一种新型骨缺损修复材料的相容性和成骨性能研究
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解放军总医院第八医学中心

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A study on the compatibility and osteogenic performance of a novel bone defect repair material
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The Eighth Medical Center, PLA General Hospital

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    摘要:

    摘要:[目的] 为修补不规则骨缺损,本研究设计制备了脱细胞骨基质/磷酸钙/半水硫酸钙(ACBM/CPC/CSH)复合人工骨材料,并探究其生物相容性及体内成骨性能。[方法] 采用物理混合法制备ACBM/CPC/CSH复合人工骨材料,然后对材料的生物安全性、免疫学特性和成骨性能等进行测试。制备ACBM/CPC/CSH材料浸提液,分别进行急性毒理、亚急性毒理、热原和皮肤刺激反应实验,观察材料生物安全性;对实验材料肌肉包埋,第7天、14天和21天取材料周边肌肉行组织病理学检查,观察材料周边炎症反应;第14天进行流式细胞实验观察血液及组织中CD4+、CD8+T淋巴细胞含量变化,检测材料免疫学特性;通过cck-8法检测实验材料细胞毒性;通过建立大鼠股骨内侧髁骨缺损模型,根据植入材料分ACBM/CPC/CSH实验组、CPC/CSH对照组和空白假手术组,术后1、2、4周X射线检查,第8周Micro-CT检查,研究比较不同材料成骨性能。[结果] (1)ACBM/CPC/CSH实验材料浸提液未引起小鼠急性和亚急性毒理反应,每组体重变化差异无统计学意义(P>0.05)。兔体温升高在正常水平之内,热原实验阴性。表皮注射连续观察多天皮肤无显著差异。(2)材料埋植周边肌肉病理学观察,第7天有轻微炎症反应,第21天炎症消失;第14天流式细胞检测结果表明,CD4+、CD8+T淋巴细胞含量同空白组差异均无统计学意义(P>0.05),CCK8结果表明,ACBM/CPC/CSH实验材料无细胞毒性,具有良好的免疫学特性。(3)X射线与Micro-CT检查结果显示,随着时间增加,各组骨缺损均有不同程度修复,第8周Micro-CT观察ACBM/CPC/CSH实验组骨缺损修复效果较CPC/CSH组更佳,骨材料完全降解。[结论] ACBM的加入增强了材料成骨性能,CPC/CSH的可塑性能有助于不规则骨缺损修补,本研究制备的ACBM/CPC/CSH复合人工骨修补材料具有良好的生物相容性和体内成骨能力,具有良好的临床应用前景。

    Abstract:

    Abstract:[Objectives] To repair irregular bone defects, this study designed and prepared a composite artificial bone material using Acellular Bone Matrix/Calcium Phosphate / calcium sulfate hemihydrate (ACBM/CPC/CSH), and investigated its biocompatibility and in vivo osteogenic performance.[Methods] A composite artificial bone material, Acellular Bone Matrix/Calcium Phosphate/Sulfate (ACBM/CPC/CSH), was prepared using a physical mixing method, followed by comprehensive testing of the material''s biological safety, immunological characteristics, and osteogenic performance. ACBM/CPC/CSH material extracts were prepared for acute toxicity, subacute toxicity, pyrogenicity, and skin irritation experiments to observe the material''s biological safety. The experimental material was embedded in muscle tissues, and samples were collected on days 7, 14, and 21 for histopathological examination to observe the inflammatory response in the vicinity of the material. Flow cytometry analysis was conducted on day 14 to observe changes in CD4+ and CD8+ T lymphocyte content in blood and tissues, assessing the material''s immunological properties. Cell toxicity of the experimental material was evaluated using the CCK-8 assay. Utilizing a rat femoral medial condyle defect model, the study involved categorizing implanted materials into the ACBM/CPC/CSH experimental group, CPC/CSH control group, and a blank sham surgery group. X-ray examinations were conducted at 1, 2, and 4 weeks post-surgery, followed by Micro-CT examination at week 8 to comparatively study the osteogenic performance of different materials. [Results] (1) The extract of ACBM/CPC/CSH experimental material did not induce acute or subacute toxic reactions in mice, and there were no statistically significant differences in body weight changes among the groups (P > 0.05). Rabbit body temperatures remained within normal levels, with negative results in the pyrogenicity test. Continuous observation of skin reactions following subcutaneous injection showed no significant differences over multiple days. (2) Histopathological examination of the muscle tissue surrounding the implanted material revealed mild inflammation on day 7, which subsided by day 21. Flow cytometry analysis on day 14 indicated that the CD4+ and CD8+ T lymphocyte content showed no statistically significant differences compared to the blank group (P > 0.05). CCK-8 results demonstrated that the ACBM/CPC/CSH experimental material exhibited no cytotoxicity and displayed favorable immunological properties. (3) X-ray and Micro-CT examination results showed that with the passage of time, all groups exhibited varying degrees of bone defect repair. In the 8th week, Micro-CT observation revealed superior bone defect repair in the ACBM/CPC/CSH experimental group compared to the CPC/CSH group, and the bone material completely degraded. [Conclusions] The addition of ACBM enhances the osteogenic performance of the material, while the plasticity of CPC/CSH contributes to the repair of irregular bone defects. The rapidly fabricated ACBM/CPC/CSH composite artificial bone repair material prepared in this study exhibits excellent biocompatibility and in vivo osteogenic capability. With promising clinical application prospects.

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  • 收稿日期:2024-01-02
  • 最后修改日期:2024-01-02
  • 录用日期:2024-03-22
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