The Third Affiliated Hospital of Zunyi Medical University (Zunyi First People's Hospital), Zunyi, Guizhou 563000, China.
J Healthc Eng. 2022 Apr 12;2022:4890008. doi: 10.1155/2022/4890008. eCollection 2022.
Congenital scoliosis (CS) is a lateral curvature of one or more segments of the spine due to spinal dysplasia during fetal life. CS is clinically defined as a curvature of the spine >10° due to structural abnormalities of the vertebrae during the embryonic period. Its etiology is unknown, but recent studies suggest that it may be closely related to genetic factors, environmental factors, and developmental abnormalities. The induction methods and modern applications of bone marrow MSCs provide a reference for in-depth human research on the induction of differentiation of bone marrow MSCs into osteoblasts. In this paper, by reviewing and organizing the literature on bone marrow MSCs, we summarized and analyzed the biological properties and preparation of bone marrow MSCs, the methods of inducing osteoblasts, the applications in tissue engineering bone, the problems faced, and the future research directions and proposed a method to assess the differentiation ability of bone marrow MSCs in patients with congenital scoliosis based on depth visual characteristics and the change of the method. The method reveals and evaluates the multidirectional differentiation potential of bone marrow MSCs, which can be induced to differentiate into osteoblasts in vitro and can be used to construct bone tissue engineering scaffolds in vitro using tissue engineering techniques. Based on the properties of bone marrow MSCs, their application in congenital scoliosis patients for trauma repair, cell replacement therapy, hematopoietic support, and gene therapy is quite promising. It is necessary to carry out research on the mechanism of osteogenic differentiation of bone marrow MSCs to provide guidance and reference value for their induced differentiation into osteoblasts.
先天性脊柱侧凸(CS)是由于胎儿期脊柱发育不良导致的一个或多个脊柱节段的侧向弯曲。CS 临床上定义为脊柱曲率>10°,是由于胚胎期椎体的结构异常所致。其病因不明,但最近的研究表明,它可能与遗传因素、环境因素和发育异常密切相关。骨髓间充质干细胞的诱导方法和现代应用为深入研究骨髓间充质干细胞诱导分化为成骨细胞提供了参考。本文通过对骨髓间充质干细胞相关文献的回顾和整理,总结和分析了骨髓间充质干细胞的生物学特性和制备、成骨细胞诱导方法、在组织工程骨中的应用、面临的问题以及未来的研究方向,并提出了一种基于深度视觉特征和方法变化评估先天性脊柱侧凸患者骨髓间充质干细胞分化能力的方法。该方法揭示并评价了骨髓间充质干细胞的多向分化潜能,可在体外诱导分化为成骨细胞,并可利用组织工程技术在体外构建骨组织工程支架。基于骨髓间充质干细胞的特性,其在先天性脊柱侧凸患者创伤修复、细胞替代治疗、造血支持和基因治疗中的应用具有广阔的前景。有必要对骨髓间充质干细胞成骨分化的机制进行研究,为其诱导分化为成骨细胞提供指导和参考价值。