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Low-dose TNF augments fracture healing in normal and osteoporotic bone by up-regulating the innate immune response.

Chan JK, Glass GE, Ersek A, Freidin A, Williams GA, Gowers K, Espirito Santo AI, Jeffery R, Otto WR, Poulsom R, Feldmann M, Rankin SM, Horwood NJ, Nanchahal J - EMBO Mol Med (2015)

Bottom Line: Fragility, or osteoporotic, fractures represent a major medical problem as they are associated with permanent disability and premature death.Using a murine model of fragility fractures, we found that local rhTNF treatment improved fracture healing during the early phase of repair.If translated clinically, this promotion of fracture healing would reduce the morbidity and mortality associated with delayed patient mobilization.

View Article: PubMed Central - PubMed

Affiliation: Kennedy Institute of Rheumatology, University of Oxford, Oxford, UK.

No MeSH data available.


Related in: MedlinePlus

TNF promotes fracture healing in osteoporotic bonerhTNF treatment augmented early phase fracture healing in osteoporotic mice. Treatment with 1 ng rhTNF at the fracture site on days 0 and 1 led to increased % callus mineralization at day 14 but no difference at day 28 indicating accelerated early healing but the same final result at day 28. Data are presented as mean ± SEM. At day 14, PBS control versus TNF, **P = 0.0099; at day 28, PBS control versus TNF, nsP = 0.37, by unpaired two-sided t-test. Representative micro-CT images at day 14 are shown. rhTNF treatment led to mature callus bridging across the fracture which was absent in the PBS-treated control group. Scale bar, 2 mm.
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fig05: TNF promotes fracture healing in osteoporotic bonerhTNF treatment augmented early phase fracture healing in osteoporotic mice. Treatment with 1 ng rhTNF at the fracture site on days 0 and 1 led to increased % callus mineralization at day 14 but no difference at day 28 indicating accelerated early healing but the same final result at day 28. Data are presented as mean ± SEM. At day 14, PBS control versus TNF, **P = 0.0099; at day 28, PBS control versus TNF, nsP = 0.37, by unpaired two-sided t-test. Representative micro-CT images at day 14 are shown. rhTNF treatment led to mature callus bridging across the fracture which was absent in the PBS-treated control group. Scale bar, 2 mm.

Mentions: Osteoporotic fractures represent a huge unmet clinical need. We rendered mice osteoporotic by ovariectomy (He et al, 2011) (Supplementary Fig S1H). We then assessed the effect of TNF on fracture healing in these animals. Treatment with 1 ng TNF at the fracture site on days 0 and 1 led to an increased relative callus mineralization at day 14 after surgery, but by day 28, healing was equivalent to PBS-treated controls (Fig5). This indicates that local administration of rhTNF leads to initial accelerated healing to achieve the same final result over a shorter period. The micro-CT images show that rhTNF treatment led to mature callus bridging across the fracture, which was absent in the PBS-treated control group, at day 14.


Low-dose TNF augments fracture healing in normal and osteoporotic bone by up-regulating the innate immune response.

Chan JK, Glass GE, Ersek A, Freidin A, Williams GA, Gowers K, Espirito Santo AI, Jeffery R, Otto WR, Poulsom R, Feldmann M, Rankin SM, Horwood NJ, Nanchahal J - EMBO Mol Med (2015)

TNF promotes fracture healing in osteoporotic bonerhTNF treatment augmented early phase fracture healing in osteoporotic mice. Treatment with 1 ng rhTNF at the fracture site on days 0 and 1 led to increased % callus mineralization at day 14 but no difference at day 28 indicating accelerated early healing but the same final result at day 28. Data are presented as mean ± SEM. At day 14, PBS control versus TNF, **P = 0.0099; at day 28, PBS control versus TNF, nsP = 0.37, by unpaired two-sided t-test. Representative micro-CT images at day 14 are shown. rhTNF treatment led to mature callus bridging across the fracture which was absent in the PBS-treated control group. Scale bar, 2 mm.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4492816&req=5

fig05: TNF promotes fracture healing in osteoporotic bonerhTNF treatment augmented early phase fracture healing in osteoporotic mice. Treatment with 1 ng rhTNF at the fracture site on days 0 and 1 led to increased % callus mineralization at day 14 but no difference at day 28 indicating accelerated early healing but the same final result at day 28. Data are presented as mean ± SEM. At day 14, PBS control versus TNF, **P = 0.0099; at day 28, PBS control versus TNF, nsP = 0.37, by unpaired two-sided t-test. Representative micro-CT images at day 14 are shown. rhTNF treatment led to mature callus bridging across the fracture which was absent in the PBS-treated control group. Scale bar, 2 mm.
Mentions: Osteoporotic fractures represent a huge unmet clinical need. We rendered mice osteoporotic by ovariectomy (He et al, 2011) (Supplementary Fig S1H). We then assessed the effect of TNF on fracture healing in these animals. Treatment with 1 ng TNF at the fracture site on days 0 and 1 led to an increased relative callus mineralization at day 14 after surgery, but by day 28, healing was equivalent to PBS-treated controls (Fig5). This indicates that local administration of rhTNF leads to initial accelerated healing to achieve the same final result over a shorter period. The micro-CT images show that rhTNF treatment led to mature callus bridging across the fracture, which was absent in the PBS-treated control group, at day 14.

Bottom Line: Fragility, or osteoporotic, fractures represent a major medical problem as they are associated with permanent disability and premature death.Using a murine model of fragility fractures, we found that local rhTNF treatment improved fracture healing during the early phase of repair.If translated clinically, this promotion of fracture healing would reduce the morbidity and mortality associated with delayed patient mobilization.

View Article: PubMed Central - PubMed

Affiliation: Kennedy Institute of Rheumatology, University of Oxford, Oxford, UK.

No MeSH data available.


Related in: MedlinePlus