Li Jianwei, Zhang Xueliang, Guo Quanyi, Zhang Jingchun, Cao Yanjie, Zhang Xinguo, Huang Jianjun, Wang Qi, Liu Xiaogang, Hao Chunxiang
Shanxi Institute of Traditional Chinese Medicine, Taiyuan Shanxi, 030012, P.R.China.
Shanxi Institute of Traditional Chinese Medicine, Taiyuan Shanxi, 030012, P.R.China;Institute of Orthopaedics, Beijing Key Laboratory of Regenerative Medicine in Orthopaedics, Key Laboratory of Musculoskeletal Trauma & War Injuries, Chinese PLA General Hospital, Beijing, 100853, P.R.China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018 Apr 15;32(4):434-440. doi: 10.7507/1002-1892.201712038.
The tissue engineered osteochondral integration of multi-layered scaffold was prepared and the related mechanical properties and biological properties were evaluated to provide a new technique and method for the repair and regeneration of osteochondral defect.
According to blend of different components and proportion of acellular cartilage extracellular matrix of pig, nano-hydroxyapatite, and alginate, the osteochondral integration of multi-layered scaffold was prepared by using freeze-drying and physical and chemical cross-linking technology. The cartilage layer was consisted of acellular cartilage extracellular matrix; the middle layer was consisted of acellular cartilage extracellular matrix and alginate; and the bone layer was consisted of nano-hydroxyapatite, alginate, and acellular cartilage extracellular matrix. The biological and mechanics characteristic of the osteochondral integration of multi-layered scaffold were evaluated by morphology observation, scanning electron microscope observation, Micro-CT observation, porosity and pore size determination, water absorption capacity determination, mechanical testing (compression modulus and layer adhesive strength), biocompatibility testing [L929 cell proliferation on scaffold assessed by MTT assay, and growth of green fluorescent protein (GFP)-labeled Sprague Dawley rats' bone marrow mesenchumal stem cells (BMSCs) on scaffolds].
Gross observation and Micro-CT observation showed that the scaffolds were closely integrated with each other without obvious discontinuities and separation. Scanning electron microscope showed that the structure of the bone layer was relatively dense, while the structure of the middle layer and the cartilage layer was relatively loose. The pore structures in the layers were connected to each other and all had the multi-dimensional characteristics. The porosity of cartilage layer, middle layer, and bone layer of the scaffolds were 93.55%±2.90%, 93.55%±4.10%, and 50.28%±3.20%, respectively; the porosity of the bone layer was significantly lower than that of cartilage layer and middle layer ( <0.05), but no significant difference was found between cartilage layer and middle layer ( >0.05). The pore size of the three layers were (239.66±35.28), (153.24±19.78), and (82.72±16.94) μm, respectively, showing significant differences between layers ( <0.05). The hydrophilic of the three layers were (15.14±3.15), (13.65±2.98), and (5.32±1.87) mL/g, respectively; the hydrophilic of the bone layer was significantly lower than that of cartilage layer and middle layer ( <0.05), but no significant difference was found between cartilage layer and middle layer ( >0.05). The compression modulus of the three layers were (51.36±13.25), (47.93±12.74), and (155.18±19.62) kPa, respectively; and compression modulus of the bone layer was significantly higher than that of cartilage layer and middle layer ( <0.05), but no significant difference was found between cartilage layer and middle layer ( >0.05). The osteochondral integration of multi-layered scaffold was tightly bonded with each layer. The layer adhesive strength between the cartilage layer and the middle layer was (18.21±5.16) kPa, and the layer adhesive strength between the middle layer and the bone layer was (16.73±6.38) kPa, showing no significant difference ( =0.637, =0.537). MTT assay showed that L929 cells grew well on the scaffolds, indicating no scaffold cytotoxicity. GFP-labeled rat BMSCs grew evenly on the scaffolds, indicating scaffold has excellent biocompatibility.
The advantages of three layers which have different performance of the tissue engineered osteochondral integration of multi-layered scaffold is achieved double biomimetics of structure and composition, lays a foundation for further research of animal experiment, meanwhile, as an advanced and potential strategy for osteochondral defect repair.
制备多层支架组织工程化骨软骨整合体,评价其相关力学性能和生物学性能,为骨软骨缺损的修复与再生提供新技术和方法。
根据猪脱细胞软骨细胞外基质、纳米羟基磷灰石和海藻酸钠的不同成分及比例混合,采用冷冻干燥及物理化学交联技术制备多层支架骨软骨整合体。软骨层由脱细胞软骨细胞外基质组成;中间层由脱细胞软骨细胞外基质和海藻酸钠组成;骨层由纳米羟基磷灰石、海藻酸钠和脱细胞软骨细胞外基质组成。通过形态学观察、扫描电子显微镜观察、Micro-CT观察、孔隙率和孔径测定、吸水率测定、力学测试(压缩模量和层间黏附强度)、生物相容性测试[通过MTT法评估L929细胞在支架上的增殖情况,以及绿色荧光蛋白(GFP)标记的Sprague Dawley大鼠骨髓间充质干细胞(BMSCs)在支架上的生长情况]对多层支架骨软骨整合体的生物学和力学特性进行评价。
大体观察和Micro-CT观察显示,支架之间紧密整合,无明显间断和分离。扫描电子显微镜显示,骨层结构相对致密,而中间层和软骨层结构相对疏松。各层孔隙结构相互连通,均具有多维度特征。支架软骨层、中间层和骨层的孔隙率分别为93.55%±2.90%、93.55%±4.10%和50.28%±3.20%;骨层孔隙率显著低于软骨层和中间层(P<0.05),但软骨层和中间层之间无显著差异(P>0.05)。三层孔径分别为(239.66±35.28)、(153.24±19.78)和(82.72±16.94)μm,层间差异显著(P<0.05)。三层亲水性分别为(15.14±3.15)、(13.65±2.98)和(5.32±1.87)mL/g;骨层亲水性显著低于软骨层和中间层(P<0.05),但软骨层和中间层之间无显著差异(P>0.05)。三层压缩模量分别为(51.36±13.25)、(47.93±12.74)和(155.18±19.62)kPa;骨层压缩模量显著高于软骨层和中间层(P<0.05),但软骨层和中间层之间无显著差异(P>0.05)。多层支架骨软骨整合体各层紧密结合。软骨层与中间层之间的层间黏附强度为(18.21±5.16)kPa,中间层与骨层之间的层间黏附强度为(16.73±6.38)kPa,差异无统计学意义(P=0.637,P=0.537)。MTT法显示L929细胞在支架上生长良好,表明支架无细胞毒性。GFP标记的大鼠BMSCs在支架上生长均匀,表明支架具有良好的生物相容性。
多层支架组织工程化骨软骨整合体三层性能各异的优势实现了结构和组成的双重仿生,为进一步动物实验研究奠定了基础,同时作为一种先进且有潜力的骨软骨缺损修复策略。