Sousa Dircilei Nascimento de, Roriz Virgílio Moreira, Oliveira Guilherme José Pimentel Lopes de, Duarte Wagner Rodrigues, Pinto Leonardo Nogueira de Miranda Pereira, Vianna Leonora Maciel de Souza, Carneiro Fabiana Pirani, Ferreira Vania Maria Moraes
PhD, Postgraduate Program in Medical Sciences , School of Medicine , Universidade de Brasília (UnB), Brazil . Design, intellectual and scientific content of the study.
Associate Professor, Faculty of Dentistry , Universidade Federal de Goiás (UFG), Goiania - GO , Brazil . Manuscript writing, critical revision.
Acta Cir Bras. 2020 Mar 20;35(1):e202000102. doi: 10.1590/s0102-865020200010000002. eCollection 2020.
To evaluate the local effect of simvastatin (SVT) combined with deproteinized bovine bone (DBB) with hydroxyapatite/β-tricalcium phosphate biphasic ceramics (HA/TCP) and with collagen sponge (CS) on bone repair in critical size defects (CSDs) in rat calvaria.
Forty-two 5-mm diameter CSDs were made bilaterally in the calvaria of 18 rats. The animals were allocated according to the type of biomaterial and associations used to fill the CSD. After 8 weeks, the animals were euthanized, and their calvaria were evaluated for repaired tissue composition using histologic and histometric analyses.
In the histometric analysis, the use of SVT showed to increase bone formation in the CSDs when combined with all the bone substitutes tested in this study (p<0.05). Greater bone formation was observed in the groups with SVT compared to the groups without SVT.
The use of SVT without the need for a vehicle and combined with a commercially available biomaterial may be a cheaper way to potentiate the formation of bone tissue without the need to produce new biomaterials. Therefore, SVT combined with DBB induced significantly greater new bone formation than did the other treatments.
评估辛伐他汀(SVT)联合脱蛋白牛骨(DBB)与羟基磷灰石/β-磷酸三钙双相陶瓷(HA/TCP)以及胶原海绵(CS)对大鼠颅骨临界尺寸缺损(CSD)骨修复的局部影响。
在18只大鼠的颅骨双侧制作42个直径5毫米的CSD。根据用于填充CSD的生物材料类型和组合对动物进行分组。8周后,对动物实施安乐死,并使用组织学和组织计量学分析评估其颅骨修复组织的组成。
在组织计量学分析中,与本研究中测试的所有骨替代物联合使用时,SVT的应用显示可增加CSD中的骨形成(p<0.05)。与无SVT的组相比,有SVT的组观察到更大的骨形成。
无需载体且与市售生物材料联合使用SVT可能是一种更便宜的增强骨组织形成的方法,而无需生产新的生物材料。因此,与其他治疗方法相比,SVT联合DBB诱导的新骨形成明显更多。