Department of Orthopaedics, The 901th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Hefei, 230031, China.
J Orthop Surg Res. 2021 Apr 13;16(1):249. doi: 10.1186/s13018-021-02368-8.
The experiment was undertaken to estimate the effect of BMSC seeding in different scaffold incorporation with HBO on the repair of a seawater-immersed bone defect. And future compared n-HA/PLGA with β-TCP/PLGA as a scaffold in treatment effect of the seawater-immersed bone defect.
Sixty New Zealand White rabbits with standard seawater defect in radius were randomly divided into group A (implant with nothing), group B (implanted with autogenous bone), group C (implanted with n-HA/PLGA/BMSCs), and group D (implanted with β-TCP/PLGA/BMSCs). After the implant, each rabbit receives HBO treatment at 2.4 ATA 100% oxygen for 120 min/day for 2 weeks. Radiograph, histological, and biomechanical examinations were used to analyze osteogenesis.
X-ray analysis shows that n-HA/PLGA/BMSCs and β-TCP/PLGA/BMSCs could accelerate the new bone formation, and the new bone formation in group C was larger than that in group D or group A and close to group B (P < 0.05). After 12 weeks, in group A, the defect without scaffold shows a loose connect tissue filled in the areas. The medullary canal in group B was recanalized. Defects in groups C and D show a larger number of woven bone formation. The new woven bone formation in defect areas in group C was larger than that in group D. The mechanical examination revealed ultimate strength at 12 weeks was group D > group C > group B > group A (P < 0.05).
Scaffolds of n-HA/PLGA and β-TCP/PLGA incorporation with HBO and BMSCs were effective to treat seawater-immersed bone defect, and n-HA/PLGA was more excellent than β-TCP/PLGA.
本实验旨在评估在高压氧(HBO)条件下将骨髓间充质干细胞(BMSC)接种于不同支架中对海水浸泡骨缺损修复的影响,并比较 n-HA/PLGA 与 β-TCP/PLGA 作为支架在海水浸泡骨缺损治疗效果中的差异。
将 60 只新西兰大白兔桡骨标准海水缺损模型随机分为 A 组(不植入任何材料)、B 组(植入自体骨)、C 组(植入 n-HA/PLGA/BMSCs)和 D 组(植入β-TCP/PLGA/BMSCs)。植入后,每组兔接受 2.4ATA 100%氧气 HBO 治疗,每天 120 分钟,共 2 周。采用 X 线、组织学和生物力学检查分析成骨情况。
X 线分析显示,n-HA/PLGA/BMSCs 和β-TCP/PLGA/BMSCs 均可加速新骨形成,且 C 组新骨形成量大于 D 组和 A 组,接近 B 组(P<0.05)。12 周后,A 组无支架缺损区见疏松结缔组织填充,B 组骨髓腔再通,C、D 组见较多编织骨形成,C 组缺损区新生编织骨形成量大于 D 组。力学检查显示 12 周时,D 组> C 组> B 组> A 组(P<0.05)。
n-HA/PLGA 和β-TCP/PLGA 支架联合 HBO 和 BMSCs 治疗海水浸泡骨缺损有效,n-HA/PLGA 优于β-TCP/PLGA。