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State-of the-art and future perspective in co-culture systems for tendon engineering 肌腱工程共培养系统的现状与未来展望
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-03-01 DOI: 10.1016/j.bbiosy.2025.100110
Salomé Guillaumin , Andrea Rossoni , Dimitrios Zeugolis
Tendon is a connective tissue that links bone to muscle, allowing for maintenance of skeleton posture, joint movement, energy storage and transmission of muscle force to bone. Tendon is a hypocellular and hypovascular tissue of poor self-regeneration capacity. Current surgical treatments are of limited success, frequently resulting in reinjury. Upcoming cell therapies are primarily based on tenocytes, a cell population of limited self-renewal capacity in vitro or mesenchymal stromal cells, a cell population prone to ectopic bone formation in vivo. Over the years mono- or multi- factorial cell culture technologies have failed to effectively maintain tenocyte phenotype in culture during expansion or to prime mesenchymal stromal cells towards tenogenic lineage prior to implantation. Upon these limitations the concept of co-culture was conceived. Here, we comprehensively review and discuss tenogenic differentiation of mesenchymal stromal cells through direct or indirect culture with tenocytes in an attempt to generate a tenocyte or a tendon-like cell population for regenerative medicine purposes.
肌腱是连接骨骼和肌肉的结缔组织,可以维持骨骼姿势、关节运动、能量储存和肌肉力量向骨骼的传递。肌腱是一种自我再生能力较差的低细胞、低血管组织。目前的手术治疗效果有限,经常导致再损伤。即将到来的细胞疗法主要是基于腱细胞,一种体外自我更新能力有限的细胞群或间充质基质细胞,一种体内容易异位骨形成的细胞群。多年来,单因子或多因子细胞培养技术未能有效地在培养过程中维持细胞表型,也未能在植入前将间充质基质细胞培养成致腱细胞谱系。基于这些限制,共同文化的概念被构想出来了。在这里,我们全面回顾和讨论了间充质间质细胞通过直接或间接的肌腱细胞培养的成肌腱分化,试图产生用于再生医学目的的肌腱细胞或肌腱样细胞群。
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引用次数: 0
Dental implant prevalence and durability: A concise review of factors influencing success and failure 牙种植的流行和耐久性:影响成功和失败的因素的简要回顾
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-02-15 DOI: 10.1016/j.bbiosy.2025.100109
Yoshiyasu Takefuji
This study aimed to evaluate the prevalence of dental implants and the factors influencing their survival rates, including systemic disorders, medication use, lifestyle habits, and implant design. A literature review revealed that implants with laser-microtextured grooves exhibited lower peri‑implantitis incidence and higher survival rates. Early failure often correlated with smoking, male gender, and younger age, while adjacent teeth faced an increased risk of loss. Personality traits were found to affect implant success in older patients, alongside concerns regarding the durability of titanium implants. The findings stress the necessity of comprehensive patient evaluations and enhanced diagnostic skills for improving dental implant outcomes.
本研究旨在评估种植体的流行程度以及影响种植体存活率的因素,包括全身性疾病、药物使用、生活习惯和种植体设计。一项文献综述显示,具有激光微纹理凹槽的种植体具有较低的种植体周围炎发病率和较高的存活率。早期牙齿脱落通常与吸烟、男性和年轻有关,而邻近牙齿的脱落风险增加。研究发现,除了对钛植入物耐用性的担忧外,性格特征也会影响老年患者的植入成功。研究结果强调了全面的病人评估和提高诊断技能的必要性,以改善种植牙的结果。
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引用次数: 0
Advancements in mesoporous bioactive glasses for effective bone cancer therapy: Recent developments and future perspectives 用于骨癌有效治疗的介孔生物活性玻璃的进展:最新进展和未来展望
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-02-15 DOI: 10.1016/j.bbiosy.2025.100108
Laila Hussein , Mona Moaness , Mostafa Mabrouk , Mohamed G. Farahat , Hanan H. Beherei
This review focuses on recent advancements in the effective use of mesoporous bioactive glasses (MBG) in the treatment of bone cancer, focusing on Osteosarcoma (OS). Bone cancers are rare but are associated with significant morbidity and mortality; often, aggressive treatment is required. Conventional treatments such as surgery, radiation, and chemotherapy are often not enough. This is because surgery cannot completely remove the tumor, without creating a critical size which are defects larger than 2 cm that cannot be repaired by physiological mechanisms. As a result, patients often face the additional burden of radiation and chemotherapy. Scientists have been exploring new treatments, including hyperthermia-targeted therapy, polymeric nanoparticles, and stem cell therapy. This could potentially negatively impact healthy tissues and organs. MBG offers a promising alternative to chemotherapeutic agents and ions for disease treatment as it acts as a multifunctional drug delivery system (DDS). In addition, MBG can also be engineered into scaffolds to facilitate local delivery of growth factors and drugs, thus promoting the efficiency of bone healing and restoration. Therefore, the current review highlights various MBG types reported in the past decade and explores potential future paths to enhance their use in bone cancer treatment while also giving insight on the already commercially available BGs that are used in different bone-related disease.
本文综述了介孔生物活性玻璃(MBG)在骨癌治疗中的最新进展,重点是骨肉瘤(OS)。骨癌很少见,但发病率和死亡率都很高;通常需要积极的治疗。传统的治疗方法,如手术、放疗和化疗往往是不够的。这是因为手术不能完全切除肿瘤,除非产生一个大于2厘米的临界尺寸的缺陷,无法通过生理机制修复。因此,患者经常面临放疗和化疗的额外负担。科学家们一直在探索新的治疗方法,包括高温靶向治疗、聚合物纳米粒子和干细胞治疗。这可能会对健康的组织和器官产生潜在的负面影响。MBG作为一种多功能药物传递系统(DDS),为疾病治疗提供了一种有前途的替代化疗药物和离子。此外,MBG还可以被设计成支架,促进生长因子和药物的局部递送,从而提高骨愈合和修复的效率。因此,本综述强调了过去十年中报道的各种MBG类型,并探索了潜在的未来途径,以增强其在骨癌治疗中的应用,同时也对已经商业化的用于不同骨相关疾病的MBG提供了见解。
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引用次数: 0
Development of fully-resorption replacement paste-like organic/inorganic artificial bones compatible with bone remodeling cycles 与骨重塑周期相适应的全吸收替代膏状有机/无机人工骨的研制
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-26 DOI: 10.1016/j.bbiosy.2025.100107
Yuki Kamaya , Shiori Kato , Kazuaki Nakano , Masaki Nagaya , Hiroshi Nagashima , Mamoru Aizawa
Calcium-phosphate cement (CPC), commonly used as a bone graft substitute, sets as hydroxyapatite (HAp) and remains in the body for extended periods. To enhance bioresorbabability, we developed a chelate-setting tricalcium β-phosphate (β-TCP) cement using inositol phosphate (IP6) surface modification. By incorporating poly(lactic-co-glycolic acid) (PLGA) particles as a pore-forming agent and calcium sulfate hemihydrate (CSH) to this CPC, we created an organic/inorganic hybrid cement combining bioresorbability with favorable material properties. In this study, varying amounts of PLGA particles were added alongside CSH, and the resulting cement's properties, cytotoxicity, and in vivo response large animals (pigs) were assessed. The cement exhibited a compressive strength of ∼ 30 MPa and set within 15 min, making it suitable for clinical use. Cytotoxicity tests using Transwell® demonstrated cell growth in all cement specimens. In a pig tibia model, the amount of PLGA particle of 5 mass%, 10 mass%, and 20 mass% were tested to optimize material resorption and bone formation, compared with commercial HAp-based CPCs. Histological evaluations showed that higher amount of PLGA particles (10 mass% and 20 mass%) led to increased material resorption but impaired bone formation. The cement containing 5 mass% PLGA particles achieved the best balance, promoting the highest rate of bone formation. Thus, 5 mass% PLGA is the optimal amount for balancing resorption and bone regeneration in β-TCP cement. This formulation is expected to serve as a fully absorbable hybrid paste-type artificial bone supporting bone remodeling cycles.
磷酸钙水泥(CPC)通常被用作骨移植替代物,它以羟基磷灰石(HAp)的形式凝固,并在体内停留较长时间。为了提高生物可吸收性,我们利用磷酸肌醇(IP6)表面改性开发了一种螯合型β-磷酸三钙(β-TCP)水泥。通过将聚乳酸-羟基乙酸(PLGA)颗粒作为成孔剂,将半水合硫酸钙(CSH)加入到CPC中,我们创造了一种有机/无机混合水泥,将生物可吸收性与良好的材料性能结合在一起。在这项研究中,不同数量的PLGA颗粒与CSH一起添加,并评估了所得到的水泥的性能、细胞毒性和大型动物(猪)的体内反应。该水泥的抗压强度为~ 30 MPa,并在15分钟内凝固,适合临床使用。使用Transwell®进行的细胞毒性测试表明,所有水泥标本中都有细胞生长。在猪胫骨模型中,与商用hap基CPCs相比,测试了5质量%、10质量%和20质量%的PLGA颗粒量对材料吸收和骨形成的影响。组织学评价显示,较高剂量的PLGA颗粒(10质量%和20质量%)导致材料吸收增加,但骨形成受损。含有5质量% PLGA颗粒的骨水泥达到最佳平衡,促进骨形成率最高。因此,5质量%的PLGA是平衡β-TCP骨水泥吸收和骨再生的最佳量。该配方有望作为一种完全可吸收的混合膏状人工骨支持骨重塑周期。
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引用次数: 0
Tissue-engineered fibrillar fibronectin matrices are not only lovely, but also functional for regenerative medicines and in vitro model systems 组织工程纤维连接蛋白基质不仅可爱,而且在再生药物和体外模型系统中也有功能。
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-12-01 DOI: 10.1016/j.bbiosy.2024.100104
Seungkuk Ahn
Fibronectin is an ubiquitous extracellular matrix protein which comprises fibrous three-dimensional microenvironments in native tissues. Although its importance and fibrillogenesis in vivo has been considerably investigated, yet current in vitro tissue engineering platforms for fibrillar fibronectin pose major drawbacks such as low scalability, applicability, and reproducibility. Due to such platform limitations, understanding of spatiotemporal mechanobiology between cells and fibrillar fibronectin matrices largely remains unexplored. This article briefly underlines current tissue-engineering platforms and mechanobiological understanding of fibrillar fibronectin as well as suggests potential directions in future fibronectin researches.
纤维连接蛋白是一种普遍存在的细胞外基质蛋白,它构成了天然组织中纤维三维微环境。尽管纤维连接蛋白在体内的重要性和纤维形成已经得到了相当多的研究,但目前用于纤维连接蛋白的体外组织工程平台存在主要缺陷,如可扩展性低、适用性和可重复性差。由于这种平台的限制,对细胞和纤维连接蛋白基质之间的时空力学生物学的理解在很大程度上仍未得到探索。本文简要介绍了纤维连接蛋白目前的组织工程平台和对纤维连接蛋白的机械生物学认识,并提出了纤维连接蛋白未来研究的潜在方向。
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引用次数: 0
Enhanced osteogenic potential of spider silk fibroin-based composite scaffolds incorporating carboxymethyl cellulose for bone tissue engineering 掺入羧甲基纤维素的蛛丝纤维素基复合支架在骨组织工程中的成骨潜力得到增强
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-11-19 DOI: 10.1016/j.bbiosy.2024.100103
Woong Jin Lee , Kyoungjoo Cho , Dayoon Lee , Seungmin Lee , Hyojae Jeon , Aaron Youngjae Kim , Gyung Whan Kim
This study aimed to investigate the characteristics of composite scaffolds that combine fibroin derived from spider silk and carboxymethyl cellulose (CMC) in the field of bone tissue engineering. Fibroin, obtained from spider silk, serves as a valuable biomaterial and constitutes the primary component of fibrous protein-based spider silk threads. To enhance the binding efficiency in bone formation after scaffold implantation, CMC was integrated into fibroin, aiming to improve the injectability properties of the scaffold in bone substitutes. For bone marrow mesenchymal stem cell (BMSC) tissue engineering, BMSCs isolated from mice were seeded onto the scaffold, and the rate of cell proliferation was assessed. The composite scaffold, with the addition of CMC to fibroin, exhibited superior characteristics compared to scaffolds containing only silks, including porous morphology, porosity, surface wettability, water absorption, and thermal properties. Alkaline phosphatase activity in BMSCs was significantly higher in the CMC-containing scaffold compared to the silk-only scaffold, and the CMC-containing scaffold demonstrated increased expression of osteocyte marker genes and proteins. In conclusion, the biocompatibility and hydrophilicity of CMC-containing scaffolds play essential roles in the growth and proliferation of osteocytes. Furthermore, the CMC-containing scaffold design proposed in this study is expected to have a substantial impact on promoting ossification of BMSCs.
本研究旨在探讨结合了蜘蛛丝纤维素和羧甲基纤维素(CMC)的复合支架在骨组织工程领域的特性。从蜘蛛丝中提取的纤维蛋白是一种宝贵的生物材料,也是以纤维蛋白为基础的蜘蛛丝的主要成分。为了提高支架植入后在骨形成过程中的结合效率,CMC 被整合到纤维素中,目的是改善骨替代品支架的可注射性。在骨髓间充质干细胞(BMSC)组织工程中,将从小鼠体内分离的骨髓间充质干细胞播种到支架上,并评估细胞的增殖率。在纤维素中添加了 CMC 的复合支架在多孔形态、孔隙率、表面润湿性、吸水性和热性能等方面均优于仅含丝的支架。与仅含蚕丝的支架相比,含 CMC 的支架中 BMSCs 的碱性磷酸酶活性明显更高,而且含 CMC 的支架显示骨细胞标记基因和蛋白质的表达量增加。总之,含 CMC 支架的生物相容性和亲水性对骨细胞的生长和增殖起着至关重要的作用。此外,本研究提出的含 CMC 支架设计有望对促进 BMSCs 骨化产生重大影响。
{"title":"Enhanced osteogenic potential of spider silk fibroin-based composite scaffolds incorporating carboxymethyl cellulose for bone tissue engineering","authors":"Woong Jin Lee ,&nbsp;Kyoungjoo Cho ,&nbsp;Dayoon Lee ,&nbsp;Seungmin Lee ,&nbsp;Hyojae Jeon ,&nbsp;Aaron Youngjae Kim ,&nbsp;Gyung Whan Kim","doi":"10.1016/j.bbiosy.2024.100103","DOIUrl":"10.1016/j.bbiosy.2024.100103","url":null,"abstract":"<div><div>This study aimed to investigate the characteristics of composite scaffolds that combine fibroin derived from spider silk and carboxymethyl cellulose (CMC) in the field of bone tissue engineering. Fibroin, obtained from spider silk, serves as a valuable biomaterial and constitutes the primary component of fibrous protein-based spider silk threads. To enhance the binding efficiency in bone formation after scaffold implantation, CMC was integrated into fibroin, aiming to improve the injectability properties of the scaffold in bone substitutes. For bone marrow mesenchymal stem cell (BMSC) tissue engineering, BMSCs isolated from mice were seeded onto the scaffold, and the rate of cell proliferation was assessed. The composite scaffold, with the addition of CMC to fibroin, exhibited superior characteristics compared to scaffolds containing only silks, including porous morphology, porosity, surface wettability, water absorption, and thermal properties. Alkaline phosphatase activity in BMSCs was significantly higher in the CMC-containing scaffold compared to the silk-only scaffold, and the CMC-containing scaffold demonstrated increased expression of osteocyte marker genes and proteins. In conclusion, the biocompatibility and hydrophilicity of CMC-containing scaffolds play essential roles in the growth and proliferation of osteocytes. Furthermore, the CMC-containing scaffold design proposed in this study is expected to have a substantial impact on promoting ossification of BMSCs.</div></div>","PeriodicalId":72379,"journal":{"name":"Biomaterials and biosystems","volume":"16 ","pages":"Article 100103"},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In vitro and in vivo assessment of a non-animal sourced chitosan scaffold loaded with xeno-free umbilical cord mesenchymal stromal cells cultured under macromolecular crowding conditions 在大分子拥挤条件下培养的无异种脐带间充质基质细胞负载的非动物来源壳聚糖支架的体外和体内评估
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-10-10 DOI: 10.1016/j.bbiosy.2024.100102
Alessia Di Nubila , Meletios-Nikolaos Doulgkeroglou , Mehmet Gurdal , Stefanie H. Korntner , Dimitrios I. Zeugolis
There is an increasing demand to not only accelerate the development of advanced therapy tissue engineered medicines, but to also eliminate xenogeneic materials from their development cycle. With these in mind, herein we first assessed the influence of carrageenan as macromolecular crowding agent to enhance and accelerate extracellular matrix deposition in xeno-free human umbilical cord mesenchymal stromal cell cultures and we developed and characterised a non-animal sourced chitosan scaffold. Following appropriate in vitro experimentation, a splinted nude mouse wound healing model was used to assess wound closure and scar size of non-treated control, non-animal sourced chitosan scaffold, non-animal sourced chitosan scaffold loaded with xeno-free human umbilical cord mesenchymal stromal cells and non-animal sourced chitosan scaffold loaded with xeno-free human umbilical cord mesenchymal stromal cells cultured under macromolecular crowding conditions groups. Across all three donors, carrageenan supplementation significantly increased collagen deposition at day 5, day 8 and day 11 without affecting cell morphology, viability, DNA concentration and metabolic activity. Through freeze drying, a non-animal sourced chitosan sponge was developed with appropriate structural and mechanical properties for wound healing applications. In vitro biological analysis made apparent that neither the scaffold nor macromolecular crowding negatively impacted xeno-free human umbilical cord mesenchymal stromal cell metabolic activity and proliferation. In vivo biological analysis revealed no significant differences between the groups in wound closure and scar size, raising question about the suitability of the model. In any case, this work sets the foundations for the development of completely xeno-free tissue engineered medicines.
人们不仅要求加快先进治疗组织工程药物的开发,而且还要求在其开发周期中剔除异种材料,这种需求与日俱增。有鉴于此,我们在本文中首先评估了卡拉胶作为大分子排挤剂对增强和加速细胞外基质在无异种人脐带间充质基质细胞培养物中沉积的影响,并开发和鉴定了一种非动物来源壳聚糖支架。在进行适当的体外实验后,我们用夹板裸鼠伤口愈合模型评估了未经处理的对照组、非动物来源壳聚糖支架组、负载无异氧人脐带间充质基质细胞的非动物来源壳聚糖支架组和负载无异氧人脐带间充质基质细胞的非动物来源壳聚糖支架组在大分子拥挤条件下培养的伤口闭合情况和疤痕大小。在所有三种供体中,角叉菜胶补充剂显著增加了第 5 天、第 8 天和第 11 天的胶原沉积,而不会影响细胞形态、存活率、DNA 浓度和代谢活性。通过冷冻干燥,开发出了一种非动物来源的壳聚糖海绵,具有适当的结构和机械性能,可用于伤口愈合。体外生物分析表明,支架和大分子拥挤都不会对无异种人脐带间充质基质细胞的代谢活性和增殖产生负面影响。体内生物学分析表明,各组之间在伤口闭合和疤痕大小方面没有明显差异,这不禁让人怀疑该模型是否合适。无论如何,这项工作为开发完全不含异种组织工程药物奠定了基础。
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引用次数: 0
Biomaterials functionalized with magnetic nanoparticles for tissue engineering: Between advantages and challenges 用于组织工程的磁性纳米颗粒功能化生物材料:优势与挑战并存
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-09-01 DOI: 10.1016/j.bbiosy.2024.100100
V. Goranov

The integration of magnetic nanoparticles (MNPs) into biomaterials offers exciting opportunities for tissue engineering as they enable better control over cell guidance, release of bioactive factors and tissue maturation. Despite their potential, challenges such as the heterogeneity of MNPs, their cytotoxicity and the need for precise control of MNP`s properties hinder their widespread application. Overcoming these challenges will require new interdisciplinary efforts and technological advances, including the development of mathematical tools and additional elaborations to ensure the biocompatibility of MNPs.

将磁性纳米粒子(MNPs)融入生物材料为组织工程提供了令人兴奋的机遇,因为它们能更好地控制细胞引导、生物活性因子释放和组织成熟。尽管磁性纳米粒子具有潜力,但其异质性、细胞毒性以及需要精确控制磁性纳米粒子的特性等挑战阻碍了它们的广泛应用。要克服这些挑战,需要新的跨学科努力和技术进步,包括开发数学工具和进行更多阐述,以确保 MNPs 的生物相容性。
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引用次数: 0
A phosphate glass reinforced composite acrylamide gradient scaffold for osteochondral interface regeneration 用于骨软骨界面再生的磷酸盐玻璃增强复合丙烯酰胺梯度支架
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-07-26 DOI: 10.1016/j.bbiosy.2024.100099
Zaid M. Younus , Ifty Ahmed , Paul Roach , Nicholas R. Forsyth

The bone-cartilage interface is defined by a unique arrangement of cells and tissue matrix. Injury to the interface can contribute to the development of arthritic joint disease. Attempts to repair osteochondral damage through clinical trials have generated mixed outcomes. Tissue engineering offers the potential of integrated scaffold design with multiregional architecture to assist in tissue regeneration, such as the bone-cartilage interface. Challenges remain in joining distinct materials in a single scaffold mass while maintaining integrity and avoiding delamination. The aim of the current work is to examine the possibility of joining two closely related acrylamide derivatives such as, poly n-isopropyl acrylamide (pNIPAM) and poly n‑tert‑butyl acrylamide (pNTBAM). The target is to produce a single scaffold unit with distinct architectural regions in the favour of regenerating the osteochondral interface. Longitudinal phosphate glass fibres (PGFs) with the formula 50P2O5.30CaO.20Na2O were incorporated to provide additional bioactivity by degradation to release ions such as calcium and phosphate which are considered valuable to assist the mineralization process. Polymers were prepared via atom transfer radical polymerization (ATRP) and solutions cast to ensure the integration of polymers chains. Scaffold was characterized using scanning electron microscope (SEM) and Fourier transform infra-red (FTIR) techniques. The PGF mass degradation pattern was inspected using micro computed tomography (µCT). Biological assessment of primary human osteoblasts (hOBs) and primary human chondrocytes (hCHs) upon scaffolds was performed using alizarin red and colorimetric calcium assay for mineralization assessment; alcian blue staining and dimethyl-methylene blue (DMMB) assay for glycosaminoglycans (GAGs); immunostaining and enzyme-linked immunosorbent assay (ELISA) to detect functional proteins expression by cells such as collagen I, II, and annexin A2. FTIR analysis revealed an intact unit with gradual transformation from pNIPAM to pNTBAM. SEM images showed three distinct architectural regions with mean pore diameter of 54.5 µm (pNIPAM), 16.5 µm (pNTBAM) and 118 µm at the mixed interface. Osteogenic and mineralization potential by cells was observed upon the entire scaffold's regions. Chondrogenic activity was relevant on the pNTBAM side of the scaffold only with minimal evidence in the pNIPAM region. PGFs increased mineralization potential of both hOBs and hCHs, evidenced by elevated collagens I, X, and annexin A2 with reduction of collagen II in PGFs scaffolds. In conclusion, pNIPAM and pNTBAM integration created a multiregional scaffold with distinct architectural regions. Differential chondrogenic, osteogenic, and mineralized cell performance, in addition to the impact of PGF, suggests a potential role for phosphate glass-incorporated, acrylamide-derivative scaffolds in osteochondral interface regeneration.

骨-软骨界面由细胞和组织基质的独特排列所决定。界面损伤可导致关节炎性关节病的发生。通过临床试验修复骨软骨损伤的尝试产生了好坏参半的结果。组织工程学提供了具有多区域结构的集成支架设计潜力,以帮助组织再生,如骨-软骨界面。在保持完整性和避免分层的同时,将不同的材料连接到一个支架中仍是一个挑战。当前工作的目的是研究将聚正异丙基丙烯酰胺(pNIPAM)和聚正叔丁基丙烯酰胺(pNTBAM)这两种密切相关的丙烯酰胺衍生物连接起来的可能性。目标是生产出具有不同结构区域的单一支架单元,以促进骨软骨界面的再生。此外,还加入了分子式为 50P2O5.30CaO.20Na2O 的纵向磷酸盐玻璃纤维 (PGF),通过降解释放钙和磷酸盐等离子,提供额外的生物活性。聚合物是通过原子转移自由基聚合法(ATRP)制备的,并通过浇注溶液确保聚合物链的整合。使用扫描电子显微镜(SEM)和傅立叶变换红外(FTIR)技术对支架进行了表征。使用微型计算机断层扫描(µCT)检查了 PGF 的质量降解模式。对支架上的原代人成骨细胞(hOBs)和原代人软骨细胞(hCHs)进行了生物学评估,使用茜素红和比色钙测定法评估矿化度;使用阿尔金山蓝染色法和二甲基亚甲基蓝(DMMB)测定法检测糖胺聚糖(GAGs);使用免疫染色法和酶联免疫吸附法(ELISA)检测细胞表达的功能蛋白,如胶原蛋白 I、II 和附件蛋白 A2。傅立叶变换红外光谱分析显示了从 pNIPAM 逐渐转变为 pNTBAM 的完整单元。扫描电子显微镜图像显示了三个不同的结构区域,平均孔径分别为 54.5 微米(pNIPAM)、16.5 微米(pNTBAM)和 118 微米(混合界面)。在整个支架区域都观察到了细胞的成骨和矿化潜能。只有 pNTBAM 一侧的支架具有软骨活性,而 pNIPAM 区域的软骨活性则微乎其微。PGFs 增加了 hOBs 和 hCHs 的矿化潜能,表现为胶原 I、X 和附件蛋白 A2 的升高,而 PGFs 支架中胶原 II 的减少。总之,pNIPAM 和 pNTBAM 的整合创造了一种具有不同结构区域的多区域支架。除了 PGF 的影响外,不同的软骨细胞、成骨细胞和矿化细胞的表现也不同,这表明磷酸盐玻璃嵌入式丙烯酰胺衍生物支架在骨软骨界面再生中具有潜在的作用。
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引用次数: 0
Does the extent of bone defects affect the time to reach full weight-bearing after treatment with the Masquelet technique? 骨缺损程度是否会影响马斯奎莱技术治疗后达到完全负重的时间?
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-07-08 DOI: 10.1016/j.bbiosy.2024.100098
J. Frese , AP Schulz , B. Kowald , U.J. Gerlach , K.H. Frosch , R. Schoop

Methodology

In a consecutive retrospective analysis of 190 patients treated with the Masquelet technique at the BG Klinikum Hamburg from January 2012 to January 2022, subgroup analysis for defect-specific features such as the extent and morphology of the defect were recorded, and their influence on the time to reach full weight-bearing of the affected limb was investigated.

Results and conclusion

A total of 217 defects were treated in 190 patients using the Masquelet technique. 70 % of all defects were in the tibia, followed by 22 % in the femur and only about 7 % in the upper extremity. The average length of all defects was 58 mm (+/- 31 mm), with the largest defect measuring 180 mm and the smallest measuring 20 mm. 89 % of the patients achieved full weight-bearing at the end of therapy. The average time from initiation of therapy to reaching safe full weight-bearing was 589 days. There was a significant correlation between defect length and time to reach full weight-bearing (p = 0.0134). These results could serve as a basis for creating a score for prognostics and evaluation of bone healing after treatment with the Masquelet technique. Additionally, the results could help guide indications for secondary stabilization using internal fixation.

方法对 2012 年 1 月至 2022 年 1 月期间在汉堡 BG Klinikum 采用 Masquelet 技术治疗的 190 名患者进行连续回顾性分析,记录缺陷的范围和形态等缺陷特异性特征的亚组分析,并研究其对患肢完全负重时间的影响。胫骨缺损占所有缺损的 70%,股骨缺损占 22%,上肢缺损仅占 7%。所有缺损的平均长度为 58 毫米(+/- 31 毫米),最大缺损为 180 毫米,最小缺损为 20 毫米。89%的患者在治疗结束后实现了完全负重。从开始治疗到安全完全负重的平均时间为 589 天。缺损长度与达到完全负重的时间之间存在明显的相关性(p = 0.0134)。这些结果可以作为马斯奎莱技术治疗后建立预后和骨愈合评估评分的基础。此外,这些结果还有助于指导使用内固定进行二次稳定的适应症。
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引用次数: 0
期刊
Biomaterials and biosystems
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