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富含精氨酸的序列结合蛋白 2 及其在应用合成骨移植材料和电刺激影响实验性下颌骨组织缺损愈合中的作用。

Special at-rich sequence-binding protein 2 and its role in healing of the experimental mandible bone tissue defect filling with a synthetic bone graft material and electrical stimulation impact.

机构信息

Bohomolets National Medical University , Kiev, Ukraine.

Kharkiv National Medical University , Kharkiv, Ukraine.

出版信息

Pol Merkur Lekarski. 2024;52(4):385-391. doi: 10.36740/Merkur202404101.

Abstract

OBJECTIVE

Aim: The purpose of the study was to identify the role of SATB2 in healing of the experimental mandible bone tissue defect filling with a synthetic bone graft material and electrical stimulation impact.

PATIENTS AND METHODS

Materials and Methods: An experiment was carried out on 48 mature male rats of the WAG population, which were divided into 4 groups. Each group included 12 experimental animals. Group 1 included rats that were modeled with a perforated defect of the lower jaw body. Group 2 included animals that were modeled with a perforated defect similar to group 1. In animals, a microdevice for electrical action was implanted subcutaneously in the neck area on the side of the simulated bone defect. The negative electrode connected to the negative pole of the battery was in contact with the bone defect. The battery and electrode were insulated with plastic heat shrink material. Group 3 included rats that were modeled with a perforated defect similar to previous groups, the cavity of which was filled with synthetic bone graft "Biomin GT" (RAPID, Ukraine). Group 4 included animals that were modeled with a perforated defect similar to groups 1-3, the cavity of which was filled with synthetic bone graft "Biomin GT" (RAPID, Ukraine). The simulation of electrical stimulation was the same as in group 2. The material for the morphological study was a fragment of the body of the lower jaw from the zone of the perforated defect. Immunohistochemical study was performed using rabbit anti-human SATB2 monoclonal antibody.

RESULTS

Results: In the regenerate filling the defect in the bone tissue of the lower jaw of rats, there was an increase in SATB2 expression under conditions of electrical stimulation; filling the defect with a synthetic bone graft material; simultaneous filling the defect with a synthetic bone graft material and electrical stimulation. The most pronounced expression of SATB2 was observed under conditions of simultaneous filling the defect with a synthetic bone graft material and electrical stimulation; minimally expressed - in conditions of filling the defect with a synthetic bone graft material; moderately expressed - under conditions of electrical stimulation. In the regenerate, in cases of all treatment methods, SATB2 was expressed by immune cells, fibroblastic differon cells, osteoblasts, and in case of electrical stimulation, also by adipocytes, vascular pericytes and endothelial cells, epidermis.

CONCLUSION

Conclusions: The activation of SATB2 expression identified by the authors is one of the mechanisms for stimulating reparative osteogenesis under the conditions of electrical stimulation; filling the defect with a synthetic bone graft material; simultaneous filling the defect with a synthetic bone graft material and electrical stimulation.

摘要

目的

本研究旨在探讨 SATB2 在应用合成骨移植材料并辅以电刺激治疗下颌骨骨组织缺损中的作用。

患者和方法

本实验选用 48 只成年雄性 Wag 大鼠,随机分为 4 组,每组 12 只。第 1 组建立下颌骨体部穿孔缺损模型,第 2 组建立类似第 1 组的穿孔缺损模型,同时在颈部模拟骨缺损侧皮下植入电刺激微装置,将与电池负极相连的负极片贴附于骨缺损表面,用塑料热缩膜包裹电池和电极。第 3 组建立类似前两组的穿孔缺损模型,骨腔填充合成骨移植材料“Biomin GT”(RAPID,乌克兰),第 4 组建立类似第 1-3 组的穿孔缺损模型,骨腔填充合成骨移植材料“Biomin GT”(RAPID,乌克兰),同时给予电刺激。采用兔抗人 SATB2 单克隆抗体进行免疫组化染色。

结果

在大鼠下颌骨穿孔缺损组织再生过程中,电刺激条件下 SATB2 表达增加;填充合成骨移植材料时 SATB2 表达增加;同时填充合成骨移植材料和电刺激时 SATB2 表达进一步增加。在同时填充合成骨移植材料和电刺激条件下,SATB2 表达最强;填充合成骨移植材料时表达最弱;电刺激时表达居中。在所有治疗组中,再生组织中 SATB2 均由免疫细胞、成纤维细胞、成骨细胞表达,电刺激时还由脂肪细胞、血管周细胞和内皮细胞、表皮细胞表达。

结论

本研究证实,电刺激、填充合成骨移植材料和同时填充合成骨移植材料和电刺激均可激活 SATB2 表达,这可能是刺激修复性骨生成的机制之一。

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