光生物调节疗法可改善由无机骨基质和纤维蛋白异源生物聚合物填充的骨缺损的修复。
Photobiomodulation Therapy Improves Repair of Bone Defects Filled by Inorganic Bone Matrix and Fibrin Heterologous Biopolymer.
作者信息
Vigliar Maria Fernanda Rossi, Marega Lais Furlaneto, Duarte Marco Antonio Hungaro, Alcalde Murilo Priori, Rosso Marcelie Priscila de Oliveira, Ferreira Junior Rui Seabra, Barraviera Benedito, Reis Carlos Henrique Bertoni, Buchaim Daniela Vieira, Buchaim Rogerio Leone
机构信息
Graduate Program in Anatomy of Domestic and Wild Animals, Faculty of Veterinary Medicine and Animal Science, University of Sao Paulo (FMVZ/USP), Sao Paulo 05508-270, Brazil.
Department of Biological Sciences, Bauru School of Dentistry, University of Sao Paulo (FOB/USP), Bauru 17012-901, Brazil.
出版信息
Bioengineering (Basel). 2024 Jan 13;11(1):78. doi: 10.3390/bioengineering11010078.
Biomaterials are used extensively in graft procedures to correct bone defects, interacting with the body without causing adverse reactions. The aim of this pre-clinical study was to analyze the effects of photobiomodulation therapy (PBM) with the use of a low-level laser in the repair process of bone defects filled with inorganic matrix (IM) associated with heterologous fibrin biopolymer (FB). A circular osteotomy of 4 mm in the left tibia was performed in 30 Wistar male adult rats who were randomly divided into three groups: G1 = IM + PBM, G2 = IM + FB and G3 = IM + FB + PBM. PBM was applied at the time of the experimental surgery and three times a week, on alternate days, until euthanasia, with 830 nm wavelength, in two points of the operated site. Five animals from each group were euthanized 14 and 42 days after surgery. In the histomorphometric analysis, the percentage of neoformed bone tissue in G3 (28.4% ± 2.3%) was higher in relation to G1 (24.1% ± 2.91%) and G2 (22.2% ± 3.11%) at 14 days and at 42 days, the percentage in G3 (35.1% ± 2.55%) was also higher in relation to G1 (30.1% ± 2.9%) and G2 (31.8% ± 3.12%). In the analysis of the birefringence of collagen fibers, G3 showed a predominance of birefringence between greenish-yellow in the neoformed bone tissue after 42 days, differing from the other groups with a greater presence of red-orange fibers. Immunohistochemically, in all experimental groups, it was possible to observe immunostaining for osteocalcin (OCN) near the bone surface of the margins of the surgical defect and tartrate-resistant acid phosphatase (TRAP) bordering the newly formed bone tissue. Therefore, laser photobiomodulation therapy contributed to improving the bone repair process in tibial defects filled with bovine biomaterial associated with fibrin biopolymer derived from snake venom.
生物材料广泛应用于骨缺损修复的移植手术中,与机体相互作用且不引起不良反应。本临床前研究的目的是分析使用低强度激光的光生物调节疗法(PBM)对填充有无机基质(IM)和异源纤维蛋白生物聚合物(FB)的骨缺损修复过程的影响。在30只成年雄性Wistar大鼠的左胫骨上进行4毫米的圆形截骨术,将其随机分为三组:G1 = IM + PBM,G2 = IM + FB,G3 = IM + FB + PBM。在实验手术时应用PBM,每周三次,隔天进行,直至安乐死,波长为830纳米,作用于手术部位的两个点。术后14天和42天,每组处死5只动物。在组织形态计量学分析中,术后14天和42天时,G3组新形成骨组织的百分比(分别为28.4%±2.3%和35.1%±2.55%)高于G1组(分别为24.1%±2.91%和30.1%±2.9%)和G2组(分别为22.2%±3.11%和31.8%±3.12%)。在胶原纤维双折射分析中,G3组在术后42天新形成骨组织中呈现黄绿色双折射为主,与其他组不同,其他组红色 - 橙色纤维较多。免疫组织化学分析显示,在所有实验组中,手术缺损边缘骨表面附近可观察到骨钙素(OCN)免疫染色,新形成骨组织边界处可观察到抗酒石酸酸性磷酸酶(TRAP)免疫染色。因此,激光光生物调节疗法有助于改善填充有与蛇毒衍生的纤维蛋白生物聚合物相关的牛生物材料的胫骨缺损的骨修复过程。