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Sildenafil accelerates fracture healing in mice

Identifieur interne : 000328 ( Main/Exploration ); précédent : 000327; suivant : 000329

Sildenafil accelerates fracture healing in mice

Auteurs : Tina Histing [Allemagne] ; Kerstin Marciniak [Allemagne] ; Claudia Scheuer [Allemagne] ; Patric Garcia [Allemagne] ; Joerg H. Holstein [Allemagne] ; Moritz Klein [Allemagne] ; Romano Matthys [Suisse] ; Tim Pohlemann [Allemagne] ; Michael D. Menger [Allemagne]

Source :

RBID : ISTEX:E84718362978E0D37B63C4D9965BE2AA92990E0A

English descriptors

Abstract

Sildenafil, a cyclic guanosine monophosphate (cGMP)‐dependent phospodiesterase‐5 inhibitor, has been shown to be a potent stimulator of angiogenesis through upregulation of pro‐angiogenic factors and control of cGMP concentration. Herein, we determined whether sildenafil also influences angiogenic growth factor expression and bone formation during the process of fracture healing. Bone healing was studied in a murine closed femur fracture model using radiological, biomechanical, histomorphometric, and protein biochemical analysis at 2 and 5 weeks after fracture. Thirty mice received 5 mg/kg body weight sildenafil p.o. daily. Controls (n = 30) received equivalent amounts of vehicle. After 2 weeks of fracture healing sildenafil significantly increased osseous fracture bridging, as determined radiologically and histologically. This resulted in an increased biomechanical stiffness compared to controls. A smaller callus area with a slightly reduced amount of cartilaginous tissue indicated an accelerated healing process. After 5 weeks the differences were found blunted, demonstrating successful healing in both groups. Western blot analysis showed a significantly higher expression of the pro‐angiogenic and osteogenic cysteine‐rich protein (CYR) 61, confirming the increase of bone formation. We show for the first time that sildenafil treatment accelerates fracture healing by enhancing bone formation, most probably by a CYR61‐associated pathway. © 2011 Orthopaedic Research Society Published by Wiley Periodicals, Inc. J Orthop Res 29:867–873

Url:
DOI: 10.1002/jor.21324


Affiliations:


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Le document en format XML

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<term>sildenafil</term>
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<term>Angiogenesis</term>
<term>Angiogenic</term>
<term>Angiogenic response</term>
<term>Biomechanical</term>
<term>Biomechanical analysis</term>
<term>Biomechanical stiffness</term>
<term>Black columns</term>
<term>Body weight</term>
<term>Bone formation</term>
<term>Bone healing</term>
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<term>Cartilaginous tissue</term>
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<term>Enos expression</term>
<term>Equivalent amounts</term>
<term>Femur</term>
<term>Fracture</term>
<term>Fracture healing</term>
<term>Fracture repair</term>
<term>Growth factor</term>
<term>Growth factors</term>
<term>Healing</term>
<term>Healthcare amersham</term>
<term>Histing</term>
<term>Histomorphometric analysis</term>
<term>Histomorphometrical analysis</term>
<term>Hypercholesterolemic apolipoprotein mice</term>
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<term>Intramedullary canal</term>
<term>June</term>
<term>Nitric oxide</term>
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<term>Present study</term>
<term>Protein expression</term>
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<term>Radiological analysis</term>
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<term>Santa cruz biotechnology</term>
<term>Stiffness</term>
<term>Total callus area</term>
<term>Vegf</term>
<term>Western blot analysis</term>
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<div type="abstract" xml:lang="en">Sildenafil, a cyclic guanosine monophosphate (cGMP)‐dependent phospodiesterase‐5 inhibitor, has been shown to be a potent stimulator of angiogenesis through upregulation of pro‐angiogenic factors and control of cGMP concentration. Herein, we determined whether sildenafil also influences angiogenic growth factor expression and bone formation during the process of fracture healing. Bone healing was studied in a murine closed femur fracture model using radiological, biomechanical, histomorphometric, and protein biochemical analysis at 2 and 5 weeks after fracture. Thirty mice received 5 mg/kg body weight sildenafil p.o. daily. Controls (n = 30) received equivalent amounts of vehicle. After 2 weeks of fracture healing sildenafil significantly increased osseous fracture bridging, as determined radiologically and histologically. This resulted in an increased biomechanical stiffness compared to controls. A smaller callus area with a slightly reduced amount of cartilaginous tissue indicated an accelerated healing process. After 5 weeks the differences were found blunted, demonstrating successful healing in both groups. Western blot analysis showed a significantly higher expression of the pro‐angiogenic and osteogenic cysteine‐rich protein (CYR) 61, confirming the increase of bone formation. We show for the first time that sildenafil treatment accelerates fracture healing by enhancing bone formation, most probably by a CYR61‐associated pathway. © 2011 Orthopaedic Research Society Published by Wiley Periodicals, Inc. J Orthop Res 29:867–873</div>
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