Sims C D, Butler P E, Cao Y L, Casanova R, Randolph M A, Black A, Vacanti C A, Yaremchuk M J
Department of Surgery, Harvard Medical School, and Massachusetts General Hospital, Boston 02114, USA.
Plast Reconstr Surg. 1998 May;101(6):1580-5. doi: 10.1097/00006534-199805000-00022.
This study demonstrates that fibrin monomers can be polymerized into moldable gels and used for the encapsulation of isolated chondrocytes. This biologically derived scaffold will maintain three-dimensional spatial support, allowing new tissue development in a subcutaneous space. Chondrocytes isolated from the glenohumeral and humeroradioulnar joints of a calf were combined with cyroprecipitate and polymerized with bovine thrombin to create a fibrin glue gel with a final cell density of 12.5 x 10(6) cells/ml. The polymer-chondrocyte constructs were implanted subcutaneously in 12 nude mice and incubated for 6 and 12 weeks in vivo. Histologic and biochemical analysis including deoxyribonucleic acid (DNA) and glycosaminoglycan quantitation confirmed the presence of actively proliferating chondrocytes with production of a well-formed cartilaginous matrix in the transplanted samples. Control specimens from 12 implantation sites consisting of chondrocytes alone or fibrin glue substrates did not demonstrate any gross or histologic evidence of neocartilage formation. Moldable autogenous fibrin glue polymer systems have a potential to serve as alternatives to current proprietary polymer systems used for tissue engineering cartilage as well as autogenous grafts and alloplastic materials used for facial skeletal and soft-tissue augmentation.
本研究表明,纤维蛋白单体可聚合成可塑形凝胶,并用于包封分离的软骨细胞。这种生物衍生支架将维持三维空间支撑,使皮下空间能够发育出新组织。从小牛的盂肱关节和肱桡尺关节分离出的软骨细胞与冷沉淀混合,并与牛凝血酶聚合,制成最终细胞密度为12.5×10(6)个细胞/毫升的纤维蛋白胶凝胶。将聚合物 - 软骨细胞构建体皮下植入12只裸鼠体内,并在体内培养6周和12周。包括脱氧核糖核酸(DNA)和糖胺聚糖定量在内的组织学和生化分析证实,移植样本中存在活跃增殖的软骨细胞,并产生了结构良好的软骨基质。来自12个植入部位的对照标本,仅由软骨细胞或纤维蛋白胶基质组成,未显示任何新软骨形成的大体或组织学证据。可塑形的自体纤维蛋白胶聚合物系统有可能替代目前用于组织工程软骨的专利聚合物系统,以及用于面部骨骼和软组织增强的自体移植物和异体材料。