Abstract
Objective
A new therapeutic strategy using nanocomposite scaffolds of grafted hydroxyapatite (g-HA)/poly(lactide-co-glycolide) (PLGA) carried with autologous mesenchymal stem cells (MSCs) and bone morphogenetic protein-2 (BMP-2) was assessed for the therapy of critical bone defects. At the same time, tissue response and in vivo mineralization of tissue-engineered implants were investigated.
Methods
A composite scaffold of PLGA and g-HA was fabricated by the solvent casting and particulate-leaching method. The tissue-engineered implants were prepared by seeding the scaffolds with autologous bone marrow MSCs in vitro. Then, mineralization and osteogenesis were observed by intramuscular implantation, as well as the repair of the critical radius defects in rabbits.
Results
After eight weeks post-surgery, scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDX) revealed that g-HA/PLGA had a better interface of tissue response and higher mineralization than PLGA. Apatite particles were formed and varied both in macropores and micropores of g-HA/PLGA. Computer radiographs and histological analysis revealed that there were more and more quickly formed new bone formations and better fusion in the bone defect areas of g-HA/PLGA at 2–8 weeks post-surgery. Typical bone synostosis between the implant and bone tissue was found in g-HA/PLGA, while only fibrous tissues formed in PLGA.
Conclusions
The incorporation of g-HA mainly improved mineralization and bone formation compared with PLGA. The application of MSCs can enhance bone formation and mineralization in PLGA scaffolds compared with cell-free scaffolds. Furthermore, it can accelerate the absorption of scaffolds compared with composite scaffolds.
概要
目 的
对应用接枝的羟基磷灰石 (g-HA) /聚乳酸-羟基乙酸共聚物 (PLGA) 纳米复合支架接种自体骨髓间充质干细胞 (MSCs) 和骨形态发生蛋白 2 (BMP-2) 治疗重症骨缺损的新的治疗策略进行评估, 并通过肌肉内移植研究人工骨的组织相容性和移植物在体内的矿化和缺损骨的愈合。
创新点
改性的 PLGA 接种自体 MSCs 的组织工程骨加速了骨缺损的愈合, 使临床重症骨缺损的治疗有了新的手段。
方 法
应用溶剂浇铸和粒子沥滤方法将 PLGA 和 g-HA 制备成复合支架 g-HA/PLGA。 在 g-HA/PLGA 支架上接种兔自体 MSCs 制成组织工程移植物。 取宽 0.3 cm 长 2.0 cm 的上述移植物埋入兔背部肌肉内, 8 周后取出移植物, 使用扫描式电子显微镜 (SEM) 检测人工骨的组织相容性 (图3a), X 射线能量色散谱 (EDX) 分析钙浓度。 然后, 用锯锯掉兔前肢桡骨骨干 2.0 cm, 取同样长度的上述移植物放置于骨缺损处 (图4) 。 术后 2、 4、 8 周应用计算机 X 线摄影 (CR) 检测骨缺损愈合情况 (图5), 组织学分析愈合组织结构 (图6), SEM 检测人工骨与周围组织的相容性 (图7), 反转录聚合酶链式反应 (RT-PCR) 检测愈合组织 Collagen I、 Collagen II 和 Bmp-2 基因的表达。
结 论
PLGA 掺入 g-HA 主要改善了矿化作用, 有益于骨相关基因的表达和骨形成。 自体 MSCs 的应用增强了骨形成和 PLGA 支架的矿化作用, 并加速了支架的吸收。
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Project supported by the National Natural Science Foundation of China (Nos. 51473164 and 51273195), the Joint Research Project of Chinese Academy of Sciences and Japan Society for the Promotion of Science (CAS-JSPS; No. GJHZ1519), and the International Science and Technology Cooperation Program of China (No. 2014DFG52510)
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Zhang, B., Zhang, Pb., Wang, Zl. et al. Tissue-engineered composite scaffold of poly(lactide-co-glycolide) and hydroxyapatite nanoparticles seeded with autologous mesenchymal stem cells for bone regeneration. J. Zhejiang Univ. Sci. B 18, 963–976 (2017). https://doi.org/10.1631/jzus.B1600412
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DOI: https://doi.org/10.1631/jzus.B1600412