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Polymeric Biomaterials 聚合生物材料
IF 4 3区 医学 Q2 Engineering Pub Date : 2020-03-05 DOI: 10.1201/9780429142413
S. Dumitriu, V. Popa
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引用次数: 156
Biodegradable electrospun patch containing cell adhesion or antimicrobial compounds for trachea repair in vivo. 含有细胞粘附或抗菌化合物的可生物降解电纺贴片用于体内气管修复
IF 4 3区 医学 Q2 Engineering Pub Date : 2020-02-17 DOI: 10.1088/1748-605X/ab5e1b
Jakob M Townsend, Makenna E Hukill, Kar-Ming Fung, Devan G Ohst, Jed K Johnson, Robert A Weatherly, Michael S Detamore

Difficulty breathing due to tracheal stenosis (i.e. narrowed airway) diminishes the quality of life and can potentially be life-threatening. Tracheal stenosis can be caused by congenital anomalies, external trauma, infection, intubation-related injury, and tumors. Common treatment methods for tracheal stenosis requiring surgical intervention include end-to-end anastomosis, slide tracheoplasty and/or laryngotracheal reconstruction. Although the current methods have demonstrated promise for treatment of tracheal stenosis, a clear need exists for the development of new biomaterials that can hold the trachea open after the stenosed region has been surgically opened, and that can support healing without the need to harvest autologous tissue from the patient. The current study therefore evaluated the use of electrospun nanofiber scaffolds encapsulating 3D-printed PCL rings to patch induced defects in rabbit tracheas. The nanofibers were a blend of polycaprolactone (PCL) and polylactide-co-caprolactone (PLCL), and encapsulated either the cell adhesion peptide, RGD, or antimicrobial compound, ceragenin-131 (CSA). Blank PCL/PLCL and PCL were employed as control groups. Electrospun patches were evaluated in a rabbit tracheal defect model for 12 weeks, which demonstrated re-epithelialization of the luminal side of the defect. No significant difference in lumen volume was observed for the PCL/PLCL patches compared to the uninjured positive control. Only the RGD group did not lead to a significant decrease in the minimum cross-sectional area compared to the uninjured positive control. CSA reduced bacteria growth in vitro, but did not add clear value in vivo. Adequate tissue in-growth into the patches and minimal tissue overgrowth was observed inside the patch material. Areas of future investigation include tuning the material degradation time to balance cell adhesion and structural integrity.

由于气管狭窄(即气道狭窄)导致的呼吸困难会降低生活质量,并可能危及生命。气管狭窄可由先天畸形、外部创伤、感染、插管相关损伤和肿瘤引起。需要手术干预的气管狭窄的常见治疗方法包括端对端吻合、滑动气管成形术和/或喉气管重建。尽管目前的方法已经证明了治疗气管狭窄的前景,但显然需要开发新的生物材料,这种生物材料可以在手术打开狭窄区域后保持气管开放,并且可以支持愈合,而无需从患者身上采集自体组织。因此,目前的研究评估了使用封装3D打印PCL环的电纺纳米纤维支架来修补兔气管中诱导的缺陷。纳米纤维是聚己内酯(PCL)和聚乳酸共己内酯(PLCL)的混合物,并包封了细胞粘附肽RGD或抗微生物化合物ceragenin-131(CSA)。空白PCL/PLCL和PCL作为对照组。在兔气管缺损模型中对电纺贴片进行了为期12周的评估,结果显示缺损管腔侧上皮化。与未受伤的阳性对照相比,PCL/PLCL贴片的管腔体积没有观察到显著差异。与未受伤的阳性对照组相比,只有RGD组的最小横截面积没有显著减少。CSA在体外降低了细菌的生长,但在体内没有增加明显的价值。在贴片材料内观察到足够的组织生长到贴片中,并且最小的组织过度生长。未来的研究领域包括调整材料降解时间,以平衡细胞粘附和结构完整性。
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引用次数: 0
Evaluation of bone-regeneration effects and ectopic osteogenesis of collagen membrane chemically conjugated with stromal cell-derived factor-1 in vivo 基质细胞衍生因子-1化学偶联胶原膜在体内骨再生和异位成骨作用的评价
IF 4 3区 医学 Q2 Engineering Pub Date : 2019-12-09 DOI: 10.1088/1748-605X/ab52da
Xiaolin Yu, Haipeng Sun, Jiamin Yang, Yun Liu, Zhengchuan Zhang, Jinming Wang, Feilong Deng
Because the collagen membrane lacks osteoinductivity, it must be modified with bioactive components to trigger rapid bone regeneration. In this study, we aimed to evaluate the bone regeneration effects of a collagen membrane chemically conjugated with stromal cell-derived factor-1 alpha (SDF-1α) in rat models. To this end, different collagen membranes from four groups including a control group with a Bio-Oss bone substitute + collagen membrane; physical adsorption group with Bio-Oss + SDF-1α physically adsorbed on the collagen membrane; chemical cross-linking group with Bio-Oss + SDF-1α chemically cross-linked to the collagen membrane; and cell-seeding group with Bio-Oss + bone marrow mesenchymal stem cells (BMSCs) seeded onto the collagen membrane were placed in critical-sized defect models using a guided bone regeneration technique. At 4 and 8 weeks, the specimens were analyzed by scanning electron microscopy, energy-dispersive x-ray spectroscopy, micro-computed tomography, and histomorphology analyzes. Furthermore, ectopic osteogenesis was examined by histological analysis with Von Kossa staining, with the samples counterstained by hematoxylin and eosin and immunohistochemical staining. The results showed that in the chemical cross-linking group and cell-seeding group, the bone volume fraction, bone surface area fraction, and trabecular number were significantly increased and showed more new bone formation compared to the control and physical adsorption groups. Von Kossa-stained samples counterstained with hematoxylin and eosin and subjected to immunohistochemical staining of 4-week implanted membranes revealed that the chemical cross-linking group had the largest number of microvessels. The collagen membrane chemically conjugated with SDF-1α to significantly promote new bone and microvessel formation compared to SDF-1α physical adsorption and showed similar effects on new bone formation as a BMSC seeding method. This study provided a cell-free approach for shortening the bone healing time and improving the success rate of guided bone regeneration.
由于胶原膜缺乏骨诱导性,必须用生物活性成分对其进行修饰,以引发快速的骨再生。在本研究中,我们旨在评估与基质细胞衍生因子-1α(SDF-1α)化学偶联的胶原膜在大鼠模型中的骨再生作用。为此,来自四组的不同胶原膜,包括具有Bio-Oss骨替代物+胶原膜的对照组;Bio-Oss+SDF-1α物理吸附在胶原膜上的物理吸附基团;化学交联基团与Bio-Oss+SDF-1α化学交联到胶原膜上;和将Bio-Oss+骨髓间充质干细胞(BMSC)接种到胶原膜上的细胞接种组使用引导骨再生技术放置在临界尺寸的缺损模型中。在第4周和第8周,通过扫描电子显微镜、能量色散x射线光谱、显微计算机断层扫描和组织形态学分析对标本进行分析。此外,异位成骨通过Von-Kossa染色的组织学分析进行检查,苏木精和伊红以及免疫组织化学染色对样品进行复染。结果显示,与对照组和物理吸附组相比,化学交联组和细胞接种组的骨体积分数、骨表面积分数和小梁数量显著增加,并显示出更多的新骨形成。Von-Kossa染色的样品用苏木精和伊红复染,并对植入4周的膜进行免疫组织化学染色,结果显示化学交联组的微血管数量最多。与SDF-1α物理吸附相比,与SDF-1 a化学偶联的胶原膜显著促进新骨和微血管的形成,并显示出与BMSC接种方法类似的对新骨形成的影响。本研究为缩短骨愈合时间和提高引导骨再生的成功率提供了一种无细胞方法。
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引用次数: 8
Trilayered tissue structure with leaflet-like orientations developed through in vivo tissue engineering 通过体内组织工程开发的具有小叶状定向的三层组织结构
IF 4 3区 医学 Q2 Engineering Pub Date : 2019-12-09 DOI: 10.1088/1748-605X/ab52e2
S. Jana, F. Franchi, A. Lerman
A tissue-engineered heart valve can be an alternative to current mechanical or bioprosthetic valves that face limitations, especially in pediatric patients. However, it remains challenging to produce a functional tissue-engineered heart valve with three leaflets mimicking the trilayered, oriented structure of a native valve leaflet. In our previous study, a flat, trilayered nanofibrous substrate mimicking the orientations of three layers in a native leaflet—circumferential, random and radial orientations in fibrosa, spongiosa and ventricularis layers, respectively, was developed through electrospinning. In this study, we sought to develop a trilayered tissue structure mimicking the orientations of a native valve leaflet through in vivo tissue engineering, a practical regenerative medicine technology that can be used to develop an autologous heart valve. Thus, the nanofibrous substrate was placed inside the closed trileaflet-shaped cavity of a mold and implanted subcutaneously in a rat model for in vivo tissue engineering. After two months, the explanted tissue construct had a trilayered structure mimicking the orientations of a native valve leaflet. The infiltrated cells and their deposited collagen fibrils were oriented along the nanofibers in each layer of the substrate. Besides collagen, presence of glycosaminoglycans and elastin in the construct was observed.
组织工程心脏瓣膜可以替代目前面临局限性的机械或生物假体瓣膜,特别是在儿科患者中。然而,制造一个具有功能的组织工程心脏瓣膜仍然具有挑战性,该瓣膜具有三个小叶,模仿天然瓣膜小叶的三层定向结构。在我们之前的研究中,我们通过静电纺丝的方法开发了一种扁平的、三层的纳米纤维基底,模拟了天然叶片中三层的取向——纤维层、海绵状层和脑室层的圆周取向、随机取向和径向取向。在这项研究中,我们试图通过体内组织工程开发一种模仿天然瓣膜小叶方向的三层组织结构,这是一种实用的再生医学技术,可用于开发自体心脏瓣膜。因此,纳米纤维基质被放置在封闭的模具三叶形腔内,并皮下植入大鼠模型,用于体内组织工程。两个月后,外植的组织结构具有模仿天然瓣膜小叶方向的三层结构。浸润细胞及其沉积的胶原原纤维沿基质每层的纳米纤维取向。除胶原蛋白外,还观察到结构中存在糖胺聚糖和弹性蛋白。
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引用次数: 12
Differential in vitro degradation and protein adhesion behaviour of spark plasma sintering fabricated magnesium-based temporary orthopaedic implant in serum and simulated body fluid 火花等离子烧结制备的镁基临时骨科植入物在血清和模拟体液中的体外降解差异及蛋白质粘附行为
IF 4 3区 医学 Q2 Engineering Pub Date : 2019-12-09 DOI: 10.1088/1748-605X/ab4f8b
S. Jaiswal, Anshu Dubey, Swati Haldar, P. Roy, D. Lahiri
The interaction of proteins with implantable metallic surfaces has a great influence on the bioactivity and biodegradation of orthopaedic implants. Initial osseointegration is known to be critical for the long term success of orthopaedic implants. The surface properties of the implant and electrochemical milieu of the surrounding solution such as electrostatic, hydrophobic, and hydrogen bonding interactions significantly modulate protein adsorption by implants. Magnesium (Mg) is considered to improve the adhesion of osteoblasts via ligand binding of the integrin receptors. Mg-based composites, reinforced with hydroxyapatite (HA), are potential candidates for temporary orthopaedic implants. However, their clinical translation requires enhanced degradation resistance in physiological environment so that it is in sync with the healing rate of the bone. The present study deals with the protein adsorption characteristics and degradation behaviour of Mg-HA-based biodegradable implants. Quantitative analysis of apatite inducing ability of composites was evaluated in terms of mass gain in simulated body fluid (SBF) as well as in foetal bovine serum (FBS), by an in vitro immersion study. Incorporation of 5 and 15 wt% HA to Mg-3Zn improved apatite formation up to 35% and 66%, respectively, after 14 days of immersion in SBF. Compared to FBS, SBF is found to be significantly more effective in precipitating apatite on a Mg-HA surface. However, FBS offered more corrosion resistance to Mg-HA than SBF did, as evident from the significant differences in the protein adhesion capabilities of the composite surface when incubated separately in these two mediums. The addition of 15 wt% HA enhanced the protein adsorption capability by ∼35%. These studies highlight the possibility of modulating the degradation and bioactivity of Mg-based composite by tailoring the composition of HA. These findings, in turn, warrant the suitability of Mg-HA composite in orthopaedic application.
蛋白质与可植入金属表面的相互作用对骨科植入物的生物活性和生物降解有很大影响。最初的骨融合对于骨科植入物的长期成功至关重要。植入物的表面性质和周围溶液的电化学环境,如静电、疏水和氢键相互作用,显著地调节了植入物对蛋白质的吸附。镁(Mg)被认为通过整合素受体的配体结合来改善成骨细胞的粘附。羟基磷灰石(HA)增强的镁基复合材料是临时骨科植入物的潜在候选材料。然而,它们的临床转化需要在生理环境中增强抗降解能力,使其与骨的愈合速度同步。本研究研究了mg - ha基生物可降解植入物的蛋白质吸附特性和降解行为。通过体外浸渍试验,定量分析了复合材料在模拟体液(SBF)和胎牛血清(FBS)中诱导磷灰石的能力。Mg-3Zn中加入5%和15%的HA,在SBF中浸泡14天后,磷灰石的形成分别提高了35%和66%。与FBS相比,SBF在Mg-HA表面沉淀磷灰石方面明显更有效。然而,FBS对Mg-HA的耐腐蚀性比SBF更强,这可以从两种培养基中分别孵育时复合材料表面蛋白质粘附能力的显著差异中看出。添加15 wt%的HA可使蛋白质吸附能力提高约35%。这些研究强调了通过调整透明质酸的组成来调节镁基复合材料的降解和生物活性的可能性。这些发现反过来保证了Mg-HA复合材料在骨科应用中的适用性。
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引用次数: 9
Human decellularized and crosslinked pericardium coated with bioactive molecular assemblies 人脱细胞交联心包包被生物活性分子组件
IF 4 3区 医学 Q2 Engineering Pub Date : 2019-12-09 DOI: 10.1088/1748-605X/ab52db
J. Musilkova, E. Filová, J. Pala, R. Matějka, D. Hadraba, David Vondrášek, Ondřej Kaplan, T. Riedel, E. Brynda, Johanka Kučerová, M. Konarik, F. Lopot, Jan Pirk, L. Bačáková
Decellularized human pericardium is under study as an allogenic material for cardiovascular applications. The effects of crosslinking on the mechanical properties of decellularized pericardium were determined with a uniaxial tensile test, and the effects of crosslinking on the collagen structure of decellularized pericardium were determined by multiphoton microscopy. The viability of human umbilical vein endothelial cells seeded on decellularized human pericardium and on pericardium strongly and weakly crosslinked with glutaraldehyde and with genipin was evaluated by means of an MTS assay. The viability of the cells, measured by their metabolic activity, decreased considerably when the pericardium was crosslinked with glutaraldehyde. Conversely, the cell viability increased when the pericardium was crosslinked with genipin. Coating both non-modified pericardium and crosslinked pericardium with a fibrin mesh or with a mesh containing attached heparin and/or fibronectin led to a significant increase in cell viability. The highest degree of viability was attained for samples that were weakly crosslinked with genipin and modified by means of a fibrin and fibronectin coating. The results indicate a method by which in vivo endothelialization of human cardiac allografts or xenografts could potentially be encouraged.
脱细胞人心包作为一种用于心血管应用的同种异体材料正在研究中。通过单轴拉伸试验测定了交联对脱细胞心包力学性能的影响,并通过多光子显微镜测定了交联对脱细胞心包胶原结构的影响。通过MTS测定法评估接种在脱细胞的人心包上以及用戊二醛和京尼平强交联和弱交联的心包上的人脐静脉内皮细胞的生存能力。当用戊二醛交联心包时,通过其代谢活性测量的细胞活力显著降低。相反,当心包与京尼平交联时,细胞活力增加。用纤维蛋白网或含有附着的肝素和/或纤连蛋白的网覆盖未修饰的心包和交联的心包导致细胞活力的显著增加。用京尼平弱交联并通过纤维蛋白和纤连蛋白涂层修饰的样品获得了最高程度的活力。结果表明,一种可能促进人类心脏同种异体移植物或异种移植物体内内皮化的方法。
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引用次数: 4
Cell migration of preosteoblast cells on a clinical gelatin sponge for 3D bone tissue engineering 成骨前细胞在三维骨组织工程明胶海绵上的细胞迁移
IF 4 3区 医学 Q2 Engineering Pub Date : 2019-12-09 DOI: 10.1088/1748-605X/ab4fb5
Chi-Yun Wang, Zong-Keng Kuo, M. Hsieh, L. Ke, Chihchen Chen, Chao-Min Cheng, P. Lai
Using three-dimensional (3D) bone engineering to fabricate bone segments is a better choice for repairing bone defects than using autologous bone. However, biomaterials for bone engineering are burdened with some clinical safety concerns. In this study, we layered commonly found clinical materials, hemostatic gelatin sponges, in a novel manner to create a 3D scaffold for bone engineering purposes. We further examined the comparable benefits of our design with both closed- and open-bottom holders. Cells in stacked layer disc systems were examined after a week of growth and differentiation. Osteoblasts in the outer layers of both closed- and open-bottom holder systems displayed gradually increased alkaline phosphatase (ALP) activity but decreased osteopontin (OPN) expression. Further, cell proliferation assays and LIVE/DEAD staining revealed decreased viable cell counts in the top layer with increased incubation time. However, while layered disc systems with closed-bottom holders underwent differentiation, they kept more differentiated cells alive within the gelatin sponge disc scaffold after 28 d of culturing. Whether cells were inoculated into the top, middle, or bottom portions of the layered disc stack, osteoblasts showed a preference for migrating to the top layer, in keeping with the oxygen and nutrients gradients. Regarding practical application, this study offers valuable information to promote the use of hemostatic gelatin sponges for bone engineering.
采用三维骨工程技术制备骨段是修复骨缺损较好的选择。然而,用于骨工程的生物材料在临床应用中存在一定的安全性问题。在这项研究中,我们分层常见的临床材料,止血明胶海绵,以一种新颖的方式来创建用于骨工程目的的3D支架。我们进一步研究了我们的设计与封闭式和开放式底部持有人的可比效益。细胞在堆叠层盘系统中生长和分化一周后进行检查。封闭底支架和开底支架外层的成骨细胞碱性磷酸酶(ALP)活性逐渐升高,骨桥蛋白(OPN)表达逐渐降低。此外,细胞增殖试验和LIVE/DEAD染色显示,随着孵育时间的增加,顶层的活细胞计数减少。然而,尽管具有封闭底支架的层状盘系统进行了分化,但在培养28 d后,它们在明胶海绵盘支架内保留了更多的分化细胞。无论将细胞接种到层状椎间盘堆的顶部、中间还是底部,成骨细胞都倾向于迁移到顶层,以保持氧气和营养梯度。在实际应用方面,本研究为促进止血明胶海绵在骨工程中的应用提供了有价值的信息。
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引用次数: 6
Fast dissolving glucose porogens for early calcium phosphate cement degradation and bone regeneration 用于磷酸钙骨水泥早期降解和骨再生的快速溶解葡萄糖多孔原
IF 4 3区 医学 Q2 Engineering Pub Date : 2019-12-06 DOI: 10.1088/1748-605X/ab5f9c
Eline-Claire Grosfeld, Brandon T. Smith, M. Santoro, Irene Lodoso-Torrecilla, J. Jansen, D. Ulrich, A. Melchiorri, David W Scott, A. Mikos, J. J. van den Beucken
Here, we demonstrate the in vivo efficacy of glucose microparticles (GMPs) to serve as porogens within calcium phosphate cements (CPCs) to obtain a fast-degrading bone substitute material. Composites were fabricated incorporating 20 wt% GMPs at two different GMP size ranges (100–150 μm (GMP-S) and 150–300 μm (GMP-L)), while CPC containing 20 wt% poly(lactic-co-glycolic acid) microparticles (PLGA) and plain CPC served as controls. After 2 and 8 weeks implantation in a rat femoral condyle defect model, specimens were retrieved and analyzed for material degradation and bone formation. Histologically, no adverse tissue response to any of the CPC-formulations was observed. All CPC-porogen formulations showed faster degradation compared to plain CPC control, but only GMP-containing formulations showed higher amounts of new bone formation compared to plain CPC controls. After 8 weeks, only CPC-porogen formulations with GMP-S or PLGA porogens showed higher degradation compared to plain CPC controls. Overall, the inclusion of GMPs into CPCs resulted in a macroporous structure that initially accelerated the generation of new bone. These findings highlight the efficacy of a novel approach that leverages simple porogen properties to generate porous CPCs with distinct degradation and bone regeneration profiles.
在这里,我们证明了葡萄糖微粒(gmp)在磷酸钙水泥(CPCs)中作为气孔原的体内有效性,以获得快速降解的骨替代材料。在两个不同GMP尺寸范围(100-150 μm (GMP- s)和150-300 μm (GMP- l))中添加20 wt%的GMP制备复合材料,而含有20 wt%聚乳酸-羟基乙酸微颗粒(PLGA)的CPC和普通CPC作为对照。植入大鼠股骨髁缺损模型2周和8周后,取标本进行材料降解和骨形成分析。组织学上,未观察到任何cpc制剂的不良组织反应。与普通CPC对照相比,所有CPC-多孔素制剂的降解速度更快,但只有含有gmp的制剂与普通CPC对照相比,新骨形成量更高。8周后,与普通CPC对照相比,只有含有GMP-S或PLGA孔隙剂的CPC-孔隙剂配方的降解率更高。总体而言,将gmp纳入CPCs可形成大孔结构,最初可加速新骨的生成。这些发现强调了一种新方法的有效性,该方法利用简单的多孔性来生成具有不同降解和骨再生特征的多孔cpc。
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引用次数: 7
Biomimetic and mesoporous nano-hydroxyapatite for bone tissue application: a short review 仿生和介孔纳米羟基磷灰石在骨组织中的应用综述
IF 4 3区 医学 Q2 Engineering Pub Date : 2019-12-05 DOI: 10.1088/1748-605X/ab5f1a
G. Molino, M. Palmieri, Giorgia Montalbano, S. Fiorilli, C. Vitale-Brovarone
In the last decades, many research groups have experimented the synthesis of hydroxyapatite (HA) for bone tissue application obtaining products with different shapes and dimensions. This review aims to summarise and critically analyse the most used methods to prepare physiologic-like nano-HA, in the form of plates or rods, similar to the HA present in the human bones. Moreover, mesoporous HA has gained increasing interest in the biomedical field due its pecualiar structural features, such as high surface area and accessible mesoporous volume, which is known to confer enhanced biological behaviour and the possibility to act as nanocarriers of functional agents for bone-related therapies. For this reason, more recent studies related to the synthesis of mesoporous HA, with physiological-like morphology, are also considered in this review. Since a wide class of surfactant molecules plays an essential role both in the shape and size control of HA crystals and in the formation of mesoporosity, a section devoted to the mechanisms of action of several surfactants is also provided.
在过去的几十年里,许多研究小组进行了合成羟基磷灰石(HA)用于骨组织应用的实验,获得了不同形状和尺寸的产品。这篇综述的目的是总结和批判性地分析最常用的制备生理类纳米透明质酸的方法,以板或棒的形式,类似于人类骨骼中的透明质酸。此外,由于其特殊的结构特征,如高表面积和可接近的介孔体积,介孔透明质酸在生物医学领域获得了越来越多的兴趣,这被认为可以增强生物行为,并有可能作为骨相关治疗功能剂的纳米载体。因此,本综述也考虑了最近有关合成具有生理样形态的介孔透明质酸的研究。由于种类繁多的表面活性剂分子在透明质酸晶体的形状和大小控制以及介孔的形成中起着至关重要的作用,因此还提供了一节专门讨论几种表面活性剂的作用机制。
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引用次数: 47
Dense fibroadhesive scarring and poor blood vessel-maturation hamper the integration of implanted collagen scaffolds in an experimental model of spinal cord injury 在脊髓损伤的实验模型中,密集的纤维粘连性瘢痕和较差的血管成熟阻碍了植入的胶原支架的整合
IF 4 3区 医学 Q2 Engineering Pub Date : 2019-12-04 DOI: 10.1088/1748-605X/ab5e52
H. Altinova, Sebastian Hammes, Moniek Palm, Pascal Achenbach, Jose L. Gerardo-Nava, R. Deumens, T. Führmann, S. V. van Neerven, E. Hermans, J. Weis, G. Brook
Severe spinal cord injury (SCI) results in permanent functional deficits, which despite pre-clinical advances, remain untreatable. Combinational approaches, including the implantation of bioengineered scaffolds are likely to promote significant tissue repair. However, this critically depends on the extent to which host tissue can integrate with the implant. In the present paper, blood vessel formation and maturation were studied within and around implanted micro-structured type-I collagen scaffolds at 10 weeks post implantation in adult rat mid-cervical spinal cord lateral funiculotomy injuries. Morphometric analysis revealed that blood vessel density within the scaffold was similar to that of the lateral white matter tracts that the implant replaced. However, immunohistochemistry for zonula occludens−1 (ZO-1) and endothelial barrier antigen revealed that scaffold microvessels remained largely immature, suggesting poor blood-spinal cord barrier (BSB) reformation. Furthermore, a band of intense ZO-1-immunoreactive fibroblast-like cells isolated the implant. Spinal cord vessels outside the ZO-1-band demonstrated BSB-formation, while vessels within the scaffold generally did not. The formation of a double-layered fibrotic and astroglial scar around the collagen scaffold might explain the relatively poor implant-host integration and suggests a mechanism for failed microvessel maturation. Targeted strategies that improve implant-host integration for such biomaterials will be vital for future tissue engineering and regenerative medicine approaches for traumatic SCI.
严重脊髓损伤(SCI)会导致永久性功能缺陷,尽管在临床前取得了进展,但仍然无法治疗。组合方法,包括植入生物工程支架,可能会促进显著的组织修复。然而,这在很大程度上取决于宿主组织与植入物结合的程度。本文研究了成年大鼠颈中脊髓侧索切开术后10周植入的微结构I型胶原支架内及其周围血管的形成和成熟。形态计量学分析显示,支架内的血管密度与植入物替代的侧白质束的血管密度相似。然而,闭塞小带−1(ZO-1)和内皮屏障抗原的免疫组织化学显示,支架微血管大部分仍不成熟,表明血脊髓屏障(BSB)重建较差。此外,一条强烈的ZO-1免疫反应性成纤维细胞样细胞带分离出植入物。ZO-1带外的脊髓血管显示出BSB形成,而支架内的血管通常没有。胶原支架周围双层纤维和星形胶质瘢痕的形成可能解释了相对较差的植入物-宿主整合,并提示了微血管成熟失败的机制。改善这种生物材料的植入-宿主整合的有针对性的策略对未来创伤SCI的组织工程和再生医学方法至关重要。
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引用次数: 9
期刊
Biomedical materials
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