Komura Makoto, Komura Hiroko, Kanamori Yutaka, Tanaka Yujirou, Suzuki Kan, Sugiyama Masahiko, Nakahara Saori, Kawashima Hiroshi, Hatanaka Akira, Hoshi Kazuto, Ikada Yosihito, Tabata Yasuhiko, Iwanaka Tadashi
Department of Pediatric Surgery Graduate School of Medicine, University of Tokyo, Tokyo 113-8655, Japan.
J Pediatr Surg. 2008 Dec;43(12):2141-6. doi: 10.1016/j.jpedsurg.2008.08.038.
We have designed an engineered graft fabricated from a biodegradable scaffold using chondrocytes and applied this construct to augment repair of tracheal stenosis. This study investigated the feasibility of using such tissue-engineered airways with autologous chondrocytes in a rabbit model.
Chondrocytes were isolated and expanded from the auricular cartilage of New Zealand white rabbits, then seeded onto composite 3-layer scaffolds consisting of a collagen sheet, a polyglycolic acid mesh, and a copolymer (l-lactide/epsilon-caprolactone) coarse mesh. The engineered grafts were implanted into a 0.5 x 0.8-cm defect created in the midventral portion of the cervical trachea. Gelatin sponges that slowly released basic fibroblast growth factor (b-FGF) were then placed on the constructs, which were retrieved 1 or 3 months after implantation.
The biodegradable scaffold seeded with chondrocytes could maintain airway structure up to 3 months after implantation. Tracheal epithelial regeneration occurred in the internal lumen of this composite scaffold. Three months after implantation, staining of the sections showed cartilage accumulation in the engineered tracheal wall.
This composite biodegradable scaffold may be useful for developing engineered trachea. A gelatin sponge slowly releasing b-FGF might enhance chondrogenesis.
我们设计了一种由可生物降解支架和软骨细胞制成的工程移植物,并将其应用于增强气管狭窄的修复。本研究在兔模型中探讨了使用这种含自体软骨细胞的组织工程气道的可行性。
从新西兰白兔的耳廓软骨中分离并扩增软骨细胞,然后将其接种到由胶原片、聚乙醇酸网和共聚物(左旋丙交酯/ε-己内酯)粗网组成的复合三层支架上。将工程移植物植入颈段气管腹侧中部形成的0.5×0.8厘米的缺损处。然后将缓慢释放碱性成纤维细胞生长因子(b-FGF)的明胶海绵放置在构建物上,在植入后1或3个月取出。
接种软骨细胞的可生物降解支架在植入后3个月内可维持气道结构。该复合支架的内腔发生了气管上皮再生。植入3个月后,切片染色显示工程化气管壁中有软骨堆积。
这种复合可生物降解支架可能有助于开发工程化气管。缓慢释放b-FGF的明胶海绵可能会增强软骨形成。