Tibolone, alendronate, and simvastatin enhance implant osseointegration in a preclinical in vivo model.

animal experiments bone regeneration bone-implant interactions drug delivery guided tissue regeneration pharmacology

Journal

Clinical oral implants research
ISSN: 1600-0501
Titre abrégé: Clin Oral Implants Res
Pays: Denmark
ID NLM: 9105713

Informations de publication

Date de publication:
Jul 2020
Historique:
received: 17 04 2019
revised: 13 02 2020
accepted: 31 03 2020
pubmed: 13 4 2020
medline: 3 7 2020
entrez: 13 4 2020
Statut: ppublish

Résumé

The objective of the study was to evaluate and compare the effect of different drugs such as simvastatin, alendronate, and tibolone for titanium implant osseointegration enhancement. Eighty female albino Wistar rats were equally divided into five groups: Group I (ovariectomy), Group II (sham ovariectomy), Group III (alendronate + ovariectomy), Group IV (simvastatin + ovariectomy), and Group V (tibolone + ovariectomy). Three months after ovariectomy, we performed bilateral titanium intramedullary nailing in all groups, followed by oral administration of alendronate, simvastatin, or tibolone for 12 weeks. Examinations included micro-CT, mechanical pull-out test, histology, and bone serum markers. Peri-implant micro-CT analysis showed a significantly higher overall bone tissue in tibolone compared to the ovariectomy group, while no significant difference was found between the treatment groups. Sham ovariectomy, alendronate, and tibolone groups had a higher body mass density compared to ovariectomy and simvastatin groups. All treatment groups had a greater thickness of the peri-implant compact bone layer compared to ovariectomy group, but the results were not statistically significant. Tibolone presented the highest values in pull-out test, but alendronate showed more consistently positive results compared to other groups. Osteocalcin had in the tibolone group almost three times the value in the ovariectomy group, but the results were not statistically significant. The hypothesis that alendronate, simvastatin, and tibolone enhance the osseointegration process of intramedullary titanium implants in ovariectomized rats has been accepted, while tibolone could offer the best results.

Identifiants

pubmed: 32279374
doi: 10.1111/clr.13602
doi:

Substances chimiques

Dental Implants 0
Norpregnenes 0
Simvastatin AGG2FN16EV
Titanium D1JT611TNE
tibolone FF9X0205V2
Alendronate X1J18R4W8P

Types de publication

Journal Article

Langues

eng

Pagination

655-668

Subventions

Organisme : Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca
ID : 1680/19.01.2018

Informations de copyright

© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Références

Alghamdi, H. S., van den Beucken, J. J., & Jansen, J. A. (2014). Osteoporotic rat models for evaluation of osseointegration of bone implants. Tissue Engineering Part C Methods, 20(6), 49-505. https://doi.org/10.1089/ten.tec.2013.0327
Altundal, H., & Gursoy, B. (2005). The influence of alendronate on bone formation after autogenous free bone grafting in rats. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics, 99(3), 285-291. https://doi.org/10.1016/j.tripleo.2004.05.022
Apostu, D., Lucaciu, O., Berce, C., Lucaciu, D., & Cosma, D. (2018). Current methods of preventing aseptic loosening and improving osseointegration of titanium implants in cementless total hip arthroplasty: A review. Journal of International Medical Research, 46(4), 2104-2119. https://doi.org/10.1177/0300060517732697
Apostu, D., Lucaciu, O., Lucaciu, G. D., Crisan, B., Crisan, L., Baciut, M., … Bran, S. (2017). Systemic drugs that influence titanium implant osseointegration. Drug Metabolism Reviews, 49(1), 92-104. https://doi.org/10.1080/03602532.2016.1277737
Back, D. A., Pauly, S., Rommel, L., Haas, N. P., Schmidmaier, G., Wildemann, B., & Greiner, S. H. (2012). Effect of local zoledronate on implant osseointegration in a rat model. BMC Musculoskeletal Disorders, 13, 42. https://doi.org/10.1186/1471-2474-13-42
Bernhardt, R., Kuhlisch, E., Schulz, M. C., Eckelt, U., & Stadlinger, B. (2012). Comparison of bone-implant contact and bone-implant volume between 2D-histological sections and 3D-SRµCT slices. European Cells and Materials, 23, 237-248. https://doi.org/10.22203/eCM.v023a18
Bissinger, O., Probst, F. A., Wolff, K. D., Jeschke, A., Weitz, J., Deppe, H., & Kolk, A. (2017). Comparative 3D micro-CT and 2D histomorphometry analysis of dental implant osseointegration in the maxilla of minipigs. Journal of Clinical Periodontology, 44(4), 418-427. https://doi.org/10.1111/jcpe.12693
Bottai, V., Dell'Osso, G., Celli, F., Bugelli, G., Cazzella, N., Cei, E., … Giannotti, S. (2015). Total hip replacement in osteoarthritis: The role of bone metabolism and its complications. Clinical Cases in Mineral and Bone Metabolism, 12(3), 247-250. https://doi.org/10.11138/ccmbm/2015.12.3.247
Buzatu, M., Geantă, V., Ştefănoiu, R., Buţu, M., Petrescu, M.-I., Buzatu, M., … Moldovan, H. (2019). Investigations into Ti-15Mo-W alloys developed for medical applications. Materials, 12(1), 147. https://doi.org/10.3390/ma12010147
Çakır-Özkan, N., Eğri, S., Bekar, E., Altunkaynak, B. Z., Kabak, Y. B., & Kıvrak, E. G. (2017). The use of sequential VEGF- and BMP2-releasing biodegradable scaffolds in rabbit mandibular defects. Journal of Oral and Maxillofacial Surgery, 75(1), 221.e1-221.e14. https://doi.org/10.1016/j.joms.2016.08.020
Carmen, B. A., Dorin, L., Sorin, S. I., Carmen, B., Alexandru, B., Eduard, B., … Corneliu, M. (2014). New titanium alloys potentially used for metal-ceramic applications in medicine. Key Engineering Materials, 587, 287-292.
Carvalho, A. C., Fernandes, G. V., Lima, I., Oliveira, D. F., Henriques, H. N., Pantaleão, J. A., … Guzmán-Silva, M. A. (2012). Influence of estrogen deficiency and tibolone therapy on trabecular and cortical bone evaluated by computed radiography system in rats. Acta Cirurgica Brasileira, 27(3), 217-222. https://doi.org/10.1590/S0102-86502012000300003
Chen, B., Li, Y., Yang, X., Xu, H., & Xie, D. (2013). Zoledronic acid enhances bone-implant osseointegration more than alendronate and strontium ranelate in ovariectomized rats. Osteoporosis International, 24(7), 265-270. https://doi.org/10.1007/s00198-013-2288-7
Chen, S. Y., Yu, H. T., Kao, J. P., Yang, C. C., Chiang, S. S., Mishchuk, D. O., … Slupsky, C. M. (2014). An NMR metabolomic study on the effect of alendronate in ovariectomized mice. PLoS ONE, 9(9), e106559. https://doi.org/10.1371/journal.pone.0106559
Choi, J. Y. C., Choi, C. A., & Yeo, I. S. L. (2018). Spiral scanning imaging and quantitative calculation of the 3-dimensional screw-shaped bone-implant interface on micro-computed tomography. Journal of Periodontal & Implant Science, 48(4), 202-212. https://doi.org/10.5051/jpis.2018.48.4.202
da Silva Mello, A. S., dos Santos, P. L., Marquesi, A., Queiroz, T. P., Margonar, R., & de Souza Faloni, A. P. (2016). Some aspects of bone remodeling around dental implants. Revista Clinica de Periodoncia, Implantologia y Rehabilitation Oral, 11, 49-53. https://doi.org/10.1016/j.piro.2015.12.001
de Moraes, P., Olate, S., Lauria, A., Asprino, L., de Moraes, M., & de Albergaria-Barbosa, J. R. (2015). 8-10 year follow-up survival of dental implants in maxillae with or without autogenous bone graft reconstruction. International Journal of Clinical and Experimental Medicine, 8(10), 19282-19289.
DiMatteo, A. M., & Latanyshyn, K. (2014). Guide to implant dentistry. Inside Dentistry, 10(4), 94-100.
Du, Z., Chen, J., Yan, F., & Xiao, Y. (2009). Effects of Simvastatin on bone healing around titanium implants in osteoporotic rats. Clinical Oral Implants Research, 20(2), 145-150. https://doi.org/10.1111/j.1600-0501.2008.01630.x
Duan, Y., Ma, W., Li, D., Wang, T., & Liu, B. (2017). Enhanced osseointegration of titanium implants in a rat model of osteoporosis using multilayer bone mesenchymal stem cell sheets. Experimental and Therapeutic Medicine, 14(6), 5717-5726. https://doi.org/10.3892/etm.2017.5303
Dym, H. (2015). Implant procedures for the general dentist. Alpharetta, GA: Elsevier Health Sciences.
Ederveen, A. G., & Kloosterboer, H. J. (2001). Tibolone exerts its protective effect on trabecular bone loss through the estrogen receptor. Journal of Bone and Mineral Research, 16(9), 1651-1657. https://doi.org/10.1359/jbmr.2001.16.9.1651
Formoso, G., Perrone, E., Maltoni, S., Balduzzi, S., Wilkinson, J., Basevi, V., … Maestri, E. C. (2016). Short-term and long-term effects of tibolone in postmenopausal women. Cochrane Database Systematic Review, 10, CD008536.
Gambacciani, M., & Levancini, M. (2014). Hormone replacement therapy and the prevention of postmenopausal osteoporosis. Przegla̜d Menopauzalny, 13(4), 213-220.
Gao, X., Ma, W., Dong, H., Yong, Z., & Su, R. (2014). Establishing a rapid animal model of osteoporosis with ovariectomy plus low calcium diet in rats. International Journal of Clinical and Experimental Pathology, 7(8), 512-518.
Gupta, S., Del Fabbro, M., & Chang, J. (2019). The impact of simvastatin intervention on the healing of bone, soft tissue, and TMJ cartilage in dentistry: A systematic review and meta-analysis. International Journal of Implant Dentistry, 5(17), 1-11. https://doi.org/10.1186/s40729-019-0168-4
Hanif, A., Qureshi, S., Sheikh, Z., & Rashid, H. (2017). Complications in implant dentistry. European Journal of Dentistry, 11(1), 135-140. https://doi.org/10.4103/ejd.ejd_340_16
Hata, S. (2009). Effect of oral administration of Simvastatin on bone regeneration process in ovariectomized rat. Journal of Hard Tissue Biology, 18(1), 45-54. https://doi.org/10.2485/jhtb.18.45
He, T., Cao, C., Xu, Z., Li, G., Cao, H., Liu, X., … Dong, Y. (2017). A comparison of micro-CT and histomorphometry for evaluation of osseointegration of PEO-coated titanium implants in a rat model. Scientific Reports, 7, 1-11. https://doi.org/10.1038/s41598-017-16465-4
Jimbo, R., Coelho, P. G., Vandeweghe, S., Schwartz-Filho, H. O., Hayashi, M., Ono, D., … Wennerberg, A. (2011). Histological and three-dimensional evaluation of osseointegration to nanostructured calcium phosphate-coated implants. Acta Biomaterialia, 7(12), 4229-4234. https://doi.org/10.1016/j.actbio.2011.07.017
Jimi, E., Hirata, S., Shin, M., Yamazaki, M., & Fukushima, H. (2010). Molecular mechanisms of BMP-induced bone formation: Cross-talk between BMP and NF-kB signaling pathways in osteoblastogenesis. Japanese Dental Science Review, 46(1), 33-42.
Jung-Yoo, C., In-Sung, L. Y., Ji, S. C., & Jae-II, P. (2019). Comparison of micro-computed tomography and histomorphometry in the measurement of bone-implant contact ratios. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology, 128(1), 87-95. https://doi.org/10.1016/j.oooo.2018.12.023
Kellesarian, S. V., Abduljabbar, T., Vohra, F., Malignaggi, V. R., Malmstrom, H., Romanos, G. E., & Javed, F. (2017). Role of local alendronate delivery on the osseointegration of implants: A systematic review and meta-analysis. International Journal of Oral and Maxillofacial Surgery, 46(7), 1-10. https://doi.org/10.1016/j.ijom.2017.03.009
Kloosterboer, H. J. (2004). Tissue-selectivity: The mechanism of action of tibolone. Maturitas, 48(Suppl 1), S30-S40.
Kuo, T. R., & Chen, C. H. (2017). Bone biomarker for the clinical assessment of osteoporosis: Recent developments and future perspectives. Biomarker Research, 5, 18.
Lazovic, G., Radivojevic, U., Milosevic, V., Lazovic, A., Jeremic, K., & Glisic, A. (2007). Tibolone and osteoporosis. Archives of Gynecology and Obstetrics, 276(6), 577-581. https://doi.org/10.1007/s00404-007-0387-4
Lei, Z., Xiaoying, Z., & Xingguo, L. (2009). Ovariectomy-associated changes in bone mineral density and bone marrow hematopoiesis in rats. International Journal of Experimental Pathology, 90(5), 512-519.
Levin, L. (2008). Dealing with dental implant failures. Journal of Applied Oral Science, 16(3), 171-175. https://doi.org/10.1590/S1678-77572008000300002
Liu, C. T., Yuan, X. J., & Gao, G. C. (2017). Effects of alendronate on osteoporosis treatment and levels of related cytokines. Genetics and Molecular Research, 16(1), 1-9. https://doi.org/10.4238/gmr16019485
Mathonet, P. Y., Willems, S., & Ciornohac, J. F. (2018). Subtrochanteric pathological fracture on biphosphonates. Revue Medicale de Liege, 73(2), 56-60.
Office for Research Ethics & Integrity. (2018). Administration of substances by oral gavage in mice and rats [version 1]. Melbourne, VIC: The University of Melbourne.
Oh, K. C., Moon, H. S., Lee, J. H., Park, Y. B., & Kim, J.-H. (2015). Effects of alendronate on the peri-implant bone in rats. Oral Diseases, 21, 248-256.
Oliveira, D., Hassumi, J. S., Gomes-Ferreira, P. H., Polo, T. O., Ferreira, G. R., Faverani, L. P., & Okamoto, R. (2017). Short term sodium alendronate administration improves the peri-implant bone quality in osteoporotic animals. Journal of Applied Oral Science, (1), 42-52. https://doi.org/10.1590/1678-77572016-0165
Osman, R. B., & Swain, M. V. (2015). A critical review of dental implant materials with an emphasis on Titanium versus Zirconia. Materials, 8, 932-958.
Ozaras, N., & Rezvani, A. (2010). Diffuse skeletal pain after administration of alendronate. Indian J Pharmacol, 42(4), 245-246. https://doi.org/10.4103/0253-7613.68435
Park, R., Kim, J. H., Choi, H., Park, Y. B., Jung, H. S., & Moon, H. S. (2013). Effect of alendronate on bone remodeling around implant in the rat. The Journal of Advanced Prosthodontics, 5(4), 374-381. https://doi.org/10.4047/jap.2013.5.4.374
Saita, Y., Ishijima, M., & Kaneko, K. (2015). Atypical femoral fractures and bisphosphonate use: Current evidence and clinical implications. Therapeutic Advances in Chronic Disease, 6(4), 185-193. https://doi.org/10.1177/2040622315584114
Shahrezaee, M. H., Shahrezaee, M., Oryan, A., Kamalli, S. A., Sajadi, S., & Eskafian, H. (2018). The effect of systemic delivery of bisphosphonates on trabecular and cortical bone mass of ovariectomized rats. Annals of Military and Health Sciences Research, 16(4), 1-9 https://doi.org/10.5812/amh.86830
Shetty, S., Kapoor, N., Bondu, J. D., Thomas, N., & Paul, T. V. (2016). Bone turnover markers: Emerging tool in the management of osteoporosis. Indian Journal of Endocrinology and Metabolism, 20(6), 846-852. https://doi.org/10.4103/2230-8210.192914
Spiro, A. S., Beli, F. T., Baranowsky, A., Barvencik, F., Schilling, A. F., Nguyen, K., … Amling, M. (2010). BMP-7-induced ectopic bone formation and fracture healing is impaired by systemic NSAID application in C57BL/6-mice. Journal of Orthopaedic Research, 28(6), 785-791.
Stadlinger, B., Korn, P., Tödtmann, N., Eckelt, U., Range, U., Bürki, A., … Schlottig, F. (2013). Osseointegration of biochemically Modified Implants in an Osteoporosis Rodent Model. European Cells and Materials, 25, 326-340. https://doi.org/10.22203/eCM.v025a23
Viera-Negron, Y. E., Ruan, W., Winger, J. N., Hou, X., Sharawy, M. M., & Borke, J. L. (2008). Effect of ovariectomy and alendronate on implant osseointegration in rat maxillary bone. Journal of Oral Implantology, 34(2), 76-82. https://doi.org/10.1563/1548-1336(2008)34[76:EOOAAO]2.0.CO;2
Vohra, F., Al-Rifayi, M. Q., Almas, K., & Javed, F. (2014). Efficacy of systemic bisphosphonate delivery on osseointegration of implants under osteoporotic conditions: Lessons from animal studies. Archives of Oral Biology, 59(9), 912-920. https://doi.org/10.1016/j.archoralbio.2014.05.016
Xu, X. C., Chen, H., Zhang, X., Zhai, Z. J., Liu, X. Q., Qin, A., & Lu, E. Y. (2014). Simvastatin prevents alveolar bone loss in an experimental rat model of periodontitis after ovariectomy. Journal of Translational Medicine, 12, 284.
Yang, J., Shi, P., Tu, M., Wang, Y., Liu, M., Fan, F., & Du, M. (2014). Bone morphogenetic proteins: Relationship between molecular structure and their osteogenic activity. Food Science and Human Wellness, 3(3-4), 127-135. https://doi.org/10.1016/j.fshw.2014.12.002
Zhang, L., Tian, F., & Luo, Y. (2010). Simvastatin promotes femoral fracture healing in ovariectomized rats. The Bone Journal, 47(33), S396. https://doi.org/10.1016/j.bone.2010.09.171
Zhou, J., Gao, X., Huang, S., Ma, L., Cui, Y., Wang, H., … Zhang, D. (2018). Simvastatin Improves the Jaw Bone Microstructural Defect Induced by High Cholesterol Diet in Rats by Regulating Autophagic Flux. BioMed Research International, 1-9. https://doi.org/10.1155/2018/4147932

Auteurs

Dragos Apostu (D)

Department of Orthopaedics and Traumatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Ondine Lucaciu (O)

Department of Oral Health, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Alexandru Mester (A)

Department of Oral Health, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Daniel Oltean-Dan (D)

Department of Orthopaedics and Traumatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Dan Gheban (D)

Department of Anatomical Pathology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Horea Rares Ciprian Benea (H)

Department of Orthopaedics and Traumatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

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