Combined effect of bisphosphonate and recombinant human bone morphogenetic protein 2 on bone healing of rat calvarial defects
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±èȣö ( Kim Ho-Chul ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
¼ÛÀç¹Î ( Song Jae-Min ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
±èâÁÖ ( Kim Chang-Joo ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
À±»ó¿ë ( Yoon Sang-Yong ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
±èÀÎ·É ( Kim In-Ryoung ) - Pusan National University School of Dentistry Department of Oral Anatomy and Cell Biology
¹ÚºÀ¼ö ( Park Bong-Soo ) - Pusan National University School of Dentistry Department of Oral Anatomy and Cell Biology
½Å»óÈÆ ( Shin Sang-Hun ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
Abstract
Background: This study aimed to investigate new bone formation using recombinant human bone morphogenetic protein 2 (rhBMP-2) and locally applied bisphosphonate in rat calvarial defects.
Methods: Thirty-six rats were studied. Two circular 5 mm diameter bony defect were formed in the calvaria using a trephine bur. The bony defect were grafted with Bio-Oss¢ç only (group 1, n?=?9), Bio-Oss¢ç wetted with rhBMP-2 (group 2, n?=?9), Bio-Oss¢ç wetted with rhBMP-2 and 1 mM alendronate (group 3, n?=?9) and Bio-Oss¢ç wetted with rhBMP-2 and 10 mM alendronate (group 4, n?=?9). In each group, three animals were euthanized at 2, 4 and 8 weeks after surgery, respectively. The specimens were then analyzed by histology, histomorphometry and immunohistochemistry analysis.
Results: There were significant decrease of bone formation area (p?0.05) between group 4 and group 2, 3. Group 3 showed increase of new bone formation compared to group 2. In immunohistochemistry, collagen type I and osteoprotegerin (OPG) didn¡¯t show any difference. However, receptor activator of nuclear factor ¥êB ligand (RANKL) decreased with time dependent except group 4.
Conclusion: Low concentration bisphosphonate and rhBMP-2 have synergic effect on bone regeneration and this is result from the decreased activity of RANKL of osteoblast.
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Bisphophonate; Bone morphogenetic protein 2; Bone regeneration; Histology; Alendronate
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