Nakasa Tomoyuki, Ochi Mitsuo
Department of Orthopaedic Surgery, Hiroshima University, Japan.
Clin Calcium. 2011 Jun;21(6):890-5.
Articular cartilage has the poor capacity for cartilage regeneration, which lead to develop osteoarthritis when cartilage injury occurs. Autologous chondrocyte implantation using three dimensional culture within atelocollagen gel has obtained good clinical results for articular cartilage injury. However, there are two concerns associated with this technique : the number of harvested chondrocyte is limited and arthrotomy is required for implantation of tissue-engineered cartilage. To improve the cell-based articular cartilage treatment, the use of other cell source such as mesenchymal stem cells, and development of less invasive and more efficient cell delivery system should be needed. Translational research will has more and more important implication for clinical application of articular cartilage repair.
关节软骨的软骨再生能力较差,软骨损伤时会导致骨关节炎的发生。在脱细胞胶原蛋白凝胶中进行三维培养的自体软骨细胞移植治疗关节软骨损伤已取得了良好的临床效果。然而,该技术存在两个问题:收获的软骨细胞数量有限,且植入组织工程软骨需要进行关节切开术。为了改进基于细胞的关节软骨治疗方法,需要使用其他细胞来源,如间充质干细胞,并开发侵入性更小、效率更高的细胞递送系统。转化研究对关节软骨修复的临床应用将具有越来越重要的意义。