Features of the reparative osteogenesis of the distraction of the tibial regenerate and osteotropic growth factors in patients with achondroplasia at the age of 9–12 years
- Authors: Lyneva S.N.1, Menschchikova T.I.1, Aranovich A.M.1
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Affiliations:
- Ilizarov National Medical Research Centre for Traumatology and Orthopedics
- Issue: Vol 10, No 3 (2022)
- Pages: 223-234
- Section: Clinical studies
- Submitted: 08.06.2022
- Accepted: 04.08.2022
- Published: 13.09.2022
- URL: https://journals.eco-vector.com/turner/article/view/108618
- DOI: https://doi.org/10.17816/PTORS108618
- ID: 108618
Cite item
Abstract
BACKGROUND: Despite studies on various issues of distraction osteosynthesis, many morphological aspects of this problem are still insufficiently studied and remained debatable.
AIM: To determine the features of the reparative activity of the regenerate and analyze the content of some osteotropic growth factors in children with achondroplasia.
MATERIALS AND METHODS: Growth factors were determined in serum and blood plasma using equipment from Thermo Fisher (USA). Factor concentrations were determined using ELISA kits: PDGF-AA (R&D Systems, USA), PDGF-BB (R&D Systems, USA), IGF-1 (Immunodiagnostic systems, USA), IGF-2 (Mediagnost, Germany), TGF-β1 (eBioscience, USA), and TGF-β2 (eBioscience, USA). The structural state of the tibial regenerate was determined using by ultrasonography (HITACHI, Japan). Patients with achondroplasia aged 9–12 years (n = 32) were examined at the beginning of distraction (10–20 days), in the middle of distraction (21–40 days), and at the end of distraction (41–63 days).
RESULTS: The ultrasound method showed the dynamic formation of the structural state of the distraction regenerate at the studied stages of distraction. At the same stages of distraction, the concentration of osteotropic growth factors was assessed.
CONCLUSIONS: The serum content of osteotropic growth factors in the blood of children with achondroplasia differs from age-normative values. Growth factors that play a key role in osteogenesis, IGF-1, BMP-4, TGF-β1, and TGF-β2 were reduced, whereas the expressions of IGF-2 and BMP-6 were compensatory increased. At the end of the distraction period, the values of all studied growth factors exceeded the initial values, regardless of their preoperative values and their dynamics at the stages of distraction. The assessment of the dynamics of the concentration of osteotropic growth factors in the blood of patients with achondroplasia during the distraction period and natural growth period indicate the presence of a commonality of processes during the distraction period and prenatal growth of the tibia. Our comprehensive ultrasound study of the structural state of the distraction regenerate of the tibia and biochemical studies of growth factors in the blood of patients with achondroplasia at the age of 9–12 years made it possible to identify the features of reparative osteogenesis of the distraction regenerate of the tibia and the physiological effect of osteotropic growth factors from the viewpoint of the process of reparative regeneration.
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About the authors
Svetlana N. Lyneva
Ilizarov National Medical Research Centre for Traumatology and Orthopedics
Author for correspondence.
Email: luneva_s@mail.ru
ORCID iD: 0000-0002-0578-1964
SPIN-code: 9572-2655
Scopus Author ID: 26024323300
ResearcherId: R-4032-2018
PhD, Dr. Sci. (Biol.), Professor
Russian Federation, KurganTatyana I. Menschchikova
Ilizarov National Medical Research Centre for Traumatology and Orthopedics
Email: tat-mench@mail.ru
ORCID iD: 0000-0002-5244-7539
SPIN-code: 2820-9120
PhD, Dr. Sci. (Biol.)
Russian Federation, KurganAnna M. Aranovich
Ilizarov National Medical Research Centre for Traumatology and Orthopedics
Email: aranovich_anna@mail.ru
ORCID iD: 0000-0002-7806-7083
SPIN-code: 7277-6339
MD, PhD, Dr. Sci. (Med.), Professor
Russian Federation, KurganReferences
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