述评:关节软骨的细胞与分子生物力学
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Cellular and Molecular Biomechanics: The Articular Cartilage paradigm-a Review
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    摘要:

    关节软骨是覆盖在动关节骨端表面的一层低摩擦、可承载负荷的水合软组织,其力学性能通过软骨细胞的新陈代谢来维持。物理因素,如关节载荷对软骨细胞的新陈代谢有很大的调节作用。本文对关节软骨和软骨细胞的力学性能和理论模型进行了综述,重点强调物理调节在软骨细胞生物合成和组织维护中的作用,以及在软骨功能性组织工程修复与再生医学中的应用。文中首先描述了关节软骨的分子构成、超微结构及其张力、压力、剪切力等力学性能,着重强调其相互关系。然后,通过介绍已广泛使用的结构模型,即双相和三相混合理论,对组织的力学-电化学行为进行阐述,并着重介绍简化复杂的三相理论的最新研究进展。最后,对软骨细胞和软骨素的机械性能和理论模型进行回顾总结,从而加深对细胞外基质中软骨细胞内及周围力学-电化学信号的认识。根据混合相理论,关节软骨的流动依赖性和非流动依赖性的粘弹性、溶胀行为和电动特性已经在理论上得到了成功阐述。文献中混合相理论用于软骨细胞以及周围细胞外基质的推广也为体内细胞行为物理调节机制的研究提供了新的思路。总之,应用强大的混合相理论、新的实验技术、新的或常规的办法来研究软骨细胞和基质之间的相互作用,可能有助于关节软骨工程学研究的成功。

    Abstract:

    Articular cartilage is a layer of low-friction, load-bearing soft hydrated tissue covering articulating bony ends in diarthrodial joint. The vital mechanical function is maintained by the metabolism of chondrocytes, which is largely controlled by the physical factors such as joint loading. In this paper, studies on mechanical behaviors and theoretical modeling of articular cartilage and chondrocytes are reviewed with the particular emphasis on physical regulation of chondrocytes biosynthetic activities toward tissue maintenance, and its application in functional tissue engineering for cartilage repair and regenerative medicine. In this review article, first, the molecular composition and ultrastructure of articular cartilage and its tensile, compressive, and shear properties will be described, with their interrelationships emphasized. Then, the widely-used constitutive models, i.e., the biphasic and triphasic mixture theories, will be introduced to describe the tissues’ mechano-electrochemical behaviors, and with special emphasis on the recent advances toward the simplification of the complex triphasic theory described. Finally, mechanical properties, and theoretical modeling of chondrocytes and chondrons, are reviewed to enhance understanding of mechano-electrochemical signals around and in chondrocytes embedded within the extracellular matrix. In light of the mixture theories, the flow-dependent and flow- independent viscoelastic behaviors, swelling behaviors, and electrokinetic behaviors of articular cartilage have been successfully and theoretically described. The extension of mixture description to the chondrocytes and the surrounding pericellular matrix in the literature has also provided new insights in the physical regulatory mechanisms that influence cell behaviors in situ. In conclusion, with the powerful mixture theories, and new experimental techniques, novel and invariant approaches to investigate the chondrocyte-matrix interactions have been developed, with possible beneficial approaches toward successful engineering of artificial cartilage.

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Leo Q. Wan, Van C. Mow.述评:关节软骨的细胞与分子生物力学[J].医用生物力学,2008,23(1):1-18

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