椎间盘髓核组织工程研究进展
魏伟;于占革;
摘要(Abstract):
<正>1椎间盘生物学和退变椎间盘(intervertebral disc,IVD)是纤维软骨结构,由中央髓核(NP)和周围的纤维环(AF)构成。两个部分由不同细胞分型和细胞外基质构成。髓核细胞是圆形的像软骨细胞一样而纤维环有更多成纤维细胞的狭长的形状。髓核细胞生成的细胞外基质富含蛋白聚糖类(PGs),主要有聚集蛋白聚糖和Ⅱ型胶原。AF细胞可生成大量Ⅰ型胶原但仅有少量的PG或者Ⅱ型胶原。椎间盘是无血管的所以营养成分很难扩散。
关键词(KeyWords): 组织工程;基因治疗;干细胞;细胞因子
基金项目(Foundation): 黑龙江省攻关课题项目(编号GC06C414)
作者(Author): 魏伟;于占革;
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DOI:
参考文献(References):
- [1]余方圆,卢世璧,袁玫,等.脂肪干细胞向软骨细胞方向诱导的初步研究[J].中国矫形外科杂志,2004,10:762-764.
- [2]黄宗强,刘尚礼.hIGF-1基因转染促进退变椎间盘Ⅱ型胶原的表达[J].中国矫形外科杂志,2008,5:369-372.
- [3]Tsarouhas A,Soufla G,Katonis P,et al.Transcript levels of majorMMPs and ADAMTS-4 in relation to the clinicopathological profile ofpatients with lumbar disc herniation[J].Eur Spine J,2011,5:781-790.
- [4]刘斌,金大地,瞿东滨,等.IL-1、IL-6、TNF-α在兔腰椎软骨终板退变中的变化及作用[J].中国矫形外科杂志,2007,1:64-66.
- [5]Pratsinis H,Kletsas D.PDGF,bFGF and IGF-I stimulate the prolif-eration of intervertebral disc cells in vitro via the activation of the ERKand Akt signaling pathways[J].Eur Spine J,2007,11:1858-1866.
- [6]Yang XL,Li XD.Nucleus pulposus tissue engineering:a brief review[J].Eur Spine J,2009,18:1564-1572.
- [7]An HS,Takegami K,Kamada H,et al.Intradiscal administration ofosteogenic protein-1 increases intervertebral disc height and proteo-glycan content in the nucleus pulposus in normal adolescent rabbits[J].Spine,2005,30:25-31.
- [8]Klein RG,Eek BC,O’Neill CW,et al.Biochemical injection treat-ment for discogenic low back pain:a pilot study[J].Spine,2003,3:220-226.
- [9]Stephen MR,Paul D.Increased expression of matrix metalloproteinase-10,nerve growth factor and substance P in the painful degenerateintervertebral disc[J].Arthritis Res Ther,2009,4:126.
- [10]Zigouris A,Batistatou A,Alexiou GA.Correlation of matrix metallo-proteinases-1 and-3 with patient age and grade of lumbar disc her-niation[J].J Neurosurg Spine,2011,2:268-272.
- [11]Paesold G,Nerlich AG,Boos N.Biological treatment strategies for discdegeneration:potentials and shortcomings[J].Eur Spine J,2007,16:447-468.
- [12]Nishida K,Gilbertson LG,Robbins PD,et al.Potential applicationsof gene therapy to the treatment of intervertebral disc disorders[J].Clin Orthop,2000,379:234-241.
- [13]Zhang Y,An HS,Thonar EJ,et al.Comparative effects of bone mor-phogenetic proteins and sox9 overexpression on extracellular matrix me-tabolism of bovine nucleus pulposus cells[J].Spine,2006,31:2173-2179.
- [14]Ganey T,Meisel HJ,Fritsch K-G,et al.Disc repair with autologouschondrocytes:a pilot clinical study[J].Spine,2003,3:71-72.
- [15]Darling EM,Athanasiou KA.Rapid phenotypic changes in passagedarticular chondrocyte subpopulations[J].J Orthop Res,2005,23:425-432.
- [16]Nomura T,Mochida J,Okuma M,et al.Nucleus pulposus allograftretards intervertebral disc degeneration[J].Clin Orthop,2001,389:94-101.
- [17]Tapp H,Hanley EN Jr,Patt JC,et al.Adiposederived stem cells:characterization and current application in orthopaedic tissue repair[J].Exp Biol Med(Maywood),2009,234:1-9.
- [18]方煌,解礼伟,陈安民,等.脂肪间充质干细胞向髓核样细胞诱导分化的初步研究[J].中国矫形外科杂志,2009,22:1729-1733.
- [19]Jeong JH,Lee JH,Jin ES,et al.Regeneration of intervertebral discsin a rat disc degeneration model by implanted adipose-tissue-de-rived stromal cells[J].Acta Neurochir(Wien),2010,10:1771-1777.
- [20]Smith LJ,Fazzalari NL.The elastic fibre network of the human lumbaranulus fibrosus:architecture,mechanical function and potential rolein the progression of intervertebral disc degeneration[J].Eur Spine J,2009,4:439-448.
- [21]O'Halloran DM,Pandit AS.Tissue-engineering approach to regenera-ting the intervertebral disc[J].Tissue Eng,2007,13:1927-1954.
- [22]Chou AI,Nicoll SB.Characterization of photocrosslinked alginate hy-drogels for nucleus pulposus cell encapsulation[J].J Biomed MaterRes A,2009,1:187-194.
- [23]Di Martino A,Sittinger M,Risbud MV.Chitosan:a versatile biopolymerfor orthopaedic tissue-engineering[J].Biomaterials,2005,26:5983-5990.
- [24]Nair LS,Starnes T,Ko JW,et al.Development of injectable ther-mogelling chitosan-inorganic phosphate solutions for biomedical ap-plications[J].Biomacromolecules,2007,8:3779-3785.
- [25]Bader RA,Rochefort WE.Rheological characterization of photopoly-merized poly(vinyl alcohol)hydrogels for potential use in nucleus pul-posus replacement[J].J Biomed Mater Res A,2008,86:494-501.
- [26]Richardson SM,Hughes N,Hunt JA,et al.Human mesenchymal stemcell differentiation to NP-like cells in chitosan-glycerophosphate hydro-gels[J].Biomaterials,2008,29:85-93.
- [27]Joung YK,Bae JW,Park KD.Controlled release of heparinbindinggrowth factors using heparin-containing particulate systems for tissueregeneration[J].Expert Opin Drug Deliv,2008,5:1173-1184.
- [28]Benoit DS,Collins SD,Anseth KS.Multifunctional hydrogels that pro-mote osteogenic hMSC differentiation through stimulation and sequeste-ring of BMP2[J].Adv Funct Mater,2007,17:2085-2093.
- [29]Edlund U,Dnmark S,Albertsson AC.A strategy for the covalentfunctionalization of resorbable polymers with heparin and osteoinduc-tive growth factor[J].Biomacromolecules,2008,3:901-905.