骨再生的力学生物学问题

生物力学主要探讨力学刺激与细胞的形态、结构和功能之间的关系。骨组织改变其形态和结构以适应力学刺激,表现为骨的适应性重建。骨的生长是骨塑形和骨重建两个过程协同作用的结果,以调整骨的形状、大小和组成,适应其所处的力学环境。骨组织工程的目的就是修复骨组织的正常生物力学功能。近年来,骨组织工程的研究主要集中于模拟骨生长的在体生理条件,从而刺激细胞形成有功能的骨组织。生物反应器能够模拟体内生理状态,为种子细胞在生物支架材料上生长提供一个适宜的力学环境。     

人工纳米骨进入临床

人骨有了高科技“替身”,由清华大学材料系崔福斋教授领衔研制的人工纳米骨,力学性能和生理功能堪与天然人骨媲美,并于日前获得国家药品监督管理局允许进入临床的批文,这将给数十万骨病患者带来福音。 据悉,目前临床上大多数使用以金属、陶瓷或高分子制造的人工骨替代材料,但因其力学特性、生物活性、生物可降解性等与天然人骨相差甚远,每每给病人留下隐患。崔福斋则从分析人骨的微观结构入手,仿     

牛煅烧骨的表征及其对成骨细胞的作用

以天然牛骨为原料,经过加工处理,分别在1120和1250℃烧结得到两组牛煅烧骨样品。测定了材料的物理性能,讨论了烧结温度对材料孔隙率及其结构等的影响。将两组煅烧骨样品分别与成骨前体细胞在体外复合培养,通过对细胞生长和分化情况的观察和测定,对两组多孔材料与成骨细胞的亲和性作出了评价。结果表明牛煅烧骨的主要成分为羟基磷灰石,保留了天然骨的网状孔隙结构,成骨细胞在两组材料上均能正常生长和分化,而且在1120℃烧结的样品具有更好的成骨细胞亲和性,说明牛煅烧骨是一种有发展前途和应用前景的骨修复材料和骨组织工程支架材料。     

骨生物材料通过细胞途径降解的研究进展

生物材料作为移植物已广泛应用于骨组织修复,在应用生物材料时需要考虑材料各个方面的性能,如生物兼容性、力学强度、可塑性等。材料的可降解性也是骨修复材料不得不考虑的方面。既往研究表明,生物材料可以通过物理、化学和生物三种方式进行降解。在材料的生物降解过程中,经细胞途径降解是其中重要的一环。这种降解途径主要是通过巨噬细胞、破骨细胞的生物学行为及其所分泌的生物活性氧、酶、酸性代谢物等作用机制进行。认识细胞作用对生物材料的降解有助于更好地理解细胞的生物学行为,精准设计、制造更合理的骨修复材料,既利于材料植入时的初始稳定,也可以符合材料降解与新骨形成的匹配,促进骨再生和骨修复。     

含液体骨单元的力学模型

基于骨单元的生理结构特性,将骨单元作为厚壁圆筒春内部合弗氏管内充满组织液。并考虑屯液体在筒壁内的扩散,从而得取了骨单元沿轴向的等效本方程。该本构方程表明,含液体骨单元具有粘生力学性质;若筒壁的轴向治松经为１／２,则哈弗氏管内的液体将不影响骨单元的力学行为,骨单元的孔隙率越大,液体艰骨单元的影响也越大。     

厚颌鲂年龄材料的比较

对长江上游特有鱼类厚颌鲂的鳞片和骨组织中的耳石、鳃盖骨、匙骨、基枕骨五种材料的形态结构及年轮特征进行了研究,对用不同材料鉴定年龄的优缺点和鉴定结果进行了比较,认为鳞片、耳石和基枕骨是鉴定厚颌鲂年龄的较理想材料,用鳞片和基枕骨鉴定年龄结果的相符率为95．5％;鳞径和骨径均与体长呈线性关系,并以鳞片和基枕骨为材料进行了生长退算,以骨径进行生长退算更接近于实测值,能更好地反映实际情况。     

二磷酸盐促进假体周围骨溶解后假体翻修骨整合的实验研究

目的:评价阿仑膦酸钠对新西兰大白兔假体周围发生骨溶解后,再进行对新西兰大白兔假体翻修骨整合的影响。方法:选取雄性新西兰大白兔30只,随机分成3组(正常组,实验组,对照组,每组10只)。正常组在胫骨松质骨区域植入钛合金假体,实验组和对照组分别植入钛合金假体和钛颗粒,饲养8周后,三组统一进行假体翻修。实验组用阿仑磷酸钠治疗8周后取材,对照组和正常翻修组也分别进行取材。通过假体推出力学实验、硬组织切片观察,评价阿仑磷酸钠对假体周围翻修后骨整合的影响。结果:假体推出力学实验结果显示,实验组假体最大推出载荷明显大于对照组(P0.01)。硬组织学切片通过苦味酸--品红染色,利用图像分析仪器统计假体周围骨整合的面积实验组假体周围骨量明显优于对照组假体周围骨量(P0.05)。结论:二磷酸盐-阿仑磷酸钠可以提高假体翻修后假体周围骨整合。     

纤维蛋白凝胶联合磷酸钙骨水泥复合物的生物学研究

目的:研究纤维蛋白凝胶联合磷酸钙骨水泥复合物的生物力学性能,为临床应用科学依据.方法:将磷酸钙骨水泥作为对照组,纤维蛋白凝胶和磷酸钙骨水泥作为复合支架材料研究组,利用细胞培养技术将两组材料分别与BMSC细胞系共同培养,动态观察细胞生长情况;结果:两种材料均有类似的细胞粘附、伸展.细胞在磷酸钙骨纤维蛋白凝胶复合材料上粘附比在磷酸钙材料上粘附多,细胞伸出较多丝样伪足与孔隙的边缘连接,数量大为增加,连接成片,相互拥挤,有大量基质形成.MTT结果有明显差异(P＜0.05),与磷酸钙骨材料上的细胞ALP比较,磷酸钙骨/纤维蛋白凝胶复合材料ALP明显增高,差异显著,有统计学意义(P＜0.05).结论:用全骨髓法分离培养的兔BMSCs体外扩增快,取材容易,在成骨诱导下能分化为成骨细胞,适合作为骨组织工程的种子细胞.且纤维蛋白凝胶联合磷酸钙骨水泥复合物具有良好的生物力学性能,具有良好的骨传导能力、力学特性,是很好的骨移植替代材料.肿瘤及创伤等疾患引起的骨缺损修复问题一直来都是骨科医生面临的一个难题,倍受医学界的关注.本论文研究用纤维蛋白凝胶联合磷酸钙骨水泥复合物的方法修复骨缺损,会成为一种全新的治疗模式,为骨缺损修复的临床治疗提供了理论科学依据.     

羟基磷灰石/胶原类骨仿生复合材料的制备方法及机理

天然骨除了含有羟基磷灰石无机成分外,还有胶原、糖蛋白等少量的有机成分,这种混杂结构使骨具有独特性能。因此模拟天然骨的形成机制,采用仿生的方法制备羟基磷灰石／胶原类骨材料以再生骨的生物学和力学性能势在必行。本就制备羟基磷灰石／胶原类骨仿生复合材料的方法及体外模拟天然骨生物矿化和材料自组装的形成机制进行了综述。     

多孔beta-磷酸三钙与磷灰石复合材料的制备及其细胞相容性研究

综合运用三维凝胶叠层法和发泡法制备了多孔β-磷酸三钙支架。将多孔支架在1．5倍模拟体液中浸泡14天,得到材料1;或者将其在氢氧化钠溶液中浸泡4天,再在1．5倍模拟体液中浸泡14天,得到材料2。测定了两种材料的物理性能,讨论了类骨磷灰石层对材料矿物组成及其显微结构等的影响。将两组材料分别与成骨前体细胞在体外复合培养,观察和测定了细胞的形态和增殖情况。结果表明复合材料的主要成分为β-磷酸三钙,表面具有结构不完整的含有碳酸磷灰石的类骨磷灰石,成骨细胞能在两组材料上正常粘附和增殖,而且材料2上的细胞粘附情况更好,说明多孔β-磷酸三钙与磷灰石的复合材料有望成为一种有应用前景的骨修复材料和骨组织工程支架材料。     

Predicting the structural integrity of bone defects repaired using bone graft materials

Bone defects create stress concentrations which can cause fracture under impact or cyclic loading. Defects are often repaired by filling them with a bone graft material; this will reduce the stress concentration, but not completely, because these materials have lower stiffness than bone. The fracture risk decreases over time as the graft material is replaced by living bone. Many new bone graft materials are being developed, using tissue engineering and other techniques, but currently there is no rational way to compare these materials and predict their effectiveness in repairing a given defect. This paper describes, for the first time, a theoretical model which can be used to predict failure by brittle fracture or fatigue, initiating at the defect. Preliminary results are presented, concentrating on the prediction of stress fracture during the crucial post-operative period. It is shown that the likelihood of fracture is strongly influenced by the shape of the defect as well as its size, and also by the level of post-operative exercise. The most important finding is that bone graft materials can be successful in preventing fracture even when their mechanical properties are greatly inferior to those of bone. Future uses of this technique include pre-clinical assessment of bone replacement materials and pre-operative planning in orthopaedic surgery.     

长骨缺损修复用生物医学材料

本文根据天然骨的组织和结构特点,论述了长骨缺损对修复材料的要求,提出了通过材料复合,仿生设计和快速成型制备功能梯度长骨修复材料的方法。     

Loading Mode Interactions in Simulations of Long Bone Cross-Sectional Adaptation

Although many bone adaptation theories have been formulated to address both trabecular and cortical adaptation, most applications have focused on trabecular adaptation. Thus far, no thorough investigations of the influence of different types of loading on predicted patterns of long bone cross-sectional adaptation have been reported. In the current study, we present a new model for long bone cross-sectional adaptation that incorporates axial, bending and torsional loading components. We found that bending moments have a strong potential to modulate cross-sectional geometry, but can produce unforseen (and unrealistic) geometric instabilities. Torsional moments have the ability to suppress these instabilities, suggesting that torsion may play a more significant role in guiding long bone development than previously recognized. Our results also call into question the concept of strict “remodeling equilibrium,” suggesting that long bones do not necessarily approach a state of uniform mechanical stimulation. This modeling approach provides an additional perspective on experimental studies, and may lead to a greater understanding of the interaction between mechanics and biology in long bone adaptation.     

骨组织工程天然衍生细胞外基质材料

细胞外基质材料的开发是骨组织工程的重要组成部分,目前,在骨组织工程中应用较多的基质材料可分为天然衍生材料、人工合成材料以及这两种材料的复合材料。介绍了各种天然衍生骨材料如煅烧骨、脱钙骨基质、脱蛋白骨基质、重组合异种骨基质和天然高分子材料如胶原、纤维蛋白、几丁质、藻酸盐及其衍生物以及珊瑚衍生骨在骨组织工程中的应用,展望了骨组织工程细胞外基质材料的未来发展方向,认为未来的理想基质材料应该是集各种材料的优点于一身,能够充分适应体内各种生理环境并能采用智能化的加工方式进行大批量生产的生物仿生材料。     

Mechanics of linear microcracking in trabecular bone

Microcracking in trabecular bone is responsible both for the mechanical degradation and remodeling of the trabecular bone tissue. Recent results on trabecular bone mechanics have demonstrated that bone tissue microarchitecture, tissue elastic heterogeneity and tissue-level mechanical anisotropy all should be considered to obtain detailed information on the mechanical stress state. The present study investigated the influence of tissue microarchitecture, tissue heterogeneity in elasticity and material separation properties and tissue-level anisotropy on the microcrack formation process. Microscale bone models were executed with the extended finite element method. It was demonstrated that anisotropy and heterogeneity of the bone tissue contribute significantly to bone tissue toughness and the resistance of trabecular bone to microcrack formation. The compressive strain to microcrack initiation was computed to increase by a factor of four from an assumed homogeneous isotropic tissue to an assumed anisotropic heterogenous tissue.     

Application of fracture mechanics to failure in manatee rib bone

BACKGROUND: The Florida manatee (Trichechus manatus latirostris) is listed as endangered by the U.S. Department of the Interior. Manatee ribs have different microstructure from the compact bone of other mammals. Biomechanical properties of the manatee ribs need to be better understood. Fracture toughness (K(C)) has been shown to be a good index to assess the mechanical performance of bone. Quantitative fractography can be used in concert with fracture mechanics equations to identify fracture initiating defects/cracks and to calculate the fracture toughness of bone materials. METHOD OF APPROACH: Fractography is a standard technique for analyzing fracture behavior of brittle and quasi-brittle materials. Manatee ribs are highly mineralized and fracture in a manner similar to quasi-brittle materials. Therefore, quantitative fractography was applied to determine the fracture toughness of manatee ribs. RESULTS: Average fracture toughness values of small flexure specimens from six different sizes of manatees ranged from 1.3 to 2.6 MPa(m)(12). Scanning electron microscope (SEM) images show most of the fracture origins were at openings for blood vessels and interlayer spaces. CONCLUSIONS: Quantitative fractography and fracture mechanics can be combined to estimate the fracture toughness of the material in manatee rib bone. Fracture toughness of subadult and calf manatees appears to increase as the size of the manatee increases. Average fracture toughness of the manatee rib bone materials is less than the transverse fracture toughness of human and bovine tibia and femur.     

Lamellar Bone: Structure–Function Relations

The term “bone” refers to a family of materials that have complex hierarchically organized structures. These structures are primarily adapted to the variety of mechanical functions that bone fulfills. Here we review the structure–mechanical relations of one bone structural type, lamellar bone. This is the most abundant type in many mammals, including humans. A lamellar unit is composed of five sublayers. Each sublayer is an array of aligned mineralized collagen fibrils. The orientations of these arrays differ in each sublayer with respect to both collagen fibril axes and crystal layers, such that a complex rotated plywood-like structure is formed. Specific functions for lamellar bone, as opposed to the other bone types, could not be identified. It is therefore proposed that the lamellar structure is multifunctional—the “concrete” of the bone family of materials. Experimentally measured mechanical properties of lamellar bone demonstrate a clear-cut anisotropy with respect to the axis direction of long bones. A comparison of the elastic and ultimate properties of parallel arrays of lamellar units formed in primary bone with cylindrically shaped osteonal structures in secondary formed bone shows that most of the intrinsic mechanical properties are built into the lamellar structure. The major advantages of osteonal bone are its fracture properties. Mathematical modeling of the elastic properties based on the lamellar structure and using a rule-of-mixtures approach can closely simulate the measured mechanical properties, providing greater insight into the structure–mechanical relations of lamellar bone.     

Finite Element Analysis of the Contact Mechanics of Ceramic-on-Ceramic Hip Resurfacing Prostheses

<正> Ceramics are good alternative to metal as bearing couple materials because of their better wear resistance. A Finite Element(FE) study was performed to investigate the contact mechanics and stress distribution of Ceramic-on-Ceramic (COC) hip resurfacingprostheses. It was focused in particular on a parametric study to examine the effects of radial clearance, loading,alumina coating on the implants, bone quality, and fixation of cup-bone interface. It was found that a reduction in the radialclearance had the most significant effect on the predicted contact pressure distribution among all of the parameters considered inthis study. It was determined that there was a significant influence of non-metallic materials, such as the bone underneath thebearing components, on the predicted contact mechanics. Stress shielding within the bone tissue was found to be a major concernwhen regarding the use of ceramic as an alternative to metallic resurfacing prostheses. Therefore, using alumina implantswith a metal backing was found to be the best design for ceramic resurfacing prostheses in this study. The loading, bone quality,and acetabular cup fixation conditions were found to have only minor effects on the predicted contact pressure distribution alongthe bearing surfaces.     

A strategy to quantitate global phosphorylation of bone matrix proteins

Current studies of protein phosphorylation focus primarily on the importance of specific phosphoproteins and their landscapes of phosphorylation in the regulation of different cellular functions. However, global changes in phosphorylation of extracellular matrix phosphoproteins measured “in bulk” are equally important. For example, correct global phosphorylation of different bone matrix proteins is critical to healthy tissue biomineralization. To study changes of bone matrix global phosphorylation, we developed a strategy that combines a procedure for in vitro phosphorylation/dephosphorylation of fully mineralized bone in addition to quantitation of the global phosphorylation levels of bone matrix proteins. For the first time, we show that it is possible to enzymatically phosphorylate/dephosphorylate fully mineralized bone originating from either cadaveric human donors or laboratory animals (mice). Using our strategy, we detected the difference in the global phosphorylation levels of matrix proteins isolated from wild-type and osteopontin knockout mice. We also observed that the global phosphorylation levels of matrix proteins isolated from human cortical bone were lower than those isolated from trabecular bone. The developed strategy has the potential to open new avenues for studies on the global phosphorylation of bone matrix proteins and their role in biomineralization as well for other tissues/cells and protein-based materials.