一种新型仿生材料用于硬脑膜缺损修复研究
The Novel Biomimetic Material Study for Repairing the Defect Dura Mater
DOI: 10.12677/ACM.2022.12121676, PDF,    科研立项经费支持
作者: 邓坤学*, 李宗奕, 袁玉宇:广州迈普再生医学科技股份有限公司,广东 广州;代兴亮:安徽医科大学第一附属医院神经外科,安徽 合肥;林丽敏:深圳迈普再生医学科技有限公司,广东 深圳;徐 弢#:深圳清华大学研究院,生物智能制造中心,广东 深圳
关键词: 新型仿生材料力学性能修复硬脑膜Novel Biomimetic Material Mechanical Properties Repair the Dura Mater
摘要: 目的:评价一种新型仿生材料用于硬脑膜缺损修复的安全性及有效性。方法:采用增材制造技术制备的聚乳酸新型仿生材料,分别开展了体外和体内研究,研究材料的微观结构、细胞增殖活性、力学特性,以及原位植入硬脑膜缺损后,与周边组织相容性和缺损硬脑膜修复情况等。结果:新型仿生材料微观结构为三维网络结构,对细胞增值活性无影响,其拉伸强度和断裂伸长率均明显高于对照品EthisorbTM。动物实验研究显示材料组织相容性良好,可实现硬脑膜缺损修复。结论:新型仿生材料具有较好的力学性能,组织相容性良好,可诱导周边组织细胞爬行到支架,诱导新生毛细血管生成促进新生组织形成,可作为硬膜缺损修复的新材料,实现硬脑膜再生修复。
Abstract: Objective: To evaluate the safety and efficacy of the novel biomimetic material in dura mater defect repair. Methods: The novel biomimetic material were fabricated by the additive manufacturing technology, and the in-vitro and vitro studies were performed for the novel biomimetic material, to study the microstructure, cell proliferation activity, mechanical properties of the materials, as well as after the novel biomimetic material were implanted in situ, the compatibility with the sur-rounding tissue and repair effect of the defect dura mater and so on. Results: The microstructure of the new biomimetic material was three-dimensional network structure, which had no effect on the proliferation activity of cells. The tensile strength and elongation at break of the novel biomimetic material were significantly higher than that of the control group EthisorbTM. Animal study showed that the novel biomimetic material has good biocompatibility with the tissue and can repair defect dura mater. Conclusion: The novel biomimetic material has good mechanical properties and good biocompatibility, and it can induce the surrounding tissue cells to migrate to the scaffold, and in-duce the new capillary angiogenesis to promote the new tissue formation. Thus, it can be used as a new material for dura defect repair to achieve dura mater.
文章引用:邓坤学, 代兴亮, 林丽敏, 李宗奕, 袁玉宇, 徐弢. 一种新型仿生材料用于硬脑膜缺损修复研究[J]. 临床医学进展, 2022, 12(12): 11631-11642. https://doi.org/10.12677/ACM.2022.12121676

参考文献

[1] 何建军, 佘晓春. 人工硬脑膜在颅脑损伤手术中的应用[J]. 江苏医药, 2011, 37(10): 1231-1232.
[2] 周玉峰, 黄梅, 邓聪颖, 汤立新. 人工硬脑膜材料的生物相容性[J]. 中国组织工程研究与临床康复, 2011, 15(16): 2945-2948.
[3] 曾多, 肖妮, 叶世阳, 胡稻, 胡斌, 刘传金, 游涛. 生物型人工硬脑膜用于颅脑损伤硬膜修补术中的效果观察[J]. 中国实用医药, 2020, 15(29): 1-3.
[4] Sonig, A., Thakur, J.D., Chittiboina, P., et al. (2012) Is Posttraumatic Cerebrospinal Fluid Fistula a Predictor of Posttraumatic Meningitis? A US Nationwide Inpatient Sample Database Study. Neurosurgical Focus, 32, E4. [Google Scholar] [CrossRef
[5] Goldschmidt, E., Landriel, F., Bendersky, D., et al. (2011) Mas-sive Subarachnoid Pneumocephalus after a Stereotactic Brain Biopsy. Neurology India, 59, 640-641. [Google Scholar] [CrossRef] [PubMed]
[6] Schlosser, R.J. and Bolger, W.E. (2004) Nasal Cerebrospinal Fluid Leaks: Critical Review and Surgical Considerations. Laryngoscope, 114, 255-265. [Google Scholar] [CrossRef] [PubMed]
[7] Sanpakitwattana, A., Suvannapruk, W., Chumnanvej, S., et al. (2022) Cefazolin Loaded Oxidized Regenerated Cellulose/Polycaprolactone Bilayered Composite for Use as Poten-tial Antibacterial Dural Substitute. Polymers (Basel), 14, Article No. 4449. [Google Scholar] [CrossRef] [PubMed]
[8] Entezami, P., Field, N.C., Qian, J. and Yamamoto, J. (2021) Delayed Hypersensitivity Reaction to a Dural Repair Substitute. British Journal of Neurosurgery, 1-4. [Google Scholar] [CrossRef] [PubMed]
[9] 徐蒙蒙, 阳范文, 张雅欣, 王晨光, 陈晓明, 田秀梅, 朱继翔. 人工脑膜研究现状及3D打印技术应用前景[J]. 合成材料老化与应用, 2019, 48(1): 93-98.
[10] 王位坐, 敖强. 硬脑膜修复材料的研究及应用进展[J]. 中华临床医师杂志(电子版), 2018, 12(11): 639-645.
[11] Lipovka, A.A.-O., Kharchenko, A.A.-O., Dubovoy, A.A.-O., et al. (2021) The Effect of Adding Modified Chitosan on the Strength Properties of Bacterial Cellulose for Clinical Applications. Polymers, 13, Article No. 1995. [Google Scholar] [CrossRef] [PubMed]
[12] Deng, W., Tan, Y., Riaz Rajoka, M.S., et al. (2021) A New Type of Bilayer Dural Substitute Candidate Made Up of Modified Chitin and Bacterial Cellulose. Carbohydrate Polymers, 256, Article ID: 117577. [Google Scholar] [CrossRef] [PubMed]
[13] Filippi, R., Schwarz, M., Voth, D., et al. (2001) Bovine Peri-cardium for Duraplasty: Clinical Results in 32 Patients. Neurosurgical Review, 24, 103-107. [Google Scholar] [CrossRef
[14] Jenkins, S.D., Klamer, T.W., Parteka, J.J. and Condon, R.E. (1983) A Comparison of Prosthetic Materials Used to Repair Abdominal Wall Defects. Surgery, 94, 392-398.
[15] Anson, J.A. and Marchand, E.P. (1996) Bovine Pericardium for Dural Grafts: Clinical Results in 35 Patients. Neurosurgery, 39, 764-768. [Google Scholar] [CrossRef] [PubMed]
[16] Freeman III, L. (1898) The Use of Egg-Membrane in Trephining Operations upon the Skull. Annals of Surgery, 28, 455-457.
[17] Rosomoff, H.L. (1959) Ethylene Oxide Sterilized, Freeze-Dried Dura Mater for the Repair of Pachymeningeal Defects. Journal of Neurosurgery, 16, 197-208. [Google Scholar] [CrossRef] [PubMed]
[18] Rendón-Medina, M.A., Galeana-Pavón, A., Vázquez-Medina, M.U., et al. (2022) Initial Histological Evaluation of a Novel Dura Mater Graft Based on Capsule Granulation Harvested from Subcutaneous Tissue: Experimental Model. Journal of Craniofacial Surgery, 33, 710-712. [Google Scholar] [CrossRef
[19] Li, J., He, Z., Liu, X., et al. (2022) 3D-Printed Bionic Tita-nium Alloy Artificial Lamina Prevents Epidural Adhesion and Restores the Stability after Laminectomy in Pigs. Journal of Biomedical Nanotechnology, 18, 875-883. [Google Scholar] [CrossRef] [PubMed]
[20] Yamahara, S., Montenegro Raudales, J.L., Akiyama, Y., et al. (2022) Appropriate Pore Size for Bone Formation Potential of Porous Collagen Type I-Based Recombinant Peptide. Regenera-tive Therapy, 21, 294-306. [Google Scholar] [CrossRef] [PubMed]
[21] Liu, W., Wang, X., Su, J., et al. (2021) In Vivo Evaluation of Fi-brous Collagen Dura Substitutes. Frontiers in Bioengineering and Biotechnology, 9, Article ID: 628129. [Google Scholar] [CrossRef] [PubMed]
[22] Marton, E., Giordan, E., Gallinaro, P., et al. (2021) Homologous Amniotic Membrane as a Dural Substitute in Decompressive Craniectomies. Journal of Clinical Neuroscience, 89, 412-421. [Google Scholar] [CrossRef] [PubMed]
[23] Huang, Y.-O., Liu, Z.-O., Kuo, C.Y. and Chen, J.-O. (2022) Photo-Crosslinked Hyaluronic Acid/Carboxymethyl Cellulose Composite Hydrogel as a Dural Substitute to Pre-vent Post-Surgical Adhesion. International Journal of Molecular Sciences, 23, Article No. 6177. [Google Scholar] [CrossRef] [PubMed]
[24] Shimada, Y., Hongo, M., Miyakoshi, N., et al. (2006) Dural Substitute with Polyglycolic Acid Mesh and Fibrin Glue for Dural Repair: Technical Note and Preliminary Results. Journal of Or-thopaedic Science, 11, 454-458. [Google Scholar] [CrossRef] [PubMed]
[25] 李文辉, 吴日乐, 岑莲. 人工硬脑膜修补材料的研究及其临床应用[J]. 组织工程与重建外科杂志, 2013, 9(2): 113-115.
[26] 孙建析, 朱勇. 大鼠亚慢性试验随机表的生成与应用[J]. 环境与职业医学, 2007, 24(5): 558-561.
[27] 孙建析, 洪雅青, 张芳芳, 朱勇. 豚鼠皮肤致敏试验随机分组模板的建立[J]. 职业与健康, 2010, 26(9): 969-972.
[28] Zhou, F., Chen, G., Zhang, J.M. and Huang, Z.S. (2006) An in Vitro Culturing Model for Rabbit Dural Cells. Annals of Clinical & Laboratory Science, 36, 341-344.
[29] Schick, B., Wolf, G., Romeike, B.F., et al. (2003) Dural Cell Culture. A New Approach to Study Duraplasty. Cells Tissues Organs, 173, 129-137. [Google Scholar] [CrossRef] [PubMed]
[30] Goldschmidt, E., Hem, S., Ajler, P., Ielpi, M., et al. (2013) A New Model for Dura Mater Healing: Human Dural Fibroblast Culture. Neurological Research, 35, 300-307. [Google Scholar] [CrossRef
[31] Chuan, D., Wang, Y., Fan, R., et al. (2020) Fabrication and Properties of a Biomimetic Dura Matter Substitute Based on Stereocomplex Poly(Lactic Acid) Nanofibers. Interna-tional Journal of Nanomedicine, 15, 3729-3740. [Google Scholar] [CrossRef
[32] Kulkarni, R.K., Pani, K.C., Neuman, C. and Leonard, F. (1966) Polylac-tic Acid for Surgical Implants. The Archives of Surgery, 93, 839-843. [Google Scholar] [CrossRef] [PubMed]