Khojasteh Arash, Dashti Seyedeh Ghazaleh, Dehghan Mohammad Mehdi, Behnia Hossein, Abbasnia Pegah, Morad Golnaz
Department of Oral and Maxillofacial Surgery, Research Institute of Dental Sciences, Dental school, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Biomed Mater Res B Appl Biomater. 2014 Nov;102(8):1771-8. doi: 10.1002/jbm.b.33156. Epub 2014 Apr 3.
Due to shortcomings associated with autogenous bone graft, the gold standard of craniofacial grafting, investigators seek alternatives that are accessible, efficient, and affordable. Accordingly, in the present pilot study, bone regeneration was induced using bone marrow-derived mesenchymal stem cells (BMSCs) loaded onto freeze-dried mineral bone block (FDMBB) in the presence or absence of recombinant platelet-derived growth factor-BB (rh PDGF-BB). Eight weeks after the bilateral extraction of premolars of four mongrel dogs, 25 × 10 mm defects were created at both sides of the mandible. The right mandible received autogenous-BMSC loaded on FDMBB (MSC group), whereas the left mandible received cellular blocks impregnated with rhPDGF-BB (MSC + PDGF Group). Animals were euthanized 8 weeks after grafting. Micro-computed tomography (micro-CT) and histomorphometric analysis demonstrated higher levels of bone formation for the test group (10.34% ± 0.20 and 26.63% ± 3.14, respectively) when compared to the control group (8.20% ± 0.20 and 21.38% ± 5.11). The differences were not statistically significant (P > 0.05). According to the performed micro-CT and histomorphometric analysis, adding 0.5 mg rhPDGF-BB (0.3 mg/mL) to the combination of BMSC/FDMBB did not significantly increase bone formation in supracrestal defect in dog mandible.
由于自体骨移植(颅面移植的金标准)存在缺陷,研究人员正在寻找可获取、高效且经济实惠的替代方案。因此,在本初步研究中,在有或无重组血小板衍生生长因子-BB(rh PDGF-BB)的情况下,使用负载于冻干矿化骨块(FDMBB)上的骨髓间充质干细胞(BMSC)诱导骨再生。在4只杂种犬双侧拔除前磨牙8周后,在下颌骨两侧制造25×10毫米的缺损。右侧下颌骨接受负载于FDMBB上的自体BMSC(MSC组),而左侧下颌骨接受浸渍有rhPDGF-BB的细胞块(MSC + PDGF组)。移植8周后对动物实施安乐死。微计算机断层扫描(micro-CT)和组织形态计量分析表明,与对照组(分别为8.20%±0.20和21.38%±5.11)相比,试验组的骨形成水平更高(分别为10.34%±0.20和26.63%±3.14)。差异无统计学意义(P>0.05)。根据所进行的micro-CT和组织形态计量分析,在BMSC/FDMBB组合中添加0.5毫克rhPDGF-BB(0.3毫克/毫升)并未显著增加犬下颌骨龈上缺损处的骨形成。