Bos Ernst Jan, Pluemeekers Mieke, Helder Marco, Kuzmin Nikolay, van der Laan Koen, Groot Marie-Louise, van Osch Gerjo, van Zuijlen Paul
Department of Plastic, Reconstructive and Hand Surgery, VU Medical Center, Amsterdam, The Netherlands; CTRM/MOVE Research Institute, Amsterdam, The Netherlands; Department of Otorhinolaryngology, Head and Neck Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands; Department of Orthopedic Surgery, VU Medical Center, Amsterdam, The Netherlands; LaserLab Amsterdam, Department of Physics, Free University, Amsterdam, The Netherlands; Department of Physics and LaserLab, Free University, Amsterdam, The Netherlands; Department of Orthopaedics, Erasmus University Medical Center, Rotterdam, The Netherlands; and Red Cross Hospital Beverwijk, Beverwijk, The Netherlands.
Plast Reconstr Surg Glob Open. 2018 Jan 18;6(1):e1610. doi: 10.1097/GOX.0000000000001610. eCollection 2018 Jan.
In the human ear and nose, cartilage plays a key role in establishing its form and function. Interestingly, there is a noticeable paucity on biochemical, structural, and mechanical studies focused on facial cartilage. Such studies are needed to provide elementary knowledge that is fundamental to tissue engineering of cartilage. Therefore, in this study, a comparison is made of the biochemical, structural, and mechanical differences between ear, ala nasi, and septum on the extracellular matrix (ECM) level.
Cartilage samples were harvested from 10 cadaveric donors. Each sample was indented 10 times with a nanoindenter to determine the effective Young's modulus. Structural information of the cartilage was obtained by multiple-photon laser scanning microscopy capable of revealing matrix components at subcellular resolution. Biochemistry was performed to measure glycosaminoglycan (GAG), DNA, elastin, and collagen content.
Significant differences were seen in stiffness between ear and septal cartilage ( = 0.011) and between ala nasi and septal cartilage ( = 0.005). Elastin content was significantly higher in ear cartilage. Per cartilage subtype, effective Young's modulus was not significantly correlated with cell density, GAG, or collagen content. However, in septal cartilage, low elastin content was associated with higher stiffness. Laser microscopy showed a distinct difference between ear cartilage and cartilage of nasal origin.
Proposed methods to investigate cartilage on the ECM level provided good results. Significant differences were seen not only between ear and nasal cartilage but also between the ala nasi and septal cartilage. Albeit its structural similarity to septal cartilage, the ala nasi has a matrix stiffness comparable to ear cartilage.
在人耳和鼻中,软骨在其形态和功能的形成中起着关键作用。有趣的是,针对面部软骨的生化、结构和力学研究明显匮乏。此类研究对于软骨组织工程的基础知识至关重要。因此,本研究在细胞外基质(ECM)水平上比较了耳软骨、鼻翼软骨和鼻中隔软骨之间的生化、结构和力学差异。
从10名尸体供体中采集软骨样本。每个样本用纳米压痕仪压痕10次以确定有效杨氏模量。通过能够在亚细胞分辨率下揭示基质成分的多光子激光扫描显微镜获得软骨的结构信息。进行生化分析以测量糖胺聚糖(GAG)、DNA、弹性蛋白和胶原蛋白含量。
耳软骨和鼻中隔软骨之间(P = 0.011)以及鼻翼软骨和鼻中隔软骨之间(P = 0.005)的硬度存在显著差异。耳软骨中的弹性蛋白含量显著更高。对于每种软骨亚型,有效杨氏模量与细胞密度、GAG或胶原蛋白含量无显著相关性。然而,在鼻中隔软骨中,低弹性蛋白含量与较高的硬度相关。激光显微镜显示耳软骨与鼻源性软骨之间存在明显差异。
所提出的在ECM水平上研究软骨的方法取得了良好的结果。不仅耳软骨和鼻软骨之间存在显著差异,鼻翼软骨和鼻中隔软骨之间也存在显著差异。尽管鼻翼软骨在结构上与鼻中隔软骨相似,但其基质硬度与耳软骨相当。