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Nanostructured fibrin-based hydrogel membranes for use as an augmentation strategy in Achilles tendon surgical repair in rats. 纳米结构纤维蛋白基水凝胶膜在大鼠跟腱外科修复中用作增强策略。
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-04-28 DOI: 10.22203/eCM.v043a13
D. González-Quevedo, D. Sánchez-Porras, Ó. García-García, J. Chato-Astrain, M. Díaz-Ramos, A. Campos, V. Carriel, F. Campos
Hydrogels are polymeric biomaterials characterised by their promising biological and biomechanical properties, which make them potential alternatives for use in tendon repair. The aim of the present study was to generate in vitro, and determine the therapeutic efficacy in vivo, of novel nanostructured fibrin-based hydrogels to be used as an augmentation strategy for the surgical repair of rat Achilles tendon injuries. Fibrin, fibrin-agarose and fibrin-collagen nanostructured hydrogels (NFH, NFAH and NFCH, respectively) were generated and their biomechanical properties and cell-biomaterial interactions characterised ex vivo. Achilles tendon ruptures were created in 24 adult Wistar rats, which were next treated with direct repair (control group) or direct repair augmented with the generated biomaterials (6 rats/group). After 4 and 8 weeks, the animals were euthanised for macroscopical and histological analyses. Biomechanical characterisation showed optimal properties of the biomaterials for use in tendon repair. Moreover, biological analyses confirmed that tendon-derived fibroblasts were able to adhere to the surface of the generated biomaterials, with high levels of viability and functionality. In vivo studies demonstrated successful tendon repair in all groups. Lastly, histological analyses disclosed better tissue and extracellular matrix organisation and alignment with biomaterial-based augmentation strategies than direct repair, especially when NFAH and NFCH were used. The present study demonstrated that nanostructured fibrin-collagen hydrogels can be used to enhance the healing process in the surgical repair of tendon ruptures.
水凝胶是一种高分子生物材料,其特点是具有良好的生物学和生物力学性能,这使其成为肌腱修复的潜在替代品。本研究的目的是在体外制备新型纳米结构纤维蛋白水凝胶,并确定其在体内的治疗效果,以作为大鼠跟腱损伤手术修复的增强策略。制备了纤维蛋白、纤维蛋白琼脂糖和纤维蛋白胶原纳米结构水凝胶(分别为NFH、NFAH和NFCH),并对其生物力学特性和细胞-生物材料相互作用进行了体外表征。24只成年Wistar大鼠跟腱断裂,然后直接修复(对照组)或用生成的生物材料增强直接修复(组6只)。4周和8周后,对动物实施安乐死,进行宏观和组织学分析。生物力学表征显示了用于肌腱修复的生物材料的最佳性能。此外,生物学分析证实,肌腱来源的成纤维细胞能够粘附在生成的生物材料表面,具有高水平的活力和功能。体内研究表明,所有组均成功修复了肌腱。最后,组织学分析显示,与直接修复相比,基于生物材料的增强策略具有更好的组织和细胞外基质组织和一致性,特别是当使用NFAH和NFCH时。本研究表明,纳米结构的纤维蛋白-胶原水凝胶可用于肌腱断裂的外科修复。
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引用次数: 2
MECHANICAL AND STRAIN BEHAVIOUR OF HUMAN ACHILLES TENDON DURING IN VITRO TESTING TO FAILURE 人跟腱在体外失效试验中的力学和应变行为
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-04-21 DOI: 10.22203/eCM.v043a12
C. Nagelli, A. Hooke, N. Quirk, C. L. de Padilla, T. Hewett, M. van Griensven, M. Coenen, L. Berglund, C. Evans, S. Müller
The Achilles tendon is the strongest tendon in the human body but its mechanical behaviour during failure has been little studied and the basis of its high tensile strength has not been elucidated in detail. In the present study, healthy, human, Achilles tendons were loaded to failure in an anatomically authentic fashion while the local deformation and strains were studied in real time, with very high precision, using digital image correlation (DIC). The values determined for the strength of the Achilles tendon were at the high end of those reported in the literature, consistent with the absence of a pre-existing tendinopathy in the samples, as determined by careful gross inspection and histology. Early in the loading cycle, the proximal region of the tendon accumulated high lateral strains while longitudinal strains remained low. However, immediately before rupture, the mid-substance of the Achilles tendon, its weakest part, started to show high longitudinal strains. These new insights advance the understanding of the mechanical behaviour of tendons as they are stretched to failure.
跟腱是人体中最强壮的肌腱,但它在失效时的力学行为很少被研究,其高抗拉强度的基础也没有详细阐明。在本研究中,健康的人类跟腱以解剖学上真实的方式加载到失效状态,同时使用数字图像相关(DIC)以非常高的精度实时研究局部变形和应变。通过仔细的大体检查和组织学测定,跟腱强度的测定值处于文献中报道的值的高端,与样本中不存在预先存在的腱病一致。在加载周期的早期,肌腱的近端区域积累了较高的横向应变,而纵向应变保持较低。然而,就在断裂前,跟腱的中间物质,即其最薄弱的部分,开始显示出高的纵向应变。这些新的见解促进了对肌腱拉伸至失效时的力学行为的理解。
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引用次数: 6
REGULATORS OF COLLAGEN CROSSLINKING IN DEVELOPING AND ADULT TENDONS 发育中和成年肌腱中胶原交联的调节因子
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-04-05 DOI: 10.22203/eCM.v043a11
A.J. Ellingson, N. M. Pancheri, N. Schiele
Tendons are collagen-rich musculoskeletal tissues that possess the mechanical strength needed to transfer forces between muscles and bones. The mechanical development and function of tendons are impacted by collagen crosslinks. However, there is a limited understanding of how collagen crosslinking is regulated in tendon during development and aging. Therefore, the objective of the present review was to highlight potential regulators of enzymatic and non-enzymatic collagen crosslinking and how they impact tendon function. The main collagen crosslinking enzymes include lysyl oxidase (LOX) and the lysyl oxidase-like isoforms (LOXL), whereas non-enzymatic crosslinking is mainly mediated by the formation of advanced glycation end products (AGEs). Regulators of the LOX and LOXL enzymes may include mechanical stimuli, mechanotransducive cell signaling pathways, sex hormones, transforming growth factor (TGF)β family, hypoxia, and interactions with intracellular or extracellular proteins. AGE accumulation in tendon is due to diabetic conditions and aging, and can be mediated by diet and mechanical stimuli. The formation of these enzymatic and non-enzymatic collagen crosslinks plays a major role in tendon biomechanics and in the mechanisms of force transfer. A more complete understanding of how enzymatic and non-enzymatic collagen crosslinking is regulated in tendon will better inform tissue engineering and regenerative therapies aimed at restoring the mechanical function of damaged tendons.
肌腱是富含胶原蛋白的肌肉骨骼组织,具有在肌肉和骨骼之间传递力所需的机械强度。胶原交联影响肌腱的机械发育和功能。然而,对肌腱在发育和衰老过程中如何调节胶原交联的了解有限。因此,本综述的目的是强调酶促和非酶促胶原交联的潜在调节因子,以及它们如何影响肌腱功能。主要的胶原交联酶包括赖氨酰氧化酶(LOX)和赖氨酰氧化酶样异构体(LOXL),而非酶交联主要由晚期糖基化终产物(AGEs)的形成介导。LOX和LOXL酶的调节因子可能包括机械刺激、机械转导细胞信号通路、性激素、转化生长因子(TGF)β家族、缺氧以及与细胞内或细胞外蛋白的相互作用。AGE在肌腱中的积聚是由于糖尿病和衰老引起的,并且可以通过饮食和机械刺激介导。这些酶促和非酶促胶原交联的形成在肌腱生物力学和力传递机制中起着重要作用。更全面地了解肌腱中酶促和非酶促胶原交联是如何调节的,将更好地为旨在恢复受损肌腱机械功能的组织工程和再生疗法提供信息。
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引用次数: 9
Osteogenic differentiation of human dental pulp stem cells in decellularised adipose tissue solid foams. 人牙髓干细胞在脱细胞脂肪组织固体泡沫中的成骨分化。
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-03-21 DOI: 10.22203/eCM.v043a10
J Luzuriaga, P García-Gallastegui, N García-Urkia, J R Pineda, I Irastorza, F-J Fernandez-San-Argimiro, N Briz, B Olalde, F Unda, I Madarieta, G Ibarretxe

3D cell culture systems based on biological scaffold materials obtainable from both animal and human tissues constitute very interesting tools for cell therapy and personalised medicine applications. The white adipose tissue (AT) extracellular matrix (ECM) is a very promising biomaterial for tissue engineering due to its easy accessibility, malleability and proven biological activity. In the present study, human dental pulp stem cells (hDPSCs) were combined in vitro with ECM scaffolds from porcine and human decellularised adipose tissues (pDAT, hDAT) processed as 3D solid foams, to investigate their effects on the osteogenic differentiation capacity and bone matrix production of hDPSCs, compared to single-protein-based 3D solid foams of collagen type I and conventional 2D tissue-culture-treated polystyrene plates. pDAT solid foams supported the osteogenic differentiation of hDPSCs to similar levels to collagen type I, as assessed by alkaline phosphatase and alizarin red stainings, reverse transcription quantitative real-time polymerase chain reaction (RT-qPCR) and osteocalcin/bone gamma-carboxyglutamate protein (BGLAP) immunostaining. Interestingly, hDAT solid foams showed a markedly lower capacity to sustain hDPSC osteogenic differentiation and matrix calcification and a higher capacity to support adipogenesis, as assessed by RT-qPCR and oil red O staining. White ATs from both human and porcine origins are relatively abundant and available sources of raw material to obtain high quality ECM-derived biomedical products. These biomaterials could have promising applications in tissue engineering and personalised clinical therapy for the healing and regeneration of lesions involving not only a loss of calcified bone but also its associated soft non-calcified tissues.

基于可从动物和人体组织获得的生物支架材料的3D细胞培养系统构成了细胞治疗和个性化医学应用的非常有趣的工具。白色脂肪组织(AT)细胞外基质(ECM)具有易获得性、可延展性和良好的生物活性,是一种非常有前途的组织工程生物材料。在本研究中,我们将人牙髓干细胞(hDPSCs)与猪和人脱细胞脂肪组织(pDAT, hDAT)的ECM支架进行体外组合,将其加工成三维固体泡沫,研究它们对hDPSCs成骨分化能力和骨基质生成的影响,并与I型胶原单蛋白三维固体泡沫和传统的二维组织培养处理的聚苯乙烯板进行比较。通过碱性磷酸酶和西芹素红染色、逆转录定量实时聚合酶链反应(RT-qPCR)和骨钙素/骨γ -羧谷氨酸蛋白(BGLAP)免疫染色评估,pDAT固体泡沫支持hDPSCs的成骨分化至与I型胶原相似的水平。有趣的是,通过RT-qPCR和油红O染色评估,hDAT固体泡沫维持hDPSC成骨分化和基质钙化的能力明显较低,而支持脂肪形成的能力较高。来自人类和猪的白色at相对丰富,是获得高质量ecm衍生生物医学产品的原料来源。这些生物材料在组织工程和个性化临床治疗中有很好的应用前景,不仅涉及钙化骨的损失,而且涉及相关的软非钙化组织的损伤的愈合和再生。
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引用次数: 6
Controversies in regenerative medicine: should knee joint osteoarthritis be treated with mesenchymal stromal cells? 再生医学中的争议:膝关节骨性关节炎应该用间充质基质细胞治疗吗?
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-03-17 DOI: 10.22203/eCM.v043a09
R. Ossendorff, S. Walter, F. Schildberg, M. Khoury, G. Salzmann
Knee joint osteoarthritis is a complex immunological and degenerative disease. Current treatment strategies fail to alter its progression. Mesenchymal stromal cell (MSC) therapy for osteoarthritis has been object of research for more than 30 years. The aim of MSC therapy is intended to be holistic, with regeneration of all affected knee joint structures. The paracrine effect of the MSC secretome has been shown to be central for the regenerative capacity of MSCs. Activation of local knee-joint-specific MSCs leads to an immunomodulatory, anti-catabolic, anti-apoptotic and chondrogenic stimulus. Preclinical models have demonstrated the symptom- and disease-modifying effects of MSC therapy. At the bedside, there is evidence that autologous and allogeneic MSC therapy shows significant improvement in symptom-modifying and functional outcome. Despite this, a variety of contradictory clinical outcomes are available in the literature. The effectiveness of MSC therapy is still unclear, although there have been promising results. Regarding the diversity of cell sources, isolation, culture protocols and other factors, a comparison of different studies is difficult. Clinical translation of disease-modifying effects has not yet been shown. This narrative review presents a controversial overview of the current preclinical and clinical studies on MSC therapy in knee joint osteoarthritis.
膝关节骨关节炎是一种复杂的免疫退行性疾病。目前的治疗策略未能改变其进展。间充质间质细胞(MSC)治疗骨关节炎已经研究了30多年。骨髓间充质干细胞治疗的目的是全面的,再生所有受影响的膝关节结构。间充质干细胞分泌组的旁分泌作用已被证明是间充质干细胞再生能力的核心。局部膝关节特异性MSCs的激活可导致免疫调节、抗分解代谢、抗凋亡和软骨生成刺激。临床前模型已经证明了骨髓间充质干细胞治疗的症状和疾病改善作用。在床边,有证据表明自体和同种异体骨髓间充质干细胞治疗在症状改善和功能预后方面有显著改善。尽管如此,文献中出现了各种相互矛盾的临床结果。骨髓间充质干细胞治疗的有效性尚不清楚,尽管已经有了令人鼓舞的结果。由于细胞来源、分离、培养方案等因素的多样性,很难对不同的研究进行比较。疾病改善作用的临床转化尚未得到证实。这篇叙述性的综述介绍了目前MSC治疗膝关节骨关节炎的临床前和临床研究的一个有争议的概述。
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引用次数: 6
Characterisation of subchondral bone repair following transplantation of bioreactor-manufactured autologous osteochondral graft in a sheep model. 羊模型生物反应器制备的自体骨软骨移植后软骨下骨修复的特征。
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-03-02 DOI: 10.22203/eCM.v043a08
P. Kostešić, A. Vukasović Barišić, I. Erjavec, M. Pušić, D. Hudetz, D. Matičić, D. Vnuk, M. Vučković, A. Ivković
To date, no single approach to the treatment of osteochondral defects has resulted in satisfactory long-term outcomes, especially in a young and active human population. Emerging innovative tissue engineering strategies, including the use of composite scaffolds, novel cell sources and bioreactors, have shown promising results. However, these techniques need to be validated in translational animal models before they can be implemented in clinical practice. The aim of the present study was to analyse morphological and microarchitectural parameters during subchondral bone repair following transplantation of bioreactor-manufactured autologous osteochondral grafts in a sheep model. Animals were divided into 4 treatment groups: nasal chondrocyte (NC) autologous osteochondral grafts, articular chondrocyte (AC) autologous osteochondral grafts, cell-free scaffolds (CFS) and empty defects (EDs). After 6 weeks, 3 months and 12 months, bone remodelling was assessed by histology and micro-computed tomography (µCT). Although gradual remodelling and subchondral bone repair were seen in all groups across the time points, the best results were observed in the NC group. This was evidenced by the extent of new tissue formation and its best integration into the surrounding tissue in the NC group at all time points. This also suggested that nasal septum chondrocyte-seeded grafts adapted well to the biomechanical conditions of the loaded joint surface.
迄今为止,没有一种治疗骨软骨缺损的单一方法能产生令人满意的长期结果,尤其是在年轻活跃的人群中。新兴的创新组织工程策略,包括使用复合支架、新型细胞源和生物反应器,已经显示出有希望的结果。然而,这些技术需要在转化动物模型中进行验证,然后才能在临床实践中实施。本研究的目的是分析在绵羊模型中移植生物反应器制造的自体骨软骨移植物后软骨下骨修复过程中的形态学和微结构参数。将动物分为4个治疗组:鼻软骨细胞(NC)自体骨软骨移植物、关节软骨细胞(AC)自体骨关节移植物、无细胞支架(CFS)和空缺损(ED)。6周、3个月和12个月后,通过组织学和微计算机断层扫描(µCT)评估骨重塑。尽管在各个时间点上,所有组都看到了逐渐的重塑和软骨下骨修复,但NC组的结果最好。NC组在所有时间点的新组织形成程度及其与周围组织的最佳整合证明了这一点。这也表明,鼻中隔软骨细胞种子移植物很好地适应了负载关节表面的生物力学条件。
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引用次数: 0
Microbiological and ultrastructural evaluation of bacteriophage 191219 against planktonic, intracellular and biofilm infection with Staphylococcus aureus. 噬菌体191219对金黄色葡萄球菌浮游、细胞内和生物膜感染的微生物学和超微结构评价。
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-02-24 DOI: 10.22203/eCM.v043a07
G K Mannala, M Rupp, N Walter, M Brunotte, F Alagboso, D Docheva, C Brochhausen, V Alt

Infections of orthopaedic implants, such as fracture fixation devices and total-joint prostheses, are devastating complications. Staphylococcus aureus (S. aureus) is a predominant pathogen causing orthopaedic-implant biofilm infections that can also internalise and persist in osteoblasts, thus resisting antibiotic therapy. Bacteriophages are a promising alternative treatment approach. However, data on the activity of bacteriophages against S. aureus, especially during intracellular growth, and against in vivo biofilm formation on metals are scarce. Therefore, the present study evaluated the in vitro efficacy of S. aureus bacteriophage 191219, alone as well as in combination with gentamicin and rifampicin, to eradicate S. aureus strains in their planktonic stage, during biofilm formation and after internalisation into osteoblasts. Further, the invertebrate model organism Galleria mellonella was used to assess the activity of the bacteriophage against S. aureus biofilm on metal implants with and without antibiotics. Results demonstrated the in vitro efficacy of bacteriophage 191219 against planktonic S. aureus. The phage was also effective against in vitro S. aureus biofilm formation in a dose-dependent manner and against S. aureus internalised in an osteoblastic cell line. Transmission electron microscopy (TEM) analysis showed bacteriophages on S. aureus inside the osteoblasts, with the destruction of the intracellular bacteria and formation of new bacteriophages. For the Galleria mellonella infection model, single administration of phage 191219 failed to show an improvement in survival rate but appeared to show a not statistically significant enhanced effect with gentamicin or rifampicin. In summary, bacteriophages could be a potential adjuvant treatment strategy for patients with implant-associated biofilm infections.

骨科植入物的感染,如骨折固定装置和全关节假体,是毁灭性的并发症。金黄色葡萄球菌(金黄色葡萄球菌)是引起骨科植入物生物膜感染的主要病原体,这种感染也可以内化并持续存在于成骨细胞中,从而抵抗抗生素治疗。噬菌体是一种很有前途的替代治疗方法。然而,关于噬菌体对金黄色葡萄球菌的活性,特别是在细胞内生长期间,以及对金属体内生物膜形成的活性的数据很少。因此,本研究评估了金黄色葡萄球菌噬菌体191219单独使用以及与庆大霉素和利福平联合使用在金黄色葡萄球菌浮游阶段、生物膜形成期间和内化成骨细胞后根除金黄色葡萄球菌菌株的体外效果。此外,利用无脊椎模式生物mellongalleria评估了在有抗生素和没有抗生素的金属植入物上噬菌体对金黄色葡萄球菌生物膜的活性。结果表明噬菌体191219对浮游金黄色葡萄球菌具有体外抑制作用。该噬菌体对体外金黄色葡萄球菌生物膜的形成也有剂量依赖性,对成骨细胞系内化的金黄色葡萄球菌也有效果。透射电镜(TEM)分析显示,金黄色葡萄球菌的噬菌体在成骨细胞内,破坏细胞内细菌并形成新的噬菌体。对于mellonella感染模型,单独给药噬菌体191219未能显示生存率的改善,但与庆大霉素或利福平联合使用似乎没有统计学意义的增强效果。总之,噬菌体可能是种植体相关生物膜感染患者的潜在辅助治疗策略。
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引用次数: 4
Monocarboxylate transporter 1-mediated lactate accumulation promotes nucleus pulposus degeneration under hypoxia in a 3D multilayered nucleus pulposus degeneration model. 在三维多层髓核变性模型中,单羧酸转运蛋白1介导的乳酸积累促进缺氧下髓核变性。
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-02-21 DOI: 10.22203/eCM.v043a06
C Y Wang, M K Hsieh, Y J Hu, A Bit, P L Lai

During intervertebral disc degeneration (IVDD), due to endplate calcification, diminished oxygen and nutrient concentrations and accumulated lactate are present in the microenvironment of the nucleus pulposus (NP). The disadvantages of 3D layered culture include uneven oxygen and nutrient gradients. In the present study, to mimic the in vivo microenvironment of the NP, a 5-layered 3D culture was constructed using clinical haemostatic gelatine sponges and developed as a NP degeneration (NPD) model. Subsequently, cell distribution as well as expression of NP chondrogenic markers (type II collagen and aggrecan), glycosaminoglycan (GAG) and degeneration markers [e.g. matrix metalloproteinase (MMP) 3] were measured from the top to the bottom layer. However, in a single NP-cell-loaded disc model, the chondrogenic potency in the middle or bottom layer was higher than that in the top layer. To further study the mechanism underlying the degeneration of NP cells in this NPD model, the contribution of secreted metabolites was examined. Lactate identified in the supernatant modulated GAG accumulation and MMP3 expression. Inhibition of lactate influx by the monocarboxylate transporter (MCT)-1 inhibitor, AZD3965, reversed the effect of lactate on GAG accumulation and MMP3 expression and further improved NP cell degeneration in the NPD model. Thanks to the homogenous expression of lactate in the model, it was possible to further identified that the combination of lactate and hypoxia enhanced MMP3 expression. Taken together, multilayered cell-loaded sponges, with oxygen and nutrient gradients as well as lactate accumulation, can represent a 3D multilayered NPD model for exploring potential agents for IVDD.

在椎间盘退变(IVDD)期间,由于终板钙化,髓核(NP)微环境中存在氧气和营养物质浓度降低以及乳酸积累。三维分层培养的缺点是氧和养分梯度不均匀。在本研究中,为了模拟NP的体内微环境,使用临床止血明胶海绵构建了一个5层的3D培养物,并开发了NP变性(NPD)模型。随后,从上至下测量细胞分布以及NP软骨形成标志物(II型胶原和聚集蛋白)、糖胺聚糖(GAG)和变性标志物(如基质金属蛋白酶(MMP) 3)的表达。然而,在单个装载np细胞的椎间盘模型中,中层或底层的软骨形成效力高于顶层。为了进一步研究NPD模型中NP细胞退化的机制,我们检查了分泌代谢物的贡献。在上清中发现乳酸调节GAG积累和MMP3表达。单羧酸转运体(MCT)-1抑制剂AZD3965对乳酸内流的抑制逆转了乳酸对GAG积累和MMP3表达的影响,并进一步改善了NPD模型中NP细胞的变性。由于乳酸在模型中均质表达,我们可以进一步确定乳酸和缺氧联合作用增强了MMP3的表达。综上所述,具有氧气和营养梯度以及乳酸积累的多层细胞负载海绵可以代表一个3D多层NPD模型,用于探索潜在的IVDD药物。
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引用次数: 2
Innate and adaptive immune system cells implicated in tendon healing and disease. 与肌腱愈合和疾病有关的先天性和适应性免疫系统细胞。
IF 3.2 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-02-18 DOI: 10.22203/eCM.v043a05
G Crosio, A H Huang

Tendons perform a critical function in the musculoskeletal system by integrating muscle with skeleton and enabling force transmission. Damage or degeneration of these tissues lead to impaired structure and function, which often persist despite surgical intervention. While the immune response and inflammation are important drivers of both tendon healing and disease progression, there have been relatively few studies of the diverse immune cell types that may regulate these processes in these tissues. To date, most of the studies have focused on macrophages, but emerging research indicate that other immune cell types may also play a role in tendon healing, either by regulating the immune environment or through direct interactions with resident tenocytes. The present review synthesises the literature on innate and adaptive immune system cells that have been implicated in tendon healing or disease, in the context of animal injury models, human clinical samples or in vitro experiments.

肌腱在肌肉骨骼系统中发挥着关键作用,它将肌肉与骨骼连接在一起,并实现力量传递。这些组织的损伤或变性会导致结构和功能受损,尽管进行了手术干预,但这些损伤和变性往往会持续存在。虽然免疫反应和炎症是肌腱愈合和疾病进展的重要驱动因素,但对可能调节这些组织中这些过程的各种免疫细胞类型的研究却相对较少。迄今为止,大多数研究都集中在巨噬细胞上,但新的研究表明,其他免疫细胞类型也可能通过调节免疫环境或与常驻腱细胞直接相互作用,在肌腱愈合过程中发挥作用。本综述综合了动物损伤模型、人体临床样本或体外实验中与肌腱愈合或疾病有关的先天性和适应性免疫系统细胞的文献。
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引用次数: 0
Biomechanics of the anterior cruciate ligament under simulated molecular degradation. 模拟分子降解下前交叉韧带的生物力学。
IF 3.1 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2022-02-15 DOI: 10.22203/eCM.v043a04
M Adouni, A Gouissem, F Al Khatib, A Eilaghi

Injuries to the knee anterior cruciate ligament (ACL) are common, with a known but poorly understood association with intrinsic and extrinsic risk factors. Some of these factors are enzymatically or mechanically mediated, creating acute focal injuries that may cause significant ligament damage. Understanding the relationship between the basic molecular structure and external loading of the ACL requires a hierarchical connection between the two levels. In the present study, a multi-domain frame was developed connecting the molecular dynamics of the collagen networks to the continuum mechanics of the ACL. The model was used to elucidate the effect of the two possible collagen degradation mechanisms on the aggregate ACL behaviour. Results indicated that collagen content and ACL stiffness were reduced significantly, regardless of the degradation mechanism. Furthermore, the volumetric degradation at the molecular level had a devastating effect on the mechanical behaviour of the ACL when it was compared with the superficial degradation. ACL damage initiation and propagation were clearly influenced by collagen degradation. To summarise, the new insights provided by the predicted results revealed the significance of the collagen network structural integrity to the aggregate mechanical response of the ACL and, hence, underlined the biomechanical factors that may help develop an engineering-based approach towards improving the therapeutic intervention for ACL pathologies.

膝关节前交叉韧带(ACL)损伤是常见的,已知但知之甚少与内在和外在危险因素的关联。其中一些因素是酶或机械介导的,造成急性局灶性损伤,可能导致严重的韧带损伤。理解ACL的基本分子结构和外部负荷之间的关系需要在这两个层次之间建立层次关系。在本研究中,建立了一个多域框架,将胶原网络的分子动力学与前交叉韧带的连续力学联系起来。该模型用于阐明两种可能的胶原降解机制对聚集体ACL行为的影响。结果表明,无论降解机制如何,胶原含量和ACL刚度均显著降低。此外,与表面降解相比,分子水平上的体积降解对前交叉韧带的力学行为具有破坏性影响。胶原降解明显影响前交叉韧带损伤的发生和增殖。总之,预测结果提供的新见解揭示了胶原网络结构完整性对前交叉韧带总体力学反应的重要性,因此,强调了生物力学因素可能有助于开发基于工程的方法来改善前交叉韧带病变的治疗干预。
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引用次数: 5
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European cells & materials
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