MOE Key Laboratory of Macromolecular Synthesis and Functionalization, Department of Polymer Science and Engineering, Zhejiang University, Hangzhou 310027, China.
Biomaterials. 2010 Dec;31(34):8964-73. doi: 10.1016/j.biomaterials.2010.08.018. Epub 2010 Sep 6.
Poly(lactide-co-glycolide) (PLGA) sponge was filled with fibrin gel, bone marrow mesenchymal stem cells (BMSCs) and transforming growth factor-β1 (TGF-β1) to obtain a construct for cartilage restoration in vivo. The PLGA sponge lost its weight steadily in vitro, but degraded much faster in the construct of PLGA/fibrin gel/BMSCs implanted in the full-thickness cartilage defects. The in vivo degradation of the fibrin gel inside the construct was prolonged to 12 wk too. The CM-DiI labeled allogenic BMSCs were detectable after transplantation (implantation) into the defects for 12 wk by small animal in vivo fluorescence imaging and confocal laser scanning microscopy. In vivo repair experiments were firstly performed by implantation of the PLGA/fibrin gel/BMSCs and PLGA/BMSCs constructs into full-thickness cartilage defects (3 mm in diameter and 4 mm in depth) of New Zealand white rabbits for 12 wk. The defects implanted with the PLGA/fibrin gel/BMSCs constructs were filled with cartilage-like tissue containing collagen type II and glycosaminoglycans (GAGs), while those by the PLGA/BMSCs constructs were filled with fibrous-like tissues. To repair the defects of larger size (4 mm in diameter), addition of growth factors was mandatory as exemplified here by further loading of TGF-β1. Implantation of the PLGA/fibrin gel/BMSCs/TGF-β1 constructs into the full-thickness cartilage defects for 12 wk resulted in full restoration of the osteochondral tissue. The neo-cartilage integrated well with its surrounding cartilage and subchondral bone. Immunohistochemical and GAGs staining confirmed the similar distribution of collagen type II and GAGs in the regenerated cartilage as that of hyaline cartilage. The quantitative reverse transcription-polymerase chain reaction (qRT-PCR) revealed that the cartilage special genes were significantly up-regulated compared with those of the TGF-β1 absent constructs.
聚(丙交酯-乙交酯)(PLGA)海绵中填充纤维蛋白凝胶、骨髓间充质干细胞(BMSCs)和转化生长因子-β1(TGF-β1),以获得体内软骨修复的构建体。PLGA 海绵在体外稳定失重,但在植入全层软骨缺损的 PLGA/纤维蛋白凝胶/BMSCs 构建体中降解速度快得多。体内构建体中纤维蛋白凝胶的降解也延长至 12 周。CM-DiI 标记的同种异体 BMSCs 在移植(植入)到缺陷 12 周后可通过小动物体内荧光成像和共聚焦激光扫描显微镜检测到。首先通过将 PLGA/纤维蛋白凝胶/BMSCs 和 PLGA/BMSCs 构建体植入新西兰白兔全层软骨缺损(直径 3mm,深度 4mm)中进行体内修复实验,植入 PLGA/纤维蛋白凝胶/BMSCs 构建体的缺损充满了含有 II 型胶原和糖胺聚糖(GAGs)的软骨样组织,而植入 PLGA/BMSCs 构建体的缺损则充满了纤维样组织。为了修复更大尺寸(直径 4mm)的缺损,必须添加生长因子,例如这里进一步加载 TGF-β1。将 PLGA/纤维蛋白凝胶/BMSCs/TGF-β1 构建体植入全层软骨缺损 12 周后,可完全恢复骨软骨组织。新软骨与周围软骨和软骨下骨整合良好。免疫组织化学和 GAGs 染色证实,再生软骨中 II 型胶原和 GAGs 的分布与透明软骨相似。定量逆转录-聚合酶链反应(qRT-PCR)显示,与 TGF-β1 缺失的构建体相比,软骨特殊基因显著上调。
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