Leukocyte-platelet-rich plasma diminishes bone matrix deposition in rat calvaria treated with autograft due to simultaneous increase in immunohistochemical expression of Indian Hedgehog, transforming growth factor-β, and parathyroid-1 receptor

J Craniomaxillofac Surg. 2015 Oct;43(8):1470-7. doi: 10.1016/j.jcms.2015.06.040. Epub 2015 Jul 8.

Abstract

Purpose: This study evaluated the immunohistochemical presence of Indian Hedgehog (IHH), transforming growth factor-β (TGF-β), and parathyroid-1 receptor (PTH1R) in calvaria bone repair, and compared these results with the histological bone matrix features in defects treated with autograft in the presence or absence of L-PRP.

Material and methods: An artificial bone defect measuring 5 × 1 mm was produced in the calvaria of 28 Wistar rats. Randomly the defects were treated with autograft and autograft mixed with L-PRP. The animals were euthanized at 15 and 40 days post-surgery. Data were analyzed by Student-Newman-Keuls test (p ≤ .05) for immunohistochemical interpretation.

Results: The results revealed that the histological characteristic of bone matrix deposited in the defect was different in the defects treated with L-PRP. The group that received only the autograft demonstrated larger haversian bone matrix deposited, whereas the group that received autograft mixed with L-PRP revealed trabecular bone deposition. These results coincided with significantly higher immunopositivity for IHH, TGF-β1, and PTH1R in the L-PRP group.

Conclusion: These results suggest that L-PRP altered the biological characteristic of the autograft, increasing the bone cells IHH+ but inducing a trabecular bone associated with intense quantities of TGF-β and PTH1R.

Keywords: Bone regeneration; IHH; PTH1R; Platelet-rich plasma; TGF-β.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Autografts / transplantation*
  • Bone Diseases / surgery
  • Bone Matrix / pathology
  • Bone Matrix / physiology*
  • Cancellous Bone / pathology
  • Cancellous Bone / physiology
  • Haversian System / pathology
  • Haversian System / physiology
  • Hedgehog Proteins / analysis*
  • Image Processing, Computer-Assisted / methods
  • Immunohistochemistry
  • Leukocytes / physiology*
  • Male
  • Osteogenesis / physiology*
  • Photography / methods
  • Platelet-Rich Plasma / physiology*
  • Random Allocation
  • Rats
  • Rats, Wistar
  • Receptor, Parathyroid Hormone, Type 1 / analysis*
  • Skull / pathology
  • Skull / physiology
  • Skull / surgery*
  • Transforming Growth Factor beta1 / analysis*

Substances

  • Hedgehog Proteins
  • Receptor, Parathyroid Hormone, Type 1
  • Shh protein, rat
  • Transforming Growth Factor beta1