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[用于治疗骨关节炎的可注射水凝胶微球实验研究]

[Injectable hydrogel microspheres experimental research for the treatment of osteoarthritis].

作者信息

Yao Yubin, Wei Gang, Ding Jie, Cui Wenguo

机构信息

Department of Orthopedics, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou Zhejiang, 325000, P. R. China.

Shanghai Key Laboratory for Prevention and Treatment of Bone and Joint Diseases, Shanghai Institute of Traumatology and Orthopaedics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, P. R. China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023 Aug 15;37(8):918-928. doi: 10.7507/1002-1892.202302105.

Abstract

OBJECTIVE

To prepare a novel hyaluronic acid methacrylate (HAMA) hydrogel microspheres loaded polyhedral oligomeric silsesquioxane-diclofenac sodium (POSS-DS) patricles, then investigate its physicochemical characteristics and and biological properties.

METHODS

Using sulfhydryl POSS (POSS-SH) as a nano-construction platform, polyethylene glycol and DS were chemically linked through the "click chemistry" method to construct functional nanoparticle POSS-DS. The composition was analyzed by nuclear magnetic resonance spectroscopy and the morphology was characterized by transmission electron microscopy. In order to achieve drug sustained release, POSS-DS was encapsulated in HAMA, and hybrid hydrogel microspheres were prepared by microfluidic technology, namely HAMA@POSS-DS. The morphology of the hybrid hydrogel microspheres was characterized by optical microscope and scanning electron microscope. The degradation and drug release efficiency were observed. Cell counting kit 8 (CCK-8) and live/dead staining were used to detect the effect on chondrocyte proliferation. Moreover, a chondrocyte inflammation model was constructed and cultured with HAMA@POSS-DS. The relevant inflammatory indicators, including collagen type Ⅱ, aggrecan (AGG), matrix metalloproteinase 13 (MMP-13), recombinant A disintegrin and metalloproteinase with thrombospondin 5 (Adamts5), and recombinant tachykinin precursor 1 (TAC1) were detected by immunofluorescence staining and real-time fluorescence quantitative PCR, with normal cultured chondrocytes and the chondrocyte inflammation model without treatment as control group and blank group respectively to further evaluate their anti-inflammatory activity. Finally, by constructing a rat model of knee osteoarthritis, the effectiveness of HAMA@POSS-DS on osteoarthritis was evaluated by X-ray film and Micro-CT examination.

RESULTS

The overall particle size of POSS-DS nanoparticles was uniform with a diameter of about 100 nm. HAMA@POSS-DS hydrogel microspheres were opaque spheres with a diameter of about 100 μm and a spherical porous structure. The degradation period was 9 weeks, during which the loaded POSS-DS nanoparticles were slowly released. CCK-8 and live/dead staining showed no obvious cytotoxicity at HAMA@POSS-DS, and POSS-DS released by HAMA@POSS-DS significantly promoted cell proliferation (<0.05). In the chondrocyte anti-inflammatory experiment, the relative expression of collagen type Ⅱ mRNA in HAMA@POSS-DS group was significantly higher than that in control group and blank group (<0.05). The relative expression level of AGG mRNA was significantly higher than that of blank group (<0.05). The relative expressions of MMP-13, Adamts5, and TAC1 mRNA in HAMA@POSS-DS group were significantly lower than those in blank group (<0.05). experiments showed that the joint space width decreased after operation in rats with osteoarthritis, but HAMA@POSS-DS delayed the process of joint space narrowing and significantly improved the periarticular osteophytosis (<0.05).

CONCLUSION

HAMA@POSS-DS can effectively regulate the local inflammatory microenvironment and significantly promote chondrocyte proliferation, which is conducive to promoting cartilage regeneration and repair in osteoarthritis.

摘要

目的

制备一种新型的负载多面体低聚倍半硅氧烷 - 双氯芬酸钠(POSS - DS)颗粒的甲基丙烯酸透明质酸(HAMA)水凝胶微球,然后研究其理化特性和生物学特性。

方法

以巯基化POSS(POSS - SH)作为纳米构建平台,通过“点击化学”方法将聚乙二醇与双氯芬酸钠化学连接,构建功能性纳米颗粒POSS - DS。通过核磁共振光谱分析其组成,用透射电子显微镜表征其形态。为实现药物缓释,将POSS - DS包裹于HAMA中,采用微流控技术制备混合水凝胶微球,即HAMA@POSS - DS。用光学显微镜和扫描电子显微镜表征混合水凝胶微球的形态。观察其降解和药物释放效率。采用细胞计数试剂盒8(CCK - 8)和活/死染色检测对软骨细胞增殖的影响。此外,构建软骨细胞炎症模型并用HAMA@POSS - DS培养。通过免疫荧光染色和实时荧光定量PCR检测相关炎症指标,包括Ⅱ型胶原、聚集蛋白聚糖(AGG)、基质金属蛋白酶13(MMP - 13)、含血小板反应蛋白基序的解聚素和金属蛋白酶5(Adamts5)以及速激肽原1(TAC1),分别以正常培养的软骨细胞和未处理的软骨细胞炎症模型作为对照组和空白组,进一步评估其抗炎活性。最后,通过构建大鼠膝骨关节炎模型,采用X线片和显微CT检查评估HAMA@POSS - DS对骨关节炎的疗效。

结果

POSS - DS纳米颗粒的整体粒径均匀,直径约为100 nm。HAMA@POSS - DS水凝胶微球为不透明球体,直径约为100μm,具有球形多孔结构。降解期为9周,在此期间负载的POSS - DS纳米颗粒缓慢释放。CCK - 8和活/死染色显示HAMA@POSS - DS无明显细胞毒性,且HAMA@POSS - DS释放的POSS - DS显著促进细胞增殖(P<0.05)。在软骨细胞抗炎实验中,HAMA@POSS - DS组Ⅱ型胶原mRNA的相对表达量显著高于对照组和空白组(P<0.05)。AGG mRNA的相对表达水平显著高于空白组(P<0.05)。HAMA@POSS - DS组MMP - 13、Adamts5和TAC1 mRNA的相对表达量显著低于空白组(P<0.05)。实验表明,骨关节炎大鼠术后关节间隙宽度减小,但HAMA@POSS - DS延缓了关节间隙变窄的进程,并显著改善了关节周围骨赘形成(P<0.05)。

结论

HAMA@POSS - DS能有效调节局部炎症微环境,显著促进软骨细胞增殖,有利于促进骨关节炎中软骨的再生和修复。

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