• Journal of Periodontal and Implant Science
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• 제36권2호
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• pp.345-359
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• 2006

Loss of maxillary molar teeth leads to rapid loss of crestal bone and inferior expansion of the maxillary sinus floor (secondary pneumatization). Rehabilitation of the site with osseointegrated dental implants often represents a clinical challenge because of the insufficient bone volume resulted from this phenomenon. Boyne & James proposed the classic procedure for maxillary sinus floor elevation entails preparation of a trap door including the Schneiderian membrane in the lateral sinus wall. Summers proposed another non-invasive method using a set of osteotome and the osteotome sinus floor elevation (OSFE) was proposed for implant sites with at least 5-6mm of bone between the alveolar crest and the maxillary sinus floor. The change of grafted material in maxillary sinus is important for implant survival and the evaluation of graft height after maxillary sinus floor elevation is composed of histologic evaluation and radiomorphometric evaluation. The aim of the present study was radiographically evaluate the graft height change after maxillary sinus floor elevation and the influence of the graft material type in height change and the bone remodeling of grafts in sinus. A total of 59 patients (28 in lateral approach and 31 in crestal approach) who underwent maxillary sinus floor elevation composed of lateral approach and crestal approach were radiographically followed for up to about 48 months. Change in sinusgraft height were calculated with respect to implant length (IL) and grafted sinus height(BL). It was evaluated the change of the graft height according to time, the influence of the approach technique (staged approach and simultaneous approach) in lateral approach to change of the graft height, and the influence of the type of graft materials to change of the graft height. Patients were divided into three class based on the height of the grafted sinus floor relative to the implant apex and evaluated the proportion change of that class (Class I, in which the grafted sinus floor was above the implant apex; Class II, in which the implant apex was level with the grafted sinus floor; and Class III, in which the grafted sinus floor was below the implant apex). And it was evaluated th bone remodeling in sinus during 12 months using SGRl(by $Br\ddot{a}gger$ et al). The result was like that; Sinus graft height decreased significantly in both lateral approach and crestal approach in first 12 months (p$MBCP^{TM}$ had minimum height loss. Class III and Class II was increased by time in both lateral and crestal approach and Class I was decreased by time. SGRI was increased statistically significantly from baseline to 3 months and 3 months(p<0.05) to 12 months(p$ICB^{(R)}$ single use, more reduction of sinusgraft height was appeared. Therefore we speculated that the mixture of graft materials is preferable as a reduction of graft materials. Increasing of the SGRI as time goes by explains the stability of implant, but additional histologic or computed tomographic study will be needed for accurate conclusion. From the radiographic evaluation, we come to know that placement of dental implant with sinus floor elevation is an effective procedure in atrophic maxillary reconstruction.

• The Korean Journal of Physiology and Pharmacology
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• 제13권6호
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• pp.417-424
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• 2009

Osteoclasts, derived from multipotent myeloid progenitor cells, play homeostatic roles in skeletal modeling and remodeling, but may also destroy bone in pathological conditions such as osteoporosis and rheumatoid arthritis. Osteoclast development depends critically on a differentiation factor, the receptor activator of NF-${\kappa}B$ ligand (RANKL). In this study, we found that the hexane soluble fraction of the common fig Ficus carica (HF6-FC) is a potent inhibitor of osteoclastogenesis in RANKL-stimulated RAW264.7 cells and in bone marrow-derived macrophages (BMMs). HF6-FC exerts its inhibitory effects by suppression of p38 and NF-${\kappa}B$ but activation of ERK. In addition, HF6-FC significantly decreased the expression of NFATc1 and c-Fos, the master regulator of osteoclast differentiation. The data indicate that components of HF6-FC may have therapeutic effects on bone-destructive processes such as osteoporosis, rheumatoid arthritis, and periodontal bone resorption.

• 한국치위생학회지
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• 제23권4호
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• pp.219-226
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• 2023

연구목적: 이 연구는 대황 추출물이 골수 유래 대식세포(BMM)에서 파골세포 분화에 미치는 영향을 조사하는 것을 목적으로 한다. 파골 세포는 골 재흡수 및 재형성에 중요한 역할을 하며, 파골 세포의 조절 장애는 다양한 골 관련 질환을 유발할 수 있다. 잠재적인 항염증 특성을 가진 약용 식물인 대황은 뼈 대사를 조절하는 것으로 제안되었다. 연구방법: 생후 5주령의 C57BL/6 마우스의 대퇴골과 경골에서 BMM을 분리하고 M-CSF(mouse macrophage colony-stimulating factor) 존재하에 3일간 배양한 후 M-CSF와 파골 세포 분화를 유도하기 위한 핵 인자-κB 리간드(RANKL)의 활성화제를 처리하였다. 연구결과: 대황 추출물로 처리하면 BMM에서 파골 세포 분화가 현저하게 억제되었다. 또한 대황 추출물은 파골세포 형성에 필수적인 유전자인 TRAP(tartrate-resistant acid phosphatase) 및 CTSK(cathepsin K)의 mRNA 발현을 억제하였다. 또한 파골세포 분화에 중요한 전사 인자인 활성화된 T 세포 c1(NFATc1)의 핵 인자의 RANKL 유도 발현을 억제하였다. 결론: 이러한 결과는 대황 추출물이 BMMs에서 파골 세포 형성에 억제 효과가 있음을 나타낸다. 따라서 대황 추출물은 비정상적인 파골 세포 활동과 관련된 뼈 관련 질환의 치료를 위한 유망한 치료제이다. 잠재적인 임상 적용을 완전히 이해하기 위해서는 메커니즘에 대한 추가 연구와 탐색이 필요하다.

• 한국한의학연구원논문집
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• 제13권2호통권20호
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• pp.157-164
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• 2007

An imbalance in bone remodeling that is caused by increased bone resorption over bone formation leads to most adult skeletal diseases including osteoporosis. Since the development of anti-resorptive agents from natural substances has recently gained more interest in the treatment of osteoporosis, we evaluated the effects of 222 natural compounds on receptor activator of $NF-{\kappa}B$ ligand (RANKL)-induced of tartrate-resistance acid phosphatase (TRAP) activity in RAW264.7 murine macrophage cell, and found that berberine chloride is one of compounds inhibiting RANKL-induced TRAP activity. Berberine chloride significantly inhibited the RANKL-induced TRAP activity and the formation of multinucleated osteoclasts in a dose-dependent manner. In addition, berberine chloride prevented the RANKL-induced mRNA expression of TRAP, matrix metalloproteinase 9 and c-Src, which have been known to be highly expressed in the process of osteoclastogenesis. Interestingly, berberine chloride prevented the RANKL-induced activation of extracellular signal-regulated kinase (ERK) which is one of mitogen-activated protein (MAP) kinases. In conclusion, berberine chloride could inhibit the osteoclastogenesis via preventing the activation of ERK/MAP kinase signaling pathway.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제28권1호
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• pp.80-86
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• 2006

Cleidocranial dysplasia is rare inherited skeletal dysplasia. It was first reported by Martin in 1765. Subsequently, Marie and Sainton independently documented the criteria of the disease. Cleidocranial dysplasia is a bone disorder caused by a defect in the CBFA1 gene of chromosome 6p21. This gene guides osteoblastic differentiation and appropriate bone formation. Patient with cleidocranial dysplasia has maxillary deficiency, high and narrow palate, prolonged retention of primary teeth, unerupted permanent teeth and supernumerary teeth. Therapeutic options in these patients include of autotransplantation of selected impacted teeth, forced eruption of permanent teeth, full denture, overdenture and implant-supported prosthesis. We report a patient with cleidocranial dysplasia. This patient was treated with implant supported bar overdenture. Despite of gene defect that affects osteoblastic activity, bone remodeling and osseointegration occurred in our patient. So, we report this case with review of literature.

• International Journal of Oral Biology
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• 제34권2호
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• pp.53-59
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• 2009

Periodontal ligament (PDL) tissue is a connective tissue that is interposed between the roots of the teeth and the inner wall of the alveolar bone socket. PDL is always exposed to physiologic mechanical force such as masticatory force and PDL cells play important roles during orthodontic tooth movement by synthesizing and secreting different mediators involved in bone remodeling. The Wnt/${\beta}$-catenin signaling pathway was recently shown to play a significant role in the control of bone formation. In the present study, we applied cyclic tensile stress of 20% elongation to cultured human PDL cells and assessed its impact after six days upon components of the Wnt/${\beta}$-catenin signaling pathway. RTPCR analysis showed that Wnt1a, Wnt3a, Wnt10b and the Wnt receptor LRP5 were down-regulated, whereas the Wnt inhibitor DKK1 was up-regulated in response to these stress conditions. In contrast, little change was detected in the mRNA expression of Wnt5a, Wnt7b, Fz1, and LRP6. By western blotting we found decreased expression of the ${\beta}$-catenin and p-GSK-3${\beta}$ proteins. Our results thus show that mechanical stress suppresses the canonical Wnt/${\beta}$-catenin signaling pathway in PDL cells.

• Animal cells and systems
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• 제4권3호
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• pp.273-278
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• 2000

Transforming growth factor-$\beta$ (IGF-$\beta$)s are multifunctional small polypeptides synthesized in most cell types. TGF-$\beta$ exerts pivotal effects on both bone formation and resorption. In addition, increasing lines of evidence implicate TGF-$\beta$ as a potential coupling factor between these two processes during bone remodeling. In the present study, the expression form and the activation mechanism of latent-TGF-$\beta$ were investigated using specific antibodies for each isoform. TGF-$\beta$s were observed to be synthesized and accumulated in a large amount in cultured osteoblastic cells. The estimated molecular weights of intracellular TGF-$\beta$2 and -$\beta$3 were 49 and 55 kDa, respectively. Based on proteolytic digestion study and immunofluorescence observation, these precursor forms seemed to be accumulated in distinct intracellular compartments. To examine whether the internal pool of TGF-$\beta$ was possiblely regulated by external signals, their biological activites were examined in a conditioned media of this cell. Although the intact conditioned media did not contain detectable TGF-$\beta$ activity, heat-treatment or acid-activation of the conditioned media revealed significant TGF-$\beta$ activity. Furthermore, in the presence of estrogen, this activity was dramatically diminished. It is known that activation of latent TGF-$\beta$ can be achieved by different chemical and enzymatic treatments, or by incubation with certain cell types. This extracellular activation was suggested as a key step in the regulation of TGF-$\beta$ activity. In addition to these extracellular activation, this study suggests that the synthesis and intracellular processing are important regulation steps for TGF-$\beta$ action. In addition, this regulation Is specific for TGF-$\beta$ type 2, because the change was not observed in TGF-$\beta$3 in osteoblastic cell line.

• 한국식품과학회지
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• 제37권6호
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• pp.997-1004
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• 2005

여러 천연물 추출물 140종의 파골세포 분화처제효과 검색은 파골세포의 마커 enzyme인 TRAP활성으로 확인하였다. 그 결과 파고지$^{3}$, 지각$^{13}$, 금령자$^{6}$, 시호$^{9}$, 황연$^{69}$, 배양인삼$^{98}$, 구맥$^{26}$, 등 대부분의 추출물이 $100{\mu}g/mL$ 농도 이상에서는 높은 세포 독성을 보여서 파골분화 억제 정도를 확인 할 수 없었고 세포독성이 없는 농도를 선정하여 파골세포 분화억제 정도를 재검색한 결과는 천연물 중 파고지$^{3}$, 호두$^{21}$, 용안육씨$^{77}$, 황금$^{78}$, 정공등$^{37}$ 메탄올 추출물과 생대추과육$^{128}$, 콩나물$^{70}$ 열수 추출물은 비교적 낮은 농도에서도 30% 이하의 TRAP 활성을 보여 파골분화 억제 효과가 우수하게 나타났다. 이 중 전통 한약재인 황금$^{78}$ 메탄올 추출물과 과일류인 생대추과육$^{128}$ 열수 추출물이 $10{\mu}g/mL$의 낮은 농도에서도 가장 좋은 파골분화 억제 효과가 나타났다.

• Journal of Periodontal and Implant Science
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• 제36권2호
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• pp.335-344
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• 2006

Osteoblast or bone marrow stromal cell-derived RANKL is the major effector molecule essential for osteoclastogenesis. Previous studies have shown that tetracyclines have beneficial therapeutic effects in the prevention and treatment of inflammatory bone disease including periodontal disease. Periodontal ligament cells are thought not only to play an important role in the progression of periodontal disease, but to play an important role in alveolar bone remodeling. Previous studies indicated that receptor activation of nuclear factor $\kappa\;B$ ligand (RANKL) and osteoprotegerin (OPG) are expressed in periodontal ligament cells by pro-inflammatory cytokine, such as $IL-1{\beta}$ and $TNF-{\alpha}$. This study was designed to investigate the inhibitory effect of doxycycline on RANKL and OPG mRNA in rat periodontal ligament cells induced by $IL-1{\beta}$ (1 ng/ml). The results are as follows; 1. MTT assay showed that doxycycline at the concentration of $1-50\;{\mu}g/m{\ell}$ didn't result in statistically significant cell death at day 1 and 3. 2. RANKL mRNA expression was increased to 2.6 folds by $IL-1{\beta}$. When cells were treated with doxycycline ($50{\mu}g/m{\ell}$), $IL-1{\beta}$ -induced mRANKL expression was reduced by 33%. In contrast to RANKL, OPG mRNA expression was not inhibited by pre-treatment with doxycycline. These results suggest that doxycycline decrease the expression of mRANKL resulting in regulation of osteoclastogenesisp in rat periodontal ligament cells.

• Journal of Oral Medicine and Pain
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• 제31권1호
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• pp.17-25
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• 2006

혈관신생(angiogenesis)은 골조직을 포함하는 모든 조직의 발생 및 개조(remodeling) 과정에 필요하다. 본 연구는 혈관 신생에 관여하는 단백질인 angiopoietin-2가 골대사에서 미치는 영향을 알아보기 위하여 세포수준에서 관찰하였다. 즉 조골 세포에 미치는 영향을 알아보기위하여 세포생존률, 염기성인산분해효소 활성, gelatinase 활성 및 nitric oxide 생성을 관찰하였고, 파골세포에 미치는 영향을 알아보기 위하여 tartrate-저항성 인산분해효소 양성인 다핵세포의 형성 및 파골세포전구세포 배양 후 흡수면적을 측정함으로써 관찰하였다. Angiopoietin-2는 조골세포의 세포생존률 및 염기성 인산분해효소 활성을 증가시켰으며, gelatinase와 nitric oxide 생성의 증가시켰다. 또한 angiopoietin-2는 파골세포 생성 및 활성을 감소시켰다. 따라서 angiopoietin-2는 골수의 미세환경에서 세포의 조절작용을 하는 단백질로 여겨진다.