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辅酶 Q 对大鼠正畸牙移动及牙槽骨改建的影响。

Effects of coenzyme Q on orthodontic tooth movement and alveolar bone remodeling in rats.

机构信息

Department of Orthodontics, Hamidiye Faculty of Dentistry, University of Health Sciences, Istanbul, Turkey.

Department of Pharmaceutical Toxicology, Faculty of Pharmacy, Istanbul University, Istanbul, Turkey.

出版信息

Clin Oral Investig. 2024 Aug 15;28(9):486. doi: 10.1007/s00784-024-05881-2.

Abstract

OBJECTIVES

To evaluate the effects of coenzyme Q (CoQ) on alveolar bone remodeling and orthodontic tooth movement (OTM).

MATERIALS AND METHODS

An orthodontic appliance was placed in 42 female Sprague‒Dawley rats were divided into two groups: the orthodontic force (OF) group (n = 21) and the OF + CoQ (CoQ) treatment group (n = 21). Each group was divided into 3 subgroups, and the rats were sacrificed on days 3, 7 and 14. The rats in CoQ and OF groups were administered 100 mg/kg b.w./day CoQ (in 1 mL/b.w. soybean oil) and 1 mL b.w./day soybean oil, respectively, by orogastric gavage. The OTM was measured at the end of the experiment. The osteoclast, osteoblast and capillary numbers; vascular endothelial growth factor (VEGF), receptor activator nuclear kappa B ligand (RANKL) and osteoprotegrin (OPG) levels in tissue; and total antioxidant status (TAS) and total oxidant status (TOS) in blood were determined.

RESULTS

Compared with the OF group, the CoQ treatment group exhibited decreased orthodontic tooth movement and osteoclast and capillary numbers. Indeed, the levels of VEGF and RANKL decreased, while the levels of OPG increased except on day 7. Additionally, the CoQ treatment group exhibited lower TOS and higher TAS on days 7 and 14 (p < 0.05). Histological findings showed that the morphology of osteoblasts changed in the CoQ group; however, there was no significant difference in the number of osteoblasts between the groups (p > 0.05).

CONCLUSION

Due to its effect on oxidative stress and inflammation, CoQ regulates bone remodeling by inhibiting osteoclast differentiation, promoting osteoblast differentiation and reducing the amount of OTM.

CLINICAL RELEVANCE

Considering that OTM may be slowed with the use of CoQ, topics such as orthodontic treatment duration, orthodontic force activation and appointment frequency should be considered in treatment planning. It is predicted that the use of CoQ will support the effectiveness of treatment in clinical applications such as preventing relapse in orthodontic treatment by regulating bone modulation and anchorage methods that suppress/optimize unwanted tooth movement.

摘要

目的

评估辅酶 Q(CoQ)对牙槽骨重塑和正畸牙齿移动(OTM)的影响。

材料和方法

将正畸矫治器放置在 42 只雌性 Sprague-Dawley 大鼠中,将其分为两组:正畸力(OF)组(n = 21)和 OF + CoQ(CoQ)治疗组(n = 21)。每组又分为 3 个亚组,在第 3、7 和 14 天处死大鼠。CoQ 和 OF 组的大鼠分别通过灌胃给予 100 mg/kg b.w./天 CoQ(在 1 mL/b.w. 大豆油中)和 1 mL b.w./天大豆油。在实验结束时测量 OTM。测定组织中的破骨细胞、成骨细胞和毛细血管数量;血管内皮生长因子(VEGF)、核因子-κB 受体激活剂配体(RANKL)和骨保护素(OPG)水平;以及血液中的总抗氧化状态(TAS)和总氧化状态(TOS)。

结果

与 OF 组相比,CoQ 治疗组的正畸牙齿移动和破骨细胞及毛细血管数量减少。实际上,VEGF 和 RANKL 水平降低,而 OPG 水平升高,除第 7 天外。此外,CoQ 治疗组在第 7 和 14 天时 TOS 较低,TAS 较高(p < 0.05)。组织学观察结果表明,CoQ 组成骨细胞形态发生变化,但两组间成骨细胞数量无显著差异(p > 0.05)。

结论

由于 CoQ 对氧化应激和炎症的影响,通过抑制破骨细胞分化、促进成骨细胞分化和减少 OTM 量来调节骨重塑。

临床意义

考虑到 CoQ 可能会减缓 OTM,在治疗计划中应考虑正畸治疗持续时间、正畸力激活和就诊频率等问题。预计 CoQ 的使用将通过调节抑制/优化不必要的牙齿移动的骨调节和锚固方法,支持正畸治疗中预防复发等临床应用的治疗效果。

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