Shim Jin-Hyung, Kim Se Eun, Park Ju Young, Kundu Joydip, Kim Sung Won, Kang Seong Soo, Cho Dong-Woo
1 Department of Mechanical Engineering, Korea Polytechnic University , Siheung, South Korea .
Tissue Eng Part A. 2014 Jul;20(13-14):1980-92. doi: 10.1089/ten.TEA.2013.0513. Epub 2014 Mar 21.
In this study, recombinant human bone morphogenetic protein-2 (rhBMP-2) delivery system with slow mode was successfully developed in three-dimensional (3D) printing-based polycaprolactone (PCL)/poly(lactic-co-glycolic acid) (PLGA) scaffolds for bone formation of critical-sized rabbit segmental diaphyseal defect. To control the delivery of the rhBMP-2, collagen (for long-term delivery up to 28 days) and gelatin (for shor-term delivery within a week) solutions encapsulating rhBMP-2 were dispensed into a hollow cylinderical type of PCL/PLGA scaffold. An effective dose of 5μg/mL was determined by measuring the alkaline phosphatase and osteocalcin gene expression levels of human nasal inferior turbinate-derived mesenchymal stromal cells (hTMSCs) seeded on the PCL/PLGA/collagen scaffold in vitro. However, it was found that a burst release of rhBMP-2 from the PCL/PLGA/gelatin scaffold did not induce the osteogenic differentiation of hTMSCs in vitro at an equivalent dose. In the in vivo animal experiements, microcomputed tomography and histological analyses confirmed that PCL/PLGA/collagen/rhBMP-2 scaffolds (long-term delivery mode) showed the best bone healing quality at both weeks 4 and 8 after implantation without inflammatory response. On the other hand, a large number of macrophages indicating severe inflammation provoked by burst release of rhBMP-2 were observed in the vicinity of PCL/PLGA/gelatin/rhBMP-2 (short-term delivery mode) at week 4.
在本研究中,基于三维(3D)打印的聚己内酯(PCL)/聚(乳酸-乙醇酸)共聚物(PLGA)支架成功开发了用于临界尺寸兔节段性骨干缺损骨形成的重组人骨形态发生蛋白-2(rhBMP-2)缓释系统。为了控制rhBMP-2的释放,将包裹rhBMP-2的胶原蛋白溶液(用于长达28天的长期释放)和明胶溶液(用于一周内的短期释放)注入空心圆柱形的PCL/PLGA支架中。通过测量体外接种在PCL/PLGA/胶原蛋白支架上的人下鼻甲来源间充质基质细胞(hTMSC)的碱性磷酸酶和骨钙素基因表达水平,确定了5μg/mL的有效剂量。然而,发现在同等剂量下,rhBMP-2从PCL/PLGA/明胶支架中的突发释放并未在体外诱导hTMSC的成骨分化。在体内动物实验中,微型计算机断层扫描和组织学分析证实,PCL/PLGA/胶原蛋白/rhBMP-2支架(长期释放模式)在植入后第4周和第8周均显示出最佳的骨愈合质量,且无炎症反应。另一方面,在第4周时,在PCL/PLGA/明胶/rhBMP-2(短期释放模式)附近观察到大量巨噬细胞,表明rhBMP-2的突发释放引发了严重炎症。