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中华口腔医学研究杂志(电子版) ›› 2014, Vol. 8 ›› Issue (02) : 90 -96. doi: 10.3877/cma.j.issn.1674-1366.2014.02.002

基础研究

富血小板血浆支架诱导牙髓再生的体内研究
韦维1, 黄杨1, 李康婧1, 陈文霞1,()   
  1. 1.530021 南宁,广西医科大学附属口腔医院牙体牙髓科
  • 收稿日期:2013-11-20 出版日期:2014-04-01
  • 通信作者: 陈文霞
  • 基金资助:
    国家自然科学基金(地区科学基金项目,81160133)

Platelet-rich plasma scaffolds induce dental pulp-like tissue regeneration in vivo

Wei Wei1, Yang Huang1, Kangjing Li1, Wenxia Chen1,()   

  1. 1.College of Stomatology, Guangxi Medical University, Nanning 530021, China
  • Received:2013-11-20 Published:2014-04-01
  • Corresponding author: Wenxia Chen
引用本文:

韦维, 黄杨, 李康婧, 陈文霞. 富血小板血浆支架诱导牙髓再生的体内研究[J/OL]. 中华口腔医学研究杂志(电子版), 2014, 8(02): 90-96.

Wei Wei, Yang Huang, Kangjing Li, Wenxia Chen. Platelet-rich plasma scaffolds induce dental pulp-like tissue regeneration in vivo[J/OL]. Chinese Journal of Stomatological Research(Electronic Edition), 2014, 8(02): 90-96.

目的

探讨不同浓度的富血小板血浆(PRP)支架在体内诱导牙髓组织再生的能力。

方法

将小型猪乳牙牙根段进行化学预备,采用二次离心法制备PRP,根据注入根管中的成分不同将研究分为4 组:(1)阴性对照组,即全血组;(2)100% PRP 组;(3)50% PRP 组;(4)空白组,即空的牙根段;每组5 个样本,分别植入裸鼠背部皮下,于术后5 周处死动物,取出样本进行组织学观察。

结果

植入5 周后,100% PRP 组根管内充满了炎性细胞,50% PRP 组根管内有少量牙髓样的组织生成。

结论

合适浓度的PRP 作为生物支架在体内再生牙髓样的组织是可行的。

Objective

To evaluate the in vivo dental pulp regeneration capacity of various concentration of the platelet-rich plasma (PRP).

Methods

The tooth roots of minipigs were prepared by chemical methods. PRP was extracted by two-step centrifugation. The roots were divided into four groups according to the kinds of scaffold injected into the root canals (5 roots each group): (1)control group, whole blood; (2)100% PRP; (3)50% PRP; (4)blank group: root fragments with empty canal space. The roots were implanted subcutaneously in nude mice. The animals were sacrificed after 5 weeks.The samples were taken for histological examination.

Results

The newly formed pulp-like tissues were observed in the roots which filled 50% PRP scaffolds in canals. The group of 100% PRP scaffolds were full of inflammatory cells.

Conclusions

It is feasible for the platelet-rich plasma with proper concentration as scaffolds to induce dental pulp regeneration in vivo.

图1 100% PRP 组裸鼠出现皮肤损害 注:图1A 为植入物周围出现皮肤溃疡;图1B 为植入物排出
图2 全血组苏木精-伊红染色结果 注:图2A 为全血组根管内新生组织形态不规则,靠近根管开口处,皮下纤维包裹着大量聚集的红细胞团,纤维不连续(×40);图2B 为全血组根管内大部分组织为红染的降解的血浆支架(×40);图2C 为图2A 图局部放大,箭头示根管壁有细胞贴壁生长(×400);图2D 为图2B 图局部放大,有散在的红细胞,血浆支架部分已经吸收(×400)
图3 100% PRP 组苏木精-伊红染色结果 图3 A、3B 为100% PRP 组根管内充满了大量的炎性细胞(×40);图3C 为图3A 局部放大,实线箭头示靠近牙本质壁的分叶状中性粒细胞,虚线箭头示散在的梭形细胞(×400);图3D 为图3B 局部放大,组织边缘有密集的中性粒细胞(×200)
图4 50% PRP 组苏木精-伊红染色结果 图5 正常猪牙苏木精-伊红染色结果 注:图4A 为50% PRP 组根管中部的血浆支架呈网状,并有大量红细胞聚集(×40);图4B 为靠近MTA 一端有牙髓样组织生成(×40);图4C 为图4A 局部放大,梭形或星形细胞在支架中均匀分布(×400);图4D 为图4B 局部放大,箭头示贴壁的梭形细胞,新生组织与根管壁贴合(×200);图5A 为阳性对照组根管内组织(×40);图5B 为图5A 局部放大(×200)
图6 空白组苏木精-伊红染色结果 注:图6A 为空白组根管开口处有皮下组织长入,根管内大部分为空的(×40);图6B 为图6A 局部放大,皮下组织包含有大量的纤维、细胞和小血管(×200)
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