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EFFECT OF GREEN TEA EXTRACT TO ANGIOGENESIS IN BONE HEALING EXPERIMENTAL STUDY. ERI KRISWANTO. Background:. Non-union is a big problem in bone healing Angiogenesis plays important role in bone healing Green tea is one of the strong anti-angiogenesis agent
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EFFECT OF GREEN TEA EXTRACT TO ANGIOGENESIS IN BONE HEALINGEXPERIMENTAL STUDY ERI KRISWANTO
Background: • Non-union is a big problem in bone healing • Angiogenesis plays important role in bone healing • Green tea is one of the strong anti-angiogenesis agent • There are no any research that study the effect of green tea to angiogenesis in bone healing
Green Tea (Cameliasinensis) poliphenols in green tea : • flavanol • flavandiol • flavonol • phenolic acid, • catechin ( 70%) :Epigallocatehchin-3-gallate (EGCG) about 67%, epigallocatehchin (EGC), epicatechingallate (ECG), epicatechin (EC), dangallocatechin (Bokuchava, ..et al. 1980), (Kim, S,et,al.2000), (Fasina, G, et,al. 2004).
Bone Healing in Mice • Inflamation • Soft callus (cartilage) day 7th • Chondrocytes presents VEGF Day 10th • Hard callus (bone) day 14th • Remodelling ( Street, J,. et. al, 2002)
Chondrocyte & osteoblast (Hypoxia) HIF VEGF, FGF, dan TGF fracture PDGF PDGFR, ERK 1/2 Pericyte Endotel Inflamation VEGF Green tea (EGCG) FGFR, PI3K, ERK 1/2 Soft callus Survival, vascular permeability, migration, prolifera-tion, vascular guidance Angiogenesis Chondrocyte apoptosis Rekrutmenosteogenic cell Cartilaginous matrixdegradationandremoval Differentiation Matrix production Neo-vessels Hard callus Remodeling ERK ½, PI3 K
Objective • To know the effect of green tea extract to amount of VEGF presenting cells in the callus • To know the effect of green tea extract to amount of vessels in the callus • To know the effect of green tea extract to cross-sectional-area of vessels in the callus
DESIGN S1 : sample R : randomization K1 : pure water P1 : 15 mg green tea extract P2 : 20 mg green tea extract P3 : 25 mg green tea extract P4 : 30 mg green tea extract Post Test Control Group Design.
Aclitimation ( 1 week) 35 mices with rigth femur fracture P2 P3 P4 K1 P1 25 mg 30 mg Pure water 15 mg 20 mg Day 10th evaluation Callus harversting IHC staining Analyzation
Aclitimation • ( 1 week) • 35 mices with rigth femur fracture P6 P7 P8 K2 P5 25 mg 30 mg Pure water 15 mg 20 mg Day 14th evaluation • Callus harversting HE staining Analyzation
a,b,c the different superscript shows there is significant difference ( p < 0.05 ) between groups ( Games – Howell)
HE staining- amount of vessels - cross-sectional area of vessels
a,b,c the different superscript shows there is significant difference ( p<0.05 ) between groups ( List Significant Data)
a,b,c the different superscript shows there is significant difference ( p<0.05 ) between groups ( Games – Howell)
DISCUSSION • Green tea or EGCG per orally shows significant inhibition to angiogenesis(Fassina, G, et, al. 2004). • 1.25 % (4,69 mg/ml) of green tea contains 708 µg/ml EGCG per orally will produce 0,1-0,3 µM EGCG in the blood, this dose is equal with concentration of EGCG in human after drinking 2 or 3 cups of green tea (Wang, Z.Y,et,al. 1992). • Drinking 1.25% of green tea significantly inhibit neo-vascularization in mice’s cornea ( Cao Y, Cao R, 1999).
Discussion Drinking 1.25% (4.69 mg/ml) of green tea ad libitum in mice is equal with 15 mg of green tea extract single dose. Results : • Significant decrease of cross-sectional area of vessels in callus was found at minimal dose of 20 mg green tea extract . • Significant decreaseamount of VEGF presenting cells in callus was found at minimal dose of 25 mg green tea extract • Significant decreasesamount of vessels in callus was found at minimal dose of 25 mg green tea extract
Conclusion • Drinking of green tea > 15 mg in mice equal with drinking > 2 or 3 cups of green tea in human will decrease VEGF presenting cells, amount of vessels, and amount of cross-sectional area of vessels in bone healing. • Green tea significantly inhibit angiogenesis in bone healing.