KMID : 1036320150370010031
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Maxillofacial Plastic and Reconstructive Surgery 2015 Volume.37 No. 1 p.31 ~ p.31
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Combined effect of bisphosphonate and recombinant human bone morphogenetic protein 2 on bone healing of rat calvarial defects
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Kim Ho-Chul
Song Jae-Min Kim Chang-Joo Yoon Sang-Yong Kim In-Ryoung Park Bong-Soo Shin Sang-Hun
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Abstract
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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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KEYWORD
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Bisphophonate, Bone morphogenetic protein 2, Bone regeneration, Histology, Alendronate
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