Department Of Orthopaedics And Traumatology, Faculty Of Medicine, Sivas Cumhuriyet University, Sivas, Turkey.
Departments Of Histology And Embryology, Faculty Of Medicine, Aydın Adnan Menderes University, Aydın, Turkey.
Ulus Travma Acil Cerrahi Derg. 2022 May;28(5):570-578. doi: 10.14744/tjtes.2021.94848.
The aim of this study was to investigate the effects of acrylamide (AA) on fracture healing histologically, biochemically, and radiologically in a rat femur fracture model.
Scanning electron microscopy (SEM) imaging and Fourier transform infrared spectroscopy (FTIR), and UV (ultraviolet)-Vis (visible) spectrophotometer examination were performed for acrylamide characterization. In this study, after the femur fracture model was created, the groups were formed to include eight rats in each group (G) as follows: G1: 15th-day control, G2: 15th-day AA, G3: 30th-day control, G4: 30th-day AA. In G2 and G4, 5mg/kg acrylamide was administered 3 times a week by gastric gavage. The fracture was evaluated radiologically according to Lane-Sandhu scoring and histologically according to Huo scoring. The weight changes of the rats were recorded. Albumin, total protein, cholesterol, HDL, LDL, triglyceride, ALP, LDH, vit. D, PTH, Ca, P, WBC, Hb, Plt values were examined in the blood samples. The data were analyzed using the SPSS program.
The characterization properties of acrylamide were confirmed. No significant weight change was observed in the rats during the study. When blood values were compared, a statistically significant difference was determined between albumin, total protein, phosphorus, white blood cell (WBC), and hemoglobin groups (p=0.41, p=0.00, p=0.003, p=0.019, and p=0,017, respectively). According to the histological score comparisons, G3 was significantly different from G1, G2, and G4 (p<0.05), and G4 was significantly different from G1 and G2 (p<0.05). According to Lane-Sandhu scoring, there was a significant difference between G2 and G3 and G4 (p: 0.0, p: 0.034), G1 and G3 (p: 0.001), respectively.
AA adversely affects fracture healing even at low doses, as in the present study. According to the results of this study, the authors recommend a diet poor in acrylamide during fracture treatment. Therefore, further human studies are required to find out the complex effect of AA on bone healing and the body.
本研究旨在通过建立大鼠股骨骨折模型,从组织学、生物化学和影像学方面研究丙烯酰胺(AA)对骨折愈合的影响。
采用扫描电子显微镜(SEM)成像和傅里叶变换红外光谱(FTIR)、紫外(UV)-可见分光光度计对丙烯酰胺进行了特征描述。本研究中,在建立股骨骨折模型后,将每组 8 只大鼠分为以下 4 组(G):G1:第 15 天对照组,G2:第 15 天 AA 组,G3:第 30 天对照组,G4:第 30 天 AA 组。G2 和 G4 组每周通过胃管给予 5mg/kg 丙烯酰胺 3 次。根据 Lane-Sandhu 评分对骨折进行影像学评估,根据 Huo 评分进行组织学评估。记录大鼠体重变化。检测血白蛋白、总蛋白、胆固醇、HDL、LDL、甘油三酯、碱性磷酸酶(ALP)、乳酸脱氢酶(LDH)、维生素 D、甲状旁腺激素(PTH)、钙、磷、白细胞(WBC)、血红蛋白(Hb)、血小板(Plt)值。采用 SPSS 程序对数据进行分析。
确认了丙烯酰胺的特征属性。在研究过程中,大鼠体重无明显变化。比较血液值时,白蛋白、总蛋白、磷、白细胞和血红蛋白组之间存在统计学差异(p=0.41,p=0.00,p=0.003,p=0.019,p=0.017)。根据组织学评分比较,G3 与 G1、G2 和 G4 差异有统计学意义(p<0.05),G4 与 G1 和 G2 差异有统计学意义(p<0.05)。根据 Lane-Sandhu 评分,G2 与 G3 和 G4(p:0.0,p:0.034)、G1 与 G3(p:0.001)之间存在显著差异。
即使在低剂量(如本研究),AA 也会对骨折愈合产生不良影响。根据本研究结果,作者建议在骨折治疗期间饮食中应避免摄入丙烯酰胺。因此,需要进一步的人体研究来了解 AA 对骨愈合和机体的复杂影响。