The dynamic progression of temporomandibular joint osteoarthritis-like lesions elicited by mandibular shift in a rat model

IF 2 3区 医学 Q2 ANATOMY & MORPHOLOGY Annals of Anatomy-Anatomischer Anzeiger Pub Date : 2024-07-05 DOI:10.1016/j.aanat.2024.152301
Yuchun Zou , Pengcheng Huang , Hanyu Lin , Zhenzhen Dai , Xiran Dai , Senxin Cai , Dali Zheng , You-Guang Lu , Linyu Xu
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Abstract

Background

Temporomandibular joint osteoarthritis (TMJ-OA) presents significant challenges due to its complex etiology, often insidious onset, high incidence, and progressive structural deterioration. While research has explored genetic and molecular factors, treatment outcomes remain suboptimal, emphasizing the need for a deeper understanding of disease progression.

Objective

This study employs a specific mandibular shift rat model to explore the dynamic progression of TMJ-OA-like lesions and evaluate the potential for self-repair at different stages, aiming to inform early diagnosis and preventative strategies.

Methods

Seventy-two female Sprague-Dawley rats were randomized into three groups: a control group (n=24; average weight: 157.23±1.63 g) receiving sham surgery. an experimental group (n=24; average weight: 157.78±1.88 g) subjected to mandibular shift induction, and a removal group (n=24; average weight: 158.11±2.20 g) experiencing mandibular shift for one, two, or four weeks followed by a one-month recovery period (designated as 1w Removal, 2w Removal and 4w Removal, respectively). Histomorphological and molecular analyses were conducted at designated time points.

Results

Rats in the 1-week removal group exhibited substantial recovery in condylar morphology, cartilage thickness, extracellular matrix composition, and expression of OA-related genes. Conversely, the 4-week removal group mirrored the experimental group, indicating limited self-repair capacity at later stages. The 2-week removal group presented with variable outcomes, with some animals showing signs of recovery and others resembling the experimental group, indicating a potential transitional phase in the disease process.

Conclusion

Recovery from early-stage TMJ-OA involves eliminating provoking factors such as occlusal interference or reducing joint loading. However, advanced stages exhibit diminished self-repair capabilities, necessitating additional therapeutic interventions. These findings emphasize the importance of early diagnosis and intervention in TMJ-OA management.

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大鼠模型中下颌移位引起的颞下颌关节骨关节炎样病变的动态进展
背景:颞下颌关节骨关节炎(TMJ-OA)病因复杂,通常起病隐匿,发病率高,结构逐渐恶化,因此给治疗带来了巨大挑战。虽然研究人员对遗传和分子因素进行了探索,但治疗效果仍不理想,因此需要对疾病的进展有更深入的了解:本研究采用一种特殊的下颌移位大鼠模型来探索颞下颌关节-OA 类似病变的动态发展过程,并评估不同阶段的自我修复潜力,旨在为早期诊断和预防策略提供依据:72只雌性Sprague-Dawley大鼠随机分为三组:对照组(n=24;平均体重:157.23±1.63g)接受假手术;实验组(n=24;平均体重:157.78±1.实验组(n=24;平均体重:157.78±1.88g)接受下颌骨移位诱导,移位组(n=24;平均体重:158.11±2.20g)接受为期一周、两周或四周的下颌骨移位诱导,然后经过一个月的恢复期(分别称为 1w 移位、2w 移位和 4w 移位)。在指定时间点进行组织形态学和分子分析:结果:1周移除组大鼠的髁状突形态、软骨厚度、细胞外基质组成和OA相关基因的表达均有显著恢复。相反,4 周移除组与实验组相同,表明后期的自我修复能力有限。2周移除组的结果各不相同,有些动物表现出恢复迹象,有些则与实验组相似,这表明疾病过程可能处于过渡阶段:结论:早期颞下颌关节-颌关节紊乱症的恢复需要消除诱发因素,如咬合干扰或减少关节负荷。然而,晚期患者的自我修复能力减弱,需要额外的治疗干预。这些发现强调了早期诊断和干预在颞下颌关节-OA 治疗中的重要性。
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来源期刊
Annals of Anatomy-Anatomischer Anzeiger
Annals of Anatomy-Anatomischer Anzeiger 医学-解剖学与形态学
CiteScore
4.40
自引率
22.70%
发文量
137
审稿时长
33 days
期刊介绍: Annals of Anatomy publish peer reviewed original articles as well as brief review articles. The journal is open to original papers covering a link between anatomy and areas such as •molecular biology, •cell biology •reproductive biology •immunobiology •developmental biology, neurobiology •embryology as well as •neuroanatomy •neuroimmunology •clinical anatomy •comparative anatomy •modern imaging techniques •evolution, and especially also •aging
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