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一种使用组织工程技术进行胆管修复的新型治疗策略:带有人间充质干细胞的聚己内酯/聚乳酸-羟基乙酸共聚物双层支架。

A novel therapy strategy for bile duct repair using tissue engineering technique: PCL/PLGA bilayered scaffold with hMSCs.

作者信息

Zong Chen, Wang Meicong, Yang Fuchun, Chen Guojun, Chen Jiarong, Tang Zihua, Liu Quanwen, Gao Changyou, Ma Lie, Wang Jinfu

机构信息

Laboratory of Stem Cells, Institute of Cell Biology, College of Life Sciences, Zhejiang University, Hangzhou, Zhejiang, China.

Tumor Immunology and Gene Therapy Centre, Eastern Hepatobiliary Surgery Hospital, The Second Military Medical University, Shanghai, China.

出版信息

J Tissue Eng Regen Med. 2017 Apr;11(4):966-976. doi: 10.1002/term.1996. Epub 2015 Feb 25.

Abstract

The current clinical treatments for complications caused by hepatobiliary surgery still have some inevitable weakness. The aim of the study was to fabricate a tissue-engineered bile duct that utilized a novel bilayered polymer scaffold combined with human bone marrow-derived mesenchymal stem cells (hMSCs) for new treatment of biliary disease. The biocompatibility of polycaprolactone (PCL) (PCL)/poly(lactide-co-glycolide) (PLGA) scaffold with hMSCs was first examined, and the hMSC-PCL/PLGA constructs (MPPCs) prepared. The MPPCs and blank scaffolds were then transplanted into 18 pigs for evaluation its efficacy on bile duct repairing, respectively. In vitro, the PCL/PLGA scaffold was verified to support the adhesion, proliferation and matrix deposition of hMSCs. There was no sign of bile duct narrowing and cholestasis in all experimental animals. At 6 months, the MPPCs had a superior repairing effect on the bile duct injury, compared with the blank PCL/PLGA scaffolds. Therefore, the implanted scaffolds could not only support the biliary tract and allow free bile flow but also had direct or indirect positive effects on repair of injured bile duct. Copyright © 2015 John Wiley & Sons, Ltd.

摘要

目前针对肝胆外科手术并发症的临床治疗仍存在一些不可避免的缺陷。本研究的目的是构建一种组织工程化胆管,其采用新型双层聚合物支架并结合人骨髓间充质干细胞(hMSCs),用于胆道疾病的新治疗。首先检测了聚己内酯(PCL)/聚(丙交酯-共-乙交酯)(PLGA)支架与hMSCs的生物相容性,并制备了hMSC-PCL/PLGA构建体(MPPCs)。然后将MPPCs和空白支架分别移植到18头猪体内,以评估其对胆管修复的效果。在体外,证实PCL/PLGA支架可支持hMSCs的黏附、增殖和基质沉积。所有实验动物均未出现胆管狭窄和胆汁淤积的迹象。6个月时,与空白PCL/PLGA支架相比,MPPCs对胆管损伤具有更好的修复效果。因此,植入的支架不仅可以支撑胆道并允许胆汁自由流动,而且对受损胆管的修复具有直接或间接的积极作用。版权所有© 2015约翰威立父子有限公司。

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