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___________用組織工程學方法探討兔佐劑性關節(jié)炎關節(jié)軟骨修復的實驗研究_________

Experimental research by tissue engineering methods for repairing cartilage defects in adjuvant arthritis in rabbits

作者:               張旭東  逯卓卉  陳偉  蔣雯雯  韋登明          
單位:           寧波大學醫(yī)學院病理學與病原生物學系(浙江寧波315211)    
關鍵詞:           佐劑性關節(jié)炎;軟骨缺損;組織工程;自體骨髓間充質干細胞;軟骨組織學評分      
分類號:           R318.08    
出版年·卷·期(頁碼):2016·35·2(185-190)
摘要:

目的 探討海藻酸鹽支架超微結構及軟骨形態(tài)變化與組織工程修復佐劑性關節(jié)炎軟骨缺損的關系,為臨床應用組織工程方法治療類風濕性關節(jié)炎(rheumatoid arthritis, RA)提供一定的實驗依據(jù)。方法 將24只新西蘭兔隨機均分為假手術對照組,關節(jié)炎模型組和軟骨細胞-海藻酸鈣支架復合物治療組。對模型組和治療組膝關節(jié)處注射0.5mL完全弗氏佐劑誘導關節(jié)炎,假手術組注射等量生理鹽水。抽取治療組骨髓5mL,Percoll密度梯度分離出自體骨髓間充質干細胞,體外培養(yǎng)純化,并誘導分化成軟骨細胞。與海藻酸鈣支架混合培養(yǎng),對支架進行掃描電鏡觀察,并將混合物回注相應關節(jié)腔內治療1個月。對各組兔膝關節(jié)進行組織學評分檢測軟骨缺損修復結果。結果 海藻酸鹽支架電鏡掃描顯示支架具有一定的孔隙,有利于營養(yǎng)物質的進入,便于細胞的增殖分化。軟骨組織評分結果顯示軟骨纖維化減輕,關節(jié)腔內積液消失,軟骨缺損得到一定修復。結論 軟骨組織評分顯示海藻酸鈣復合工程化軟骨細胞對兔佐劑性關節(jié)炎軟骨缺損有一定的修復作用,其機制可能與支架有利于軟骨細胞生長發(fā)育有關。

Objective To explore ultrastructure of alginate scaffolds, morphological changes of cartilage and the relation with tissue engineering repairing adjuvant arthritis in order to provide certain experimental basis for the clinical application of tissue engineering. Methods We divided the rabbits into three groups: control group (n=8), arthritis model group (n=8), cartilage cells-scaffold complex treatment group (n=8). We injected 0.5mL adjuvant into the rabbits’ knee of model group and treatment group to induce arthritis, and 0.5mL physiological saline into control group. We extracted 5mL of bone marrow of treatment group, and separated the bone marrow mesenchymal stem cells. We cultivated the bone marrow mesenchymal stem cells in vitro and induced them to be cartilage cells and then mixed cartilage cells with scaffolds. We observed the growth of cartilage cells within the scaffolds by electron microscopy, and then reinjected the mixture in articular cavities of treatment group for one month. Meanwhile, we injected physiological saline into articular cavities of control group and model group. We got the histological grading by evaluating chondral repair results of rabbits. Results Alginate scaffolds had many pores in electron microscopy and these pores were conducive to nutrient movement and cell proliferation. After treatment for one month, cartilage fibrosis alleviated and articular cavity effusion disappeared, which meant cartilage defects were repaired to some extent. Conclusions We can repair cartilage defects of adjuvant-induced arthritis rabbits by injecting the mixture of engineered chondrocytes and alginate scaffolds, and its mechanism may be that scaffolds avail the growth of chondrocytes.

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