• 환경위생공학
• /
• 제21권2호
• /
• pp.47-56
• /
• 2006

This study was to investigate relationship between osteoporosis and various factors. We compared the result in 390 women with under -2.5 bone mineral density (BMD, T-scores) with those in 370 women with over -1.0 BMD. According to WHO criteria, women with -2.5 BMD are regarded as patient with osteoporosis, while with above -1.0 BMD are healthy. We obtained the BMD(T-scores) data of 9.704 adult women over 20 year old. The following are the results of this study: The mean age of interviewed women was 45.7 years and their menopausal age was 48.6 years. Means of height and weight were 157.3cm and 56.9Kg respectively. The BMD was the highest in 30-34 year-old women, an average ranges were in the 35-44 year old group. The BMD decreased after 45 year-old. The early sixties women began to experience thiness of the BMD and the mid-sixties showed symptoms of osteoporosis. The formular showing the relationship between age and BMD can be represented as $Y=9.71X^2-2.71X+0.06$ (p<0.001). The bone mineral density decreased significantly with increases of age(p<0.001) and decreases of weight(p<0.001) in multiple regression analysis using age, weight, menopause age, height, number of pregnancies, number of children, and age as independent variables.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제31권4호
• /
• pp.281-286
• /
• 2009

Introduction: Enamel matrix derivative (EMD) is a protein which is secreted by Hertwig root sheath and plays a major role in the formation of cementum and attachment of peridontium. Several studies have shown that EMD promoted the proliferation and differentiation of preosteoblasts, osteoblasts and periodontal ligament cells in vitro: however, reports showing the inhibition of osteogenic differentiation by EMD also existed. This study was designed to simultaneously evaluate the effect of EMD on the two cell lines (human mesenchymal stem cells: hMSC, human periodontal ligament derived fibroblasts: hPDLCs) by means of quantitative analysis of some bone related matrices (Alkaline phosphatase : ALP, osteopontin ; OPN, osteocalcin ; OC). Materials and Methods: hMSCs and hPDLCs were expanded and cells in the 4${\sim}$6 passages were adopted to use. hMSc and hPDLCs were cultured during 1,2,7, and 14 days with 0, 50 and 100 ${\mu}g/ml$ of EMD, respectively. ALP activity was assessed by SensoLyte ALP kit and expressed as values of the relative optical density. Among the matrix proteins of the bony tissue, OC and OPN were assessed and quantification of these proteins was evaluated by means of human OC immunoassay kit and human OPN assay kit, respectively. Results: ALP activity maintained without EMD at $1,2^{nd}$ day. The activity increased at $7^{th}$ day but decreased at $14^{th}$ day. EMD increased the activity at $14^{th}$ day in the hPDLCs culture. In the hMSCs, rapid decrease was noted in $7^{th}$ and $14^{th}$ days without regard to EMD concentrations. Regarding the OPN synthesis in hPDLCs, marked decrease of OPN was noted after EMD application. Gradual decrease tendency of OPN was shown over time. In hMSCs, marked decrease of OPN was also noted after EMD application. Overall concentration of OPN was relatively consistent over time than that in hPDLCs. Regarding the OC synthesis, in both of hPDLCs and hMSCs, inhibition of OC formation was noted after EMD application in the early stages but EMD exerted minimal effect at the later stages. Conclusion: In this experimental condition, EMD seemed to play an inhibitory role during the differentiation of hMSCs and hPDLCs in the context of OC and OPN formation. In the periodontium, there are many kinds of cells contributing to the regeneration of oral tissue. EMD enhanced ALP activity in hPDLCs rather than in hMSCs and this may imply that EMD has a positive effect on the differentiation of cementoblasts compared with the effect on hMSCs. The result of our research was consistent with recent studies in which the authors showed the inhibitory effect of EMD in terms of the differentiation of mineral colony forming cells in vitro. This in vitro study may not stand for all the charateristics of EMD; thus, further studies involving many other bone matrices and cellular attachment will be necessary.