Shimizu Azusa, Tajima Satoshi, Tobita Morikuni, Tanaka Rica, Tabata Yasuhiko, Mizuno Hiroshi
Department of Plastic and Reconstructive Surgery, Juntendo University School of Medicine, Tokyo, Japan; and Department of Biomaterials, Institute for Frontier Medical Sciences, Kyoto University, Kyoto, Japan.
Plast Reconstr Surg Glob Open. 2014 Apr 7;2(3):e126. doi: 10.1097/GOX.0000000000000063. eCollection 2014 Mar.
β-Tricalcium phosphate (β-TCP) is used clinically as a bone substitute, but complete osteoinduction is slow. Basic fibroblast growth factor (bFGF) is important in bone regeneration, but the biological effects are very limited because of the short half-life of the free form. Incorporation in gelatin allows slow release of growth factors during degradation. The present study evaluated whether control-released bFGF incorporated in β-TCP can promote bone regeneration in a murine cranial defect model.
Bilateral cranial defects of 4 mm in diameter were made in 10-week-old male Sprague-Dawley rats treated as follows: group 1, 20 μl saline as control; group 2, β-TCP disk in 20 μl saline; group 3, β-TCP disk in 50 μg bFGF solution; and group 4, β-TCP disk in 50 μg bFGF-containing gelatin hydrogel (n = 6 each). Histological and imaging analyses were performed at 1, 2, and 4 weeks after surgery.
The computed tomography value was lower in groups 3 and 4, whereas the rate of osteogenesis was higher histologically in group 4 than in the other groups. The appearance of tartrate-resistant acid phosphate-positive cells and osteocalcin-positive cells and disappearance of osteopontin-positive cells occurred earlier in group 4 than in the other groups.
These findings suggest that control-released bFGF incorporated in β-TCP can accelerate bone regeneration in the murine cranial defect model and may be promising for the clinical treatment of cranial defects.
β-磷酸三钙(β-TCP)在临床上用作骨替代物,但完全骨诱导作用缓慢。碱性成纤维细胞生长因子(bFGF)在骨再生中起重要作用,但由于其游离形式的半衰期短,生物学效应非常有限。将其掺入明胶中可在降解过程中实现生长因子的缓慢释放。本研究评估了掺入β-TCP中的控释bFGF是否能促进小鼠颅骨缺损模型中的骨再生。
对10周龄雄性Sprague-Dawley大鼠制作直径4毫米的双侧颅骨缺损,并进行如下处理:第1组,20微升生理盐水作为对照;第2组,β-TCP盘加20微升生理盐水;第3组,β-TCP盘加50微克bFGF溶液;第4组,β-TCP盘加含50微克bFGF的明胶水凝胶(每组n = 6)。在术后1、2和4周进行组织学和影像学分析。
第3组和第4组的计算机断层扫描值较低,而第4组的组织学成骨率高于其他组。第4组中抗酒石酸酸性磷酸酶阳性细胞和骨钙素阳性细胞的出现以及骨桥蛋白阳性细胞的消失比其他组更早。
这些发现表明,掺入β-TCP中的控释bFGF可加速小鼠颅骨缺损模型中的骨再生,可能对颅骨缺损的临床治疗具有前景。