Sustained release of insulin-like growth factor-1 from poly(lactide-co-glycolide) microspheres improves osseointegration of dental implants in type 2 diabetic rats.
Dental implantation is an effective and predictable treatment modality for replacing missing teeth and repairing maxillofacial defects. However, implants in patients with type 2 diabetes mellitus are likely to have a high failure rate and poor initial osseointegration. In the current study, we established an effective drug delivery system designed to improve osseointegration of dental implants in an animal model of type 2 diabetes. Twenty type 2 diabetic rats were divided into two groups: a group receiving recombinant rat Insulin-like Growth Factor 1 (rrIGF-1) Microsphere Therapy (MST) (10 rats) and a control group (10 rats). The rrIGF-1 was encapsulated into poly(lactide-co-glycolide) (PLGA) microspheres to produce a sustained-release effect around titanium (Ti) dental implants in the rrIGF-1 MST group. Scanning electron microscopy, confocal laser scanning microscopy, and cumulative-release studies were conducted to verify the release effect of the microspheres as well as rrIGF-1 bioactivity. Five rats from each group were sacrificed at weeks 4 and 8 post surgery, and a histological analysis was performed on the rats from both groups. Compared to the control group, rats that received rrIGF-1 by PLGA microsphere treatment were observed to have a higher bone-implant contact percentage around the Ti implants at week 4 or week 8 post surgery (P<0.05). This result clearly indicates that sustained release of rrIGF-1 through encapsulation by PLGA microspheres positively affects osseointegration of dental implants in type 2 diabetic rats.
Wang
Feng
F
Department of Oral Implant, School of Stomatology, Fourth Military Medical University, and Department of Endocrinology, Xi Jing Hospital, ChangLe West Road, 145 Xi'an, Shaanxi 710032, PR China. bravelocust@gmail.com
Song
Ying-liang
YL
Li
Cui-xia
CX
Li
De-hua
DH
Zhang
He-peng
HP
Ma
Ai-jie
AJ
Xi
Xiao-qing
XQ
Zhang
Ning
N
Wang
Bao-gang
BG
Wang
Yao
Y
Zhou
Wei
W
D000818:Animals; D001786:Blood Glucose / Q000378:metabolism; D003692:Delayed-Action Preparations; D015921:Dental Implants; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000473:pathology / Q000503:physiopathology*; D004337:Drug Carriers / Q000737:chemistry*; D007334:Insulin-Like Growth Factor I / Q000737:chemistry / Q000494:pharmacology*; D008297:Male; D008863:Microspheres; D016348:Osseointegration / Q000187:drug effects*; D011098:Polyglactin 910 / Q000737:chemistry*; D051381:Rats; D013997:Time Factors
D001786:Blood Glucose; D003692:Delayed-Action Preparations; D015921:Dental Implants; D004337:Drug Carriers; D011098:Polyglactin 910; D007334:Insulin-Like Growth Factor I