Chinese Journal of Tissue Engineering Research ›› 2019, Vol. 23 ›› Issue (6): 894-900.doi: 10.3969/j.issn.2095-4344.1572
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Li Peng, Yang Shuye, Zhang Kai, Jia Long, Du Gangqiang, Liu Dong, Zhang Xinjun, Zhang Degang, Wang Zhigang
Received:
2018-10-26
Online:
2019-02-28
Published:
2019-02-28
Contact:
Zhang Kai, MD, Chief physician, Master’s supervisor, Department of Trauma Orthopedics, Binzhou Medical University Hospital, Binzhou 256600, Shandong Province, China
About author:
Li Peng, Master, Physician, Department of Trauma Orthopedics, Binzhou Medical University Hospital, Binzhou 256600, Shandong Province, China
Supported by:
the National Natural Science Foundation of China, No. 81241061 (to ZK); Shandong Provincial Medical and Health Technology Development Project, No. 2016WS0023 (to YSY)
CLC Number:
Li Peng, Yang Shuye, Zhang Kai, Jia Long, Du Gangqiang, Liu Dong, Zhang Xinjun, Zhang Degang, Wang Zhigang. Influence of different wear particles on human peripheral blood mononuclear cells in vitro[J]. Chinese Journal of Tissue Engineering Research, 2019, 23(6): 894-900.
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2.1 外周血单核细胞存活率 人外周血单核细胞与Ti6Al4V、PMMA、UHMWPE和Co-Cr颗粒不同浓度混悬液共培养时存活率均大于95%,仅有Co-Cr组颗粒/细胞比值为1 000时外周血单核细胞的存活率降至87%,证实Ti6Al4V、PMMA、UHMWPE和Co-Cr颗粒均可激活外周血单核细胞,促使其分泌不同水平的肿瘤坏死因子α、白细胞介素1和白细胞介素6等骨溶解相关细胞因子。 2.2 各组外周血单核细胞中肿瘤坏死因子α、白细胞介素1和白细胞介素6的水平 各组内比较结果显示Ti6Al4V组、PMMA组和UHMWPE组中伴随颗粒浓度的增加,人外周血单核细胞分泌肿瘤坏死因子α、白细胞介素1和白细胞介素6会出现不同程度的增强,存在正相关关系;但是Co-Cr组中当颗粒/细胞比值达到1 000时却出现肿瘤坏死因子α、白细胞介素1和白细胞介素6表达水平降低,见表1-4和图1。 "
当颗粒/细胞比值10,100或1 000时,活化的单核细胞分泌肿瘤坏死因子α、白细胞介素1和白细胞介素6的水平与原始幼稚的单核细胞(颗粒/细胞比值为0时)相比,差异有显著性意义(P < 0.05)。 当颗粒/细胞比值为10时,PMMA组和Co-Cr组中肿瘤坏死因子α和白细胞介素1表达水平均明显低于Ti6Al4V组,但是均高于UHMWPE组;除了PMMA组与Co-Cr组相比较外,其余各组之间肿瘤坏死因子α和白细胞介素1表达水平差异均有显著性意义(P < 0.05)。Ti6Al4V组、PMMA组和Co-Cr组中白细胞介素6表达水平均高于UHMWPE组,差异均有显著性意义(P < 0.05);Ti6Al4V组、PMMA组和Co-Cr组中任意两组相比较,白细胞介素6表达水平差异无显著性意义(P > 0.05)。 当颗粒/细胞比值为100时,Co-Cr组中肿瘤坏死因子α、白细胞介素1和白细胞介素6表达水平均明显低于Ti6Al4V组,PMMA组中肿瘤坏死因子α、白细胞介素1和白细胞介素6表达水平均低于Co-Cr组,但仍高于UHMWPE组。各组肿瘤坏死因子α、白细胞介素1和白细胞介素6表达水平相比较,差异均有显著性意义(P < 0.05)。 当颗粒/细胞比值为1 000时,PMMA组和Co-Cr组中肿瘤坏死因子α、白细胞介素1和白细胞介素6表达水平均明显低于Ti6Al4V组,但是均高于UHMWPE组;除了PMMA组和Co-Cr组相比较外,其余各组间肿瘤坏死因子α、白细胞介素1和白细胞介素6表达水平差异均有显著性意义(P < 0.05)。 总体来讲,在骨溶解反应的初始阶段中Ti6Al4V颗粒的功能生物学活性最强,其次是Co-Cr和PMMA颗粒,UHMWPE颗粒最弱,见表5-7和图2。"
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