Cohen Ilan, Melamed Eitan, Robinson Dror, Nevo Zvi
Department of Orthopaedic Surgery, Rabin Medical Center, The Golda Campus, Petah-Tikva, Israel.
Arch Orthop Trauma Surg. 2007 Nov;127(9):763-8. doi: 10.1007/s00402-006-0204-8. Epub 2006 Aug 8.
The potential of fresh whole chick epiphyses of embryonic origin to serve as implant material for cartilage defects of aged chicken was tested.
Fresh epiphyses of 11-day-old embryos were collected from 24 animals and transplanted into defects created in the weight-bearing areas of tibiotarsal joint cartilage of 2-year-old chicks. Upon sacrifice, samples were examined macroscopically and microsections were prepared for histology.
Macroscopically, control defects remained empty at all the time intervals. Defects of the experimental group were, on the other hand, filled with cartilaginous tissue as early as 2 weeks posttransplantation, although individual epiphyses could still be noted in the implant tissue. At 4 weeks and later, defects were filled with cartilaginous material indistinguishable from hyaline cartilage. Histologically, all grafts remained within the defect's pits, showing mitotic and metabolic activity typical to proliferating hyaline cartilage. The engrafted epiphyses showed a partial incorporation and integration with the surrounding host tissues already at 2 weeks. At 4 weeks and later, the integration was complete.
It is concluded that a chick embryonic epiphyseal cartilage is suitable as a graft source for articular cartilage transplantation. The embryonic epiphyses provide immediate inherent stability to the graft and supply a good mix of mesenchymal progenitor cells responsible for the high rate of cell proliferation and adhesion to the differentiated committed chondrocytes of the host that create the typical favorable chondrogenic milieu. Based on the present findings, it is postulated that human embryonic epiphyses may, in the future, represent an alternative source to the commonly used techniques of hyaline cartilage repair.
测试了源自胚胎的新鲜完整鸡骨骺作为老年鸡软骨缺损植入材料的潜力。
从24只动物中收集11日龄胚胎的新鲜骨骺,并将其移植到2岁雏鸡胫跗关节软骨负重区域所形成的缺损处。处死后,对样本进行宏观检查,并制备组织切片用于组织学分析。
宏观上,在所有时间间隔内,对照缺损始终为空。另一方面,实验组的缺损在移植后2周时就已被软骨组织填充,尽管在植入组织中仍可观察到单个骨骺。在4周及之后,缺损被与透明软骨难以区分的软骨材料填充。组织学上,所有移植物都保留在缺损凹陷内,表现出增殖透明软骨典型的有丝分裂和代谢活性。植入的骨骺在2周时就已与周围宿主组织部分融合并整合。在4周及之后,整合完成。
得出结论,鸡胚胎骨骺软骨适合作为关节软骨移植的移植物来源。胚胎骨骺为移植物提供了即时的固有稳定性,并提供了良好的间充质祖细胞组合,这些细胞负责高细胞增殖率以及与宿主分化成熟软骨细胞的黏附,从而形成典型的有利软骨形成环境。基于目前的研究结果,推测人类胚胎骨骺在未来可能成为常用透明软骨修复技术的替代来源。