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骨髓间充质干细胞在不同支架中与高压氧联合治疗海水浸泡性骨缺损。

BMSC seeding in different scaffold incorporation with hyperbaric oxygen treats seawater-immersed bony defect.

机构信息

Department of Orthopaedics, The 901th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Hefei, 230031, China.

出版信息

J Orthop Surg Res. 2021 Apr 13;16(1):249. doi: 10.1186/s13018-021-02368-8.

Abstract

INTRODUCTION

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.

METHODS

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.

RESULT

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).

CONCLUSION

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.

摘要

引言

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。

方法

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。

结果

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)。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47aa/8042966/46ccd145f47f/13018_2021_2368_Fig1_HTML.jpg

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