Dudics Valéria, Kunstár Aliz, Géher Pal, Gömör Béla, Hangody László, Uher F
Budai Irgalmasrendi Kórház, Reumatológiai Osztály, Budapest.
Orv Hetil. 2005 May 29;146(22):1201-8.
Articular cartilage damaged by disease or trauma has a limited capacity for regeneration. The end stage of cartilage loss frequently leads to osteoarthritis resulting in a significantly decreased quality of life in millions of people. The surgical treatment of articular cartilage injury has always posed difficult problems for orthopedic surgeons and regarding long-term outcomes the currently available methods are unsatisfactory. The main lack of the applied methods is the appearance of the mechanically inadequate resident fibrocartilage instead of hyalin cartilage in the place of the cartilage defect. To find reliable methods for early repair of cartilage injuries seems of huge importance. Using techniques of tissue engineering, artificial cartilage fabricated in vitro has been applied for the repair and regeneration of damaged cartilage. Mesenchymal stem cells provide a source of cells for the repair of musculoskeletal tissue. Mesenchymal stem cells are multipotent cells that are capable of differentiating into cartilage, tendon, muscle, cartilage or hematopoiesis supporting marrow stroma. To ensure the successful durable integration and function of the engineered tissue requires suitable biomechanical and biochemical circumstances, and poses the challenge of handling in vitro culture of human cells, cell biology and molecular biology.
因疾病或创伤受损的关节软骨再生能力有限。软骨缺失的终末期常常导致骨关节炎,致使数百万人的生活质量显著下降。关节软骨损伤的外科治疗一直是骨科医生面临的难题,就长期疗效而言,目前可用的方法并不令人满意。现有应用方法的主要不足在于,在软骨缺损处出现的是机械性能欠佳的纤维软骨,而非透明软骨。找到可靠的软骨损伤早期修复方法显得极为重要。利用组织工程技术,体外制造的人工软骨已被应用于受损软骨的修复与再生。间充质干细胞为肌肉骨骼组织的修复提供了细胞来源。间充质干细胞是多能细胞,能够分化为软骨、肌腱、肌肉、软骨或支持造血的骨髓基质。要确保工程组织成功持久地整合并发挥功能,需要合适的生物力学和生化环境,这也带来了处理人类细胞体外培养、细胞生物学和分子生物学方面的挑战。