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使用混合快速成型聚乳酸-乙醇酸共聚物/β-磷酸三钙I型胶原/磷灰石支架和骨髓间充质干细胞修复兔骨缺损

Bony defect repair in rabbit using hybrid rapid prototyping polylactic-co-glycolic acid/β-tricalciumphosphate collagen I/apatite scaffold and bone marrow mesenchymal stem cells.

作者信息

Pang Long, Hao Wei, Jiang Ming, Huang Jianguo, Yan Yongnian, Hu Yunyu

机构信息

The Third Department of Orthopaedics, Affiliated Hospital of Ningxia Medical University, Yin Chuan, Ningxia, P. R. China.

出版信息

Indian J Orthop. 2013 Jul;47(4):388-94. doi: 10.4103/0019-5413.114927.

Abstract

BACKGROUND

In bone tissue engineering, extracellular matrix exerts critical influence on cellular interaction with porous biomaterial and the apatite playing an important role in the bonding process of biomaterial to bone tissue. The aim of this study was to observe the therapeutic effects of hybrid rapid prototyping (RP) scaffolds comprising polylactic-co-glycolic acid (PLGA), β-tricalciumphosphate (β-TCP), collagen I and apatite (PLGA/β-TCP-collagen I/apatite) on segmental bone defects in conjunction with combination with bone marrow mesenchymal stem cells (BMSCs).

MATERIALS AND METHODS

BMSCs were seeded into the hybrid RP scaffolds to repair 15 mm defect in the radius of rabbits. Radiograph, microcomputed tomography and histology were used to evaluate new bone formation.

RESULTS

Radiographic analysis done from 12 to 36 weeks postoperative period demonstrated that new bone formed at the radial defect site and continues to increase until the medullary cavity is recanalized and remodelling is complete. The bone defect remained unconnected in the original RP scaffolds (PLGA/β-TCP) during the whole study. Histological observations conformed to the radiographic images. In hybrid RP scaffold group, woven bone united the radial defect at 12 weeks and consecutively remodeled into lamellar bone 24 weeks postoperation and finally matured into cortical bone with normal marrow cavity after another 12 weeks. No bone formation but connective tissue has been detected in RP scaffold at the same time.

CONCLUSION

Collagen I/apatite sponge composite coating could improve new bone formation in vivo. The hybrid RP scaffold of PLGA/β-TCP skeleton with collagen I/apatite sponge composite coating is a promising candidate for bone tissue engineering.

摘要

背景

在骨组织工程中,细胞外基质对细胞与多孔生物材料的相互作用具有关键影响,并且磷灰石在生物材料与骨组织的结合过程中发挥着重要作用。本研究的目的是观察由聚乳酸 - 乙醇酸共聚物(PLGA)、β - 磷酸三钙(β - TCP)、I型胶原蛋白和磷灰石组成的混合快速成型(RP)支架(PLGA/β - TCP - 胶原蛋白I/磷灰石)联合骨髓间充质干细胞(BMSC)对兔桡骨节段性骨缺损的治疗效果。

材料与方法

将BMSC接种到混合RP支架中以修复兔桡骨15毫米的缺损。通过X线片、显微计算机断层扫描和组织学评估新骨形成情况。

结果

术后12至36周的X线分析表明,桡骨缺损部位形成了新骨,并且新骨持续增加,直至髓腔再通且重塑完成。在整个研究过程中,原始RP支架(PLGA/β - TCP)中的骨缺损一直未连接。组织学观察结果与X线图像相符。在混合RP支架组中,术后12周编织骨连接了桡骨缺损,术后24周连续重塑为板层骨,再过12周最终成熟为具有正常骨髓腔的皮质骨。与此同时,在RP支架中未检测到骨形成,仅发现结缔组织。

结论

I型胶原蛋白/磷灰石海绵复合涂层可促进体内新骨形成。具有I型胶原蛋白/磷灰石海绵复合涂层的PLGA/β - TCP骨架混合RP支架是骨组织工程中有前景的候选材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d6b/3745694/dceeed3798d6/IJOrtho-47-388-g001.jpg

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