一种人造卵巢及其制备和应用Artificial ovary and preparation and application thereof
技术领域Technical field
本发明涉及生物技术领域,具体涉及3D打印技术制备的人造卵巢。The invention relates to the field of biotechnology, in particular to an artificial ovary prepared by a 3D printing technique.
背景技术Background technique
世界卫生组织预测,不孕不育将成为仅次于肿瘤和心脑血管病的第三大疾病。全世界每6对夫妻就有1对不孕不育,中国的不孕不育率已经从20年前的3%攀升到12.5-15%.The World Health Organization predicts that infertility will be the third largest disease after cancer and cardiovascular disease. There are 1 infertility in every 6 couples in the world, and China’s infertility rate has climbed from 3% 20 years ago to 12.5-15%.
国家统计局当日发布第六次全国人口普查主要数据公报数据显示,全国总人口为1,339,724,852人。与2000年第五次全国人口普查相比,十年增加7390万人,增长5.84%,年平均增长0.57%,比1990年到2000年的年平均增长率1.07%下降0.5个百分点。数据表明,我国人口增长处于低生育水平阶段。The National Bureau of Statistics released the main data bulletin of the sixth national census on the same day, showing that the total population of the country is 1,339,724,852. Compared with the fifth national census in 2000, the number increased by 73.9 million in the decade, an increase of 5.84%, with an average annual growth rate of 0.57%, which is 0.5 percentage points lower than the annual average growth rate of 1.07% from 1990 to 2000. The data shows that China's population growth is at a stage of low fertility levels.
2015年10月,中国共产党第十八届中央委员会第五次全体会议公报指出:促进人口均衡发展,坚持计划生育的基本国策,完善人口发展战略,全面实施一对夫妇可生育两个孩子政策,积极开展应对人口老龄化行动。In October 2015, the communique of the Fifth Plenary Session of the 18th Central Committee of the Communist Party of China pointed out: Promote balanced population development, adhere to the basic national policy of family planning, improve the population development strategy, and fully implement the policy of a couple of children to have two children. Actively respond to the aging of the population.
然而近些年来,快节奏的工作和生活方式,高消费的压力,方方面面都挑战着婚育年龄的女性。因此,女性的健康,尤其是女性的生殖健康是不容忽视的社会问题。However, in recent years, the fast-paced work and lifestyle, the pressure of high consumption, all face the challenges of women of marriage and childbearing age. Therefore, women's health, especially women's reproductive health, is a social problem that cannot be ignored.
(一)卵巢早衰(premature ovarian failure,POF)是指初潮以后到40岁之前发生的低雌激素和高促性腺激素状态,伴随闭经、不孕,性器官萎缩及绝经期综合征等症状。近年来,临床上POF的发病率有逐年上升趋势,流行病学调查显示,POF发生率为1%,其中30岁之前的妇女人群发生率约0.1%,由于POF导致生育力丧失及低雌激素状态,成为影响女性生殖健康和社会稳定不可忽视的因素。卵巢早衰发生的原因很多,主要是由于卵巢中的原始卵泡过早耗竭或者原始卵泡不能发育而致。目前,辅助生殖技术如试管婴儿技术等已经成为治疗不孕不育症的关键技术。尤其是试管婴儿技术从建立之初的20多年的时间里发展迅速,令千千万万的家庭成功的拥有了自己的后代。然而,这项技术并不是万能的,并不能解决所有的不孕不育问题。试管婴儿技术的关键是必须要求母亲提供一枚高质量的成熟卵子,如果母亲无卵可排或排卵功能低下,比如对于卵巢早衰症患者,那么这项技术则爱莫能助。(1) Premature ovarian failure (POF) refers to the low estrogen and high gonadotropin state that occurs after menarche until the age of 40, accompanied by amenorrhea, infertility, sexual atrophy and menopausal syndrome. In recent years, the incidence of clinical POF has been increasing year by year. Epidemiological surveys show that the incidence of POF is 1%, and the prevalence of women before 30 years old is about 0.1%. The loss of fertility and low estrogen due to POF. Status has become a factor that can not be ignored influencing female reproductive health and social stability. There are many causes of premature ovarian failure, mainly due to premature depletion of primordial follicles in the ovary or inability of primord follicles to develop. At present, assisted reproductive technologies such as IVF technology have become the key technology for the treatment of infertility. In particular, IVF technology has developed rapidly over the past 20 years since its establishment, enabling thousands of families to successfully own their own offspring. However, this technology is not a panacea and does not solve all the problems of infertility. The key to IVF technology is that mothers must be provided with a high-quality mature egg. If the mother has no egg ovulation or low ovulation function, such as for patients with premature ovarian failure, then this technique can't help.
(二)多囊卵巢综合征(polycystic ovary syndrome,PCOS)(2) Polycystic ovary syndrome (PCOS)
多囊卵巢综合征是育龄妇女常见的内分泌紊乱性疾病,发病率占育龄期妇女的6~10%,其主要表现为月经稀发或闭经、不孕、卵巢多囊性变、肥胖、多毛、高雄激素血症等。对于PCOS患者的治疗,包括手术治疗、药物治疗和辅助生育技术。
Polycystic ovary syndrome is a common endocrine disorder disease in women of childbearing age. The incidence rate is 6-10% of women of childbearing age. It is mainly characterized by menstrual thinning or amenorrhea, infertility, ovarian polycystic changes, obesity, hairy, Hyperandrogenemia and the like. Treatment for patients with PCOS, including surgery, medication, and assisted reproductive technology.
目前PCOS的药物治疗已取代手术治疗作为一线治疗方法,治疗的目的主要与病人的生育要求相关。如采用降低高雄激素血症的药物治疗,促排卵药物治疗,或胰岛素增敏剂(insulin-sensitizing drugs,ISD)治疗等。At present, drug treatment of PCOS has replaced surgical treatment as a first-line treatment, and the purpose of treatment is mainly related to the patient's fertility requirements. Such as the use of drugs to reduce hyperandrogenemia, ovulation drug therapy, or insulin-sensitizing drugs (ISD) treatment.
PCOS的手术治疗可以减少卵巢中部分颗粒细胞,卵巢间质产生雄激素减少,从而使循环中的雄激素水平降低,进而GnRH降低,引起血清雄激素浓度进一步降低,这也说明卵巢间质亦受垂体-卵巢轴调控。主要包括双侧卵巢楔形切除术(BOWR),.腹腔镜下卵巢电灼或激光打孔治疗(Laparoscopic ovariandrilling,LOD)和经阴道水腹腔镜(Transvaginalhydrolaparoscopy,THL)。Surgical treatment of PCOS can reduce some granulosa cells in the ovary, reduce the production of androgen in the ovarian stroma, and thus reduce the level of androgen in the circulation, and then reduce the GnRH, causing the serum androgen concentration to further decrease, which also indicates that the ovarian stroma is also affected. Pituitary-ovarian axis regulation. Mainly include bilateral ovarian wedge resection (BOWR), laparoscopic ovarian electrocautery or laser perforation (LOD) and transvaginal hydrolaparoscopy (THL).
也有PCOS患者采用辅助生育技术,尤其是对于应用6个月以上标准的促排卵周期治疗后有排卵但仍未妊娠的PCOS患者,或多种药物促排卵治疗及辅助治疗无排卵并急待妊娠的患者,可以选择胚胎移植的辅助生育技术。包括体外受精技术(In vitro fertilization,IVF)和.卵母细胞体外成熟技术(In vitro maturation,IVM)。There are also PCOS patients who use assisted reproductive technology, especially for PCOS patients who have ovulation but have not been pregnant after 6 months of ovulation induction therapy, or multiple drug ovulation therapy and adjuvant therapy for anovulation and acute pregnancy. Patients can choose the assisted reproductive technology of embryo transfer. In vitro fertilization (IVF) and in vitro maturation (IVM) are included.
然而以上治疗方法均有优缺点,关键是迄今为止,PCOS的发病机制仍不清楚,所以目前采用的治疗方法也只是治标。However, the above treatment methods have advantages and disadvantages, the key is that the pathogenesis of PCOS is still unclear so far, so the current treatment method is only a symptom.
(三)卵巢癌(Ovarian Cancer,OAC)(three) ovarian cancer (Ovarian Cancer, OAC)
雌性生殖癌症中,有的与内分泌相关。如,乳腺癌(Breast Cancer),子宫内膜癌(Endometrial Cancer)和卵巢癌(Ovarian Cancer,OAC)等。其中,卵巢癌是发生于卵巢的一种恶性肿瘤,90%~95%为卵巢原发性的癌,另外5%~10%为其它部位原发的癌转移到卵巢。虽然我国的卵巢癌发病率不如欧美国家高,但根除性的手术治疗,以及细胞毒性的化疗,均缺乏有效降低卵巢癌的死亡率的效用。由于卵巢癌早期缺少症状,即使有症状也不特异,筛查的作用又有限,因此早期诊断比较困难,就诊时60%~70%已为晚期,而晚期病例又疗效不佳。因此,虽然卵巢癌的发病率仅次于宫颈癌和子宫内膜癌,居妇科恶性肿瘤的第三位,但死亡率却超过宫颈癌及子宫内膜癌之和,高居妇科癌症首位,是严重威胁妇女健康的最大疾患。Among female reproductive cancers, some are associated with endocrine. For example, breast cancer, endometrial cancer and Ovarian Cancer (OAC). Among them, ovarian cancer is a malignant tumor that occurs in the ovary, 90% to 95% of which are primary ovarian cancers, and 5% to 10% of the primary cancers in other parts are transferred to the ovaries. Although the incidence of ovarian cancer in China is not as high as in Europe and the United States, eradication surgery and cytotoxic chemotherapy lack the effectiveness of effectively reducing ovarian cancer mortality. Because of the early absence of symptoms in ovarian cancer, even if symptoms are not specific, the role of screening is limited, so early diagnosis is difficult, 60% to 70% of patients have advanced in the treatment, and advanced cases are not effective. Therefore, although the incidence of ovarian cancer is second only to cervical cancer and endometrial cancer, the third place in gynecological malignancies, but the mortality rate is more than the sum of cervical cancer and endometrial cancer, the highest in gynecological cancer, is serious The biggest threat to women's health.
以上三种危害妇女的疾病,均造成女性正常卵子的发生、发育和排卵,导致不育不孕。除此而外,很多女性也患有多因素引发的内分泌紊乱、月经不调等症状,严重影响生理和心理状态。因此,开发具有分泌激素、发育卵泡或具有排卵功能的3D打印卵巢,将它植入卵巢功能不全的雌性,缓解内分泌失调、月经不调,甚至能够帮助雌性排卵并生下了健康的后代,为应用于治疗人类的不孕不育提供新的可能具有十分重要的社会意义。The above three diseases that endanger women cause the occurrence, development and ovulation of normal eggs in women, leading to infertility. In addition, many women also suffer from multiple factors such as endocrine disorders, irregular menstruation and other symptoms, seriously affecting the physical and psychological state. Therefore, the development of 3D printed ovaries with secretory hormones, developmental follicles or ovulation function, implanted into females with ovarian insufficiency, relieve endocrine disorders, irregular menstruation, and even help females to ovulate and give birth to healthy offspring. It is of great social importance to provide new possibilities for the treatment of infertility in humans.
本项申请发明的几种类型的3D打印卵巢生物假体,无论是卵巢结构形态、支架通道的设计、细胞类型和培养方案等方面,更接近生理条件的卵巢,既可以作为筛选原始卵泡始动募集、卵泡周期募集、卵泡发育、排卵机制的有力研究工具,也可以为内分泌功能紊乱、月经不调患者、或不孕不育患者提供一个更可靠
的预防或治疗方案的选择。Several types of 3D printed ovarian bioprostheses invented in this application, whether in terms of ovarian structural morphology, stent channel design, cell type and culture protocol, are closer to physiological conditions of the ovary, and can be used as a screening for primordial follicles. A powerful research tool for recruitment, follicular cycle recruitment, follicular development, and ovulation mechanisms can also provide a more reliable treatment for endocrine dysfunction, irregular menstruation, or infertility
The choice of prevention or treatment options.
充分结合生物学、细胞学与材料学,利用3D打印机技术,开发出含有不同发育时期卵泡的功能性3D打印卵巢生物假体,或用于体内外机制研究;或将它植入卵巢功能不全的雌性,恢复雌性生理特征,且能帮助雌性生下了健康的后代,为揭示不孕不育的机制提供新的工具,也为应用于缓解、预防或治疗人类的月经不调、不孕不育等提供新的选择。Fully combining biology, cytology and materials science, using 3D printer technology to develop functional 3D printed ovarian bioprostheses with follicles of different developmental stages, or for in vitro and in vivo mechanisms; or implanting them into ovarian insufficiency Females, restore female physiological characteristics, and can help females to produce healthy offspring, provide new tools for revealing the mechanism of infertility, and also apply to menstrual irregularities, infertility, for the relief, prevention or treatment of humans. Wait for new options.
发明内容Summary of the invention
为了解决上述问题,本发明一个方面提供了一种人造卵巢,其包括生物相容性支架、卵泡细胞以及包被混合液,其中,包被混合液包裹于卵泡细胞外部,并嵌合于生物相容性支架的空隙内部。In order to solve the above problems, an aspect of the invention provides an artificial ovary comprising a biocompatible stent, a follicular cell, and a coating mixture, wherein the coating mixture is wrapped outside the follicular cell and is embedded in the biological phase The interior of the void of the capacitive support.
在一个具体的技术方案中,包被混合液由包被辅料制成的流动性液体;In a specific technical solution, the coating liquid is a fluid liquid made of a coating auxiliary;
其中,包被辅料选自琼脂、琼脂糖、藻酸钙、透明质酸、基质胶、聚乙醇多聚物、聚乙烯醇多聚物,胶原蛋白凝胶、胶原蛋白、细胞外基质蛋白混合凝胶,或海藻酸盐与钙发生交联形成的水凝胶中的一种或多种;The coating material is selected from the group consisting of agar, agarose, calcium alginate, hyaluronic acid, matrigel, polyglycol polymer, polyvinyl alcohol polymer, collagen gel, collagen, and extracellular matrix protein. One or more of a hydrogel formed by cross-linking of alginate or calcium;
在本发明的具体技术方案中,包被混合液由海藻酸钠盐和明胶分别配置成1.5%浓度,然后尝试按不同比例混合,配比选择为1:1,4:6,3:7,2:8,1:9。以各配比进行实验均能制成浓度合适的包被混合液。In a specific technical solution of the present invention, the coating mixture is set to a concentration of 1.5% by sodium alginate and gelatin, respectively, and then tried to mix in different ratios, and the ratio is selected to be 1:1, 4:6, 3:7, 2:8, 1:9. It is possible to prepare a coating mixture having a suitable concentration by conducting experiments in each ratio.
优选地,包被混合液中还包含生物激素,生物激素选自促进卵泡发育所需的激素或生长因子,优选地,生物激素选自卵泡刺激素(FSH)、黄体生成素(LH)、表皮细胞生长因子(EGF)。Preferably, the coating mixture further comprises a biological hormone selected from the group consisting of hormones or growth factors required for promoting follicular development. Preferably, the biological hormone is selected from the group consisting of follicle stimulating hormone (FSH), luteinizing hormone (LH), epidermis. Cell growth factor (EGF).
在本发明的技术方案中,生物相容性支架的材料选自胶原Ⅰ、海藻酸钠、明胶、琼脂糖、基质胶(Matrigel)、透明质酸、壳聚糖、葡聚糖中的一种或者几种任意组合。In the technical solution of the present invention, the material of the biocompatible scaffold is selected from the group consisting of collagen I, sodium alginate, gelatin, agarose, Matrigel, hyaluronic acid, chitosan, and dextran. Or any combination of several.
在本发明的技术方案中,所述生物相容性支架上具有空隙,空隙的直径为卵泡细胞直径的1倍-2倍,优选为1-1.5倍。In the technical solution of the present invention, the biocompatible stent has a void having a diameter which is 1 to 2 times, preferably 1-1.5 times, the diameter of the follicular cell.
在本发明的技术方案中,所述卵泡细胞选自原始卵泡、腔前卵泡、有腔卵泡、包含原始卵泡细胞的组织、包含腔前卵泡细胞的组织、包含有腔卵泡细胞的组织中的一种或者多种。In the technical solution of the present invention, the follicular cells are selected from the group consisting of primordial follicles, preantral follicles, luminal follicles, tissues containing primordial follicular cells, tissues including preantral follicular cells, and tissues containing luminal follicular cells. Kind or more.
在本发明的技术方案中,人造卵巢上具有针对不同卵泡细胞的一种以上的空隙尺寸,优选为1-4种空隙尺寸,更优选为2-4种空隙尺寸。In the solution of the present invention, the artificial ovary has more than one void size for different follicular cells, preferably 1-4 kinds of void size, more preferably 2-4 kinds of void size.
在本发明的技术方案中,生物相容性支架通过3D打印制成,包裹卵泡细胞的包被混合液灌注于生物相容性支架的内部;或者In the technical solution of the present invention, the biocompatible stent is made by 3D printing, and the coating mixture of the follicular cells is poured into the interior of the biocompatible stent; or
生物相容性支架材料与包裹卵泡细胞的包被混合液依次以逐层打印的方式通过3D打印制成。The biocompatible scaffold material and the coating mixture of the encapsulated follicular cells are sequentially produced by 3D printing in a layer-by-layer manner.
本发明所用的材料采用生物相容性材料,其组成成份模拟卵巢组织中包含的
组分,其可以选自以下材料中的一种或者几种的组合。The material used in the present invention is a biocompatible material whose composition mimics the ovarian tissue contained therein.
A component which may be selected from one or a combination of the following materials.
胶原Ⅰ是从动物体内提取出来的一种水凝胶基质,其生物相容性好、来源丰富、可塑性高、临床应用方便、无免疫原性等特点。其形成的凝胶网络利于营养物质的自由进出,具有良好的亲水性和细胞相容性。Collagen I is a hydrogel matrix extracted from animals. It has good biocompatibility, rich source, high plasticity, convenient clinical application and no immunogenicity. The gel network formed by it facilitates free entry and exit of nutrients, and has good hydrophilicity and cell compatibility.
海藻酸钠是运用最为广泛的卵泡体外三维培养系统,支架成型效果好,可以简单地模拟天然组织。Sodium alginate is the most widely used three-dimensional in vitro culture system for follicles. The scaffolding effect is good and can easily simulate natural tissues.
琼脂糖凝胶,已经成功地应用于人和仓鼠的腔前卵泡培养中。同时由于低熔点的琼脂糖熔融温度低,更适合于卵泡的包埋。Agarose gel has been successfully applied to preantral follicular culture of humans and hamsters. At the same time, due to the low melting temperature of the low melting point agarose, it is more suitable for the embedding of follicles.
基质胶是一种孔径大约在20~50 nm的水凝胶基质,其主要成分为层粘连蛋白Ⅲ、Ⅳ型胶原蛋白、硫酸乙酰肝素蛋白聚糖及巢蛋白,与胚胎基底膜类似,良好地模拟体内细胞生长的微环境。Matrigel is a hydrogel matrix with a pore size of about 20-50 nm. Its main components are laminin III, type IV collagen, heparan sulfate proteoglycan and nestin, similar to the embryonic basement membrane. A microenvironment that simulates cell growth in vivo.
透明质酸是一种高分子多糖,是细胞外基质的主要成分,有营养细胞、促进细胞分化的生理作用。但是力学性能较差,可通过改性修饰的方法,或复合其它材料的方法,改善其力学性能,扩展应用范围。Hyaluronic acid is a high molecular polysaccharide, which is the main component of the extracellular matrix, has vegetative cells, and promotes the physiological role of cell differentiation. However, the mechanical properties are poor, and the mechanical properties can be improved and the application range can be extended by the method of modification modification or the method of compounding other materials.
本发明另一个方面提供了人造卵巢的制备方法,其包括以下步骤:Another aspect of the invention provides a method of making an artificial ovary comprising the steps of:
1)制备生物相容性支架材料;1) preparing a biocompatible scaffold material;
2)制备包被混合液,并包被卵泡细胞;2) preparing a coating mixture and coating the follicular cells;
3)以生物相容性支架材料,通过3D打印获得生物相容性支架,并将含卵泡的包被混合液灌注于生物相容性支架的内部空隙,或者3) obtaining a biocompatible scaffold by 3D printing with a biocompatible scaffold material, and infusing the follicular-containing coating mixture into the internal space of the biocompatible scaffold, or
3)生物相容性支架材料与包裹卵泡细胞的包被混合液依次以逐层打印的方式通过3D打印制成。3) The biocompatible scaffold material and the coating mixture of the encapsulated follicular cells are sequentially produced by 3D printing in a layer-by-layer manner.
在本发明的技术方案中,在步骤2)中以包被混合液包被卵泡细胞前,还包括将卵泡细胞进行培养的步骤。In the technical solution of the present invention, before the coating of the follicular cells with the coating mixture in the step 2), the step of culturing the follicular cells is further included.
本发明的人造卵巢做作为药物筛选、卵泡研究模型的用途。The artificial ovary of the present invention is used as a drug screening and follicle research model.
本发明的人造卵巢作为任何因素引起的卵巢受损的直接相关疾病或间接相关疾病的预防或治疗工具。The artificial ovary of the present invention is a preventive or therapeutic tool for a directly related disease or an indirectly related disease caused by ovarian damage caused by any factor.
在一个优选的技术方案中,本发明生物相容性支架的3D打印尺寸为:孔隙尺寸(R):50μm~800μm;线条堆积夹角:0°~180°。In a preferred embodiment, the 3D printing size of the biocompatible stent of the present invention is: pore size (R): 50 μm to 800 μm; line stacking angle: 0° to 180°.
本发明的一个优选的实施方案中以海藻酸钠作为支架材料,以3D打印的方法制备各种形状的支架(例如:圆形、长方形、正方形),3D打印支架中的空隙长度为150um,支架夹角:90°,其中包含由(1.5%(w/v))海藻酸钠盐明胶包被液包被的腔前卵泡。在将卵泡包被前,腔前卵泡以培养液(a-MEM+10%FBS+5.5mg/mlPNa+ITS+5ng/mlEGF+400mIU PMSG)进行培养。In a preferred embodiment of the present invention, sodium alginate is used as a scaffold material, and various shapes of scaffolds (for example, circular, rectangular, square) are prepared by 3D printing, and the gap length in the 3D printing scaffold is 150 um. Angle: 90°, containing preantral follicles coated with (1.5% (w/v)) sodium alginate gelatin coating. The preantral follicles were cultured in culture medium (a-MEM + 10% FBS + 5.5 mg/ml PNa + ITS + 5 ng / ml EGF + 400 mIU PMSG) before the follicles were coated.
本发明的人造卵巢的支架部分可以设置为多个尺寸以容纳不同大小,处于不同阶段的卵泡,从而实现卵泡依次生长为优势卵泡。本发明的人造卵巢适用于任何针对任何物种的原始卵泡、腔前卵泡、有腔卵泡整体或部分组成细胞研究的研
究工具,也适用于针对原始卵泡、腔前卵泡、有腔卵泡相关因子、药物前体等的筛选模型,也适用于任何因素引起的卵巢受损的直接相关疾病或间接相关疾病的预防或治疗工具。The stent portion of the artificial ovary of the present invention may be provided in a plurality of sizes to accommodate follicles of different sizes and at different stages, thereby enabling the follicles to sequentially grow into dominant follicles. The artificial ovary of the present invention is suitable for any research on primordial follicles, preantral follicles, whole or partial constitutive cells of any species
The tool is also suitable for screening models of primordial follicles, preantral follicles, luminal follicle related factors, prodrugs, etc. It is also suitable for the prevention or treatment of directly related diseases or indirect related diseases caused by ovarian damage caused by any factor. tool.
有益效果Beneficial effect
本发明的3D打印卵巢可以引用于任何因素引起的卵巢受损,只要还有部分含有原始卵泡、腔前卵泡、有腔卵泡的卵巢皮质存在,均可使用本发明的人工卵巢的制备方案,制备卵巢生物假体,对假体内的原始卵泡、腔前卵泡、有腔卵泡进行发育刺激,使之成为可进入发育成熟的卵泡,将能够继续行使卵巢分泌激素和排出卵子的功能,维持雌性生理特征,缓解内分泌失调和月经不调等症状。The 3D printed ovary of the present invention can be cited as ovarian damage caused by any factor, and as long as there are still some ovarian cortex containing primordial follicles, preantral follicles, and luminal follicles, the preparation method of the artificial ovary of the present invention can be used for preparation. Ovarian bioprosthesis, which stimulates the development of primordial follicles, preantral follicles and luminal follicles in the prosthesis, so that it can enter the mature follicles, and will continue to exercise the function of ovarian secretion of hormones and excretion of eggs, maintaining female physiology. Features to relieve symptoms such as endocrine disorders and irregular menstruation.
附图说明DRAWINGS
图1为3D打印卵巢生物支架制备流程示意图,其中A为计算机辅助设计卵巢结构、打印模型。B为打印基板。C为胶原蛋白/基质胶混合液。D为明胶。Figure 1 is a schematic diagram of the preparation process of the 3D printed ovarian bioscaffold, wherein A is a computer aided design of the ovarian structure and a printed model. B is a printed substrate. C is a collagen/matrix gum mixture. D is gelatin.
图2为3D打印卵巢生物支架流程示意图,2 is a schematic flow chart of a 3D printed ovarian biological stent,
其中a)为CAD设计,b)为3D打印,c)为三维卵巢支架示意图。Where a) is CAD design, b) is 3D printing, and c) is a schematic representation of a three-dimensional ovarian stent.
图3为卵泡/基质胶混合液的制备流程示意图,Figure 3 is a schematic view showing the preparation process of the follicle/matrix mixture.
1为原始卵泡(primodial follicle)、2为腔前卵泡(preantral follicle)、3为有腔卵泡(antral follicle)、4为基质胶、5为原始卵泡/基质胶混合液、6为腔前卵泡/基质胶混合液、7为有腔卵泡/基质胶混合液。1 is primodial follicle, 2 is preantral follicle, 3 is antral follicle, 4 is matrigel, 5 is primordial follicle/matrix mixture, and 6 is preantral follicle/ Matrigel mixture, 7 is a cavity follicle / matrigel mixture.
图4为几种不同类型的卵巢生物假体(I型、II型、III型、IV型、V型和VI型)的结构示意图。Figure 4 is a schematic view showing the structure of several different types of ovarian bioprostheses (type I, type II, type III, type IV, type V, and type VI).
其中,1为原始卵泡/基质胶混合液、2为腔前卵泡/基质胶混合液、3为有腔卵泡/基质胶混合液、4为生物支架、5为I型或IV型卵巢生物假体、6为II型或V型卵巢生物假体、7为III型或VI型卵巢生物假体Among them, 1 is the original follicle/matrix mixture, 2 is the pre-cavity follicle/matrix mixture, 3 is the cavity follicle/matrix mixture, 4 is the biological stent, and 5 is the type I or IV ovarian bioprosthesis. , 6 is type II or V ovarian bioprosthesis, 7 is type III or type VI ovarian bioprosthesis
图5为本发明电镜图。Figure 5 is an electron micrograph of the present invention.
图6为不同比例混合包被卵泡分泌孕酮(progesteron)的水平结果图。Figure 6 is a graph showing the results of levels of progesteron secreted by follicles in different proportions.
具体实施方式detailed description
实施例1 3D打印卵巢生物支架的设计及制备Example 1 Design and preparation of 3D printed ovarian bioscaffold
(1)结合计算机辅助设计(computer aided design,CAD),采用三维打印技术构建卵巢支架,其中形状、组成成分及内部结构都具有良好可设计性;(1) Combining computer aided design (CAD), using three-dimensional printing technology to construct ovarian scaffolds, in which the shape, composition and internal structure have good designability;
(2)三维卵巢支架的形状,可以设计为圆形、长方形、正方形或类似卵巢形状,但保证内部结构联通,具有一定孔隙率;(2) The shape of the three-dimensional ovarian stent can be designed as a circular, rectangular, square or ovarian-like shape, but the internal structure is ensured to communicate with a certain porosity;
(3)所用于三维卵巢支架的材料,选择发明所用的生物相容性材料,不仅能用于卵泡生长,还能起到支撑作用,且还方便于三维打印成型。供选择材料:胶原Ⅰ、海藻酸钠、明胶、琼脂糖、基质胶(Matrigel)、透明质酸、壳聚糖、
葡聚糖中的一种或者几种任意组合分别打印。(3) The material used for the three-dimensional ovarian stent, the biocompatible material used in the invention can be selected not only for follicular growth but also for supporting, and also convenient for three-dimensional printing. Alternative materials: collagen I, sodium alginate, gelatin, agarose, Matrigel, hyaluronic acid, chitosan,
One or a combination of any of the dextran is printed separately.
(4)所构建三维卵巢内部结构参数(见图):孔隙尺寸(R):150μm(根据注入支架的不同发育时期卵泡大小而异);线条堆积夹角(α):90°~180°。(4) Internal three-dimensional ovarian structural parameters (see figure): pore size (R): 150 μm (depending on the size of follicles at different developmental stages of the implant); line stacking angle (α): 90° to 180°.
(5)将制备好的支架置于-80℃储存备用。(5) The prepared stent was stored at -80 ° C for use.
实施例2 卵泡的获得Example 2 Acquisition of follicles
(1)腔前卵泡的获得(1) Obtainment of preantral follicles
自然获得法:对出生后12-14天的雌性小鼠,采用颈椎脱臼法处死,消毒皮肤后,背位无菌摘取卵巢,放入分离培养基中(L-15+10%FBS+100IU/ml青霉素+100ug/ml链霉素)。在实体显微镜下剔除卵巢周围附带组织,在分离液中清洗3遍。然后在镜下用胰岛素计量注射针刺卵巢,释放小鼠卵巢内直径为100~130μm的腔前卵泡。Naturally obtained method: Female mice 12-14 days after birth were sacrificed by cervical dislocation. After disinfecting the skin, the ovaries were aseptically removed from the back and placed in the separation medium (L-15+10% FBS+100 IU). /ml penicillin + 100ug / ml streptomycin). The attached tissue around the ovary was removed under a stereoscopic microscope and washed 3 times in the separation solution. Then, the ovary was injected under the microscope with insulin, and the preantral follicles with a diameter of 100-130 μm in the ovary of the mouse were released.
DES处理法:首先将对19日龄小鼠,皮下埋植DES,3天后,采用颈椎脱臼法处死,消毒皮肤后,背位无菌摘取卵巢,放入分离培养基中(L-15+10%FBS+100IU/ml青霉素+100ug/ml链霉素)。在实体显微镜下剔除卵巢周围附带组织,在分离液中清洗3遍。然后在镜下用胰岛素计量注射针刺卵巢,释放小鼠卵巢内直径为100~130μm的腔前卵泡。DES treatment: First, 19 days old mice were implanted with DES subcutaneously. After 3 days, they were sacrificed by cervical dislocation. After disinfecting the skin, the ovaries were aseptically removed from the back and placed in the separation medium (L-15+). 10% FBS + 100 IU / ml penicillin + 100 ug / ml streptomycin). The attached tissue around the ovary was removed under a stereoscopic microscope and washed 3 times in the separation solution. Then, the ovary was injected under the microscope with insulin, and the preantral follicles with a diameter of 100-130 μm in the ovary of the mouse were released.
(2)有腔卵泡的获得(2) Obtaining follicles
对21日龄的雌性小鼠腹腔注射PMSG,48小时后,采用颈椎脱臼法处死,消毒皮肤后,背位无菌摘取卵巢,放入分离培养基中(L-15+10%FBS+100IU/ml青霉素+100ug/ml链霉素)。在实体显微镜下剔除卵巢周围附带组织,在分离液中清洗3遍。然后在镜下用胰岛素计量注射针刺卵巢,释放小鼠卵巢内直径为200~3000μm的有腔卵泡。21 days old female mice were injected intraperitoneally with PMSG. After 48 hours, they were sacrificed by cervical dislocation. After disinfecting the skin, the ovaries were aseptically removed from the back and placed in the separation medium (L-15+10% FBS+100 IU). /ml penicillin + 100ug / ml streptomycin). The attached tissue around the ovary was removed under a stereoscopic microscope and washed 3 times in the separation solution. Then, under the microscope, the ovary was injected by insulin, and the ovarian follicles having a diameter of 200-3000 μm were released.
(3)原始卵泡的获得(3) Acquisition of primordial follicles
对3日龄的雌性小鼠采用颈椎脱臼法处死,消毒皮肤后,背位无菌摘取卵巢,放入分离培养基中(L-15+10%FBS+100IU/ml青霉素+100ug/ml链霉素)。在实体显微镜下剔除卵巢周围附带组织,在分离液中清洗3遍。然后在镜下用胰岛素计量注射针刺卵巢,将小鼠卵巢分成含有原始卵泡的组织碎片。Female mice of 3 days old were sacrificed by cervical dislocation. After disinfecting the skin, the ovaries were aseptically removed from the back and placed in the separation medium (L-15+10% FBS+100 IU/ml penicillin+100 ug/ml chain). Mycin). The attached tissue around the ovary was removed under a stereoscopic microscope and washed 3 times in the separation solution. The ovary is then dosed with insulin under the microscope, and the mouse ovary is divided into tissue fragments containing primordial follicles.
实施例3 包被混合液的制备Example 3 Preparation of coating mixture
包被混合液以琼脂/琼脂糖、藻酸钙和透明质酸、基质胶、人工合成的聚乙醇或聚乙烯醇多聚物、胶原蛋白凝胶、胶原蛋白与细胞外基质蛋白混合凝胶、或海藻酸盐与钙发生交联进行稀释形成的具有流动性水凝胶。以海藻酸钠盐和明胶复配时的浓度为1.5%(w/v)。海藻酸钠盐和明胶分别配置成1.5%浓度,然后尝试按不同比例混合,配比选择为1:1,4:6,3:7,2:8,1:9。以各配比进行实验均能制成浓度合适的包被混合液。参见附图6。The coating mixture is agar/agarose, calcium alginate and hyaluronic acid, matrigel, synthetic polyethanol or polyvinyl alcohol polymer, collagen gel, collagen and extracellular matrix protein mixed gel, Or a hydrogel formed by the cross-linking of alginate with calcium for dilution. The concentration when sodium alginate and gelatin were compounded was 1.5% (w/v). The sodium alginate salt and gelatin were respectively arranged at a concentration of 1.5%, and then tried to mix in different ratios, and the ratio was selected to be 1:1, 4:6, 3:7, 2:8, 1:9. It is possible to prepare a coating mixture having a suitable concentration by conducting experiments in each ratio. See Figure 6.
实施例4 包被混合液包被卵泡Example 4 Coating the mixture to coat the follicle
(1)腔前卵泡/包被混合液的制备。
(1) Preparation of preantral follicle/coating mixture.
将腔前卵泡在分离液中清洗1-2遍,并种入96孔板内的混合培养液中。(其中,混合培养液成分为:a-MEM+10%FBS+5.5mg/mlPNa+ITS+5ng/mlEGF+100mIUrFSH)。混合培养液先在37℃,5%CO2的培养箱内平衡2-4小时。然后,用经灭菌处理的包被混合液包裹单个腔前卵泡。)The preantral follicles were washed 1-2 times in the separation solution and seeded into the mixed culture medium in a 96-well plate. (The composition of the mixed culture solution was: a-MEM + 10% FBS + 5.5 mg / ml PNa + ITS + 5 ng / ml EGF + 100 mIUrFSH). The mixed culture was first equilibrated in a 37 ° C, 5% CO 2 incubator for 2-4 hours. The individual pre-cavity follicles are then wrapped with the sterilized coating mixture. )
(2)有腔卵泡与基质胶混匀形成:有腔卵泡/基质胶混合液。(2) The cavity follicles are mixed with the matrigel: a cavity follicle/matrix mixture.
将有腔卵泡在分离液中清洗1-2遍,然后在96孔板内种入混合培养液中。The luminal follicles were washed 1-2 times in the separation solution, and then seeded into the mixed culture solution in a 96-well plate.
(注:混合培养液:a-MEM+10%FBS+5.5mg/mlPNa+ITS+5ng/mlEGF+100mIUrFSH。混合培养液先在37℃,5%CO2的培养箱内平衡2-4小时。然后,用经灭菌处理的包被混合液包裹单个有腔卵泡。)(Note: Mixed culture solution: a-MEM + 10% FBS + 5.5 mg / ml PNa + ITS + 5 ng / ml EGF + 100 mIUrFSH. The mixed culture solution was first equilibrated in a 37 ° C, 5% CO 2 incubator for 2-4 hours. The individual cavity follicles are then wrapped with a sterilized coating mixture.)
(3)原始卵泡与基质胶混匀形成:原始卵泡/基质胶混合液。(3) The original follicle is mixed with Matrigel to form: primordial follicle/matrix mixture.
将含有原始卵泡的卵巢皮质组织碎片在分离液中清洗1-2遍,然后在96孔板内种入混合培养液中。The ovarian cortical tissue fragments containing the primordial follicles were washed 1-2 times in the separation solution, and then seeded into the mixed culture solution in a 96-well plate.
(注:混合培养液:a-MEM+10%FBS+5.5mg/mlPNa+ITS+5ng/mlEGF+100mIUrFSH。混合培养液先在37℃,5%CO2的培养箱内平衡2-4小时。然后,用经灭菌处理的包被混合液包裹含有原始卵泡的组织碎片。)(Note: Mixed culture solution: a-MEM + 10% FBS + 5.5 mg / ml PNa + ITS + 5 ng / ml EGF + 100 mIUrFSH. The mixed culture solution was first equilibrated in a 37 ° C, 5% CO 2 incubator for 2-4 hours. Then, the sterilized coating mixture is used to wrap the tissue fragments containing the original follicles.)
实施例5 I型3D打印卵巢生物假体的制备及功能测定Example 5 Preparation and Functional Determination of Type I 3D Printed Ovarian Bioprosthesis
(1)储存备用的卵巢生物支架预处理:将在-80℃储存备用的卵巢生物支架取出,放置室温20分钟,然后在生理盐水中孵育30分钟。(1) Storage of spare ovarian bioscaffold pretreatment: The ovarian bioscaffold stored at -80 ° C was taken out, placed at room temperature for 20 minutes, and then incubated in physiological saline for 30 minutes.
(2)将原始卵泡/基质胶混合液注入卵巢生物支架:将经灭菌处理的CaCl2(50mM)-NaCl(150mM)混合液加入卵巢生物支架中,然后用加样枪将含有原始卵泡的包被混合液悬空打入支架不同部分中,2-5分钟后形成具有原始卵泡的卵巢生物支架,形成I型3D打印卵巢生物假体。(2) Injecting the original follicle/matrix mixture into the ovarian bioscaffold: adding the sterilized CaCl 2 (50 mM)-NaCl (150 mM) mixture to the ovarian bioscaffold, and then using the loading gun to contain the primordial follicle The coating mixture was suspended into different parts of the stent, and an ovarian bioscaffold with primordial follicles was formed 2-5 minutes to form a type I 3D printed ovarian bioprosthesis.
(3)I型3D打印卵巢生物假体及功能测定:(3) Type I 3D printing ovarian bioprosthesis and function measurement:
将大小为长(5mm)×宽(2.5mm)×厚(2.5mm)的I型卵巢生物假体(含有20个原始卵泡基质胶溶液)使用100μM bpV(a PTEN inhibitor,Calbiochem)和/或500μg/mL 740Y-P(a PI3K agonist,Tocris)处理24小时;对照组在不加任何抑制剂的培养液中24小时。24小时后,对实验组和对照组的卵巢生物假体进行组织切片Foxo3染色,阳性信号着色的为激活的原始卵泡。结果显示:bpV和/或740Y-P处理过的卵巢假体中的组织,50%以上的原始卵泡显示Foxo3阳性信号。上述实验结果表明原始卵泡在卵巢生物假体中的状态正常。Type I ovarian bioprosthesis (containing 20 primordial follicular matrigel solutions) of length (5 mm) x width (2.5 mm) x thickness (2.5 mm) using 100 μM bpV (a PTEN inhibitor, Calbiochem) and/or 500 μg /mL 740Y-P (a PI3K agonist, Tocris) was treated for 24 hours; the control group was incubated in the culture medium without any inhibitor for 24 hours. After 24 hours, the ovarian bioprosthesis of the experimental group and the control group were subjected to tissue section Foxo3 staining, and the positive signal was stained with activated primordial follicles. The results showed that more than 50% of the primordial follicles in the bpV and/or 740Y-P treated ovarian prosthesis showed a Foxo3 positive signal. The above experimental results indicate that the primordial follicle is in a normal state in the ovarian bioprosthesis.
实施例6 II型3D打印卵巢生物假体的制备及功能测定Example 6 Preparation and Functional Determination of Type II 3D Printed Ovarian Bioprosthesis
(1)储存备用的卵巢生物支架预处理:将在-80℃储存备用的卵巢生物支架
取出,放置室温20分钟,然后在生理盐水中孵育30分钟。(1) Preservation of spare ovarian bioscaffold pretreatment: storage of spare ovarian bioscaffolds at -80 °C
The mixture was taken out, left at room temperature for 20 minutes, and then incubated in physiological saline for 30 minutes.
(2)将腔前卵泡/基质胶混合液注入卵巢生物支架:将经灭菌处理的CaCl2(50mM)-NaCl(150mM)混合液加入支架中,然后用加样枪将含有单个腔前卵泡的包被混合液悬空打入支架不同部分中,2-5分钟后形成具有腔前卵泡的卵巢生物支架,形成II型3D打印卵巢生物假体。(2) Inject the pre-cavity follicle/matrix mixture into the ovarian bioscaffold: add the sterilized CaCl 2 (50 mM)-NaCl (150 mM) mixture to the scaffold, and then use a sample gun to contain a single pre-cavity follicle. The mixture was suspended into different parts of the stent, and an ovarian bioscaffold with preantral follicles was formed 2-5 minutes to form a type II 3D printed ovarian bioprosthesis.
(3)卵巢切除小鼠的制备:对8-10周龄的(C57BL6/6JxCBA/Ca)雌性小鼠进行卵巢摘除,术后休息4周。(3) Preparation of ovariectomized mice: 8-10 week old (C57BL6/6JxCBA/Ca) female mice were subjected to ovarian ablation and rested for 4 weeks after surgery.
(4)移植II型3D打印卵巢生物假体及功能测定:(4) Transplantation type II 3D printing ovarian bioprosthesis and functional measurement:
实验组:将大小为长(5mm)×宽(2.5mm)×厚(2.5mm)的卵巢生物假体(含有50个腔前卵移植到卵巢切除雌鼠颈背部皮下。Experimental group: An ovarian bioprosthesis of length (5 mm) x width (2.5 mm) x thickness (2.5 mm) was implanted (containing 50 pre-cavity eggs to the subcutaneous back of the ovariectomized female rats).
对照组:将大小为长(5mm)×宽(2.5mm)×厚(2.5mm)的生物支架(含有基质胶溶液)移植到卵巢切除颈背部皮下。Control group: A bioscaffold (containing a Matrigel solution) of a length (5 mm) x width (2.5 mm) x thickness (2.5 mm) was transplanted subcutaneously into the ovarian resection of the neck.
移植3天后,每48h给小鼠腹腔注射1IU FSH,直至4周。1周后,每天检测发情周期,眼部取血检测血清中雌激素孕激素水平。回收移植的卵巢生物假体36小时前,每只小鼠脾下注射20IU人绒毛膜促性腺激素(hCG)。然后,取出移植的卵巢生物假体进行形态分析和卵巢计数。Three days after transplantation, mice were intraperitoneally injected with 1 IU of FSH every 48 hours until 4 weeks. One week later, the estrus cycle was measured every day, and blood was taken from the eye to detect serum estrogen and progesterone levels. 36 hours prior to recovery of the transplanted ovarian bioprosthesis, 20 IU of human chorionic gonadotropin (hCG) was injected into the spleen of each mouse. The transplanted ovarian bioprosthesis is then removed for morphological analysis and ovarian count.
结果显示:与对照组相比,4周后,实验组小鼠开始有规律的生理周期,雌激素与孕激素水平明显升高;实验组中卵巢生物假体中具有优势卵泡和排卵后的新鲜黄体,提示II型卵巢生物假体中的腔前卵泡能够发育,分泌激素,维持雌性生理周期,并能够排卵。The results showed that compared with the control group, after 4 weeks, the experimental group began to have a regular physiological cycle, and the levels of estrogen and progesterone increased significantly. In the experimental group, the ovarian bioprosthesis had dominant follicles and fresh after ovulation. The corpus luteum suggests that the preantral follicles in the type II ovarian bioprosthesis can develop, secrete hormones, maintain the female physiological cycle, and be able to ovulate.
实施例7III型3D打印卵巢生物假体的制备及功能测定Example 7 Preparation and Functional Determination of Type III 3D Printed Ovarian Bioprosthesis
(1)储存备用的卵巢生物支架预处理:将在-80℃储存备用的卵巢生物支架取出,放置室温20分钟,然后在生理盐水中孵育30分钟。(1) Storage of spare ovarian bioscaffold pretreatment: The ovarian bioscaffold stored at -80 ° C was taken out, placed at room temperature for 20 minutes, and then incubated in physiological saline for 30 minutes.
(2)将有腔卵泡/基质胶混合液注入卵巢生物支架:将经灭菌处理的CaCl2(50mM)-NaCl(150mM)混合液加入支架中,然后用加样枪将含有单个有腔卵泡的包被混合液悬空打入支架不同部分中,2-5分钟后形成具有有腔卵泡的卵巢生物支架。(2) Injecting a vesicular follicle/matrix mixture into the ovarian bioscaffold: adding a sterilized mixture of CaCl 2 (50 mM)-NaCl (150 mM) to the scaffold, and then using a sample gun to contain a single luminal follicle The coating was suspended into different parts of the stent and formed an ovarian bioscaffold with luminal follicles after 2-5 minutes.
(3)卵巢切除小鼠的制备:对8-10周龄的(C57BL6/6JxCBA/Ca)雌性小鼠进行卵巢摘除,术后休息4周。(3) Preparation of ovariectomized mice: 8-10 week old (C57BL6/6JxCBA/Ca) female mice were subjected to ovarian ablation and rested for 4 weeks after surgery.
(4)移植III型3D打印卵巢生物假体及功能测定:(4) Transplantation of type III 3D printed ovarian bioprosthesis and functional measurement:
实验组:将大小为长(5mm)×宽(2.5mm)×厚(2.5mm)的卵巢生物假体(含有50个有腔卵泡)移植到卵巢切除雌鼠颈背部皮下。Experimental group: An ovarian bioprosthesis (containing 50 luminal follicles) of length (5 mm) x width (2.5 mm) x thickness (2.5 mm) was transplanted subcutaneously into the neck of the ovariectomized female.
对照组:将大小为长(5mm)×宽(2.5mm)×厚(2.5mm)的生物支架(只含有基质胶溶液)移植到卵巢切除雌鼠颈背部皮下。Control group: A biological scaffold (length of matrix coating) containing a length (5 mm) x width (2.5 mm) x thickness (2.5 mm) was transplanted subcutaneously into the neck of the ovariectomized female.
移植3天后,每48h给小鼠腹腔注射1IU FSH,直至4周。1周后,每天检测发情周期,眼部取血检测血清中雌激素孕激素水平。回收移植的卵巢生物假
体36小时前,每只小鼠脾下注射20IU人绒毛膜促性腺激素(hCG)。然后,取出移植的卵巢生物假体进行形态分析和卵巢计数。Three days after transplantation, mice were intraperitoneally injected with 1 IU of FSH every 48 hours until 4 weeks. One week later, the estrus cycle was measured every day, and blood was taken from the eye to detect serum estrogen and progesterone levels. Recovering transplanted ovarian biopsy
Thirty hours before the body, 20 IU of human chorionic gonadotropin (hCG) was injected into the spleen of each mouse. The transplanted ovarian bioprosthesis is then removed for morphological analysis and ovarian count.
结果显示:与对照组相比,2周后,实验组小鼠开始有规律的生理周期,雌激素与孕激素水平明显升高;实验组中卵巢生物假体中具有优势卵泡和排卵后的新鲜黄体,提示III型卵巢生物假体中的腔前卵泡能够发育,分泌激素,维持雌性生理周期,并能够排卵。The results showed that compared with the control group, after 2 weeks, the experimental group began to have a regular physiological cycle, and the levels of estrogen and progesterone increased significantly. In the experimental group, the ovarian bioprosthesis had dominant follicles and fresh after ovulation. The corpus luteum suggests that the preantral follicles in the type III ovarian bioprosthesis can develop, secrete hormones, maintain the female physiological cycle, and be able to ovulate.
实施例8IV型3D打印卵巢生物假体的制备Example 8 Preparation of Type IV 3D Printed Ovarian Bioprosthesis
准备卵巢支架打印材料和原始卵泡/包被混合液,卵巢支架打印材料的制备同实施例1,原始卵泡/包被混合液的制备同实施例4。在3D打印机上以双枪头分别打印卵巢支架材料和原始卵泡/包被混合液。打印一层支架材料后,打印一层原始卵泡/包被混合液,如此循环完成原始卵泡卵巢生物假体,即IV型3D打印卵巢生物假体。The ovarian scaffold print material and the primordial follicle/coating mixture were prepared, and the preparation of the ovarian scaffold print material was the same as in Example 1, and the preparation of the original follicle/coating mixture was the same as in Example 4. The ovarian scaffold material and the primordial follicle/coating mixture were printed on a 3D printer with a double gun head. After printing a layer of scaffold material, a layer of primordial follicle/coating mixture is printed, thus completing the primordial follicular ovarian bioprosthesis, a type IV 3D printed ovarian bioprosthesis.
实施例9V型3D打印卵巢生物假体的制备及功能测定Example 9 Preparation and Functional Determination of V-type 3D Printed Ovarian Bioprosthesis
准备卵巢支架打印材料和腔前卵泡/包被混合液,卵巢支架打印材料的制备同实施例1,腔前卵泡/包被混合液的制备同实施例4。在3D打印机上以双枪头分别打印卵巢支架材料和腔前卵泡/包被混合液。打印一层支架材料后,打印一层腔前卵泡/包被混合液,如此循环完成腔前卵泡卵巢生物假体,即V型3D打印卵巢生物假体。An ovarian stent print material and a pre-cavity follicle/coating mixture were prepared. The preparation of the ovarian stent print material was the same as in Example 1, and the preparation of the pre-cavity follicle/coating mixture was the same as in Example 4. The ovarian scaffold material and the pre-cavity follicle/coating mixture were printed on a 3D printer with a double gun head. After printing a layer of scaffold material, a layer of pre-cavity follicle/coating mixture is printed, thus completing the pre-cavity follicular ovary bioprosthesis, ie, a V-type 3D printed ovarian bioprosthesis.
实施例10VI型3D打印卵巢生物假体的制备及功能测定Example 10 VI-type 3D printing ovarian bioprosthesis preparation and function determination
准备卵巢支架打印材料和腔前卵泡/包被混合液,卵巢支架打印材料的制备同实施例1,有腔卵泡/包被混合液的制备同实施例4。在3D打印机上以双枪头分别打印卵巢支架材料和有腔卵泡/包被混合液。打印一层支架材料后,打印一层有腔卵泡/包被混合液,如此循环完成有腔卵泡卵巢生物假体,即VI型3D打印卵巢生物假体。
The ovarian stent print material and the pre-cavity follicle/coating mixture were prepared. The preparation of the ovarian stent print material was the same as in Example 1, and the preparation of the cavity follicle/coating mixture was the same as in Example 4. The ovarian scaffold material and the luminal follicle/coating mixture were printed on a 3D printer with a double gun head. After printing a layer of scaffold material, a layer of cavity follicle/coating mixture is printed, and the ovarian bioprosthesis with a follicular ovary is completed in a cycle, that is, a type VI 3D printed ovarian bioprosthesis.