Chinese Journal of Tissue Engineering Research ›› 2013, Vol. 17 ›› Issue (16): 2859-2868.doi: 10.3969/j.issn.2095-4344.2013.16.002
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Yang Nan, He Hui-yu, Hu Yang, Yang Chuan-bo
Received:
2013-01-14
Revised:
2013-01-22
Online:
2013-04-16
Published:
2013-04-16
Contact:
He Hui-yu, Master’s supervisor, Professor, Department of Prosthodontics, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China
hehuiyu02@sina.com
About author:
Yang Nan★, Studying for master’s degree, Department of Prosthodontics, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China
yangnan8513@sina.com
Supported by:
National Natural Science Foundation of China, No. 81060088*; Natural Science Foundation of Xinjiang Uygur Autonomous Region, No. 2011211A073*
CLC Number:
Yang Nan, He Hui-yu, Hu Yang, Yang Chuan-bo. Bone marrow mesenchymal stem cells seeded into an allogeneic scaffold repair critical-sized iliac defects in sheep[J]. Chinese Journal of Tissue Engineering Research, 2013, 17(16): 2859-2868.
2.1 实验动物数量分析 羊双侧髂骨各制造2处缺损,将4组材料同时植入,9只羊于实验4,8,12周末每次处死3只,全部进入结果分析,无脱失。 2.2 大体观察结果 术后4,8,12周观察动物,无一跛行,感染或死亡。 4,8,12周末随机处死3只动物,将植骨区扩大5 mm电钻锯断取出,去尽软组织,观察标本发现12周末骨支架组材料完全被骨膜覆盖,术区充满结缔组织生长,植骨区硬度明显下降;β-磷酸三钙材料完全被骨膜覆盖,术区不平整,缺损凸起表面修复,硬度变化小;骨髓间充质干细胞复合骨支架组标本完全被骨膜覆盖,表面充满结缔组织,植骨区特别是中央部位硬度也有明显下降;碱性成纤维细胞生长因子转染组术区完全被骨膜覆盖,术区充满结缔组织,缺损修复区硬度与周围基本一致,骨皮质表面平整无凹陷或凸起。 2.3 扫描电镜结果 4,8,12周末处死动物,将植骨区扩大5 mm电钻锯断取出,去尽软组织,扫描各组不同材料植骨区。发现骨支架组结合区有纤维化,基本无细胞爬入支架骨小梁内,类似死骨结构。β-磷酸三钙材料组无明显支架结构存在,在结合区有大量纤维化,中央区无细胞及纤维结缔组织爬入。骨髓间充质干细胞复合骨支架组骨小梁结构内有少量细胞爬入,但中央区仍为死骨结构。碱性成纤维细胞生长因子转染组植骨区有大量细胞,细胞形态饱满,细胞伸出伪足,还可见纤维结缔组织覆盖骨支架空隙,见图5-8。"
2.4 苏木精-伊红染色结果 12周末处死动物,将植骨区扩大5 mm电钻锯出,去尽软组织,将标本置于体积分数4%甲醛溶液中(pH=7.4,4 ℃)固定24 h,2%EDTA脱钙2-4周,梯度乙醇脱水,石蜡包埋后切片,切片厚度5 μm,进行苏木精-伊红染色,光镜下观察。 4周末,骨支架组、β-磷酸三钙材料组主要为死骨结构,术区材料周围有成纤维细胞包绕;未转染细胞组结合区可见成软骨样结构,中央区为死骨结构,见图9-12。 8周末,骨支架组、β-磷酸三钙材料组主要为死骨结构,术区结合部位有成软骨化表现;未转染细胞组在手术结合区有成软骨样结构及成骨样细胞出现,中央区为死骨结构;而碱性成纤维细胞生长因子转染组可见手术结合区及支架空隙周围有成软骨样结构及成骨样细胞出现,内有成骨样细胞排列。 12周末,骨支架组、β-磷酸三钙材料组术区可见成纤维细胞,结合区为成软骨化表现;未转染细胞组结合区有成软骨样结构及骨小梁出现,中央区少量成纤维细胞;而碱性成纤维细胞生长因子转染组可见手术结合区及支架空隙周围有大量成软骨样结构及成骨样细胞出现,结合区可见骨小梁结构。 "
2.5 X射线片观察结果 在4,8,12周末处死动物前,将动物人工固定,进行数字化DR片检查,采用荷兰 PhilipsDigital diagnost 床式数字图像增强器,配备电脑DAP显示,采用自动曝光控制中心电离室技术,400速自动曝光。 操作参考文献[22]进行。动物摄片体位为骨盆正位。采用西门子PACS影像信息管理系统,分辨率为4 096× 2 560,见图13-18。 由X射线摄片检查结果显示: 4周时,转染组术区影密度最高,骨皮质基本有增生影,术区骨密度均匀,并高于其他3组;未转染细胞组相比单纯骨支架组、β-磷酸三钙材料组术区密度较均匀;单纯骨支架材料组、β-磷酸三钙材料组可见明显的材料植入区与周边缺损影形成灰度差,说明材料仍未降解及吸收。 8周时,术区影密度:转染组>未转染细胞组>骨支架组>β-磷酸三钙材料组,转染组术区骨皮质已基本连续;而骨支架材料组与β-磷酸三钙材料组术区骨皮质仍有不平,单纯骨支架材料组、β-磷酸三钙材料组可见明显的材料植入区与周边缺损影仍有灰度差,说明材料开始降解但还未充分吸收。 12周时,术区影密度:转染组>未转染细胞组>骨支架组>β-磷酸三钙材料组;转染组骨皮质连续,均匀;而细胞组密度影像基本均匀,骨皮质连续;骨支架材料组、β-磷酸三钙材料组出现明显术区骨密度影减低,证明在12周末,转染组良好地修复了缺损区,而骨支架材料组材料出现了明显降解和吸收,大于β-磷酸三钙材料组的降解和吸收。 "
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