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Effects of high molecular weight hyaluronic acid on induced arthritis of the temporomandibular joint in rats.

Abstract
High molecular weight hyaluronic acid (HMWHA) has been used to treat temporomandibular joint (TMJ) disorders, but controversial results have been described. This study aimed to characterize the morphological and biochemical actions of HMWHA on induced arthritis of the TMJ. Twenty-four male Wistar rats were used, and arthritis of the TMJ was induced through an intra-articular injection of Complete Freund's Adjuvant (CFA) (50 μl). One week after arthritis induction, the animals were treated with HMWHA (once per week for three weeks). Histological analyses were performed using sections stained with hematoxylin-eosin, toluidine blue and Picrosirius. Were also performed histomorphometric analysis and birefringence of collagenous fibers (polarization microscopy). Biochemical analyses of TMJ tissues were carried out through measurements of sulfated glycosaminoglycans and zymography for evaluation of metalloproteinase-2 and -9 (MMP-2 and -9). Data were analyzed using paired t-test and unpaired t-test, with a 5% significance level. HMWHA reduced histologic changes and thickness of the articular disc, led to a greater arrangement of collagenous fibers, lower concentration of sulfated glycosaminoglycans and lower activity in all isoforms of MMP-2 and -9 in TMJs with induced arthritis. These findings suggest that HMWHA may exert a protective effect on the TMJ.
AuthorsGeorge Azevedo Lemos, Renato Rissi, Edson Rosa Pimentel, Evanisi Teresa Palomari
JournalActa histochemica (Acta Histochem) Vol. 117 Issue 6 Pg. 566-75 (Jul 2015) ISSN: 1618-0372 [Electronic] Germany
PMID26022645 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2015 Elsevier GmbH. All rights reserved.
Chemical References
  • Hyaluronic Acid
  • Freund's Adjuvant
Topics
  • Animals
  • Arthritis (chemically induced, drug therapy)
  • Freund's Adjuvant (adverse effects)
  • Hyaluronic Acid (therapeutic use)
  • Injections, Intra-Articular
  • Male
  • Molecular Weight
  • Rats
  • Rats, Wistar
  • Temporomandibular Joint (drug effects)
  • Temporomandibular Joint Disorders (drug therapy)

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