OP-1 Augments Glucocorticoid-inhibited Fracture Healing in a Rat Fracture Model
Glucocorticoids inhibit bone remodeling and fracture healing. We sought to determine whether osteogenic protein 1 (OP-1) can overcome this inhibition in a closed fracture model in the rat. Time-released prednisolone or placebo pellets were implanted subcutaneously; closed femoral fractures were crea...
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Veröffentlicht in: | Clinical orthopaedics and related research 2009-12, Vol.467 (12), p.3104-3112 |
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description | Glucocorticoids inhibit bone remodeling and fracture healing. We sought to determine whether osteogenic protein 1 (OP-1) can overcome this inhibition in a closed fracture model in the rat. Time-released prednisolone or placebo pellets were implanted subcutaneously; closed femoral fractures were created 2 weeks later in rats. Fractures received sham, OP-1 and collagen, or collagen-only implants. Femurs were harvested at 3, 10, 21, 28, and 42 days postfracture. Fractures were examined radiographically for amount of hard callus; mechanically for torque and stiffness (also expressed as a percentage of the contralateral intact femur); and histomorphometrically for amount of cartilaginous and noncartilaginous soft callus, hard callus, and total callus. Glucocorticoid administration inhibited fracture healing. The application of a devitalized Type I collagen matrix mitigated the inhibitory effects of prednisolone on fracture healing However, further increases in indices of fracture healing were observed when OP-1 was added to the collagen matrix compared with collagen alone. OP-1 and collagen was more effective than collagen alone. |
doi_str_mv | 10.1007/s11999-009-0782-1 |
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We sought to determine whether osteogenic protein 1 (OP-1) can overcome this inhibition in a closed fracture model in the rat. Time-released prednisolone or placebo pellets were implanted subcutaneously; closed femoral fractures were created 2 weeks later in rats. Fractures received sham, OP-1 and collagen, or collagen-only implants. Femurs were harvested at 3, 10, 21, 28, and 42 days postfracture. Fractures were examined radiographically for amount of hard callus; mechanically for torque and stiffness (also expressed as a percentage of the contralateral intact femur); and histomorphometrically for amount of cartilaginous and noncartilaginous soft callus, hard callus, and total callus. Glucocorticoid administration inhibited fracture healing. The application of a devitalized Type I collagen matrix mitigated the inhibitory effects of prednisolone on fracture healing However, further increases in indices of fracture healing were observed when OP-1 was added to the collagen matrix compared with collagen alone. OP-1 and collagen was more effective than collagen alone.</description><identifier>ISSN: 0009-921X</identifier><identifier>EISSN: 1528-1132</identifier><identifier>DOI: 10.1007/s11999-009-0782-1</identifier><identifier>PMID: 19301082</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Animals ; Biomechanical Phenomena ; Bone Morphogenetic Protein 7 - administration & dosage ; Bone Remodeling - drug effects ; Bony Callus - drug effects ; Bony Callus - physiopathology ; Collagen Type I ; Conservative Orthopedics ; Disease Models, Animal ; Drug Carriers ; Drug Implants ; Femoral Fractures - diagnostic imaging ; Femoral Fractures - drug therapy ; Femoral Fractures - physiopathology ; Femur - diagnostic imaging ; Femur - drug effects ; Femur - physiopathology ; Fracture Healing - drug effects ; Glucocorticoids - administration & dosage ; Male ; Medicine ; Medicine & Public Health ; Orthopedics ; Prednisolone - administration & dosage ; Radiography ; Rats ; Sports Medicine ; Surgery ; Surgical Orthopedics ; Symposium: Tribute to Dr. Marshall Urist: Musculoskeletal Growth Factors ; Time Factors ; Torque</subject><ispartof>Clinical orthopaedics and related research, 2009-12, Vol.467 (12), p.3104-3112</ispartof><rights>The Association of Bone and Joint Surgeons 2009</rights><rights>The Association of Bone and Joint Surgeons® 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-14ba452fd8c4614f2ee38a33398a600fef26990b97ce7eeb42df08646d7336803</citedby><cites>FETCH-LOGICAL-c468t-14ba452fd8c4614f2ee38a33398a600fef26990b97ce7eeb42df08646d7336803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2772924/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2772924/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19301082$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gilley, Robert S.</creatorcontrib><creatorcontrib>Wallace, Larry J.</creatorcontrib><creatorcontrib>Bourgeault, Craig A.</creatorcontrib><creatorcontrib>Kidder, Louis S.</creatorcontrib><creatorcontrib>Bechtold, Joan E.</creatorcontrib><title>OP-1 Augments Glucocorticoid-inhibited Fracture Healing in a Rat Fracture Model</title><title>Clinical orthopaedics and related research</title><addtitle>Clin Orthop Relat Res</addtitle><addtitle>Clin Orthop Relat Res</addtitle><description>Glucocorticoids inhibit bone remodeling and fracture healing. We sought to determine whether osteogenic protein 1 (OP-1) can overcome this inhibition in a closed fracture model in the rat. Time-released prednisolone or placebo pellets were implanted subcutaneously; closed femoral fractures were created 2 weeks later in rats. Fractures received sham, OP-1 and collagen, or collagen-only implants. Femurs were harvested at 3, 10, 21, 28, and 42 days postfracture. Fractures were examined radiographically for amount of hard callus; mechanically for torque and stiffness (also expressed as a percentage of the contralateral intact femur); and histomorphometrically for amount of cartilaginous and noncartilaginous soft callus, hard callus, and total callus. Glucocorticoid administration inhibited fracture healing. The application of a devitalized Type I collagen matrix mitigated the inhibitory effects of prednisolone on fracture healing However, further increases in indices of fracture healing were observed when OP-1 was added to the collagen matrix compared with collagen alone. OP-1 and collagen was more effective than collagen alone.</description><subject>Animals</subject><subject>Biomechanical Phenomena</subject><subject>Bone Morphogenetic Protein 7 - administration & dosage</subject><subject>Bone Remodeling - drug effects</subject><subject>Bony Callus - drug effects</subject><subject>Bony Callus - physiopathology</subject><subject>Collagen Type I</subject><subject>Conservative Orthopedics</subject><subject>Disease Models, Animal</subject><subject>Drug Carriers</subject><subject>Drug Implants</subject><subject>Femoral Fractures - diagnostic imaging</subject><subject>Femoral Fractures - drug therapy</subject><subject>Femoral Fractures - physiopathology</subject><subject>Femur - diagnostic imaging</subject><subject>Femur - drug effects</subject><subject>Femur - physiopathology</subject><subject>Fracture Healing - drug effects</subject><subject>Glucocorticoids - administration & dosage</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Prednisolone - administration & dosage</subject><subject>Radiography</subject><subject>Rats</subject><subject>Sports Medicine</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Symposium: Tribute to Dr. Marshall Urist: Musculoskeletal Growth Factors</subject><subject>Time Factors</subject><subject>Torque</subject><issn>0009-921X</issn><issn>1528-1132</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kV9rFDEUxUNR2rX1A_hSBl98Gs29SSfJS6GU_hEqK1LBt5DJ3NmmzE7aZEbw25tlF1cLPoQQzu-enMth7B3wj8C5-pQBjDE15-UojTUcsAWcoa4BBL5iC75RDMKPI_Ym58fyFPIMD9kRGMGBa1yw5fJrDdXFvFrTOOXqZph99DFNwcfQ1WF8CG2YqKuuk_PTnKi6JTeEcVWFsXLVNzftlS-xo-GEve7dkOnt7j5m36-v7i9v67vlzefLi7vay0ZPNcjWlSh9p8sbZI9EQjshhNGu4bynHhtjeGuUJ0XUSux6rhvZdEqIRnNxzM63vk9zu6bOl_TJDfYphbVLv2x0wf6rjOHBruJPi0qhQVkMPuwMUnyeKU92HbKnYXAjxTlbJSQgyqYp5PsX5GOc01i2s1jCFFBhgWAL-RRzTtT_iQLcbsqy27JsqcRuyrJQZk7_3mE_sWunALgFcpHGFaX9z_93_Q2yIp7K</recordid><startdate>20091201</startdate><enddate>20091201</enddate><creator>Gilley, Robert S.</creator><creator>Wallace, Larry J.</creator><creator>Bourgeault, Craig A.</creator><creator>Kidder, Louis S.</creator><creator>Bechtold, Joan E.</creator><general>Springer-Verlag</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20091201</creationdate><title>OP-1 Augments Glucocorticoid-inhibited Fracture Healing in a Rat Fracture Model</title><author>Gilley, Robert S. ; 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We sought to determine whether osteogenic protein 1 (OP-1) can overcome this inhibition in a closed fracture model in the rat. Time-released prednisolone or placebo pellets were implanted subcutaneously; closed femoral fractures were created 2 weeks later in rats. Fractures received sham, OP-1 and collagen, or collagen-only implants. Femurs were harvested at 3, 10, 21, 28, and 42 days postfracture. Fractures were examined radiographically for amount of hard callus; mechanically for torque and stiffness (also expressed as a percentage of the contralateral intact femur); and histomorphometrically for amount of cartilaginous and noncartilaginous soft callus, hard callus, and total callus. Glucocorticoid administration inhibited fracture healing. The application of a devitalized Type I collagen matrix mitigated the inhibitory effects of prednisolone on fracture healing However, further increases in indices of fracture healing were observed when OP-1 was added to the collagen matrix compared with collagen alone. OP-1 and collagen was more effective than collagen alone.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>19301082</pmid><doi>10.1007/s11999-009-0782-1</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Animals Biomechanical Phenomena Bone Morphogenetic Protein 7 - administration & dosage Bone Remodeling - drug effects Bony Callus - drug effects Bony Callus - physiopathology Collagen Type I Conservative Orthopedics Disease Models, Animal Drug Carriers Drug Implants Femoral Fractures - diagnostic imaging Femoral Fractures - drug therapy Femoral Fractures - physiopathology Femur - diagnostic imaging Femur - drug effects Femur - physiopathology Fracture Healing - drug effects Glucocorticoids - administration & dosage Male Medicine Medicine & Public Health Orthopedics Prednisolone - administration & dosage Radiography Rats Sports Medicine Surgery Surgical Orthopedics Symposium: Tribute to Dr. Marshall Urist: Musculoskeletal Growth Factors Time Factors Torque |
title | OP-1 Augments Glucocorticoid-inhibited Fracture Healing in a Rat Fracture Model |
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