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用于前交叉韧带工程的电纺聚己内酯移植物的体内评估

In vivo evaluation of electrospun polycaprolactone graft for anterior cruciate ligament engineering.

作者信息

Petrigliano Frank A, Arom Gabriel A, Nazemi Azadeh N, Yeranosian Michael G, Wu Benjamin M, McAllister David R

机构信息

1 Department of Orthopaedic Surgery, David Geffen School of Medicine at University of California at Los Angeles , Los Angeles, California.

出版信息

Tissue Eng Part A. 2015 Apr;21(7-8):1228-36. doi: 10.1089/ten.TEA.2013.0482. Epub 2015 Jan 7.

Abstract

The anterior cruciate ligament (ACL) is critical for the structural stability of the knee and its injury often requires surgical intervention. Because current reconstruction methods using autograft or allograft tissue suffer from donor-site morbidity and limited supply, there has been emerging interest in the use of bioengineered materials as a platform for ligament reconstruction. Here, we report the use of electrospun polycaprolactone (PCL) scaffolds as a candidate platform for ACL reconstruction in an in vivo rodent model. Electrospun PCL was fabricated and laser cut to facilitate induction of cells and collagen deposition and used to reconstruct the rat ACL. Histological analysis at 2, 6, and 12 weeks postimplantation revealed biological integration, minimal immune response, and the gradual infiltration of collagen in both the bone tunnel and intra-articular regions of the scaffold. Biomechanical testing demonstrated that the PCL graft failure load and stiffness at 12 weeks postimplantation (13.27±4.20N, 15.98±5.03 N/mm) increased compared to time zero testing (3.95±0.33N, 1.95±0.35 N/mm). Taken together, these results suggest that electrospun PCL serves as a biocompatible graft for ACL reconstruction with the capacity to facilitate collagen deposition.

摘要

前交叉韧带(ACL)对膝关节的结构稳定性至关重要,其损伤通常需要手术干预。由于目前使用自体移植物或同种异体移植物组织的重建方法存在供体部位并发症和供应有限的问题,人们对使用生物工程材料作为韧带重建平台的兴趣日益浓厚。在此,我们报告在体内啮齿动物模型中使用电纺聚己内酯(PCL)支架作为ACL重建的候选平台。制备电纺PCL并进行激光切割以促进细胞诱导和胶原蛋白沉积,然后用于重建大鼠ACL。植入后2周、6周和12周的组织学分析显示,支架的骨隧道和关节内区域均实现了生物整合、最小免疫反应以及胶原蛋白的逐渐浸润。生物力学测试表明,与零时测试(3.95±0.33N,1.95±0.35N/mm)相比,植入后12周时PCL移植物的失效载荷和刚度(13.27±4.20N,15.98±5.03N/mm)有所增加。综上所述,这些结果表明电纺PCL可作为一种生物相容性移植物用于ACL重建,并具有促进胶原蛋白沉积的能力。

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