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用于牙周再生治疗的犬类和非人类灵长类动物模型比较:单次给予血小板衍生生长因子/胰岛素样生长因子-I后的结果

Comparison of canine and non-human primate animal models for periodontal regenerative therapy: results following a single administration of PDGF/IGF-I.

作者信息

Giannobile W V, Finkelman R D, Lynch S E

机构信息

Department of Periodontology, Harvard School of Dental Medicine, Boston, MA.

出版信息

J Periodontol. 1994 Dec;65(12):1158-68. doi: 10.1902/jop.1994.65.12.1158.

DOI:10.1902/jop.1994.65.12.1158
PMID:7877089
Abstract

Two commonly used animal models for evaluating putative periodontal regenerative therapies are the beagle dog model with natural periodontal disease and the non-human primate with ligature-induced attachment loss. The host response, microbiology, and skeletal rates of remodeling of these two models are summarized. In addition, the results of experiments comparing the healing response to periodontal surgery with and without concurrent use of the combination of platelet-derived growth factor (PDGF) and insulin-like growth factor-I (IGF-I) in these models are presented. At 1 month, PDGF/IGF-I administration resulted in a 64.1% and 51.4% increase in new attachment formation in the non-human primate and canine, respectively, while controls (surgery plus placebo) demonstrated 34.1% and 8.6% increases in new attachment formation in the non-human primate and canine models, respectively. Further, application of PDGF/IGF-I stimulated 21.6% and 65% osseous defect fill in the non-human primate and canine, respectively, while controls demonstrated 8.5% and 14.5% osseous defect fill in the non-human primate and canine, respectively. The osseous response in the canine appears greater than that of the non-human primate, and the new attachment formation was more substantial in the non-human primate than the canine. However, in general these data demonstrate a high degree of consistency in the effects of PDGF/IGF-I in promoting periodontal regeneration. Positive results in these two models--the dog with natural periodontal disease and the non-human primate with ligature-induced attachment loss--justify human clinical trial testing of a putative regenerative therapy.

摘要

两种常用于评估假定牙周再生疗法的动物模型分别是患有自然牙周病的比格犬模型和因结扎导致附着丧失的非人灵长类动物模型。总结了这两种模型的宿主反应、微生物学和骨骼重塑率。此外,还展示了在这些模型中比较牙周手术联合使用血小板衍生生长因子(PDGF)和胰岛素样生长因子-I(IGF-I)与不联合使用时愈合反应的实验结果。在1个月时,给予PDGF/IGF-I分别使非人灵长类动物和犬类的新附着形成增加了64.1%和51.4%,而对照组(手术加安慰剂)在非人灵长类动物和犬类模型中的新附着形成分别增加了34.1%和8.6%。此外,应用PDGF/IGF-I分别刺激非人灵长类动物和犬类的骨缺损填充率达到21.6%和65%,而对照组在非人灵长类动物和犬类中的骨缺损填充率分别为8.5%和14.5%。犬类的骨反应似乎比非人灵长类动物更明显,而非人灵长类动物的新附着形成比犬类更显著。然而,总体而言,这些数据表明PDGF/IGF-I在促进牙周再生方面的效果具有高度一致性。在这两种模型——患有自然牙周病的犬类和因结扎导致附着丧失的非人灵长类动物——中取得的阳性结果证明了对一种假定再生疗法进行人体临床试验测试的合理性。

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