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富含血小板血浆中人类牙髓干细胞的异种移植用于兔模型全层关节软骨缺损的治疗

Xenotransplantation of human dental pulp stem cells in platelet-rich plasma for the treatment of full-thickness articular cartilage defects in a rabbit model.

作者信息

Yanasse Ricardo Hideki, De Lábio Roger William, Marques Leonardo, Fukasawa Josianne Tomazini, Segato Rosimeire, Kinoshita Angela, Matsumoto Mariza Akemi, Felisbino Sergio Luis, Solano Bruno, Dos Santos Ricardo Ribeiro, Payão Spencer Luiz Marques

机构信息

Department of Genetics, Blood Center, Faculdade de Medicina de Marília (FAMEMA), Marília, SP 17519-050, Brazil.

Department of Health Sciences, Universidade do Sagrado Coração, Bauru, SP 17519-050, Brazil.

出版信息

Exp Ther Med. 2019 Jun;17(6):4344-4356. doi: 10.3892/etm.2019.7499. Epub 2019 Apr 17.

Abstract

Stem cells in platelet-rich plasma (PRP) scaffolds may be a promising treatment for cartilage repair. Human dental pulp stem cell (hDPSC) subpopulations have been identified to have substantial angiogenic, neurogenic and regenerative potential when compared with other stem cell sources. The present study evaluated the potential of hDPSCs in a PRP scaffold to regenerate full-thickness cartilage defects in rabbits. Full-thickness articular cartilage defects were created in the patellar groove of the femur of 30 rabbits allocated into three experimental groups: Those with an untreated critical defect (CTL), those treated with PRP (PRP) and those treated with stem cells in a PRP scaffold (PRP+SC). The patellar grooves of the femurs from the experimental groups were evaluated macroscopically and histologically at 6 and 12 weeks post-surgery. The synovial membranes were also collected and evaluated for histopathological analysis. The synovial lining cell layer was enlarged in the CTL group compared with the PRP group at 6 weeks (P=0.037) but not with the PRP+SC group. All groups exhibited low-grade synovitis at 6 weeks and no synovitis at 12 weeks. Notably, macroscopic grades for the area of articular cartilage repair for the PRP+SC group were significantly improved compared with those in the CTL (P=0.001) and PRP (P=0.049) groups at 12 weeks. Furthermore, histological scores (modified O'Driscoll scoring system) of the patellar groove articular cartilage in the PRP+SC and PRP groups, in which the articular cartilage was primarily hyaline-like, were significantly higher compared with those in the CTL group at 12 weeks (P=0.002 and P=0.007, respectively). The present results support the therapeutic use of hDPSCs for the treatment of full-thickness articular cartilage defects.

摘要

富含血小板血浆(PRP)支架中的干细胞可能是软骨修复的一种有前景的治疗方法。与其他干细胞来源相比,已鉴定出人类牙髓干细胞(hDPSC)亚群具有显著的血管生成、神经生成和再生潜力。本研究评估了PRP支架中hDPSC再生兔全层软骨缺损的潜力。在30只兔子的股骨髌沟中制造全层关节软骨缺损,并将其分为三个实验组:未治疗的临界缺损组(CTL)、PRP治疗组(PRP)和PRP支架中的干细胞治疗组(PRP+SC)。在术后6周和12周对实验组兔子股骨的髌沟进行宏观和组织学评估。还收集滑膜并进行组织病理学分析。与PRP组相比,CTL组在6周时滑膜衬里细胞层增厚(P=0.037),但与PRP+SC组相比无差异。所有组在6周时均表现为轻度滑膜炎,12周时无滑膜炎。值得注意的是,在12周时,PRP+SC组关节软骨修复面积的宏观分级与CTL组(P=0.001)和PRP组(P=0.049)相比有显著改善。此外,在12周时,PRP+SC组和PRP组髌沟关节软骨的组织学评分(改良O'Driscoll评分系统)显著高于CTL组,其中关节软骨主要为透明软骨样(分别为P=0.002和P=0.007)。本研究结果支持hDPSC用于治疗全层关节软骨缺损的治疗用途。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea7b/6507499/5bc81f065d20/etm-17-06-4344-g00.jpg

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