›› 2017, Vol. 8 ›› Issue (3): 127-131.

• 论著 • 上一篇    下一篇

载EPO壳聚糖水凝胶促牙周组织再生的研究

顾中一1,徐晓薇1,王卓然1,李文洁1,孙茂蕾2,孙宏晨2,林崇韬1   

  1. 1. 吉林大学口腔医学院牙周科
    2. 吉林大学口腔医学院病理科
  • 收稿日期:2017-06-26 修回日期:2017-08-24 出版日期:2017-09-25 发布日期:2017-10-24
  • 通讯作者: 徐晓薇 E-mail:xiaoweixu@jlu.edu.cn
  • 基金资助:
    国家自然科学基金面上项目资助项目;国家自然科学基金青年基金项目;吉林省科技厅自然科学基金

Study on periodontal regeneration using a chitosan hydrogel loaded with EPO

  • Received:2017-06-26 Revised:2017-08-24 Online:2017-09-25 Published:2017-10-24

摘要: 目的:探究载促红细胞生成素(EPO)壳聚糖-β-甘油磷酸钠-明胶水凝胶控制大鼠牙周炎症和促进牙周组织再生的效果。方法:合成载EPO壳聚糖-β-甘油磷酸钠-明胶水凝胶,检测其凝胶时间及对大鼠间充质干细胞(BMSCs)生长粘附的影响;建立大鼠牙周炎模型,除空白组和牙周炎组外,牙周炎+无EPO水凝胶组、牙周炎+EPO组和牙周炎+载EPO水凝胶组于上颌第一磨牙两侧近远中近牙槽嵴顶黏骨膜下各注入25 μL相应溶液,每3 d 1次,至术后14 d。CBCT检测第一磨牙与第二磨牙之间釉牙骨质界至牙槽嵴顶的距离;HE染色观察牙体牙周联合组织切片形态学改变,评价炎细胞浸润、牙槽骨和牙骨质的完整性。结果:载EPO壳聚糖水凝胶凝胶时间为(220±15)s,BMSCs与载EPO壳聚糖水凝胶混合培养后生长及粘附良好;CBCT扫描显示牙周炎大鼠中,局部应用载EPO水凝胶后未见明显骨吸收,牙槽骨高度明显大于牙周炎组,与空白组接近;组织学评价显示牙周炎大鼠局部应用载EPO水凝胶后,牙槽骨再生明显,与对照组比较具有统计学差异(P<0.05)。结论:载EPO壳聚糖水凝胶能够抑制牙周组织炎症,促进牙槽骨再生,在牙周炎药物治疗方面具有较好的应用前景。

Abstract: Objective:To investigate the effect of hydrogel loaded with erythropoietin (EPO) on the experimental periodontal disease (EPD) in rats.Methods:Hydrogel loaded with EPO was prepared, and measured for the gelation time and the effect on the growth and adhesion of BMSCs. Wistar rats were injected with 25 μL of the solution on the proximal and distal alveolar crest of the maxillary first molar immediately after EPD induction once every 3 days for 14 days. CBCT was used to detect the distance between cemento-enamel junction between the first molar and the second molar and alveolar bone crest; HE staining was used to observe the morphological changes of the tissue sections. The degree of inflammatory cell infiltration, alveolar bone and cementum integrity between the first molar and the second molar was evaluated by 0~3 grade. Results:The gelation time of hydrogels loaded with EPO was (220±15)s and BMSCs grew well with good adhesion. The results from the CBCT analysis demonstrated that animals treated with EPO showed no significant bone resorption and alveolar bone height was significantly greater than that of the control group, close to that of the blank group. Histopathological analysis confirmed the healthy bone structure for naive group animals, while the EPD group exhibited bone loss. In particular, the EPD+hydrogel loaded with EPO group showed significantly alveolar bone regeneration, The results of these groups were significantly different from the EPD+hydrogel loaded with EPO group (P<0.05). Conclusions:Our data suggests that hydrogel loaded with EPO was able to control periodontitis and promote alveolar bone regeneration, and may provide a new therapeutic strategy for periodontitis.