Shikani Alan H, Fink David J, Sohrabi Afshin, Phan Phong, Polotsky Anna, Hungerford David S, Frondoza Carmelita G
Department of Otolaryngology, Johns Hopkins University, Baltimore, Maryland, USA.
Am J Rhinol. 2004 Mar-Apr;18(2):105-12.
The aim of this study was to test the effectiveness of nasal septal chondrocytes, propagated in microcarrier spinner culture, as an alternative tissue source of chondrocytic cells for cartilage grafts for head and neck surgery and for articular cartilage repair.
We harvested chondrocytes from 159 patients, ranging in age from 15 to 80 years and undergoing repair of a deviated nasal septum, and propagated the cells in a microcarrier spinner culture system. The nasal chondrocytes proliferated and produced extracellular matrix components similar to that produced by articular chondrocytes.
In microcarrier spinner culture on collagen beads, chondrocyte numbers increased up to 14-fold in 2 weeks. After a month, the microcarriers seeded with nasal chondrocytes began to aggregate, producing a dense cartilage-like material. The newly synthesized extracellular matrix was rich in high molecular weight proteoglycans, and the chondrocytes expressed type II collagen and aggrecan but not type I collagen.
These studies support the feasibility of engineering cartilage tissue using chondrocytes harvested from the nasal septum. Injectable and solid formulations based on this technology are being evaluated for applications in craniomaxillofacial reconstructive surgery and for plastic and orthopedic surgery practices.
本研究旨在测试在微载体旋转培养中增殖的鼻中隔软骨细胞,作为头颈部手术软骨移植和关节软骨修复的软骨细胞替代组织来源的有效性。
我们从159例年龄在15至80岁之间且正在接受鼻中隔偏曲修复的患者身上采集软骨细胞,并在微载体旋转培养系统中增殖这些细胞。鼻软骨细胞增殖并产生与关节软骨细胞产生的细胞外基质成分相似的成分。
在胶原珠上的微载体旋转培养中,软骨细胞数量在2周内增加了14倍。1个月后,接种有鼻软骨细胞的微载体开始聚集,产生一种致密的软骨样物质。新合成的细胞外基质富含高分子量蛋白聚糖,软骨细胞表达II型胶原蛋白和聚集蛋白聚糖,但不表达I型胶原蛋白。
这些研究支持了使用从鼻中隔采集的软骨细胞构建软骨组织的可行性。基于该技术的可注射和固体制剂正在评估其在颅颌面重建手术以及整形和矫形外科手术中的应用。