用于糖尿病兔颅骨成形术中骨组织工程的均质脱矿牙本质基质和富血小板血浆:生化、影像学和组织学分析

Homogenous demineralized dentin matrix and platelet-rich plasma for bone tissue engineering in cranioplasty of diabetic rabbits: biochemical, radiographic, and histological analysis.

作者信息

Gomes M F, Valva V N, Vieira E M M, Giannasi L C, Salgado M A C, Vilela-Goulart M G

机构信息

Bioscience Center for Patients with Special Health Needs (CEBAPE), Institute of Science and Technology - Campus São José dos Campos (UNESP), São Paulo, Brazil.

Bioscience Center for Patients with Special Health Needs (CEBAPE), Institute of Science and Technology - Campus São José dos Campos (UNESP), São Paulo, Brazil.

出版信息

Int J Oral Maxillofac Surg. 2016 Feb;45(2):255-66. doi: 10.1016/j.ijom.2015.09.009. Epub 2015 Oct 16.

Abstract

This study evaluated the effects of homogenous demineralized dentin matrix (HDDM) slices and platelet-rich plasma (PRP) in surgical defects created in the parietal bones of alloxan-induced diabetic rabbits, treated with a guided bone regeneration technique. Biochemical, radiographic, and histological analyses were performed. Sixty adult New Zealand rabbits were divided into five groups of 12: normoglycaemic (control, C), diabetic (D), diabetic with a PTFE membrane (DM), diabetic with a PTFE membrane and HDDM slices (DM-HDDM), and diabetic with PTFE membrane and PRP (DM-PRP). The quantity and quality of bone mass was greatest in the DM-HDDM group (respective radiographic and histological analyses: at 15 days, 71.70 ± 16.50 and 50.80 ± 1.52; 30 days, 62.73 ± 16.51 and 54.20 ± 1.23; 60 days, 63.03 ± 11.04 and 59.91 ± 3.32; 90 days, 103.60 ± 24.86 and 78.99 ± 1.34), followed by the DM-PRP group (respective radiographic and histological analyses: at 15 days 23.00 ± 2.74 and 20.66 ± 7.45; 30 days 31.92 ± 6.06 and 25.31 ± 5.59; 60 days 25.29 ± 16.30 and 46.73 ± 2.07; 90 days 38.10 ± 14.04 and 53.38 ± 9.20). PRP greatly enhanced vascularization during the bone repair process. Abnormal calcium metabolism was statistically significant in the DM-PRP group (P<0.001) for all four time intervals studied, especially when compared to the DM-HDDM group. Alkaline phosphatase activity was significantly higher in the DM-HDDM group (P<0.001) in comparison to the C, D, and DM-PRP groups, confirming the findings of intense osteoblastic activity and increased bone mineralization. Thus, HDDM promoted superior bone architectural microstructure in bone defects in diabetic rabbits due to its effective osteoinductive and osteoconductive activity, whereas PRP stimulated angiogenesis and red bone marrow formation.

摘要

本研究评估了均质脱矿牙本质基质(HDDM)片和富血小板血浆(PRP)在采用引导骨再生技术治疗的四氧嘧啶诱导的糖尿病兔顶骨手术缺损中的作用。进行了生化、影像学和组织学分析。60只成年新西兰兔被分为五组,每组12只:正常血糖组(对照组,C)、糖尿病组(D)、糖尿病伴聚四氟乙烯膜组(DM)、糖尿病伴聚四氟乙烯膜和HDDM片组(DM-HDDM)以及糖尿病伴聚四氟乙烯膜和PRP组(DM-PRP)。DM-HDDM组的骨量数量和质量最高(影像学和组织学分析结果分别为:15天时,71.70±16.50和50.80±1.52;30天时,62.73±16.51和54.20±1.23;60天时,63.03±11.04和59.91±3.32;90天时,103.60±24.86和78.99±1.34),其次是DM-PRP组(影像学和组织学分析结果分别为:15天时,23.00±2.74和20.66±7.45;30天时,31.92±6.06和25.31±5.59;60天时,25.29±16.30和46.73±2.07;90天时,38.10±14.04和

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