Evidence map›Paper›PMID 39022252›Full record

ArticleQuantitative imaging in medicine and surgery2024

The mechanism of bone metabolism in a Sprague Dawley rat model of mandibular osteoradionecrosis.

Shanshan Liu, Bin Zhang, Shengnan Ma, Feiguang Wu, Xiaona Shi, Jiandong Wu, Ole T Jensen, Paolo Cariati, Jinsheng Hong, Xiaofeng Zhu

Abstract read
In one paragraph

Article in Quantitative imaging in medicine and surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Shanshan Liu *Department of Oral Maxillo-Facial Surgery, the First Affiliated Hospital, Fujian Medical University, Fuzhou, China.
Bin Zhang *Department of Oral and Maxillo-Facial Surgery, Zhongshan Hospital Affiliated to Xiamen University, Xiamen, China.
Shengnan Ma *Department of Oral Maxillo-Facial Surgery, People's Hospital of Tongren, Tongren, China.
Feiguang WuSchool and Hospital of Stomatology, Fujian Medical University, Fuzhou, China.
Xiaona ShiSchool and Hospital of Stomatology, Fujian Medical University, Fuzhou, China.
Jiandong WuDepartment of Radiotherapy, Cancer Center, the First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Ole T JensenDepartment of Oral Maxillofacial Surgery, University of Utah, School of Dentistry, Salt Lake City, UT, USA.
Paolo CariatiDepartment of Oral & Maxillofacial Surgery, Hospital General Universitario de Albacete, Albacete, Spain.
Jinsheng HongDepartment of Radiotherapy, Cancer Center, the First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Xiaofeng ZhuDepartment of Oral Maxillo-Facial Surgery, the First Affiliated Hospital, Fujian Medical University, Fuzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Osteoradionecrosis (ORN) is a serious complication of radiotherapy for head and neck cancer. There is currently a lack of data on the dynamic expression of genes related to bone remodeling during the development of mandibular ORN. This study aimed to establish an animal model of ORN in Sprague Dawley (SD) rats, detect the expression of genes related to bone metabolism, observe morphological changes, and clarify the mechanism of ORN. Methods: A total of 24 male SD rats in group 1 were randomly divided into four groups (n=6/group): group a, normal control; group b, simple tooth extraction; group c, simple radiation; and group d, radiation extraction group. The right mandible of rats in groups c and d was irradiated with a single dose of 35 Gy. The right mandibles were taken from each group for morphological observation 90 days after irradiation. SD rats in group 2 (n=144) were randomly divided into four groups (in similar fashion to group 1 but with groups a', b', c', and d'). Samples were collected at six time points after irradiation. Histopathological changes were observed, and Western blotting (WB) was used to analyze protein expression. Results: The formation of dead bone and pathological fracture was visible under micro-computed tomography (micro-CT), and tissue biopsy showed late fibrosis repair. In group d', osteogenesis and osteoclasis coexisted in the early irradiation stage. Vascular endothelial growth factor (VEGF) receptor expression was lower in groups c' and d' than in group a'. On day 45, runt-related transcription factor 2 (RUNX2) expression in group d' was lower than that in the other groups. The ratio of receptor activator of nuclear factor-κβ ligand to osteoprotegerin (RANKL:OPG) differed significantly among groups b', c', and d' on the 45th day (d' > c' > b'). Conclusions: Radiation and vascular function damage resulted in the lower expression of VEGF. The first 15 days after radiation was mainly characterized by new bone formation. After 15 days, bone resorption increased. Tooth extraction trauma can aggravate the bone metabolism imbalance and promote ORN occurrence. These findings shed light on the mechanism of ORN.

Indexed as

bone metabolismMandibular osteoradionecrosis (mandibular ORN)radiotherapy

Identifiers

PMID39022252
PMCPMC11250332

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.