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生物可降解镁植入物——骨肿瘤患者的潜在支架
作者姓名:昝睿  嵇伟平  乔爽  吴宏流  王文辉  季天骄  杨邦成  张绍翔  罗从风  宋阳  倪嘉桦  张小农
作者单位:State Key Laboratory of Metal Matrix Composites;Department of Orthopedic Surgery;Laboratory for Biomaterials and Drug Delivery;Engineering Research Center in Biomaterials;Suzhou Origin Medical Technology Co.Ltd.;Department of Mechanical Engineering
基金项目:the National Key Research and Development Program of China(2018YFC1106600);the Interdisciplinary Program of Shanghai Jiao Tong University(ZH2018QNB07)。
摘    要:骨癌患者切除术后可能发生复发和转移.传统的金属支架可以对骨缺损部位提供力学支撑,但无法有效清除复发的肿瘤细胞.本文中,我们介绍了一种可以抑制骨肉瘤生长的生物可降解镁丝植入物.简而言之,镁丝释放镁离子激活锌指蛋白Snail1从胞浆到细胞核的转运,通过下游的miRNA-181d-5p/TIMP3和miRNA-181c-5p/NLK两条平行的抗肿瘤信号通路诱导骨肉瘤细胞凋亡,抑制骨肉瘤细胞增殖.同时,镁丝释放出的氢气消除了细胞内过多的活性氧,从而抑制了骨肿瘤细胞的生长.裸鼠骨肉瘤细胞皮下荷瘤实验进一步证实镁丝能有效抑制肿瘤生长,延长荷瘤小鼠生存期.此外,镁丝对正常细胞和组织无毒性,揭示了镁植入物是骨肉瘤患者潜在的抗肿瘤支架材料.

关 键 词:骨肉瘤细胞  TIMP3  缺损部位  植入物  生物可降解  金属支架  支架材料  骨肿瘤

Biodegradable magnesium implants:a potential scaffold for bone tumor patients
Authors:Rui Zan  Weiping Ji  Shuang Qiao  Hongliu Wu  Wenhui Wang  Tianjiao Ji  Bangcheng Yang  Shaoxiang Zhang  Congfeng Luo  Yang Song  Jiahua Ni  Xiaonong Zhang
Affiliation:(State Key Laboratory of Metal Matrix Composites,School of Materials Science and Engineering,Shanghai Jiao Tong University,Shanghai 200240,China;Department of Orthopedic Surgery,Shanghai Jiao Tong University Affiliated Sixth People’s Hospital,Shanghai 200233,China;Laboratory for Biomaterials and Drug Delivery,Department of Anesthesiology,Boston Children’s Hospital,Harvard Medical School,Boston,Massachusetts 02115,USA;Engineering Research Center in Biomaterials,Sichuan University,Chengdu 610064,China;Suzhou Origin Medical Technology Co.Ltd.,Suzhou 215513,China;Department of Mechanical Engineering,Massachusetts Institute of Technology,Cambridge,Massachusetts 02139,USA)
Abstract:Relapse and metastasis of tumor may occur for osteosarcoma(OS)patients after clinical resection.Conventional metallic scaffolds provide sufficient mechanical support to the defected bone but fail to eradicate recurring tumors.Here we report that biodegradable magnesium(Mg)wirebased implant can inhibit OS growth.In brief,the Mg wires release Mg ions to activate the transport of zinc finger protein Snail1 from cytoplasm to cell nucleus,which induces apoptosis and inhibits proliferation of OS cells through a parallel antitumor signaling pathway of miRNA-181d-5p/TIMP3 and miRNA-181c-5p/NLK downstream.Simultaneously,the hydrogen gas evolution from Mg wires eliminates intracellular excessive reactive oxygen species,by which the growth of bone tumor cells is suppressed.The subcutaneous tumor-bearing experiment of OS cells in nude mice further confirms that Mg wires can effectively inhibit the growth of tumors and prolong the survival of tumor-bearing mice.In addition,Mg wires have no toxicity to normal cells and tissues.These results suggest that Mg implant is a potential anti-tumor scaffold for OS patients.
Keywords:magnesium wire  osteosarcoma inhibition  hydrogen evolution  Snail1  miRNA-181
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