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[胺化组织工程骨锚定肽修复大鼠股骨缺损的成骨作用]

[Osteogenic effect of peptides anchored aminated tissue engineered bone for repairing femoral defect in rats].

作者信息

Xu Zixing, Chen Jianting, Xu Weihong, Zhu Xia, Wang Changsheng, Luo Hongbin, Li Guishuang, Chen Rongsheng

机构信息

Department of Spinal Surgery, the First Affiliated Hospital of Fujian Medical University, Fuzhou Fujian, 350005, P.R.China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013 May;27(5):520-8.

Abstract

OBJECTIVE

To study the osteogenic effects of a new type of peptides anchored aminated-poly-D, L-lactide acid (PA/PDLLA) scaffold in repairing femoral defect in rats.

METHODS

The PDLLA scaffolds were treated by ammonia plasma and subsequent anchor of Gly-Arg-Gly-Asp-Ser (GRGDS) peptides via amide linkage formation. Thus PA/PDLLA scaffolds were prepared. The bone marrow was harvested from the femur and tibia of 4 4-week-old Sprague Dawley (SD) rats, and bone marrow mesenchymal stem cells (BMSCs) were isolated and cultured by whole bone marrow adherence method. BMSCs-scaffold composites were prepared by seeding osteogenic-induced BMSCs at passages 3-6 on the PA/PDLLA and PDLLA scaffolds. The right femoral defects of 8 mm in length were prepared in 45 adult male SD rats (weighing, 350-500 g) and the rats were divided into 3 groups (n=15) randomly. BMSCs-PA/PDLLA (PA/PDLLA group) or BMSCs-PDLLA (PDLLA group) composites were used to repair defects respectively, while defects were not treated as blank control (blank control group). General state of the rats after operation was observed. At 4, 8, and 12 weeks after operation, general, radiological, histological, micro-CT observations and real-time fluorescent quantitative PCR were performed.

RESULTS

Two rats died after operation, which was added; the other rats survived to the end of the experiment. At each time point after operation, general and radiological observations showed more quick and obvious restoration in PA/PDLLA group than in PDLLA group; no bone repair was observed in blank control group. The X-ray scores were the highest in PA/PDLLA group, higher in PDLLA group, and the lowest in blank control group; showing significant difference in multiple comparison at the other time (P < 0.05) except between blank control group and PDLLA group at 4 weeks (P > 0.05). The X-ray scores showed an increasing trend in PDLLA group and PA/PDLLA group with time (P < 0.05). Histological and micro-CT observations showed the best osteogenesis in PA/PDLLA group, better in PDLLA group, and worst in blank control group. Comparison between groups had significant differences (P < 0.05) in bone mineral density, bone volume/total volume of range of interest, trabecular number, and structure model index. Significant differences (P < 0.05) were found in the expression levels of osteogenesis-related genes, such as osteocalcin, alkaline phosphatase, collagen type I, bone morphogenetic protein 2, and osteopontin when compared PA/PDLLA group with the other groups by real-time fluorescent quantitative PCR analysis.

CONCLUSION

The PA/PDLLA scaffolds can accelerate the repair of femoral defects in rats.

摘要

目的

研究新型锚定甘氨酰-精氨酰-甘氨酰-天冬氨酰-丝氨酸(GRGDS)肽的胺化聚-D,L-乳酸(PA/PDLLA)支架修复大鼠股骨缺损的成骨作用。

方法

通过氨等离子体处理聚-D,L-乳酸(PDLLA)支架,并通过酰胺键形成随后锚定GRGDS肽,从而制备PA/PDLLA支架。从4只4周龄的Sprague Dawley(SD)大鼠的股骨和胫骨中采集骨髓,采用全骨髓贴壁法分离培养骨髓间充质干细胞(BMSCs)。将第3-6代成骨诱导的BMSCs接种于PA/PDLLA和PDLLA支架上制备BMSCs-支架复合物。在45只成年雄性SD大鼠(体重350-500 g)中制备长度为8 mm的右侧股骨缺损,并将大鼠随机分为3组(n=15)。分别用BMSCs-PA/PDLLA(PA/PDLLA组)或BMSCs-PDLLA(PDLLA组)复合物修复缺损,而缺损未处理作为空白对照(空白对照组)。观察术后大鼠的一般状态。在术后4、8和12周,进行大体、放射学、组织学、显微CT观察和实时荧光定量PCR检测。

结果

术后有2只大鼠死亡并予以补充;其余大鼠存活至实验结束。术后各时间点,大体和放射学观察显示PA/PDLLA组比PDLLA组修复更快、更明显;空白对照组未观察到骨修复。X线评分PA/PDLLA组最高,PDLLA组较高,空白对照组最低;除4周时空白对照组与PDLLA组之间差异无统计学意义(P>0.05)外,其他时间点多组比较差异有统计学意义(P<0.05)。X线评分在PDLLA组和PA/PDLLA组随时间呈上升趋势(P<0.05)。组织学和显微CT观察显示PA/PDLLA组成骨最佳,PDLLA组次之,空白对照组最差。组间比较在骨密度、感兴趣区域骨体积/总体积、骨小梁数量和结构模型指数方面有显著差异(P<0.05)。通过实时荧光定量PCR分析比较PA/PDLLA组与其他组时,在骨钙素、碱性磷酸酶I型胶原、骨形态发生蛋白2和骨桥蛋白等成骨相关基因的表达水平上发现有显著差异(P<0.05)。

结论

PA/PDLLA支架可加速大鼠股骨缺损的修复。

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