首页|CGF复合Bio-Oss骨粉对牙槽骨缺损大鼠成骨细胞凋亡、牙槽骨微观形态及BMP2/4的影响

CGF复合Bio-Oss骨粉对牙槽骨缺损大鼠成骨细胞凋亡、牙槽骨微观形态及BMP2/4的影响

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目的:探究浓缩生长因子(concentrated growth factors,CGF)联合Bio-Oss骨粉对牙槽骨缺损大鼠成骨细胞凋亡、牙槽骨微观形态及骨形态发生蛋白(bone morphogenetic protein,BMP)2/4 的影响.方法:选取 50 只SPF级SD雄性大鼠,随机分为正常(NO)组,模型(MO)组,CGF(CF)组,Bio-Oss骨粉(BS)组,CGF联合Bio-Oss骨粉(CB)组,每组 10 只,MO组、CF组、BS组以及CB组进行牙槽骨缺损建模.建模成功后,CF组给予CGF治疗,BS组进行Bio-Oss骨粉治疗,CB组给予CGF联合Bio-Oss骨粉,NO组、MO组不予治疗,取上颌骨组织进行HE染色及Micro-CT检测,TUNEL法检测成骨细胞凋亡,免疫印记法检测BMP2/4 相关蛋白表达.结果:NO组上颌骨表面光滑无缺损,MO组上颌骨可见明显缺损,新生骨仅有少量再生,与MO组比较,CF组、BS组、CB组上颌骨缺损明显减轻,可见新生骨逐渐覆盖缺损区,其中CB组修复效果最佳.与NO组相比,MO组骨小梁数量、骨小梁体积降低,骨小梁分离度升高(P<0.05);与MO组相比,CF组、BS组、CB组骨小梁数量、骨小梁体积升高,骨小梁分离度降低(P<0.05),且BS组、CF组比较无明显差异(P>0.05),CB组比BS组变化明显(P<0.05).NO组上颌骨组织结构正常,表面光滑,未见明显骨吸收及新骨生成,MO组上颌骨组织纤维排列不规则,骨吸收明显,可见大量胶原纤维增生及少量新骨生成;与MO组比较,CF组、BS组、CB组骨吸收明显减少,新骨生成明显增多;与NO组比较,MO组成骨细胞凋亡率升高(P<0.05);与MO组比较,CF组、BS组、CB组成骨细胞凋亡率降低(P<0.05),且BS组、CF组比较无明显差异(P>0.05),CB组比BS组降低明显(P<0.05).与NO组相比,MO组上颌骨组织BMP2、BMP4 蛋白表达降低(P<0.05);与MO组相比,CF组、BS组、CB组上颌骨组织BMP2、BMP4 蛋白表达升高(P<0.05),且BS组、CF组比较无明显差异(P>0.05),CB组比BS组升高明显(P<0.05).结论:CGF联合Bio-Oss骨粉对牙槽骨缺损大鼠具有显著疗效,可有效改善成骨细胞凋亡及牙槽骨微观形态,并促进BMP2/4 表达.
Effects of CGF combined with Bio-Oss bone powder on osteoblast apoptosis,alveolar bone morphology and BMP2/4 in rats with alveolar bone defect
Objective:To investigate the effects of concentrated growth factors(CGF)combined with Bio-Oss bone powder on osteoblast apoptosis,alveolar bone micromorphology and BMP2/4 in rats with alveolar bone defect.Methods:Fifty SPF SD male rats were randomly divided into normal(NO)group,model(MO)group,CGF(CF)group,Bio-Oss bone powder(BS)group and CGF combined Bio-Oss bone powder(CB)group,with 10 rats in each group.Alveolar bone defect modeling was performed in MO,CF,BS and CB groups.After successful modeling,CGF treatment was given to group CF,Bio-Oss bone powder treatment was given to group BS,CGF combined with Bio-Oss bone powder treatment was given to group CB,and no treatment was given to group NO and group MO.Maxillary bone tissue was taken for HE staining and Micro-CT detection,and osteoblast apoptosis was detected by TUNEL method.The expression of BMP2/4-related proteins was detected by immunoim-printing.Results:The maxillary surface of the NO group was smooth without defects,while the maxillary surface of the MO group was obviously defective,and the new bone only regenerated a little.Compared with the MO group,the maxillary defects of the CF group,BS group and CB group were significantly alleviated,and the new bone gradually covered the defective area,and the CB group had the best repair effect.Compared with NO group,the number and volume of trabeculae in MO group were decreased,and the separation degree of trabeculae was increased(P<0.05).Compared with MO group,the number and volume of trabeculae in CF,BS and CB groups were increased(P<0.05),and the separation degree of trabeculae was de-creased(P<0.05).There was no significant difference between BS group and CF group(P>0.05),and CB group had signifi-cant change compared with BS group(P<0.05).Maxillary bone tissue structure in group NO was normal,the surface was smooth,and no obvious bone resorption and new bone formation were observed.Maxillary bone tissue fiber arrangement in group MO was irregular,obvious bone resorption was observed,and a large amount of collagen fiber hyperplasia and a small a-mount of new bone formation were observed.Compared with group MO,bone resorption in group CF,BS and CB was signifi-cantly reduced,and new bone formation was significantly increased.Compared with NO group,the apoptosis rate of bone cells in MO group was increased(P<0.05).Compared with MO group,the apoptosis rate of bone cells in CF group,BS group and CB group was decreased(P<0.05),and there was no significant difference between BS group and CF group(P>0.05),and the apoptosis rate in CB group was significantly decreased than that in BS group(P<0.05).Compared with NO group,the ex-pressions of BMP2 and BMP4 in maxillary bone tissue of MO group were decreased(P<0.05),while the expressions of BMP2 and BMP4 in maxillary bone tissue of CF group,BS group and CB group were increased compared with MO group(P<0.05),and there was no significant difference between BS group and CF group(P>0.05).CB group was significantly higher than BS group(P<0.05).Conclusion:CGF combined with Bio-Oss bone powder has a significant effect on alveolar bone de-fect rats,can effectively improve osteoblast apoptosis and alveolar bone micromorphology,and promote the expression of BMP2/4.

Concentrated growth factors(CGF)Bio-Oss bone powderAlveolar bone defectOsteoblast apoptosisMicromorphology of alveolar boneBone morphogenetic protein(BMP2/4)

周辰、李哲、尹婷、季佳

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齐齐哈尔建华医院有限责任公司 黑龙江 齐齐哈尔 161000

齐齐哈尔医学院附属第三医院 黑龙江 齐齐哈尔 161000

浓缩生长因子(CGF) Bio-Oss骨粉 牙槽骨缺损 成骨细胞凋亡 牙槽骨微观形态 骨形态发生蛋白(BMP2/4)

2024

临床口腔医学杂志
华中科技大学同济医学院附属同济医院,中华口腔医学会口腔黏膜病专业委员会 中华医学会武汉分会

临床口腔医学杂志

CSTPCD
影响因子:0.783
ISSN:1003-1634
年,卷(期):2024.40(12)