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人甲状旁腺激素(1-34)与辛伐他汀联合治疗对植入骨质疏松大鼠股骨的羟基磷灰石涂层钛棒界面的影响。

The effects of combined human parathyroid hormone (1-34) and simvastatin treatment on the interface of hydroxyapatite-coated titanium rods implanted into osteopenic rats femurs.

作者信息

Tao Zhou-Shan, Zhou Wan-Shu, Bai Bing-li, Cui Wei, Lv Yang-Xun, Yu Xian-Bin, Huang Zheng-Liang, Tu Kai-kai, Zhou Qiang, Sun Tao, Li Hang, Yang Lei

机构信息

Department of Orthopaedic Surgery, Second Affiliated Hospital of Wenzhou Medical University, 109 Xueyuan Xi Road, Wenzhou, 325027, Zhejiang, People's Republic of China.

Endocrine & Metabolic Diseases Unit, Affiliated Hospital of Guizhou Medical University, Guizhou, 550001, People's Republic of China.

出版信息

J Mater Sci Mater Med. 2016 Mar;27(3):43. doi: 10.1007/s10856-015-5650-9. Epub 2016 Jan 12.

Abstract

The effect of human parathyroid hormone 1-34 (PTH) and simvastatin (SIM) alone could promote bone healing in osteoporotic implant fixation, but there are no reports about the combined use of PTH and SIM for promotion of bone healing around implant in osteoporotic settings. This study aims to investigate effects of PTH + SIM on implant stabilization in osteopenic rats. Fourteen weeks after chronically fed a low protein diet, osteopenic rats randomly received implants. Subsequently, the animals were randomly divided into four groups: Control, SIM, PTH and PTH + SIM. Then all rats from groups PTH, SIM and PTH + SIM received PTH (40 μg/kg, three times a week), SIM (25 mg/kg, daily), or both for 12 weeks. The results of our study indicated that all treatments promoted bone healing around implant compared to Control, but PTH + SIM treatment showed significantly stronger effects than PTH or SIM alone in histological, micro-CT, and biomechanical tests. The results indicated additive effects of PTH and SIM on implant fixation in osteoporotic rats.

摘要

人甲状旁腺激素1-34(PTH)和辛伐他汀(SIM)单独使用均可促进骨质疏松性植入物固定中的骨愈合,但尚无关于在骨质疏松情况下联合使用PTH和SIM促进植入物周围骨愈合的报道。本研究旨在探讨PTH + SIM对骨质减少大鼠植入物稳定性的影响。在长期喂食低蛋白饮食14周后,将骨质减少大鼠随机植入植入物。随后,将动物随机分为四组:对照组、SIM组、PTH组和PTH + SIM组。然后,PTH组、SIM组和PTH + SIM组的所有大鼠接受PTH(40μg/kg,每周三次)、SIM(25mg/kg,每日一次)或两者联合治疗,持续12周。我们的研究结果表明,与对照组相比,所有治疗均促进了植入物周围的骨愈合,但在组织学、显微CT和生物力学测试中,PTH + SIM治疗显示出比单独使用PTH或SIM更强的效果。结果表明PTH和SIM对骨质疏松大鼠植入物固定具有相加作用。

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