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鸡异体胚胎软骨细胞植入胶原-纤维蛋白凝胶后机械诱导关节软骨缺损的实验研究

[Experimental studies of mechanically-induced articular cartilage defects following implantation of allogeneic embryonal chondrocytes in a collagen-fibrin gel in chickens].

作者信息

Perka C, Lindenhayn K, Heilmann H H, Sittinger M, Muschik M

机构信息

Orthopädische Klinik, Humboldt-Universität zu Berlin, Charité.

出版信息

Z Orthop Ihre Grenzgeb. 1996 Nov-Dec;134(6):562-72. doi: 10.1055/s-2008-1039925.

Abstract

Full thickness defects (diameter 1,7 mm; depth 2,5 mm) were created mechanically in articular cartilage and subchondral bone of the condyles of tibiotarsal joints of 9-month old chickens. This full-thickness defects were repaired with cultured allogenic embryonic chick epiphyseal chondrocytes from the tibiae and femura of 10-days-old chicken embryos. The cells were embedded in a collagen-fibrinogen-matrix. Controls were similarly operated, but received either no treatment or implants the delivery substance only. Healing of the defects was observed macroscopically, histologically, histochemically and histomorphometrically after 3, 12 and 24 weeks. This graft was successfully transplanted in mechanically induced defects in 80%. The resulting hyaline cartilage was structurally reorganized according to the host pattern and under the influence of environmental conditions. The articular zone preserved it's cartilaginous phenotype, whereas the subchondral regions were transformed into bone. 12 weeks after the operation the defects in the experimental group were completely filled. In all instances in this group, there was an initial extreme increase of mitotic rate and cell number. After 24 weeks normal and subnormal values were founded. The defects in the control groups healed with fibrocartilage. Our results showed, that only the defects in the experimental group were completely filled with reparative hyaline cartilage tissue. In the present study the mixture of cultured allogenic embryonic chondrocytes and a collagen-fibrinogen-matrix was used successfully as a transplant for repairing defects in articular cartilage of chickens. Thus allogenic transplantation of cultured embryonal chondrocytes appears to be one of the most promising methods for the restoration of articular cartilage.

摘要

在9月龄鸡的胫跗关节髁的关节软骨和软骨下骨中机械制造全层缺损(直径1.7毫米;深度2.5毫米)。用来自10日龄鸡胚胫骨和股骨的培养同种异体胚胎鸡骨骺软骨细胞修复这种全层缺损。细胞被包埋在胶原 - 纤维蛋白原基质中。对照组进行类似操作,但不进行任何处理或仅植入递送物质。在3、12和24周后,通过宏观、组织学、组织化学和组织形态计量学观察缺损的愈合情况。这种移植物在80%的机械诱导缺损中成功移植。形成的透明软骨根据宿主模式并在环境条件影响下进行结构重组。关节区域保留其软骨表型,而软骨下区域则转化为骨。术后12周,实验组的缺损完全被填充。在该组的所有实例中,有丝分裂率和细胞数量最初极度增加。24周后发现正常和低于正常的值。对照组的缺损由纤维软骨愈合。我们的结果表明,只有实验组的缺损完全被修复性透明软骨组织填充。在本研究中,培养的同种异体胚胎软骨细胞和胶原 - 纤维蛋白原基质的混合物成功用作修复鸡关节软骨缺损的移植物。因此,培养胚胎软骨细胞的同种异体移植似乎是恢复关节软骨最有前途的方法之一。

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