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新西兰兔骨髓基质细胞构建组织工程膀胱的实验研究
http://www.100md.com 《第四军医大学学报》 2003年第8期
骨髓基质细胞,,骨髓基质细胞;膀胱;,移植;,组织工程,0引言,1材料和方法,2结果,3讨论,【参考文献】
     (第四军医大学: 西京医院泌尿外科,实验动物中心,陕西 西安 710033,解放军148医院泌尿外科,山东 淄博 255300)

    Marrow stromal cells application: Reconstruction of the bladder of New zealand white rabbits by tissue engineering techniques

    YAN Quanjian, LI LiuJin, ZHANG YuMei, Yang GuiZhong, LIU HaiJun, GUO JinLong, WANG He, SHAO GuoXing

    Department of Urology, Xijing Hospital,Center of Laboratory Animal, Fourth Military Medical University, Xian 710033, China,Department of Urology, 148th Hospital, Zibo 255300, Shandong,China

    【Abstract】 AIM: To investigate the function parameters of tissue engineered bladders with marrow stromal cells(MSCs). METHODS: The MSCs and the bladder-shaped accellular organ specific matrix (BAMG) were obtained from the New Zealand White rabbits. The exterior surface of BAMG was seeded with the resuspended MSCs. A total of 20 rabbits underwent a trigone-sparing cystectomy. The animals were randomly assigned to three groups. Group A (n=6) underwent a closure of the trigone without a reconstructive procedure. Group B (n=7) underwent a reconstruction using a BAMG only and Group C (n=7) underwent a reconstruction using a BAMG plus autologous MSCs. Preoperative and postoperative cystometry and radiography studies were performed serially. Animals were euthanized at 12 weeks. Gross and histological analyses were also performed. RESULTS: The average time elapsed between the initial marrow biopsy and the final implantation of the tissue-engineeredneobladders was (21±3) days (x±s). Post operation, the average capacities in Group A, B and C were 22%, 85% and 95%, respectively and showed a marked difference in bladder compliance (11%, 104%, and 107% respectively). Histologically, group C showed a normal cellular organization consisting of a trilayer of urothelium, submucosa and muscle. The Group A, B presented a pattern of normal urothelial cells with a thickened fiberotic submucosa and a thin layer of muscle fibers. CONCLUSION: Our study demonstrates that the MSCs can be successfully used in rabbits bladder augmentations and replacement by tissue engineering techniques. ......

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