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[乌贼骨-骨形态发生蛋白复合材料对大鼠骨缺损成骨及血管化的影响]

[Effects of cuttlefish bone-bone morphogenetic protein composite material on osteogenesis and revascularization of bone defect in rats].

作者信息

Liu Yuan, Yu Jiang, Bai Jie, Gu Jin-song, Cai Bin, Zhou Xia

机构信息

Department of Burns and Plastic Surgery, the Second People's Hospital of Lianyungang, Lianyungang 222000, China.

Department of Burns and Plastic Surgery, the Second People's Hospital of Lianyungang, Lianyungang 222000, China. Email:

出版信息

Zhonghua Shao Shang Za Zhi. 2013 Dec;29(6):548-53.

PMID:24495643
Abstract

OBJECTIVE

To study the effects of cuttlefish bone-bone morphogenetic protein (BMP) composite material on osteogenesis and revascularization of bone defect in rats.

METHODS

The cuttlefish bone was formed into cylinder with the diameter of about 5 mm and height of about 2 mm after the shell was removed, and then it was soaked in the recombinant human BMP 2 to make a cuttlefish bone-BMP (CBB) composite material. Thirty SD rats, with a defect of skull in every rat, were divided into the CBB and pure cuttlefish bone (PCB) groups according to the random number table, with 15 rats in each group. The rats in the group CBB and group PCB were transplanted with the corresponding material to repair the skull defect. At post transplantation week (PTW) 4, 6, and 8, 5 rats from every group were sacrificed by exsanguination, and ink perfusion was performed. One day later, all the transplants and part of the skull surrounding the defect were harvested, and general observation was conducted at the same time. The specimens were paraffin sectioned for HE staining and Masson staining. The area of microvessel and the area of newborn bone were observed and analyzed through histopathological techniques and image collection system. Data were processed with the analysis of variance of factorial design and LSD test. The correlation between the area of microvessel and the area of newborn bone of the group CBB was analyzed with Pearson correlation analysis.

RESULTS

(1) The general observation of the transplant region showed that the transplants were encapsulated by a capsule of fibrous connective tissue. The texture of capsule was soft and relatively thick at PTW 4. The texture was tenacious and thin, but rather compact at PTW 6 and 8. The transplants became gelatinous at PTW 4, and similar to the cartilage tissue at PTW 6 and 8. (2) Histological observation showed that the structure of the transplants in two groups was damaged at PTW 4. A moderate quantity of inflammatory cell infiltration could be observed. The amounts of the primary bone trabeculae and microvessels in group CBB were more abundant than those of group PCB, while the number of osteoclasts was less than those of group PCB. At PTW 6, the inflammatory cell infiltration in the transplants in both groups decreased obviously, the cuttlefish bone was found to be further degraded, and the number of newborn microvessels was increased. There were mature bone trabeculae around the transplants in both groups. And there were also mature bone trabeculae in the degraded CBB in group CBB. At PTW 8, the inflammatory reaction in the transplants in both groups disappeared; there were more mature bone trabeculae; the structure of the cuttlefish bone was found to be damaged basically. Bone trabeculae in group PCB were found around the transplant, while the bone trabeculae could be observed not only around the transplant but also in the degraded CBB in group CBB. The amount of the microvessels in group CBB was still larger than that of group PCB. (3) From PTW 4 to 8, the area of microvessel in group CBB [(63 ± 4), ( 136 ± 36), ( 347 ± 31) µm(2)] was larger than that in group PCB [(44 ± 7), (73 ± 4), (268 ± 42) µm(2), P < 0.05 or P < 0.01]. From PTW 4 to 8, the area of newborn bone in group CBB [(236 ± 26), (339 ± 42), (553 ± 40) µm(2)] was larger than that in group PCB [(137 ± 15), (243 ± 21), (445 ± 29) µm(2), with P values all below 0.01]. (4) The relation between the area of microvessel and the area of newborn bone was significantly positive (r = 0.948, P = 0.001).

CONCLUSIONS

The CBB may exert good effect on osteogenesis and vascularization of rats with bone defect. It is a good three dimensional scaffold in bone tissue engineering.

摘要

目的

研究乌贼骨 - 骨形态发生蛋白(BMP)复合材料对大鼠骨缺损成骨及血管化的影响。

方法

去除乌贼骨外壳后制成直径约5 mm、高约2 mm的圆柱体,然后将其浸泡于重组人BMP 2中制成乌贼骨 - BMP(CBB)复合材料。30只SD大鼠,每只大鼠均有颅骨缺损,按随机数字表法分为CBB组和单纯乌贼骨(PCB)组,每组15只。CBB组和PCB组大鼠分别移植相应材料修复颅骨缺损。于移植后第4、6、8周,每组各处死5只大鼠,行墨汁灌注。1天后,取出所有移植物及缺损周围部分颅骨,同时进行大体观察。标本经石蜡切片后行HE染色和Masson染色。通过组织病理学技术和图像采集系统观察并分析微血管面积和新生骨面积。数据采用析因设计方差分析和LSD检验进行处理。对CBB组微血管面积和新生骨面积的相关性采用Pearson相关分析。

结果

(1)移植区大体观察显示,移植物被纤维结缔组织包膜包裹。第4周时包膜质地柔软且较厚。第6周和第8周时质地坚韧且薄,但较为致密。第4周时移植物变为凝胶状,第6周和第8周时类似软骨组织。(2)组织学观察显示,两组移植物结构在第4周时均受损,可见中等量炎性细胞浸润。CBB组初级骨小梁和微血管数量比PCB组多,而破骨细胞数量比PCB组少。第6周时,两组移植物中炎性细胞浸润明显减少,乌贼骨进一步降解,新生微血管数量增加。两组移植物周围均有成熟骨小梁。CBB组降解的CBB中也有成熟骨小梁。第8周时,两组移植物中的炎症反应消失;有更多成熟骨小梁;乌贼骨结构基本破坏。PCB组移植物周围有骨小梁,而CBB组不仅移植物周围有骨小梁,降解的CBB中也可见骨小梁。CBB组微血管数量仍多于PCB组。(3)从第4周到第8周 , CBB组微血管面积[(63±4)、(136±36)、(347±31)μm²]大于PCB组[(44±7)、(73±4)、(268±4)μm²,P<0.05或P<0.01]。从第4周到第8周,CBB组新生骨面积[(236±26)、(339±42)、(553±40)μm²]大于PCB组[(137±15)、(243±21)、(445±29)μm²,P值均<0.01]。(4)微血管面积与新生骨面积呈显著正相关(r = 0.948,P = 0.001)。

结论

CBB对大鼠骨缺损的成骨和血管化可能有良好作用。它是骨组织工程中一种良好的三维支架材料。

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