Sclerostin Monoclonal Antibody Enhanced Bone Fracture Healing in an Open Osteotomy Model in Rats

被引:87
作者
Suen, Pui Kit [1 ]
He, Yi-Xin [1 ]
Chow, Dick Ho Kiu [1 ]
Huang, Le [1 ]
Li, Chaoyang [2 ]
Ke, Hua Zhu [2 ]
Ominsky, Michael S. [2 ]
Qin, Ling [1 ,3 ]
机构
[1] Chinese Univ Hong Kong, Fac Med, Lui Che Woo Inst Innovat Med, Dept Orthopaed & Traumatol, Hong Kong, Hong Kong, Peoples R China
[2] Amgen Inc, Metab Disorders Res, Thousand Oaks, CA 91320 USA
[3] Chinese Acad Sci, Shenzhen Inst Adv Technol, Shenzhen, Peoples R China
关键词
sclerostin; sclerostin monoclonal antibody; osteotomy; fracture healing; TRANSCRIPTION FACTOR OSTERIX; GROWTH-FACTOR VEGF; DISTRACTION OSTEOGENESIS; STRENGTH; ANGIOGENESIS; DEFECT; REGENERATION; INHIBITION; EXPRESSION; DELETION;
D O I
10.1002/jor.22636
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Sclerostin is a negative regulator of bone formation. Sclerostin monoclonal antibody (Scl-Ab) treatment promoted bone healing in various animal models. To further evaluate the healing efficiency of Scl-Ab in osteotomy healing, we investigated the time course effects of systemic administration of Scl-Ab on fracture repair in rat femoral osteotomy model. A total of 120 six-month-old male SD rats were subjected to transverse osteotomy at the right femur mid-shaft. Rats were treated with vehicle or Scl-Ab treatment for 3, 6, or 9 weeks. Fracture healing was evaluated by radiography, micro-CT, micro-CT based angiography, 4-point bending mechanical test and histological assessment. Scl-Ab treatment resulted in significantly higher total mineralized callus volume fraction, BMD and enhanced neovascularization. Histologically, Scl-Ab treatment resulted in a significant reduction in fracture callus cartilage at week 6 and increase in bone volume at week 9, associated with a greater proportion of newly formed bone area at week 6 and 9 by fluorescence microscopy. Mechanical testing showed significantly higher ultimate load in Scl-Ab treatment group at week 6 and 9. This study has demonstrated that Scl-Ab treatment enhanced bone healing in a rat femoral osteotomy model, as reflected in increased bone formation, bone mass and bone strength. (C) 2014 Orthopaedic Research Society. Published by Wiley Periodicals, Inc.
引用
收藏
页码:997 / 1005
页数:9
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