The Effect of Waterpipe Tobacco Smoking on Bone Healing Following Femoral Fractures in Male Rats

Background: Given the increasing use of waterpipe tobacco smoking in the world and its unknown effects on bone healing, this study investigated the repairing of femoral bone fractures in rats exposed to waterpipe tobacco smoking (WTS).Main Methods: This study involved 40 male Wistar rats that were d...

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Main Authors: Amirreza Sadeghifar, Mohamad Sheibani, Siyavash Joukar, Shahriar Dabiri, Samanehsadat Alavi, Omid Azari, Darioush Vosoghi, Yas Zeynali, Yasman Zeynali, Mohamad Shahraki, Amirhesam Torghabe, Farzaneh Rostamzadeh, Alireza Nasri
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-10-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2021.722446/full
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author Amirreza Sadeghifar
Mohamad Sheibani
Siyavash Joukar
Shahriar Dabiri
Samanehsadat Alavi
Omid Azari
Darioush Vosoghi
Yas Zeynali
Yasman Zeynali
Mohamad Shahraki
Amirhesam Torghabe
Farzaneh Rostamzadeh
Alireza Nasri
author_facet Amirreza Sadeghifar
Mohamad Sheibani
Siyavash Joukar
Shahriar Dabiri
Samanehsadat Alavi
Omid Azari
Darioush Vosoghi
Yas Zeynali
Yasman Zeynali
Mohamad Shahraki
Amirhesam Torghabe
Farzaneh Rostamzadeh
Alireza Nasri
author_sort Amirreza Sadeghifar
collection DOAJ
description Background: Given the increasing use of waterpipe tobacco smoking in the world and its unknown effects on bone healing, this study investigated the repairing of femoral bone fractures in rats exposed to waterpipe tobacco smoking (WTS).Main Methods: This study involved 40 male Wistar rats that were divided into two groups, including the femoral fracture (Fx) and the Fx + WTS groups. Each group was divided into two subgroups that were evaluated for bone healing 28 and 42 days after femoral fracture. After fixing the fractured femur, the healing process was evaluated by radiography, pathological indicators, and a measurement of the blood levels of vascular endothelial growth factor (VEGF), parathyroid hormone (PTH), Ca ++, transforming growth factor-beta (TGF-β), and insulin-like growth factor 1 (IGF-1). Additionally, the density of VEGF and CD34 in fracture tissue was investigated by immunohistochemistry.Key Findings: Radiographic findings showed that factors related to the earlier stages of bone healing had higher scores in the Fx + WTS28 and 42 subgroups in comparison to the Fx groups. The density of VEGF and CD34 showed that the angiogenesis processes were different in the bone fracture area and callus tissue in the Fx +WTS subgroups. The serum levels of VEGF, TGF-β, and IGF-1 were significantly lower in the Fx +WTS42 group, and PTH in the Fx +WTS28 group was higher than that in the other groups.Significance: The findings showed the disturbance and delay in the femoral fracture union in rats exposed to hookah smoke. This is partly due to the reduction of molecular stimuli of bone synthesis and the attenuation of quantitative angiogenesis.
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spelling doaj.art-0e5ed0b4f4a14a7d817f5be74901e0452022-12-21T21:35:14ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2021-10-01810.3389/fsurg.2021.722446722446The Effect of Waterpipe Tobacco Smoking on Bone Healing Following Femoral Fractures in Male RatsAmirreza Sadeghifar0Mohamad Sheibani1Siyavash Joukar2Shahriar Dabiri3Samanehsadat Alavi4Omid Azari5Darioush Vosoghi6Yas Zeynali7Yasman Zeynali8Mohamad Shahraki9Amirhesam Torghabe10Farzaneh Rostamzadeh11Alireza Nasri12Orthopedic Department, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, IranOrthopedic Department, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, IranPhysiology Research Center, Institute of Basic and Clinical Physiology Sciences, and Department of Physiology and Pharmacology, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, IranPathology Department and Stem Cell Research Center, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, IranCardiovascular Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, IranDepartment of Clinical Sciences, Faculty of Veterinary Medicine, Shahid Bahonar University of Kerman, Kerman, IranDepartment of Clinical Sciences, Faculty of Veterinary Medicine, Shahid Bahonar University of Kerman, Kerman, IranPhysiology Research Center, Institute of Basic and Clinical Physiology Sciences, and Department of Physiology and Pharmacology, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, IranPhysiology Research Center, Institute of Basic and Clinical Physiology Sciences, and Department of Physiology and Pharmacology, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, IranDepartment of Clinical Sciences, Faculty of Veterinary Medicine, Shahid Bahonar University of Kerman, Kerman, IranDepartment of Clinical Sciences, Faculty of Veterinary Medicine, Shahid Bahonar University of Kerman, Kerman, IranCardiovascular Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, IranPathology Department and Stem Cell Research Center, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, IranBackground: Given the increasing use of waterpipe tobacco smoking in the world and its unknown effects on bone healing, this study investigated the repairing of femoral bone fractures in rats exposed to waterpipe tobacco smoking (WTS).Main Methods: This study involved 40 male Wistar rats that were divided into two groups, including the femoral fracture (Fx) and the Fx + WTS groups. Each group was divided into two subgroups that were evaluated for bone healing 28 and 42 days after femoral fracture. After fixing the fractured femur, the healing process was evaluated by radiography, pathological indicators, and a measurement of the blood levels of vascular endothelial growth factor (VEGF), parathyroid hormone (PTH), Ca ++, transforming growth factor-beta (TGF-β), and insulin-like growth factor 1 (IGF-1). Additionally, the density of VEGF and CD34 in fracture tissue was investigated by immunohistochemistry.Key Findings: Radiographic findings showed that factors related to the earlier stages of bone healing had higher scores in the Fx + WTS28 and 42 subgroups in comparison to the Fx groups. The density of VEGF and CD34 showed that the angiogenesis processes were different in the bone fracture area and callus tissue in the Fx +WTS subgroups. The serum levels of VEGF, TGF-β, and IGF-1 were significantly lower in the Fx +WTS42 group, and PTH in the Fx +WTS28 group was higher than that in the other groups.Significance: The findings showed the disturbance and delay in the femoral fracture union in rats exposed to hookah smoke. This is partly due to the reduction of molecular stimuli of bone synthesis and the attenuation of quantitative angiogenesis.https://www.frontiersin.org/articles/10.3389/fsurg.2021.722446/fullwaterpipe tobacco smokingfemur fractureunionangiogenesis markersinsulin growth factor-1TGF-β
spellingShingle Amirreza Sadeghifar
Mohamad Sheibani
Siyavash Joukar
Shahriar Dabiri
Samanehsadat Alavi
Omid Azari
Darioush Vosoghi
Yas Zeynali
Yasman Zeynali
Mohamad Shahraki
Amirhesam Torghabe
Farzaneh Rostamzadeh
Alireza Nasri
The Effect of Waterpipe Tobacco Smoking on Bone Healing Following Femoral Fractures in Male Rats
Frontiers in Surgery
waterpipe tobacco smoking
femur fracture
union
angiogenesis markers
insulin growth factor-1
TGF-β
title The Effect of Waterpipe Tobacco Smoking on Bone Healing Following Femoral Fractures in Male Rats
title_full The Effect of Waterpipe Tobacco Smoking on Bone Healing Following Femoral Fractures in Male Rats
title_fullStr The Effect of Waterpipe Tobacco Smoking on Bone Healing Following Femoral Fractures in Male Rats
title_full_unstemmed The Effect of Waterpipe Tobacco Smoking on Bone Healing Following Femoral Fractures in Male Rats
title_short The Effect of Waterpipe Tobacco Smoking on Bone Healing Following Femoral Fractures in Male Rats
title_sort effect of waterpipe tobacco smoking on bone healing following femoral fractures in male rats
topic waterpipe tobacco smoking
femur fracture
union
angiogenesis markers
insulin growth factor-1
TGF-β
url https://www.frontiersin.org/articles/10.3389/fsurg.2021.722446/full
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