Keller Laetitia, Wagner Quentin, Schwinté Pascale, Benkirane-Jessel Nadia
INSERM UMR1109, Osteoarticular & Dental Regenerative Nanomedicine, Faculté de Médecine, FMTS, F-67085 Strasbourg, France.
Université de Strasbourg, Faculté de Chirurgie Dentaire, 1 place de l'Hôpital, F-67000 Strasbourg, France.
Nanomedicine (Lond). 2015;10(18):2833-45. doi: 10.2217/nnm.15.113. Epub 2015 Sep 7.
Articular cartilage repair remains challenging, because most clinical failures are due to the lack of subchondral bone regeneration. We report an innovative approach improving cartilage repair by regenerating a robust subchondral bone, supporting articular cartilage.
MATERIALS & METHODS: We developed a compartmented living implant containing triple-3D structure: stem cells as microtissues for embryonic endochondral development mimic, nanofibrous collagen to enhance mineralization for subchondral bone and alginate hydrogel for cartilage regeneration.
RESULTS & CONCLUSION: This system mimics the natural gradient of the osteochondral unit, using only one kind of stem cell, targeting their ability to express specific bone or cartilage proteins. Mineralization gradient of articular cartilage and the natural 'glue' between subchondral bone and cartilage were reproduced in vitro.
关节软骨修复仍然具有挑战性,因为大多数临床失败是由于缺乏软骨下骨再生。我们报告了一种创新方法,通过再生强健的软骨下骨来改善软骨修复,从而支撑关节软骨。
我们开发了一种分隔式活植入物,其包含三重三维结构:作为模拟胚胎软骨内发育的微组织的干细胞、用于增强软骨下骨矿化的纳米纤维胶原蛋白以及用于软骨再生的藻酸盐水凝胶。
该系统仅使用一种干细胞,模拟骨软骨单元的自然梯度,利用其表达特定骨或软骨蛋白的能力。体外再现了关节软骨的矿化梯度以及软骨下骨与软骨之间的天然“胶水”。