State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthodontics, West China School and Hospital of Stomatology, Sichuan University, Chengdu, China.
Department of Orthodontics, West China Dental Hospital of Chongqing, Chongqing, China.
Am J Orthod Dentofacial Orthop. 2020 Aug;158(2):247-263.e1. doi: 10.1016/j.ajodo.2019.08.014. Epub 2020 Jun 5.
This study aimed to investigate the effects of estrogen on root repair after orthodontically induced root resorption.
Seventy-two 6-week-old female Wistar rats were randomly divided into 3 groups: ovariectomy only (OVX), ovariectomy plus estradiol injection (OVX + E2), and sham operation (control). E2 was administrated to all the experimental animals after the establishment of the root repair model. One-way analysis of variance with the Tukey post-hoc test was used to analyze the experimental results.
Micro-computed tomography and hematoxylin and eosin staining showed that the total volumes of resorption lacunae were significantly smaller in the control and OVX + E2 groups than those in the OVX group. Alkaline phosphatase and tartrate-resistant acid phosphatase stainings suggested that the cementoblastic activities and the amount of new cementum formation were inhibited while the activities of osteoclasts were obvious in the OVX group. The immunohistochemistry stainings revealed that the osteoprotegerin to receptor activator of nuclear factor-кB ligand ratio and the phosphorylated extracellular signal-regulated kinases to extracellular signal-regulated kinases ratio of the control and OVX + E2 groups were significantly greater than those of the OVX group.
These findings demonstrated that estrogen administration might be a solution to reduce orthodontically induced root resorption through the activation of extracellular signal-regulated kinase-1/2 pathway and enhancement of cementogenesis.
本研究旨在探讨雌激素对正畸诱导的牙根吸收后根修复的影响。
72 只 6 周龄雌性 Wistar 大鼠随机分为 3 组:卵巢切除术组(OVX)、卵巢切除术加雌二醇注射组(OVX+E2)和假手术组(对照组)。所有实验动物在建立根修复模型后均给予 E2 治疗。采用单因素方差分析和 Tukey 事后检验对实验结果进行分析。
微计算机断层扫描和苏木精-伊红染色显示,对照组和 OVX+E2 组的吸收腔总体积明显小于 OVX 组。碱性磷酸酶和抗酒石酸酸性磷酸酶染色表明,OVX 组成牙骨质细胞活性和新牙骨质形成量受到抑制,破骨细胞活性明显增强。免疫组织化学染色显示,对照组和 OVX+E2 组的核因子-кB 配体受体激活物/骨保护素比值和磷酸化细胞外信号调节激酶/细胞外信号调节激酶比值明显大于 OVX 组。
这些发现表明,雌激素的应用可能通过激活细胞外信号调节激酶-1/2 通路和增强成牙骨质作用,减少正畸诱导的牙根吸收。