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毛细作用:通过微通道支架实现细胞的富集保留和定居以促进大面积骨缺损再生

Capillary action: enrichment of retention and habitation of cells via micro-channeled scaffolds for massive bone defect regeneration.

作者信息

Hong Min-Ho, Kim Yoon Hyuk, Ganbat Danaa, Kim Do-Gyoon, Bae Chun-Sik, Oh Daniel S

机构信息

Department of Orthopaedic Surgery, Center for Orthopaedic Research, Columbia University, New York, NY, USA.

出版信息

J Mater Sci Mater Med. 2014 Aug;25(8):1991-2001. doi: 10.1007/s10856-014-5225-1. Epub 2014 May 6.

Abstract

The development of a biomaterial substitute that can promote bone regeneration in massive defects has remained as a significant clinical challenge even using bone marrow cells or growth factors. Without an active, thriving cell population present throughout and stable anchored to the construct, exceptional bone regeneration does not occur. An engineered micro-channel structures scaffold within each trabecular has been designed to overcome some current limitations involving the cultivation and habitation of cells in large, volumetric scaffolds to repair massive skeletal defect. We created a scaffold with a superior fluid retention capacity that also may absorb bone marrow cells and provide growth factor-containing body fluids such as blood clots and/or serum under physiological conditions. The scaffold is composed of 3 basic structures (1) porous trabecular network (300-400 μm) similar to that of human trabecular bones, (2) micro-size channels (25-70 μm) within each trabecular septum which mimic intra-osseous channels such as Haversian canals and Volkmann's canals with body fluid access, diffusion, nutritional supply and gas exchange, and (3) nano-size pores (100-400 nm) on the surface of each septum that allow immobilized cells to anchor. Combinatorial effects of these internal structures result in a host-adapting construct that enhances cell retention and habitation throughout the 3 cm-height and 4 cm-length bridge-shaped scaffold.

摘要

即使使用骨髓细胞或生长因子,开发一种能够促进大面积骨缺损再生的生物材料替代品仍然是一项重大的临床挑战。如果在整个构建体中没有活跃、旺盛的细胞群体,并且细胞不能稳定地锚定在构建体上,就不会发生显著的骨再生。在每个小梁内设计了一种工程化微通道结构支架,以克服目前在大型三维支架中细胞培养和定居方面存在的一些局限性,从而修复大面积骨骼缺损。我们创建了一种具有卓越液体保留能力的支架,该支架在生理条件下还可以吸收骨髓细胞,并提供含有生长因子的体液,如血凝块和/或血清。该支架由3种基本结构组成:(1)类似于人类小梁骨的多孔小梁网络(300 - 400μm);(2)每个小梁间隔内的微尺寸通道(25 - 70μm),其模仿骨内通道,如哈弗斯管和福尔克曼管,可实现体液进入、扩散、营养供应和气体交换;(3)每个间隔表面的纳米尺寸孔隙(100 - 400nm),可使固定化细胞锚定。这些内部结构的组合效应产生了一种与宿主适配的构建体,可增强细胞在整个3厘米高、4厘米长的桥形支架中的保留和定居。

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