Department of Orthopaedics and Rheumatology, University of Marburg, Baldingerstrasse, 35043 Marburg, Germany.
Biomed Eng Online. 2010 Feb 17;9:9. doi: 10.1186/1475-925X-9-9.
Rotator cuff tears are a common and frequent lesion especially in older patients. The mechanisms of tendon repair are not fully understood. Common therapy options for tendon repair include mini-open or arthroscopic surgery. The use of growth factors in experimental studies is mentioned in the literature. Nanofiber scaffolds, which provide several criteria for the healing process, might be a suitable therapy option for operative treatment. The aim of this study was to explore the effects of nanofiber scaffolds on human tendon derived fibroblasts (TDF's), as well as the gene expression and matrix deposition of these fibroblasts.
Nanofibers composed of PLLA and PLLA/Col-I were seeded with human tendon derived fibroblasts and cultivated over a period of 22 days under growth-inductive conditions, and analyzed during the course of culture, with respect to gene expression of different extra cellular matrix components such as collagens, bigylcan and decorin. Furthermore, we measured cell densities and proliferation by using fluorescence microscopy.
PLLA nanofibers possessed a growth inhibitory effect on TDF's. Furthermore, no meaningful influence on the gene expression of collagen I, collagen III and decorin could be observed, while the expression of collagen X increased during the course of cultivation. On the other hand, PLLA/Col-I blend nanofibers had no negative influence on the growth of TDF's. Furthermore, blending PLLA nanofibers with collagen had a positive effect on the gene expression of collagen I, III, X and decorin. Here, gene expression indicated that focal adherence kinases might be involved.
This study indicates that the use of nanofibers influence expression of genes associated with the extra cellular matrix formation. The composition of the nanofibers plays a critical role. While PLLA/Col-I blend nanofibers enhance the collagen I and III formation, their expression on PLLA nanofibers was more comparable to controls. However, irrespective of the chemical composition of the fibres, the collagen deposition was altered, an effect which might be associated with a decreased expression of biglycanes.
肩袖撕裂是一种常见且频繁发生的损伤,尤其是在老年患者中。肌腱修复的机制尚未完全明了。肌腱修复的常见治疗选择包括微创或关节镜手术。文献中提到了在实验研究中使用生长因子。纳米纤维支架为愈合过程提供了多个标准,可能是手术治疗的一种合适的治疗选择。本研究旨在探讨纳米纤维支架对人肌腱衍生成纤维细胞(TDF)的影响,以及这些成纤维细胞的基因表达和基质沉积。
将 PLLA 和 PLLA/Col-I 组成的纳米纤维接种到人肌腱衍生的成纤维细胞上,并在生长诱导条件下培养 22 天,在培养过程中分析不同细胞外基质成分(如胶原蛋白、聚糖和decorin)的基因表达。此外,我们还通过荧光显微镜测量细胞密度和增殖。
PLLA 纳米纤维对 TDF 具有生长抑制作用。此外,在培养过程中,胶原蛋白 I、胶原蛋白 III 和 decorin 的基因表达没有明显影响,而胶原蛋白 X 的表达增加。另一方面,PLLA/Col-I 共混纳米纤维对 TDF 的生长没有负面影响。此外,将 PLLA 纳米纤维与胶原蛋白共混对胶原蛋白 I、III、X 和 decorin 的基因表达有积极影响。在这里,基因表达表明粘着斑激酶可能参与其中。
本研究表明,纳米纤维的使用会影响与细胞外基质形成相关的基因表达。纳米纤维的组成起着关键作用。虽然 PLLA/Col-I 共混纳米纤维增强了胶原蛋白 I 和 III 的形成,但它们在 PLLA 纳米纤维上的表达更类似于对照。然而,无论纤维的化学成分如何,胶原蛋白的沉积都发生了改变,这种改变可能与聚糖的表达减少有关。