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CN117530814A - A skeletal organoid construction system and its use method - Google Patents

A skeletal organoid construction system and its use method Download PDF

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Publication number
CN117530814A
CN117530814A CN202311219797.XA CN202311219797A CN117530814A CN 117530814 A CN117530814 A CN 117530814A CN 202311219797 A CN202311219797 A CN 202311219797A CN 117530814 A CN117530814 A CN 117530814A
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bone
organoid
dimensional
defect area
skeletal
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任义军
王翊凯
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Renmin Hospital of Wuhan University
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Renmin Hospital of Wuhan University
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Abstract

本发明公开了一种骨骼类器官的构建系统及其使用方法,构建系统包括如下模块:骨缺损数据模块,用于获取患者通过医学造影技术获取的骨缺损区域的容积检查数据,获取患者的骨缺损区域的医学影像数据;三维模拟模块,用于将获取的医学影像数据转化为三维图像,对患者的骨缺损区域进行三维模拟;根据骨缺损区域三维图像生成待构建的骨骼类器官的三维数据模型;三维构建模块,根据待构建的骨骼类器官的三维数据模型,选择合适的生物相容性支架,将培养的成骨细胞层种植于所述生物相容性支架上,使其在骨骼微环境中生长,成骨细胞层生长并形成骨骼类器官。本发明可以构建形成与骨缺损区域形状结构相匹配的骨骼类器官,更好地完成临床治疗。

The invention discloses a skeletal organoid construction system and its use method. The construction system includes the following modules: a bone defect data module, which is used to obtain the volumetric inspection data of the bone defect area of the patient obtained through medical imaging technology, and obtain the patient's bone defect data module. Medical imaging data of the defect area; a three-dimensional simulation module, used to convert the acquired medical imaging data into a three-dimensional image, and perform a three-dimensional simulation of the patient's bone defect area; generate three-dimensional data of the skeletal organoids to be constructed based on the three-dimensional image of the bone defect area Model; a three-dimensional building module. According to the three-dimensional data model of the skeletal organoid to be constructed, a suitable biocompatible scaffold is selected, and the cultured osteoblast layer is planted on the biocompatible scaffold to allow it to grow on the bone microstructure. Growing in the environment, the osteoblast layer grows and forms skeletal organoids. The present invention can construct and form skeletal organoids that match the shape and structure of the bone defect area to better complete clinical treatment.

Description

一种骨骼类器官的构建系统及其使用方法A skeletal organoid construction system and its use method

技术领域Technical field

本发明涉及骨骼类器官技术领域,尤其涉及一种骨骼类器官的构建系统及其使用方法。The present invention relates to the technical field of skeletal organoids, and in particular to a skeletal organoid construction system and a method of using the same.

背景技术Background technique

类器官(organoids)是模拟人体器官解剖学和功能的微小细胞结构,这种在实验室培养的器官模型在现代医学研究中扮演了越来越重要的角色。类器官技术可以利用哺乳动物多能干细胞或成体组织来源的干细胞自我组织的特性在体外构建类似体内的3D微环境,构建具有多细胞类型的类器官,这些具有多细胞类型复杂程度的类器官已经与对应体内组织器官高度类似,为研究组织器官的发育、再生及病理提供了理想的平台。Organoids are tiny cellular structures that simulate the anatomy and function of human organs. Such organ models grown in the laboratory play an increasingly important role in modern medical research. Organoid technology can take advantage of the self-organizing properties of mammalian pluripotent stem cells or stem cells derived from adult tissues to construct a 3D microenvironment in vitro similar to that in vivo, and construct organoids with multiple cell types. These organoids with the complexity of multiple cell types have been It is highly similar to the corresponding tissues and organs in the body, providing an ideal platform for studying the development, regeneration and pathology of tissues and organs.

在骨科中,因创伤、炎症、肿瘤切除等原因造成每年有大量人群发生骨缺损,但人体自身无法再生修复大段临界骨缺损,大多数情况下需要外部手术干预来恢复正常。目前临床上的常用的骨移植物材料有以下几种:自体骨,即材料取之于病人本人身体,是最理想的修复物,却存在二次伤害,多术区及供区并发症、来源不足等问题;异体骨,多来自尸体捐献或是动物,存在免疫反应、潜在感染风险及医学伦理等问题;骨填充假体,存在排异反应、骨长入成功率差及长时间后需翻修等问题。因此采用类器官技术构建与体内骨骼器官高度类似的类器官可以更好地完成临床治疗重任。In orthopedics, a large number of people suffer from bone defects every year due to trauma, inflammation, tumor resection and other reasons. However, the human body itself cannot regenerate and repair large critical bone defects. In most cases, external surgical intervention is required to restore normalcy. Currently, the commonly used bone graft materials in clinical practice include the following: Autologous bone, that is, the material is taken from the patient’s own body. It is the most ideal repair material, but it suffers from secondary injuries, complications and sources of multiple surgical and donor sites. Problems such as insufficiency; allogeneic bone, mostly from cadaver donations or animals, has issues such as immune response, potential infection risks, and medical ethics; bone-filled prostheses have rejection reactions, poor bone ingrowth success rates, and require revision after a long period of time And other issues. Therefore, using organoid technology to construct organoids that are highly similar to skeletal organs in the body can better fulfill the task of clinical treatment.

然而在类器官技术中,模拟大脑、肺和其他器官的类器官都已经面世很长一段时间了,但是为骨骼组织建立类器官模型却非常困难。例如公开号为CN115154674A的中国专利申请,其公开了“一种基于类骨器官的3D生物打印类骨组织工程支架”,该申请将细胞在打印过程中直接封装在支架内,可高通量制造,并对细胞进行精准控制,但是该申请在3D打印过程中容易对细胞产生分化破坏,造成构建成的骨骼类器官发生畸变,构建所需的骨骼类器官较为困难,这是因为不同类型的骨骼细胞都存在于特殊的细胞外基质(ECM)中,而这里的细胞外基质是一套由胶原蛋白和矿物质组成的网络,它们一直处在不断变化的状态下,因此构建与骨缺损区域相适应的骨骼类器官比较困难。However, in organoid technology, organoids that simulate the brain, lungs and other organs have been available for a long time, but creating organoid models for bone tissue has been very difficult. For example, the Chinese patent application with publication number CN115154674A discloses "a 3D bioprinted bone-like tissue engineering scaffold based on bone organoids." This application directly encapsulates cells in the scaffold during the printing process, allowing for high-throughput manufacturing. , and precisely control cells. However, this application is prone to differentiation and destruction of cells during the 3D printing process, causing distortion of the constructed skeletal organoids. It is difficult to construct the required skeletal organoids because different types of bones Cells exist in a special extracellular matrix (ECM), which is a network composed of collagen and minerals. They are always in a state of constant change, so the structure is consistent with the bone defect area. Adapting skeletal organoids is more difficult.

发明内容Contents of the invention

为解决现有技术中存在的构建与骨缺损区域相适应的骨骼类器官比较困难的技术问题,本发明提供了如下技术方案。In order to solve the technical problem in the prior art that it is difficult to construct skeletal organoids that are adapted to bone defect areas, the present invention provides the following technical solutions.

本发明一种骨骼类器官的构建系统,包括如下模块:A skeletal organoid construction system of the present invention includes the following modules:

骨缺损数据模块,用于获取患者通过医学造影技术获取的骨缺损区域的容积检查数据,获取患者的骨缺损区域的医学影像数据;The bone defect data module is used to obtain the volumetric examination data of the patient's bone defect area obtained through medical imaging technology, and obtain the medical imaging data of the patient's bone defect area;

三维模拟模块,用于将获取的医学影像数据转化为三维图像,对患者的骨缺损区域进行三维模拟;根据骨缺损区域三维图像生成待构建的骨骼类器官的三维数据模型;The three-dimensional simulation module is used to convert the acquired medical imaging data into a three-dimensional image and perform a three-dimensional simulation of the patient's bone defect area; generate a three-dimensional data model of the skeletal organoid to be constructed based on the three-dimensional image of the bone defect area;

三维构建模块,根据待构建的骨骼类器官的三维数据模型,选择合适的生物相容性支架,将培养的成骨细胞层种植于所述生物相容性支架上,使其在骨骼微环境中生长,随着时间的增长,成骨细胞层生长并形成骨骼类器官。The three-dimensional building module selects an appropriate biocompatible scaffold based on the three-dimensional data model of the skeletal organoid to be constructed, and plants the cultured osteoblast layer on the biocompatible scaffold to allow it to grow in the bone microenvironment. Growth, over time, the osteoblast layer grows and forms skeletal organoids.

作为进一步的技术方案,所述医学造影数据包括X光成像、超声波成像、电子计算机断层扫描成像CT、磁共振成像MRI、正电子发射计算机断层显像PET-CT等数据中的一种或多种。As a further technical solution, the medical imaging data includes one or more of X-ray imaging, ultrasound imaging, computed tomography CT, magnetic resonance imaging MRI, positron emission computed tomography PET-CT, etc. .

作为进一步的技术方案,所述将获取的医学影像数据转化为三维图像的过程中,还原骨缺损区域的原始三维图像并与缺损区域对应的缺损部分三维图像相对比。As a further technical solution, in the process of converting the acquired medical imaging data into a three-dimensional image, the original three-dimensional image of the bone defect area is restored and compared with the three-dimensional image of the defect part corresponding to the defect area.

作为进一步的技术方案,所述三维构建模块还包括为成骨细胞层提供生长环境的微环境单元、将成骨细胞层种植于生物相容性支架上的种植单元和持续构建与骨缺损区域相适配的骨骼类器官的构建单元。As a further technical solution, the three-dimensional building module also includes a microenvironment unit that provides a growth environment for the osteoblast layer, a planting unit that implants the osteoblast layer on a biocompatible scaffold, and a continuous construction unit that is suitable for the bone defect area. The building blocks of skeletal organoids.

作为进一步的技术方案,所述微环境单元用于营造供成骨细胞生长的微环境,包括提供与骨组织形成有关的细胞以及待构建的骨骼类器官生长所需的环境,同时培养成骨细胞层和三维骨组织。As a further technical solution, the microenvironment unit is used to create a microenvironment for the growth of osteoblasts, including providing cells related to bone tissue formation and the environment required for the growth of skeletal organoids to be constructed, while cultivating osteoblasts layers and three-dimensional bone tissue.

作为进一步的技术方案,所述与骨组织形成有关的细胞包括骨髓基质细胞、骨祖细胞、前成骨细胞、成骨细胞、骨衬细胞、骨细胞或破骨细胞等至少一种细胞或多种细胞组合。As a further technical solution, the cells related to bone tissue formation include at least one or more cells such as bone marrow stromal cells, osteoprogenitor cells, pre-osteoblasts, osteoblasts, bone lining cells, osteocytes or osteoclasts. combination of cells.

作为进一步的技术方案,所述种植单元中根据实际检测到的骨缺损区域来确定生物相容性支架的结构,将培养的成骨细胞层种植于生物相容性支架上,促使生长的成骨细胞在特定方向上对齐或伸展,使其在成骨微环境中生长。As a further technical solution, the structure of the biocompatible scaffold is determined based on the actual detected bone defect area in the planting unit, and the cultured osteoblast layer is planted on the biocompatible scaffold to promote the growth of osteoblasts. Cells align or stretch in specific directions, allowing them to grow in an osteogenic microenvironment.

作为进一步的技术方案,所述构建单元用于持续构建与骨缺损区域相适配的骨骼类器官,根据不同骨骼类器官的结构及微环境不同,使用机械力模拟人体骨骼形成所需的压力,使骨髓干细胞转变为所需构建的骨骼类器官生长需要的造骨细胞和生长调节骨细胞等多种成骨细胞,并进一步形成与骨缺损区域形状结构相匹配的骨骼类器官。As a further technical solution, the construction unit is used to continuously construct skeletal organoids that are adapted to the bone defect area. According to the different structures and microenvironments of different skeletal organoids, mechanical force is used to simulate the pressure required for human bone formation. The bone marrow stem cells are transformed into a variety of osteoblasts such as osteoblasts and growth-regulating osteocytes required for the growth of the skeletal organoids to be constructed, and further form skeletal organoids that match the shape and structure of the bone defect area.

本发明还包括一种骨骼类器官的构建系统的使用方法,包括如下步骤:The present invention also includes a method for using a skeletal organoid construction system, which includes the following steps:

S1:对患者骨缺损区域进行检测,获取患者通过医学造影技术获取的骨缺损区域的容积检查数据;S1: Detect the patient's bone defect area and obtain the volumetric examination data of the patient's bone defect area obtained through medical imaging technology;

S2:使用计算机三维辅助软件将获取的医学影像数据转化为三维图像,对患者的骨缺损区域进行三维模拟,生成待构建的骨骼类器官的三维数据模型;S2: Use computer 3D auxiliary software to convert the acquired medical imaging data into 3D images, perform 3D simulation of the patient's bone defect area, and generate a 3D data model of the skeletal organoids to be constructed;

S3:根据待构建的骨骼类器官的三维数据模型,选择合适的生物相容性支架,将培养的成骨细胞层种植于所述生物相容性支架上,使其在骨骼微环境中生长,随着时间的增长,成骨细胞层生长并形成骨骼类器官。S3: Select an appropriate biocompatible scaffold based on the three-dimensional data model of the skeletal organoid to be constructed, and plant the cultured osteoblast layer on the biocompatible scaffold to allow it to grow in the bone microenvironment. Over time, the osteoblast layer grows and forms skeletal organoids.

作为进一步的技术方案,所述步骤S3中,还包括步骤S301,通过人源干细胞营造供成骨细胞生长的微环境,即营造成与骨组织形成有关的细胞,同时培养成骨细胞层和三维骨组织;As a further technical solution, step S3 also includes step S301, using human stem cells to create a microenvironment for the growth of osteoblasts, that is, creating cells related to bone tissue formation, and simultaneously cultivating the osteoblast layer and three-dimensional bone tissue;

还包括步骤S302,将培养的成骨细胞层种植于与骨缺损区域相适配的生物相容性支架上形成构建体;It also includes step S302 of planting the cultured osteoblast layer on a biocompatible scaffold adapted to the bone defect area to form a construct;

还包括步骤S303,持续构建与骨缺损区域相适配的骨骼类器官,根据不同骨骼类器官的结构及微环境不同,使用机械力模拟人体骨骼形成所需的压力,使骨髓干细胞转变为所需构建的骨骼类器官生长需要的造骨细胞和生长调节骨细胞等多种成骨细胞。It also includes step S303, which continues to construct skeletal organoids that are suitable for the bone defect area. According to the different structures and microenvironments of different skeletal organoids, mechanical force is used to simulate the pressure required for human bone formation to convert bone marrow stem cells into the required The growth of constructed skeletal organoids requires a variety of osteoblasts such as osteoblasts and growth-regulating osteocytes.

本发明的有益效果,本发明通过医学影响技术获取患者的骨缺损区域的三维数据,将获取的医学影像数据转化为三维图像,对患者的骨缺损区域进行三维模拟,根据骨缺损区域三维图像生成待构建的骨骼类器官的三维数据模型;之后根据待构建的骨骼类器官的三维数据模型,选择合适的生物相容性支架,将培养的成骨细胞层种植于所述生物相容性支架上,根据不同骨骼类器官的结构及微环境不同,使用机械力模拟人体骨骼形成所需的压力,使骨髓干细胞转变为所需构建的骨骼类器官生长需要的造骨细胞和生长调节骨细胞等多种成骨细胞,刺激了细胞外基质(ECM)的生长,这个过程与人体骨骼组织的生长非常类似,并使细胞分泌完成后续功能所需的所有蛋白质,最终形成与骨缺损区域形状结构相匹配的骨骼类器官。The beneficial effects of the present invention are that the present invention obtains three-dimensional data of the patient's bone defect area through medical imaging technology, converts the obtained medical image data into a three-dimensional image, performs a three-dimensional simulation of the patient's bone defect area, and generates data based on the three-dimensional image of the bone defect area. A three-dimensional data model of the skeletal organoid to be constructed; then, according to the three-dimensional data model of the skeletal organoid to be constructed, a suitable biocompatible scaffold is selected, and the cultured osteoblast layer is planted on the biocompatible scaffold According to the different structures and microenvironments of different skeletal organoids, mechanical force is used to simulate the pressure required for human bone formation, so that bone marrow stem cells are transformed into osteoblasts and growth-regulating osteocytes required for the growth of the skeletal organoids to be constructed. Osteoblasts are planted to stimulate the growth of extracellular matrix (ECM). This process is very similar to the growth of human bone tissue and causes the cells to secrete all the proteins needed to complete subsequent functions, ultimately forming a structure that matches the shape of the bone defect area. of skeletal organoids.

附图说明Description of drawings

图1是本发明骨骼类器官的构建系统的模块结构示意图;Figure 1 is a schematic diagram of the module structure of the skeletal organoid construction system of the present invention;

图2是本发明骨骼类器官的构建系统的成骨细胞层EM图;Figure 2 is an EM image of the osteoblast layer of the skeletal organoid construction system of the present invention;

图3是本发明骨骼类器官的构建系统的一实施例中骨组织移植示意图;Figure 3 is a schematic diagram of bone tissue transplantation in one embodiment of the skeletal organoid construction system of the present invention;

具体实施方式Detailed ways

为了使本发明的目的、技术方案及优点更加清楚明白,以下结合附图及实施例,对本发明进行进一步详细说明。应当理解,此处所描述的具体实施例仅仅用以解释本发明,并不用于限定本发明。需要说明的是,在不冲突的情况下,本发明中的实施例及实施例中的特征可以相互组合。In order to make the purpose, technical solutions and advantages of the present invention more clear, the present invention will be further described in detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described here are only used to explain the present invention and are not intended to limit the present invention. It should be noted that, as long as there is no conflict, the embodiments and features in the embodiments of the present invention can be combined with each other.

附图中的流程图仅是一种示例性的流程演示,不代表本发明的方案中必须包括流程图中的所有的内容、操作和步骤,也不代表必须按照图中所显示的的顺序执行。例如,流程图中有的操作/步骤可以分解,有的操作/步骤可以合并或部分合并,等等,在不脱离本发明的发明主旨的情况下,流程图中显示的执行顺序可以根据实际情况改变。The flow chart in the accompanying drawing is only an exemplary process demonstration. It does not mean that the solution of the present invention must include all the contents, operations and steps in the flow chart, nor does it mean that it must be executed in the order shown in the figure. . For example, some operations/steps in the flow chart can be decomposed, some operations/steps can be combined or partially combined, etc., without departing from the gist of the present invention, the execution sequence shown in the flow chart can be based on the actual situation. Change.

附图中的框图一般表示的是功能实体,并不一定必然与物理上独立的实体相对应。即,可以采用软件或硬件形式来实现这些功能实体,或采用一个或多个操作步骤或方法来表示这些功能实体,或在不同处理单元、操作方法或实验步骤中实现这些功能实体。The block diagrams in the accompanying drawings generally represent functional entities and do not necessarily correspond to physically independent entities. That is, these functional entities may be implemented in the form of software or hardware, or one or more operating steps or methods may be used to represent these functional entities, or these functional entities may be implemented in different processing units, operating methods, or experimental steps.

本发明一种骨骼类器官的构建系统,包括如下模块:A skeletal organoid construction system of the present invention includes the following modules:

骨缺损数据模块1,用于获取患者通过医学造影技术获取的骨缺损区域的容积检查数据,即,获取患者的骨缺损区域的医学影像数据;所述医学造影数据包括X光成像、超声波成像、电子计算机断层扫描成像CT、磁共振成像MRI、正电子发射计算机断层显像PET-CT等数据中的一种或多种;The bone defect data module 1 is used to obtain the volumetric examination data of the patient's bone defect area obtained through medical imaging technology, that is, to obtain the medical imaging data of the patient's bone defect area; the medical imaging data includes X-ray imaging, ultrasound imaging, One or more data from electronic computed tomography (CT), magnetic resonance imaging (MRI), positron emission computed tomography (PET-CT), etc.;

三维模拟模块2,用于将获取的医学影像数据转化为三维图像,对患者的骨缺损区域进行三维模拟;即,收集患者骨缺损区域的影像数据,将还原骨缺损区域的原始三维图像与缺损区域对应的缺损部分三维图像相对比,根据骨缺损区域三维图像生成待构建的骨骼类器官的三维数据模型;The three-dimensional simulation module 2 is used to convert the acquired medical image data into a three-dimensional image and conduct a three-dimensional simulation of the patient's bone defect area; that is, collect the image data of the patient's bone defect area and restore the original three-dimensional image and defect of the bone defect area. Compare the three-dimensional images of the defective part corresponding to the area, and generate a three-dimensional data model of the skeletal organoid to be constructed based on the three-dimensional image of the bone defect area;

三维构建模块3,根据待构建的骨骼类器官的三维数据模型,选择合适的生物相容性支架,将培养的成骨细胞层种植于所述生物相容性支架上,使其在骨骼微环境中生长,随着时间的增长,成骨细胞层生长并形成骨骼类器官。The three-dimensional building module 3 selects an appropriate biocompatible scaffold based on the three-dimensional data model of the skeletal organoid to be constructed, and plants the cultured osteoblast layer on the biocompatible scaffold to allow it to function in the bone microenvironment. During growth, over time, the osteoblast layer grows and forms skeletal organoids.

所述三维构建模块3还包括微环境单元301、种植单元302和构建单元303,所述微环境单元301用于营造供成骨细胞生长的微环境,微环境单元301中营造成骨微环境的细胞包括与骨组织形成有关的细胞,即,包括骨髓基质细胞、骨祖细胞、前成骨细胞、成骨细胞、骨衬细胞、骨细胞或破骨细胞等至少一种细胞或多种细胞组合。The three-dimensional building module 3 also includes a microenvironment unit 301, a planting unit 302 and a building unit 303. The microenvironment unit 301 is used to create a microenvironment for the growth of osteoblasts. The microenvironment unit 301 creates an osteogenic microenvironment. The cells include cells related to bone tissue formation, that is, including at least one cell or a combination of cells such as bone marrow stromal cells, osteoprogenitor cells, preosteoblasts, osteoblasts, bone lining cells, osteocytes or osteoclasts. .

在本单元中,还可以同时培养成骨细胞层和三维骨组织,其中培养成骨细胞层是将间充质干细胞进行二维平面培养,并分化成成骨细胞层;培养三维骨组织是指将间充质干细胞三维培养并分化成三维球状骨组织。In this unit, osteoblast layer and three-dimensional bone tissue can also be cultured at the same time. Cultivating the osteoblast layer means culturing mesenchymal stem cells in a two-dimensional plane and differentiating into the osteoblast layer; culturing three-dimensional bone tissue means Mesenchymal stem cells are three-dimensionally cultured and differentiated into three-dimensional spherical bone tissue.

应当可知的是,成骨细胞层是指通过包括人的干细胞的分化而获得的多种成骨细胞,并且进一步包括从骨组织培养的成骨细胞,所述干细胞主要指间充质干细胞、胚胎干细胞、多能干细胞和未分化祖细胞等具备多向分化及更新的细胞,其中优选采用间充质干细胞。It should be understood that the osteoblast layer refers to a variety of osteoblasts obtained through differentiation of human stem cells, and further includes osteoblasts cultured from bone tissue. The stem cells mainly refer to mesenchymal stem cells, embryonic stem cells, and embryonic stem cells. Stem cells, pluripotent stem cells and undifferentiated progenitor cells are cells with multi-directional differentiation and renewal, among which mesenchymal stem cells are preferably used.

所述种植单元302中可将培养的成骨细胞层种植于生物相容性支架上,具体来说,为了让培养的成骨细胞和骨组织形成更接近人体中的三维形态,使用了由生物相容性聚合物制成的生物相容性支架,这种支架通常带有凹槽或网状结构,可在上面种植成骨细胞层,生物相容性支架的基本形状或图案促使生长的成骨细胞在特定方向上对齐或伸展,使其在成骨微环境中生长。这是因为生物相容性支架具有生物降解性和生物相容性,它可与生物系统相容,并在系统内自然降解而不会产生任何毒性作用。In the planting unit 302, the cultured osteoblast layer can be planted on a biocompatible scaffold. Specifically, in order to allow the cultured osteoblasts and bone tissue to form a three-dimensional shape closer to that in the human body, a bio-based implant is used. Biocompatible scaffolds made of compatible polymers. This scaffold usually has a groove or mesh structure on which a layer of osteoblasts can be planted. The basic shape or pattern of the biocompatible scaffold promotes the growth of osteoblasts. Osteocytes align or stretch in specific directions, allowing them to grow in an osteogenic microenvironment. This is because biocompatible scaffolds are biodegradable and biocompatible, which means they are compatible with biological systems and degrade naturally within the system without any toxic effects.

应当可知的是,人体正常的骨组织存在两种不同结构:松质骨和皮质骨,松质骨为多孔结构,具有45%~90%的孔隙率;皮质骨则更为致密,分布在骨干和骨组织表面,孔隙率5%-20%。但是,无论松质骨还是皮质骨,为了促进骨组织的连续向内生长,相互连通的孔隙结构都是非常重要的。这是因为,相互连通的孔隙能够允许营养物质和氧气传输到生物相容性支架的内部,促进细胞和骨组织向支架内部结构生长,促进支架血管化的形成以及代谢产物的去除。因此可根据实际检测到的骨缺损区域来调整上述生物相容性支架的结构,以便于在成骨细胞层上孵育三维骨组织并诱导自组装。It should be known that normal human bone tissue has two different structures: cancellous bone and cortical bone. Cancellous bone is a porous structure with a porosity of 45% to 90%; cortical bone is denser and distributed in the backbone. And the surface of bone tissue has a porosity of 5%-20%. However, regardless of cancellous bone or cortical bone, in order to promote the continuous ingrowth of bone tissue, the interconnected pore structure is very important. This is because the interconnected pores can allow nutrients and oxygen to be transported into the interior of the biocompatible scaffold, promote the growth of cells and bone tissue into the internal structure of the scaffold, promote the formation of vascularization of the scaffold, and remove metabolic products. Therefore, the structure of the above-mentioned biocompatible scaffold can be adjusted according to the actual detected bone defect area to facilitate incubation of three-dimensional bone tissue on the osteoblast layer and induce self-assembly.

所述构建单元303用于持续构建与骨缺损区域相适配的骨骼类器官,根据不同骨骼类器官的结构及微环境不同,使用机械力模拟人体骨骼形成所需的压力,使骨髓干细胞转变为所需构建的骨骼类器官生长需要的造骨细胞和生长调节骨细胞等多种成骨细胞,刺激了细胞外基质(ECM)的生长,这个过程与人体骨骼组织的生长非常类似,并使细胞分泌完成后续功能所需的所有蛋白质。这是因为骨骼要达到正常的形状,必须在生长过程中经受某些机械应力,每次移动,体重和肌肉就会对骨骼施加压力,这会产生极小变形。而这些变形对于骨骼发育到适当的大小、形状和强度来说是必要的。随着时间推移,成骨细胞生长在一起形成骨组织,并进一步形成与骨缺损区域形状结构相匹配的骨骼类器官。The construction unit 303 is used to continuously construct skeletal organoids that are adapted to the bone defect area. According to the different structures and microenvironments of different skeletal organoids, mechanical force is used to simulate the pressure required for human bone formation to convert bone marrow stem cells into A variety of osteoblasts, such as osteoblasts and growth-regulatory osteocytes, required for the growth of the skeletal organoids to be constructed, stimulate the growth of extracellular matrix (ECM). This process is very similar to the growth of human bone tissue and makes the cells Secretes all proteins required to complete subsequent functions. This is because in order for bones to reach their normal shape, they must withstand certain mechanical stresses as they grow. Every time you move, your body weight and muscles put pressure on the bones, which produces minimal deformation. These deformations are necessary for bones to develop to proper size, shape, and strength. Over time, the osteoblasts grow together to form bone tissue and further form bone organoids that match the shape and structure of the bone defect area.

本发明的骨骼类器官的构建适用于股骨、胫骨、肱骨、尺骨、桡骨以及半月板、顶骨等多种骨骼,可根据实际骨缺损区域的需要个性化定制相应的骨骼类器官。The construction of skeletal organoids of the present invention is suitable for various bones such as femur, tibia, humerus, ulna, radius, meniscus, parietal bone, etc. The corresponding skeletal organoids can be customized according to the needs of the actual bone defect area.

本发明还涉及一种骨骼类器官的构建系统的使用方法,其包括如下步骤;The present invention also relates to a method of using a skeletal organoid construction system, which includes the following steps;

S1:对患者骨缺损区域进行检测,获取患者通过医学造影技术获取的骨缺损区域的容积检查数据,包括X光成像、超声波成像、电子计算机断层扫描成像CT、磁共振成像MRI、正电子发射计算机断层显像PET-CT等数据中的多种;S1: Detect the patient's bone defect area and obtain the patient's volumetric examination data of the bone defect area obtained through medical imaging technology, including X-ray imaging, ultrasound imaging, computed tomography CT, magnetic resonance imaging MRI, and positron emission computer A variety of tomographic imaging PET-CT and other data;

S2:使用计算机三维辅助软件将获取的医学影像数据转化为三维图像,对患者的骨缺损区域进行三维模拟,生成待构建的骨骼类器官的三维数据模型;S2: Use computer 3D auxiliary software to convert the acquired medical imaging data into 3D images, perform 3D simulation of the patient's bone defect area, and generate a 3D data model of the skeletal organoids to be constructed;

S3:根据待构建的骨骼类器官的三维数据模型,选择合适的生物相容性支架,将培养的成骨细胞层种植于所述生物相容性支架上,使其在骨骼微环境中生长,随着时间的增长,成骨细胞层生长并形成骨骼类器官。S3: Select an appropriate biocompatible scaffold based on the three-dimensional data model of the skeletal organoid to be constructed, and plant the cultured osteoblast layer on the biocompatible scaffold to allow it to grow in the bone microenvironment. Over time, the osteoblast layer grows and forms skeletal organoids.

在所述步骤S3中,还包括步骤S301,通过人源干细胞营造供成骨细胞生长的微环境,即营造成与骨组织形成有关的细胞,即,包括骨髓基质细胞、骨祖细胞、前成骨细胞、成骨细胞、骨衬细胞、骨细胞或破骨细胞等至少一种细胞或多种细胞组合。还可以同时培养成骨细胞层和三维骨组织,其中培养成骨细胞层是将间充质干细胞进行二维平面培养,并分化成成骨细胞层;培养三维骨组织是指将间充质干细胞三维培养并分化成三维球状骨组织。In the step S3, step S301 is also included, which is to use human stem cells to create a microenvironment for the growth of osteoblasts, that is, to create cells related to bone tissue formation, that is, including bone marrow stromal cells, osteoprogenitor cells, preblasts, etc. At least one type of cell or a combination of multiple cells such as osteocytes, osteoblasts, bone lining cells, osteocytes or osteoclasts. The osteoblast layer and the three-dimensional bone tissue can also be cultured at the same time. The osteoblast layer culture means that the mesenchymal stem cells are cultured in a two-dimensional plane and differentiated into the osteoblast layer. The three-dimensional bone tissue culture means that the mesenchymal stem cells are cultured in a two-dimensional plane. Three-dimensional culture and differentiation into three-dimensional spherical bone tissue.

在所述步骤S3中,还包括步骤S302,将培养的成骨细胞层种植于生物相容性支架上形成构建体,使用由生物相容性聚合物制成的生物相容性支架,应当注意的是,该生物相容性支架的结构与骨缺损区域的结构相同或相似,可在上面种植成骨细胞层,生物相容性支架的基本形状或图案促使生长的成骨细胞在特定方向上对齐或伸展。In step S3, step S302 is also included, in which the cultured osteoblast layer is planted on a biocompatible scaffold to form a construct. When using a biocompatible scaffold made of biocompatible polymers, it should be noted that What is unique is that the structure of the biocompatible scaffold is the same or similar to the structure of the bone defect area, and a layer of osteoblasts can be planted on it. The basic shape or pattern of the biocompatible scaffold encourages the growing osteoblasts to grow in a specific direction. Align or stretch.

在所述步骤S3中,还包括步骤S303,该步骤中可持续构建与骨缺损区域相适配的骨骼类器官,根据不同骨骼类器官的结构及微环境不同,使用机械力模拟人体骨骼形成所需的压力,使骨髓干细胞转变为所需构建的骨骼类器官生长需要的造骨细胞和生长调节骨细胞等多种成骨细胞,刺激细胞外基质(ECM)的生长,并使细胞分泌完成后续功能所需的所有蛋白质。随着时间推移,成骨细胞生长在一起形成骨组织,并进一步形成与骨缺损区域形状结构相匹配的骨骼类器官。In step S3, step S303 is also included. In this step, skeletal organoids that are adapted to the bone defect area are continuously constructed. According to the different structures and microenvironments of different skeletal organoids, mechanical force is used to simulate the formation of human bone. The required pressure converts bone marrow stem cells into various osteoblasts such as osteoblasts and growth-regulatory osteocytes required for the growth of the skeletal organoids to be constructed, stimulating the growth of extracellular matrix (ECM) and enabling cell secretion to complete subsequent All proteins required for function. Over time, the osteoblasts grow together to form bone tissue and further form bone organoids that match the shape and structure of the bone defect area.

在某一实施例中,首先根据患者骨缺损区域的三维数据生成待构建的骨骼类器官的三维数据模型及生物相容性支架,采用现有技术提取间充质干细胞并培养增殖,之后将获得的间充质干细胞在平面上接种,并在36-37.5℃下的且在5%-7%的CO2培养箱中培养,细胞每2-4天用成骨分化培养基处理,之后更换新的培养基再次处理,需要注意的是,使间充质干细胞分化成成骨细胞层,在相同条件下同时培养骨组织生长所需的微环境。成骨分化培养基包含30μg/ml-40μg/ml抗坏血酸2-磷酸盐、80nM-120nM地塞米松、10ng/ml TGF-β1。TFG-β1转化生长因子用于对间充质干细胞起刺激作用,促进间充质干细胞的成骨分化。之后通过用10%甲醛处理成骨细胞层中的细胞30分钟来固定GAG基质形成水平。In one embodiment, a three-dimensional data model and a biocompatible scaffold of the skeletal organoids to be constructed are first generated based on the three-dimensional data of the patient's bone defect area. Mesenchymal stem cells are extracted using existing technology and cultured and proliferated. After that, the Mesenchymal stem cells are seeded on a flat surface and cultured in a 5%-7% CO2 incubator at 36-37.5°C. The cells are treated with osteogenic differentiation medium every 2-4 days, and then replaced with new ones. The culture medium is processed again. It should be noted that the mesenchymal stem cells are differentiated into osteoblast layers and the microenvironment required for bone tissue growth is simultaneously cultivated under the same conditions. Osteogenic differentiation medium contains 30 μg/ml-40 μg/ml ascorbic acid 2-phosphate, 80 nM-120 nM dexamethasone, and 10 ng/ml TGF-β1. TFG-β1 transforming growth factor is used to stimulate mesenchymal stem cells and promote osteogenic differentiation of mesenchymal stem cells. The level of GAG matrix formation was then fixed by treating cells in the osteoblast layer with 10% formaldehyde for 30 min.

培育三维骨组织细胞时,将3×10个间充质干细胞放入25ml聚丙烯管中并以离心10分钟,然后将间充质干细胞在具有成骨分化培养基的5%-7&CO2培养箱中于36。5-37℃孵育24-48小时以产生三维球状骨组织。When cultivating three-dimensional bone tissue cells, put 3×10 mesenchymal stem cells into a 25ml polypropylene tube and centrifuge for 10 minutes, and then place the mesenchymal stem cells in a 5%-7&CO2 incubator with osteogenic differentiation medium. Incubate at 36.5-37°C for 24-48 hours to generate three-dimensional spherical bone tissue.

将获得的三维球状骨组织装载在细胞分化的成骨细胞层上,之后附着于与骨缺损区域相适配的生物相容性支架上,同时对生物相容性支架、骨组织和成骨细胞层施加机械力,根据不同骨缺损位置不同,机械力在0.8MPa-20MPa之间。施加机械力可以在培养箱中使骨组织生长为骨骼类器官,当然也可以如图3所示的那样,将生物相容性支架及骨组织和成骨细胞层直接移植于骨缺损区域,使其自然生长及自组装。这是因为骨骼要达到正常的形状,必须在生长过程中经受某些机械应力,每次移动,体重和肌肉就会对骨骼施加压力,这会产生极小变形。而这些变形对于骨骼发育到适当的大小、形状和强度来说是必要的。三维球状骨组织可在生物相容性支架上生长并自组装,生长的成骨细胞和骨组织在支架特定方向上对齐或伸展,并进一步形成与骨缺损区域形状结构相匹配的骨骼类器官。The obtained three-dimensional spherical bone tissue is loaded on the differentiated osteoblast layer, and then attached to a biocompatible scaffold that matches the bone defect area. At the same time, the biocompatible scaffold, bone tissue and osteoblasts are The mechanical force is exerted on each layer. Depending on the location of the bone defect, the mechanical force is between 0.8MPa-20MPa. Applying mechanical force can make bone tissue grow into skeletal organoids in an incubator. Of course, as shown in Figure 3, the biocompatible scaffold, bone tissue and osteoblast layer can be directly transplanted into the bone defect area, so that It grows and self-assembles naturally. This is because in order for bones to reach their normal shape, they must withstand certain mechanical stresses as they grow. Every time you move, your body weight and muscles put pressure on the bones, which produces minimal deformation. These deformations are necessary for bones to develop to proper size, shape, and strength. Three-dimensional spherical bone tissue can grow and self-assemble on a biocompatible scaffold. The growing osteoblasts and bone tissue align or stretch in specific directions of the scaffold, and further form skeletal organoids that match the shape and structure of the bone defect area.

上面结合附图对本发明优选的具体实施方式和实施例作了详细说明,但是本发明并不限于上述实施方式和实施例,在本领域技术人员所具备的知识范围内,还可以在不脱离本发明构思的前提下做出各种变化或等效替换,因此,本发明不受此处所公开的具体实施例的限制,所有落入本申请的权利要求范围内的实施例都属于本发明所保护的范围内。The preferred specific implementation modes and examples of the present invention have been described in detail above in conjunction with the accompanying drawings. However, the present invention is not limited to the above-mentioned implementation modes and examples. Within the scope of knowledge possessed by those skilled in the art, other modifications may be made without departing from the present invention. Various changes or equivalent substitutions can be made based on the inventive concept. Therefore, the present invention is not limited to the specific embodiments disclosed here. All embodiments falling within the scope of the claims of the present application are protected by the present invention. In the range.

Claims (10)

1. A system for constructing a skeletal organoid, comprising the following modules:
the bone defect data module (1) is used for acquiring volume inspection data of a bone defect area acquired by a patient through a medical radiography technology and acquiring medical image data of the bone defect area of the patient;
the three-dimensional simulation module (2) is used for converting the acquired medical image data into a three-dimensional image and carrying out three-dimensional simulation on a bone defect area of a patient; generating a three-dimensional data model of the bone organoid to be constructed according to the three-dimensional image of the bone defect area;
and the three-dimensional construction module (3) selects a proper biocompatible bracket according to a three-dimensional data model of the bone organoid to be constructed, and the cultured osteoblast layer is planted on the biocompatible bracket so as to grow in a bone microenvironment, and the osteoblast layer grows and forms the bone organoid along with the growth of time.
2. A bone organoid building system according to claim 1, wherein: the medical contrast data comprises one or more of X-ray imaging, ultrasonic imaging, electronic Computed Tomography (CT), magnetic Resonance Imaging (MRI), positron emission tomography (PET-CT) and the like.
3. A bone organoid building system according to claim 1, wherein: in the process of converting the acquired medical image data into the three-dimensional image, the original three-dimensional image of the bone defect area is reduced and compared with the three-dimensional image of the defect part corresponding to the defect area.
4. A bone organoid building system according to claim 1, wherein: the three-dimensional construction module (3) further comprises a microenvironment unit (301) for providing a growth environment for the osteoblast layer, a planting unit (302) for planting the osteoblast layer on the biocompatible scaffold, and a construction unit (303) for continuously constructing a bone organoid adapted to the bone defect area.
5. The bone organoid building system according to claim 4, wherein: the microenvironment unit (301) is used for creating a microenvironment for osteoblast growth, comprising providing cells involved in bone tissue formation and an environment required for growth of a skeletal organoid to be constructed, while simultaneously culturing osteoblast layers and three-dimensional bone tissue.
6. The bone organoid building system according to claim 5, wherein: the cells related to bone tissue formation comprise at least one cell or a combination of cells such as bone marrow stromal cells, bone progenitor cells, preosteoblasts, osteoblasts, bone lining cells, bone cells or osteoclasts.
7. The bone organoid building system according to claim 4, wherein: the structure of the biocompatible scaffold is determined according to the actually detected bone defect area in the planting unit (302), and the cultured osteoblast layer is planted on the biocompatible scaffold, so that the growing osteoblast is aligned or stretched in a specific direction, and the osteoblast is grown in an osteogenic microenvironment.
8. The bone organoid building system according to claim 4, wherein: the construction unit (303) is used for continuously constructing a bone organoid matched with a bone defect area, simulating the pressure required by human bone formation by using mechanical force according to different bone organoids and different microenvironments, converting bone marrow stem cells into various osteoblasts such as osteoblasts and growth regulating bone cells required by the growth of the bone organoid to be constructed, and further forming the bone organoid matched with the shape and structure of the bone defect area.
9. A method of using a system for constructing a skeletal organoid, comprising the steps of:
s1: detecting a bone defect area of a patient, and acquiring volume inspection data of the bone defect area, which is acquired by the patient through a medical radiography technology;
s2: converting the acquired medical image data into a three-dimensional image by using computer three-dimensional auxiliary software, and performing three-dimensional simulation on a bone defect area of a patient to generate a three-dimensional data model of a bone organoid to be constructed;
s3: according to the three-dimensional data model of the bone organoid to be constructed, a proper biocompatible scaffold is selected, and a cultured osteoblast layer is planted on the biocompatible scaffold, so that the osteoblast layer grows in a bone microenvironment, and grows and forms the bone organoid along with the time.
10. The method of using a bone organoid building system according to claim 9, wherein; in the step S3, the method further includes a step S301 of creating a microenvironment for osteoblast growth, that is, creating cells related to bone tissue formation, by using the human stem cells, and simultaneously culturing osteoblast layers and three-dimensional bone tissue;
further comprising step S302, planting the cultured osteoblast layer on a biocompatible scaffold adapted to the bone defect area to form a construct;
and step S303, continuously constructing a bone organoid matched with the bone defect area, and simulating the pressure required by human bone formation by using mechanical force according to different structures and microenvironments of different bone organoids so as to convert bone marrow stem cells into various osteoblasts such as osteoblasts, growth regulating bone cells and the like required by the growth of the bone organoid to be constructed.
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