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3D打印聚己内酯支架与载有辛伐他汀的聚乳酸-乙醇酸共聚物微球协同作用,以修复承重节段性骨缺损。

3D printed poly(ε-caprolactone) scaffolds function with simvastatin-loaded poly(lactic-co-glycolic acid) microspheres to repair load-bearing segmental bone defects.

作者信息

Zhang Zhan-Zhao, Zhang Hui-Zhong, Zhang Zhi-Yong

机构信息

Shanghai Key Laboratory of Tissue Engineering, Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, P.R. China.

出版信息

Exp Ther Med. 2019 Jan;17(1):79-90. doi: 10.3892/etm.2018.6947. Epub 2018 Nov 9.

Abstract

Repairing critical-sized bone defects has been a major challenge for orthopedic surgeons in the clinic. The generation of functioning bone tissue scaffolds using osteogenic induction factors is a promising method to facilitate bone healing. In the present study, three-dimensional (3D) printing of a poly(lactic-co-glycolic acid) (PLGA) scaffold with simvastatin (SIM) release functioning was generated by rapid prototyping, which was incorporated with collagen for surface activation, and was finally mixed with SIM-loaded PLGA microspheres. assays with bone marrow-derived mesenchymal stem cells were conducted. For the study, scaffolds were implanted into segmental defects created on the femurs of Sprague-Dawley rats. At 4 and 12 weeks following surgery, X-ray, micro-computed tomography and histological analysis were performed in order to evaluate bone regeneration. The results demonstrated that collagen functionalization of PLGA produced better cell adhesion, while the sustained release of SIM promoted greater cell proliferation with no significant cytotoxicity, compared with the blank PCL scaffold. Furthermore, experiments also confirmed that SIM-loaded scaffolds played a significant role in promoting bone regeneration. In conclusion, the present study successfully manufactured a 3D printing PLGA scaffold with sustained SIM release, which may meet the requirements for bone healing, including good mechanical strength and efficient osteoinduction ability. Thus, the results are indicative of a promising bone substitute to be used in the clinic.

摘要

修复临界尺寸的骨缺损一直是临床骨科医生面临的重大挑战。利用成骨诱导因子生成具有功能的骨组织支架是促进骨愈合的一种有前景的方法。在本研究中,通过快速成型技术制备了具有辛伐他汀(SIM)释放功能的聚乳酸-羟基乙酸共聚物(PLGA)三维(3D)打印支架,该支架与胶原蛋白结合用于表面活化,最后与负载SIM的PLGA微球混合。对骨髓间充质干细胞进行了检测。在本研究中,将支架植入Sprague-Dawley大鼠股骨上制造的节段性缺损处。在术后4周和12周,进行X射线、微型计算机断层扫描和组织学分析,以评估骨再生情况。结果表明,与空白聚己内酯(PCL)支架相比,PLGA的胶原蛋白功能化产生了更好的细胞黏附,而SIM的持续释放促进了更大的细胞增殖,且无明显细胞毒性。此外,实验还证实负载SIM的支架在促进骨再生方面发挥了重要作用。总之,本研究成功制造了一种具有SIM持续释放功能的3D打印PLGA支架,其可能满足骨愈合的要求,包括良好的机械强度和高效的骨诱导能力。因此,这些结果表明该支架有望用于临床作为骨替代物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10d0/6307523/f13c2f7757f1/etm-17-01-0079-g00.jpg

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