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负载岩藻聚糖的纳米纤维支架通过改善退变椎间盘的炎症和氧化微环境促进纤维环修复。

Fucoidan-loaded nanofibrous scaffolds promote annulus fibrosus repair by ameliorating the inflammatory and oxidative microenvironments in degenerative intervertebral discs.

机构信息

Department of Orthopaedic Surgery, Orthopaedic Institute, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215000, China.

Department of Orthopaedic Surgery, The Affiliated Hospital of Medical School, Ningbo University, Ningbo, Zhejiang 315000, China.

出版信息

Acta Biomater. 2022 Aug;148:73-89. doi: 10.1016/j.actbio.2022.05.054. Epub 2022 Jun 6.

Abstract

Tissue engineering holds potential in the treatment of intervertebral disc degeneration (IDD). However, implantation of tissue engineered constructs may cause foreign body reaction and aggravate the inflammatory and oxidative microenvironment of the degenerative intervertebral disc (IVD). In order to ameliorate the adverse microenvironment of IDD, in this study, we prepared a biocompatible poly (ether carbonate urethane) urea (PECUU) nanofibrous scaffold loaded with fucoidan, a natural marine bioactive polysaccharide which has great anti-inflammatory and antioxidative functions. Compared with pure PECUU scaffold, the fucoidan-loaded PECUU nanofibrous scaffold (F-PECUU) decreased the gene and protein expression related to inflammation and the oxidative stress in the lipopolysaccharide (LPS) induced annulus fibrosus cells (AFCs) significantly (p<0.05). Especially, gene expression of Il 6 and Ptgs2 was decreased more than 50% in F-PECUU with 3.0 wt% fucoidan (HF-PECUU). Moreover, the gene and protein expression related to the degradation of extracellular matrix (ECM) were reduced in a fucoidan concentration-dependent manner significantly, with increased almost 3 times gene expression of Col1a1 and Acan in HF-PECUU. Further, in a 'box' defect model, HF-PECUU decreased the expression of COX-2 and deposited more ECM between scaffold layers when compared with pure PECUU. The disc height and nucleus pulposus hydration of repaired IVD reached up to 75% and 85% of those in the sham group. In addition, F-PECUU helped to maintain an integrate tissue structure with a similar compression modulus to that in sham group. Taken together, the F-PECUU nanofibrous scaffolds showed promising potential to promote AF repair in IDD treatment by ameliorating the harsh degenerative microenvironment. STATEMENT OF SIGNIFICANCE: Annulus fibrosus (AF) tissue engineering holds potential in the treatment of intervertebral disc degeneration (IDD), but is restricted by the inflammatory and oxidative microenvironment of degenerative disc. This study developed a biocompatible polyurethane scaffold (F-PECUU) loaded with fucoidan, a marine bioactive polysaccharide, for ameliorating IDD microenvironment and promoting disc regeneration. F-PECUU alleviated the inflammation and oxidative stress caused by lipopolysaccharide and prevented extracellular matrix (ECM) degradation in AF cells. In vivo, it promoted ECM deposition to maintain the height, water content and mechanical property of disc. This work has shown the potential of marine polysaccharides-containing functional scaffolds in IDD treatment by ameliorating the harsh microenvironment accompanied with disc degeneration.

摘要

组织工程在治疗椎间盘退行性变(IDD)方面具有潜力。然而,组织工程构建体的植入可能会引起异物反应,并加重退行性椎间盘(IVD)的炎症和氧化微环境。为了改善 IDD 的不利微环境,在本研究中,我们制备了一种具有生物相容性的聚(醚碳酸酯尿烷)脲(PECUU)纳米纤维支架,负载了褐藻糖胶,这是一种具有强大抗炎和抗氧化功能的天然海洋生物活性多糖。与纯 PECUU 支架相比,负载褐藻糖胶的 PECUU 纳米纤维支架(F-PECUU)显著降低了脂多糖(LPS)诱导的纤维环细胞(AFCs)中与炎症和氧化应激相关的基因和蛋白表达(p<0.05)。特别是,在 F-PECUU 中褐藻糖胶含量为 3.0wt%时,IL6 和 Ptgs2 的基因表达降低了 50%以上。此外,细胞外基质(ECM)降解相关的基因和蛋白表达也呈褐藻糖胶浓度依赖性显著降低,F-PECUU 中 Col1a1 和 Acan 的基因表达增加了近 3 倍。进一步在“盒”缺损模型中,与纯 PECUU 相比,HF-PECUU 降低了 COX-2 的表达并在支架层之间沉积了更多的 ECM。修复后的椎间盘的椎间盘高度和髓核含水量分别达到了假手术组的 75%和 85%。此外,F-PECUU 有助于维持与假手术组相似的压缩模量的完整组织结构。综上所述,F-PECUU 纳米纤维支架通过改善恶劣的退行性微环境,显示出在治疗 IDD 中促进 AF 修复的潜力。

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