Ho Chia-Yu, Wang Chen-Chie, Wu Tsung-Chiao, Kuan Chen-Hsiang, Liu Yu-Chung, Wang Tzu-Wei
Department of Materials Science and Engineering National Tsing Hua University Hsinchu Taiwan.
Department of Orthopedic Surgery Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation New Taipei City Taiwan.
Bioeng Transl Med. 2022 Nov 17;8(2):e10447. doi: 10.1002/btm2.10447. eCollection 2023 Mar.
As a prominent approach to treat intervertebral disc (IVD) degeneration, disc transplantation still falls short to fully reconstruct and restore the function of native IVD. Here, we introduce an IVD scaffold consists of a cellulose-alginate double network hydrogel-based annulus fibrosus (AF) and a cellulose hydrogel-based nucleus pulposus (NP). This scaffold mimics native IVD structure and controls the delivery of Growth Differentiation Factor-5 (GDF-5), which induces differentiation of endogenous mesenchymal stem cells (MSCs). In addition, this IVD scaffold has modifications on MSC homing peptide and RGD peptide which facilitate the recruitment of MSCs to injured area and enhances their cell adhesion property. The benefits of this double network hydrogel are high compressibility, shape memory effect, and mechanical strength comparable to native IVD. In vivo animal study demonstrates successful reconstruction of injured IVD including both AF and NP. These findings suggest that this double network hydrogel can serve as a promising approach to IVD regeneration with other potential biomedical applications.
作为治疗椎间盘(IVD)退变的一种重要方法,椎间盘移植在完全重建和恢复天然IVD功能方面仍存在不足。在此,我们介绍一种IVD支架,它由基于纤维素 - 藻酸盐双网络水凝胶的纤维环(AF)和基于纤维素水凝胶的髓核(NP)组成。这种支架模仿天然IVD结构,并控制生长分化因子5(GDF - 5)的释放,GDF - 5可诱导内源性间充质干细胞(MSCs)分化。此外,这种IVD支架对MSC归巢肽和RGD肽进行了修饰,有助于将MSCs募集到损伤区域并增强其细胞黏附特性。这种双网络水凝胶的优点是具有高压缩性、形状记忆效应以及与天然IVD相当的机械强度。体内动物研究表明,成功重建了包括AF和NP在内的损伤IVD。这些发现表明,这种双网络水凝胶可作为一种有前景的IVD再生方法,并具有其他潜在的生物医学应用。