Ural Ibrahim Halil, Alptekin Kerem, Ketenci Aysegul, Solakoglu Seyhun, Alpak Hasan, Özyalçın Süleyman
Bahcesehir University Medical Faculty, Department of Physical Medicine and Rehabilitation, Istanbul, Turkey.
Bahcesehir University Health Sciences Faculty, Department of Physiotherapy and Rehabilitation, Istanbul, Turkey.
Open Orthop J. 2017 May 17;11:404-416. doi: 10.2174/1874325001711010404. eCollection 2017.
Our study is an analysis of the histological and radiological changes in degenerated lumbar intervertebral discs, after transplantation of fibroblasts in rabbits. With that study we aimed to show the viability of the fibroblasts injected to the degenerated discs, and observe their potential for further studies.
The apoptosis of the cell is one of the factors at the disc degeneration process. Fibroblasts may act as mesenchymal stem cells at the tissue to which they are injected and they may replace the apoptotic cells. The nucleus pulposus of the discs from eight rabbits were aspirated under scopic guidance to induce disc degeneration.
One month later, cultured fibroblasts, which had been taken from the skin, were injected into the disc. The viability and the potential of the injected cells for reproduction were studied histologically and radiologically. Cellular formations and organizations indicating to the histological recovery were observed at the discs to which fibroblasts were transplanted. The histological findings of the discs to which no fibroblasts were transplanted, did not show any histological recovery. Radiologically, no finding of the improvement was found in both groups. The fibroblasts injected to the degenerated discs are viable.
The findings of improvement, observed in this study, suggest that fibroblast transplantation could be an effective method of therapy for the prevention or for the retardation of the degenerative disease of the discs.
我们的研究是对兔退变腰椎间盘在成纤维细胞移植后的组织学和放射学变化进行分析。通过该研究,我们旨在证明注入退变椎间盘中的成纤维细胞的活力,并观察其用于进一步研究的潜力。
细胞凋亡是椎间盘退变过程中的因素之一。成纤维细胞在其被注入的组织中可能充当间充质干细胞,并可能替代凋亡细胞。在显微镜引导下抽取8只兔子椎间盘的髓核以诱导椎间盘退变。
1个月后,将取自皮肤的培养成纤维细胞注入椎间盘。从组织学和放射学方面研究注入细胞的活力及其繁殖潜力。在移植了成纤维细胞的椎间盘中观察到了表明组织学恢复的细胞形成和组织情况。未移植成纤维细胞的椎间盘的组织学检查结果未显示任何组织学恢复情况。放射学方面,两组均未发现改善迹象。注入退变椎间盘中的成纤维细胞是有活力的。
本研究中观察到的改善结果表明,成纤维细胞移植可能是预防或延缓椎间盘退行性疾病的一种有效治疗方法。