Chinese Journal of Tissue Engineering Research ›› 2013, Vol. 17 ›› Issue (32): 5819-5826.doi: 10.3969/j.issn.2095-4344.2013.32.012
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Feng Yu1, Bai Wen-fang2, Xu Wei-cheng2, Li Xin-ping2, Bai Li-ming2, Liang Ling3, Wang Xin3, Zhang Ming-sheng2
Received:
2013-05-07
Revised:
2013-05-13
Online:
2013-08-06
Published:
2013-08-06
Contact:
Zhang Ming-sheng, M.D., Chief physician, Professor, Doctoral supervisor, Department of Rehabilitation Medicine, Guangdong General Hospital, Guangdong Provincial Institute of Geriatric Medicine, Guangdong Academy of Medical Sciences, Guangzhou 510080, Guangdong Province, China
mszrch@163.com
About author:
Feng Yu★, Studying for master’s degree, Graduate School, Southern Medical University, Guangzhou 510515, Guangdong Province, China
fengyu567810@126.com
Supported by:
the Natural Science Foundation of Guangdong Province, No. S2012010009308*
CLC Number:
Feng Yu, Bai Wen-fang, Xu Wei-cheng, Li Xin-ping, Bai Li-ming, Liang Ling, Wang Xin, Zhang Ming-sheng . Low-frequency electromagnetic fields enhance the recovery of spinal cord injured rats undergoing bone mesenchymal stem cell transplantation[J]. Chinese Journal of Tissue Engineering Research, 2013, 17(32): 5819-5826.
2.1 实验动物数量分析 在实验过程中,对照组、骨髓间充质干细胞组、电磁场组和电磁场+骨髓间充质干细胞组脊髓损伤大鼠在手术初期都不同程度的出现了神经损伤症状,手术当天BBB评分全部为0-2分,且有20只大鼠出现了血尿、乳糜尿。 在3周的观察期内,脊髓损伤对照组4只大鼠死亡,骨髓间充质干细胞组死亡7只,电磁场组死亡3只,电磁场+骨髓间充质干细胞组死亡6只。为保证实验例数,都已实时采用差额补充法补齐。 最终对照组、骨髓间充质干细胞组、电磁场组和电磁场+骨髓间充质干细胞组各16只大鼠进入结果分析。 2.2 骨髓间充质干细胞的形态 倒置相差显微镜下观察到骨髓间充质干细胞培养3 d时,细胞贴壁开始增殖,并向三角形、多角形、梭形等分化,见图1A。传代培养的第3代骨髓间充质干细胞均匀分布于瓶底,形态重新为长梭形成纤维细胞样,生长潜伏期较短,见图1B。"
第7天,对照组和电磁场组脊髓组织结构破坏严重,损伤区有较多坏死液化吸收后形成的囊性空洞,神经细胞明显减少且变性、肿胀较重,周围有炎性细胞浸润,组织进一步肿胀,血流减少;骨髓间充质干细胞组和电磁场+骨髓间充质干细胞组损伤区囊性空洞面积较小、肿胀稍减轻,可见肥大的巨噬细胞和胶质细胞等,组织结构仍比较模糊。随着时间变化,如图3A-H所示,各组脊髓组织结构逐渐改善,第14天,除了对照组外,其他3组囊性空洞几乎闭合,被其它细胞组织所代替填充,骨髓间充质干细胞组组织水肿消失,仅有少量炎细胞浸润,电磁场+骨髓间充质干细胞组脊髓损伤结构已大部分修复,细胞排列有序,炎细胞基本消失。造模后第21天,除对照组外,其他各组损伤脊髓组织结构基本修复。 2.5 电磁场促进骨髓间充质干细胞移植治疗大鼠损伤脊髓中BrdU阳性细胞的生长及基质金属蛋白2的表达 免疫组化染色显示,对照组在脊髓损伤14 d和21 d脊髓损伤区见大量的胶质纤维酸性蛋白的表达;电磁场组和骨髓间充质干细胞组大鼠损伤脊髓中可见中等量胶质纤维酸性蛋白表达分布于损伤区周围;电磁场+骨髓间充质干细胞组大鼠损伤脊髓中胶质纤维酸性蛋白的表达最少,表明损伤局部胶质瘢痕组织最少,见图4A-D。 骨髓间充质干细胞组和电磁场+骨髓间充质干细胞组在脊髓损伤后7 d,大鼠损伤脊髓局部组织 基质金属蛋白2的表达量开始升高,14 d 最明显,见图4E-H。脊髓损伤后3-21 d,骨髓间充质干细胞组和电磁场+骨髓间充质干细胞组大鼠损伤脊髓组织中都可观察到BrdU阳性细胞,并与组织融合生长,电磁场+骨髓间充质干细胞组大鼠损伤脊髓中BrdU阳性细胞生长情况较好,对照组和电磁场组脊髓损伤部位未发现BrdU阳性细胞。"
7 d后,各组BBB评分均有提高,电磁场+骨髓间充质干细胞组最高,骨髓间充质干细胞组次之,随之为电磁场组,对照组稍微改善,4组大鼠BBB评分差异有显著性意义(F=13.918,P=0.000),但对照组与电磁场组之间BBB评分差异无显著性意义(P=0.240),骨髓间充质干细胞组和电磁场+骨髓间充质干细胞组之间BBB评分差异无显著性意义(P=0.472);骨髓间充质干细胞移植后14 d,趋势同7 d,但除了骨髓间充质干细胞组和电磁场+骨髓间充质干细胞组之间BBB评分差异无显著性意义(P=0.258)外,其余各组之间差异都有显著性意义(P < 0.05);术后第21天,评分趋势同14 d,且效果更加显著,尤其是电磁场+骨髓间充质干细胞组,4组处理间BBB评分差异均有显著性意义(P < 0.01),见表1。"
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