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Vol.57 (2011) >

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タイトル: Effect of methotrexate on fracture healing
著者: Satoh, Koichiro
Mark, Hans
Zachrisson, Peter
Rydevik, Björn
Byröd, Gunnar
Kikuchi, Shin-Ichi
Konno, Shin-Ichi
Sekiguchi, Miho
学内所属: 整形外科学講座
誌名/書名: Fukushima Journal of Medical Science
巻: 57
号: 1
開始ページ: 11
終了ページ: 18
発行日: 2011年
抄録: Low doses of methotrexate (MTX) are safe and effective for treating adult and juvenile rheumatoid arthritis. However, because this powerful anti-inflammatory drug might negatively influence the healing of wounds and fractures, MTX administration is often stopped during surgical procedures. The present study assesses the effects of low- and high-dose MTX on early inflammatory processes and bone healing in an experimental model of fracture.Thirty male Sprague-Dawley rats were assigned to low- and high-dose MTX and control groups. A femur was cut using a reciprocating saw and a 2-mm fracture gap was made using a fixator. One or four weeks thereafter, macrophages were immunostained and new bone formation was histomorphometrically measured.Significantly less new bone was formed in the high-dose MTX, than in the control group (p< 0.01), whereas bone formation did not significantly differ between the low-dose MTX and control groups. These results suggested that a low dose of MTX does not affect the early process of endochondral bone formation during fracture healing, whereas a high dose might delay the progress of new periosteal bone formation. Although more macrophages were found in the groups treated with MTX, their impact on surrounding inflammatory processes remains unclear.
出版者: The Fukushima Society of Medical Science
出版者(異表記): 福島医学会
本文の言語: eng
このページのURI: http://ir.fmu.ac.jp/dspace/handle/123456789/279
本文URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/279/1/FksmJMedSci_57_p11.pdf
ISSN: 0016-2590
2185-4610
DOI: 10.5387/fms.57.11
PubMed番号: 21701078
異版(出版者版等): http://dx.doi.org/10.5387/fms.57.11
権利情報: © 2011 The Fukushima Society of Medical Science
出現コレクション:Vol.57 (2011)

このアイテムのファイル:

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FksmJMedSci_57_p11.pdf2.15 MBAdobe PDFダウンロード

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