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静磁场在口腔正畸临床中的应用以及对面领骨骼肌细胞生物安全性的研究
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摘要
传统的正畸力源于各种机械力和肌肉力。1978年, Blechman和Smiley利用永磁体移动了猫的尖牙,将“磁学”概念引入口腔正畸学领域,为口腔正畸开辟了一个新的力源。在随后的二十多年中,磁力已被逐渐应用于正畸的科研及临床中,特别是功能矫形治疗、牙齿移动、埋伏牙的治疗、扩弓、前牙开合的矫治等。目前,通过学者们的大量研究和临床实践,磁力作为一种新的力学系统已得到广泛的认可。国外研究和多年国内对磁力功能矫形的临床和动物试验研究发现,高磁能永磁体对于矫正牙颌面畸形尤其是矫正颌骨畸形,具有独特的优势,它基于磁力的独特作用,大大提高了矫治的效率。永磁体体积小,容易包埋在矫治器中,方便患者戴用,而产生的力量大,足以使颌骨发生改建,临床使用取得较好的效果,已经成为磁力在口腔正畸临床中应用较为成功的一大分支。由于矫治过程中磁力一定与磁场共存,研究磁场对口腔颌面组织的生物学效应已成为口腔正畸学领域的重要研究方向之一。
     本课题通过建立磁场作用下体外培养面颌骨骼肌细胞变化的模型,分别在磁场环境中暴露12h、36h、60h,显微镜下观察磁场作用后肌细胞形态学变化,找出细胞变化规律,为下面更为深入的研究磁场作用后细胞内钙离子变化的检测提供指导。
     利用激光共聚焦显微镜观察磁场作用下,面颌肌细胞内游离钙离子浓度的变化。结果显示:随着磁场照射时间的增加,细胞内钙离子的荧光强度也增加;同时,钙离子的浓度与磁场强度也成正比例关系。Ca~(2+)-Mg~(2+)-ATP酶是广泛分布在机体内的生物膜酶系统,它们对维持细胞的正常生理功能起着极其重要的作用。本研究利用RT-PCR技术检测磁场作用后肌细胞线粒体内Ca~(2+)-Mg~(2+)-ATP的变化。
     IP_3R(三磷酸肌醇受体)是一类配基(IP~3)操纵的钙离子释放通道。IP_3R数目和结构的变化可能会影响到细胞内钙信号的幅度和频率。用Western-blot杂交技术检测磁场作用下细胞膜IP_3R的蛋白表达。
     本研究借助细胞生物学技术、电生理学技术和分子生物学技术研究磁场作用对面颌肌细胞Ca~(2+)浓度的影响,探讨肌细胞在磁场作用下的生物学效应,为磁性材料在口腔正畸学领域中的应用提供理论依据。
Traditional orthodontic force came from a variety of mechanical force and muscle strengths. In 1978, Blechman and Smiley used permanent magnets to move cats’canines, and this magnetism conception was introduced into orthodontic fields. In the following 20 years, magnetic force has been applied to research and in clinics. At present, magnetic force, which is a new mechanical system, has been widely recognized. Through overseas research and years of domestic magnetic functional orthopedics, clinical and animal studies have found that the use of high energy permanent magnets have greatly increasd the treatment efficiency, particularly for the correction of dentofacial deformities has unique advantages. Permanent magnets that are small and can be easily embedded in the appliance, it is very convenient to patients while also generating enough power to obtain a better clinical effect. As the process of magnetic correction must coexist with the magnetic field, study of the magnetic field on the organization of the biological effects of oral and maxillofacial orthodontics has become an important research direction in the field.
     This study of the static magnetic fields through the establishment in vitro model of skeletal muscle cells, respectively 12h、36h、60h, observes the muscle cell morphological changes by the microscope after the static magnetic fields expose. For more in-depth study of intracellular calcium ion changes in the static magnetic fields, the following provides guidance. By the LSCM, intracellular calcium concentration in the skeletal muscle cells can be seen changing. The results show: With the increase of the magnetic field exposure time, intracellular calcium also increases the fluorescence intensity; at the same time, the calcium ion concentration maintains a directly proportional relationship with the magnetic field strength.
     The Ca~(2+)-Mg~(2+)-ATP enzyme is widely distributed in the body of the membrane enzyme system; it maintains the normal function of cells that plays an important role. PCR is used to detect Ca~(2+)-Mg~(2+)-ATP enzyme changes in skeletal muscle cells after static magnetic fields are exposed.
     IP_3R (inositol trisphosphate receptor) is a class of ligand (IP_3)-operated calcium release channels. IP_3R changes in the number and structure may affect the intracellular calcium signal amplitude and frequency. Western-blotting was used to detect IP_3R protein in membrane after expose in static magnetic field.
     This paper studies cell biology, electrophysiology and molecular biology of the static magnetic field on the maxillofacial skeletal muscle cells, it will provide a theoretical foundation for application of magnetic materials in the field of orthodontics.
引文
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