重治疗的大鼠;4组为每天接受10 mg CsA/kg体重治疗的大鼠。30天结束时,对大鼠实施安乐死并进行组织学处理,分析牙骨质-釉质界与牙槽嵴的距离、骨面积、侵蚀骨面积和牙骨质表面。所有指标均在牙槽骨的近中区域进行评估。CsA治疗联合结扎导致骨面积减少,牙齿表面周围的侵蚀骨面积增加。组织学分析结果显示了相同的联合情况和变化。因此,尽管CsA治疗对牙槽骨高度没有直接影响,但在实验性牙周炎大鼠模型中,CsA治疗加剧了牙槽骨稳态的失衡。