Department of Periodontology, the Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310000, People's Republic of China.
Key Laboratory of Oral Biomedical Research of Zhejiang Province, Zhejiang University School of Stomatology, Hangzhou 310000, People's Republic of China.
ACS Biomater Sci Eng. 2023 Apr 10;9(4):1961-1975. doi: 10.1021/acsbiomaterials.2c01440. Epub 2023 Mar 21.
Periodontal tissue regeneration is a major challenge in tissue engineering due to its regenerated environment complexity. It aims to regenerate not only the supporting alveolar bone and cementum around teeth but also the key connecting periodontal ligament. Herein, a constructed aligned porous hydrogel scaffold carrying cells based on chitosan (CHI) and oxidized chondroitin sulfate (OCS) treated with a freeze-casting technique was fabricated, which aimed to induce the arrangement of periodontal tissue regeneration. The microscopic morphology and physical and chemical properties of the hydrogel scaffold were evaluated. The biocompatibilities with periodontal ligament stem cells (PDLSCs) or gingival-derived mesenchymal stem cells (GMSCs) were verified, respectively, by Live/Dead staining and CCK8 in vitro. Furthermore, the regeneration effect of the aligned porous hydrogel scaffold combined with PDLSCs and GMSCs was evaluated in vivo. The biocompatibility experiments showed no statistical significance between the hydrogel culture group and blank control ( > 0.05). In a rat periodontal defect model, PDLSC and GMSC hydrogel experimental groups showed more pronounced bone tissue repair than the blank control ( < 0.05) in micro-CT. In addition, there was more tissue repair ( < 0.05) of PDLSC and GMSC hydrogel groups from histological staining images. Higher expressions of OPN, Runx-2, and COL-I were detected in both of the above groups via immunohistochemistry staining. More importantly, the group with the aligned porous hydrogel induced more order periodontal ligament formation than that with the ordinary hydrogel in Masson's trichrome analysis. Collectively, it is expected to promote periodontal tissue regeneration utilizing an aligned porous hydrogel scaffold combined with PDLSCs and GMSCs (CHI-OCS-PDLSC/GMSC composite), which provides an alternative possibility for clinical application.
牙周组织再生是组织工程学中的一个主要挑战,因为其再生环境复杂。它的目标不仅是再生牙齿周围的牙槽骨和牙骨质,还包括关键的牙周韧带。本文构建了一种基于壳聚糖(CHI)和氧化硫酸软骨素(OCS)的、经冷冻铸造技术处理的定向多孔水凝胶支架,旨在诱导牙周组织再生。评估了水凝胶支架的微观形貌和物理化学性质。通过活/死染色和 CCK8 体外实验分别验证了其与牙周膜干细胞(PDLSCs)或牙龈来源间充质干细胞(GMSCs)的生物相容性。进一步在体内评估了定向多孔水凝胶支架与 PDLSCs 和 GMSCs 联合的再生效果。生物相容性实验表明,水凝胶培养组与空白对照组之间无统计学差异(>0.05)。在大鼠牙周缺损模型中,与空白对照组相比,PDLSC 和 GMSC 水凝胶实验组在 micro-CT 中表现出更明显的骨组织修复(<0.05)。此外,从组织学染色图像来看,PDLSC 和 GMSC 水凝胶实验组有更多的组织修复(<0.05)。免疫组织化学染色显示,两组的 OPN、Runx-2 和 COL-I 表达均升高。更重要的是,在 Masson 三色分析中,定向多孔水凝胶组比普通水凝胶组诱导形成了更多有序的牙周韧带。综上所述,利用定向多孔水凝胶支架结合 PDLSCs 和 GMSCs(CHI-OCS-PDLSC/GMSC 复合材料)有望促进牙周组织再生,为临床应用提供了一种替代方案。
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