压应力微环境在骨折愈合过程中对细胞因子的影响  

Effect of compressive stress microenvironment on cytokines during fracture healing

作　　者：郭嘉忱 高俊[1] 戴文昊 廖华远 蒋优 张曦[1] Guo Jiachen;Gao Jun;Dai Wenhao;Liao Huayuan;Jiang You;Zhang Xi(Department of Chinese Orthopedics,Changzhou Hospital of Traditional Chinese Medicine,Nanjing University of Chinese Medicine,Changzhou 213000,Jiangsu Province,China)

机构地区：[1]南京中医药大学附属常州市中医医院中医正骨科,江苏省常州市213000

出　　处：《中国组织工程研究》2026年第4期908-916,共9页Chinese Journal of Tissue Engineering Research

基　　金：国家自然科学基金项目(82374479),项目负责人:高俊;第四批省名老中医药专家传承工作室建设项目(苏中医科教(2021)7号),项目负责人:高俊。

摘　　要：背景:骨折愈合是一个非常复杂的生理过程,受多种因素的影响。近年来运用生物力学因素在骨折愈合中展开研究是骨科领域的重点,骨折断端周围的机械应力环境对骨折愈合具有重要调控作用。其中,压应力学微环境对骨折断端细胞因子的影响机制研究是骨相关研究工作者们关注的的热点。目的:总结近年来压应力在骨折愈合中对细胞因子作用机制的研究现状和最新进展。方法:以“压应力,骨折愈合,细胞因子,骨形态发生蛋白,成纤维细胞生长因子,血小板衍生生长因子,血管内皮生长因子,白细胞介素,肿瘤坏死因子α”为中文关键词检索CNKI、万方数据库,以“Compressive stress,Fracture healing,Cytokine,Bone morphogeneticprotein,Fibroblast growth factor,Platelet-derived growth factor,Vascular endothelial growth factor,Interleukin,Tumour necrosisfactor-alpha”为英文关键词检索PubMed、Web of Science数据库,共检索到506篇文献,经筛选后对符合标准的94篇文献进行归纳分析。结果与结论:目前的研究发现,压应力在骨折愈合过程中对不同细胞因子产生不同影响,主要可通过影响细胞信号传导、基因表达调控以及细胞行为的调节等方式实现。其中,压应力可与骨形态发生蛋白、成纤维细胞生长因子、血小板衍生生长因子、血管内皮生长因子、白细胞介素、肿瘤坏死因子α等细胞因子产生作用联系,这一过程涉及到细胞的增殖分化与迁移、炎症反应应答、断端环境营养条件变化等,都是影响骨折愈合的关键因素。全文总结了细胞因子作用机制的复杂性,压应力的调控作用机制需进一步展开深入研究,并对研究中存在的问题和局限性进行思考和未来展望。BACKGROUND:Fracture healing is a very complex physiological process,which is influenced by many factors.In recent years,the use of biomechanical factors in fracture healing has been a major focus in the field of orthopedics,and the mechanical stress environment around the fracture end has an important role in regulating fracture healing.Among them,the study of the mechanism of compressive mechanics on the cytokines of fracture ends is a hot spot for bone-related researchers.OBJECTIVE:To summarize the current status and recent advances in the study of the mechanism of action of compressive stress on cytokines in fracture healing in recent years.METHODS:A search with the keywords of“compressive stress,fracture healing,cytokine,bone morphogenetic protein,fibroblast growth factor,platelet-derived growth factor,vascular endothelial growth factor,interleukin,tumor necrosis factor-α”in Chinese and English was conducted in the CNKI,WanFang,PubMed,and Web of Science.Initially 506 articles were retrieved,and 94 eligible articles that met the criteria were screened and finally summarized.RESULTS AND CONCLUSION:Current studies have found that compressive stress has different effects on different cytokines during fracture healing,which can be achieved mainly by influencing cell signaling,gene expression regulation,and modulation of cell behavior.Among them,compressive stress can be linked to cytokines such as bone morphogenetic protein,fibroblast growth factor,platelet-derived growth factor,vascular endothelial growth factor,interleukin,and tumor necrosis factor-α.This process involves cell proliferation,differentiation and migration,inflammatory response,and changes in the environmental and nutritional conditions of the fracture end,which are key factors affecting fracture healing.The whole paper summarizes the complexity of cytokine action mechanism,the mechanism of compressive stress on its regulation needs to be further carried out in-depth research,and the problems and limitations in the research are considered and

关 键 词：压应力 骨折愈合 细胞因子 骨形态发生蛋白 成纤维细胞生长因子 血小板衍生生长因子 血管内皮生长因子 白细胞介素 肿瘤坏死因子α 

分 类 号：R459.9[医药卫生—治疗学] R318[医药卫生—临床医学] R683