体内评估不同间充质基质细胞组织类型及其在形状记忆聚合物支架上的分化状态对骨再生的影响。
An In Vivo Assessment of Different Mesenchymal Stromal Cell Tissue Types and Their Differentiation State on a Shape Memory Polymer Scaffold for Bone Regeneration.
机构信息
Department of Biomedical Engineering and Chemical Engineering, University of Texas San Antonio, San Antonio, Texas, USA.
Naval Medical Research Unit San Antonio, San Antonio, Texas, USA.
出版信息
J Biomed Mater Res B Appl Biomater. 2024 Dec;112(12):e35516. doi: 10.1002/jbm.b.35516.
A combined biomaterial and cell-based solution to heal critical size bone defects in the craniomaxillofacial area is a promising alternative therapeutic option to improve upon autografting, the current gold standard. A shape memory polymer (SMP) scaffold, composed of biodegradable poly(ε-caprolactone) and coated with bioactive polydopamine, was evaluated with mesenchymal stromal cells (MSCs) derived from adipose (ADSC), bone marrow (BMSC), or umbilical cord (UCSC) tissue in their undifferentiated state or pre-differentiated toward osteoblasts for bone healing in a rat calvarial defect model. Pre-differentiating ADSCs and UCSCs resulted in higher new bone volume fraction (15.69% ± 1.64%) compared to empty (i.e., untreated) defects and scaffold-only (i.e., unseeded) groups (4.41% ± 1.11%). Notably, only differentiated UCSCs exhibited a significant increase in new bone volume, surpassing both undifferentiated UCSCs and unseeded scaffolds. Further, differentiated ADSCs and UCSCs had significantly higher trabecular numbers than their undifferentiated counterparts, unseeded scaffolds, and untreated defects. Although the mineral density regenerated within the unseeded scaffold surpassed that achieved with cell seeding, the connectivity of this bone was diminished, as the regenerated tissue confined itself to the spherical morphology of the scaffold pores. The SMP scaffold alone, with undifferentiated BMSCs, with undifferentiated and differentiated ADSCs, and differentiated UCSCs (29.72 ± 1.49 N) demonstrated significant osseointegration compared to empty defects (14.34 ± 2.21 N) after 12 weeks of healing when assessed by mechanical push-out testing. Based on these results and tissue availability to obtain the cells, pre-differentiated ADSCs and UCSCs emerge as particularly promising candidates when paired with the SMP scaffold for repairing critical size bone defects in the craniofacial skeleton.
一种结合生物材料和细胞的方法来治疗头面部颅颌面区域的临界大小骨缺损,是改善自体移植物(目前的金标准)的有前途的治疗选择。一种形状记忆聚合物(SMP)支架,由可生物降解的聚(ε-己内酯)组成,并涂有生物活性的聚多巴胺,用未分化的间充质基质细胞(MSCs)评估,这些 MSCs 来源于脂肪(ADSC)、骨髓(BMSC)或脐带(UCSC)组织,或预先分化为成骨细胞,用于大鼠颅骨缺损模型中的骨愈合。与空(即未处理)缺陷和支架仅(即未接种)组(4.41%±1.11%)相比,预先分化的 ADSC 和 UCSC 导致更高的新骨体积分数(15.69%±1.64%)。值得注意的是,只有分化的 UCSC 表现出新骨体积的显著增加,超过了未分化的 UCSC 和未接种的支架。此外,分化的 ADSC 和 UCSC 的小梁数量明显高于未分化的对应物、未接种的支架和未处理的缺陷。尽管未接种支架内再生的矿物质密度超过了细胞接种的效果,但这种骨的连通性降低了,因为再生组织局限于支架孔的球形形态。单独的 SMP 支架、未分化的 BMSC、未分化和分化的 ADSC 以及分化的 UCSC(29.72±1.49 N)在 12 周的愈合后通过机械推挤试验评估时,与空缺陷(14.34±2.21 N)相比,表现出显著的骨整合。基于这些结果和获得细胞的组织可用性,当与 SMP 支架配对时,预先分化的 ADSC 和 UCSC 作为修复头面部颅颌面区域临界大小骨缺损的特别有前途的候选物出现。