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Mechanism and research status of hemoperfusion in endotoxemia treatment 血液灌流治疗内毒素血症的机制及研究现状
Pub Date : 2019-10-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.05.015
Yichen Li, Juanjuan Liu, Hong-xiang Guo
Endotoxemia is a pathophysiological manifestation caused by the release of large amounts of endotoxin from bacteria in the blood or in the lesion. It can cause multiple organ failure, irreversible shock, and even death. The mortality rate of endotoxemiaIt is high. Bacterial endotoxin is the main cause of endotoxemia. At present, there is no safe and effective drug to treat endotoxemia in clinic. Research shows that blood purification can effectively reduce endotoxin level in the blood, then achieve the goal of treatment of endotoxemia. In this paper, the pathogenesis of endotoxemia, the development of hemoperfusion therapy technology, the mechanism and research status of endotoxin adsorption by different hemoperfusion resin were discussed, and the performance and safety requirements of hemoperfusion adsorbent materials for endotoxemia treatment were studied, so as to provide theoretical support for the synthesis of new hemoperfusion adsorption materials for the treatment of endotoxemia. Key words: Hemoperfusion; Endotoxemia; Asorption mechanism
内毒素血症是由血液或病变中的细菌释放大量内毒素引起的病理生理学表现。它会导致多器官衰竭、不可逆转的休克,甚至死亡。内毒素血症的死亡率很高。细菌内毒素是引起内毒素血症的主要原因。目前临床上尚无安全有效的治疗内毒素血症的药物。研究表明,血液净化可以有效降低血液中的内毒素水平,从而达到治疗内毒素血症的目的。本文论述了内毒素血症的发病机制、血液灌流治疗技术的发展、不同血液灌流树脂吸附内毒素的机理和研究现状,并对血液灌流吸附材料治疗内毒素血症的性能和安全要求进行了研究,为合成治疗内毒素血症的新型血液灌流吸附材料提供理论支持。关键词:血液灌注;内毒素血症;A吸附机理
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引用次数: 0
Discovery of the expression of HK2 gene in clear cell carcinoma of the kidney and its clinical significance based on database analysis 基于数据库分析的肾透明细胞癌中HK2基因表达的发现及其临床意义
Pub Date : 2019-10-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.05.007
Wei Li
Objective To analyze the association between hexokinase 2 (HK2) gene expression and clinical pathological characteristics in renal clear cell carcinoma using database and bioinformatics methods. Methods Oncomine database was used to analyze the most significant differentially expressed genes between renal clear cell carcinoma and non-kidney tissue. The expression levels of mRNA and protein were detected by GPEIA and The Human Protein Atlas database. Correlation of HK2 expression level between clinicopathological features and prognosis of renal clear cell carcinoma was analyzed using LinkedOmics and KM-plotter databases, respectively. The STRING database was used to predict the potential protein interaction mechanism. Results The most significant difference protein in renal clear cell carcinoma, i.e. HK2, was found, which was highly expressed in renal clear cell carcinoma tissues, and positively correlated with pathological stage, T stage and N stage of renal cell carcinoma (all P<0.05). The overall survival rate of the renal clear cell carcinoma patients with high expression of HK2 was significantly lower than that of the patients with low expression (P<0.05). Conclusions High expression of HK2 gene may be associated with pathological staging, high T stage, high N stage, and poor prognosis of renal clear cell carcinoma. Key words: Renal clear cell carcinoma; Hexokinase 2; Bioinformatics
目的应用数据库和生物信息学方法分析肾透明细胞癌己糖激酶2 (HK2)基因表达与临床病理特征的关系。方法利用Oncomine数据库分析肾透明细胞癌与非肾组织间最显著差异表达基因。通过GPEIA和The Human protein Atlas数据库检测mRNA和蛋白的表达水平。应用LinkedOmics和KM-plotter数据库分别分析HK2表达水平与肾透明细胞癌临床病理特征和预后的相关性。利用STRING数据库预测潜在的蛋白相互作用机制。结果肾透明细胞癌组织中差异最显著的蛋白为HK2,该蛋白在肾透明细胞癌组织中高表达,与肾透明细胞癌病理分期、T分期、N分期呈正相关(均P<0.05)。高表达HK2的肾透明细胞癌患者的总生存率显著低于低表达患者(P<0.05)。结论HK2基因的高表达可能与肾透明细胞癌的病理分期、高T分期、高N分期及预后不良有关。关键词:肾透明细胞癌;己糖激酶2;生物信息学
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引用次数: 0
Brain tissue segmentation method based on maximum between-cluster variance optimized by the difference search algorithm 差分搜索算法优化的基于最大聚类方差的脑组织分割方法
Pub Date : 2019-10-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.05.009
Shuo Wang, Chunrong Xu, Y. Xiang, Dangguo Shao, Lijun Liu
Objective To study a maximum between-cluster variance based on differential search algorithm, and to select the multi-threshold for effectively segmentation of brain magnetic resonance images. Methods The brain extraction tool(BET) algorithm was used to remove the non-brain tissue part of the original magnetic resonance image. The best-fit with coalescing(BFC) algorithm was used to remove the intensity non-uniformity. The differential search algorithm was used to optimize the maximum between-cluster variance of the image to find the optimal threshold for multi-threshold segmentation of the magnetic resonance image. The method was validated using simulated magnetic resonance(MR) brain image data provided by BrainWeb. Results For MR images with different noise levels and intensity inhomogeneities, the proposed method was better than FSL, SPM and Brainsuite methods. Conclusions The maximum between-cluster variance based on differential search algorithm has better segmentation accuracy and robustness, especially for cerebrospinal fluid. Key words: Magnetic resonance imaging; Differential search; Image segmentation; Multi threshold; OTSU
目的研究基于差分搜索的最大聚类方差算法,选择多阈值对脑磁共振图像进行有效分割。方法采用脑提取工具(brain extraction tool, BET)算法去除原始磁共振图像中的非脑组织部分。采用最佳拟合合并(best fit with coalescing, BFC)算法去除图像的强度不均匀性。采用差分搜索算法对图像的最大聚类间方差进行优化,找到对磁共振图像进行多阈值分割的最佳阈值。使用BrainWeb提供的模拟磁共振(MR)脑图像数据对该方法进行了验证。结果对于不同噪声水平和强度不均匀性的MR图像,该方法优于FSL、SPM和Brainsuite方法。结论基于最大聚类间方差的差分搜索算法具有较好的分割精度和鲁棒性,尤其对脑脊液具有较好的分割效果。关键词:磁共振成像;微分搜索;图像分割;多阈值;大津
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引用次数: 0
Genipin cross-linked decellularized scaffold for allogenic transplantation in situ Genipin交联脱细胞支架原位同种异体移植
Pub Date : 2019-10-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.05.003
Wenlong Yang, S. Zhang, Guozhong Zhang, Yuanfan Xiao
Objective To explored the bio-compatibility and cartilage regeneration of the rabbits genipin cross-linked decellularized scaffold, to provide experimental and theoretical support for the clinical application of genipin cross-linked decellularized scaffold. Methods Detergent-enzyme method was used to prepare decellularized tracheal scaffolds. Cellular content of native trachea and decellularized trachea were compared by 4′, 6-diamidino-2-phenylindole(DAPI) staining. Masson trichrome staining was used to compare the histological structure of the progenitor tube, decellularized trachea, and genipin cross-linked decellularized trachea. Nine adult New Zealand white rabbits were randomly divided into autologous tracheal transplantation group (negative control group), allogeneic tracheal transplantation group (positive control group), and genipin cross-linked decellularized tracheal transplantation group (experimental group). Autologous bone marrow mesenchymal stem cells were implanted on the surface of trachea in each group. The blood cells and type II collagen were detected to compare the inflammatory response and chondrocyte regeneration after tracheal orthotopic transplantation in the three groups. Results After DAPI staining and light microscope observation (×200), the cell content of the acellular 7-cycle trachea [(143.0 ± 71.1) cells/field] was significantly lower than that of the native trachea [(853.5 ± 149.6) cells/field], and the difference was statistically significant (P<0.001). Masson′s trichrome staining showed that the tissue structure of genipin cross-linked decellularized trachea was more complete. Blood cell analysis and type II collagen test results showed that genipin cross-linked decellularized trachea transplanted with bone marrow mesenchymal stem cells after transplantation in situ has little rejection and can be converted into chondrocytes by the action of related growth factors in vivo. Conclusions Genipin cross-linked decellularized tracheal scaffold combined with stem cell transplantation can successfully construct a tracheal in situ replacement model. This study provides a strong support for the research of tissue engineering trachea. Key words: Tissue engineering; Trachea; Transplantation; Genipin cross-linked; Mesenchymal stem cells
目的探讨兔格尼平交联脱细胞支架的生物相容性和软骨再生情况,为格尼平交联脱细胞支架的临床应用提供实验和理论支持。方法采用洗涤酶法制备脱细胞气管支架。采用4′,6-二氨基-2-苯基吲哚(DAPI)染色法比较天然气管和脱细胞气管的细胞含量。马松三色染色法比较祖管、脱细胞气管和格尼平交联脱细胞气管的组织学结构。将9只成年新西兰大白兔随机分为自体气管移植组(阴性对照组)、异体气管移植组(阳性对照组)和格尼平交联脱细胞气管移植组(实验组)。各组气管表面均植入自体骨髓间充质干细胞。检测三组患者的血细胞和II型胶原,比较三组患者气管原位移植后的炎症反应和软骨细胞再生情况。结果经DAPI染色及光镜观察(×200),脱细胞7周期气管的细胞含量[(143.0±71.1)个细胞/场]显著低于天然气管[(853.5±149.6)个细胞/场],差异有统计学意义(P<0.001)。马松三色染色显示,吉尼平交联脱细胞气管组织结构更完整。血细胞分析和II型胶原蛋白检测结果表明,格尼平交联脱细胞气管移植骨髓间充质干细胞原位移植后排斥反应小,在体内可通过相关生长因子的作用转化为软骨细胞。结论吉尼平交联脱细胞气管支架联合干细胞移植可成功构建气管原位置换模型。本研究为组织工程气管的研究提供了有力的支持。关键词:组织工程;气管;移植;Genipin交联;间充质干细胞
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引用次数: 0
Research progress of LincRNA-p21 in tumors LincRNA-p21在肿瘤中的研究进展
Pub Date : 2019-10-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.05.011
Jing Wu
Long-chain non-coding RNA (LncRNA) has more than 200 nucleotides in length and cannot encode proteins. It has a variety of biological functions. A large number of studies have shown that LncRNA is closely related to the occurrence and development of cancer. Researches at the level of molecular biology have found that LncRNA acts as an important regulatory molecule involved in the whole process of life activities and plays a regulatory role in various diseases and tumors. LincRNA-p21 is a novel LncRNA that acts as a translational inhibitor by targeting mRNA or by directing the chromatin site of a protein-binding partner. LincRNA-p21 is closely related to a variety of tumors and exerts its biological functions of carcinogenesis or tumor suppression through different pathways. In this paper, the research progress of the tumor-associated gene LincRNA-p21 was reviews Key words: Non-coding RNA; Long intergenic non-coding RNA; LncRNA-p21; Tumor
长链非编码RNA(LncRNA)长度超过200个核苷酸,不能编码蛋白质。它具有多种生物学功能。大量研究表明,LncRNA与癌症的发生发展密切相关。分子生物学水平的研究发现,LncRNA是一种重要的调控分子,参与生命活动的全过程,在各种疾病和肿瘤中发挥调控作用。LincRNA-p21是一种新型的LncRNA,通过靶向mRNA或引导蛋白质结合伴侣的染色质位点来发挥翻译抑制剂的作用。LincRNA-p21与多种肿瘤密切相关,并通过不同途径发挥其致癌或抑瘤的生物学功能。本文综述了肿瘤相关基因LincRNA-p21的研究进展。关键词:非编码RNA;长基因间非编码RNA;LncRNA-p21;肿瘤
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引用次数: 0
Research progress in multifunctional nanomedicine for the combination of tumor chemotherapy and immunotherapy 肿瘤化疗与免疫联合治疗的多功能纳米药物研究进展
Pub Date : 2019-10-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.05.012
Shurui Ma, Hangtian Zhang, Hongyang Chen, Q. He, Xing-long Li, Danhui Hu, Quanxin Li
Although the combination of surgery, radiotherapy and chemotherapy is the main methods of cancer treatment, it still fails to solve certain tumors, especially metastatic tumors. With the in-depth study of tumorigenesis and development mechanism, and the exploration and clinical application of tumor immunotherapy, the survival period of patients with malignant tumors has been significantly prolonged. Tumor immunotherapy has become an effective anti-tumor method by activating the body′s own immune system to achieve tumor suppression. The combination of chemotherapy and immunotherapy has a significant effect and has become a feasible solution for cancer treatment. The rationally designed nanomedicines can effectively combine chemical drugs and immunological preparations, and have become an effective delivery carrier basis and treatment means for clinically targeting tumor tissues, synergistic immune mechanisms to kill tumor cells, and treating tumors. In this paper, the types of multifunctional nanomedicines used in chemotherapy and various immunotherapies in recent years and their advantages in cancer therapy were reviewed. Key words: Nanomedicine; Cancer therapy; Immunotherapy; Chemotherapy; Combined treatment
虽然手术、放疗和化疗相结合是癌症治疗的主要方法,但它仍然无法解决某些肿瘤,尤其是转移性肿瘤。随着对肿瘤发生发展机制的深入研究,以及肿瘤免疫治疗的探索和临床应用,恶性肿瘤患者的生存期显著延长。肿瘤免疫疗法通过激活人体自身免疫系统来实现肿瘤抑制,已成为一种有效的抗肿瘤方法。化疗与免疫治疗相结合具有显著效果,已成为癌症治疗的可行方案。合理设计的纳米药物可以将化学药物和免疫制剂有效结合,成为临床靶向肿瘤组织、协同免疫机制杀死肿瘤细胞、治疗肿瘤的有效载体基础和治疗手段。本文综述了近年来应用于化疗和各种免疫治疗的多功能纳米药物的种类及其在癌症治疗中的优势。关键词:纳米医学;癌症治疗;免疫治疗;化疗;联合治疗
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引用次数: 0
Construction of national stroke center network system 国家脑卒中中心网络系统建设
Pub Date : 2019-10-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.05.001
B. Chao, Lei Cao, W. Tu
Stroke is one of the main causes of mortality, long-term physical and cognitive impairment in China. In order to meet the challenge, Stroke Prevention and Treatment Project of the National Health Commission(SPTPC) was established in April 2011 in the Ministry of Health. In 2016, SPTPC issued a work plan of stroke center hospital. In order to shorten the time of pre-hospital, the SPTPC established the stroke center network, stroke map and stroke green channel to create "the three 1-hour gold rescue circle" to form a hierarchical stroke diagnosis and treatment system. The current construction of the Chinese Stroke Center is divided into two levels and four layers. As of December 31, 2018, SPTPC has certified a total of 310 advanced stroke centers, including 30 demonstration advanced stroke centers and 280 advanced stroke centers, and 127 stroke prevention centers, including 85 demonstration stroke prevention centers and 42 stroke prevention centers. The median time from admission to intravenous thrombolysis (DNT) at the advanced stroke center was decreased by 13.2% (53 min vs. 46 min) in the fourth quarter of 2018 as compared with that in the first quarter of 2017.The national thrombolytic rate of acute ischemic stroke was increased 3.24 times (1.78% vs. 0.42%) in 2017 compared that in 2010. In the next step, SPTPC will vigorously promote the construction of stroke centers and graded diagnosis and treatment mechanisms, consolidate quality control and standardization, increase the scope of influence of mobile stroke and remote diagnosis and treatment, and further improve the construction of stroke center systems with Chinese characteristics. Key words: Stroke; Stroke prevention and control system; Stroke center; China
脑卒中是导致中国人死亡、长期身体和认知障碍的主要原因之一。为了应对这一挑战,国家卫生健康委员会中风预防和治疗项目于2011年4月在卫生部成立。2016年,SPTPC发布了中风中心医院的工作计划。为了缩短住院前的时间,SPTPC建立了中风中心网络、中风地图和中风绿色通道,创建了“三个1小时黄金救援圈”,形成了分级的中风诊断和治疗系统。中国卒中中心目前的建设分为两个层次和四个层次。截至2018年12月31日,SPTPC共认证了310个高级卒中中心,包括30个高级卒中示范中心和280个高级卒中研究中心,以及127个卒中预防中心,包括85个卒中预防示范中心和42个卒中预防研究中心。与2017年第一季度相比,2018年第四季度晚期卒中中心从入院到静脉溶栓(DNT)的中位时间减少了13.2%(53分钟vs.46分钟)。2017年全国急性缺血性卒中溶栓率比2010年增加了3.24倍(1.78%vs.0.42%)。下一步,SPTPC将大力推进脑卒中中心和分级诊疗机制建设,巩固质量控制和标准化,扩大移动脑卒中和远程诊疗的影响范围,进一步完善中国特色脑卒中中心体系建设。关键词:笔画;中风预防和控制系统;中风中心;中国
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引用次数: 2
Immunomodulatory activity of wild Artemisia rupestris L. crude polysaccharide as an adjuvant 野生紫花蒿粗多糖作为佐剂的免疫调节作用
Pub Date : 2019-10-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.05.002
Quanxiao Li, Xueli Ba, Shuangshuang Feng, Ya-Li Tan, Bing Zhao, Xiaolong Luo
Objective To investigate the enhancement effect of Xinjiang wild Artemisia rupestris L. crude polysaccharides (WARCP) as an adjuvant on ovalbumin (OVA) vaccine in mice immunized intramuscularly. Methods ICR mice were randomly divided into 6 groups (5 per group), including 9 g/L NaCl group (blank control), OVA group (10 μg OVA), low dose WARCP/OVA group (OVA+50 μg WARCP), medium dose WARCP/OVA group (OVA+200 μg WARCP), high dose WARCP/OVA group (OVA+400 μg WARCP), and aluminum adjuvant (Alum)/OVA group (positive control group, OVA+100 μg Alum). ICR mice were immunized intramuscularly and weighted. The OVA-specific antibodies and subtypes in serum were detected by enzyme linked immunosorbent assay (ELISA). T cells subsets from spleen and lymph nodes were detected by flow cytometry. Results The medium-dose WARCP/OVA group enhanced IgG and IgG1 levels and increased early antibody levels (all P 0.05). The low-dose WARCP/OVA group enhanced the percentage of CD4+ T cells in spleen and CD4+ T, CD8+ T, CD4+CD44+ T cells in lymph nodes (all P<0.05). The medium dose WARCP/OVA group and the high dose WARCP/OVA group enhanced the CD4+ T, CD8+ T, CD4+CD44+ T, CD8+CD44+ T cells in spleen and CD8+CD44+ T cell in lymph nodes (all P<0.05). Conclusions Plant-derived WARCP as an OVA protein vaccine adjuvant can enhance cellular immunity and humoral immunity, and it is safe and reliable. The results in this study provide a theoretical basis for the popularization and application of WARCP. Key words: Wild Artemisia rupestris L.; Crude polysaccharides; Intramuscular immunization; Adjuvant
目的研究新疆野生黄花蒿粗多糖(WARCP)作为佐剂对小鼠肌内免疫卵清蛋白(OVA)疫苗的增强作用。方法将ICR小鼠随机分为6组(每组5只),分别为9 g/L NaCl组(空白对照)、OVA组(10 μg OVA)、低剂量WARCP/OVA组(OVA+50 μg WARCP)、中剂量WARCP/OVA组(OVA+200 μg WARCP)、高剂量WARCP/OVA组(OVA+400 μg WARCP)、铝佐剂(明矾)/OVA组(阳性对照组,OVA+100 μg明矾)。对ICR小鼠进行肌肉免疫并称重。采用酶联免疫吸附试验(ELISA)检测血清中ova特异性抗体及其亚型。用流式细胞术检测脾脏和淋巴结的T细胞亚群。结果WARCP/OVA中剂量组血清IgG、IgG1水平升高,早期抗体水平升高(P < 0.05)。低剂量WARCP/OVA组脾脏CD4+ T细胞及淋巴结CD4+ T、CD8+ T、CD4+CD44+ T细胞百分比均升高(P<0.05)。WARCP/OVA中剂量组和WARCP/OVA高剂量组小鼠脾脏CD4+ T、CD8+ T、CD4+CD44+ T、CD8+CD44+ T细胞和淋巴结CD8+CD44+ T细胞均升高(P<0.05)。结论植物源性WARCP作为OVA蛋白疫苗佐剂可增强细胞免疫和体液免疫,安全可靠。研究结果为WARCP的推广应用提供了理论依据。关键词:野生黄花蒿;粗多糖;肌内免疫;辅助
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引用次数: 0
Research progress of medical nitric oxide production technology 医用一氧化氮生产技术研究进展
Pub Date : 2019-10-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.05.013
Qian Li, Wenlu Zhang, Hong Wang, Yan Wang
Nitric oxide is a messenger molecule in the body, which is widely distributed in various tissues of living organisms and participates in regulating the physiological activities of cells. Inhalation of low concentrations of NO can selectively relax the pulmonary blood vessels, which can achieve good results and has been applied in clinical respiratory emergency treatment such as pulmonary hypertension, neonatal hypoxic respiratory failure, acute respiratory distress syndrome (ARDS), etc. At present, in addition to the clinical use of chemical methods to produce NO gas (storage in cylinders), NO can also be generated by discharge. Among them, the pulsed arc discharge can realize the preparation of NO at any time and solve the problems of decompression and storage of conventional NO gas supply. In this paper, the clinical application of NO, discharge technology, and removal methods of nitrogen dioxide (NO2) were reviewed. Key words: Nitric oxide; Pulse discharge; Plasma; Preparation; Catalyticreduction
一氧化氮是体内的信使分子,广泛分布于生物体的各种组织中,参与调节细胞的生理活动。吸入低浓度NO可选择性舒张肺血管,可取得良好效果,已应用于肺动脉高压、新生儿缺氧性呼吸衰竭、急性呼吸窘迫综合征(ARDS)等临床呼吸急救,除了临床上使用化学方法产生NO气体(储存在气瓶中)外,还可以通过放电产生NO。其中,脉冲电弧放电可以实现NO的随时制备,解决了传统NO气源的减压和储存问题。本文综述了一氧化氮的临床应用、排放技术和二氧化氮的去除方法。关键词:一氧化氮;脉冲放电;等离子体;准备工作;催化还原
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引用次数: 0
Research progress in bone interface tissue engineering for ligament and tendon injury 韧带和肌腱损伤骨界面组织工程的研究进展
Pub Date : 2019-10-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.05.014
Zhijun Li, Hua-feng Zhang
The interface of ligaments, tendons, and bones are susceptible to damage, often fail to heal themselves, and even cannot achieve a good prognosis after surgery. Interface tissue engineering is a comprehensive strategy to functionally connect soft and hard tissues to regenerate original anatomical functions and structures, thereby improving clinical efficacy. In this paper, the interface tissue engineering and composite tissue regeneration in soft tissue healing were systematically reviewed. The recent advances in interface engineering were summarized, based on the treatment of structural damage from two common soft tissue-bone connections (ligamentous bone connections, tendon bone connections), from the development of single tissue to composite tissue structures. The latest interface tissue engineering innovation structure design and potential clinical applications in recent years were reviewed. For future research, in-depth research on the mechanisms of interface development, regeneration, and internal environment balance, structure-function relationships, and biological processes that drive interface development, regeneration, and internal environment balance are still necessary. The innovative studies on interface tissue engineering have promoted the significance of the integration of tissue engineering and clinical, and the construction of complex tissues, so that it has broader significance for the future regeneration of total joints. Key words: Biomaterial; Tendon; Ligament; Tissue engineering; Soft and hard tissue repair
韧带、肌腱、骨骼的界面容易受到损伤,往往不能自愈,甚至术后不能达到良好的预后。界面组织工程是将软硬组织进行功能性连接,再生原有解剖功能和结构,从而提高临床疗效的综合策略。本文系统综述了界面组织工程和复合组织再生在软组织愈合中的应用。从两种常见的软组织-骨连接(韧带骨连接、肌腱骨连接)的结构损伤治疗,从单一组织结构发展到复合组织结构,综述了界面工程的最新进展。综述了近年来界面组织工程创新、结构设计及潜在的临床应用。今后的研究还需要深入研究界面发育、再生和内环境平衡的机制、结构-功能关系以及驱动界面发育、再生和内环境平衡的生物过程。界面组织工程的创新性研究,促进了组织工程与临床结合、复杂组织构建的重要意义,对未来全关节再生具有更广泛的意义。关键词:生物材料;肌腱;韧带;组织工程;软硬组织修复
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引用次数: 0
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