CN110665055A - Sericin/nano-hydroxyapatite tissue engineering bone graft and preparation method and application thereof - Google Patents
Sericin/nano-hydroxyapatite tissue engineering bone graft and preparation method and application thereof Download PDFInfo
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- CN110665055A CN110665055A CN201910621701.XA CN201910621701A CN110665055A CN 110665055 A CN110665055 A CN 110665055A CN 201910621701 A CN201910621701 A CN 201910621701A CN 110665055 A CN110665055 A CN 110665055A
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- sericin
- solution
- bone
- scaffold material
- hydroxyapatite
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Abstract
本发明属于组织工程学技术领域,公开了一种含骨形态发生蛋白‑2的丝胶蛋白/纳米羟基磷灰石组织工程骨移植物的构建(制备)方法及其应用。包括生长因子、支架材料和可选的种子细胞,所述种子细胞粘附于所述支架材料上,构成了具有空间结构和生物活性的细胞载体复合物,所述的支架材料是由丝胶蛋白(SS)、纳米羟基磷灰石(nHAP)构成的复合支架材料,丝胶蛋白包裹了含有人重组骨形态发生蛋白‑2生长因子,复合支架材料上粘附有骨髓间充质干细胞。本发明可根据SS、nHAP的比例来调节支架的孔径、降解速度及生物力学强度。本发明所述构建的仿生人工组织工程骨可以用于修复大段骨缺损的骨移植物,在动物实验中已经证明了能很好的修复大段骨缺损。
The invention belongs to the technical field of tissue engineering, and discloses a construction (preparation) method and application of a sericin/nano-hydroxyapatite tissue engineering bone graft containing bone morphogenetic protein-2. It includes growth factor, scaffold material and optional seed cells, and the seed cells adhere to the scaffold material to form a cell carrier complex with spatial structure and biological activity, and the scaffold material is composed of sericin. (SS) and nano-hydroxyapatite (nHAP) composite scaffold material, sericin encapsulates growth factor containing human recombinant bone morphogenetic protein-2, and bone marrow mesenchymal stem cells adhere to the composite scaffold material. The invention can adjust the pore size, degradation speed and biomechanical strength of the scaffold according to the ratio of SS and nHAP. The biomimetic artificial tissue engineering bone constructed in the present invention can be used as a bone graft for repairing large-segment bone defects, and it has been proved in animal experiments that it can repair large-segment bone defects well.
Description
技术领域technical field
本发明涉及骨缺损的一种修复生物可降解活性材料,属于组织工程学技术领域,具体涉及一种仿生人工骨的构建及其在骨科中的应用,更具体涉及丝胶蛋白/纳米羟基磷灰石组织工程骨移植物及其制备方法和应用。The invention relates to a biodegradable active material for repairing bone defects, belonging to the technical field of tissue engineering, in particular to the construction of a bionic artificial bone and its application in orthopedics, and more particularly to sericin/nano-hydroxyapatite Stone tissue engineering bone graft and preparation method and application thereof.
背景技术Background technique
由于创伤、肿瘤、先天性畸形、感染、病理等因素造成的骨组织缺损是临床面临的难题之一,植骨术是解决这一问题的主要方法。植骨术主要分为自体来源植骨术、同种异体或异种植骨术。这两种方法的弊端或局限性主要有供源不足、供区损伤和取骨后的并发症、移植排斥反应等。近年来随着组织工程学科的发展,利用组织工程学原理和方法构建的组织工程骨移植可以改进上述弊端,组织工程为骨缺损的修复带来美好的前景。骨组织工程研究主要有4方面:支架材料、种子细胞、细胞因子、临床使用。Bone tissue defect caused by trauma, tumor, congenital deformity, infection, pathology and other factors is one of the clinical difficulties, and bone grafting is the main method to solve this problem. Bone grafting is mainly divided into autologous bone grafting, allogeneic or allogeneic bone grafting. The disadvantages or limitations of these two methods mainly include insufficient donor source, damage to the donor site, complications after bone removal, and graft rejection. In recent years, with the development of tissue engineering disciplines, tissue engineering bone grafts constructed by tissue engineering principles and methods can improve the above drawbacks, and tissue engineering brings bright prospects for the repair of bone defects. There are four main aspects of bone tissue engineering research: scaffold materials, seed cells, cytokines, and clinical use.
组织工程化骨作为骨修复材料的替代物可以避免生物源修复材料的缺陷。将生物相容性好的有骨传导能力的并在体内可生物降解的支架材料与具有强大诱骨活性的细胞因子结合可以使骨缺损修复材料拥有骨传导和诱导的双重特性,在迅速成骨的同时植入材料逐渐降解,为临床骨缺损的修复提供了全新的思路和方法。Tissue engineered bone as a substitute for bone repair materials can avoid the defects of biologically derived repair materials. Combining a scaffold material with good biocompatibility and osteoconductivity and biodegradability in vivo with cytokines with strong osteoinductive activity can make the bone defect repair material have the dual properties of osteoconductivity and induction, and it can be used in rapid osteogenesis. At the same time, the implant material gradually degrades, which provides a new idea and method for the repair of clinical bone defects.
骨髓间充质干细胞主要存在于骨髓中,现证实MSCs至少可向9种以上成熟细胞分化,其中包括成骨细胞及内皮细胞,分化多向性提示它可能成为细胞治疗和组织工程人工骨构建的理想种子细胞,因此,骨髓MSCs成为骨组织工程理想的种子细胞。Bone marrow mesenchymal stem cells mainly exist in the bone marrow, and it has been confirmed that MSCs can differentiate into at least 9 kinds of mature cells, including osteoblasts and endothelial cells. The multidirectionality of differentiation suggests that MSCs may be used for cell therapy and tissue engineering artificial bone construction. Ideal seed cells, therefore, bone marrow MSCs become ideal seed cells for bone tissue engineering.
骨形态发生蛋白的安全性和高效诱导成骨活性被越来越多的实验所证实,BMP-2被认为具有最高的生物活性,是最具有前途的骨诱导蛋白,能促使原位和异位成骨,被认为是最具有前途的骨诱导物质,美国食品和药物管理局2004年正式批准rhBMP-2用于临床治疗长骨骨折,但由于BMP-2在体内含量极微,半衰期短,需要反复给药,使得对BMP-2的进一步研究和应用受到局限。因此,生物材料持续可控释放生长因子的能力对于其在临床治疗中的有效性具有重要意义。The safety and high-efficiency osteoinductive activity of bone morphogenetic proteins have been confirmed by more and more experiments. BMP-2 is considered to have the highest biological activity and is the most promising osteoinductive protein, which can induce in situ and ex situ Osteogenesis is considered to be the most promising osteoinductive substance. The US Food and Drug Administration officially approved rhBMP-2 in 2004 for the clinical treatment of long bone fractures. Dosing, so that the further research and application of BMP-2 is limited. Therefore, the ability of biomaterials to continuously and controllably release growth factors is of great significance for their effectiveness in clinical treatment.
羟基磷灰石(HA)是人体和动物骨骼的主要无机矿物成分,人们对HA做了广泛的研究,通过改进工艺技术已能制备出不同形状、孔隙率和降解率的HA产品,已研制出商业化生产的HA人工骨,并已经美国FDA认证,获准应用于临床。羟基磷灰石的孔径达到纳米级时将表现出一系列的独特性能,nHAP复合材料比相应的微米复合材料具有更好的生物学性能;同时优化材料的组成、结构和工艺将可能得到力学性能与天然骨更为匹配的骨修复材料。Hydroxyapatite (HA) is the main inorganic mineral component of human and animal bones. People have done extensive research on HA. By improving the process technology, HA products with different shapes, porosity and degradation rates have been prepared. Commercially produced HA artificial bone has been certified by the US FDA and approved for clinical use. When the pore size of hydroxyapatite reaches the nanometer scale, it will show a series of unique properties. The nHAP composite material has better biological properties than the corresponding micrometer composite material. At the same time, optimizing the composition, structure and process of the material will make it possible to obtain mechanical properties. Bone repair material that better matches natural bone.
近年来在骨组织工程中,有关纳米羟基磷灰石(nHAP)材料学的研究在国际上得到迅速发展,完整的科学体系正在形成。nHAP具有与人体骨组织相似的无机成分(钙、磷)能制备出不同形状、孔隙率和降解率的产品,羟基磷灰石纳米粒子引入到非亲水性的可生降解聚酯基体材料中去,就有可能得到能被降解,力学性能较好,骨诱导性能优越的新型骨修复材料。In recent years, in bone tissue engineering, research on nano-hydroxyapatite (nHAP) materials has developed rapidly in the world, and a complete scientific system is being formed. nHAP has inorganic components (calcium, phosphorus) similar to human bone tissue, and can prepare products with different shapes, porosity and degradation rates. Hydroxyapatite nanoparticles are introduced into non-hydrophilic biodegradable polyester matrix materials It is possible to obtain new bone repair materials that can be degraded, have better mechanical properties, and have superior osteoinductive properties.
但是单一人工材料一般难以满足骨组织工程用细胞外支架材料的要求,还有nHAP的难降解性、脆性制约了它在临床中的使用。However, a single artificial material is generally difficult to meet the requirements of extracellular scaffold materials for bone tissue engineering, and the refractory and brittle nature of nHAP restricts its clinical use.
发明内容SUMMARY OF THE INVENTION
本发明的目的在于克服现有的骨组织工程用细胞外支架材料中nHAP的难降解性、脆性,以及生物材料在体内含量极微,半衰期短,需要反复给药的缺陷,提供一种能够可持续释放生物材料的组织工程骨移植物及其制备方法和应用。The purpose of the present invention is to overcome the refractory and brittleness of nHAP in the existing extracellular scaffold materials for bone tissue engineering, as well as the in vivo content of biomaterials is very small, the half-life is short, and repeated administration is required. A tissue-engineered bone graft with sustained release of biomaterials and its preparation method and application.
生长因子例如骨形态发生蛋白-2属于β-转化生长因子(Transforming growthfactor-β,TGF-β)超家族成员之一,在胚胎发生和发育,组织与细胞的增殖分化等方面起着重要作用,BMP-2的高效诱导成骨活性已被越来越多的实验证实,天然BMP-2在体内含量极微,半衰期短,难以在体内维持持续的促成骨效应。在细胞与细胞外基质之间的信息传递方面,生长因子起着重要的作用。重组生长因子的控释成为影响生物材料能否有效应用于组织再生的重要因素之一。骨形态蛋白2(BMP-2)已被广泛应用于骨缺损的科学研究和临床治疗。用于临治疗的BMP-2应具有可控持续释放的能力,以指导细胞的增殖、成骨分化和骨的成型。因此,生物材料持续可控释放生长因子的能力对于其在临床治疗中的有效性具有重要意义。纳米材料在传递靶向药物、调控细胞分化和促进骨组织再生方面具有显著地优势。相关研究表明由胶团和树枝状大分子组成的聚合物纳米颗粒和磷酸钙、生物玻璃等无机纳米颗粒作为生物活性药物的加载体系已经在肌肉、骨骼等组织工程中得到应用。但是单一人工材料一般难以满足骨组织工程用细胞外支架材料的要求,还有nHAP的难降解性、脆性制约了它在临床中的使用。Growth factors such as bone morphogenetic protein-2 are members of the β-transforming growth factor-β (TGF-β) superfamily and play an important role in embryogenesis and development, tissue and cell proliferation and differentiation, etc. The high-efficiency inducing osteogenic activity of BMP-2 has been confirmed by more and more experiments. The content of natural BMP-2 in the body is extremely small and the half-life is short, so it is difficult to maintain a sustained osteogenic effect in the body. Growth factors play an important role in the transfer of information between cells and the extracellular matrix. The controlled release of recombinant growth factors has become one of the important factors affecting whether biomaterials can be effectively used in tissue regeneration. Bone morphoprotein 2 (BMP-2) has been widely used in scientific research and clinical treatment of bone defects. BMP-2 used for clinical therapy should have the ability to control the sustained release to direct cell proliferation, osteogenic differentiation and bone formation. Therefore, the ability of biomaterials to continuously and controllably release growth factors is of great significance for their effectiveness in clinical treatment. Nanomaterials have significant advantages in delivering targeted drugs, regulating cell differentiation and promoting bone tissue regeneration. Relevant studies have shown that polymer nanoparticles composed of micelles and dendrimers and inorganic nanoparticles such as calcium phosphate and bioglass have been applied in tissue engineering such as muscles and bones as loading systems for bioactive drugs. However, a single artificial material is generally difficult to meet the requirements of extracellular scaffold materials for bone tissue engineering, and the refractory and brittle nature of nHAP restricts its clinical use.
丝胶蛋白(SS)主要来源于娟丝类昆虫,丝胶蛋白由蚕的中部丝腺分泌,是包裹在丝素纤维表层的一种天然大分子粘性蛋白,但丝胶蛋白长期以来在脱胶过程中被当作废物丢弃,降解过程中需要大量的氧,丝胶的直接排放造成环境的污染。通过对天然结构未破坏的纯丝胶蛋白水凝胶研究,发现丝胶蛋白具有良好的生物相容性、粘附性、高孔隙率和维持药物释放等特性,由此本发明首次采用丝胶蛋白生物材料作为新型的组织工程天然支架材料及药物缓释载体。Sericin (SS) is mainly derived from silk insects. Sericin is secreted by the middle silk glands of silkworms. It is a natural macromolecular viscous protein wrapped on the surface of silk fibroin. However, sericin has been in the process of degumming for a long time. It is discarded as waste, the degradation process requires a lot of oxygen, and the direct discharge of sericin causes environmental pollution. Through the study of pure sericin hydrogel with undestructed natural structure, it is found that sericin has the characteristics of good biocompatibility, adhesion, high porosity and maintenance of drug release. Therefore, the present invention uses sericin for the first time. Protein biomaterials are used as novel tissue engineering natural scaffolds and drug sustained release carriers.
本发明将丝胶蛋白与纳米羟基磷灰石复合(根据骨修复部位对生物力学的要求可以调整复合比例)制备复多孔支架材料,以其为载体,加载并控释生长因子例如骨形态蛋白2(BMP-2),检测BMP-2的加载和释放情况,并对其成骨诱导性进行了研究,用体外构建仿生人工骨,经实验证实细胞复合前后可高效、持续释放BMP-2并促进其增殖分化;优选实施方式中,种子细胞在复合支架中扫描电镜见细胞贴附生长良好,复合支架材料可缓慢、持续释放BMP-2,时间长达42天。用上述方法构建的仿生人工骨植入桡骨缺损模型可以很好的修复桡骨节段性骨缺损。通过实验证实缺损模型12周时骨折完全愈合,皮质骨连续,髓腔再通。本研究结果表明,利用生物材料持续可控释放生长因子的能力对于其在临床治疗中的有效性具有重要意义,其主要是通过软骨化骨的方式诱导成骨,是治疗节段性骨缺损的理想方法。In the present invention, sericin is compounded with nano-hydroxyapatite (the compounding ratio can be adjusted according to the biomechanical requirements of the bone repair site) to prepare a multi-porous scaffold material, which is used as a carrier to load and control release growth factors such as bone morphoprotein 2 (BMP-2), detected the loading and release of BMP-2, and studied its osteogenic induction. The biomimetic artificial bone was constructed in vitro. The experiments confirmed that the cells can release BMP-2 efficiently and continuously before and after compounding and promote the It proliferates and differentiates; in a preferred embodiment, the seed cells in the composite scaffold show good cell adhesion and growth under scanning electron microscopy, and the composite scaffold material can slowly and continuously release BMP-2 for up to 42 days. The bionic artificial bone implanted in the radial defect model constructed by the above method can repair the radial segmental bone defect very well. It was confirmed by experiments that the fracture was completely healed, the cortical bone was continuous, and the medullary cavity was recanalized at 12 weeks. The results of this study show that the ability to use biomaterials to continuously and controllably release growth factors is of great significance for their effectiveness in clinical treatment, which is mainly through the induction of osteogenesis by cartilage of bone, which is an effective method for the treatment of segmental bone defects. ideal method.
根据本发明的第一方面,本发明提供一种含生长因子的组织工程骨移植物,包括复合支架材料和生长在所述复合支架材料上的生长因子,所述的复合支架材料包括通过交联剂交联的丝胶蛋白和纳米羟基磷灰石的复合物。According to a first aspect of the present invention, the present invention provides a tissue engineered bone graft containing growth factors, comprising a composite scaffold material and a growth factor grown on the composite scaffold material, wherein the composite scaffold material comprises a cross-linking A complex of agent-crosslinked sericin and nano-hydroxyapatite.
根据本发明的第二方面,本发明提供一种制备本发明所述的组织工程骨移植物的方法,该方法包括:配置含有生长因子和丝胶蛋白的溶液,然后在交联剂存在下与纳米羟基磷灰石的悬浮液混合得到混合溶液;将混合溶液注入模型进行冷冻、干燥。According to a second aspect of the present invention, the present invention provides a method for preparing the tissue engineering bone graft of the present invention, the method comprising: preparing a solution containing growth factors and sericin, and then mixing with a cross-linking agent in the presence of a cross-linking agent. The suspension of nano-hydroxyapatite is mixed to obtain a mixed solution; the mixed solution is injected into the model for freezing and drying.
根据本发明的第三方面,提供一种制备组织工程骨移植物的方法,其中,纳米羟基磷灰石是采用溶胶-絮凝法制备,丝胶蛋白溶液采用LiBr方法提取,细胞支架载体复合物采用超声混匀后注入磨具后低温冻干制备,具体包括:According to the third aspect of the present invention, there is provided a method for preparing a tissue engineering bone graft, wherein the nano-hydroxyapatite is prepared by a sol-flocculation method, the sericin solution is extracted by the LiBr method, and the cell scaffold carrier complex is prepared by using the LiBr method. After ultrasonic mixing, it is injected into the abrasive tool and then prepared by low temperature freeze-drying, including:
复合人工骨制备包括以下步骤:The preparation of composite artificial bone includes the following steps:
A、nHAP人工骨材料粉末制备A. Preparation of nHAP artificial bone material powder
(1)将硝酸钙与磷酸铵的水溶液进行化学合成,加入氨水,调整溶液的pH值为8-13,可选地添加分散剂,调整搅拌器速率和搅拌时间,使其沉淀完全,然后经洗涤、过滤;(1) chemically synthesize the aqueous solution of calcium nitrate and ammonium phosphate, add ammonia water, adjust the pH value of the solution to be 8-13, optionally add a dispersant, adjust the speed of the stirrer and the stirring time, make it precipitation completely, then pass washing, filtering;
(2)将沉淀物在80-120℃干燥,在600-800℃温度下烧结2-3小时,得到粉末粒径小于100nm与人体骨组织成分相似的纳米级粉末;(2) drying the precipitate at 80-120°C and sintering at 600-800°C for 2-3 hours to obtain nano-scale powder with a particle size of less than 100nm and similar to human bone tissue composition;
B、丝胶蛋白溶液的制备(根据需要可制备不同的浓度)B. Preparation of sericin solution (different concentrations can be prepared as needed)
将185Nd-s蚕茧剪碎,浸于6M LiBr水溶液中,35℃下裂解24h,然后将丝胶液用超纯水在室温透析两天,得到丝胶蛋白溶液;The 185Nd-s silkworm cocoons were cut into pieces, immersed in 6M LiBr aqueous solution, cleaved at 35°C for 24 hours, and then dialyzed the sericin solution with ultrapure water at room temperature for two days to obtain a sericin solution;
其负载rhBMP-2的丝胶蛋白缓释溶液合成步骤如下:The synthesis steps of the sericin sustained-release solution loaded with rhBMP-2 are as follows:
取丝胶蛋白浓度约3重量%的丝胶蛋白溶液,将生长因子BMP-2与上述3重量%的丝胶蛋白溶液按照1:50(质量比)混合,配置浓度为5μg/ml rhBMP-2的丝胶蛋白溶液;Take a sericin solution with a sericin concentration of about 3% by weight, and mix the growth factor BMP-2 with the above 3% by weight sericin solution at a ratio of 1:50 (mass ratio) to prepare a concentration of 5μg/ml rhBMP-2 sericin solution;
C.丝胶蛋白/羟基磷灰石为载体的缓释体系复合支架材料的制备C. Preparation of composite scaffolds with sericin/hydroxyapatite as a carrier for sustained release system
将载有rhBMP-2的丝胶蛋白溶液混入nHAP混合物悬浮液中,然后通过冷冻干燥制备缓释rhBMP-2的复合支架;Mix the sericin solution loaded with rhBMP-2 into the nHAP mixture suspension, and then prepare the composite scaffold of slow-release rhBMP-2 by freeze-drying;
D.复合支架负载种子细胞,采用负压抽吸制备,其步骤如下:D. The composite scaffold is loaded with seed cells and prepared by negative pressure suction. The steps are as follows:
(1)rhBMP-2的复合支架置入6孔板中,含10重量%胎牛血清的DMEM培养液预湿24小时,37℃、5体积%CO2培养箱培养24h,(1) The composite scaffold of rhBMP-2 was placed in a 6-well plate, pre-wetted with DMEM medium containing 10 wt% fetal bovine serum for 24 hours, and cultured in a 37°C, 5 vol% CO 2 incubator for 24 hours,
(2)把骨髓间充质干细胞均匀加入上述预湿处理的支架中,然后置于真空负压抽吸器中抽吸保持负压,放入37℃孵箱中保持10分钟后,放入37℃、5%CO2培养箱中贴附2小时后缓慢加入1.5ml DMEM培养液于37℃、5体积%CO2培养箱继续培养2-3d换液一次。(2) The bone marrow mesenchymal stem cells were evenly added to the above-mentioned pre-wetted scaffold, then placed in a vacuum negative pressure aspirator to maintain a negative pressure, placed in a 37°C incubator for 10 minutes, and then placed in a 37 After attaching in a 5% CO 2 incubator for 2 hours, slowly add 1.5 ml of DMEM medium and continue to culture in a 37 ℃, 5 vol% CO 2 incubator for 2-3 days and change the medium once.
根据本发明的第四方面,本发明提供一种本发明所述的组织工程骨移植物和本发明的制备方法制备得到的组织工程骨移植物作为仿生人工骨在骨科中的应用。According to the fourth aspect of the present invention, the present invention provides the tissue engineered bone graft of the present invention and the tissue engineered bone graft prepared by the preparation method of the present invention as bionic artificial bone in orthopaedics.
本发明通过对天然结构未破坏的纯丝胶蛋白水凝胶研究,发现丝胶蛋白具有良好的生物相容性、粘附性、高孔隙率和维持药物释放等特性,由此本发明首次采用丝胶蛋白生物材料作为新型的组织工程天然支架材料及药物缓释载体,采用本发明的组织工程骨移植物作为仿生人工骨在骨科中应用时,生长因子能够持续可控释放,由此克服了BMP-2直接应用的不足。Through the research on pure sericin hydrogel whose natural structure is not destroyed, it is found that sericin has the characteristics of good biocompatibility, adhesion, high porosity and maintenance of drug release. As a new type of tissue engineering natural scaffold material and drug sustained-release carrier, the sericin biomaterial is used in orthopedics when the tissue engineering bone graft of the present invention is used as a bionic artificial bone, and the growth factor can be continuously and controllably released, thereby overcoming the problem of Inadequate direct application of BMP-2.
本发明的生长因子如rhBMP-2采用丝胶蛋白作为载体缓释来解决The growth factor of the present invention, such as rhBMP-2, uses sericin as a carrier to slow release to solve the problem
rhBMP-2释放的问题,由此可以最大限度的发挥rhBMP-2的作用时间,本发明所述构建的仿生人工组织工程骨可以用于修复大段骨缺损的骨移植物,在动物实验中已经证明了能很好的修复大段骨缺损,使丝胶蛋白组织工程骨的临床应用成为可能。The problem of the release of rhBMP-2, so that the action time of rhBMP-2 can be maximized. The biomimetic artificial tissue engineered bone constructed in the present invention can be used for bone grafts for repairing large segmental bone defects, and has been used in animal experiments. It is proved that it can repair large segmental bone defects well, which makes the clinical application of sericin tissue engineered bone possible.
本发明利用生物材料丝胶蛋白作为载体缓释来解决BMP-2释放的问题,经过试验证实被认为是有效的手段,其应用于组织工程骨治疗骨缺损的应用,用于解决临床上因骨缺损及骨创伤引起的骨修复问题。The present invention utilizes the biomaterial sericin as a carrier for sustained release to solve the problem of BMP-2 release, which is proved to be an effective means through experiments. Bone repair problems caused by defects and bone trauma.
附图说明Description of drawings
图1为本发明实施例组织工程骨移植物结构示意图;1 is a schematic structural diagram of a tissue engineered bone graft according to an embodiment of the present invention;
图2为本发明实施例nHAP粉末人工骨扫描电镜下(200kv×100000);Fig. 2 is the embodiment of the present invention under the scanning electron microscope of nHAP powder artificial bone (200kv×100000);
图3为本发明实施例复合后人工骨扫描电镜下观察(5kv×300)(SS/HA质量比1:1);Fig. 3 is the observation under the scanning electron microscope of artificial bone after compounding according to the embodiment of the present invention (5kv×300) (SS/HA mass ratio 1:1);
图4为本发明实施例复合后人工骨扫描电镜下观察(5kv×100)(SS/nHAP质量比4:6);Fig. 4 is the observation under the scanning electron microscope of artificial bone after compounding according to the embodiment of the present invention (5kv×100) (SS/nHAP mass ratio 4:6);
图5为本发明实施例A组12周X线;Fig. 5 is the 12-week X-ray of group A in the embodiment of the present invention;
附图标记说明Description of reference numerals
1:组织工程骨移植物;1: tissue engineered bone graft;
2:丝胶蛋白;2: sericin;
3:生长因子;3: growth factor;
4:种子细胞;4: seed cell;
5:纳米羟基磷灰石。5: Nano-hydroxyapatite.
具体实施方式Detailed ways
以下通过实施例来描述本发明,应该指出的是,所列举的实施例不应理解对发明的限制。The present invention will be described below by means of examples, and it should be noted that the enumerated examples should not be construed to limit the invention.
如图1所示,本发明提供一种含生长因子的组织工程骨移植物1,包括复合支架材料和生长在所述复合支架材料上的生长因子3,所述的复合支架材料包括通过交联剂交联的丝胶蛋白2和纳米羟基磷灰石5的复合物。As shown in FIG. 1 , the present invention provides a tissue
根据本发明的骨移植物,其中,如图1所示,所述生长因子与复合支架材料构成具有三维空间结构和生物活性的细胞载体复合物,其中,所述复合支架材料呈多孔状,孔的形状主要为圆形,复合支架材料的孔与孔之间相互贯通使得所述复合支架材料形成连通空隙。According to the bone graft of the present invention, wherein, as shown in FIG. 1 , the growth factor and the composite scaffold material constitute a cell carrier complex with a three-dimensional structure and biological activity, wherein the composite scaffold material is porous, and the pores The shape of the composite stent material is mainly circular, and the pores of the composite scaffold material communicate with each other so that the composite scaffold material forms a communication gap.
根据本发明的骨移植物,为了使生长因子能够进行更好的持续可控释放,优选所述生长因子生长在丝胶蛋白上。According to the bone graft of the present invention, in order to enable better sustained and controlled release of growth factors, it is preferred that the growth factors grow on sericin.
根据本发明的骨移植物,优选以所述的复合支架材料的总重计,丝胶蛋白的含量为20-80重量%,纳米羟基磷灰石的重量为20-80重量%。According to the bone graft of the present invention, preferably based on the total weight of the composite scaffold material, the content of sericin is 20-80% by weight, and the weight of nano-hydroxyapatite is 20-80% by weight.
根据本发明的骨移植物,优选所述交联剂为辣根过氧化物酶与H2O2的混合物、戊二醛和京尼平中的一种或多种,由于戊二醛与京尼平的体内毒性,优选所述交联剂为辣根过氧化物酶与H2O2的混合物。According to the bone graft of the present invention, preferably the cross-linking agent is a mixture of horseradish peroxidase and H 2 O 2 , one or more of glutaraldehyde and genipin, since glutaraldehyde and Jing In vivo toxicity of nipin , preferably the cross - linking agent is a mixture of horseradish peroxidase and H2O2.
根据本方面,所述辣根过氧化物酶与H2O2的质量比无特殊要求,例如为0.1-1:1。According to this aspect, the mass ratio of the horseradish peroxidase to H 2 O 2 has no special requirements, for example, 0.1-1:1.
根据本发明的骨移植物,优选丝胶蛋白与交联剂的重量比为0.01-100:1。According to the bone graft of the present invention, the weight ratio of sericin to cross-linking agent is preferably 0.01-100:1.
根据本发明的骨移植物,优选所述生长因子与丝胶蛋白的重量比为0.01-1:1。According to the bone graft of the present invention, preferably, the weight ratio of the growth factor to sericin is 0.01-1:1.
按照前述比例构建本发明的骨移植物,不仅生长因子能够进行更好的持续可控释放,而且能够改善支架材料的难降解性和脆性,提高生物材料在体内的含量和延长其半衰期。Constructing the bone graft of the present invention according to the aforementioned proportions not only enables better sustained and controlled release of growth factors, but also improves the refractory and brittleness of the scaffold material, increases the content of biomaterials in the body and prolongs its half-life.
根据本发明的一种优选实施方式,优选所述骨移植物还包括种子细胞4,所述种子细胞4粘附在所述复合支架材料上,更优选所述种子细胞为骨髓间充质干细胞。According to a preferred embodiment of the present invention, preferably, the bone graft further comprises
根据本发明,所述种子细胞的类别无特殊要求,可以为本领域的常规选择,根据本发明,优选所述骨髓间充质干细胞为经分离、扩增经体外传代为第3代的骨髓间充质干细胞。According to the present invention, there is no special requirement for the type of the seed cells, which can be conventionally selected in the field. According to the present invention, preferably, the bone marrow mesenchymal stem cells are isolated, expanded and passaged in vitro into the third generation of bone marrow mesenchymal stem cells. mesenchymal stem cells.
根据本发明,更优选所述种子细胞密度为1×106-5×106个/ml。According to the present invention, more preferably, the seed cell density is 1×10 6 -5×10 6 cells/ml.
根据本发明的一种优选实施方式,所述纳米羟基磷灰石的孔隙直径为100~250μm、孔隙率为90%以上,并且孔隙为连通孔隙。According to a preferred embodiment of the present invention, the nano-hydroxyapatite has a pore diameter of 100-250 μm, a porosity of 90% or more, and the pores are connected pores.
根据本发明的一种优选实施方式,所述丝胶蛋白分子量为50kDa~250kDa。According to a preferred embodiment of the present invention, the molecular weight of the sericin is 50 kDa to 250 kDa.
根据本发明的一种优选实施方式,所述的丝胶蛋白为从丝素缺失突变型家蚕185N-ds蚕种提取的天然结构未破坏的丝胶蛋白。According to a preferred embodiment of the present invention, the sericin is a sericin with a natural structure extracted from silk fibroin-deficient mutant silkworm 185N-ds silkworm seeds.
根据本发明的一种优选实施方式,所述交联剂为戊二醛、京尼平、辣根过氧化物酶和H2O2的混合物的一种,优选所述交联剂为辣根过氧化物酶和H2O2的混合物。According to a preferred embodiment of the present invention, the cross-linking agent is a mixture of glutaraldehyde, genipin, horseradish peroxidase and H 2 O 2 , preferably the cross-linking agent is horseradish A mixture of peroxidase and H2O2.
根据本发明的一种优选实施方式,所述生长因子可以为本领域的常规选择,例如所述生长因子为BMP2,优选为rhBMP2。本发明对此无特殊要求,在此不详细赘述。According to a preferred embodiment of the present invention, the growth factor can be conventionally selected in the field, for example, the growth factor is BMP2, preferably rhBMP2. The present invention has no special requirements for this, and will not be described in detail here.
按照本发明的前述组成和结构的骨移植物,作为仿生人工骨在骨科中应用时,生长因子能够持续可控释放。对其制备方法无特殊要求,只要具有前述组成和结构均可实现本发明的目的。According to the aforementioned composition and structure of the bone graft of the present invention, when it is used as a bionic artificial bone in orthopaedics, the growth factor can be continuously and controllably released. There is no special requirement for its preparation method, as long as it has the aforementioned composition and structure, the object of the present invention can be achieved.
根据本发明的优选实施方式,本发明所述的组织工程骨移植物,包括由骨髓间充质干细胞、含rhBMP-2生长因子、纳米羟基磷灰石和丝胶蛋白构建的具有三维空间结构及生物活性的仿生人工骨。According to a preferred embodiment of the present invention, the tissue-engineered bone graft of the present invention comprises a three-dimensional structure constructed from bone marrow mesenchymal stem cells, rhBMP-2-containing growth factor, nano-hydroxyapatite and sericin. Bioactive biomimetic artificial bone.
本发明的构建方法,可以包括:The construction method of the present invention can include:
采用溶胶-絮凝法制备纳米羟基磷灰石(nHAP);Nano-hydroxyapatite (nHAP) was prepared by sol-flocculation method;
采用低温LiBr法制备提取结构未破坏的丝胶蛋白溶液;The sericin solution with undestructed extraction structure was prepared by low temperature LiBr method;
采用密度梯度离心法联合贴壁法分离、培养、扩增骨髓间充质干细胞;Bone marrow mesenchymal stem cells were isolated, cultured and expanded by density gradient centrifugation combined with adherence method;
采用负压抽吸法构建细胞支架载体复合物仿生人工骨。The biomimetic artificial bone of cell scaffold carrier complex was constructed by negative pressure suction method.
根据本发明的一种优选实施方式,提供一种制备本发明所述的组织工程骨移植物的方法,该方法包括:配置含有生长因子和丝胶蛋白的溶液,然后在交联剂存在下与纳米羟基磷灰石的悬浮液混合得到混合溶液;将混合溶液注入模型进行冷冻、干燥。According to a preferred embodiment of the present invention, there is provided a method for preparing the tissue engineering bone graft of the present invention, the method comprising: preparing a solution containing growth factors and sericin, and then combining with a cross-linking agent in the presence of a cross-linking agent. The suspension of nano-hydroxyapatite is mixed to obtain a mixed solution; the mixed solution is injected into the model for freezing and drying.
根据本发明的方法,优选所述的丝胶蛋白采用低温LiBr法制备,更优选包括如下步骤:将蚕茧剪碎,浸于LiBr水溶液中进行裂解,然后将裂解的丝胶液进行纯化,可选择地进行对所述丝胶液进行提浓或降浓,得到所述浓度的丝胶蛋白溶液。According to the method of the present invention, the sericin is preferably prepared by a low-temperature LiBr method, and more preferably includes the following steps: shredding silk cocoons, immersing them in an aqueous LiBr solution for cracking, and then purifying the cracked sericin solution. Concentrating or reducing the concentration of the sericin solution is carried out to obtain the sericin solution of the concentration.
根据本发明的一种优选实施方式,优选裂解的条件包括:LiBr水溶液的浓度为4-12M,和/或温度为25-40℃,和/或,时间为12-36h。According to a preferred embodiment of the present invention, the preferred cracking conditions include: the concentration of the LiBr aqueous solution is 4-12M, and/or the temperature is 25-40°C, and/or the time is 12-36h.
根据本发明的一种优选实施方式,优选所述蚕茧为185Nd-s蚕茧。According to a preferred embodiment of the present invention, preferably the silkworm cocoon is a 185Nd-s silkworm cocoon.
本发明中,优选所述纯化的步骤包括:在室温下,用超纯水进行透析。In the present invention, preferably, the purification step includes: dialysis with ultrapure water at room temperature.
根据本发明,优选所述纳米羟基磷灰石采用溶胶-絮凝法制备,更优选包括如下步骤:在碱性水溶液条件下,在分散剂存在下,将硝酸钙与磷酸铵接触沉淀,将得到的沉淀物进行干燥,烧结得到100nm以下粒径的纳米羟基磷灰石。According to the present invention, preferably the nano-hydroxyapatite is prepared by a sol-flocculation method, and more preferably includes the following steps: under the condition of an alkaline aqueous solution, in the presence of a dispersant, calcium nitrate and ammonium phosphate are contacted and precipitated, and the obtained The precipitate is dried and sintered to obtain nano-hydroxyapatite with a particle size of less than 100 nm.
根据本发明,优选通过氨水调节溶液的pH值为8-13,更优选干燥的条件包括温度为80-120℃,和/或烧结的条件包括温度为600-800℃,和/或时间为2-3小时。According to the present invention, the pH value of the solution is preferably adjusted to 8-13 by ammonia water, more preferably the drying conditions include a temperature of 80-120°C, and/or the sintering conditions include a temperature of 600-800°C, and/or a time of 2 -3 hours.
根据本发明,所述分散剂可以为常规选择,本发明对此无特殊要求,在此不进行详细说明。According to the present invention, the dispersing agent can be conventionally selected, and the present invention has no special requirements for this, and will not be described in detail here.
根据本发明,其中优选配置含有生长因子和丝胶蛋白的溶液的步骤包括:According to the present invention, the step of preparing a solution containing growth factors and sericin preferably comprises:
将生长因子与丝胶蛋白溶液混合,其中,优选生长因子与丝胶蛋白溶液的用量比为5-10μg生长因子:ml丝胶蛋白溶液;更优选丝胶蛋白溶液的浓度为1-10重量%。Mix the growth factor with the sericin solution, wherein the preferred dosage ratio of the growth factor to the sericin solution is 5-10 μg growth factor:ml sericin solution; more preferably the concentration of the sericin solution is 1-10 wt% .
根据本发明,其中,优选交联剂源为辣根过氧化物酶和双氧水的混合物、戊二醛和京尼平中的一种或多种;优选所述的交联剂源为辣根过氧化物酶和双氧水的混合物,更优选所述辣根过氧化物酶与双氧水的用量体积比为1-10:1。According to the present invention, wherein, the preferred source of cross-linking agent is one or more of the mixture of horseradish peroxidase and hydrogen peroxide, glutaraldehyde and genipin; preferably the source of cross-linking agent is horseradish peroxidase The mixture of oxidase and hydrogen peroxide, more preferably the volume ratio of horseradish peroxidase to hydrogen peroxide is 1-10:1.
根据本发明,其中,优选丝胶蛋白溶液与交联剂的体积比为100:1-50。According to the present invention, the volume ratio of the sericin solution to the cross-linking agent is preferably 100:1-50.
根据本发明,其中,优选该方法还包括:冷冻、干燥结束后进行负压抽吸负载种子细胞:优选包括如下步骤:According to the present invention, wherein, preferably, the method further comprises: performing negative pressure suction to load seed cells after freezing and drying: preferably comprising the following steps:
(1)将干燥材料进行预湿培养得到预湿支架;(1) pre-wetting and culturing the dry material to obtain a pre-wet scaffold;
(2)将种子细胞均匀加入预湿支架,然后置于真空负压抽吸器中抽吸保持负压培养。(2) The seed cells are evenly added to the pre-wetted scaffold, and then placed in a vacuum negative pressure aspirator to maintain a negative pressure culture.
根据本发明,预湿和真空负压抽吸均可以参照现有技术的步骤进行,本发明对此无特殊要求,例如可以按照如下步骤进行,但不能因此本发明仅适用于下述步骤:(1)rhBMP-2的复合支架置入6孔板中,含10重量%胎牛血清的DMEM培养液预湿24小时,37℃、5体积%CO2培养箱培养24h,According to the present invention, both pre-wetting and vacuum suction can be carried out with reference to the steps of the prior art, and the present invention has no special requirements for this. For example, it can be carried out according to the following steps, but the present invention cannot only be applied to the following steps: ( 1) The composite scaffold of rhBMP-2 was placed in a 6-well plate, pre-wetted with DMEM medium containing 10 wt% fetal bovine serum for 24 hours, and cultured in a 37°C, 5 vol% CO 2 incubator for 24 hours,
(2)把骨髓间充质干细胞均匀加入上述预湿处理的支架中,然后置于真空负压抽吸器中抽吸保持负压,放入37℃孵箱中保持10分钟后,放入37℃、5%CO2培养箱中贴附2小时后缓慢加入1.5ml DMEM培养液于37℃、5体积%CO2培养箱继续培养2-3d换液一次。(2) The bone marrow mesenchymal stem cells were evenly added to the above-mentioned pre-wetted scaffold, then placed in a vacuum negative pressure aspirator to maintain a negative pressure, placed in a 37°C incubator for 10 minutes, and then placed in a 37 After attaching in a 5% CO 2 incubator for 2 hours, slowly add 1.5 ml of DMEM medium and continue to culture in a 37 ℃, 5 vol% CO 2 incubator for 2-3 days and change the medium once.
根据本发明的一种优选的实施方式,本发明提供一种制备本发明所述的组织工程骨移植物的方法,其中,纳米羟基磷灰石是采用溶胶-絮凝法制备,丝胶蛋白溶液采用LiBr方法提取,细胞支架载体复合物采用超声混匀后注入磨具后低温冻干制备,具体包括:According to a preferred embodiment of the present invention, the present invention provides a method for preparing the tissue engineering bone graft of the present invention, wherein the nano-hydroxyapatite is prepared by a sol-flocculation method, and the sericin solution is prepared by adopting a sol-flocculation method. The LiBr method is used for extraction, and the cytoskeleton carrier complex is prepared by ultrasonic mixing, injection into the abrasive tool, and low temperature freeze-drying, including:
复合人工骨制备包括以下步骤:The preparation of composite artificial bone includes the following steps:
A、nHAP人工骨材料粉末制备A. Preparation of nHAP artificial bone material powder
(1)将硝酸钙与磷酸铵的水溶液进行化学合成,加入氨水,调整溶液的pH值为8-13,添加分散剂,调整搅拌器速率和搅拌时间,使其沉淀完全,然后经洗涤、过滤;(1) chemically synthesize the aqueous solution of calcium nitrate and ammonium phosphate, add ammonia water, adjust the pH value of the solution to 8-13, add a dispersant, adjust the speed of the stirrer and the stirring time to make the precipitation complete, then wash, filter ;
(2)将沉淀物在80-120℃干燥,在600-800℃温度下烧结2-3小时,得到粉末粒径小于100nm与人体骨组织成分相似的纳米级粉末;(2) drying the precipitate at 80-120°C and sintering at 600-800°C for 2-3 hours to obtain nano-scale powder with a particle size of less than 100nm and similar to human bone tissue composition;
B、丝胶蛋白溶液的制备(根据需要可制备不同的浓度)B. Preparation of sericin solution (different concentrations can be prepared as needed)
将185Nd-s蚕茧剪碎,浸于6M LiBr水溶液中,35℃下裂解24h,然后将丝胶液用超纯水在室温透析两天,得到丝胶蛋白溶液;The 185Nd-s silkworm cocoons were cut into pieces, immersed in 6M LiBr aqueous solution, cleaved at 35°C for 24 hours, and then dialyzed the sericin solution with ultrapure water at room temperature for two days to obtain a sericin solution;
其负载rhBMP-2的丝胶蛋白缓释溶液合成步骤如下:The synthesis steps of the sericin sustained-release solution loaded with rhBMP-2 are as follows:
取丝胶蛋白浓度约3重量%的丝胶蛋白溶液,将生长因子BMP-2与上述3重量%的丝胶蛋白溶液按照1:50(质量比)混合,配置浓度为5μg/ml rhBMP-2的丝胶蛋白溶液;Take a sericin solution with a sericin concentration of about 3% by weight, and mix the growth factor BMP-2 with the above 3% by weight sericin solution at a ratio of 1:50 (mass ratio) to prepare a concentration of 5μg/ml rhBMP-2 sericin solution;
C.丝胶蛋白/羟基磷灰石为载体的缓释体系复合支架材料的制备C. Preparation of composite scaffolds with sericin/hydroxyapatite as a carrier for sustained release system
将载有rhBMP-2的丝胶蛋白溶液混入nHAP混合物悬浮液中,然后通过冷冻干燥制备缓释rhBMP-2的复合支架;Mix the sericin solution loaded with rhBMP-2 into the nHAP mixture suspension, and then prepare the composite scaffold of slow-release rhBMP-2 by freeze-drying;
D.复合支架负载种子细胞,采用负压抽吸制备,其步骤如下:D. The composite scaffold is loaded with seed cells and prepared by negative pressure suction. The steps are as follows:
(1)rhBMP-2的复合支架置入6孔板中,含10重量%胎牛血清的DMEM培养液预湿24小时,37℃、5体积%CO2培养箱培养24h,(1) The composite scaffold of rhBMP-2 was placed in a 6-well plate, pre-wetted with DMEM medium containing 10 wt% fetal bovine serum for 24 hours, and cultured in a 37°C, 5 vol% CO 2 incubator for 24 hours,
(2)把骨髓间充质干细胞均匀加入上述预湿处理的支架中,然后置于真空负压抽吸器中抽吸保持负压,放入37℃孵箱中保持10分钟后,放入37℃、5%CO2培养箱中贴附2小时后缓慢加入1.5ml DMEM培养液于37℃、5体积%CO2培养箱继续培养2-3d换液一次。(2) The bone marrow mesenchymal stem cells were evenly added to the above-mentioned pre-wetted scaffold, then placed in a vacuum negative pressure aspirator to maintain a negative pressure, placed in a 37°C incubator for 10 minutes, and then placed in a 37 After attaching in a 5% CO 2 incubator for 2 hours, slowly add 1.5 ml of DMEM medium and continue to culture in a 37 ℃, 5 vol% CO 2 incubator for 2-3 days and change the medium once.
本发明采用密度梯度离心联合贴壁法分离培养骨髓间充质干细胞,大大提高了分离的成功率。The invention adopts the density gradient centrifugation combined with the adherence method to separate and culture the bone marrow mesenchymal stem cells, which greatly improves the success rate of separation.
按照本发明前述的制备方法制备的组织工程骨移植物1,包括含生长因子3的复合支架材料2和种子细胞4,所述种子细胞4粘附于所述支架材料1上,构成了具有三维空间结构和生物活性的细胞载体复合物,所述的支架材料2是采用成型复合的丝胶蛋白/纳米羟基磷灰石复合支架,复合支架含有生长因子,其上粘附有骨髓间充质干细胞。The tissue
按照本发明前述的制备方法制备的组织工程骨移植物,所述纳米羟基磷灰石(nano-hydroxyapatite,nHAP)是孔隙直径为100~250μm、孔隙率为90%以上的多孔活性材料,并且所得孔隙为连通孔隙。In the tissue engineering bone graft prepared according to the aforementioned preparation method of the present invention, the nano-hydroxyapatite (nHAP) is a porous active material with a pore diameter of 100-250 μm and a porosity of more than 90%, and the obtained Pores are connected pores.
按照本发明前述的制备方法制备的组织工程骨移植物,优选所述的丝胶蛋白(sericin silk,SS)溶液是丝胶蛋白从丝素缺失突变型家蚕蚕185N-ds品种提取。For the tissue engineered bone graft prepared according to the aforementioned preparation method of the present invention, preferably, the sericin (sericin silk, SS) solution is sericin extracted from silk fibroin-deficient mutant silkworm 185N-ds variety.
按照本发明前述的制备方法制备的组织工程骨移植物,通过上述结构使得复合支架能缓慢释放生长因子人重组骨形态发生蛋白-2(rhBMP-2)The tissue engineering bone graft prepared according to the aforementioned preparation method of the present invention, through the above structure, the composite scaffold can slowly release the growth factor human recombinant bone morphogenetic protein-2 (rhBMP-2)
按照本发明前述的制备方法,优选所述的种子细胞是取自于骨髓,经分离、扩增经体外传代为第3代的骨髓间充质干细胞,细胞密度为1×106~5×106个/ml。According to the aforementioned preparation method of the present invention, preferably, the seed cells are obtained from bone marrow, separated, expanded, and passaged in vitro to become the third generation of bone marrow mesenchymal stem cells, and the cell density is 1×10 6 to 5×10 6 /ml.
根据本发明,优选所述的丝胶蛋白溶液是包裹了含一定浓度的rhBMP-2生长因子的混合溶液。According to the present invention, preferably, the sericin solution is a mixed solution containing a certain concentration of rhBMP-2 growth factors.
根据本发明,优选所述的rhBMP-2的配置浓度为5μg/ml。According to the present invention, the configuration concentration of the rhBMP-2 is preferably 5 μg/ml.
根据本发明,能够缓慢、持续、高效释放细胞因子骨形态发生蛋白-2。According to the present invention, the cytokine bone morphogenetic protein-2 can be released slowly, continuously and efficiently.
根据本发明,采用LiBr方法获得的丝胶蛋白在交联剂存的情况下,成胶性好,能形成水凝胶的结构未破坏的丝胶蛋白溶液。According to the present invention, the sericin obtained by the LiBr method has good gel-forming properties in the presence of a cross-linking agent, and can form a sericin solution with an undamaged hydrogel structure.
本发明提供了本发明所述的组织工程骨移植物和按照本发明的制备方法制备得到的组织工程骨移植物作为仿生人工骨在骨科中的应用。The present invention provides the application of the tissue engineered bone graft of the present invention and the tissue engineered bone graft prepared by the preparation method of the present invention as biomimetic artificial bone in orthopedics.
以下通过实施例对本发明进行详细说明:The present invention is described in detail below by embodiment:
本发明的实施例按照如下步骤构建:The embodiment of the present invention is constructed according to the following steps:
nHAP人工骨材料粉末制备Preparation of nHAP artificial bone material powder
(1)将硝酸钙与磷酸铵的水溶液进行化学合成(硝酸钙与磷酸铵的摩尔比为1:1),加入氨水,调整溶液的pH值为10,调整搅拌器速率和搅拌时间,使其沉淀完全,然后经洗涤、过滤;(1) chemically synthesize the aqueous solution of calcium nitrate and ammonium phosphate (the molar ratio of calcium nitrate and ammonium phosphate is 1:1), add ammonia water, adjust the pH value of the solution to 10, adjust the speed of the stirrer and the stirring time to make it The precipitation is complete, then washed and filtered;
(2)将沉淀物在100℃干燥,在700℃温度下烧结2小时,得到粉末粒径小于100nm与人体骨组织成分相似的纳米级粉末(扫描电镜下观察(5kv×300),见图2);(2) The precipitate was dried at 100°C and sintered at 700°C for 2 hours to obtain a nano-scale powder with a particle size of less than 100 nm and a similar composition to human bone tissue (observed under a scanning electron microscope (5kv×300), see Figure 2 );
所述的丝胶蛋白通过下列的步骤构建:Said sericin is constructed through the following steps:
1)称取蚕茧(185 Nd-s)600mg置于试剂瓶中;1) Weigh silkworm cocoons (185 Nd-s) 600 mg and place in a reagent bottle;
2)加入24ml 6M LiBr溶液;2) add 24ml 6M LiBr solution;
3)35℃水浴24h;3) 35℃ water bath for 24h;
4)4000rpm×5min初步去除不溶性物质;4) 4000rpm×5min preliminary removal of insoluble substances;
5)加入6ml Tris-HCl(1M pH 9.0);5) Add 6ml Tris-HCl (1M pH 9.0);
6)将上述溶液转入到预处理好的透析袋(NWCO 3000Da)中;6) Transfer the above solution into the pretreated dialysis bag (NWCO 3000Da);
7)透析袋放置含有超纯水的试剂瓶中;7) The dialysis bag is placed in a reagent bottle containing ultrapure water;
8)置于搅拌器上慢速搅拌透析;8) Place on the stirrer and slowly stir the dialysis;
9)每6h换水一次;9) Change the water every 6h;
10)透析48h;10) Dialysis for 48h;
11)采用PEG 6000水溶液浓缩丝胶液直到达到需要的浓度;11) Concentrate sericin solution with PEG 6000 aqueous solution until it reaches the required concentration;
所述的仿生人工骨通过以下步骤构建:The bionic artificial bone is constructed through the following steps:
(1)取上述制备浓度约3重量%(浓度可根据制备人工骨的生物力学要求调整)的丝胶蛋白溶液,为了生产载有rhBMP-2的丝胶溶液,将生长因子以1:50(质量比)的rhBMP-2与SS上述3重量%的丝胶蛋白溶液(w/w)混合,配置浓度为5μg/ml rhBMP-2的丝胶蛋白溶液。(1) Take the above-mentioned sericin solution with a concentration of about 3 wt% (the concentration can be adjusted according to the biomechanical requirements of artificial bone preparation), in order to produce the sericin solution loaded with rhBMP-2, the growth factor is 1:50 ( mass ratio) of rhBMP-2 and the above-mentioned 3 wt % sericin solution (w/w) of SS were mixed to prepare a sericin solution with a concentration of 5 μg/ml rhBMP-2.
(2)将纳米羟基磷灰石与上述制备的含rhBMP-2生长因子的3%丝胶蛋白溶液以一定的质量比例混合(根据应用生物力学的需要调整SS、nHAP的比例),然后放入超声波振荡仪中充分搅拌,加入HPR/H2O2(HRP5mg/ml,H2O2万分之3)按100:3:3的体积使其混合均匀。将混匀的溶液用注射注放入模型中,立即放入-20℃冰箱中冷冻24小时,分别制备的圆柱形或方形支架材料,随后用真空冷冻干燥机干燥72h,得到含rhBMP-2的丝胶蛋白/羟基磷灰石复合支架材料,人工骨材料采用Co60辐照灭菌备用。(2) Mix the nano-hydroxyapatite with the 3% sericin solution containing rhBMP-2 growth factor prepared above in a certain mass ratio (adjust the ratio of SS and nHAP according to the needs of applied biomechanics), and then put it into the Stir well in an ultrasonic oscillator, add HPR/H 2 O 2 (HRP 5mg/ml, H 2 O 3/ 20,000 ) at a volume of 100:3:3 to make it evenly mixed. The mixed solution was injected into the model by injection, immediately placed in a -20°C refrigerator for 24 hours, and the prepared cylindrical or square scaffolds were then dried in a vacuum freeze dryer for 72 hours to obtain rhBMP-2-containing scaffolds. The sericin/hydroxyapatite composite scaffold material and the artificial bone material were sterilized by Co 60 irradiation.
人工骨材料负载种子细胞,采用负压抽吸制备,其步骤如下:The artificial bone material is loaded with seed cells and prepared by negative pressure suction. The steps are as follows:
(1)rhBMP-2的复合支架置入6孔板中,含10重量%胎牛血清的DMEM培养液预湿24小时,37℃、5体积%CO2培养箱培养24h,(1) The composite scaffold of rhBMP-2 was placed in a 6-well plate, pre-wetted with DMEM medium containing 10 wt% fetal bovine serum for 24 hours, and cultured in a 37°C, 5 vol% CO 2 incubator for 24 hours,
(2)把骨髓间充质干细胞均匀加入上述预湿处理的支架中(以SS/nHAP质量比1:1为本次的实验样品,可以依据情况调整),然后置于真空负压抽吸器中抽吸保持负压,放入37℃孵箱中保持10分钟后,放入37℃、5%CO2培养箱中贴附2小时后缓慢加入1.5ml DMEM培养液于37℃、5体积%CO2培养箱继续培养2-3d换液一次。(2) Bone marrow mesenchymal stem cells were evenly added to the above-mentioned pre-wetted scaffold (the mass ratio of SS/nHAP was 1:1 as the experimental sample, which can be adjusted according to the situation), and then placed in a vacuum negative pressure aspirator Medium suction to maintain negative pressure, put it in a 37°C incubator for 10 minutes, put it in a 37°C, 5% CO2 incubator for 2 hours, and slowly add 1.5ml of DMEM culture medium to 37°C, 5% by volume. Continue the culture in a CO 2 incubator for 2-3 d and change the medium once.
图1为本发明实施例组织工程骨移植物结构示意图,图1说明;本发明的一种组织工程骨移植物包括支架材料、生长因子和种子细胞,构成了具有孔隙率的三维空间结构和生物活性的细胞载体复合物。Figure 1 is a schematic structural diagram of a tissue engineered bone graft according to an embodiment of the present invention, and Figure 1 illustrates; a tissue engineered bone graft of the present invention includes a scaffold material, growth factors and seed cells, which constitute a three-dimensional spatial structure with porosity and biological Active cell carrier complex.
图2为本发明实施例制备的纯nHAP粉末人工骨扫描电镜下(200kv×100000),图2看出本发明制备出尺寸均一、水分散性良好的纳米羟基磷灰石颗粒。Figure 2 shows the pure nHAP powder artificial bone prepared in the embodiment of the present invention under a scanning electron microscope (200kv×100000). Figure 2 shows that the present invention prepares nano-hydroxyapatite particles with uniform size and good water dispersibility.
图3为本发明实施例复合后人工骨扫描电镜下观察(5kv×300)(SS/nHAP质量比1:1),图3说明丝胶蛋白/羟基磷灰石复合支架具有良好的多孔结构,羟基磷灰石纳米颗粒均匀分布在丝胶蛋白支架中。Fig. 3 is the observation under the scanning electron microscope (5kv×300) (SS/nHAP mass ratio 1:1) of the artificial bone after compounding according to the embodiment of the present invention. Fig. 3 shows that the sericin/hydroxyapatite composite scaffold has a good porous structure, The hydroxyapatite nanoparticles were uniformly distributed in the sericin scaffold.
图4为本发明实施例复合后人工骨扫描电镜下观察((5kv×100)(SS/nHAP质量比4:6),图4说明丝胶蛋白/羟基磷灰石复合支架具有良好的多孔结构,羟基磷灰石纳米颗粒均匀分布在丝胶蛋白支架中,且随着nHA P含量的增大,孔隙变小。Fig. 4 is the observation under the scanning electron microscope of the artificial bone after compounding according to the embodiment of the present invention ((5kv×100) (SS/nHAP mass ratio 4:6), Fig. 4 shows that the sericin/hydroxyapatite composite scaffold has a good porous structure , hydroxyapatite nanoparticles were uniformly distributed in the sericin scaffold, and the pores became smaller with the increase of nHA P content.
图5为本发明实施例A组12周X线,图5说明12周时植入材料降解完毕,髓腔完全再通,骨塑形完全,骨缺损修复。Figure 5 is a 12-week X-ray of Group A in Example 1 of the present invention. Figure 5 illustrates that at 12 weeks, the degradation of the implant material was completed, the medullary cavity was completely recanalized, the bone was completely reshaped, and the bone defect was repaired.
仿生人工骨在动物骨缺损修中的应用:Application of bionic artificial bone in animal bone defect repair:
1、动物实验手术操作(新西兰大白兔)1. Animal experiment operation (New Zealand white rabbit)
1.选用盐酸氯胺酮注射液20mg/kg,由耳缘静脉注入麻醉。1. Select ketamine hydrochloride injection 20mg/kg, inject anesthesia through the ear vein.
2.右侧前臂常规脱毛,消毒,手术铺巾。2. Routine depilation, disinfection, and surgical drape of the right forearm.
3.取前臂桡侧中段作2cm纵形切口,暴露桡骨干,在距桡骨近端2.5cm处用线锯连同骨膜一起锯断桡骨做成2cm的骨缺损动物模型。3. Make a 2cm longitudinal incision on the radial side of the forearm, expose the radial shaft, and cut the radius with a wire saw together with the periosteum at a distance of 2.5cm from the proximal end of the radius to form a 2cm bone defect animal model.
4.生理盐水冲洗伤口后按不同的组别分别植入A组:rhBMP2/SS/nHAp+BMSCs(本发明的骨移植物)、B组:SS/nHAP+BMSC(按照本发明方法制备,不引入丝胶蛋白)、C组:单纯SS/HAP(按照本发明的方法制备,不引入生长因子及骨髓间充质干细胞),空白对照组则不填充任何材料,依层次缝合伤口、D组:空白对照组。4. After rinsing the wound with normal saline, implanted respectively in group A: rhBMP2/SS/nHAp+BMSCs (bone graft of the present invention), group B: SS/nHAP+BMSC (prepared according to the method of the present invention, without Introduce sericin), group C: pure SS/HAP (prepared according to the method of the present invention, without introducing growth factor and bone marrow mesenchymal stem cells), blank control group is not filled with any material, and the wound is sutured according to the layers, group D: Blank control group.
5.局部肢体不作内、外固定,伤口不予包扎。5. Partial limbs are not fixed internally and externally, and wounds are not bandaged.
6.麻醉清醒后放入笼内常规喂养,术后三天每天80万单位青霉素肌注抗炎。6. After awake from anesthesia, they were put into the cage for routine feeding, and 800,000 units of penicillin were injected intramuscularly for anti-inflammatory for three days after the operation.
观察指标及方法Observation indicators and methods
1.一般情况及大体标本1. General situation and gross specimens
术后观察兔的饮食、活动、伤口反应,4周、8周、12周取材观察植入材料的表面情况、成骨和炎症反应等。取出标本后观察骨缺损连接情况、骨端骨痂生长情况。The diet, activity and wound reaction of the rabbits were observed after operation, and the surface condition, osteogenesis and inflammatory reaction of the implanted materials were observed after 4 weeks, 8 weeks and 12 weeks. After the specimens were taken out, the connection of the bone defect and the growth of the bone end callus were observed.
2.X线检查2. X-ray inspection
术后4周、8周、12周进行试验肢体的X线摄片检查。The X-ray examinations of the test limbs were performed at 4, 8 and 12 weeks after the operation.
3.生物力学检测3. Biomechanical testing
各组在4周、8周、12周各时间点分别随机取4只动物处死后,切取术侧完整桡骨标本,剔净骨膜及软组织后在858 miniBionix力学测试机上行三点抗弯试验。Four animals were randomly selected and sacrificed at each time point of 4 weeks, 8 weeks and 12 weeks in each group, and the intact radial bone specimens on the surgical side were excised.
4.扫描电镜观察4. Scanning electron microscope observation
处死动物后取出桡骨全段,从各材料组各个时期标本中随机取出2个标本,截取骨缺损部位及与材料交界处两端各0.5cm,用3%戊二醛固定后用利刀从中间剖开,脱水、临界点干燥、喷金镀膜后在扫描电镜(SEM)下观察骨与材料界面相容性情况及骨缺损修复情况。After the animals were sacrificed, the entire radial bone was taken out, and 2 specimens were randomly taken from the specimens of each material group in each period. The bone defect site and both ends of the junction with the material were cut with 0.5 cm, fixed with 3% glutaraldehyde, and a sharp knife was used to remove the middle. After dissection, dehydration, critical point drying, and gold spray coating, the compatibility of bone and material interface and the repair of bone defect were observed under scanning electron microscope (SEM).
结果:result:
1.一般情况及大体标本1. General situation and gross specimens
术后实验动物饮食、活动正常,无伤口感染,术后1周左右伤口一期愈合,伤口缝线自行脱落,肢体活动正常,无受限及跛行。After the operation, the experimental animals had normal diet and activities, no wound infection, and the wound healed in the first stage about 1 week after the operation.
2.X线表现2. X-ray performance
实验组A组:4周时材料部分降解,材料与骨组织融合,骨痂形成;8周时材料进一步降解,骨质与材料接触界限模糊;12周时材料降解完毕,髓腔完全再通,塑形完全,骨缺损修复;B组、C组骨缺损修复效果欠佳;D组:骨缺损未得到修复。Experimental group Group A: at 4 weeks, the material was partially degraded, the material was fused with bone tissue, and callus formed; at 8 weeks, the material was further degraded, and the contact boundary between bone and material was blurred; at 12 weeks, the material was degraded, and the medullary cavity was completely recanalized. Complete shaping and repair of bone defect; group B and group C had poor repair effect of bone defect; group D: bone defect was not repaired.
3.力学分析3. Mechanical analysis
各时期试验组标本在三点弯曲试验中,测得的弯曲强度数据统计学分析显示:A、B、C组各组组内比较,4周<8周<12周,差异均有统计学意义(P<0.05);4周、8周、12周各组间比较,A组>B组>C组差异有统计学意义(P<0.01);表明A组材料的成骨能力优于B组和C组材料,而同一材料植入骨缺损处后随着时间的增长,其力学强度也随之增强。Statistical analysis of the bending strength data measured in the three-point bending test of the specimens of the test groups in each period showed that the differences between groups A, B, and C within each group were 4 weeks < 8 weeks < 12 weeks, and the differences were statistically significant. (P < 0.05); compared between the groups at 4 weeks, 8 weeks and 12 weeks, there was a statistically significant difference between group A > group B > group C (P < 0.01); it indicated that the osteogenic ability of the materials in group A was better than that in group B The same material was implanted into the bone defect and its mechanical strength increased with time.
4.扫描电镜观察4. Scanning electron microscope observation
A组:4周时材料出现降解,材料与正常骨质间出现间隙,间隙内有骨痂产生充填;8周:材料进一步降解,但材料与正常骨质“融合”,其间产生大量新生类骨组织;12周时,材料降解完全,骨缺损区被新生板层状骨组织充填,骨缺损完全修复。B、C组可见材料吸收欠佳,新生骨量少。Group A: The material degraded at 4 weeks, and there was a gap between the material and normal bone, and callus filled the gap; 8 weeks: The material was further degraded, but the material was "fused" with normal bone, and a large number of new bone-like bones were produced between them. At 12 weeks, the material was completely degraded, the bone defect area was filled with new lamellar bone tissue, and the bone defect was completely repaired. Groups B and C showed poor material absorption and less new bone.
以上详细描述了本发明的优选实施方式,但是,本发明并不限于此。在本发明的技术构思范围内,可以对本发明的技术方案进行多种简单变型,包括各个技术特征以任何其它的合适方式进行组合,这些简单变型和组合同样应当视为本发明所公开的内容,均属于本发明的保护范围。The preferred embodiments of the present invention have been described above in detail, however, the present invention is not limited thereto. Within the scope of the technical concept of the present invention, a variety of simple modifications can be made to the technical solutions of the present invention, including the combination of various technical features in any other suitable manner. These simple modifications and combinations should also be regarded as the content disclosed in the present invention. All belong to the protection scope of the present invention.
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