Oral Biotechnology and Bioengineering, Center for Dental Medicine, University of Zurich, 8032 Zurich, Switzerland.
Center for Applied Biotechnology and Molecular Medicine, University of Zurich, 8057 Zurich, Switzerland.
Int J Mol Sci. 2021 Oct 13;22(20):11052. doi: 10.3390/ijms222011052.
The human skeleton is a dynamic and remarkably organized organ system that provides mechanical support and performs a variety of additional functions. Bone tissue undergoes constant remodeling; an essential process to adapt architecture/resistance to growth and mechanical needs, but also to repair fractures and micro-damages. Despite bone's ability to heal spontaneously, certain situations require an additional stimulation of bone regeneration, such as non-union fractures or after tumor resection. Among the growth factors used to increase bone regeneration, bone morphogenetic protein-2 (BMP2) is certainly the best described and studied. If clinically used in high quantities, BMP2 is associated with various adverse events, including fibrosis, overshooting bone formation, induction of inflammation and swelling. In previous studies, we have shown that it was possible to reduce BMP2 doses significantly, by increasing the response and sensitivity to it with small molecules called "BMP2 enhancers". In the present study, we investigated the effect of N-Vinyl-2-pyrrolidone (NVP) on osteoblast and osteoclast differentiation in vitro and guided bone regeneration in vivo. We showed that NVP increases BMP2-induced osteoblast differentiation and decreases RANKL-induced osteoclast differentiation in a dose-dependent manner. Moreover, in a rabbit calvarial defect model, the histomorphometric analysis revealed that bony bridging and bony regenerated area achieved with NVP-loaded poly (lactic-co-glycolic acid (PLGA) membranes were significantly higher compared to unloaded membranes. Taken together, our results suggest that NVP sensitizes BMP2-dependent pathways, enhances BMP2 effect, and inhibits osteoclast differentiation. Thus, NVP could prove useful as "osteopromotive substance" in situations where a high rate of bone regeneration is required, and in the management of bone diseases associated with excessive bone resorption, like osteoporosis.
人体骨骼是一个动态且组织有序的器官系统,它提供机械支撑并发挥多种其他功能。骨组织不断进行重塑;这是适应生长和机械需求的结构/阻力的基本过程,但也是修复骨折和微损伤的过程。尽管骨骼具有自发愈合的能力,但在某些情况下需要额外刺激骨再生,例如骨折不愈合或肿瘤切除后。在用于增加骨再生的生长因子中,骨形态发生蛋白 2(BMP2)无疑是描述和研究最多的。如果在临床上大量使用,BMP2 会引起各种不良反应,包括纤维化、过度骨形成、炎症和肿胀的诱导。在之前的研究中,我们已经表明,通过使用称为“BMP2 增强剂”的小分子来增加对其的反应和敏感性,可以显著减少 BMP2 的剂量。在本研究中,我们研究了 N-乙烯基-2-吡咯烷酮(NVP)对体外成骨细胞和破骨细胞分化以及体内引导骨再生的影响。我们表明,NVP 以剂量依赖的方式增加 BMP2 诱导的成骨细胞分化并减少 RANKL 诱导的破骨细胞分化。此外,在兔颅骨缺损模型中,组织形态计量学分析表明,与未加载膜相比,负载 NVP 的聚(乳酸-共-乙醇酸)(PLGA)膜实现的骨桥接和骨再生区域明显更高。总之,我们的结果表明,NVP 敏化 BMP2 依赖性途径,增强 BMP2 效应,并抑制破骨细胞分化。因此,NVP 可能在需要高骨再生率的情况下作为“骨促进物质”有用,并可用于管理与过度骨吸收相关的骨疾病,如骨质疏松症。
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