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ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS
Article . 2017 . Peer-reviewed
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Localization of vascular endothelial growth factor and transforming growth factor-β in tissues in perifractural zone after fractures of long bones of limbs in humans

Authors: Grigoryev, Vitaliy; Popsuishapka, Olexii; Ashukina, Nataliya; Galkin, Fedor;

Localization of vascular endothelial growth factor and transforming growth factor-β in tissues in perifractural zone after fractures of long bones of limbs in humans

Abstract

Objective: to study, using immunohistochemical methods, the content of the vascular endothelial growth factor and trans­forming growth factor (TGF-β) in tissues adjacent to bone frag­ments after fracture in humans, as well as in autofibrin obtained in vitro. Methods: biopsy samples (interfragmental fibrin-blood clot, periosteum, muscular and fatty tissue), 9 of the victims recovered from the near fracture zone with fractures of limb bones during their open comparison were studied. In addition, fibrin-blood clots from the venous blood of the same patients ob­tained during the operation by the method of J. Choukroun were analyzed. Results: 1–2 days after the fracture, vascular endothe­lial growth factor concentrates in fibrin, forming a fibrin-blood clot in the near-fracture zone. On the 5 th –12 th day, the intensity of the reaction to vascular endothelial growth factor in fibrin decreases, or it disappears, and expression of the factor mani­fests itself in the cells of the regenerate — osteocytes, osteo­blasts, fibroblasts, endotheliocytes. 10–12 days after injury, a positive reaction to vascular endothelial growth factor is de­fined in endotheliocytes and osteoblasts. The reaction to TGF-β in fibrin-blood clot and regenerate tissues was observed exclu­sively in cells. In autologous fibrin clots, vascular endothelial growth factor expression was observed in fibrin, and TGF was observed in the blood cells that remained in it. However, the in­tensity of the response to vascular endothelial growth factor in fibrin formed in vitro was uneven. Conclusions: vascular en­dothelial growth factorconcentration on the 1–2 day after frac­ture in the fibrin-blood clot in the near fracture zone is a strong signal for the restoration of blood supply in the area of inju­ry. Expression of TGF-β at all times was found only in cells. The uneven distribution of vascular endothelial growth factor in fibrin formed in vitro should be considered when it is used to optimize bone repair.

Keywords

перелом кістки; регенерація; фібрин-кров’яний згусток; фактор росту ендотелію судин; трансформувальний фактор росту-β, перелом кости; регенерация; фибрин-кровяной сгусток; фактор роста эндотелия сосудов; трансформирующий фактор роста-β, bone fracture; regeneration; fibrin-blood clot; endothelial growth factor of suction; transforming growth factor

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
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