Berri Dalton, Machinski Elcio, Trentini Conrado Auer, Farago Paulo Vitor, Koga Adriana Yuriko, Lipinski Leandro Cavalcante
Departamento de Medicina, Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brasil.
Departamento de Ciências Farmacêuticas, Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brasil.
Rev Bras Ortop (Sao Paulo). 2025 Jun 14;60(2):1-7. doi: 10.1055/s-0045-1809513. eCollection 2025 Apr.
The challenge of consolidating osteoporotic fractures, particularly exacerbated by postmenopausal estrogen deficiency, underscores the urgent need for effective interventions. This study aims to evaluate the impact of locally administered estrogen via nanocapsules on the consolidation of osteoporotic fractures in ovariectomized rats, while also assessing the systemic effects of this hormone, using the uterus as a sentinel organ. Forty-five animals underwent standardized femoral fractures and were divided into three groups: G1 (control), G2 (conventional estrogen), and G3 (estrogen nanocapsules). The estrogen was applied topically to the skin incision region (trichotomized area). Fracture healing was assessed at 15- and 30-days postfracture through radiographic and histological analyses, with uterine histology conducted to evaluate systemic effects. In terms of radiographic analysis of callus formation, G3 (8.75 ± 0.77 mm) exhibited significantly higher callus formation than the control group (7.18 ± 0.4 mm) at day 15, with histological analysis revealing increased callus formation in G3 at day 30, indicating an accelerated healing process. Furthermore, uterine histological analysis at day 30 showed a reduction in endometrial thickness in G3 (510,073 ± 54,705.11 μm) compared with G2 (623,729 ± 101,592 μm). These findings suggest that topical estrogen nanocapsules may enhance callus formation in the treatment of osteoporotic femoral fractures in rats, potentially with fewer systemic effects.
巩固骨质疏松性骨折面临挑战,绝经后雌激素缺乏使其更加恶化,这凸显了有效干预措施的迫切需求。本研究旨在评估通过纳米胶囊局部给药雌激素对去卵巢大鼠骨质疏松性骨折愈合的影响,同时以子宫作为哨兵器官评估该激素的全身作用。45只动物接受标准化股骨骨折,并分为三组:G1(对照组)、G2(传统雌激素组)和G3(雌激素纳米胶囊组)。雌激素局部应用于皮肤切口区域(三分区域)。在骨折后15天和30天通过影像学和组织学分析评估骨折愈合情况,并进行子宫组织学检查以评估全身作用。在骨痂形成的影像学分析方面,G3组(8.75±0.77毫米)在第15天的骨痂形成明显高于对照组(7.18±0.4毫米),组织学分析显示G3组在第30天骨痂形成增加,表明愈合过程加速。此外,第30天的子宫组织学分析显示,G3组(510,073±54,705.11微米)的子宫内膜厚度低于G2组(623,729±101,592微米)。这些发现表明,局部应用雌激素纳米胶囊可能会增强大鼠骨质疏松性股骨骨折治疗中的骨痂形成,且全身作用可能较少。