Włodarski Krzysztof H, Szczęsny Grzegorz, Kuzaka Bolesław, Włodarski Paweł K
Department of Histology and Embryology, Medical University of Warsaw, Warsaw, Poland.
Pol Orthop Traumatol. 2013 Apr 4;78:97-100.
Demineralized bone or dentine implanted intramuscularly induce endochondral bone formation. This phenomenon, termed "bone induction" is triggered by non-collagenous signal molecules, named "Bone Morphogenetic Proteins" (BMPs), released from bone or dentine. Demineralization of bone/dentine prior their implantation facilitates the release of BMPs from the extracellular matrix allowing to reach a BMP threshold level needed to initiate the process of differentiation of mesenchymal cells towards an osteogenic/chondrogenic lineage. Unprocessed, mineralized tissues usually fail to induce cartilage/bone. Isolated BMPs are commercially available, and in clinical practice are an alternative for demineralized tissues, however, in many cases demineralized bone has advantages over soluble BMPs, as it combines both bone inducing principles and mechanical properties, a feature important for bridging bone fracture and filling bone defects. Demineralized bones are an inexpensive source of bone forming agents for bone-fracture healing or filling bone defects. In this report we demonstrated that storage of lyophilized demineralized murine incisors for 30 months does not deteriorate its osteoinductive potency and colonizing induced bone by bone marrow. Lyophylized incisors, stored for 0-30 months at refrigator were implanted intramuscularly and recovered, together with surrounding tissues at various time intervals ranging 10-450 days. Bone closely associated with implant was observed in about 87% of cases, regardless the storage duration. It is concluded that storage of demineralized and lyophilized incisor matrices for at least 30 months does not change their osteoinductive potency.
肌肉内植入脱矿骨或牙本质可诱导软骨内成骨。这种被称为“骨诱导”的现象是由从骨或牙本质中释放的非胶原蛋白信号分子“骨形态发生蛋白”(BMPs)触发的。在植入前对骨/牙本质进行脱矿处理有助于从细胞外基质中释放BMPs,从而达到启动间充质细胞向成骨/软骨形成谱系分化过程所需的BMP阈值水平。未经处理的矿化组织通常无法诱导软骨/骨形成。分离出的BMPs有商业产品,在临床实践中可替代脱矿组织,然而,在许多情况下,脱矿骨比可溶性BMPs具有优势,因为它兼具骨诱导原理和机械性能,这一特性对于桥接骨折和填充骨缺损很重要。脱矿骨是用于骨折愈合或填充骨缺损的廉价骨形成剂来源。在本报告中,我们证明冻干的脱矿小鼠切牙储存30个月不会降低其骨诱导能力以及骨髓对诱导骨的定植能力。将在冰箱中储存0 - 30个月的冻干切牙肌肉内植入,并在10 - 450天的不同时间间隔回收连同周围组织。无论储存时间长短,在约87%的病例中均观察到与植入物紧密相关的骨。结论是,脱矿冻干切牙基质储存至少30个月不会改变其骨诱导能力。