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厚朴酚对牙周炎大鼠牙周组织中IL-6、VEGF表达的影响

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目的 观察厚朴酚对牙周炎大鼠牙周病变及牙周组织中白细胞介素-6(IL-6)、血管内皮生长因子(VEGF)表达的影响,探讨厚朴酚治疗牙周炎的价值.方法 取3 月龄雄性SD大鼠65 只,随机选取其中10 只作为对照组,其余大鼠采用正畸结扎丝结扎双侧上颌第一磨牙方法建立牙周炎模型.结扎4 周后,将造模成功的40 只大鼠随机分为4 组,每组10 只.局部治疗组去除局部刺激因素即结扎丝;厚朴酚治疗组在不去除结扎丝的情况下给予厚朴酚 50 mg/(kg·d)灌胃,局部+厚朴酚治疗组在去除结扎丝的同时给予厚朴酚50 mg/(kg·d)灌胃,对照组给予等剂量生理盐水灌胃,各组均干预8 周.观察各组大鼠牙体牙周组织一般情况,HE染色观察牙周组织病理形态,免疫组化染色检测牙周组织中IL-6、VEGF阳性表达情况.结果 牙周炎组大鼠双侧上颌第一磨牙龈缘红肿;结合上皮离开釉牙骨质界向根方移位形成深牙周袋,周围有大量炎细胞浸润,牙槽嵴顶及固有牙槽骨吸收破坏.局部治疗组双侧上颌第一磨牙龈红肿,探诊出血;牙周袋深,周围有少量炎细胞浸润,牙槽嵴顶及固有牙槽骨破坏严重,牙槽嵴顶可见新生骨形成.厚朴酚治疗组和局部+厚朴酚治疗组双侧上颌第一磨牙龈红肿较轻或无红肿;牙周袋浅,周围有少量炎性细胞浸润,牙槽嵴顶均可见新生骨形成,其中局部+厚朴酚治疗组牙周组织破坏更轻.牙周炎组大鼠牙周组织中IL-6 及VEGF阳性表达平均光密度值均明显高于对照组(P均<0.05),厚朴酚治疗组和局部+厚朴酚治疗组大鼠牙周组织中IL-6 及VEGF阳性表达平均光密度值均明显低于牙周炎组(P均<0.05),且局部+厚朴酚治疗组均明显低于局部治疗组(P均<0.05).结论 厚朴酚能够显著降低牙周炎大鼠牙周组织中的致炎细胞因子水平,减轻牙周病变,改善牙槽骨的新生状态.
Effects of magnolol on the expression of IL-6 and VEGF in periodontal tissues of rats with periodontitis
Objective It is to observe the effects of magnolol on periodontal lesions and the expressions of interleukin-6(IL-6)and vascular endothelial growth factor(VEGF)in periodontal tissues of periodontitis rats,and to explore the val-ue of magnolol in the treatment of periodontitis.Methods Sixty-five 3-month-old male SD rats were selected,in which 10 rats were randomly selected as the control group,and the remaining rats were used to establish periodontitis models by liga-ting bilateral maxillary first molar teeth with orthodontic ligature wire.After 4 weeks of ligation,40 successfully modeled rats were randomly divided into 4 groups,with 10 rats in each group.Topical irritant ligature wire was removed in the topi-cal treatment group;the magnolol treatment group was given 50 mg/(kg·d)of magnolol by gavage without removing the ligature wire,the topical+magnolol treatment group was given 50 mg/(kg·d)of magnolol by gavage based on removing the ligature wire,and the control group was given an equal volume of saline by gavage,all the groups were treated for 8 weeks.The general condition of the periodontal tissues and dentition of the rats in each group were observed,the pathologi-cal morphology of the periodontal tissues was observed by HE staining,and the positive expressions of IL-6 and VEGF in the periodontal tissues were detected by immunohistochemical staining.Results The bilateral maxillary first molar gingiva of rats in the periodontitis group were red and swollen;the combined epithelium left the enamel-osseous border and shifted to-ward the root to form deep periodontal pockets surrounded by a large number of inflammatory cells infiltrated,with resorp-tion and destruction of the tops of alveolar ridges and intrinsic alveolar bone.The bilateral maxillary first molar gingiva of rats in the topical treatment group was red and swollen,with probing bleeding;the periodontal pockets were deep,with a small amount of inflammatory cell infiltration around them,and there was severe destruction of the alveolar ridge apex and intrinsic alveolar bone,with neoplastic bone formation on the alveolar ridge apex.The bilateral maxillary first molar gingiva of rats in the magnolol treatment group and the topical+magnolol treatment group was slight red and swollen or not red and swollen;the periodontal pockets were shallow,with a small amount of inflammatory cell infiltration around them and neo-plastic bone formation on the alveolar ridge apex,the destruction of the periodontal tissues in the topical+magnolol treat-ment group was more mild.The mean optical densities of positive expressions of IL-6 and VEGF in the periodontal tissues of rats in the periodontitis group were significantly higher than those in the control group(all P<0.05),and the mean op-tical densities in the magnolol treatment group and topical+magnolol treatment group were significantly lower than those in the periodontitis group(all P<0.05),and the topical+magnolol treatment group was significantly lower than the topical treatment group(all P<0.05).Conclusion Magnolol can significantly reduce the level of inflammatory cytokines in perio-dontal tissues of rats with periodontitis,alleviate periodontal lesions,and improve the neoplastic state of alveolar bone.

periodontitismagnololratsinterleukin-6vascular endothelial growth factor

于丽贤、李春年

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河北医科大学口腔医学院·口腔医院/河北省口腔医学重点实验室,河北 石家庄 050017

牙周炎 厚朴酚 大鼠 白细胞介素-6 血管内皮生长因子

河北省中医药管理局科研计划项目

2014135

2024

现代中西医结合杂志
中国中西医结合学会河北分会,中华中医药学会

现代中西医结合杂志

CSTPCD
影响因子:1.775
ISSN:1008-8849
年,卷(期):2024.33(15)