骨缺损范围可控颌骨放射性骨坏死动物模型的建立
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甘肃省中医院口腔颌面外科,兰州 730050

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Establishment of an animal model with controllable osteoradionecrosis of the jaws with bone defect range
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Department of Stomatology in Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China

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    摘要:

    目的 建立一种可控骨缺损范围的,具有早期、轻型颌骨放射性骨坏死( osteoradionecrosis of jaws,ORNJ)特征的动物模型。 方法 应用电子直线加速器单次高剂量照射的方法,据照射剂量不同,分为a 组(对照组)、b 组(12 Gy 组)、c 组(14 Gy 组),每组随机分配 6 只兔。 b 组、c 组两组右侧下颌骨部位进行放疗照射。 1 周后所有动物于右侧下颌角处制备标准一致的骨缺损。 4 周后处死,进行大体观察;下颌骨标本锥形束 CT(cone-beam CT,CBCT)扫描及 HU 值对比;苏木素-伊红(HE)染色组织学观察;抗酒石酸酸性磷酸酶(tartrate resistant acid phosphatase,Trap)染色组织学观察及破骨细胞计数对比,进行统计学分析。 结果 4 周后 b 组、c 组术区软组织轻度肿胀,皮肤发紫,口腔粘膜可观察到糜烂破溃,c 组更为显著;CBCT 检查提示b 组、c 组两组照射部位骨皮质毛糙,c 组骨皮质连续性欠佳,骨缺损范围各组均未观察到明显变化。 HU 值对比提示 b 组、c 组两组较 a 组显著减小;HE 染色组织学观察提示 b 组、c 组两组骨连续性变差,可见大量纤维组织增生,无细胞空白骨陷窝增多,并能观察到炎细胞浸润;Trap 染色破骨细胞计数提示 c 组破骨细胞较 a 组显著增多。 结论 应用电子直线加速器,对兔下颌角部位进行 14 Gy 单次照射,并制造骨缺损创伤,4 周后可以建立符合 ORNJ 早期诊断标准,并且骨缺损范围可控的动物模型。

    Abstract:

    Objective To establish, based on new diagnostic criteria for osteoradionecrosis of the jaws (ORNJ), an animal model with a controllable bone defect range and early and mild ORNJ characteristics. Methods A method involving single high-dose irradiation with an electron linear accelerator was applied. According to the irradiation dose, the animals were divided into a group (control group); b group (12 Gy group); and c group (14 Gy group). Six rabbits were randomly assigned to each group, b and c groups were uniformly selected for further radiotherapy of the right mandibular area. After 1 week, all animals were prepared with a standard bone defect at the right mandibular angle. After 4 weeks, the animals were euthanized, and general observations were conducted. CBCT scans and HU values of mandibular specimens, HE staining histological observations, Trap staining histology, and osteoclast counts were compared. And the statistical analysis were carried out. Results 4 weeks after the bone defect was created, the soft tissue in the surgical area of b and c groups showed mild swelling, purple skin, and erosion and ulceration of the oral mucosa, with c group showing the most significant changes. CBCT examination showed that the cortical bone of the irradiated areas in b and c groups was rough, while that of c group had poor continuity. No significant changes were observed in the extent of the bone defect in any group,b and c groups had significantly decreased HU values compared with a group. HE staining and histological observation suggested that the bone continuity of b and c groups had deteriorated; there was a large amount of fibrotic tissue proliferation, an increase in blank bone pits without cells, and an infiltration of inflammatory cells. Trap staining revealed a significant increase in osteoclasts in c group compared with a group. Conclusions By using an electron linear accelerator, a single dose of 14 Gy irradiation was applied to the mandibular angle area to create bone defects with consistent specifications in rabbits. After 4 weeks, an animal model that met the early diagnostic criteria of ORNJ and had controllable consistency in the range and degree of bone defects was established.

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田佳灵,赵弼洲.骨缺损范围可控颌骨放射性骨坏死动物模型的建立[J].中国实验动物学报,2025,33(02):69~75.

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  • 收稿日期:2024-09-18
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  • 在线发布日期: 2025-04-22
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