Pradel Winnie, Tenbieg Pia, Lauer Günter
Department of Oral and Maxillofacial Surgery, University Hospital Carl Gustav Carus Dresden, Technical University Dresden, Germany.
Int J Oral Maxillofac Implants. 2005 Nov-Dec;20(6):860-6.
Donor morbidity is minimized when tissue engineering is applied to produce osteogenic grafts by growing osteoblasts on biomaterials. However, limiting factors are the origin, proliferation, and differentiation of osteoblasts. Therefore, the aim of this study was to evaluate the efficacy of growing osteoblasts from different types of bone samples and to assess the influence of the donor site.
From 28 patients 37 bone specimens were obtained during removal of third molars in the maxilla and mandible. Seventeen specimens were bone chips and 20 were bone sludge. After subculturing primary cultures, histochemical and immunhistochemical tests (EZ4U test, BrdU labeling, ALP histochemistry, type I collagen immunohistochemistry, osteocalcin ELISA) were performed to determine cell proliferation, viability, and differentiation.
Both bone chips and bone sludge from the mandible and maxilla are suitable for culturing human osteoblastlike cells. However, bone chips were superior to bone sludge with respect to ability to grow cells, and maxillary bone was superior to mandibular bone in this regard. Harvesting technique had only little influence on the expression of cell differentiation markers (ALP, type I collagen, osteocalcin).
Chips from human membrane bone, especially from the maxilla, are suitable for culturing high numbers of differentiated osteoblastlike cells. These cells may be used to tissue engineer bone grafts, which may be used to enhance the implant placement site.
当应用组织工程技术通过在生物材料上培养成骨细胞来生产成骨移植物时,供体发病率可降至最低。然而,限制因素是成骨细胞的来源、增殖和分化。因此,本研究的目的是评估从不同类型骨样本中培养成骨细胞的效果,并评估供体部位的影响。
从28例患者在拔除上颌和下颌第三磨牙时获取37块骨标本。17块标本为骨屑,20块为骨泥。原代培养传代后,进行组织化学和免疫组织化学检测(EZ4U检测、BrdU标记、碱性磷酸酶组织化学、I型胶原免疫组织化学、骨钙素酶联免疫吸附测定)以确定细胞增殖、活力和分化情况。
来自下颌骨和上颌骨的骨屑和骨泥均适合培养人成骨样细胞。然而,在细胞生长能力方面,骨屑优于骨泥,在这方面上颌骨优于下颌骨。采集技术对细胞分化标志物(碱性磷酸酶、I型胶原、骨钙素)的表达影响很小。
人膜性骨的骨屑,尤其是上颌骨的骨屑,适合培养大量分化的成骨样细胞。这些细胞可用于骨移植物的组织工程,可用于改善种植体植入部位。