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组织工程化透明软骨单独移植而无需共植入软骨下骨替代物实现全层骨软骨再生。

Full-Scale Osteochondral Regeneration by Sole Graft of Tissue-Engineered Hyaline Cartilage without Co-Engraftment of Subchondral Bone Substitute.

机构信息

School of Chemical and Biomedical Engineering, Nanyang Technological University, Singapore.

The Fifth Affiliated Yongchuan Hospital, Chongqing Medical University, Chongqing, China.

出版信息

Adv Healthc Mater. 2020 Jan;9(2):e1901304. doi: 10.1002/adhm.201901304. Epub 2019 Dec 10.

Abstract

In this study, full-scale osteochondral defects are hypothesized, which penetrate the articular cartilage layer and invade into subchondral bones, and can be fixed by sole graft of tissue-engineered hyaline cartilage without co-engraftment of any subchondral bone substitute. It is hypothesized that given a finely regenerated articular cartilage shielding on top, the restoration of subchondral bones can be fulfilled via spontaneous self-remodeling in situ. Hence, the key challenge of osteochondral regeneration lies in restoration of the non-self-regenerative articular cartilage. Here, traumatic osteochondral lesions to be repaired in rabbit knee models are endeavored using novel tissue-engineered hyaline-like cartilage grafts that are produced by 3D cultured porcine chondrocytes in vitro. Comparative trials are conducted in animal models that are implanted with living hyaline cartilage grafts (LhCG) and decellularized LhCG (dLhCG). Sound osteochondral regeneration is gradually revealed from both LhCG and dLhCG-implanted samples 50-100 d after implantation. Quality regeneration in both zones of articular cartilage and subchondral bones are validated by the restored osteochondral composition, structure, phenotype, and mechanical property, which validate the hypothesis of this study.

摘要

在这项研究中,假设存在全层骨软骨缺损,其穿透关节软骨层并侵入软骨下骨,可以通过单独移植组织工程化透明软骨来固定,而无需同时移植任何软骨下骨替代物。假设在精细再生的关节软骨的覆盖下,通过原位自发自我重塑可以实现软骨下骨的修复。因此,骨软骨再生的关键挑战在于恢复非自我再生的关节软骨。在这里,通过体外培养的猪软骨细胞 3D 培养来尝试使用新型组织工程化透明样软骨移植物修复兔膝关节模型中的外伤性骨软骨损伤。在动物模型中进行了比较试验,植入了活透明软骨移植物(LhCG)和去细胞化的 LhCG(dLhCG)。在植入后 50-100 天,从植入 LhCG 和 dLhCG 的样本中逐渐显示出良好的骨软骨再生。通过恢复的骨软骨组成、结构、表型和机械性能验证了关节软骨和软骨下骨两个区域的质量再生,验证了本研究的假设。

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