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논문 기본 정보

자료유형
학술저널
저자정보
Chen Qi (Zhejiang Provincial People’s Hospital People’s Hospital of Hangzhou Medical College) Xia Chen (Zhejiang Provincial People’s Hospital People’s Hospital of Hangzhou Medical College) Shi Binbin (Department of Orthopedic Surgery Tongxiang First People’s Hospital) Chen Chuyong (Zhejiang Provincial People’s Hospital People’s Ho) Yang Chen (Department of Orthopedic Surgery No 1 People’s Hospital of AkeSu) Mao Guangfeng (Department of Orthopedic Surgery The Third People Hospital of Zhuji) Shi Fangfang (Department of Hematology Zhejiang Provincial People’s Hospital People’s Hospital of Hangzhou Medica)
저널정보
한국조직공학과 재생의학회 조직공학과 재생의학 조직공학과 재생의학 제18권 제6호
발행연도
2021.12
수록면
1,021 - 1,033 (13page)
DOI
10.1007/s13770-021-00381-w

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BACKGROUND: Osteoporosis is a systemic bone disease characterized by decreased bone density and deterioration of bone microstructure, leading to an increased probability of fragility fractures. Once segmental bone defect occurs, it is easy to cause delayed union and nonunion. METHODS: The aim of this study is to investigate the efficacy of extracorporeal shock wave (ESW) and teriparatide-loaded hydrogel (T-Gel) combined strategy on the cell activity and differentiation of osteoporosis derived bone marrow mesenchymal stem cells (OP-BMSCs) in vitro and bone regeneration in osteoporotic segmental bone defects in vivo. RESULTS: In vitro, the strategy of combining ESW and T-Gel significantly enhanced OP-BMSCs proliferation, survival, migration, and osteogenic differentiation by up-regulating the alkaline phosphatase activity, mineralization, and expression of runt-related transcription factor-2, type I collagen, osteocalcin, and osteopontin. In the segmental bone defect models of osteoporotic rabbits, Micro-CT evaluation and histological observation demonstrated this ESW-combined with T-Gel injection significantly induced bone healing by enhancing the osteogenic activity of the local microenvironment in osteoporotic defects. CONCLUSION: In conclusion, ESW-combined with T-Gel injection could regulate the poor osteogenic microenvironment in osteoporotic defects and show potential for enhancing fragility fractures healing.

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