骨髓间充质干细胞复合强化磷酸三钙/富血小板血浆凝胶支架材料体内成骨与血管化初步实验研究
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
目的探讨骨髓间充质干细胞复合强化磷酸三钙/富血小板血浆凝胶支架材料体外定向成骨诱导后植入比格犬胫骨上段骨缺损巾构建组织工程骨并修复体内骨缺损能力及血管化的情况。
     方法(1)比格犬骨髓间充质干细胞及强化磷酸三钙/富血小板血浆凝胶复合支架材料的制备,包括BMSCs的分离、纯化和扩增,富血小板血浆的制备。(2)比格犬骨髓间充质干细胞复合单纯强化磷酸三钙支架材料及强化磷酸三钙/富血小板血浆凝胶支架体外培养和诱导1周。(3)细胞复合单纯强化磷酸三钙支架材料复合物、自体髂骨及细胞复合强化磷酸三钙/富血小板血浆凝胶支架材料复合物随机植入比格犬双后肢胫骨平台下方骨缺损处。观察植入物的表面变化、骨痂形成、骨缺损修复情况及周围组织反应。(4)术后4、8、12周取材行HE染色计数微血管密度(MVD),同时行骨钙素蛋白免疫组织化学染色观察其表达情况。(5)RT-PCR检测体内各组在4、8、12周时OCN、VEGF的mRNA的表达情况,并对两者的相关性进行分析。
     结果(1)各组材料植入比格犬胫骨骨缺损后,伤口生长良好,没有全身和局部的炎症、毒性反应及排斥反应,伤口一期愈合。细胞复合强化磷酸三钙/富血小板血浆凝胶支架材料组材料降解较快。(2)术后4、8、12周取材行MVD测定细胞复合强化磷酸三钙/富血小板血浆凝胶支架材料组MVD值与髂骨组接近,高于细胞复合单纯材料组。(3)术后4、8、12周取材行骨钙素蛋白免疫组织化学染色可见各组均可观察到新生软骨成骨情况,强化磷酸三钙/自体富血小板血浆凝胶复合材料组表达较细胞复合单纯强化磷酸三钙材料组更强。(4)各组在4、8、12周各组均可见OCN、VEGF的mRNA表达条带出现。比较4、8、12周各组目的条带和内参灰度值,8、12周时Ⅱ组和Ⅲ组各项表达强于Ⅰ组,Ⅱ组和Ⅲ组之间无明显差异。OCN、VEGF的mRNA表达呈正相关。
     结论(1)犬骨髓间充质干细胞复合强化磷酸三钙/自体富血小板血浆凝胶复合支架材料经体外诱导后在犬体内能获得良好的血管化。(2)犬骨髓间充质干细胞复合强化磷酸三钙/自体富血小板血浆凝胶支架材料犬体内成骨量与血管化的程度密切相关。
Objective To investigate the ability of constructing tissue engineering bone and repairing bone defection as well as vascularizing with dog bone marrow mesenchymal stem cells in intensified beta-tricalcium phosphate/platelet-rich plasma gel multiple-scaffold implanted dog's tibia upper segment after directed differentiation of stem cells into osteoblasts in vitro.
     Methods(1) Preparing dog bone marrow mesenchymal stem cells in intensified beta-tricalcium phosphate/platelet-rich plasma gel multiple-scaffold including the isolation、purification and proliferation of BMSCs,the preparation of PRP and so on.(2) Dog BMSCs was seeded in and then cultured or osteo-induced with intensified beta-tricalcium phosphate/platelet-rich plasma gel multiple-scaffold in vitro for 1 weeks.(3) The cells compound with alone beta-tricalcium phosphate(groupⅠ) or intensified beta-tricalcium phosphate/platelet-rich plasma gel multiple-scaffold(groupⅢ) were randomly implanted in dog's left or right circular tibial upper segment and were compared with autogenetic Ilium(groupⅡ).The changes of implants surface、the form of osteotylus、the reparation of bone defection and tissue reaction around the implant were observed.(4) All of implant were performed examination of HE stain and immunocytochemical stain of osteocalcin protein to observed the expression after operation 4、8、12 weeks,and to calculate microvessel density(MVD).(5) The expression of OCN、VEGF mRNA were detected by RT-PCR and the correlation of them was analyzed after operation 4、8、12 weeks.
     Results(1) The wound growth all right,inflammation and toxicity reaction in body or local part were not observed in all groups. The material in the group of the cells compound with intensified beta-tricalcium phosphate/platelet-rich plasma gel multiple-scaffold were degraded faster than groupⅠ.(2)The numerical of microvessel density(MVD) in the group of the cells compound with intensified beta-tricalcium phosphate/platelet-rich plasma gel multiple-scaffold nearly reached the level of the autogenetic ilium,and was higher than groupⅠ.(3) The ossifications of new cartilages were observed in all groups by HE stain and immunocytochemical stain of osteocalcin protein.The expression of the cell/intensified beta-tricalcium phosphate/ platelet-rich plasma gel multiple-scaffold compounds were better positively than the cells/ intensified beta-tricalcium phosphate compounds.(4) The expression of osteocalcin,VEGF protein mRNA were showed positive at all groups aider operation for 4、8 and 12 weeks. The groupⅡ、Ⅲexpressed all protein mRNA more positive than groupⅠat 8 and 12 weeks.And there was no different between the expression of groupⅡ、Ⅲ,and there was positive correlation between the mRNA expression of OCN and VEGF.
     Conclusion(1)Good vascularization could be acquired after canine BMSCs seeded in the intensified beta-tricalcium phosphate/platelet-rich plasma gel multiple-scaffold were transplanted in vivo.(2) There is close relationship between vascularization and ossification could after canine BMSCs seeded in the intensified beta-tricalcium phosphate/platelet-rich plasma gel multiple-scaffold were transplanted in vivo.
引文
[1]Kohno S,Kaku M,Tsutsui K,et al.Expression of vascular endothelial growth factor and the effects on bone remodeling during experiment tooth movement.[J]Dent Res,2003;82(3):177-182
    [2]Sahota PS,Burn JL,Brown NJ,et al.Approaches to improve angiogenesis in tissue-engineered skin.[J]Wound Repair Regen,2004,12(6):635-642
    [3]Laschke MW et al.Angiogenesis in tissue engineering:breathing life into constructed tissue substitutes.[J]Tissue Eng 2006;12:2093-104.
    [4]Nguyen,L.L.,and D'Amore,P.A.Cellular interactions in vascular growth and differentiation.[J]Int Rev Cytol 2001.204,1-48
    [5]Ferrara,N.,Gerber,H.P.,and LeCouter,J.The biology of VEGF and its receptors.[J]Nat Med 2003,9,669-676
    [6]Bong-Wook P,Young-Sool H,Deok RK,Jong-Ryoul K,June-Ho B,Gyeongsangnam-do and Busan K Vascular endothelial growth factor expression in cultured periosteal-derived cells[J]Oral and Maxillofacial Surgery,2008,105(5):554-560
    [7]Tamar Kaully,Keren Kaufman-Francis,Ayelet Lesman,et,al.Vascularization—The Conduit to Viable Engineered Tissues[J]TISSUE ENGINEERING:Part B 2009;15:1-11
    [8]Chen,R.R.,Silva,E.A.,Yuen,W.W.,and Mooney,D.J.Spatio temporal VEGF and PDGF delivery patterns in blood vessel formation and maturation.[J]Pharm Res 2007,24,258-264
    [9]张晔 曾炳芳 张长青 袁霆.富血小板血浆对体外培养骨髓间充质干细胞增殖及成骨活性的作用[J]中国修复重建外科杂志2005;19(2):109-113
    [10]Schmitz JP,Hollinger JD,The biology of platelet-rich plasma[J]Oral Maxillofac Surg,2001,59;1119-1121
    [11]Kim SG,Kim WK,Park JC,et al.A comparative study of osseo intergration of Avana implants in a demineralized freeze-dried bone alone or with platelet-rich plasma[J]Oral Maxillofac Surg,2002,60(9):1018-1025
    [12]Eppley BL,Woodell JE,Higgins J.Platelet quantification and growth factor analysis from platelet-rich plasma:Implications for wound healing[J].Plast Reconstr Surg,2004,114(6):1502-1508
    [13]Weidener N,Fokman J,Pozza F,et al.Tumor angiogensesis:a new significant and independent prognostic indicator in early-stage breast cancinoma.[J]Natl Cancer Inst,1992,84(24):1875-1887
    [14]Langer R,Vacanti JP.Tissue engineering.[J]Science 1993;260:920-6.
    [15]金丹,马骊,裴国献,等.携带人血管内皮细胞生长因子基因细菌内重组腺病毒转然兔骨髓基质干细胞的表达[J].中华创伤骨科杂志,2007,9(2):143-146
    [16]Burder SP,Fox BS.Tissue engineering of bone:Cell based strategies.[J]Clin Orthop,1999,(367Supp 1):S68-S83
    [17]Nomi,M.,Atala,A.,Coppi,P.D.,& Soker,S.Principals of neovaseularization for tissue engineering.[J]Mol.Aspects Med 2002.23,463-483
    [18]Griffith,C.K.,Miller,C.,Sainson,R.C.A.,Calvert,J.W.,Jeon,N.L.,
    Hughes,C.C.W.,& George,S.C.Diffusion limits of an in vitro thick prevascularized tissue.[J]Tissue Engineering2005.11,257-266
    [19]SokerS,M achadoM,A talaA.Systems for the rapeutic angiogenesisin tissue engineering.[J]Wodd J Urol,2000,18(1):10-18
    [20]Craig K.Griffith,and Steven C.George,et al.The Effect of Hypoxia on In Vitro Prevascularization of a Thick Soft Tissue[J]TISSUE ENGINEERING:Part A,2009;15:1-12
    [21]Seitz H,Rieder W,Irsen S,Leukers B,Tille C.Three-dimensional printing of porous ceramic scaffolds for bone tissue engineering.[J]Biomed Mater Res B Appl Biomater 2005;74:782-8.
    [22]Yoshikawa H,Myoui A.Bone tissue engineering with porous hydroxyapatite ceramics.[J]Artif Organs 2005;8:131-6.
    [23]Hing KA,Wilson LF,Buckland T.Comparative performance of three ceramic bone graft substitutes.[J]Spine J 2007;7:475-90.
    [24]Kim SS,Sun Park M,Jeon O,Yong Choi C,Kim BS.Poly(lactideco-glycolide)/hydroxyapatite composite scaffolds for bone tissue engineering.[J]Biomaterials 2006;27:1399-409.
    [25]Kim Set al.In vivo bone formation from human embryonic stem cellderived osteogenic cells in poly(D,L-lactic-co-glycolic acid)/hydroxyapatite composite scaffolds.[J]Biomaterials 2008;29:1043-53.
    [26]Guelcher SA.Biodegradable polyurethanes:synthesis and applications in regenerative medicine.[J]Tissue Eng B Rev 2008;14:3-17.
    [27]Laschke MW et al.,In vivo biocompatibility and vascularization of biodegradable porous polyurethane scaffolds for tissue engineering.[J]Acta Biomater ENGINEERING:Part B,2009;15:1-11
    [28]Khan TA,Sellke FW Laham RJ.Gene therapy progress and prospects:the rapeutic angiogenesis for limb and myocardialis chemia.[J]Gene Ther,2003,10(4):285-291。
    [29]Neufeldq Cohen T,Gengrinovitch S,et al.Vascular endothelial growth factor and its receptors.[J]FASEBJ,1999,13(1):9-22。
    [30]Horta BA,Grino JJ,Alencastro RB.Dynamical behavior of the vascular endothelial growth factor:biological implications.[J]Protein,2007;67(3);517-525)。
    [31]Peng H,Wright V,Usas A,et al.Synergistic enhancement of bone formation and healing by stem cell-expressed VEGF and bone morphogenetic protein-4.[J]Clin Invest,2002,110(6):751-759。
    [32]Weibrich G,Kleis WK,Hafner G,et al.Growth factor levels in platelet-rich plasma and correlations with donor age,sex,and platelet count.[J]Craniomaxillofac Surg 2002;30(2):97-102
    [33]张洪涛,覃承河,陈滨,等.自体富血小板血浆代替动物血清体外诱导培养人骨髓基质干细胞的实验[J].中国临床康复,2006,10(1):17-19
    [34]Woodall,J.R.,Tucci,M.,Mishra,A.,and Benghuzzi,H.Cellular effects of platelet rich plasma:a study on HL-60 macrophage-like cells.[J]Biomed Sci Instrum 2007,43,266-271,
    [35]Bielecki,T.M.,Gazdzik,T.S.,Arendt,J.,Szczepanski,T.,Krol,W.,and Wielkoszynski,T.Antibacterial effect of autologous platelet gel enriched with growth factors and other active substances:an in-vitro study.[J]Bone Joint Surg Br 2007.89,417-420,
    [36]Lindeboom,J.A.,K.R.Mathura,I.H.Aartman,F.H.Kroon,D.M.Milstein,C.Ince Influence of the application of platelet-enriched plasma in oral mueosal wound healing.[J]Clin Oral Implants Res 2007,18:133-139
    [37]Farrag,T.Y.,M.Lehar,P.Verhaegen,K.A.Carson,P.J.Byrne Effect of platelet rich plasma and fibrin sealant on facial nerve regeneration in a rat model.[J]Laryngoscope 2007,117:157-165.
    [38]程文俊,金丹,郭刚等,富血小板血浆对人骨髓间充质干细胞成骨分化的抑制效应[J].中国组织工程研究与临床康复,2007,11(28):5494-5498
    [39]Landesberg R,Roy M,Clicman R.Quantification of growth factor levels using a simplified method of platelet-rich plasma gel preparation[J].J Oral Maxillofac Surg,2000,58(3):297-300.
    [40]Marx RE,Carlson ER,Eichstaedt RM,et al.Platelet-rich plasma:Growth factor enhancement for bone grafts[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,1998,85(6):638-646.
    [41]Allan Mishra,.,Padmaja Tummala,.,Aaron King,.,Byung Lee,,Mark Kraus,Victor Tse,Christopher R.Jacobs.Buffered Platelet-Rich Plasma Enhances MesenchymalStem Cell Proliferation and Chondrogenic Differentiation[J]TISSUE ENGINEERING:Part C,2009;15:1-11.
    [42]Kocaoemer,A.,Kern,S.,Klueter,H.,and Bieback,K.Human AB-serum as well as thrombin-activated platelet-rich-plasma are suitable alternatives to fetal calf serum for the expansion of mesenchymal stem cells.[J]Stem Cells 2007.25,1270-1278,
    [43]Vogel,J.P.,Szalay,K.,Geiger,F.,Kramer,M.,Richter,W.,and Kasten,P.Platelet-rich plasma improves expansion of human mesenchymal stem cells and retains differentiation capacity and in vivo bone formation in calcium phosphate.[J]Platelets,2006.17,462-469,
    [44]Anja D,Antonia Z,Ewa K S,Klaus M S,Karl-Heinz F.Influence of Platelet-Rich Plasma on Chondrogenic Differentiation and Proliferation of Chondrocytes and Mesenchymal Stem Cells[J]Cells Tissues Organs 2009;189:317-326
    [45]Abukawa,H.,Shin,M.,Williams,W.B.,Vacanti,J.P.,Kaban,L.B.&Troulis,M.J.Reconstruction of mandibular defects with autologous tissue-engineered bone.[J]Journal of Oral and Maxillofacial Surgery.2004,62,601-606
    [46]王永刚 裴国献,血管束植入在组织工程骨血管化构建中的作用[J]解放军医学杂志,2007,32(1):26-28
    [47]Pieri F,Lucarelli E,Corinaldesi G,Iezzi G,Piattelli A,Giardino R,Bassi M,Donati D,Marchetti C.Mesenchymal stem cells and platelet-rich plasma enhance bone formation in sinus grafting:a histomorphometric study in minipigs.[J]Clin Periodonto1,2008;35:539-546.
    [1]杨志明,樊征夫,解慧琪,秦廷武,彭文珍.组织工程化人工骨血管化研究[J]中华显微外科杂志,2002,25:119-122
    [2]Chang CS,Su CY,Lin TC.Scanning electron microscopy observation of vascularization around hydroxyapatite using vascular corrosion casts[J]Binmed Mater Res,1999,48:411-416
    [3]Nguyen,L.L.,and D'Amore,P.A.Cellular interactions in vascular growth and differentiation.[J]Int Rev Cytol 2001.204,1
    [4]Asahara,T.,Murohara,T.,Sullivan,A.,Silver,M.,van der Zee,R.,Li,T.,Witzenbichler,B.,Schatteman,G.,and Isner,J.M.Isolation of putative progenitors cells for angiogenesis[J]Science 1997.275,964
    [5]Asahara,T.,Masuda,H.,Takahashi,T.,Kalka,C.,Pastore,C.,Silver,M.,Kearne,M.,Magner,M.,and Isner,J.M.Bone marrow origin of endothelial progenitor cells responsible for postnatal vasculogenesis in physiological and pathological neovascularization.[J]Circ Res1999.85,221
    [6]Urbich,C.,and Dimmeler,S.Endothelial progenitors cells[J]Trends Cardiovasc Med 2004.14,318
    [7]Ferrara,N.,Gerber,H.P.,and LeCouter,J.The biology of VEGF and its receptors.[J]Nat Med,2003,9,669-676
    [8]Tamar Kaully,Keren Kaufman-Francis,Ayelet Lesman,et,al.Vascularization—The Conduit to Viable Engineered Tissues[J]TISSUE ENGINEERING:Part B,2009(15);1-11
    [9]Pepper,M.S.,Ferrara,N.,Orci,L.,and Montesano,R.Potent synergism between vascular endothelial growth factor and basic fibroblast growth factor in the induction of angiogenesis in vitro[J]Biochem Biophys Res Commun,1992,189,824
    [10]Arkudas,A.,Tjiawi,J.,Bleiziffer,O.,Grabinger,L.,Polykandriotis,E.,Beier,J.P.,Sturzl,M.,Horch,R.E.,and Kneser,U.Fibrin gel-immobilized VEGF and bFGF efficiently stimulate angiogenesis in the AV loop model[J]Mol Med,2007,13:480-487
    [11]RasmussenH S,Rasmussen C S,Macko J.VEGF gene therapy for coronary artery disease and peripheral vascular disease[J]Cardiovasc Radiat Med,2002,3(2):114-117
    [12]Davis,G.E.,Koh,W.,and Stratman,A.N.Mechanisms controlling human endothelial lumen formation and tube assembly in three-dimensional extracellular matrices.[J]Birth Defects Res C Embryo Today 2007.81,270-285
    [13]Bayless,K.J.,and Davis,G.E.The Cdc42 and Rac1 GTPases are required for capillary lumen formation in three-dimensional extracellular matrices[J]Cell Sci,2002,115,1123-1136
    [14]Nomi M,Atala A,Coppi PD,et al.Principals of neovascularization for tissue engineering[J]Mol Aspects Med,2002,23(6):463-483
    [15]孙勇,肖建德.血管内皮生长因子在骨组织工程中的应用[J]国际骨科学杂志2007年11月第2卷第6期393-397
    [16]Doi,K.,Ikeda,T.,Marui,A.,Kushibiki,T.,Arai,Y.,Hirose,K.,Soga,Y.,Iwakura,A.,Ueyama,K.,Yamahara,K.,Itoh,H.,Nishimura,K.,Tabata,Y.,and Komeda,M.Enhanced angiogenesis by gelatin hydrogels incorporating basic fibroblast growth factor in rabbit model of hind limb ischemia[J]Heart Vessels2007.22,104-108
    [17]Zhang,H.Z.,Hayashi,T.,Tsuru,K.,Deguchi,K.,Nagahara,M.,Hayakawa,S.,Nagai,M.,Kamiya,T.,Osaka,A.,and Abe,K.Vascular endothelial growth factor promotes brain tissue regeneration with a novel biomaterial polydimethylsiloxane-tetraethoxysilane[J]Bmin Res,2007;1132:29-35
    [18]Ennett,A.B.,Kaigler,D.,and Mooney,D.J.Temporally regulated delivery of VEGF in vitro and in vivo[J]Biomed Mater Res A 2006,79A,176-184
    [19]Perets,A.,Baruch,Y.,Weisbuch,F.,Shoshany,G.,Neufeld,G.,and Cohen,S. Enhancing the vascularization of threedimensional porous alginate scaffolds by incorporating controlled release basic fibroblast growth factor microspheres[J] Biomed Mater Res A 2003,65A, 489-497
    [20] Carmeliet, P., and Conway, E.M. Growing better blood vessels[J] Nat Biotechnol 2001.19,1019-1020
    [21] Richardson, T.P., Peters, M.C., Ennett, A.B., and Mooney, D.J. Polymeric system for dual growth factor delivery[J]Nat Biotechnol 2001.19,1029-1034
    [22] Chen, R.R., Silva, E.A., Yuen, W.W., and Mooney, D.J. Spatio temporal VEGF and PDGF delivery patterns in blood vessel formation and maturation[J] Pharm Res2007,24,258-264
    [23] Nguyen, L.L., and D'Amore, P.A. Cellular interactions in vascular growth and differentiation[J]Int Rev Cytol 2001. 204,1 -48
    [24] Choab SW , Parkc HJ ,Ryua J H. Vascular patches tissue-engineered with autologous bone marrow-derived cells and decellularized tissue matrices [J] .Biomaterials, 2005 ,26 :1915-1924
    [25] Haro, H., Kato, T., Hiromichi, K., Osada, M., and Shinomiya, K. Vascular endothelial growth factor (VEGF)-induced angiogenesis in herniated disk resorption.[J]Orthop Res 2002.20,409-415
    [26] Lei Y, Haider HK, Shujia J, et al. Therapeutic angiogenesis Devising new Strategies based on past experiences [J]Basic Res Cardiol,2004,99 (2):121-132
    [27] Vacanti CA, Upton J. Tissue-engineered morphogenesis of cartilage and bone by means of cell transplantation using synthetic biodegradable polymer matrices[J]Clin Plast Surg 1994, 21(3): 445-62
    [28] Mian R, Morrison WA, Hurley JV, et al. Formation of new tissue from an Arteriovenous loop in the absence of added extracellular matrix[J]Tissue Eng,2000, 6( 6):595-603
    [29] Cassell OC ,Hofer SO,Morrison WA,et al .Vascularisation of tissue-engineered grafts :the regulation of angiogenesis in econstrucitve surgery and in disease states [J]Br J Plast Surg,2002,55 (8):603-610

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700