Skeletal nutrient vascular adaptation induced by external oscillatory intramedullary fluid pressure intervention

<p>Abstract</p> <p>Background</p> <p>Interstitial fluid flow induced by loading has demonstrated to be an important mediator for regulating bone mass and morphology. It is shown that the fluid movement generated by the intramedullary pressure (ImP) provides a source for...

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Main Authors: Qin Yi-Xian, Brink Peter, Lam Hoyan
Format: Article
Language:English
Published: BMC 2010-03-01
Series:Journal of Orthopaedic Surgery and Research
Online Access:http://www.josr-online.com/content/5/1/18
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author Qin Yi-Xian
Brink Peter
Lam Hoyan
author_facet Qin Yi-Xian
Brink Peter
Lam Hoyan
author_sort Qin Yi-Xian
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Interstitial fluid flow induced by loading has demonstrated to be an important mediator for regulating bone mass and morphology. It is shown that the fluid movement generated by the intramedullary pressure (ImP) provides a source for pressure gradient in bone. Such dynamic ImP may alter the blood flow within nutrient vessel adjacent to bone and directly connected to the marrow cavity, further initiating nutrient vessel adaptation. It is hypothesized that oscillatory ImP can mediate the blood flow in the skeletal nutrient vessels and trigger vasculature remodeling. The objective of this study was then to evaluate the vasculature remodeling induced by dynamic ImP stimulation as a function of ImP frequency.</p> <p>Methods</p> <p>Using an avian model, dynamics physiological fluid ImP (70 mmHg, peak-peak) was applied in the marrow cavity of the left ulna at either 3 Hz or 30 Hz, 10 minutes/day, 5 days/week for 3 or 4 weeks. The histomorphometric measurements of the principal nutrient arteries were done to quantify the arterial wall area, lumen area, wall thickness, and smooth muscle cell layer numbers for comparison.</p> <p>Results</p> <p>The preliminary results indicated that the acute cyclic ImP stimuli can significantly enlarge the nutrient arterial wall area up to 50%, wall thickness up to 20%, and smooth muscle cell layer numbers up to 37%. In addition, 3-week of acute stimulation was sufficient to alter the arterial structural properties, i.e., increase of arterial wall area, whereas 4-week of loading showed only minimal changes regardless of the loading frequency.</p> <p>Conclusions</p> <p>These data indicate a potential mechanism in the interrelationship between vasculature adaptation and applied ImP alteration. Acute ImP could possibly initiate the remodeling in the bone nutrient vasculature, which may ultimately alter blood supply to bone.</p>
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spelling doaj.art-0600dd844bd3404c96542347a7c698d82022-12-22T02:54:19ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2010-03-01511810.1186/1749-799X-5-18Skeletal nutrient vascular adaptation induced by external oscillatory intramedullary fluid pressure interventionQin Yi-XianBrink PeterLam Hoyan<p>Abstract</p> <p>Background</p> <p>Interstitial fluid flow induced by loading has demonstrated to be an important mediator for regulating bone mass and morphology. It is shown that the fluid movement generated by the intramedullary pressure (ImP) provides a source for pressure gradient in bone. Such dynamic ImP may alter the blood flow within nutrient vessel adjacent to bone and directly connected to the marrow cavity, further initiating nutrient vessel adaptation. It is hypothesized that oscillatory ImP can mediate the blood flow in the skeletal nutrient vessels and trigger vasculature remodeling. The objective of this study was then to evaluate the vasculature remodeling induced by dynamic ImP stimulation as a function of ImP frequency.</p> <p>Methods</p> <p>Using an avian model, dynamics physiological fluid ImP (70 mmHg, peak-peak) was applied in the marrow cavity of the left ulna at either 3 Hz or 30 Hz, 10 minutes/day, 5 days/week for 3 or 4 weeks. The histomorphometric measurements of the principal nutrient arteries were done to quantify the arterial wall area, lumen area, wall thickness, and smooth muscle cell layer numbers for comparison.</p> <p>Results</p> <p>The preliminary results indicated that the acute cyclic ImP stimuli can significantly enlarge the nutrient arterial wall area up to 50%, wall thickness up to 20%, and smooth muscle cell layer numbers up to 37%. In addition, 3-week of acute stimulation was sufficient to alter the arterial structural properties, i.e., increase of arterial wall area, whereas 4-week of loading showed only minimal changes regardless of the loading frequency.</p> <p>Conclusions</p> <p>These data indicate a potential mechanism in the interrelationship between vasculature adaptation and applied ImP alteration. Acute ImP could possibly initiate the remodeling in the bone nutrient vasculature, which may ultimately alter blood supply to bone.</p>http://www.josr-online.com/content/5/1/18
spellingShingle Qin Yi-Xian
Brink Peter
Lam Hoyan
Skeletal nutrient vascular adaptation induced by external oscillatory intramedullary fluid pressure intervention
Journal of Orthopaedic Surgery and Research
title Skeletal nutrient vascular adaptation induced by external oscillatory intramedullary fluid pressure intervention
title_full Skeletal nutrient vascular adaptation induced by external oscillatory intramedullary fluid pressure intervention
title_fullStr Skeletal nutrient vascular adaptation induced by external oscillatory intramedullary fluid pressure intervention
title_full_unstemmed Skeletal nutrient vascular adaptation induced by external oscillatory intramedullary fluid pressure intervention
title_short Skeletal nutrient vascular adaptation induced by external oscillatory intramedullary fluid pressure intervention
title_sort skeletal nutrient vascular adaptation induced by external oscillatory intramedullary fluid pressure intervention
url http://www.josr-online.com/content/5/1/18
work_keys_str_mv AT qinyixian skeletalnutrientvascularadaptationinducedbyexternaloscillatoryintramedullaryfluidpressureintervention
AT brinkpeter skeletalnutrientvascularadaptationinducedbyexternaloscillatoryintramedullaryfluidpressureintervention
AT lamhoyan skeletalnutrientvascularadaptationinducedbyexternaloscillatoryintramedullaryfluidpressureintervention