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Effect of local injection of hepatocyte growth factor transfected bone marrow mesenchymal stem cells on tendon-bone healing after anterior cruciate ligament reconstruction in rabbits |
YANG Deyong1 Kaishaer Baihetiyaer1 JIANG Junyao2 SHU Li1▲ |
1.The First Department of Joint Surgery, the Sixth Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830002, China;
2.Basic Medical College, Henan Science and Technology University, Henan Province, Luoyang 471003, China |
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Abstract Objective To explore the effect of hepatocyte growth factor (HGF) transfected bone marrow mesenchymal stem cell (MSC) on tendon-bone healing after anterior cruciate ligament (ACL) reconstruction in rabbits. Methods Forty-five male New Zealand rabbits (3.0-3.5 kg) aged three to five months were divided into groups A, B, and C by random number table method, with 15 rabbits in each group. All three groups underwent double hindlimb ACL reconstruction, group A did not inject any substance after ACL operation; in group B, MSCs fibrin glue was injected into the tibial canal after operation; in group C, HGF gene modified MSCs fibrin glue was injected into the tibial canal after operation. Six weeks after operation, HE staining was used to observe the tendon-bone healing; the maximum tensile load and the maximum stretching distance of the graft tendon exiting from the tibial canal were tested; the expression of fibroblast growth factor 2 (FGF2) mRNA and SMAD4 mRNA in bone canal and HGF mRNA in joint fluid were detected by RT-PCR. Results Six weeks after operation, the tendon-bone interface of group A was loosely connected and collagen fibers were disordered; in group B, the tendon-bone interface was closely connected and the gap was small, but the arrangement of collagen fibers was not orderly; in group C, the tendon-bone interface was closely connected and the collagen fibers were neatly arranged. The maximum tensile load of group B was higher than that of group A, and that of group C was higher than that of group B (P<0.05); there was no significant difference in the maximum stretching distance between groups A, B and groups B, C (P>0.05). The FGF2 mRNA and SMAD4 mRNA in bone canal in group B were higher than those in group A, and those in group C were higher than those in group B (P<0.05); HGF mRNA of joint fluid in group C was higher than that in group B (P<0.05). Conclusion Local injection of HGF transfected bone marrow MSCs can enhance tendon-bone healing after ACL reconstruction in rabbits.
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[1] 高余,邓亚鹏,刘鹏,等.前交叉韧带损伤治疗的研究进展[J].华南国防医学杂志,2021,35(6):469-472.
[2] Williams AA,Deadwiler BC,Dragoo JL,et al. Cartilage Matrix Degeneration Occurs within the First Year after ACLR and Is Associated with Impaired Clinical Outcome [J]. Cartilage,2021,13(2 Suppl):1809S-1818S.
[3] Dini F,Tecame A,Ampollini A,et al. Multiple ACL Revision:Failure Analysis and Clinical Outcomes [J]. J Knee Surg,2021,34(8):801-809.
[4] 魏钰,运行,李众利,等.前交叉韧带重建失败的原因分析[J].中国矫形外科杂志,2021,29(16):1461-1465.
[5] Taketomi S. Editorial Commentary:Tunnel Widening After Anterior Cruciate Ligament Reconstruction May Increase Laxity and Complicate Revision [J]. Arthroscopy,2021,37(8):2564-2566.
[6] Zhao X,Zhou Y,Li J,et al. Opportunities and challenges of hydrogel microspheres for tendon-bone healing after anterior cruciate ligament reconstruction [J]. J Biomed Mater Res B Appl Biomater,2022,110(2):289-301.
[7] 徐志,刘毅,邹刚.TSG-6抑制瘢痕形成、促进腱-骨愈合作用的研究进展[J].中国医药导报,2019,16(10):56- 58.
[8] 张培,刘泉,吴敏,等.TGF-β1、bFGF对自体腘绳肌腱重建前交叉韧带腱-骨愈合的影响[J].中华全科医学,2020, 18(1):30-33.
[9] 孙畅,郭亭,李林涛,等.前交叉韧带重建术后腱骨愈合的生物学干预研究进展[J].中华骨与关节外科杂志,2020, 13(10):863-869.
[10] 辜刘伟,周霖,庹伟,等.促进膝关节前交叉韧带重建术后腱骨愈合方法的研究进展[J].中国现代医学杂志,2021, 31(23):49-56.
[11] Li S, Hao C,Lei Z,et al. Biomechanical and Histopathological Analysis on Different Approaches for Anterior Cruciate Ligament Reconstruction [J]. J Biomater Tiss Eng,2020,10(5):609-614.
[12] 柴浩,吴婷,舒莉,等.保留与不保留残端重建前交叉韧带后本体感觉恢复的比较[J].中国组织工程研究,2019, 23(15):2332-2337.
[13] 马子越,巨啸晨,张磊,等.保留与不保留残端重建前交叉韧带后移植物腱骨愈合的比较[J].中国组织工程研究,2021,25(4):582-587.
[14] 吴冰霜,汪志,唐懿,等.前交叉韧带重建:从腱骨止点到腱骨愈合的研究进展[J].中国组织工程研究,2022, 26(8):1293-1298.
[15] 李璇,吴敏超,段伟娜.肝细胞生长因子与肝再生的研究进展[J].吉林医学,2021,42(4):983-985.
[16] 何秀娟,马慧可,刘青武.细胞因子在创面修复中的研究进展[J].中国临床药理学与治疗学,2021,26(5):579- 585.
[17] Nakase J,Kitaoka K,Matsumoto K,et al. Facilitated tendon-bone healing by local delivery of recombinant hepatocyte growth factor in rabbits [J]. Arthroscopy,2010,26(1):84-90.
[18] Hao C,Li S,Xiaochen J,et al. Comparison of Articular Cartilage Degeneration and Chondrocyte Apoptosis Following Remnant-Preserving versus Conventional Anterior Cruciate Ligament Reconstruction [J]. J Biomater Tiss Eng,2018,8(11):1543-1550.
[19] 廖昊燃,余伟,林胡庆翔,等.生物学方法促进肩袖腱骨愈合研究进展[J].中华肩肘外科电子杂志,2021,9(2):183-186.
[20] Zhang F,Peng WX,Wang L,et al. Role of FGF-2 Transfected Bone Marrow Mesenchymal Stem Cells in Engineered Bone Tissue for Repair of Avascular Necrosis of Femoral Head in Rabbits [J]. Cell Physiol Biochem,2018, 48(2):773-784.
[21] 张文静,王佳,田梦婷,等.骨形态发生蛋白2及碱性成纤维生长因子2对大鼠骨髓间充质干细胞膜片增殖和成骨分化的影响[J].中国组织工程研究,2020,24(1):65-71.
[22] Zhang C,Li Q,Deng S,et al. bFGF- and CaPP-Loaded Fibrin Clots Enhance the Bioactivity of the Tendon-Bone Interface to Augment Healing [J]. Am J Sports Med,2016, 44(8):1972-1982.
[23] 金连峰,顾炜,马楠.新止骨增生丸基于miR-146a对TGF-β/SMAD信号转导通路下TGF-β1、SMAD4表达的影响及治疗骨性关节炎的作用机制研究[J].中华中医药学刊,2022,40(2):141-145.
[24] 刘俊银,冯玮,涂小林.Smad4促进成骨分化的机制研究[J].中国骨质疏松杂志,2019,25(5):600-605.
[25] 李洁,孙雅楠,解光越,等.熊果酸通过BMP2/Smad4/ Wnt/β-catenin 信号通路介导对去卵巢大鼠骨量流失的保护作用[J].中国骨质疏松杂志,2020,26(12):1810- 1814. |
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