目的 构建生物衍生型移植体GP-DPB,评价GP-DPB与转基因细胞复合后的体内骨修复能力,通过对不同移植方式的对比研究,探讨骨引导、骨传导和骨诱导3种骨再生机制结合下的组织工程成骨效能,以期实现对组织工程方法的优选。方法 体外扩增培养兔骨髓基质细胞(BMSCs),以脂质体介导转化生长因子(TGF-β1)基因转染BMSCs。取新西兰兔30只,建立兔桡骨中段1.5cm骨缺损模型,随机分为5组。第1组(TGF-β1-BMSCs/GP—DPB)为实验组,以GP—DPB与转基因细胞TGF-β1-BMSCs复合,第2组(TGF-β1-BMSCs/G-DPB).第3组(TGF-β1-BMSCs/DPB)和第4组(BMSCs/DPB)为移植对照组,第5组为空白对照组,分别检测各移植体的成骨能力。结果观察骨缺损模型中各组骨修复效果,发现第1组(移植实验组,TGF-β1-BMSCs/GP—DPB)获得最优的修复。软X线定量、骨密度测量和生物力学测定均反映出,第1组的成骨速率和成骨质量明显优于其他各组,差异有统计学意义(P〈0.05)。结论 生物衍生型复合移植体GP-DPB与转基因细胞TGF-β1-BMSC复合后,能很好地结合骨传导、骨诱导和骨引导3种成骨机制,使生物材料、种子细胞和生长因子协调高效地发挥作用,充分体现了组织工程化骨中这种新移植模式的优势。
Objective To develop a tissue-engineered bone graft modal, Methods The cultured bone marrow stromal cells (BMSCs) were transfected with the complexes of pcDNA3-TGF-β1 and Lipo- fectamine Reagent in vitro. Radial bone defect from 30 adult rabbits were divided into 5 groups ( n = 6 in each group). Group 1 (TGF-β1-BMSCs/GP-DPB) served as experimental group, group 2 (TGF-β1-BM- SCs/G-DPB), group 3 (TGF-β1-BMSCs/DPB) and group 4 (BMSCs/DPB) as transplant control group, and group 5 as blank control group. Osteogenic potential was detected in 5 groups espectively. Results All indexes revealed that the osseous regeneration was most excellent in group 1, including newly-formed bone tissue' s quality, as well as the velocity of bone repair. Conclusion With the natural derived implant GP-DPB combined with BMSCs earring TGF-β1 gene, we can acquire coordinated and effective osseous repair combining osteoconduction, osteoinduction and guided bone regeneration, so establish a valuable model to bone formation in tissue-engineering studies.