Maxillofac Plast Reconstr Surg.  2018 ;40(1):34. 10.1186/s40902-018-0173-1.

Development of an experimental model for radiation-induced inhibition of cranial bone regeneration

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University, 2177 Dalgubeol-daero, Jung-gu, Daegu, 41940 Republic of Korea. kwondk@knu.ac.kr.
  • 2Department of Radiologic Technology, Daegu Health College, Taejeon-Dong 15, Youngsong-Ro, Buk-Gu, Daegu, Republic of Korea.
  • 3Department of Radiation Oncology, School of Medicine, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu, 41944 Republic of Korea.
  • 4Department of Radiation Oncology, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-gu, Daegu, 41944 Republic of Korea.
  • 5Department of Dental Materials, School of Dentistry, Kyungpook National University, 2177 Dalgubeol-daero, Jung-gu, Daegu, 41940 Republic of Korea.

Abstract

BACKGROUND
Radiation therapy is widely employed in the treatment of head and neck cancer. Adverse effects of therapeutic irradiation include delayed bone healing after dental extraction or impaired bone regeneration at the irradiated bony defect. Development of a reliable experimental model may be beneficial to study tissue regeneration in the irradiated field. The current study aimed to develop a relevant animal model of post-radiation cranial bone defect.
METHODS
A lead shielding block was designed for selective external irradiation of the mouse calvaria. Critical-size calvarial defect was created 2 weeks after the irradiation. The defect was filled with a collagen scaffold, with or without incorporation of bone morphogenetic protein 2 (BMP-2) (1 μg/ml). The non-irradiated mice treated with or without BMP-2-included scaffold served as control. Four weeks after the surgery, the specimens were harvested and the degree of bone formation was evaluated by histological and radiographical examinations.
RESULTS
BMP-2-treated scaffold yielded significant bone regeneration in the mice calvarial defects. However, a single fraction of external irradiation was observed to eliminate the bone regeneration capacity of the BMP-2-incorporated scaffold without influencing the survival of the animals.
CONCLUSION
The current study established an efficient model for post-radiation cranial bone regeneration and can be applied for evaluating the robust bone formation system using various chemokines or agents in unfavorable, demanding radiation-related bone defect models.

Keyword

Radiation; Bone; Regeneration; Calvaria; Defect

MeSH Terms

Animals
Bone Morphogenetic Protein 2
Bone Regeneration*
Chemokines
Collagen
Head and Neck Neoplasms
Mice
Models, Animal
Models, Theoretical*
Osteogenesis
Regeneration
Skull
Bone Morphogenetic Protein 2
Chemokines
Collagen
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