Chinese Journal of Tissue Engineering Research ›› 2018, Vol. 22 ›› Issue (2): 267-273.doi: 10.3969/j.issn.2095-4344.0017
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Received:
2017-08-14
Online:
2018-01-18
Published:
2018-01-18
Contact:
Sha Xian-zheng, Professor, Department of Biomedical Engineering, School of Fundamental Sciences, China Medical University, Shenyang 110012, Liaoning Province, China
About author:
Shen Hao, Studying for master’s degree, Department of Biomedical Engineering, School of Fundamental Sciences, China Medical University, Shenyang 110012, Liaoning Province, China
Supported by:
CLC Number:
Shen Hao, Liu Jun, Jing Wei-wei, Suo Yong-kuan, Chang Shi-jie, Sha Xian-zheng.
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2.1 弱激光照射多孔壳聚糖膜实验的组织形态学变化 2.1.1 红光照射组 照射0 min组膜植入7 d时,植入膜有稍微破损,组织还没有长入膜材料孔隙中,染色容易,说明炎症反应初期很剧烈,植入膜周围有明显清晰的炎症细胞组成的“带”;14 d时,炎症细胞组成的“带”明显变薄,长梭形细胞数目明显增加,在炎症细胞组成的“带”的周围形成了一个明显的相对致密的条带,见图1A;28 d后,炎症细胞相对减弱,生物膜周围被致密的结缔组织包裹,形成了纤维包膜,并且在纤维包膜中有明显的血管生成,见图1B-D;56 d后,纤维包膜厚度基本没有变化,整个染色区域无明显改变。照射2,4,6 min组整体形态学变化与照射0 min组相似,膜外血管数量通过大体观察要高于照射0 min组,但各组间数据差异需通过统计分析累积吸光度等进行评价。"
2.1.2 蓝绿光照射组 绿光照射组:照射0,6 min组膜植入7 d时,膜材料周围可见大量炎症细胞,膜内外有少量血管,见图2A;14 d时,炎症细胞数量变化不明显,仍存在大量的炎性细胞;28 d时,膜材料周围形成纤维包膜,结构相对松散,此时炎症细胞开始减少,见图2C;56 d时,纤维包膜变得致密,膜内外同样有血管的存在,通过观察血管的密度差异不大。照射2,4 min组膜植入7 d时,膜材料周围同样存在一些炎症细胞,但与0 min组相比较减少了一些,14 d后的变化与0 min相似。 蓝光照射组:照射0,4,6 min组膜植入7 d时出现了较强烈的炎症反应,14 d时强炎性反应持续,28 d后变化与绿光组相似。照射2 min组膜植入7 d时,膜材料周围炎性细胞相对蓝光其他照射时间组要少,14 d时,炎性反应变化不明显,其他形态学变化与上述绿光组相似。 "
.2.2 蓝绿光照射组 蓝绿光照射大体观察植入部位的特征和多孔壳聚糖膜相似,除了在植入7,14 d时,绿光照射2,4,6 min组膜材料周围炎性反应较弱,蓝光均较强。 2.3 红光照射多孔壳聚糖膜和Nafion膜3项观察指标统计分析 实验对3组实验的形态学变化结果均统计了炎症细胞比、纤维包膜厚度及血管密度数据,图表结果均展示为统计学意义明显的数据,其他数据没有列出。 血管密度采用IPP中的强度和累积吸光度值来反映,强度反映血管中血细胞的浓度或强度,累积吸光度能反映选定区域的红细胞总量,通过此值间接反映血管密度的大小,多孔壳聚糖膜实验整理数据见图4所示。 由上述数据可看出,对于没有经过激光照射红细胞密度大致所呈现的趋势是先上升后下降的,红细胞的平均密度都是照射各组高于照射0 min组,占1-6个百分点,没有明显成倍变化;680 nm波长对于照射和没有照射的红细胞密度差别是有明显统计学意义的(P < 0.05)。对于红细胞的累积吸光度,激光照射后差别是很突出的,照射2 min后,累积吸光度值均明显增加,其中在7 d左右时增加最为明显,到达3倍左右,随着植入时间的延长,逐渐降低,56 d时,照射各组均趋于稳定,但又高于照射0 min组,但是变化趋势不尽相同。"
2.4 蓝绿光照射多孔壳聚糖膜和Nafion膜3项观察指标统计分析 实验对3组实验的形态学变化结果均统计了炎症细胞比、纤维包膜厚度及血管密度数据,图表结果均展示为统计学意义明显的数据,其他数据没有列出。蓝绿光照射多孔壳聚糖膜和Nafion膜周围炎性细胞面积比数据,见图6,7所示。多孔壳聚糖植入7 d,运用SPSS软件中单因素方差分析和LSD检测,绿光每天照射2,4 min的炎症细胞面积比小于照射0 min组(P=0.037,P=0.017);对14 d的数据进行LSD检测,发现绿光2,4 min组的结果比照射 0 min小(P=0.176,P=0.048),但没有明显差异;对于蓝光,各组之间的炎症细胞面积比没有明显差异。以上可看出,14 d的多孔壳聚糖膜周围炎症反应低于7 d的,蓝绿光照射7,14 d的结论相似,绿光能量在3.6 J/cm2(4 min)能较有效减轻炎症反应强度,而蓝光对多孔壳聚糖膜植入后的炎症影响较小。 Nafion膜植入7 d,运用SPSS软件中单因素方差分析和LSD检测,LSD检验显示照射各组与照射0 min组间差异显著(P=0.022,0.026,0.028);而蓝光照射各组之间的差异无统计学意义。14 d的数据统计学分析表明,绿光各照射组值周围炎症反应小于照射0 min组(0.1<P <0.2),但差异不显著,LSD检验显示各照射组之间的差异较小;蓝光各照射组和照射0 min组之间的结果较接近,差异小。以上可看出,Nafion膜的炎症反应比相同时期的多孔壳聚糖膜的弱,14 d的炎症反应比7 d弱,绿光各照射组都能减弱Nafion膜植入短期内的炎症反应,而蓝光没有这种效果。 蓝绿光对多孔壳聚糖膜和Nafion膜周围纤维包膜厚度和血管密度影响较小,而且变化无明显规律。整体上,绿光在一定程度能提高膜材料的生物相容性。"
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