Gruber Helen E, Johnson Tracy L, Leslie Kelly, Ingram Jane A, Martin David, Hoelscher Gretchen, Banks David, Phieffer Laura, Coldham Geoff, Hanley Edward N
Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina 28232, USA.
Spine (Phila Pa 1976). 2002 Aug 1;27(15):1626-33. doi: 10.1097/00007632-200208010-00007.
Work presented here used a small animal model to illustrate the feasibility of autologous disc cell implantation.
To develop a small animal model for autologous disc cell implantation.
The use of autologous disc cells in the potential treatment of disc degeneration offers attractive possibilities for novel therapies. Results are presented on the use of the sand rat (Psammomys obesus), a small rodent that spontaneously develops disc degeneration during aging, in experimental studies in which cells were harvested from a lumbar intervertebral disc, expanded in monolayer tissue culture, labeled with agents that allow subsequent immunolocalization of these cells, and implanted in a second disc site of the donor animal.
Tissue culture, disc surgery, histology, and immunocytochemistry were used. Cells were either engrafted in a bioresorbable carrier tested for cell compatibility or injected into the recipient disc. Results were assessed with radiographic examination of the implantation site and with histology and immunocytochemistry.
Data from 15 animals were obtained with engraftment resident in the animal for up to 33 weeks. Immunocytologic identification of engrafted cells showed that they integrated into the disc and were surrounded by normal matrix at time points up to 8 months postengraftment. Engrafted cells exhibited either a spindle-shaped morphology in the annulus or a rounded chondrocyte-like morphology in the nucleus. Although technically challenging, the authors' experience showed that autologous disc cell implantation can be successful and that the sand rat is a valuable model for autologous disc cell studies.
本文所展示的研究使用了一种小动物模型来阐明自体椎间盘细胞植入的可行性。
建立一种用于自体椎间盘细胞植入的小动物模型。
在椎间盘退变的潜在治疗中使用自体椎间盘细胞为新型疗法提供了诱人的可能性。本文展示了在实验研究中使用沙鼠(肥胖金仓鼠)的结果,沙鼠是一种小型啮齿动物,在衰老过程中会自发出现椎间盘退变。在这些实验中,从腰椎间盘采集细胞,在单层组织培养中进行扩增,用能使这些细胞后续进行免疫定位的试剂进行标记,然后植入供体动物的另一个椎间盘部位。
采用组织培养技术、椎间盘手术、组织学检查和免疫细胞化学方法。细胞要么被植入经细胞相容性测试的可生物吸收载体中,要么被注入受体椎间盘。通过对植入部位进行影像学检查以及组织学和免疫细胞化学检查来评估结果。
从15只动物获得了数据,植入物在动物体内留存长达33周。对植入细胞的免疫细胞学鉴定表明,在植入后长达8个月的时间点,它们整合到了椎间盘中并被正常基质所包围。植入细胞在纤维环中呈现梭形形态,在髓核中呈现圆形软骨细胞样形态。尽管在技术上具有挑战性,但作者的经验表明自体椎间盘细胞植入可以成功,并且沙鼠是自体椎间盘细胞研究的一种有价值的模型。