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骨赘——软骨细胞移植的另一种来源?

Osteophytes--an alternative source of chondrocytes for transplantation?

作者信息

Alonge Temitope O, Rooney Paul, Oni Olusola O

机构信息

Department of Surgery, College of Medicine, University of Ibadan, University College Hospital, Ibadan, Nigeria.

出版信息

West Afr J Med. 2004 Jul-Sep;23(3):224-7. doi: 10.4314/wajm.v23i3.28126.

Abstract

OBJECTIVE

The aim of this research was to evaluate the possibility of using osteophyte-derived chondrocytes for autologous chondrocyte implantation by comparing the behaviour of these chondrocytes with that of normal articular cartilage-derived chondrocytes in monolayer culture.

MATERIALS AND METHODS

The scrapings from the cartilage mantle of osteophytes harvested during routine total knee replacement for osteoarthritis were enzymatically digested and grown in monolayer culture. Articular cartilage scrapings obtained from visually normal area of the femoral condyle (usually from the posterior cuts) were also enzymatically digested as for the cartilage from the osteophytes. The behaviours of these two sets of chondrocytes were evaluated in monolayer culture, by their gross appearance, matrix protein elaborated and collagen types with the articular cartilage-derived chondrocytes acting as controls.

RESULTS

Osteophyte-derived chondrocytes confluenced earlier than normal articular cartilage-derived chondrocytes. The osteophyte-derived chondrocytes elaborated cartilaginous matrix as evidenced by positive staining for Toluidine blue and the cells were immunoreactive positive for collagen types I, II and III.

CONCLUSION

Osteophyte-derived chondrocytes are similar to normal articular cartilage-derived chondrocytes in monolayer culture. Since osteophytes are expendable tissues and often found in association with full thickness articular cartilage defects, they may provide an alternative source of chondrocytes for transplantation in cases where autologous chondrocyte transplantation (implantation) is embarked upon.

摘要

目的

本研究旨在通过比较骨赘来源的软骨细胞与正常关节软骨来源的软骨细胞在单层培养中的行为,评估将骨赘来源的软骨细胞用于自体软骨细胞移植的可能性。

材料与方法

在骨关节炎患者进行常规全膝关节置换手术时采集的骨赘软骨膜刮片,经酶消化后进行单层培养。从股骨髁视觉上正常区域(通常取自后方切口)获取的关节软骨刮片,也按照处理骨赘软骨的方式进行酶消化。以关节软骨来源的软骨细胞为对照,通过大体外观、分泌的基质蛋白和胶原类型,在单层培养中评估这两组软骨细胞的行为。

结果

骨赘来源的软骨细胞比正常关节软骨来源的软骨细胞更早汇合。骨赘来源的软骨细胞分泌软骨基质,甲苯胺蓝染色呈阳性,且细胞对I型、II型和III型胶原免疫反应呈阳性。

结论

在单层培养中,骨赘来源的软骨细胞与正常关节软骨来源的软骨细胞相似。由于骨赘是可消耗组织,且常与全层关节软骨缺损相关,在进行自体软骨细胞移植的情况下,它们可能为移植提供一种替代的软骨细胞来源。

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