中国组织工程研究

中国组织工程研究 ›› 2019, Vol. 23 ›› Issue (1): 74-78.doi: 10.3969/j.issn.2095-4344.1502

• 骨髓干细胞 bone marrow stem cells • 上一篇    下一篇

聚磷酸钙纤维增强磷酸钙骨水泥复合骨髓间充质干细胞构建人工骨

崔鑫涛，杨显声，迟志永，关国发   

  1. 哈尔滨医科大学附属第一医院，黑龙江省哈尔滨市 150001
  • 修回日期:2018-08-30 出版日期:2019-01-08 发布日期:2018-11-28
  • 通讯作者: 杨显声，博士，主治医师，哈尔滨医科大学附属第一医院，黑龙江省哈尔滨市 150001
  • 作者简介:崔鑫涛，男，1994年生，河北省霸州市人，汉族，在读硕士，主要从事骨替代材料的临床研究。
  • 基金资助:

    黑龙江省卫生厅科技课题(2010-020)，项目负责人：杨显声

Artificial bone construction using bone marrow mesenchymal stem cells combined with calcium polyphosphate fiber reinforced calcium phosphate cement

Cui Xintao, Yang Xiansheng, Chi Zhiyong, Guan Guofa   

  1. First Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China
  • Revised:2018-08-30 Online:2019-01-08 Published:2018-11-28
  • Contact: Yang Xiansheng, MD, Attending physician, First Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China
  • About author:Cui Xintao, Master candidate, First Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China
  • Supported by:

    the Scientific Research Project of Heilongjiang Provincial Health Department, No. 2010-020 (to YXS)

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摘要：

文章快速阅读：

文题释义：
生物安全性和功能性：①生物安全性原则，即消除生物材料对人体器官的破坏性，比如细胞毒性和致癌性。生物材料对于宿主是异物，在体内必定会产生某种应答或出现排异现象。生物材料如果要成功应用，至少要使发生的反应被宿主接受，不产生有害作用。因此要对生物材料进行生物安全性评价，即生物学评价；②生物功能性原则，即在生物材料特殊应用中“能够激发宿主恰当地应答”的能力。不仅要对生物材料的毒副作用要进行评价，还要进一步评价生物材料对生物功能的影响。
骨传导性、骨诱导性、骨生成性：所有骨移植材料都至少具备了以下的一种生物学特性：①骨传导性：为血管的长入和新骨的形成提供一个支架，例如磷酸三钙、羟基磷灰石及人工聚合材料等；②骨诱导性：是指材料直接诱导间充质细胞分化为骨原细胞、成骨细胞，进而形成骨组织的性能，并能够刺激植骨区周围的间充质干细胞向成软骨细胞或成骨细胞分化，形成新骨，例如脱钙骨和骨形成蛋白等；③骨生成性：材料内含有骨原细胞(成骨细胞或者骨祖细胞)，一旦植入合适的环境就能够直接形成新骨。

 

摘要
背景：磷酸钙骨水泥作为生物医用材料的研究热点现广泛应用于临床中，但由于磷酸钙骨水泥支架材料抗压抗折强度低，在应用中受到限制，而且磷酸钙骨水泥不具有骨诱导活性，这也是作为人工骨的一大缺憾。因此，对于磷酸钙骨水泥材料的增强成为这一领域的研究热点。
目的：探讨聚磷酸钙纤维增强磷酸钙骨水泥复合骨髓间充质干细胞构建人工骨的可行性。
方法：构建合理配比的磷酸钙骨水泥与聚磷酸钙纤维复合支架材料，按聚磷酸钙纤维分别占总质量的10%，20%，30%，40%，50%，60%分为6组，分别进行压缩试验、三点弯曲试验及扭转试验，记录各组复合支架材料的最大抗压负荷及抗弯负荷，从而确定达到最佳强度时的聚磷酸钙纤维/磷酸钙骨水泥比例。采用密度梯度离心法分离培养骨髓间充质干细胞并进行成骨诱导，接种于最适比例的聚磷酸钙纤维/磷酸钙复合支架材料上，扫描电镜观察复合支架材料上骨髓间充质干细胞的生长情况。
结果与结论：①聚磷酸钙纤维占支架材料总质量的20%时，复合支架材料的硬度及韧性达到最佳；②扫描电镜观察复合支架上骨髓间充质干细胞生长良好，约在第7天时，骨髓间充质干细胞完全填充于复合支架材料的空隙中；③结果表明，聚磷酸钙纤维在支架材料中起到了“钢筋”的作用，增强了支架材料的强度及韧性；骨髓间充质干细胞的加入使支架材料的成骨方式从单一的骨传导方式成骨变为同时具有骨传导性、骨诱导性、骨生成性3种方式成骨，增强了材料的生物相容性。

中国组织工程研究杂志出版内容重点：干细胞；骨髓干细胞；造血干细胞；脂肪干细胞；肿瘤干细胞；胚胎干细胞；脐带脐血干细胞；干细胞诱导；干细胞分化；组织工程
ORCID: 0000-0002-9713-048X(杨显声)

关键词: 骨髓间充质干细胞, 磷酸钙骨水泥, 聚磷酸钙纤维, 人工骨, 生物相容性

Abstract:

BACKGROUND: Calcium phosphate cement is a research focus of biomedical materials and has been widely used in clinical practice. However, the low compressive strength and bending strength of calcium phosphate cement limit its applications, and as the artificial bone, the lack of osteoinductive activity is also a major defect. Therefore, the enhancement of calcium phosphate cement has become a hot spot in this field.
OBJECTIVE: To explore the feasibility of constructing artificial bone by bone marrow mesenchymal stem cells combined with calcium phosphate fiber/bone cement.
METHODS: Calcium phosphate cement/calcium polyphosphate fiber composite scaffold materials at a reasonable proportion were prepared, in which calcium polyphosphate fibers accounted for 10%, 20%, 30%, 40%, 50% and 60% of the total mass respectively. Then, compression test, three-point bending test and torsion test were performed. The maximum compressive load and bending load were recorded, so as to determine the proportion of calcium phosphate/calcium polyphosphate fibers under the best strength. Bone marrow mesenchymal stem cells were isolated and cultured by density gradient centrifugation and induced by osteogenesis. The cultured cells were inoculated onto the calcium polyphosphate fiber/calcium phosphate cement composite scaffold at the most suitable proportion. The growth of bone marrow mesenchymal stem cells on the composite scaffold was observed by scanning electron microscope.
RESULTS AND CONCLUSION: The hardness and toughness of the composite scaffold material reached the best when the calcium phosphate fibers accounted for 20% of the total mass of the scaffold. Bone marrow mesenchymal stem cells grew well on the composite scaffold under the scanning electron microscope. Approximately 7 days after culture, the bone marrow mesenchymal stem cells were completely filled in the space of the composite scaffold. To conclude, the calcium polyphosphate fiber plays the role of “steel bar” in the composite scaffold, enhancing the strength and toughness of the scaffold material. The addition of bone marrow mesenchymal stem cells changes the osteogenesis from a single bone conduction mode to an osteogenic mode with bone conductivity, bone induction and bone generation, which enhances the biocompatibility of the scaffold material. 

中国组织工程研究杂志出版内容重点：干细胞；骨髓干细胞；造血干细胞；脂肪干细胞；肿瘤干细胞；胚胎干细胞；脐带脐血干细胞；干细胞诱导；干细胞分化；组织工程

Key words: Calcium Phosphates, Bone Marrow, Mesenchymal Stem Cells, Tissue Engineering

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