结构承重支架对机械负荷和骨形态发生蛋白-2介导的骨再生的影响。

Influence of structural load-bearing scaffolds on mechanical load- and BMP-2-mediated bone regeneration.

作者信息

McDermott Anna M, Mason Devon E, Lin Angela S P, Guldberg Robert E, Boerckel Joel D

机构信息

Department of Aerospace and Mechanical Engineering, Bioengineering Graduate Program, University of Notre Dame, Notre Dame, IN 46556, USA.

Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA 30332, USA.

出版信息

J Mech Behav Biomed Mater. 2016 Sep;62:169-181. doi: 10.1016/j.jmbbm.2016.05.010. Epub 2016 May 12.

Abstract

A common design constraint in functional tissue engineering is that scaffolds intended for use in load-bearing sites possess similar mechanical properties to the replaced tissue. Here, we tested the hypothesis that in vivo loading would enhance bone morphogenetic protein-2 (BMP-2)-mediated bone regeneration in the presence of a load-bearing PLDL scaffold, whose pores and central core were filled with BMP-2-releasing alginate hydrogel. First, we evaluated the effects of in vivo mechanical loading on bone regeneration in the structural scaffolds. Second, we compared scaffold-mediated bone regeneration, independent of mechanical loading, with alginate hydrogel constructs, without the structural scaffold, that have been shown previously to facilitate in vivo mechanical stimulation of bone formation. Contrary to our hypothesis, mechanical loading had no effect on bone formation, distribution, or biomechanical properties in structural scaffolds. Independent of loading, the structural scaffolds reduced bone formation compared to non-structural alginate, particularly in regions in which the scaffold was concentrated, resulting in impaired functional regeneration. This is attributable to a combination of stress shielding by the scaffold and inhibition of cellular infiltration and tissue ingrowth. Collectively, these data question the necessity of scaffold similarity to mature tissue at the time of implantation and emphasize development of an environment conducive to cellular activation of matrix production and ultimate functional regeneration.

摘要

功能组织工程中一个常见的设计限制是,用于承重部位的支架应具有与被替代组织相似的力学性能。在此,我们测试了一个假设,即在存在承重PLDL支架的情况下,体内加载会增强骨形态发生蛋白-2(BMP-2)介导的骨再生,该支架的孔隙和中心核心填充有释放BMP-2的海藻酸盐水凝胶。首先,我们评估了体内机械加载对结构支架中骨再生的影响。其次,我们将不依赖机械加载的支架介导的骨再生与不含结构支架的海藻酸凝胶构建体进行了比较,此前已证明后者有助于体内机械刺激骨形成。与我们的假设相反,机械加载对结构支架中的骨形成、分布或生物力学性能没有影响。不考虑加载因素,与非结构海藻酸盐相比,结构支架减少了骨形成,特别是在支架集中的区域,导致功能再生受损。这归因于支架的应力屏蔽以及对细胞浸润和组织长入的抑制。总体而言,这些数据质疑了植入时支架与成熟组织相似性的必要性,并强调了营造有利于细胞激活基质产生和最终功能再生环境的重要性。

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