Wang Gang, Liu Yi, Shan Yu-xing
Department of Orthopedic Surgery, First Teaching Hospital of Jilin University, Changchun, Jilin, P. R. China 130021.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2004 Mar;18(2):96-9.
To study the influence of different mechanical environments on repair cartilage defect with marrow mesenchymal stem cells as seed cells.
The rabbit marrow mesenchymal stem cells were isolated and cultured. The cartilage defects were repaired by autologous tissue engineered cartilage with the marrow mesenchymal stem cells as seed cells. Fifteen rabbits with cartilage defect were divided into 3 groups: dislocation group with cell-free scaffold (control group), dislocation group with cartilaginous construct and normal mechanical environment group with cartilaginous construct. The repaired tissue was harvested and examined 6 weeks postoperatively.
The repair tissue in normal mechanical environment group with cartilaginous construct showed cartilage-like tissue in superficial layer and subchondral bone tissue in deep layer 6 weeks postoperatively. The defect was filled with bone tissue in dislocation group with cartilaginous construct 6 weeks postoperatively. The surrounding normal cartilage tissue showed vascular invasion from subchondral area and the concomitant thinning of the normal cartilage layer. The cartilaginous construct left in the femoral trochlea groove formed hyaline cartilage-like tissue. The defect was repaired by fibrous tissue in control group.
The repaired tissue by tissue engineered cartilage with marrow mesenchymal stem cells as seed cells showed the best result in normal mechanical environment group, which indicates that it will be essential for the formation and maintenance of tissue engineered cartilage to keep the normal mechanical stress stimulus.
研究不同力学环境对以骨髓间充质干细胞为种子细胞修复软骨缺损的影响。
分离培养兔骨髓间充质干细胞。以骨髓间充质干细胞为种子细胞,采用自体组织工程软骨修复软骨缺损。将15只软骨缺损兔分为3组:无细胞支架脱位组(对照组)、有软骨构建体脱位组和有软骨构建体正常力学环境组。术后6周取出修复组织进行检测。
术后6周,有软骨构建体正常力学环境组的修复组织表层显示为软骨样组织,深层为软骨下骨组织。术后6周,有软骨构建体脱位组的缺损处被骨组织填充。周围正常软骨组织显示从软骨下区域有血管侵入,同时正常软骨层变薄。留在股骨滑车沟内的软骨构建体形成透明软骨样组织。对照组缺损由纤维组织修复。
以骨髓间充质干细胞为种子细胞的组织工程软骨修复组织在正常力学环境组效果最佳,这表明保持正常力学应力刺激对组织工程软骨的形成和维持至关重要。