Hokugo Akishige, Ozeki Makoto, Kawakami Osamu, Sugimoto Keisuke, Mushimoto Kozo, Morita Shosuke, Tabata Yasuhiko
Department of Biomaterials, Field of Tissue Engineering, Institute for Frontier Medical Sciences, Kyoto University, Japan.
Tissue Eng. 2005 Jul-Aug;11(7-8):1224-33. doi: 10.1089/ten.2005.11.1224.
This study investigates the ability of platelet-rich plasma (PRP) combined with biomaterials to enhance in vivo bone-repairing activity. A biodegradable hydrogel was prepared from gelatin, which has an affinity for various growth factors. Rabbit PRP was conventionally prepared by blood centrifugation and dropped onto freeze-dried gelatin hydrogel to obtain gelatin hydrogel incorporating PRP. Gelatin hydrogel incorporating PRP was applied to a bone defect of rabbit ulna to evaluate bone formation at the defect in terms of soft X-ray and histological examinations. As controls, fibrin incorporating PRP, empty gelatin hydrogel, and free PRP were applied to the defect; in addition, defect without any application was examined. Successful bone regeneration was observed at bone defect treated with gelatin hydrogel incorporating PRP, in marked contrast to the control groups. When in contact with gelatin, growth factors, such as platelet-derived growth factor and transforming growth factor beta(1), were released from the PRP. PRP growth factors are immobilized in the hydrogel through physicochemical interaction with gelatin molecules. The immobilized growth factors are released from the hydrogel in concert with hydrogel degradation. It is likely that the gelatin hydrogel permitted the controlled release of bioactive growth factors, resulting in factor-induced promotion of bone regeneration.
本研究探讨富血小板血浆(PRP)与生物材料相结合增强体内骨修复活性的能力。由对多种生长因子具有亲和力的明胶制备了一种可生物降解的水凝胶。兔PRP通过血液离心常规制备,并滴加到冻干的明胶水凝胶上,以获得含有PRP的明胶水凝胶。将含有PRP的明胶水凝胶应用于兔尺骨的骨缺损处,通过软X射线和组织学检查评估缺损处的骨形成情况。作为对照,将含有PRP的纤维蛋白、空白明胶水凝胶和游离PRP应用于缺损处;此外,还检查了未进行任何处理的缺损处。在用含有PRP的明胶水凝胶处理的骨缺损处观察到了成功的骨再生,这与对照组形成了显著对比。当与明胶接触时,血小板衍生生长因子和转化生长因子β(1)等生长因子从PRP中释放出来。PRP生长因子通过与明胶分子的物理化学相互作用固定在水凝胶中。固定的生长因子随着水凝胶的降解而从水凝胶中释放出来。明胶水凝胶可能允许生物活性生长因子的控释,从而导致因子诱导的骨再生促进作用。