Song Woong-Kyu, Kang Joo-Hyun, Cha Jae-Kook, Lee Jung-Seok, Paik Jeong-Won, Jung Ui-Won, Kim Byung-Hoon, Choi Seong-Ho
Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea.
Department of Dental Materials, Chosun University School of Dentistry, Gwangju, Korea.
J Periodontal Implant Sci. 2018 Oct 24;48(5):305-316. doi: 10.5051/jpis.2018.48.5.305. eCollection 2018 Oct.
The aim of the present study was to evaluate the biocompatibility and barrier function of mussel adhesive protein (MAP)-loaded collagen membranes in guided bone regeneration (GBR).
Eight male New Zealand white rabbits were used. Four circular defects (diameter: 8 mm) were created in the calvarium of each animal. The defects were randomly assigned to 1) a negative control group, 2) a cyanoacrylate (CA)-loaded collagen membrane group (the CA group), 3) a MAP-loaded collagen membrane group (the MAP group), and 4) a group that received a polycaprolactone block with MAP-loaded collagen membrane (the MAP-PCL group). Specimens were harvested at 2 weeks (n=4) and 8 weeks (n=4) postoperatively for observational histology and histometric analysis.
In the histologic analysis, MAP was completely absorbed without any byproducts. In contrast, some of the CA adhesive remained, showing an inflammatory reaction, at 8 weeks. In the MAP-PCL group, the MAP-loaded collagen membranes served as a barrier membrane despite their fast degradation in GBR. No significant difference was found in the amount of new bone between the MAP-PCL and MAP groups (1.82±0.86 mm and 2.60±0.65 mm, respectively).
The MAP-loaded collagen membrane functioned efficiently in this rabbit calvarial GBR model, with excellent biocompatibility. Further research is needed to assess clinical applications in defect types that are more challenging for GBR than those used in the current model.
本研究旨在评估负载贻贝粘附蛋白(MAP)的胶原膜在引导骨再生(GBR)中的生物相容性和屏障功能。
使用8只雄性新西兰白兔。在每只动物的颅骨上制造4个圆形缺损(直径:8毫米)。这些缺损被随机分配到1)阴性对照组,2)负载氰基丙烯酸酯(CA)的胶原膜组(CA组),3)负载MAP的胶原膜组(MAP组),以及4)接受带有负载MAP的胶原膜的聚己内酯块的组(MAP-PCL组)。术后2周(n = 4)和8周(n = 4)采集标本进行观察组织学和组织计量学分析。
在组织学分析中,MAP被完全吸收,没有任何副产物。相比之下,在8周时,一些CA粘合剂残留,并显示出炎症反应。在MAP-PCL组中,负载MAP的胶原膜尽管在GBR中快速降解,但仍作为屏障膜发挥作用。MAP-PCL组和MAP组之间的新骨量没有显著差异(分别为1.82±0.86毫米和2.60±0.65毫米)。
在这个兔颅骨GBR模型中,负载MAP的胶原膜功能有效,具有优异的生物相容性。需要进一步研究以评估在比当前模型中使用的缺损类型对GBR更具挑战性的缺损类型中的临床应用。