가토의 골수 세포에서 분화된 골모세포의 골 형성에 혈소판 농축 혈장이 미치는 효과: 조직 형태학적 분석

EFFECT OF PLATELET-RICH PLASMA ON OSTEOGENESIS OF MARROW-DERIVED OSTEOBLASTS IN THE MANDIBLE OF RABBIT: HISTOMORPHOMETRIC ANALYSIS

  • 박영주 (한림대학교 의료원 강남성심병원 구강악안면외과학교실) ;
  • 신진업 (한림대학교 의료원 강남성심병원 구강악안면외과학교실) ;
  • 정재안 (한림대학교 의료원 강남성심병원 구강악안면외과학교실) ;
  • 전민수 (한림대학교 의료원 강남성심병원 구강악안면외과학교실) ;
  • 김보균 (한림대학교 의료원 강남성심병원 구강악안면외과학교실) ;
  • 송준호 (한림대학교 의료원 강남성심병원 구강악안면외과학교실) ;
  • 연병무 (한림대학교 의료원 강남성심병원 구강악안면외과학교실) ;
  • 임성철 (조선대학교 의과대학 병리학교실) ;
  • 강태인 (한림대학교 의료원 강남성심병원 구강악안면외과학교실)
  • Park, Young-Ju (Department of Oral and Maxillofacial Surgery, Kang-Nam Sacred Heart Hospital, Hallym Medical Center) ;
  • Shin, Jin-Eob (Department of Oral and Maxillofacial Surgery, Kang-Nam Sacred Heart Hospital, Hallym Medical Center) ;
  • Chung, Jae-An (Department of Oral and Maxillofacial Surgery, Kang-Nam Sacred Heart Hospital, Hallym Medical Center) ;
  • Jeon, Min-Su (Department of Oral and Maxillofacial Surgery, Kang-Nam Sacred Heart Hospital, Hallym Medical Center) ;
  • Kim, Bo-Gyun (Department of Oral and Maxillofacial Surgery, Kang-Nam Sacred Heart Hospital, Hallym Medical Center) ;
  • Song, Jun-Ho (Department of Oral and Maxillofacial Surgery, Kang-Nam Sacred Heart Hospital, Hallym Medical Center) ;
  • Yeon, Byong-Moo (Department of Oral and Maxillofacial Surgery, Kang-Nam Sacred Heart Hospital, Hallym Medical Center) ;
  • Lim, Sung-Chul (Department of Pathology, Chosun University Hospital) ;
  • Gang, Tae-In (Department of Oral and Maxillofacial Surgery, Kang-Nam Sacred Heart Hospital, Hallym Medical Center)
  • 발행 : 2007.11.30

초록

Purpose: The effect of platelet-rich plasma(PRP) on osteogenesis of marrow-derived osteoblasts on histomorphometric analysis in the mandible of rabbit was assessed. Materials and Method: Bone marrow cells were obtained from iliac bone of rabbits and were cultured in a Dulbecco's Modified Eagle's Medium(DMEM) with Dexamethasone, L-Ascortic acid, ${\beta}$-Glycerophosphate to proliferate and differentiate into osteoblasts for $4{\sim}5$ weeks. The expression of osteogenic mar-kers was detected by reverse transcription-polymerase chain reaction(RT-PCR) and silver nitrate stain. Then we prepared bony defects in the mandible of rabbit, 10.0mm in diameter and 4.0mm deep, by trephine bur. In the control group, the defects were filled with autogenous bone and cultured osteoblasts. In the experimental group, the defects were filled with autogenous bone, cultured osteoblasts and PRP. 2 weeks, 4 weeks, 8 weeks later, each group was evaluated with histological and histomorphometric analyses. Results: In vitro, osteoblasts were identified on RT-PCR and silver nitrate stain. According to histological observation, at 2 weeks well-developed anasto-mosing newly-formed woven bone was observed, at 4 weeks anastomosing newly-formed woven bone having osteoblastic activation was observed, and at 8 weeks thick newly-formed woven bone was observed in both control and experimental groups. According to histomorphometric analysis, there were 1.5% more newly-formed bone volume in experimental group than control group at 2 weeks, 28.4% more at 4 weeks, 4.3% more at 8 weeks. Particularly there were significant differences in bone volume at 4 weeks and 8 weeks new bone. Conclusion: Our results demonstrated PRP may enhance osteogenesis of marrow-derived osteoblasts at 4 weeks, 8 weeks.

키워드

참고문헌

  1. Friedenstein AJ, Piatetzky S, Petrakova KV : Osteogenesis in transplantsof bone marrow cells. J Embryol Exp Morphol 16 : 381, 1966
  2. Silbermann M, Reddi AH, Hand AR et al : Chondroid bone arises from mesenchymal stem cells in organ culture of mandibular condyles. J Craniofac Genet Dev Biol 7 : 59, 1987
  3. Pittenger MF, Mackay AM, Beck SC et al : Multilineage potential of adult human mesenchymal stem cells. Science 284 : 143, 1999 https://doi.org/10.1126/science.284.5411.143
  4. Hausamen JE, Neukam FW : Transplantation of bones. Eur Arch Otorhino laryngol Suppl 1 : 163, 1992
  5. Younger EM, Chapman MW : Morbidity at bone graft donor sites. J Orthop Trauma 3 : 192, 1989 https://doi.org/10.1097/00005131-198909000-00002
  6. Leads from the MMWR : Transmission of HIV through bone transplantat on : case report and public health recommendations. JAMA 260 : 2487, 1988 https://doi.org/10.1001/jama.260.17.2487
  7. Laurie SW, Kaban LB, Mulliken JB et al : Donor-site morbidity after harvesting rib and iliac bone. Plast Reconstr Surg 73 : 933, 1984 https://doi.org/10.1097/00006534-198406000-00014
  8. Lieberman JR, Daluiski A, Einhorn TA : The role of growth factors in the repair of bone. Biology and clinical applications. J Bone Joint Surg Am 84-A : 1032, 2002
  9. Marx RE, Carlson ER, Eichstaedt RM et al : Platelet-rich plasma: Growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85 : 638, 1998 https://doi.org/10.1016/S1079-2104(98)90029-4
  10. Kassolis JD, Rosen PS, Reynolds MA : Alveolar ridge and sinus augmentation utilizing platelet-rich plasma in combination with freeze-dried bone allograft : case series. J Periodontol 71 : 1654, 2000 https://doi.org/10.1902/jop.2000.71.10.1654
  11. Everts PA, Brown MC, Hoffmann JJ et al : Platelet-rich plasma and platelet gel: a review. J Extra Corpor Technol 38: 174, 2006
  12. Mannai C : Early implant loading in severely resorbed maxilla using xenograft, autograft, and platelet-rich plasma in 97 patients. J Oral Maxillofac Surg 64 : 1420, 2006 https://doi.org/10.1016/j.joms.2006.05.028
  13. Wiltfang J, Kloss FR, Kessler P et al : Effects of platelet-rich plasma on bone healing in combination with autogenous bone and bone substitutes in critical-size defect. An animal experiment. Clin Oral Implants Res 15 : 187, 2004 https://doi.org/10.1111/j.1600-0501.2004.00980.x
  14. Kadiyala S, Young RG, Thiede MA et al : Culture expanded canine mesenchymal stem cells possess osteochondrogenic potential in vivo and in vitro. Cell Transplant 6 : 125, 1997 https://doi.org/10.1016/S0963-6897(96)00279-5
  15. Kadiyala S, Young RG, Thiede MA et al : Culture-expanded, bone marrow derived mesenchymal stem cells can regenerate a critical-size segmental bone defect. Tissue engineering 3 : 173, 1997 https://doi.org/10.1089/ten.1997.3.173
  16. Morone MA, Boden SD, Hair G et al : The Marshall R. Urist Young Investigator Award. Gene expression during autograft lumbar spine fusion and the effect of bone morphogenetic protein 2 Clin Orthop Relat Res Jun : 252, 1998
  17. Kitch H, Kitakoji T, Tsuchiya H et al : Transplantation of marrow derived mesenchymal stem cells and platelet-rich plasma during distraction ost eogenesisa preliminary result of three cases. Bone 35 : 892, 2004 https://doi.org/10.1016/j.bone.2004.06.013
  18. Ohya M, Yamada Y, Ozawa R et al : Sinus floor elevation applied tissueengineered bone. Comparative study between mesenchymal stem cells with platelet-rich plasma (PRP) and autogenous bone with PRP complexes in rabbits. Clin Oral Implants Res 16 : 622, 2005 https://doi.org/10.1111/j.1600-0501.2005.01136.x
  19. Wang Z, Goh J, Das D et al : Efficacy of bone marrow-derived stem cells in strengthening osteoporotic bone in a rabbit model. Tissue Eng 12 : 1753, 2006 https://doi.org/10.1089/ten.2006.12.1753
  20. Halvorsen YD, Franklin D, Bond AL et al : Extracellular matrix mineralization and osteoblast gene expression by human adipose tissue-derived stromal cells. Tissue Eng 7 : 729. 2001 https://doi.org/10.1089/107632701753337681
  21. Zvaifler NJ. Marinova ML. Adams G et al : Mesenchymal precursor cells in the blood of normal individuals. Arthritis Res 2 : 477, 2000 https://doi.org/10.1186/ar130
  22. Tayapongsak P, O' Brien DA, Monteiro CB et al : Autologous fibrin adhesive in mandibular reconstruction with particulate cancellous bone and marrow. J Oral Maxillofac Surg 52 : 161. 1994 https://doi.org/10.1016/0278-2391(94)90401-4
  23. Murray MM, Spindler KP. Abreu E et al : Collagen-platelet rich plasma hydrogel enhances primary repair of the porcine anterior cruciate ligament. J Orthop Res 25 : 81. 2007 https://doi.org/10.1002/jor.20282