PTH1-34 improves devitalized allogenic bone graft healing in a murine femoral critical size defect. 2021

Tito Rocha, and Amanda S Cavalcanti, and Ana Carolina Leal, and Rhayra B Dias, and Rafaela Sartore da Costa, and Gabriele de Oliveira Ribeiro, and João Antonio Matheus Guimarães, and Maria Eugênia Leite Duarte
Trauma Center, National Institute of Traumatology and Orthopedics, Rio de Janeiro 20940-070, Brazil. Electronic address: rocha.tito1@gmail.com.

The treatment of large segmental defects of long bones resulting from trauma, infection, or bone tumor resections is a major challenge for orthopedic surgeons. The reconstruction of bone defects with acellular allografts can be used as an osteoconductive approach. However, devitalized allografts are associated with high rates of clinical failure as a result of poor intrinsic osteoinduction properties and a lack of further remodeling. Nevertheless, evidence suggests that due to its anabolic properties, teriparatide (PTH1-34) could be effective as an adjuvant therapy for massive allograft healing. Therefore, our goal was to investigate in a murine critical-sized defect model whether the intermittent administration of PTH1-34 improves the incorporation and revitalization of acellular structural bone allografts. Thus, a 2.5-mm critical-sized defect was established in the right femur of C57BL/6 mice, followed by the reconstruction with a devitalized cortical structural allograft. A titanium micro locking plate was applied to the anterior femoral surface and secured in place with self-tapping locking screws. Subsequently, daily doses of PTH1-34 (30, and 40 µg/kg) or saline were administered to the mice for 14 days after surgery. The mice were maintained without PTH1-34 therapy for an additional 7 days before being euthanized at 3 weeks post-surgery. Bone graft consolidation was assessed on radiographic images and by histomorphometric analysis. Additionally, to determine the frequency of osteoprogenitor cells in the bone marrow and their in vitro osteogenic capacity, stromal cells were isolated from the bone marrow of animals treated with 30 or 40 µg/kg/day of PTH1-34 following the same protocol used for the experimental animals. Our results suggest that intermittent PTH1-34 treatment at 30 µg/kg/day after femoral allograft reconstruction surgery accelerated the healing process as evidenced by new bone formation induced on endosteal and periosteal surfaces, enhanced revitalization of allogeneic graft, and increased frequency and osteogenic capacity of bone marrow stromal cells (BMSC). These findings should encourage further studies aimed at investigating the potential therapeutic use of intermittent PTH1-34, specifically with regards to the optimal dosing regimen in clinically challenging orthopedic scenarios.

UI MeSH Term Description Entries
D008810 Mice, Inbred C57BL One of the first INBRED MOUSE STRAINS to be sequenced. This strain is commonly used as genetic background for transgenic mouse models. Refractory to many tumors, this strain is also preferred model for studying role of genetic variations in development of diseases. Mice, C57BL,Mouse, C57BL,Mouse, Inbred C57BL,C57BL Mice,C57BL Mice, Inbred,C57BL Mouse,C57BL Mouse, Inbred,Inbred C57BL Mice,Inbred C57BL Mouse
D010012 Osteogenesis The process of bone formation. Histogenesis of bone including ossification. Bone Formation,Ossification, Physiologic,Endochondral Ossification,Ossification,Ossification, Physiological,Osteoclastogenesis,Physiologic Ossification,Endochondral Ossifications,Ossification, Endochondral,Ossifications,Ossifications, Endochondral,Osteoclastogeneses,Physiological Ossification
D005269 Femur The longest and largest bone of the skeleton, it is situated between the hip and the knee. Trochanter,Greater Trochanter,Lesser Trochanter,Femurs,Greater Trochanters,Lesser Trochanters,Trochanter, Greater,Trochanter, Lesser,Trochanters,Trochanters, Greater,Trochanters, Lesser
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D016025 Bone Transplantation The grafting of bone from a donor site to a recipient site. Grafting, Bone,Transplantation, Bone,Bone Grafting
D051379 Mice The common name for the genus Mus. Mice, House,Mus,Mus musculus,Mice, Laboratory,Mouse,Mouse, House,Mouse, Laboratory,Mouse, Swiss,Mus domesticus,Mus musculus domesticus,Swiss Mice,House Mice,House Mouse,Laboratory Mice,Laboratory Mouse,Mice, Swiss,Swiss Mouse,domesticus, Mus musculus
D019379 Teriparatide A polypeptide that consists of the 1-34 amino-acid fragment of human PARATHYROID HORMONE, the biologically active N-terminal region. The acetate form is given by intravenous infusion in the differential diagnosis of HYPOPARATHYROIDISM and PSEUDOHYPOPARATHYROIDISM. (Reynolds JEF(Ed): Martindale: The Extra Pharmacopoeia (electronic version). Micromedex, Inc, Englewood, CO, 1995) Human Parathyroid Hormone (1-34),hPTH (1-34),Forteo,Parathar,Teriparatide Acetate

Related Publications

Tito Rocha, and Amanda S Cavalcanti, and Ana Carolina Leal, and Rhayra B Dias, and Rafaela Sartore da Costa, and Gabriele de Oliveira Ribeiro, and João Antonio Matheus Guimarães, and Maria Eugênia Leite Duarte
September 2022, Journal of orthopaedic translation,
Tito Rocha, and Amanda S Cavalcanti, and Ana Carolina Leal, and Rhayra B Dias, and Rafaela Sartore da Costa, and Gabriele de Oliveira Ribeiro, and João Antonio Matheus Guimarães, and Maria Eugênia Leite Duarte
January 2017, PloS one,
Tito Rocha, and Amanda S Cavalcanti, and Ana Carolina Leal, and Rhayra B Dias, and Rafaela Sartore da Costa, and Gabriele de Oliveira Ribeiro, and João Antonio Matheus Guimarães, and Maria Eugênia Leite Duarte
January 2013, Journal of orthopaedic research : official publication of the Orthopaedic Research Society,
Tito Rocha, and Amanda S Cavalcanti, and Ana Carolina Leal, and Rhayra B Dias, and Rafaela Sartore da Costa, and Gabriele de Oliveira Ribeiro, and João Antonio Matheus Guimarães, and Maria Eugênia Leite Duarte
April 2020, Orthopedic reviews,
Tito Rocha, and Amanda S Cavalcanti, and Ana Carolina Leal, and Rhayra B Dias, and Rafaela Sartore da Costa, and Gabriele de Oliveira Ribeiro, and João Antonio Matheus Guimarães, and Maria Eugênia Leite Duarte
January 2019, PloS one,
Tito Rocha, and Amanda S Cavalcanti, and Ana Carolina Leal, and Rhayra B Dias, and Rafaela Sartore da Costa, and Gabriele de Oliveira Ribeiro, and João Antonio Matheus Guimarães, and Maria Eugênia Leite Duarte
August 2021, Cells,
Tito Rocha, and Amanda S Cavalcanti, and Ana Carolina Leal, and Rhayra B Dias, and Rafaela Sartore da Costa, and Gabriele de Oliveira Ribeiro, and João Antonio Matheus Guimarães, and Maria Eugênia Leite Duarte
February 2023, Journal of orthopaedic surgery and research,
Tito Rocha, and Amanda S Cavalcanti, and Ana Carolina Leal, and Rhayra B Dias, and Rafaela Sartore da Costa, and Gabriele de Oliveira Ribeiro, and João Antonio Matheus Guimarães, and Maria Eugênia Leite Duarte
May 2013, The Journal of surgical research,
Tito Rocha, and Amanda S Cavalcanti, and Ana Carolina Leal, and Rhayra B Dias, and Rafaela Sartore da Costa, and Gabriele de Oliveira Ribeiro, and João Antonio Matheus Guimarães, and Maria Eugênia Leite Duarte
March 2022, Immunity & ageing : I & A,
Tito Rocha, and Amanda S Cavalcanti, and Ana Carolina Leal, and Rhayra B Dias, and Rafaela Sartore da Costa, and Gabriele de Oliveira Ribeiro, and João Antonio Matheus Guimarães, and Maria Eugênia Leite Duarte
October 2020, Biochemical and biophysical research communications,
Copied contents to your clipboard!