Alveolar bone regeneration potential of a traditional Chinese medicine, Bu-Shen-Gu-Chi-Wan, in experimental periodontitis

J Periodontal Res. 2014 Jun;49(3):382-9. doi: 10.1111/jre.12117. Epub 2013 Aug 27.

Abstract

Background and objective: The aim of this study was to investigate the effect of a traditional Chinese medicine, Bu-Shen-Gu-Chi-Wan, on experimental periodontitis and bone regeneration in rat.

Material and methods: Sixty female Sprague-Dawley rats were divided equally into three groups: a healthy control group (Group N); a periodontitis group (Group P); and the Bu-Shen-Gu-Chi-Wan treatment group (Group T). A 0.2-mm wire was placed around the maxillary first molar and Porphyromonas gingivalis was injected into the gingival sulcus. Rats in different groups were administered 0.9% normal saline or Bu-Shen-Gu-Chi-Wan solution (4 g/kg of body weight, for three alternate days), and the animals were killed after 4 wk. Morphological analysis of alveolar bone rebuilding was performed using micro-computed tomography (micro-CT) and stereomicroscopy, and the variation of inflammation in the periodontium was determined histologically. The serum levels of the proinflammatory cytokines interleukin-1beta (IL-1β) and tumor necrosis factor-alpha (TNF-α) and of the bone-turnover biomarkers pyridinoline cross-linked carboxyterminal telopeptide of type I collagen (ICTP) and osteocalcin (OC) were determined using radioimmunoassays.

Results: After treatment with Bu-Shen-Gu-Chi-Wan, there were significant decreases in the levels of IL-1β, TNF-α, ICTP and OC and decreased inflammatory infiltration in the periodontal tissues of Group T. significant changes in alveolar bone volume and density were detected by micro-CT, but stereomicroscopy did not detect a significant improvement of alveolar bone height.

Conclusion: The data of the present study suggest that the traditional Chinese medicine, Bu-Shen-Gu-Chi-Wan, has anti-inflammatory function in experimental periodontitis and may simultaneously improve alveolar bone remodeling.

Keywords: anti-inflammation; bone regeneration; experimental periodontitis; micro-CT; traditional Chinese medicine.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alveolar Bone Loss / drug therapy*
  • Alveolar Bone Loss / microbiology
  • Alveolar Bone Loss / pathology
  • Alveolar Process / drug effects
  • Alveolar Process / pathology
  • Animals
  • Bone Density / drug effects
  • Bone Regeneration / drug effects*
  • Bone Remodeling / drug effects
  • Collagen Type I / blood
  • Cornus
  • Drugs, Chinese Herbal / therapeutic use*
  • Female
  • Interleukin-1beta / blood
  • Molar / pathology
  • Osteocalcin / blood
  • Peptides / blood
  • Periodontitis / drug therapy*
  • Periodontitis / microbiology
  • Porphyromonas gingivalis / physiology
  • Random Allocation
  • Rats
  • Rats, Sprague-Dawley
  • Rehmannia
  • Tooth Cervix / pathology
  • Tracheophyta
  • Tumor Necrosis Factor-alpha / blood
  • X-Ray Microtomography / methods

Substances

  • Collagen Type I
  • Drugs, Chinese Herbal
  • Interleukin-1beta
  • Peptides
  • Tumor Necrosis Factor-alpha
  • collagen type I trimeric cross-linked peptide
  • Osteocalcin