Engström C, Jennings J, Lundy M, Baylink D J
Mineral Metabolism Unit, Veterans Administration Hospital, Loma Linda, California.
J Oral Pathol. 1988 Aug;17(7):334-40. doi: 10.1111/j.1600-0714.1988.tb01546.x.
Aberration in cranial skeletal morphology during growth due to metabolic bone diseases associated with hypocalcemia is related to abnormalities in cranial suture growth. It was found in previous experimental studies that a changed cranial growth pattern induced by hypocalcemia and secondary hyperparathyroidism was dependent on a decreased bone apposition in viscerocranial growth sites. Of interest was the observation that obliterative osteogenesis occurred with this disturbance. In vitro studies have shown that when bone resorption is stimulated by parathyroid hormone, mitogenic factors for bone cells are released from the matrix. The aim of the current study was to elucidate a possible local regulatory mechanism for bone growth especially with regard to cranial growth. Two groups of young rats were injected daily with 150 micrograms and 750 micrograms respectively of bone matrix-derived growth factor preparation (BMDGF) for 2 weeks. By using cephalometric analysis, the BMDGF administration was shown to alter skull morphology during growth. Since the high doses of BMDGF caused markedly more changes than the low dose, the overall effect on craniofacial growth seemed to be dose dependent. The high dose of BMDGF induced a decrease in cortical bone apposition found in this region, as well as in the diaphysis of the tibia. Also a change in position of the viscerocranium in relation to the cranial base was found in the BMDGF-treated rats: the flexure between the viscerocranium and the cranial base being greater compared with the normal skull. This change in relationship seemed to be related to the enhanced bone apposition found in the viscerocranial sutures of BMDGF-treated rats.(ABSTRACT TRUNCATED AT 250 WORDS)
生长期间因低钙血症相关的代谢性骨病导致的颅骨骨骼形态异常与颅缝生长异常有关。在先前的实验研究中发现,低钙血症和继发性甲状旁腺功能亢进引起的颅骨生长模式改变取决于脏颅生长部位骨沉积的减少。有趣的是,观察到这种紊乱伴有骨生成闭塞。体外研究表明,当甲状旁腺激素刺激骨吸收时,骨细胞的促有丝分裂因子会从基质中释放出来。本研究的目的是阐明骨生长尤其是颅骨生长可能的局部调节机制。两组幼鼠分别每日注射150微克和750微克的骨基质衍生生长因子制剂(BMDGF),持续2周。通过头影测量分析表明,给予BMDGF会在生长期间改变颅骨形态。由于高剂量的BMDGF比低剂量引起的变化明显更多,对颅面生长的总体影响似乎呈剂量依赖性。高剂量的BMDGF导致该区域以及胫骨骨干的皮质骨沉积减少。在接受BMDGF治疗的大鼠中还发现脏颅相对于颅底的位置发生了变化:与正常颅骨相比,脏颅与颅底之间的弯曲更大。这种关系的变化似乎与接受BMDGF治疗的大鼠脏颅缝中增强的骨沉积有关。(摘要截选至250字)