体外培养条件下,人前交叉韧带破裂处细胞向胶原-糖胺聚糖再生模板的迁移。
The migration of cells from the ruptured human anterior cruciate ligament into collagen-glycosaminoglycan regeneration templates in vitro.
作者信息
Murray M M, Spector M
机构信息
Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA 02115, USA.
出版信息
Biomaterials. 2001 Sep;22(17):2393-402. doi: 10.1016/s0142-9612(00)00426-9.
Guided tissue regeneration of the ruptured anterior cruciate ligament (ACL) offers the potential benefits of retaining the complex footprints of the ACL and the proprioceptive nerve fibers of the tissue. For this approach to be successful, ACL cells must retain the ability to migrate into an adjacent regeneration template, or scaffold, after ligament rupture. Ruptured ACLs were obtained from the knees of four men, ages 25-35, at the time of ACL reconstruction. Explants of ACL tissue were taken from three locations along the longitudinal axis of the remnant: the rupture site, the middle of the remnant, and far from the rupture site. These three areas have been found to be distinct histologically, with the region far from the rupture site having a histologic appearance similar to the intact ligament. Explants from each area were cultured in conventional tissue culture dishes (2-D culture) and on porous collagen-glycosaminoglycan (CG) scaffolds. Two-dimensional outgrowth was measured 3 times a week, and the 3-D explant/scaffold constructs were examined at 1, 2, 3 and 4 weeks to assess outgrowth of cells into the scaffold. The cell number density and expression of a-smooth muscle actin (SMA) were determined at each time point. The decrease in the diameter of the scaffolds and non-seeded controls were determined as a function of time in culture. The outgrowth of cells onto the tissue culture dishes was observed to begin as early as 3 days and as late as 21 days, with outgrowth first detected at an average of 6.8 +/- 2.0 days after explantation. In general, there was a larger area of outgrowth at the 2-week time point from explants with higher cell number density and higher blood vessel density. The 2-week area of outgrowth also correlated with the percentage of SMA-positive cells in the explant. In the experimental constructs with CG scaffolds, fibroblasts were noted to migrate from the human ACL explants into the templates at the earliest time point recorded (I week). The migration and proliferation of cells from the explants in the CG matrices resulted in an increase in the cell density in the scaffolds with time. There was a significant effect of the location from which the explant was taken on cell density in the scaffold, with a higher density of cells migrating from the explants from the rupture site of the ACL specimens. The percentage of cells staining positive for the SMA isoform varied from 0 to 50% of cells in the scaffold. Scaffolds co-cultured with explants showed a reduction in diameter that was significantly affected by time in culture and the location in the ACL from which the explant was taken. The percentage contraction attributed to the cells was 15% at 2 weeks, and increased to 27% for the injury-zone explant at 4 weeks. There was a significant correlation of the cell-mediated contraction of the matrices at 4 weeks with the cell density in the scaffolds, but not with the number of SMA-positive cells in the scaffolds. These data demonstrate that cells in the human ACL retain their ability to migrate into an adjacent CG scaffold in vitro, weeks after complete rupture. Moreover, the ACL-derived cells can express a contractile actin isoform and can contract a CG analog of extracellular matrix.
前交叉韧带(ACL)断裂后的引导组织再生具有保留ACL复杂附着点和组织本体感觉神经纤维的潜在益处。要使这种方法成功,ACL细胞在韧带断裂后必须保留迁移到相邻再生模板或支架中的能力。在进行ACL重建时,从4名年龄在25 - 35岁男性的膝关节获取断裂的ACL。沿着残余韧带的纵轴从三个位置获取ACL组织外植体:断裂部位、残余韧带中部以及远离断裂部位。已发现这三个区域在组织学上有所不同,远离断裂部位的区域具有与完整韧带相似的组织学外观。将每个区域的外植体在传统组织培养皿(二维培养)和多孔胶原 - 糖胺聚糖(CG)支架上培养。每周测量三次二维生长情况,并在第1、2、3和4周检查三维外植体/支架构建体,以评估细胞向支架内的生长情况。在每个时间点测定细胞数密度和α - 平滑肌肌动蛋白(SMA)的表达。测定培养过程中支架和未接种对照的直径减小情况作为时间的函数。观察到细胞在组织培养皿上的生长最早在3天开始,最晚在21天开始,平均在接种后6.8±2.0天首次检测到生长。一般来说,在第2周时间点,细胞数密度和血管密度较高的外植体生长面积更大。第2周的生长面积也与外植体中SMA阳性细胞的百分比相关。在含有CG支架的实验构建体中,在记录的最早时间点(第1周)就注意到成纤维细胞从人ACL外植体迁移到模板中。CG基质中外植体细胞的迁移和增殖导致支架内细胞密度随时间增加。外植体取材位置对支架内细胞密度有显著影响,从ACL标本断裂部位取材的外植体迁移出的细胞密度更高。支架中SMA同工型染色阳性的细胞百分比在0%至50%之间变化。与外植体共培养的支架直径减小,这受到培养时间和ACL中外植体取材位置的显著影响。细胞引起的收缩百分比在2周时为15%,损伤区外植体在4周时增加到27%。在4周时,基质的细胞介导收缩与支架内细胞密度显著相关,但与支架内SMA阳性细胞数量无关。这些数据表明,完全断裂数周后,人ACL中的细胞在体外仍保留迁移到相邻CG支架中的能力。此外,ACL来源的细胞可以表达收缩性肌动蛋白同工型,并能收缩细胞外基质的CG类似物。