The effects of a single high-dose injection of vitamin-D on healing of condylar fractures in osteoporotic rats

Aim: In this study we have tried to show the effects of a single high-dose ınjection of vitamin d on healing of condylar fractures in osteoporotic rats. Materials and method: This study included sixteen female wistar rats. All rats were overiectomized. Osteoporotic rats were randomly divided into two groups of eight animals/ group. Group D animals received a single high dose of vitamin D (50.000 IU/kg) intraperitoneally and group C (control) animals received saline (0.05 mL) intraperitoneally. All injections were given immediately after condylar fracture. All rats were euthanized after 28 days, examined histopathological and immunohistochemical. Results: Histopathological and immunohistochemical evaluations were done. Histopathological scores between group D and C were found statistically significant. TGFβ1 and osteopentin levels in group D were found higher than group C. Conclusion: We have determined that a single high-dose injection of vitamin D given immediately after surgery increased TGFβ and osteopontin levels and enhanced new bone formation at condylar fractures of osteoporotic rats.

Osteoporotik sıçanlarda tek yüksek doz D-vitamini enjeksiyonunun kondil kırığı iyileşmesine etkisi

Amaç: Bu çalışmada, osteoporotik sıçanlarda kondiler kırıkların iyileşmesinde tek yüksek doz verilen D vitamininin etkilerini göstermeye çalıştık. Gereç ve Yöntem: Bu çalışmada 16 dişi wistar sıçanı kullanıldı. Tüm sıçanlara overiektomi uygulandı. Osteoporotik sıçanlar rastgele her grupta sekiz hayvan olacak şekilde iki gruba ayrıldı. Grup D hayvanlarına intraperitoneal olarak tek doz D vitamini (50,000 IU / kg) verildi ve grup C (kontrol) hayvanlara intraperitoneal olarak serum fizyolojik (0,05 mL) verildi. Tüm enjeksiyonlar, kondiler kırıktan hemen sonra yapıldı. Bütün sıçanlar 28 gün sonra sakrifiye edildi, Histopatolojik ve immünohistokimyasal olarak incelendi. Bulgular: Histopatolojik ve immünohistokimyasal değerlendirmeler yapıldı. D ve C grubu arasındaki histopatolojik veriler istatistiksel olarak anlamlı bulundu. Grup D' de TGFβ1 ve osteopentin düzeyleri C grubundan daha yüksek bulundu. Sonuç: Cerrahi müdahaleden hemen sonra verilen tek yüksek doz D vitamini enjeksiyonunun, osteoporotik sıçanların kondiler kırıklarında TGFβ ve osteopontin seviyelerini ve yeni kemik oluşumunu arttırdığını tespit ettik.

___

NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy. Osteoporosis prevention, diagnosis, and therapy. JAMA 2001;285:785-95.

Pisani P, Renna MD, Conversano F, Casciaro E, Di Paola M, Quarta E, Muratore M, Casciaro S. Major osteoporotic fragility fractures: Risk factor updates and societal impact. World J Orthop 2016;18:171-81

Gerbino G, Roccia F, De Gioanni PP, Berrone S. Maxillofacial trauma in the elderly. J Oral Maxillofac Surg 1999; 57:777–782.

Chrcanovic BR, Souza LN, Freire-Maia B, Abreu MH. Facial fractures in the elderly: a retrospective study in a hospital in Belo Horizonte, Brazil. J Trauma 2010;69:E73-8.

Yamamoto K, Matsusue Y, Murakami K, Horita S, Sugiura T, Kirita T. Maxillofacial fractures in older patients. J Oral Maxillofac Surg 2011;69:2204-10.

Manisali M, Amin M, Aghabeigi B, Newman L. Retromandibular approach to the mandibular condyle: a clinical and cadaveric study. Int J Oral Maxillofac Surg 2003;32:253-256.

Miloro M. Endoscopic-assisted repair of subcondylar fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96:387-91.

Oikarinen KS: Surgical versus nonsurgical treatment of unilateral dislocated low subcondylar fractures. Discussion. J Oral Maxillofac Surg 1994;52:360

Fini M, Aldini NN, Cane V, et al. Effects of essential amino acids and lactose on bony fractures and defects in rabbits: A preliminary histomorphometric study. Arch Orthop Trauma Surg 1999;119:39-45.

Jones CB. Biological basis of fracture healing. J Orthop Trauma 2005;19:1-3.

Claes L, Recknagel S, Ignatius A. Fracture healing under healthy and inflammatory conditions. Nat Rev Rheumatol 2012;8:133-43.

Andreen O, Larsson SE. Effects of parathyroidectomy and vitamin D on fracture healing. Fracture biomechanics in rats after parathyroidectomy and treatment with 1,25- dihydroxycholecalciferol. Acta Orthop Scand 1983;54: 805-9.

Omeroglu H, Ates Y, Akkus O, Korkusuz F, Bicimoglu A, Akkas N. Biomechanical analysis of the effects of single high-dose vitamin D3 on fracture healing in a healthy rabbit model. Arch Orthop Trauma Surg 1997;116:271-4.

Omeroğlu S, Erdoğan D, Omeroğlu H. Effects of single high-dose vitamin D3 on fracture healing. An ultrastructural study in healthy guinea pigs. Arch Orthop Trauma Surg 1997;116:37-40.

Gorter EA, Hamdy NA, Appelman-Dijkstra NM, Schipper IB. The role of vitamin D in human fracture healing: a systematic review of the literature. Bone 2014;64:288-97.

Wu Y, Haugen JD, Zinsmeister AR, Kumar R. 1 alpha,25-Dihydroxyvitamin D3 increases transforming growth factor and transforming growth factor receptor type I and II synthesis in human bone cells. Biochem Biophys Res Commun 1997;239:734–9.

Rameshwar P, Chang VT, Thacker UF, Gascón P. Systemic transforming growth factor-beta in patients with bone marrow fibrosis-pathophysiological implications. Am J Hematol 1998;59:133–42

Kassem M, Kveiborg M, Eriksen EF. Production and action of transforming growth factor-beta in human osteoblast cultures: dependence on cell differentiation and modulation by calcitriol. Eur J Clin Invest 2000;30:429–37.

Van Leeuwen JP, van Driel M, van den Bemd GJ, Pols HA. Vitamin D control of osteoblast function and bone extracellular matrix mineralization. Crit Rev Eukaryot Gene Expr 2001;11:199-226.

Gurlek A, Pittelkow MR, Kumar R. Modulation of growth factor/cytokine synthesis and signaling by 1alpha,25-dihydroxyvitamin D(3): implications in cell growth and differentiation. Endocr Rev 2002;23:763-86.

Nagel D, Kumar R. 1 alpha, 25-dihydroxyvitamin D3 increases TGF beta 1 binding to human osteoblasts. Biochem Biophys Res Commun 2002;290:1558–63.

Boyd SK, Davison P, Müller R, Gasser JA. Monitoring individual morphological changes over time in ovariectomized rats by in vivo micro-computed tomography. Bone. 2006 Oct;39(4):854-62.

Pereira MC, Zecchin KG, Campagnoli EB, Jorge J. Ovariectomy delays alveolar wound healing after molar extractions in rats. J Oral Maxillofac Surg. 2007 Nov;65(11):2248-53.

Tatli U, Ustün Y, Kürkçü M, Erdoğan O, Gürbüz CC, Ozgür H, Polat S. Effects of zoledronic acid on healing of mandibular fractures: an experimental study in rabbits. J Oral Maxillofac Surg 2011;69:1726-35

Gassner R, Tuli T, Hachl O, Rudisch A, Ulmer H. Cranio-maxillofacial trauma: A 10 year review of 9,543 cases with 21,067 injuries. J Craniomaxillofac Surg 2003;31:51– 61.

Erol B, Tanrikulu R, Gorgun B. Maxillofacial fractures. Analysis of demographic distribution and treatment in 2901 patients (25-year experience). J Craniomaxillofac Surg 2004;32:308–313.

Cizmeci MO, Karabulut A. Fractures of the mandıble and prıncıples of theır treatment. Ulus Travma Acil Cerrahi Derg. 1999; 5(3): 139-146

Cheung WH, Miclau T, Chow SK, Yang FF, Alt V. Fracture healing in osteoporotic bone. Injury. 2016 Jun;47 Suppl 2:S21-6.

Luize DS, Bosco AF, Bonfante S and de Almeida JM: Influence of ovariectomy on healing of autogenous bone block grafts in the mandible: A histomorphometric study in an aged rat model. Int J Oral Maxillofac Implants.2008; 23: 207-214.

Comelekoglu U, Bagis S, Yalin S, Ogenler O, Yildiz A, Sahin NO, Oguz I and Hatungil R: Biomechanical evaluation in osteoporosis: Ovariectomized rat model. Clin Rheumatol.2007; 26: 380-384.

Cavalcanti SC, Corrêa L, Mello SB, Luz JG. The effect of methotrexate on the bone healing of mandibular condylar process fracture: an experimental study in rats. J Craniomaxillofac Surg 2014;42:1133-9.

Schindeler A, McDonald MM, Bokko P, Little DG. Bone remodeling during fracture repair: The cellular picture. Semin Cell Dev Biol 2008;19:459-66.

Lips P, Hosking D, Lippuner K, Norquist JM, Wehren L, Maalouf G, Ragi-Eis S, Chandler J. The prevalence of vitamin D inadequacy amongst women with osteoporosis: an international epidemiological investigation. J Intern Med 2006;260:245-54.

Sambrook PN, Seeman E, Phillips SR, Ebeling PR. Preventing osteoporosis: outcomes of the Australian Fracture Prevention Summit. Med J Aust 2002;176:S1–16.

Scottish Intercollegiate GN. Guidelines Network. 71. Management of Osteoporosis. Edinburgh, Scotland: Royal College of Physicians, 2003:1–46.

Boonen S, Body JJ, Boutsen Y. Evidence-based guidelines for the treatment of postmenopausal osteoporosis: a consensus document of the Belgian Bone Club. Osteoporos Int 2005; 16: 239–54.

Mezquita-Raya P, Muñoz-Torres M, Luna JD, Luna V, Lopez-Rodriguez F,Torres-Vela E, Escobar-Jiménez F. Relation between vitamin D insufficiency, bone density, and bone metabolism in healthy postmenopausal women. J Bone Miner Res 2001;16:1408-15.

Perez-Lopez FR. Vitamin D and its implications for musculo-skeletal health in women: an update. Maturitas 2007;58:117–137.

Villareal DT, Civitelli R, Chines A, Avioli LV. Subclinical vitamin D deficiency in postmenopausal women with low vertebral bone mass. J Clin Endocrinol Metab 1991;72:628-34.

Khaw KT, Sneyd MJ, Compston J. Bone density parathyroid hormone and 25 hydroxyvitamin D concentrations in middle aged women. BMJ 1992;305:273-7

Gorter EA, Krijnen P, Schipper IB. Vitamin D deficiency in adult fracture patients: prevalence and risk factors. Eur J Trauma EmergSurg 2016;42:369-78.

Lindgren JU, Narechania RG, McBeath AA, Lange TA, DeLuca HF. Effects of 1,24 dihydroxyvitamin D3 and calcitonin on fracture healing in adult rats. Clin Orthop Relat Res 1981;160:304-8.

Lidor C, Dekel S, Hallel T, Edelstein S. Levels of active metabolites of vitamin D3 in the callus of fracture repair in chicks. J Bone Joint Surg Br 1987;69:132-6.
7tepe Klinik-Cover
  • ISSN: 2458-9586
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2005
  • Yayıncı: Yeditepe Üniversitesi Rektörlüğü
Sayıdaki Diğer Makaleler

Microbial composition and non-surgical periodontal treatment of aggressive periodontitis: Two case reports

Dilek MAMAKLIOĞLU, Bahar EREN KURU, Maribasappa KARCHED, BAŞAK DOĞAN

Effect of a universal adhesive on shear bond strengths of metal orthodontic brackets

ASLIHAN ZEYNEP ÖZ, R.A. Kadir KOLCUOĞLU, ABDULLAH ALPER ÖZ, EMEL KARAMAN

Qualitative and quantitative assesment of initial bacterial plaque formation on different prosthetic restorative materials

Ali Murat KÖKAT, Nesrin ANIL

OSC-19 hücre hattı kullanımı ile ksenograft oral yassı hücreli karsinoma fare modelinin geliştirilmesi

Feyza Nur TUNCER, Betül Sümeyra AKÇA, Yeliz EKİCİ, Elçin BEDELOĞLU, Umut Can KÜÇÜKSEZER

Evaluation of the relationships among demographic factors, pain levels, dental anxiety and coping methods in adult dental patients

Kaan HAMURCU, SERCAN KÜÇÜKKURT, MEHMET BARIŞ ŞİMŞEK

Agresif periodontitisin mikrobiyal i̇çeriği ve cerrahi olmayan periodontal tedavisi: İki olgu sunumu

Başak DOĞAN, Bahar EREN KURU, Dilek MAMAKLIOĞLU, Maribasappa KARCHED

Çene cerrahisi hastaları i̇lk muayenede ne kadar süre konuşuyorlar?

Gamze ŞENOL, İlker BURGAZ, Şükran TÜFEKÇİOĞLU, Sina UÇKAN

Bir dentin hassasiyet gidericinin kök dentininde makaslama bağlanma dayanımına etkisi

Zümrüt Ceren ÖZDUMAN, Begüm BERKMEN, Duygu TUNCER, Neslihan ARHUN

Şiddetli obstrüktif uyku apnesinde oral apareyin tedavi etkinliği: Olgu sunumu

AHMET TAYLAN ÇEBİ

Agresif periodontitisli hastalarda periodontal tedavinin oksidan ve antioksidan seviyeleri üzerine etkisi

Aysun AKPINAR, HÜLYA TOKER, VİLDAN BOSTANCI, ÖMER POYRAZ, HÜSEYİN AYDIN