The effect of age on gene expression in adult and juvenile rats following femoral fracture.
OBJECTIVE
To compare mRNA gene expression during fracture healing in young and adult rats.


METHODS
Gene expression was measured at zero, 1, 2, 4, 6, 8 and 10 weeks after fracture (6 rats/age/time point) in rats at 6 and 26 weeks of age at surgery.


METHODS
AAALAC-accredited vivarium of an independent academic medical center.


METHODS
Female Sprague-Dawley rats at 6 and 26 weeks of age.


METHODS
An intramedullary rod was placed retrograde in the left femur, and a simple transverse closed middiaphyseal fracture was induced.


METHODS
mRNA gene expression was measured for 34 genes for extracellular matrix, osteoblasts, bone morphogenic protein, inflammation, cytokine, and receptor genes.


RESULTS
The young rats reached radiographic union by 4 weeks after fracture, whereas the adult rats took 8 to 10 weeks to unite. All genes studied increased in mRNA expression with a peak at 1 to 2 weeks after fracture. All genes in the young rats then subsided to baseline by 4 weeks after fracture. However, during the longer period needed for radiographic union in the adult rats, only genes related to bone matrix, osteoblastic markers, angiogenesis, and the fibroblast growth factors remained significantly up-regulated at 4 and 6 weeks after fracture. Genes related to cartilage, Indian hedgehog, the bone morphogenetic proteins, and transforming growth factor-beta came to undetectable baseline values in the adult rats prior to radiographic union.


CONCLUSIONS
Most stimulators of bone healing are not expressed during the later stages of fracture repair in adult rats. Other genes must control bone growth to bridge the fracture gap.
Desai
Bhaloo J
BJ
Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina 28232-2861, USA.
Meyer
Martha H
MH
Porter
Scott
S
Kellam
James F
JF
Meyer
Ralph A
RA
D000367:Age Factors; D000818:Animals; D005109:Extracellular Matrix / Q000235:genetics; D005260:Female; D005264:Femoral Fractures / Q000235:genetics / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary; D017102:Fracture Healing / Q000235:genetics*; D015870:Gene Expression; D007378:Interleukins / Q000032:analysis; D018919:Neovascularization, Physiologic / Q000235:genetics; D012333:RNA, Messenger / Q000378:metabolism; D051381:Rats; D017207:Rats, Sprague-Dawley; D017468:Receptors, Fibroblast Growth Factor / Q000378:metabolism
D007378:Interleukins; D012333:RNA, Messenger; D017468:Receptors, Fibroblast Growth Factor