Low-Intensity Pulsed Ultrasound Prevents Development of Bisphosphonate-Related Osteonecrosis of the Jaw-Like Pathophysiology in a Rat Model

We developed a rat model of bisphosphonate-related osteonecrosis of the jaw (BRONJ) by removing a maxillary molar tooth (M1) from ovariectomized rats after treatment with alendronate. To mimic periodontitis, some of the rats were administered Porphyromonas gingivalis (p. gingivalis) at the M1 site e...

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Veröffentlicht in:Ultrasound in medicine & biology 2019-07, Vol.45 (7), p.1721-1732
Hauptverfasser: Hidaka, Kouki, Mikuni-Takagaki, Yuko, Wada-Takahashi, Satoko, Saita, Makiko, Kawamata, Ryota, Sato, Takenori, Kawata, Akira, Miyamoto, Chihiro, Maehata, Yojiro, Watabe, Hirotaka, Tani-Ishii, Nobuyuki, Hamada, Nobushiro, Takahashi, Shun-suke, Deguchi, Shinji, Takeuchi, Ryohei
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container_end_page 1732
container_issue 7
container_start_page 1721
container_title Ultrasound in medicine & biology
container_volume 45
creator Hidaka, Kouki
Mikuni-Takagaki, Yuko
Wada-Takahashi, Satoko
Saita, Makiko
Kawamata, Ryota
Sato, Takenori
Kawata, Akira
Miyamoto, Chihiro
Maehata, Yojiro
Watabe, Hirotaka
Tani-Ishii, Nobuyuki
Hamada, Nobushiro
Takahashi, Shun-suke
Deguchi, Shinji
Takeuchi, Ryohei
description We developed a rat model of bisphosphonate-related osteonecrosis of the jaw (BRONJ) by removing a maxillary molar tooth (M1) from ovariectomized rats after treatment with alendronate. To mimic periodontitis, some of the rats were administered Porphyromonas gingivalis (p. gingivalis) at the M1 site every 2 to 3 d for 2 wk. Rats pretreated with alendronate plus p. gingivalis showed delayed healing of socket epithelia, periosteal reaction of alveolar bone formation and lower bone mineral density in the alveolus above adjacent M2 teeth. These abnormalities were prevented by tooth socket exposure to 20 min/d low-intensity pulsed ultrasound (LIPUS), which restored diminished expression of RANKL, Bcl-2, IL-6, Hsp70, NF-κB and TNF-α messenger ribonucleic acids in remote bone marrow, suggesting LIPUS prevented development of BRONJ-like pathophysiology in rat by inducing systemic responses for regeneration, in addition to accelerating local healing. Non-invasive treatment by LIPUS, as well as low-level laser therapy, may be useful for medication-related osteonecrosis of the jaw patients.
doi_str_mv 10.1016/j.ultrasmedbio.2019.02.015
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Mikuni-Takagaki, Yuko ; Wada-Takahashi, Satoko ; Saita, Makiko ; Kawamata, Ryota ; Sato, Takenori ; Kawata, Akira ; Miyamoto, Chihiro ; Maehata, Yojiro ; Watabe, Hirotaka ; Tani-Ishii, Nobuyuki ; Hamada, Nobushiro ; Takahashi, Shun-suke ; Deguchi, Shinji ; Takeuchi, Ryohei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-6f9a1ad6e2f54b981a8c38d97cffc2d98c6c74ff32829fa38091df08be7b59193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Alendronate</topic><topic>Animals</topic><topic>Bisphosphonate-Associated Osteonecrosis of the Jaw - physiopathology</topic><topic>Bisphosphonate-Associated Osteonecrosis of the Jaw - prevention &amp; control</topic><topic>Bisphosphonate-related osteonecrosis of the jaw (BRONJ)</topic><topic>Bone marrow</topic><topic>Disease Models, Animal</topic><topic>Female</topic><topic>Low-intensity pulsed ultrasound (LIPUS)</topic><topic>Osteogenesis - physiology</topic><topic>Periodontitis</topic><topic>Periodontitis - therapy</topic><topic>Rats</topic><topic>Rats, Wistar</topic><topic>Systemic effect</topic><topic>Tooth Socket - physiopathology</topic><topic>Ultrasonic Therapy - methods</topic><topic>Ultrasonic Waves</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hidaka, Kouki</creatorcontrib><creatorcontrib>Mikuni-Takagaki, Yuko</creatorcontrib><creatorcontrib>Wada-Takahashi, Satoko</creatorcontrib><creatorcontrib>Saita, Makiko</creatorcontrib><creatorcontrib>Kawamata, Ryota</creatorcontrib><creatorcontrib>Sato, Takenori</creatorcontrib><creatorcontrib>Kawata, Akira</creatorcontrib><creatorcontrib>Miyamoto, Chihiro</creatorcontrib><creatorcontrib>Maehata, Yojiro</creatorcontrib><creatorcontrib>Watabe, Hirotaka</creatorcontrib><creatorcontrib>Tani-Ishii, Nobuyuki</creatorcontrib><creatorcontrib>Hamada, Nobushiro</creatorcontrib><creatorcontrib>Takahashi, Shun-suke</creatorcontrib><creatorcontrib>Deguchi, Shinji</creatorcontrib><creatorcontrib>Takeuchi, Ryohei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ultrasound in medicine &amp; 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To mimic periodontitis, some of the rats were administered Porphyromonas gingivalis (p. gingivalis) at the M1 site every 2 to 3 d for 2 wk. Rats pretreated with alendronate plus p. gingivalis showed delayed healing of socket epithelia, periosteal reaction of alveolar bone formation and lower bone mineral density in the alveolus above adjacent M2 teeth. These abnormalities were prevented by tooth socket exposure to 20 min/d low-intensity pulsed ultrasound (LIPUS), which restored diminished expression of RANKL, Bcl-2, IL-6, Hsp70, NF-κB and TNF-α messenger ribonucleic acids in remote bone marrow, suggesting LIPUS prevented development of BRONJ-like pathophysiology in rat by inducing systemic responses for regeneration, in addition to accelerating local healing. Non-invasive treatment by LIPUS, as well as low-level laser therapy, may be useful for medication-related osteonecrosis of the jaw patients.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>31006496</pmid><doi>10.1016/j.ultrasmedbio.2019.02.015</doi><tpages>12</tpages></addata></record>
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subjects Alendronate
Animals
Bisphosphonate-Associated Osteonecrosis of the Jaw - physiopathology
Bisphosphonate-Associated Osteonecrosis of the Jaw - prevention & control
Bisphosphonate-related osteonecrosis of the jaw (BRONJ)
Bone marrow
Disease Models, Animal
Female
Low-intensity pulsed ultrasound (LIPUS)
Osteogenesis - physiology
Periodontitis
Periodontitis - therapy
Rats
Rats, Wistar
Systemic effect
Tooth Socket - physiopathology
Ultrasonic Therapy - methods
Ultrasonic Waves
title Low-Intensity Pulsed Ultrasound Prevents Development of Bisphosphonate-Related Osteonecrosis of the Jaw-Like Pathophysiology in a Rat Model
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