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纤维蛋白凝胶对上颌扩弓成骨矿化的影响
引用本文:赵涵江,王泽莹,林丹,沈国芳. 纤维蛋白凝胶对上颌扩弓成骨矿化的影响[J]. 中国口腔颌面外科杂志, 2021, 19(5): 397-404. DOI: 10.19438/j.cjoms.2021.05.003
作者姓名:赵涵江  王泽莹  林丹  沈国芳
作者单位:1.上海交通大学医学院附属第九人民医院 口腔颅颌面科,上海交通大学口腔医学院, 国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海 200011;
2.上海健康医学院,上海 201318
基金项目:国家自然科学基金(81970973,81570947); 上海市青年科技英才扬帆计划(19YF1426500)
摘    要:目的:研究原位注射纤维蛋白凝胶对SD大鼠上颌扩弓成骨矿化的影响.方法:体外实验中,将大鼠骨髓间充质细胞(rBMSCs)在不同凝血酶浓度制备的纤维蛋白凝胶环境下进行共培养,通过CCK-8、ALP染色和活性定量以及茜素红染色,检测梯度浓度凝血酶制备的纤维蛋白凝胶降解产物对rBMSCs细胞增殖和成骨分化的影响.将rBMSCs...

关 键 词:上颌快速扩弓  骨缝牵引成骨  纤维蛋白凝胶  骨再生
收稿时间:2021-03-18
修稿时间:2021-05-11

Effect of fibrin glue on osteogenesis and mineralization during rapid maxillary expansion
ZHAO Han-jiang,WANG Ze-ying,LIN Dan,SHEN Guo-fang. Effect of fibrin glue on osteogenesis and mineralization during rapid maxillary expansion[J]. China Journal of Oral and Maxillofacial Surgery, 2021, 19(5): 397-404. DOI: 10.19438/j.cjoms.2021.05.003
Authors:ZHAO Han-jiang  WANG Ze-ying  LIN Dan  SHEN Guo-fang
Affiliation:1. Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology. Shanghai 200011;
2. Shanghai University of Medicine and Health Sciences. Shanghai 201318, China
Abstract:PURPOSE: To investigate the effect of accelerating osteogenesis and mineralization during rapid maxillary expansion by in situ injection of fibrin glue. METHODS: In in vitro experiments, rat bone marrow stromal cells (rBMSCs) were co-cultured with fibrin glue fabricated with different concentrations of thrombin. The effects of degradation products of fibrin glue on the proliferation and osteogenic differentiation of rBMSCs were tested by CCK-8, alkaline phosphatase (ALP) staining and ALP activity quantification as well as alizarin red staining. rBMSCs were combined with fibrin glue by co-culture, two-dimensional surface culture and three-dimensional culture, respectively. Cell morphology and adhesion were observed by FITC-phalloidine fluorescence staining. In in vivo experiments, 12 6-week male SD rats were used to establish rapid maxillary expansion (RME) model with 100 g expanding force for 7 days. After 7-day expansion, they were divided into two groups: retention for 14 days as control group (R group) while in situ injection of fibrin glue combined with retention for 14 days as experimental group (R+FG group). Micro-CT scanning for three-dimensional reconstruction and analysis were conducted to compare the difference of new bone volume and bone mineral density. The osteogenesis and angiogenesis in mid-palatal suture were observed by H-E staining, Masson's trichrome staining, TRAP staining and sequential fluorescent labeling. GraphPad Prism 8.0.1 software package was used for statistical analysis. RESULTS: The degradation products of fibrin gel had little effect on cell proliferation and osteogenic differentiation of rBMSCs(P>0.05). In addition, rBMSCs cultured in three ways had great cell tractility. Compared with R group, the relative bone volume(P<0.001) and bone mineral density of trabeculae (P<0.001) were significantly increased in R+FG group. A large number of new trabeculae with higher mineralization degree were observed and the number of osteoclasts was decreased in mid-palatal suture. Mineral apposition rate was significantly accelerated in R+FG group(P<0.001). CONCLUSIONS: The degradation products of fibrin glue had no effect on proliferation and differentiation of rBMSCs. Fibrin glue could promote new bone formation, mineralized rate and inhibit osteo-clastogenesis in mid-palatal suture after RME in SD rats, which might be related to regulation of osteogenic differentiation by the surface structure of fibrin glue.
Keywords:Rapid maxillary expansion  Sutural distraction osteogenesis  Fibrin glue  Bone regeneration  
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