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Enthesis: not the same in each localisation - a molecular, histological and biomechanical study. 结论:在每个定位中不相同-分子,组织学和生物力学研究。
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-08-17 DOI: 10.22203/eCM.v044a03
C J Peniche Silva, S A Müller, N Quirk, R E De la Vega, M J Coenen, C H Evans, E R Balmayor, M van Griensven

The interphase between tendon and bone consists of a highly specialised tissue called enthesis. Typically, the enthesis is described as a succession of four different zones: tendon, non-mineralised fibrocartilage, mineralised fibrocartilage and bone. However, the microstructure of the entheses, cellular composition and mechanical properties vary depending on their anatomical location. The present study aimed to characterise three of the most relevant sites of enthesis injury in a rat model: the patellar tendon, the Achilles tendon and the supraspinatus enthesis, in terms of biomechanics, histology and genetic expression. The patellar enthesis presented the highest ultimate load and lowest stiffness of the three, while the supraspinatus was the weakest and stiffest. The histological characterisation revealed key differences at the insertion site for each enthesis. The patellar enthesis showed a large cartilaginous area at the tendon-to-bone interphase whilst this interphase was smaller in the supraspinatus entheses samples. Furthermore, the Achilles tendon enthesis displayed a more abrupt transition from tendon to bone. Additionally, each enthesis exhibited a particular and distinct pattern of expression of tenogenic, chondrogenic and osteogenic markers. This study provided valuable insights for a better understanding of the three entheses at relevant anatomical sites. Moreover, the larger cross-sectional area of the patellar enthesis, the strong mechanical properties and the easier surgical access to this location led to the conclusion that the patellar tendon enthesis site could be most suitable for the development of a preclinical model for general enthesis regeneration studies in rats.

肌腱和骨之间的间期由一种高度特化的组织组成,称为骨端。通常情况下,髋端被描述为四个不同区域的连续:肌腱、非矿化纤维软骨、矿化纤维软骨和骨。然而,微囊的微观结构、细胞组成和力学性能因其解剖位置而异。本研究旨在描述大鼠模型中三个最相关的髋端损伤部位:髌腱、跟腱和冈上肌髋端,从生物力学、组织学和基因表达方面进行研究。髌骨终骨的极限载荷最大,刚度最低,冈上肌的极限载荷最小,刚度最低。组织学特征揭示了每个端部插入部位的关键差异。髌骨终段在肌腱-骨间期有很大的软骨区,而冈上肌终段标本的软骨间期较小。此外,跟腱终结表现出从肌腱到骨的更突然的转变。此外,每个椎体都表现出特定的、独特的肌腱生成、软骨生成和成骨标记的表达模式。本研究为更好地了解相关解剖部位的三种淋巴结提供了有价值的见解。此外,髌腱终结处的截面积较大,力学性能强,手术更容易进入该位置,因此髌腱终结处最适合用于大鼠全身终结再生研究的临床前模型的开发。
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引用次数: 4
Tissue engineering approaches for the repair and regeneration of the anterior cruciate ligament: towards 3D bioprinted ACL-on-chip. 前交叉韧带修复和再生的组织工程方法:面向3D生物打印芯片上的acl。
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-08-08 DOI: 10.22203/eCM.v044a02
E Bakirci, O T Guenat, S S Ahmad, B Gantenbein

The anterior cruciate ligament (ACL) is the most frequently injured ligament in the knee. The current method to treat the injured ligament is reconstruction using autografts and allografts. Reconstruction requires the regeneration of ligament, bone and their interface to ensure proper recovery. Recently, researchers have focused on using tissue-engineered scaffolds made of synthetic materials and biomaterials -such as collagen, decellularised tissues, silk and synthetic polymers produced following different manufacturing methods - for ACL reconstruction,. Different materials can be easily processed using various fabrication methods for mimicking the mechanical properties of the ACL. The advances in technologies play an important role in the production of constructions that can mimic native ACL.. The present review addresses integrative scaffold design, different challenges in the potential materials and manufacturing methods as well as future strategies for ACL repair. Furthermore, the review provides a road map to 3D printing combined with organ-on-chip technology to demonstrate the potential for cost-effective and user-friendly fabrication methods for ACL engineering. Finally, it underlines the potential of 3D bioprinting and organ-on-chip technologies for micro-engineering of ligaments and their associated environment.

前交叉韧带(ACL)是膝关节最常受伤的韧带。目前治疗韧带损伤的方法是自体和同种异体移植重建。重建需要韧带、骨及其界面的再生,以确保适当的恢复。最近,研究人员专注于使用由合成材料和生物材料制成的组织工程支架,如胶原蛋白、脱细胞组织、丝和按照不同制造方法生产的合成聚合物,用于前交叉韧带重建。不同的材料可以很容易地使用不同的制造方法来模拟前交叉韧带的力学性能。技术的进步在模拟原生ACL的构造中起着重要的作用。本文综述了综合支架的设计,潜在材料和制造方法的不同挑战,以及ACL修复的未来策略。此外,该综述提供了3D打印与器官芯片技术相结合的路线图,以展示ACL工程中具有成本效益和用户友好的制造方法的潜力。最后,它强调了3D生物打印和器官芯片技术在韧带及其相关环境的微工程中的潜力。
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引用次数: 6
Single cell multi-omics characterise discrete human tendon cells populations that persist in vitro and on fibrous scaffolds. 单细胞多组学描述了在体外和纤维支架上持续存在的离散人类肌腱细胞群的特征。
IF 3.2 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-08-02 DOI: 10.22203/eCM.v044a01
A Gomez-Collignon, R Brown, A Carr, S Dakin, A Lach, C Loizou, M Rogers, R Sharp, A Kendal

Chronic tendinopathy represents a growing healthcare burden in the ageing global population. Curative therapies remain elusive as the mechanisms that underlie chronic inflammation in tendon disease remain unclear. Identifying and isolating key pathogenic and reparative cells is essential in developing precision therapies and implantable materials for improved tendon healing. Multiple discrete human tendon cell populations have been previously described ex vivo. To determine if these populations persist in vitro, healthy human hamstring tenocytes were cultured for 8 d on either tissue culture plastic or aligned electrospun fibres of absorbable polydioxanone. Novel single-cell surface proteomics combined with unbiased single-cell transcriptomics (CITE-Seq) was used to identify discrete tenocyte populations. 6 cell populations were found, 4 of which shared key gene expression determinants with ex vivo human cell clusters: PTX3_PAPPA, POSTN_SCX, DCN_LUM and ITGA7_NES. Surface proteomics found that PTX3_PAPPA cells were CD10+CD26+CD54+. ITGA7_NES cells were CD146+ and POSTN_SCX cells were CD90+CD95+CD10+. Culture on the aligned electrospun fibres favoured 3 cell subtypes (DCN_LUM, POSTN_SCX and PTX3_ PAPPA), promoting high expression of tendon-matrix-associated genes and upregulating gene sets enriched for TNF-a and IL-6/STAT3 signalling. Discrete human tendon cell subpopulations persisted in in vitro culture and could be recognised by specific gene and surface-protein signatures. Aligned polydioxanone fibres promoted the survival of 3 clusters, including pro-inflammatory PTX3-expressing CD10+CD26+CD54+ cells found in chronic tendon disease. These results improved the understanding of preferred culture conditions for different tenocyte subpopulations and informed the development of in vitro models of tendon disease.

慢性肌腱病是全球人口老龄化过程中日益沉重的医疗负担。由于肌腱疾病的慢性炎症机制尚不清楚,治疗方法仍然难以捉摸。鉴定和分离关键的致病细胞和修复细胞对于开发精准疗法和植入材料以改善肌腱愈合至关重要。以前曾在体外描述过多种离散的人类肌腱细胞群。为了确定这些细胞群是否会在体外持续存在,我们在组织培养塑料或排列整齐的可吸收聚二氧杂蒽酮电纺纤维上培养健康的人体腿筋腱鞘细胞 8 天。新型单细胞表面蛋白质组学与无偏单细胞转录组学(CITE-Seq)相结合,用于识别离散的腱细胞群。发现了 6 个细胞群,其中 4 个细胞群与体内外人类细胞群共享关键基因表达决定因子:PTX3_PAPPA、POSTN_SCX、DCN_LUM 和 ITGA7_NES。表面蛋白质组学发现,PTX3_PAPPA 细胞是 CD10+CD26+CD54+ 细胞。ITGA7_NES细胞为CD146+,POSTN_SCX细胞为CD90+CD95+CD10+。在排列整齐的电纺纤维上培养有利于 3 种细胞亚型(DCN_LUM、POSTN_SCX 和 PTX3_PAPPA),促进肌腱基质相关基因的高表达,并上调富含 TNF-a 和 IL-6/STAT3 信号的基因集。离散的人体肌腱细胞亚群可在体外培养中持续存在,并可通过特定的基因和表面蛋白特征进行识别。排列整齐的聚二氧酮纤维促进了 3 个细胞群的存活,其中包括慢性肌腱疾病中发现的表达 CD10+CD26+CD54+ 的促炎 PTX3 细胞。这些结果加深了人们对不同腱细胞亚群首选培养条件的理解,并为肌腱疾病体外模型的开发提供了依据。
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引用次数: 0
Postoperative IL-6 levels cannot predict early onset periprosthetic hip/knee infections: an analysis of 7,661 patients at a single institution. 术后IL-6水平不能预测早发性假体周围髋关节/膝关节感染:对一家机构7661例患者的分析。
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-06-28 DOI: 10.22203/eCM.v043a20
A Aichmair, B Jh Frank, S Simon, S Singer, E Skolek, M Dominkus, J G Hofstaetter

Prior studies have outlined C-reactive protein (CRP) within the first 5 d following total hip arthroplasty (THA) as an inappropriate indicator of an early periprosthetic joint infection (PJI). Recently, interleukin-6 (IL-6), as a potential inflammatory marker following total joint arthroplasty (TJA), has gained increasing interest, particularly due to its considerably shorter half-life. The aim of the present study was to assess IL-6 measured on postoperative day 3 following TJA as a prediction marker of early onset PJI. 7,661 patients, who underwent total hip or knee arthroplasty (THA, TKA) at a single institution between 2016 and 2019, were evaluated. Serum IL-6 values were measured on postoperative day 3 and compared between patients, with and without early onset PJI in the postoperative follow-up, matched for age, gender, Surgical Site Infection Risk Score and Charlson comorbidity index. Overall (n = 7,661), there was no statistically significant difference in serum IL-6 levels comparing patients with and without early onset PJI following THA [38.9 pg/ mL vs. 32.0 pg/mL, p = 0.116] and TKA [30.6 pg/mL vs. 28.2 pg/mL, p = 0.718]. Male gender and high body mass index were associated with an increased risk of early onset PJI following THA (p = 0.027, p = 0.002). Matched cohort analysis (n = 86) showed no statistically significant difference in serum IL-6 levels between patients with and without early onset PJI following THA (p = 0.680) and TKA (p = 0.910). Serum IL-6 values on postoperative day 3 following THA or TKA could not predict early onset PJIs.

先前的研究概述了全髋关节置换术(THA)后最初5天内的c反应蛋白(CRP)作为早期假体周围关节感染(PJI)的不合适指标。最近,白细胞介素-6 (IL-6)作为全关节置换术(TJA)后潜在的炎症标志物,受到越来越多的关注,特别是由于其半衰期相当短。本研究的目的是评估TJA术后第3天测量的IL-6作为早发性PJI的预测指标。2016年至2019年间,7661名在同一家机构接受全髋关节或膝关节置换术(THA, TKA)的患者接受了评估。术后第3天测定血清IL-6值,比较术后随访中有无早发性PJI患者的年龄、性别、手术部位感染风险评分和Charlson合并症指数。总体而言(n = 7,661), THA术后早发性PJI患者与非早发性PJI患者血清IL-6水平比较[38.9 pg/mL vs. 32.0 pg/mL, p = 0.116]和TKA患者[30.6 pg/mL vs. 28.2 pg/mL, p = 0.718],差异无统计学意义。男性和高体重指数与THA后早发性PJI的风险增加相关(p = 0.027, p = 0.002)。配对队列分析(n = 86)显示,THA术后早发性PJI患者(p = 0.680)与TKA术后早发性PJI患者(p = 0.910)血清IL-6水平差异无统计学意义。THA或TKA术后第3天血清IL-6值不能预测早发性PJIs。
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引用次数: 2
Macromolecular crowding enhances fibrillin-1 deposition in the extracellular matrix. 大分子拥挤增强纤维蛋白-1在细胞外基质中的沉积。
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-06-22 DOI: 10.22203/eCM.v043a19
B Satz-Jacobowitz, N Taye, S Z Karoulias, D Hubmacher

Biochemical and biophysical factors need consideration when modelling in vivo cellular behaviour using in vitro cell culture systems. One underappreciated factor is the high concentration of macromolecules present in vivo, which is typically not simulated under standard cell culture conditions. This disparity is especially relevant when studying biochemical processes that govern extracellular matrix (ECM) deposition, which may be altered due to dilution of secreted macromolecules by the relatively large volumes of culture medium required for cell maintenance in vitro. Macromolecular crowding (MMC) utilises the addition of inert macromolecules to cell culture medium to mimic such high concentration environments found in vivo. The present study induced MMC using the sucrose polymer Ficoll and examined whether fibrillin-1 deposition by human lung fibroblasts could be augmented. Fibrillin-1 forms extracellular microfibrils, which are versatile scaffolds required for elastic fibre formation, deposition of other ECM proteins and growth factor regulation. Pathogenic variants in the fibrillin-1 gene (FBN1) cause Marfan syndrome, where ECM deposition of fibrillin-1 can be compromised. Using immunocytochemistry, significantly enhanced fibrillin-1 deposition was observed when lung fibroblasts were cultured under MMC conditions. MMC also augmented fibrillin-1 deposition in Marfan syndrome patient-derived skin fibroblasts in a cell line- and likely FBN1 variant-specific manner. The ability of MMC to increase fibrillin-1 deposition suggested potential applications for tissue-engineering approaches, e.g. to generate tendon or vascular tissues, where fibrillin-1 microfibrils and elastic fibres are key determinants of their biomechanical properties. Moreover, it suggested the potency of MMC to better mimic in vivo ECM environments in cell culture studies.

当使用体外细胞培养系统模拟体内细胞行为时,需要考虑生化和生物物理因素。一个未被重视的因素是体内存在高浓度的大分子,这在标准细胞培养条件下通常无法模拟。在研究控制细胞外基质(ECM)沉积的生化过程时,这种差异尤其重要,因为细胞维持所需的相对大体积培养基可能会稀释分泌的大分子,从而改变细胞外基质沉积的生化过程。大分子拥挤(MMC)利用惰性大分子添加到细胞培养基中来模拟体内这种高浓度环境。本研究使用蔗糖聚合物Ficoll诱导MMC,并检测是否能增强人肺成纤维细胞的纤维蛋白-1沉积。纤维蛋白-1形成细胞外微原纤维,是弹性纤维形成、其他ECM蛋白沉积和生长因子调节所需的多功能支架。纤维蛋白1基因(FBN1)的致病性变异导致马凡氏综合征,其中纤维蛋白1的ECM沉积可能受到损害。免疫细胞化学观察发现,MMC条件下肺成纤维细胞的纤维蛋白-1沉积明显增强。MMC还以细胞系特异性和可能的FBN1变异特异性的方式增强了马凡氏综合征患者来源的皮肤成纤维细胞中的纤维蛋白-1沉积。MMC增加纤维蛋白-1沉积的能力表明了组织工程方法的潜在应用,例如产生肌腱或血管组织,其中纤维蛋白-1微原纤维和弹性纤维是其生物力学性能的关键决定因素。此外,这表明MMC在细胞培养研究中可以更好地模拟体内ECM环境。
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引用次数: 0
Acinetobacter quorum sensing contributes to inflammation-induced inhibition of orthopaedic implant osseointegration. 不动杆菌群体感应有助于炎症诱导的骨科种植体骨整合抑制。
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-06-09 DOI: 10.22203/eCM.v043a18
H. Choe, BS Hausman, KM Hujer, O. Akkus, PN Rather, Z. Lee, R. Bonomo, E. Greenfield
Implant infection impairs osseointegration of orthopaedic implants by inducing inflammation. Acinetobacter spp. are increasingly prevalent multi-drug resistant bacteria that can cause osteomyelitis. Acinetobacter spp. can also cause inflammation and thereby inhibit osseointegration in mice. The purpose of the present study was to investigate the role of quorum sensing in this context. Therefore, wild-type bacteria were compared with an isogenic abaI mutant defective in quorum sensing in a murine osseointegration model. The abaI quorum- sensing mutant affected significantly less osseointegration and interleukin (IL) 1β levels, without detectably altering other pro-inflammatory cytokines. Wild-type bacteria had fewer effects on IL1 receptor (IL1R)-/- mice. These results indicated that quorum sensing in Acinetobacter spp. contributed to IL1β induction and the resultant inhibition of osseointegration in mice. Moreover, targeting the Gram-negative acyl-homoserine lactone quorum sensing may be particularly effective for patients with Acinetobacter spp. infections.
植入物感染通过诱导炎症损害骨科植入物的骨整合。不动杆菌是一种越来越普遍的可引起骨髓炎的耐多药细菌。不动杆菌也会引起炎症,从而抑制小鼠的骨整合。本研究的目的是调查群体感应在这方面的作用。因此,在小鼠骨整合模型中,将野生型细菌与群体感应缺陷的等基因abaI突变体进行了比较。abaI群体感应突变体显著降低骨整合和白细胞介素(IL)1β水平,而没有检测到其他促炎细胞因子的改变。野生型细菌对IL1受体(IL1R)-/-小鼠的影响较小。这些结果表明,不动杆菌的群体感应有助于IL1β的诱导和由此产生的对小鼠骨整合的抑制。此外,靶向革兰氏阴性酰基高丝氨酸内酯群体感应可能对不动杆菌感染患者特别有效。
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引用次数: 0
Profiled polyethylene terephthalate filaments that incorporate collagen and calcium phosphate enhance ligamentisation and bone formation. 含有胶原蛋白和磷酸钙的成型聚对苯二甲酸乙二醇酯丝可增强韧带化和骨形成。
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-06-02 DOI: 10.22203/eCM.v043a17
CC Tai, CC Huang, BH Chou, CY Chen, SY Chen, YH Huang, JS Sun, Y. Chao
Polyethylene terephthalate (PET) artificial ligaments offer an unlimited source of ligaments without donor-site-related morbidity and with good mechanical properties for a rapid return to sporting activities. Developing PET artificial ligaments with excellent ligamentisation and ligament-bone healing is still a considerable challenge. This study aimed to investigate the effects of the profiled PET/collagen/calcium phosphate (PET/C/CaP) ligament upon cell growth, ligamentisation and ligament-bone healing in vitro and in vivo. Profiled PET/C/CaP filaments were made by melt-spinning process with 2 % CaP hybrid spinning and collagen coating. Rat mesenchymal stem cells (MSCs) were cultured on the profiled PET/C filaments for cytotoxicity, viability, scanning electron microscopy (SEM) and ligament-related gene expression analysis. MSCs' osteogenic capacity on the profiled PET/CaP filaments was identified by detecting osteogenic gene expression and alizarin red S staining. For in vivo verification, an animal study was performed to evaluate the effect of the profiled PET/C/CaP ligament in a rabbit knee medial collateral ligament reinforcement reconstruction model. The graft ligamentisation and bone formation were investigated by SEM, histology, microcomputed tomography and mechanical tests. The profiled PET/C filaments enhanced MSC proliferation and ligament-related gene expression. Furthermore, they enhanced osteogenic gene expression, alkaline phosphatase activity and mineralisation of MSCs. The in vivo study indicated that the profiled PET/C/CaP ligament enhanced ligamentous matrix remodelling and bone formation. Therefore, their use is an effective strategy for promoting MSCs' ligamentous and osteogenic potential in vitro and enhancing ligamentous matrix remodelling and bone formation in vivo.
聚对苯二甲酸乙二醇酯(PET)人工韧带提供了无限的韧带来源,没有供体部位相关的发病率,并且具有良好的机械性能,可以快速恢复体育活动。开发具有良好的韧带结缔组织和韧带骨愈合的PET人工韧带仍然是一个相当大的挑战。本研究旨在探讨PET/胶原/磷酸钙(PET/C/CaP)异型韧带在体外和体内对细胞生长、韧带化和韧带骨愈合的影响。采用2% CaP混合纺丝和胶原包覆的熔融纺丝工艺制备PET/C/CaP异形长丝。将大鼠间充质干细胞(MSCs)培养在PET/C纤维上进行细胞毒性、活力、扫描电镜(SEM)和韧带相关基因表达分析。通过检测成骨基因表达和茜素红S染色,鉴定MSCs在PET/CaP纤维上的成骨能力。为了在体内验证,我们进行了动物研究,评估了PET/C/CaP异型韧带在兔膝关节内侧副韧带强化重建模型中的效果。采用扫描电镜(SEM)、组织学、显微计算机断层扫描(microcomputer tomography)和力学试验等方法观察植骨韧带的形成和骨形成情况。PET/C纤维增强MSC增殖和韧带相关基因表达。此外,它们还能增强成骨基因表达、碱性磷酸酶活性和MSCs矿化。体内实验表明,PET/C/CaP异型韧带增强了韧带基质重构和骨形成。因此,它们的使用是在体外促进MSCs的韧带和成骨潜能,以及在体内促进韧带基质重塑和骨形成的有效策略。
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引用次数: 2
Towards novel measurements of remodeling activity in cortical bone: implications for osteoporosis and related pharmaceutical treatments. 寻找皮质骨重塑活性的新测量方法:对骨质疏松症和相关药物治疗的意义。
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-05-27 DOI: 10.22203/eCM.v043a15
LL Loundagin, Dml Cooper
Bone remodelling is performed by basic multicellular units (BMUs) that resorb and subsequently form discrete packets of bone tissue. Normally, the resorption and formation phases of BMU activity are tightly coupled spatially and temporally to promote relatively stable bone mass and bone quality. However, dysfunctional remodelling can lead to bone loss and is the underlying cause of osteoporosis. This review surveys how BMU activity is altered in postmenopausal, disuse and glucocorticoid-induced osteoporosis as well as the impact of anabolic and anti-resorptive pharmaceutical treatments. The dysfunctional remodelling observed during disease and following medical intervention bares many testable hypotheses regarding the regulation of BMU activity and may provide novel insights that challenge existing paradigms of remodelling dynamics, particularly the poorly understood BMU coupling mechanisms. Most bone remodelling research has focused on trabecular bone and 2D analyses, as technical challenges limit the direct assessment of BMU activity in cortical bone. Recent advances in imaging technology present an opportunity to investigate cortical bone remodelling in vivo. This review discusses innovative experimental methods, such as 3D and 4D (i.e. time- lapsed) evaluation of BMU morphology and trajectory, that may be leveraged to improve the understanding of the spatio-temporal coordination of BMUs in cortical bone.
骨重塑是通过吸收并随后形成骨组织离散包的基本多细胞单元(BMU)进行的。通常,BMU活性的吸收和形成阶段在空间和时间上紧密耦合,以促进相对稳定的骨量和骨质量。然而,功能失调的重塑会导致骨质流失,是骨质疏松症的根本原因。这篇综述调查了BMU活性在绝经后、停用和糖皮质激素诱导的骨质疏松症中是如何改变的,以及合成代谢和抗吸收药物治疗的影响。在疾病期间和医疗干预后观察到的功能失调的重塑揭示了许多关于BMU活性调节的可检验假设,并可能提供新的见解,挑战重塑动力学的现有范式,特别是对BMU偶联机制知之甚少的范式。大多数骨重塑研究都集中在骨小梁和2D分析上,因为技术挑战限制了对皮质骨中BMU活性的直接评估。成像技术的最新进展为研究体内皮质骨重塑提供了机会。这篇综述讨论了创新的实验方法,如BMU形态和轨迹的3D和4D(即时间流逝)评估,这些方法可以用来提高对皮质骨中BMU时空协调的理解。
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引用次数: 2
Histology of tendon and enthesis - suitable techniques for specific research questions. 肌腱和椎体的组织学-适合特定研究问题的技术。
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-05-24 DOI: 10.22203/eCM.v043a16
N. Angrisani, E. Willbold, A. Kampmann, A. Derksen, J. Reifenrath
The musculoskeletal system consists of different components comprising a wide range of tissue types, with tendons being one part. Tendon degeneration or rupture have a high prevalence in all age groups, often with poor outcomes of surgical treatment such as chronic pain and high re-tear rates. Therefore, much effort has been directed to further develop diagnostic and therapeutic methods as well as reconstruction techniques, including using adequate placeholders or implants. Diagnostic approaches and advanced stages of preclinical studies will inevitably include histological examination of the pathologically affected tissue. The present study presents adequate tendon-related, histological techniques, including the embedding of soft- and hard-tissue samples in different media. Consideration is also given to samples containing residual implant materials or having been subjected to standard staining protocols and immunohistochemical procedures. The study further examines cells and tendon structure to detect degenerative, fibrotic or inflammatory conditions and possible foreign-body responses to implanted materials. Infraspinatus tendons from preclinical studies carried on rat and sheep samples, as well as human biceps tendon samples, have been used as example materials.
肌肉骨骼系统由不同的组成部分组成,包括各种组织类型,肌腱是其中的一部分。肌腱退变或断裂在所有年龄组中都有很高的患病率,通常伴有手术治疗的不良结果,如慢性疼痛和高再撕裂率。因此,进一步发展诊断和治疗方法以及重建技术,包括使用适当的占位符或植入物,已经付出了很大的努力。诊断方法和临床前研究的高级阶段将不可避免地包括病理影响组织的组织学检查。本研究提出了足够的肌腱相关的组织学技术,包括在不同介质中嵌入软组织和硬组织样本。还考虑到含有残留植入物材料的样品或经过标准染色方案和免疫组织化学程序的样品。该研究进一步检查细胞和肌腱结构,以检测退行性、纤维化或炎症状况,以及对植入材料可能产生的异物反应。在大鼠和绵羊样本中进行的临床前研究中的冈下肌肌腱以及人类二头肌肌腱样本已被用作示例材料。
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引用次数: 2
Making connections: using anatomy to guide tissue engineering approaches at the enthesis. 建立联系:利用解剖学来指导附着点的组织工程方法。
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-05-05 DOI: 10.22203/eCM.v043a14
C. Loukopoulou, JW Mortimer, JZ Paxton
The enthesis demonstrates a distinct highly ordered zonal microanatomy at the osteotendinous/osteoligamentous tissue connection that allows for the smooth transmission of mechanical forces between tissues. Interfacial tissue engineering (ITE), a subset of the interdisciplinary field of tissue engineering, is directed at replicating this complex transitional anatomy of the enthesis in vitro. Yet, the limited understanding of tissue boundaries, gradients and structural relationships at specific anatomical locations hampers the development of novel therapeutic strategies for bespoke enthesis regeneration, thus reducing their direct clinical applicability. This review provides an overview of ITE approaches for repair of the osteotendinous/osteoligamentous junction and highlights the importance of complementary inclusion of direct anatomical research. The cross-disciplinary collaboration across an array of experts, including anatomists, involved in the design, development and utilisation of bioengineered tissues will enhance the properties of such tissues and improve their clinical relevance. More specifically, a detailed anatomical analysis of the region of interest should drive the in vitro design and enable researchers to develop anatomically and clinically relevant tissue-engineered replacement tissues for human implantation. Finally, the present review discusses the challenges and future directions of the ITE field and highlights the importance of anatomically driven tissue engineering as an emerging tool in clinical translational research.
附着点在骨腱/骨韧带组织连接处显示出明显的高度有序的区域显微解剖,允许组织之间机械力的平稳传输。界面组织工程(ITE)是组织工程跨学科领域的一个子集,旨在体外复制这种复杂的附着点过渡解剖结构。然而,对特定解剖位置的组织边界、梯度和结构关系的了解有限,阻碍了定制附着点再生的新治疗策略的开发,从而降低了其直接的临床适用性。这篇综述概述了ITE修复骨腱/骨韧带连接的方法,并强调了直接解剖研究的重要性。包括解剖学家在内的一系列参与生物工程组织设计、开发和利用的专家之间的跨学科合作将增强这些组织的特性,并提高其临床相关性。更具体地说,对感兴趣区域的详细解剖分析应该推动体外设计,并使研究人员能够开发用于人类植入的解剖学和临床相关的组织工程替代组织。最后,本综述讨论了ITE领域的挑战和未来方向,并强调了解剖学驱动的组织工程作为临床转化研究的新兴工具的重要性。
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European cells & materials
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