使用十二烷基硫酸钠(SDS)对人半月板组织进行脱细胞:保留半月板支架修复的生物力学完整性

IF 2.7 Q2 ORTHOPEDICS
Dominic Simon, Benjamin Bartz, Manuel Kistler, Susanne Mayer-Wagner, Peter E. Müller, Thomas R. Niethammer, Boris M. Holzapfel, Gautier Beckers
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引用次数: 0

摘要

半月板撕裂是常见的膝关节损伤,是继发性骨关节炎的主要危险因素。最近,有一个范式转移到半月板保护,反映半月板的重要作用。在这种情况下,组织工程方法,如半月板支架的发展已经得到了关注。然而,为了减少免疫反应和提高生物相容性,同种异体移植物的脱细胞,同时保留组织结构和半月板特性是必不可少的。本研究旨在评估脱细胞的有效性及其对人类半月板生物力学特性的影响。方法于2023年7月至12月在全膝关节置换术中采集21例半月板标本。术前行MRI检查半月板完整性。使用十二烷基硫酸钠(SDS)方案对标本进行脱细胞处理,并与天然半月板样品进行细胞计数比较,通过苏木素和伊红染色评估,并使用通用试验机(Zwick Z010)测量生物力学性能,特别是杨氏模量。结果脱细胞半月板细胞计数为11个细胞/mm²(SD = 13; 95% CI: 2-20),与天然半月板样品的细胞计数111个细胞/mm²(SD = 42; 95% CI: 81-141; p < 0.01)相比,细胞计数明显减少。原生和脱细胞样本的杨氏弹性模量分别为35.3和36.8 MPa (p = 0.8), 32.6和35.6 MPa (p = 0.7), 36.5和35.8 MPa (p = 0.9)。结论改进的基于sds的半月板脱细胞方案能有效地实现半月板的脱细胞。此外,脱细胞组织保留了与天然半月板组织相当的生物力学特性。组织脱细胞是再生医学中一项很有前途的技术,它使支架用于组织修复,特别是在半月板切除术后的半月板移植等应用中。证据等级III级,实验室对照研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Decellularisation of human meniscus tissue using sodium dodecyl sulphate (SDS): Preserving biomechanical integrity for scaffold-based meniscal repair

Decellularisation of human meniscus tissue using sodium dodecyl sulphate (SDS): Preserving biomechanical integrity for scaffold-based meniscal repair

Decellularisation of human meniscus tissue using sodium dodecyl sulphate (SDS): Preserving biomechanical integrity for scaffold-based meniscal repair

Decellularisation of human meniscus tissue using sodium dodecyl sulphate (SDS): Preserving biomechanical integrity for scaffold-based meniscal repair

Decellularisation of human meniscus tissue using sodium dodecyl sulphate (SDS): Preserving biomechanical integrity for scaffold-based meniscal repair

Purpose

Meniscal tears are common knee injuries and a major risk factor for secondary osteoarthritis. Recently, there has been a paradigm shift toward meniscal preservation, reflecting the meniscus's vital role. In this context, tissue engineering approaches such as the development of meniscal scaffolds have gained attention. However, to reduce the immune response and improve biocompatibility, decellularization of allografts, while preserving the histoarchitectural and meniscal properties, is essential. The current study aimed to evaluate the effectiveness of decellularization and its impact on the biomechanical properties of the human meniscus.

Methods

Twenty-one human meniscus specimens were collected between July and December 2023 during total knee arthroplasty. Preoperative MRI was performed to verify meniscal integrity. The specimens were decellularized using a sodium dodecyl sulphate (SDS) protocol and compared to native meniscus samples in terms of cell count, assessed through hematoxylin and eosin staining, and biomechanical properties, specifically Young's modulus, measured using a universal testing machine (Zwick Z010).

Results

The cell count in the decellularized menisci was 11 cells/mm² (SD = 13; 95% CI: 2–20), representing a significant reduction compared to the native meniscus samples, which had a cell count of 111 cells/mm² (SD = 42; 95% CI: 81–141; p < 0.01). Young's modulus of elasticity was 35.3 versus 36.8 MPa in the anterior region (p = 0.8), 32.6 versus 35.6 MPa in the central region (p = 0.7) and 36.5 versus 35.8 MPa in the posterior region (p = 0.9) for native versus decellularized samples, respectively.

Conclusions

This study demonstrated that the modified SDS-based decellularization protocol effectively decellularizes the human meniscus. Moreover, the decellularized tissue retained biomechanical properties comparable to those of native meniscus tissue. Tissue decellularization is a promising technique in regenerative medicine, enabling the use of scaffolds for tissue repair, particularly in applications such as meniscus transplantation following meniscectomy.

Level of Evidence

Level III, controlled laboratory study.

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来源期刊
Journal of Experimental Orthopaedics
Journal of Experimental Orthopaedics Medicine-Orthopedics and Sports Medicine
CiteScore
3.20
自引率
5.60%
发文量
114
审稿时长
13 weeks
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