Isobe Kazushige, Watanebe Taisuke, Kawabata Hideo, Kitamura Yutaka, Okudera Toshimitsu, Okudera Hajime, Uematsu Kohya, Okuda Kazuhiro, Nakata Koh, Tanaka Takaaki, Kawase Tomoyuki
Tokyo Plastic Dental Society, Kita-ku, Tokyo, Japan.
Division of Dental Implantology, Niigata University Medical and Dental Hospital, Niigata, Japan.
Int J Implant Dent. 2017 Dec;3(1):17. doi: 10.1186/s40729-017-0081-7. Epub 2017 May 2.
Fibrin clot membranes prepared from advanced platelet-rich fibrin (A-PRF) or concentrated growth factors (CGF), despite their relatively rapid biodegradability, have been used as bioactive barrier membranes for alveolar bone tissue regeneration. As the membranes degrade, it is thought that the growth factors are gradually released. However, the mechanical and degradable properties of these membranes have not well been characterized. The purpose of this study was to mechanically and chemically characterize these membranes.
A-PRF and CGF clots were prepared from blood samples collected from non-smoking, healthy donors and were compressed to form 1-mm-thick membranes. Platelet-poor plasma-derived fibrin (PPTF) clots were prepared by adding bovine thrombin to platelet-poor plasma. A tensile test was performed at the speed of 1 mm/min. Morphology of the fibrin fibers was examined by SEM. A digestion test was performed in PBS containing trypsin and EDTA.
In the tensile test, statistical difference was not observed in Young's modulus, strain at break, or maximum stress between A-PRF and CGF. In strain at break, PPTF was significantly weaker than CGF. Likewise, fibrin fiber thickness and crosslink density of PPTF were less than those of other membranes, and PPTF degraded faster than others.
Although the centrifugal conditions are different, A-PRF and CGF are prepared by essentially identical mechanisms. Therefore, it is conceivable that both membranes have similar mechanical and chemical properties. Only PPTF, which was prepared by a different mechanism, was characterized as mechanically weaker and enzymatically more degradable.
由高级富血小板纤维蛋白(A-PRF)或浓缩生长因子(CGF)制备的纤维蛋白凝块膜,尽管其生物降解性相对较快,但已被用作肺泡骨组织再生的生物活性屏障膜。随着膜的降解,人们认为生长因子会逐渐释放。然而,这些膜的机械性能和降解性能尚未得到很好的表征。本研究的目的是对这些膜进行机械和化学表征。
从非吸烟健康供体采集的血样中制备A-PRF和CGF凝块,并压缩形成1毫米厚的膜。通过向贫血小板血浆中添加牛凝血酶来制备贫血小板血浆衍生纤维蛋白(PPTF)凝块。以1毫米/分钟的速度进行拉伸试验。通过扫描电子显微镜检查纤维蛋白纤维的形态。在含有胰蛋白酶和乙二胺四乙酸的磷酸盐缓冲盐水中进行消化试验。
在拉伸试验中,A-PRF和CGF之间在杨氏模量、断裂应变或最大应力方面未观察到统计学差异。在断裂应变方面,PPTF明显弱于CGF。同样,PPTF的纤维蛋白纤维厚度和交联密度小于其他膜,并且PPTF比其他膜降解得更快。
尽管离心条件不同,但A-PRF和CGF的制备机制基本相同。因此,可以想象这两种膜具有相似的机械和化学性质。只有通过不同机制制备的PPTF表现为机械性能较弱且酶促降解性更强。