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二甲双胍对非糖尿病大鼠种植钛植入物周围骨愈合的影响。

Effects of metformin on bone healing around titanium implants inserted in non-diabetic rats.

机构信息

Department of Periodontics, Dental Research Division, Guarulhos University, Guarulhos, São Paulo, Brazil.

出版信息

Clin Oral Implants Res. 2017 Oct;28(10):e146-e150. doi: 10.1111/clr.12960. Epub 2016 Aug 29.

Abstract

OBJECTIVE

To evaluate the effects of metformin on bone healing around titanium implants inserted in non-diabetic rats.

METHODS

Twenty Wistar rats were randomly assigned to one of the following groups: control group (n = 10): rats without metformin treatment; MT group (n = 10): rats treated with metformin (40 mg/kg/day by gavage). At thirty days after implant placement, animals were euthanized. Histometric measurements of bone-to-implant contact (BIC) and bone area (BA), in addition to immunohistochemical analysis of the number of cells stained for RANKL and OPG, were assessed in the cortical and medullary areas around implants.

RESULTS

The percentages of BIC and BA in the cortical bone were significantly lower in the MT group than in the control group (P < 0.05). Furthermore, the medullary bone around the implants inserted in the metformin-treated animals exhibited an increased number of RANKL-stained cells than that around the implants inserted in the control animals (P < 0.05).

CONCLUSIONS

Metformin negatively affected osseointegration by reducing the percentages of BIC and BA and increasing the expression of RANKL around titanium implants inserted in non-diabetic rats.

摘要

目的

评估二甲双胍对非糖尿病大鼠钛种植体周围骨愈合的影响。

方法

将 20 只 Wistar 大鼠随机分为以下两组:对照组(n=10):未给予二甲双胍治疗的大鼠;MT 组(n=10):给予二甲双胍(灌胃 40mg/kg/天)治疗的大鼠。植入后 30 天,处死动物。评估种植体周围皮质骨和骨髓中骨-种植体接触(BIC)和骨面积(BA)的组织学测量,以及 RANKL 和 OPG 染色细胞数的免疫组织化学分析。

结果

与对照组相比,MT 组皮质骨的 BIC 和 BA 百分比明显降低(P<0.05)。此外,与对照组相比,接受二甲双胍治疗的动物植入物周围的骨髓中 RANKL 染色细胞数量增加(P<0.05)。

结论

二甲双胍通过降低 BIC 和 BA 的百分比以及增加非糖尿病大鼠钛种植体周围 RANKL 的表达,对骨整合产生负面影响。

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