鸵鸟蛋壳膜联合富血小板血浆在跟腱再生中的生物相容性和疗效的体外和体内评估

In-vitro and in-vivo assessment of biocompatibility and efficacy of ostrich eggshell membrane combined with platelet-rich plasma in Achilles tendon regeneration.

作者信息

Koohi-Hosseinabadi Omid, Shahriarirad Reza, Dehghanian Amireza, Amini Laleh, Barzegar Sajjad, Daneshparvar Afrooz, Alavi Omid, Khazraei Seyedeh-Parvin, Hosseini Saba, Arabi Monfared Ali, Khorram Roya, Tanideh Nader, Ashkani-Esfahani Soheil

机构信息

Laparoscopy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Central Research Laboratory, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Sci Rep. 2025 Jan 4;15(1):841. doi: 10.1038/s41598-025-85131-x.

Abstract

Tendon injuries present significant medical, social, and economic challenges globally. Despite advancements in tendon injury repair techniques, outcomes remain suboptimal due to inferior tissue quality and functionality. Tissue engineering offers a promising avenue for tendon regeneration, with biocompatible scaffolds playing a crucial role. Ostrich eggshell membrane (ESM), characterized by a strong preferential orientation of calcite crystals, forms a semipermeable polymer network with excellent mechanical properties compared to membranes from other bird species, emerging as a potential natural scaffold candidate. Coupled with platelet-rich plasma (PRP), known for its regenerative properties, ESM holds promise for improving tendon repair. This study aims to evaluate the biocompatibility and efficacy of an ESM-PRP scaffold in treating Achilles tendon ruptures, employing in vitro and in vivo assessments to gauge its potential in tendon regeneration in living organisms. Ostrich ESM was prepared from pathogen-free ostrich eggs, sterilized with UV radiation and prepared in desired dimensions before implantation (1.5 × 1 cm). High-resolution scanning electron microscopy (HRSEM) was utilized to visualize the sample morphology and fiber bonding. In vitro biocompatibility was assessed using the MTT assay and DAPI staining, while in vivo biocompatibility was evaluated in a rat model. For the in vivo Achilles tendinopathy assay, rats were divided into groups and subjected to AT rupture followed by treatment with ESM, PRP, or a combination. SEM was employed to evaluate tendon morphology, and real-time PCR was conducted to analyze gene expression levels. The in vivo assay indicated that the ESM scaffold was safe for an extended period of 8 weeks, showing no signs of inflammation based on histopathological analysis. In the Achilles tendon rupture model, combining ESM with PRP enhanced tendon healing after 14 weeks post-surgery. This finding was supported by histopathological, morphological, and mechanical evaluations of tendon tissues compared to normal tendons, untreated tendinopathy, and injured tendons treated with the ESM scaffold. Gene expression analysis revealed significantly increased expression of Col1a1, Col3a1, bFGF, Scleraxis (Scx), and tenomodulin in the ESM-PRP groups. The findings of our study demonstrate that the combination of Ostrich ESM with PRP significantly enhances AT repair and is a biocompatible scaffold for the application in living organisms.

摘要

肌腱损伤在全球范围内带来了重大的医学、社会和经济挑战。尽管肌腱损伤修复技术取得了进展,但由于组织质量和功能较差,治疗效果仍然不尽人意。组织工程为肌腱再生提供了一条有前景的途径,生物相容性支架在其中起着关键作用。鸵鸟蛋壳膜(ESM)以方解石晶体的强烈择优取向为特征,与其他鸟类的蛋壳膜相比,形成了具有优异机械性能的半透性聚合物网络,成为一种潜在的天然支架候选材料。与以其再生特性而闻名的富血小板血浆(PRP)相结合,ESM有望改善肌腱修复。本研究旨在评估ESM-PRP支架治疗跟腱断裂的生物相容性和疗效,采用体外和体内评估来衡量其在生物体肌腱再生中的潜力。鸵鸟ESM由无病原体的鸵鸟蛋制备而成,经紫外线辐射消毒,并在植入前制备成所需尺寸(1.5×1厘米)。利用高分辨率扫描电子显微镜(HRSEM)观察样品形态和纤维结合情况。使用MTT法和DAPI染色评估体外生物相容性,在大鼠模型中评估体内生物相容性。对于体内跟腱病检测,将大鼠分组,使其跟腱断裂,然后分别用ESM、PRP或两者联合进行治疗。采用扫描电子显微镜评估肌腱形态,并进行实时聚合酶链反应分析基因表达水平。体内检测表明,ESM支架在长达8周的时间内是安全的,根据组织病理学分析没有炎症迹象。在跟腱断裂模型中,术后14周时,将ESM与PRP联合使用可增强肌腱愈合。与正常肌腱、未经治疗的肌腱病以及用ESM支架治疗的损伤肌腱相比,对肌腱组织进行的组织病理学、形态学和力学评估支持了这一发现。基因表达分析显示,ESM-PRP组中Col1a1、Col3a1、碱性成纤维细胞生长因子(bFGF)、硬骨素(Scx)和肌腱调节蛋白的表达显著增加。我们的研究结果表明,鸵鸟ESM与PRP联合使用可显著增强跟腱修复,是一种可应用于生物体的生物相容性支架。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01ca/11700202/32654b8835af/41598_2025_85131_Fig1_HTML.jpg

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