State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, 14 Third Section, Renmin Nan Road, Chengdu, 610041, China.
Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, 1651 Page Mill Road, Palo Alto, CA, 94304, USA.
Osteoporos Int. 2019 Sep;30(9):1873-1885. doi: 10.1007/s00198-019-05071-x. Epub 2019 Jul 23.
Our goal was to evaluate alveolar bone healing in OVX mice, and to assess the functional utility of a WNT-based treatment to accelerate healing in mice with an osteoporotic-like bony phenotype.
Is osteoporosis a risk factor for dental procedures? This relatively simple question is exceedingly difficult to answer in a clinical setting, for two reasons. First, as an age-related disease, osteoporosis is frequently accompanied by age-related co-morbidities that can contribute to slower tissue repair. Second, the intervals at which alveolar bone repair are assessed in a clinical study are often measured in months to years. This study aimed to evaluate alveolar bone repair in ovariectomized (OVX) mice and provide preclinical evidence to support a WNT-based treatment to accelerate alveolar bone formation.
OVX was performed in young mice to produce an osteoporotic-like bone phenotype. Thereafter, the rate of extraction socket healing and osteotomy repair was assessed. A liposomal WNT3A treatment was tested for its ability to promote alveolar bone formation in this OVX-induced model of bone loss.
Bone loss was observed throughout the murine skeleton, including the maxilla, and mirrored the pattern of bone loss observed in aged mice. Injuries to the alveolar bone, including tooth extraction and osteotomy site preparation, both healed significantly slower than the same injuries produced in young controls. Given sufficient time, however, all injuries eventually healed. In OVX mice, osteotomies healed significantly faster if they were treated with L-WNT3A.
Alveolar bone injuries heal slower in OVX mice that exhibit an osteoporotic-like phenotype. The rate of alveolar bone repair in OVX mice can be significantly promoted with local delivery of L-WNT3A.
评估去卵巢(OVX)小鼠的牙槽骨愈合情况,并评估基于 WNT 的治疗方法在具有骨质疏松样骨表型的小鼠中加速愈合的功能实用性。
骨质疏松症是否是牙科手术的一个风险因素?这个相对简单的问题在临床环境中极难回答,原因有二。首先,骨质疏松症作为一种与年龄相关的疾病,常伴有与年龄相关的合并症,这可能导致组织修复缓慢。其次,临床研究中评估牙槽骨修复的时间间隔通常以月或年来衡量。本研究旨在评估去卵巢(OVX)小鼠的牙槽骨修复情况,并提供临床前证据支持基于 WNT 的治疗方法以加速牙槽骨形成。
在年轻小鼠中进行 OVX 以产生骨质疏松样骨表型。此后,评估拔牙窝愈合和截骨修复的速度。测试了一种 WNT3A 脂质体治疗方法在这种 OVX 诱导的骨丢失模型中促进牙槽骨形成的能力。
在整个小鼠骨骼中均观察到骨丢失,包括上颌骨,其模式与在老年小鼠中观察到的骨丢失模式相似。牙槽骨损伤,包括拔牙和截骨部位准备,均比年轻对照组中产生的相同损伤愈合明显缓慢。然而,如果给予足够的时间,所有的损伤最终都会愈合。在 OVX 小鼠中,用 L-WNT3A 治疗可使截骨更快愈合。
表现出骨质疏松样表型的 OVX 小鼠的牙槽骨损伤愈合较慢。局部给予 L-WNT3A 可显著促进 OVX 小鼠的牙槽骨修复速度。