[go: up one dir, main page]
More Web Proxy on the site http://driver.im/

WO2016088373A1 - Cultured cell sheet for transplantation use, method for producing cultured cell sheet for transplantation use, and method for producing bone tissue for transplantation use - Google Patents

Cultured cell sheet for transplantation use, method for producing cultured cell sheet for transplantation use, and method for producing bone tissue for transplantation use Download PDF

Info

Publication number
WO2016088373A1
WO2016088373A1 PCT/JP2015/005992 JP2015005992W WO2016088373A1 WO 2016088373 A1 WO2016088373 A1 WO 2016088373A1 JP 2015005992 W JP2015005992 W JP 2015005992W WO 2016088373 A1 WO2016088373 A1 WO 2016088373A1
Authority
WO
WIPO (PCT)
Prior art keywords
cell sheet
cultured cell
transplantation
bone
cultured
Prior art date
Application number
PCT/JP2015/005992
Other languages
French (fr)
Japanese (ja)
Inventor
学 赤羽
隆昌 清水
Original Assignee
公立大学法人奈良県立医科大学
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 公立大学法人奈良県立医科大学 filed Critical 公立大学法人奈良県立医科大学
Publication of WO2016088373A1 publication Critical patent/WO2016088373A1/en

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/12Materials from mammals; Compositions comprising non-specified tissues or cells; Compositions comprising non-embryonic stem cells; Genetically modified cells
    • A61K35/28Bone marrow; Haematopoietic stem cells; Mesenchymal stem cells of any origin, e.g. adipose-derived stem cells
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses

Definitions

  • the present invention relates to a cultured cell sheet for transplantation, a method for producing a cultured cell sheet for transplantation, and a bone tissue preparation method for transplantation.
  • ⁇ Techniques for promoting bone formation against unsettled fusion (false joints) and osteonecrosis after fracture include those using proteins (such as BMP) and those using cultured cells.
  • Typical techniques using cultured cells are 1) a technique for transplanting cultured bone marrow cells with artificial bone, 2) a technique for transplanting cultured bone marrow cells with a gel material, and 3) a technique for transplanting cultured cell sheets. .
  • the technique of transplanting a cultured cell sheet is a method in which stem cells collected from a human body are cultured in a medium in a plate (culture dish), and the obtained sheet-shaped cultured cells are placed in a defect such as a skin due to an injury.
  • This is a technique for repairing a defect (Patent Document 1, Non-Patent Document 1).
  • transplantation with allogeneic cells causes immune rejection, so regenerative treatment using living cells generally uses autologous cells. is there. However, complications occur because the cells are collected from the patient himself, and the cell culture is necessary for about one month. If it is possible to use a mass-produced and stocked cultured cell sheet using allogeneic cells, it can be transplanted immediately when needed.
  • the problem here is rejection due to transplantation immunity. If the antigenicity is reduced and only the bone formation promoting action can be maintained even though it is made from an allogeneic cell, an immunosuppressive agent is unnecessary and it becomes an ideal living body-derived transplant material.
  • Patent Document 2 There is a technique in which a porous carrier material prepared with a bioabsorbable synthetic polymer such as a copolymer of polylactic acid and glycolic acid or a natural polymer such as gelatin is used as a base material for bone prosthesis (Patent Document 2). 3). However, since these are not derived from living tissue, it is difficult to recreate the same form and function as the original tissue.
  • Patent Document 4 Research on tissue engineering that reconstructs bone tissue close to the living body by culturing and organizing its own cells taken out from the living body in vitro.
  • Patent Document 4 Research on tissue engineering that reconstructs bone tissue close to the living body by culturing and organizing its own cells taken out from the living body in vitro.
  • complications occur because the cells are collected from the patient himself, and the cell culture is necessary for about one month.
  • the problem here is rejection due to transplantation immunity. If the antigenicity is reduced and the bone formation promoting action can be maintained even though it is a tissue from an allogeneic cell, an immunosuppressive agent is unnecessary and an ideal living body-derived transplantation material is obtained.
  • the present invention has been made in view of such a problem, and can be easily stocked, and a transplanted cultured cell sheet that is less likely to cause rejection due to transplantation immunity without using an immunosuppressant, and for transplantation It aims at providing the manufacturing method of a cultured cell sheet.
  • a cultured cell sheet obtained by culturing mesenchymal stem cells in a sheet shape on a plate is washed with a washing solution, and the cultured cell sheet is immersed in the washing solution on the plate. It is characterized by being frozen.
  • the method for producing a cultured cell sheet for transplantation includes a step of washing a cultured cell sheet obtained by culturing mesenchymal stem cells in a sheet shape on a plate with a washing solution, and the cultured cell sheet on the plate. And a step of freezing in a state of being immersed in a cleaning liquid.
  • the bone tissue preparation method for transplantation includes a placing step of placing a cultured cell sheet obtained by culturing mesenchymal stem cells in a sheet shape on a plate in an environment where biological tissue material exists, and the living body It is characterized by having an extraction step of taking out a cultured cell sheet in which bone tissue is formed from an environment in which tissue material is present, and a sampling step of collecting the bone tissue formed from the cultured cell sheet.
  • the present invention it is possible to obtain a cultured cell sheet for transplantation and a method for producing a cultured cell sheet for transplantation that can be easily stocked and are less likely to cause rejection due to transplantation immunity without using an immunosuppressant.
  • a bone tissue that can reconstruct a bone tissue close to a living body without using an immunosuppressive agent can be obtained.
  • FIG. 1 It is a figure which shows the freeze-thaw cell sheet which freeze-thaw-processed the fresh cell sheet
  • (a) is a figure which shows the state by the macroscopic observation of the freeze-thaw cell sheet mounted on the culture dish after a freeze-thaw process.
  • (b) is a 40 ⁇ microscope enlarged view of a freeze-thawed cell sheet placed on the culture dish after freeze-thaw treatment
  • (c) is a freeze placed on the culture dish after freeze-thaw treatment.
  • (d) is a 40 times microscope enlarged view of the frozen thawed cell sheet extract
  • FIG. 3 is a photograph of the formed bone tissue by V Goldner staining.
  • (E) is a micrograph of a tissue section of a fresh cell sheet subcutaneously transplanted by covering and combining an artificial bone, magnified 20 times
  • (f) is a magnified photograph of a part of (e) (100 times photograph), arrow Indicates new bone. It is a figure which shows the mRNA expression derived from the formed bone tissue
  • (a) is a figure which shows mRNA expression of osteocalcin derived from the bone tissue of Lewis rat
  • (b) is an alkaline phosphatase derived from the bone tissue of Lewis rat. It is a figure which shows the mRNA expression of (ALP).
  • FIG. 3 is a photograph of the formed bone tissue by V Goldner staining.
  • FIG. 2 is a photographic view of the formed bone tissue by H-E staining, of which (a) is an observation view by a microscope, and (b) is a view showing a region surrounded by a square in (a).
  • staining of the formed bone tissue (a) is an observation figure by a microscope, (b) is a figure which shows the area
  • staining of the formed bone tissue (a) is an observation figure by a microscope, (b) is a partially enlarged view of (a).
  • the cultured cell sheet for transplantation according to this embodiment is obtained by washing a cultured cell sheet obtained by culturing mesenchymal stem cells in a sheet form on a plate with a washing solution, and freezing the cultured cell sheet immersed in the washing solution on the plate. It has been processed.
  • the cell sheet for transplantation according to the present embodiment is a cell sheet containing mesenchymal stem cells, and the cell sheet is included in the frozen state in a frozen state and placed on the plate. Has been.
  • the cultured cell sheet is a mesenchymal stem cell that is allowed to grow in the presence of a medium until it becomes confluent on the plate, and can be peeled off from the plate as a single sheet.
  • the culture period which is a period until the plate becomes confluent, varies depending on the density of cells, but is, for example, 1 to 2 weeks.
  • the cultured cell sheet is, for example, a single layer and has a thickness of about 5 to 50 ⁇ m.
  • the cultured cell sheet may be placed using only the cultured cell sheet, or may be placed as a combination of the cultured cell sheet and an artificial bone.
  • a cultured cell sheet that has not been subjected to a freezing treatment may be referred to as a fresh cell sheet.
  • a case where the fresh cell sheet is in a frozen state may be referred to as a frozen cell sheet.
  • a case where the frozen cell sheet is in a thawed state may be referred to as a frozen thawed cell sheet.
  • the cultured cell sheet is a concept including the above-described fresh cell sheet, frozen cell sheet, and freeze-thawed cell sheet.
  • the plate is not particularly limited as long as it is a container usually used for culturing cells, and examples thereof include a petri dish, a flask, a beaker, a tray, and a slide.
  • a medium that satisfies the conditions for suitably proliferating mesenchymal stem cells is appropriately selected, and examples thereof include MEM, ⁇ -MEM, DMEM, IMEM, and RPMI-1640. These media are commercially available and may be used alone or in combination of two or more. Additives such as sodium bicarbonate, sodium pyruvate, L-glutamine, and L-alanyl-L-glutamine may be added to the medium as necessary.
  • the medium may also contain serum for the maintenance of cell growth and / or survival. The origin of serum is not particularly limited, and examples include cattle, horses and humans.
  • ⁇ -glycerophosphate can be added on the last day of the culture period. Since ⁇ -glycerophosphate has an action of promoting calcification by supplying phosphate, the cultured cell sheet can be transplanted in a state where bone formation is promoted to some extent. In addition, since the formation of bone is promoted, the tissue surrounded by the bone-like tissue is protected from attack by immune cells, so that immune rejection is unlikely to occur even in cells derived from other families. Furthermore, when ⁇ -glycerophosphate is added from the first day of the culture period, the differentiation of bone is promoted and the cultured cell sheet adheres to the plate, and the workability is reduced when the cultured cell sheet is collected from the plate with a scraper or the like.
  • ⁇ -glycerophosphate is added on the last day of the culture period, it is preferably added for 6 to 8 hours, for example.
  • Mesenchymal stem cells can be easily prepared by collecting cells from human bone marrow, adipose tissue, and other tissues and culturing them by a conventional method, preferably bone marrow mesenchymal stem cells.
  • the cultured cell sheet includes osteoblasts, chondrocytes, fibroblasts, stromal cells, adipocytes, vascular endothelium in which mesenchymal stem cells are differentiated in addition to mesenchymal stem cells grown in an undifferentiated state Cells, vascular endothelial progenitor cells, smooth muscle cells, SP cells and the like may be included.
  • the washing solution for washing the cultured cell sheet is not particularly limited as long as it can wash the cultured cell sheet without destroying cells and proteins contained in the cultured cell sheet.
  • PBS phosphate buffer solution
  • the pH of PBS is preferably 6-8.
  • the cultured cell sheet is frozen on the plate while immersed in a washing solution. By the freezing treatment, the cells in the cultured cell sheet are killed, and rejection reaction due to transplantation immunity hardly occurs without using an immunosuppressant. This is considered to be because the antigenicity of the cells contained in the cultured cell sheet after being killed by freezing treatment is reduced.
  • the stock property of the cultured cell sheet for transplantation is improved by freezing treatment. That is, a mass-produced product by freezing can be stocked for a long period of time, and when necessary, it can be thawed and collected as a frozen-thawed cell sheet and transplanted immediately.
  • the shape of the cultured cell sheet becomes like a confetti, and the operability is lowered when applied to a bone damage site or the like. Since the sheet is frozen on the plate, the sheet shape can be maintained during the freezing process, and the operability is excellent when applied to a bone damaged site.
  • the cultured cell sheet is frozen in a state of being immersed in a washing solution, when it is thawed from the frozen state when applied to a bone damage site or the like, the washing solution adheres to the frozen and thawed cell sheet. Therefore, the flexibility of the freeze-thawed cell sheet can be secured, and the operability when applied to a bone damage site or the like is excellent.
  • the freezing treatment is not particularly limited, but is preferably a quick freezing treatment with liquid nitrogen.
  • the quick freezing treatment with liquid nitrogen is a method of freezing without forming ice crystals inside and outside the cells. By rapidly cooling, it quickly passes through the original freezing point and becomes supercooled, so that ice crystals are not formed. It utilizes the phenomenon that water molecules stop moving. It is excellent in that the time required for the freezing process is short and no special equipment is required.
  • a cultured cell sheet that has been subjected to rapid freezing treatment with liquid nitrogen at the time of transplantation, it is preferable to slowly thaw it.
  • the slow freezing method can be used as the freezing treatment.
  • the slow freezing method is a technique that can avoid cell damage (freezing damage) due to freezing by cooling the cultured cell sheet over a long period of time at a slow cooling rate and suppressing the formation of ice crystals in the cells. .
  • the bone tissue preparation method for transplantation includes a placing step of placing a cultured cell sheet obtained by culturing mesenchymal stem cells in a sheet shape on a plate in an environment where biological tissue material is present, It has the extraction process which takes out the cultured cell sheet in which the bone tissue was formed from the environment where biological tissue material exists, and the extraction process which extracts the bone tissue formed from the cultured cell sheet.
  • the cultured cell sheet, plate, medium, and mesenchymal stem cells are as described above for the cultured cell sheet for transplantation.
  • ⁇ -glycerophosphate can be added on the last day of the culture period. Since ⁇ -glycerophosphate has an action of supplying phosphoric acid to promote calcification, there is an advantage that bone formation for transplantation is promoted. In addition, as explained in the above-mentioned cultured cell sheet for transplantation, since the formation of bone is promoted, the tissue surrounded by the bone-like tissue is protected from attack by immune cells. Even in cells derived from it, immune rejection is unlikely to occur. Furthermore, as described in the above-mentioned cultured cell sheet for transplantation, the workability when collecting the cultured cell sheet from the plate is not lowered by adding it on the last day of the culture period. When ⁇ -glycerophosphate is added on the last day of the culture period, it is preferably added for 6 to 8 hours, for example.
  • Mesenchymal stem cells are differentiated on the plate in the presence of the medium, and in addition to the mesenchymal stem cells grown in an undifferentiated state on the cultured cell sheet, progenitor cells from which the mesenchymal stem cells have differentiated, Osteoblasts, chondrocytes, fibroblasts, SP cells and the like are included. In the process of differentiation, ALP is expressed early, followed by osteocalcin protein expression specific to bone, followed by production of bone matrix and type I collagen in vivo.
  • the cultured cell sheet is placed in an environment where biological tissue material exists.
  • biological tissue is not particularly limited.
  • living cells various proteins such as collagen released by the living cells, extracellular matrices such as sugar, and capillaries that deliver nutrients and oxygen to living cells.
  • various biologically active substances in living organisms specifically, the back of rodents such as rats and the like.
  • a cultured cell sheet is produced by growing the plate to a confluent state on the plate, and the cultured cell sheet includes not only mesenchymal stem cells but also differentiated progenitor cells and osteoblasts. Moreover, since an extracellular matrix is also formed, immune rejection is unlikely to occur even in cells derived from other families.
  • a bone tissue is formed on the cultured cell sheet after a period of 7 to 30 days has passed, so the environment where the biological tissue material exists
  • the cultured cell sheet on which the bone tissue is formed is taken out from the above.
  • a bone tissue for transplantation is obtained by collecting the formed bone tissue from the cultured cell sheet.
  • the obtained bone tissue can be used for the treatment of bone tumors, congenital diseases or bone / joint defects due to trauma, spinal and joint deformities, rheumatic diseases, and the like.
  • Example 1 In Example 1, a fresh cell sheet was prepared, freeze-thawed, a frozen-thawed cell sheet was prepared, and bone formation was attempted by transplanting to a rat.
  • 1-2 ⁇ Secondary culture> The collected bone marrow mesenchymal stem cells are seeded at a cell density of 1 ⁇ 10 4 cells / cm 2 in a culture dish (100 mm diameter Falcon dish) used for normal cell culture, and then subjected to secondary culture.
  • a culture dish 100 mm diameter Falcon dish
  • As the basic medium Dulbecco's modified Eagle medium (DMEM + 15% FBS + antibiotic) containing 15% fetal bovine serum (FBS) and an antibiotic (penicillin / streptomycin) was used.
  • dexamethasone and ascorbic acid were added to the basal medium, and the cells were cultured for about 14 days until the cells became confluent to produce a fresh cell sheet.
  • a 37 ° C., 5% CO 2 incubator was used for cell culture.
  • the thawing treatment of the frozen cell sheet was carried out at room temperature (water bath is acceptable), and after confirming that the cell was completely thawed, it was collected as a frozen and thawed cell sheet with a scraper.
  • the frozen and thawed cell sheet was observed with the naked eye and a microscope immediately after thawing (before collecting the scraper) and after collecting the scraper.
  • Fresh cell sheets were prepared in culture dishes with different bottom areas, and a standard line was prepared based on the number of viable cells contained in five different sizes of fresh cell sheets (FIG. 2).
  • the absorbance of the frozen cell sheet was measured and found to be less than 0.01 (0.00775). It can be seen from the measurement results of the standard line and the frozen cell sheet that the living cells are not contained by the freezing treatment.
  • a frozen and thawed cell sheet was prepared using Fisher344 rats as donors, and ACI rats and Lewis rats were used as recipients.
  • ACI rats and Lewis rats were used as recipients.
  • immune rejection occurs due to different histocompatibility antigens.
  • Major mismatch and minor mismatch are classified according to the degree of mismatch of histocompatibility antigen.
  • ACI rats are major mismatches and Lewis rats are minor mismatches.
  • a major mismatch has a greater immune rejection.
  • the rat When 4 weeks after transplantation of the frozen and thawed cell sheet, the rat was sacrificed, and the transplanted artificial bone was removed. As a result, a new bone tissue was formed as a histological image.
  • the extracted artificial bone was fixed with 10% neutral buffered formalin solution for 2 days, decalcified, and embedded in paraffin to prepare a paraffin block. Thin sections were prepared from the blocks, stained with H-E, and new bone formation was observed with a microscope.
  • the cultured cell sheet for transplantation was used after killing a syngeneic fresh cell sheet derived from bone marrow cells of Fisher 344 rats.
  • the freeze-thaw method was the same as that described above, and the culture dish was 100 mm in diameter.
  • Fisher 344 rats are inbred rats, and in the case of transplantation using Fisher 344 rats as donors and other Fisher 344 rats as recipients, the genetic background is the same (histocompatibility antigen matches. Same condition as identical twins) and syngeneic transplantation.
  • Example 2 In Example 2, unlike Example 1, the production conditions of the fresh cell sheet were changed.
  • FIG. 5 is a photographic view of the formed bone tissue by H-E staining, of which (a) is an observation view by a microscope, and (b) is a view showing a region surrounded by a square in (a). As shown by the arrows in FIG. 5 (b), the formation of bone tissue surrounded by soft tissue was observed. The nucleus of the cells present in the bone tissue could also be observed.
  • FIG. 6 is a photograph of the formed bone tissue by Sirius red staining, in which (a) is an observation view by a microscope, and (b) is a diagram showing a region surrounded by a square in (a). Sirius red staining stains type I collagen and type III collagen fibers on tissue sections. As indicated by arrows in FIG. 6 (b), even in Sirius red staining using continuous sections of tissue specimens, the sites where bone tissue was observed by H-E staining were positive for Sirius red staining.
  • FIG. 7 is a photograph showing the results of syngeneic fresh cell sheet transplantation and the same type of freeze-thaw cell sheet transplantation.
  • the arrow indicates the fracture part.
  • the progress of bone fusion was observed with X-rays.
  • callus formation was observed at 4 weeks after transplantation, further bone fusion progressed at 8 weeks, and almost complete bone fusion at 12 weeks.
  • the bone fusion rate at 16 weeks was 50%.
  • callus formation was observed at 4 weeks, bone fusion was completed at 8 weeks, and the bone fusion rate at 16 weeks was 83%.
  • FIG. 8 is a photograph of the formed bone tissue by V Goldner staining.
  • V Goldner staining stains calcified and uncalcified bones in different colors. As indicated by arrows in FIG. 8, the presence of calcified bone (yellowish green part) could be observed.
  • C. Example 3 In Example 3, a fresh cell sheet was prepared and transplanted into a rat, and bone formation for transplantation was attempted.
  • Bone marrow cells were collected from the femurs of Fisher344 rats and subjected to initial culture in a culture flask (culture area 75 cm 2 ) for 14 days. For cell culture, a 37 ° C., 5% CO 2 incubator was used. On the 14th day of initial culture, the cells were washed twice with phosphate buffer (PBS) and then treated with trypsin / EDTA, and bone marrow mesenchymal stem cells were collected as a cell suspension.
  • PBS phosphate buffer
  • the harvested bone marrow mesenchymal stem cells are seeded at a cell density of 1 ⁇ 10 4 cells / cm 2 in a culture dish (Falcon dish) used for normal cell culture, and subjected to secondary culture.
  • a culture dish used for normal cell culture, and subjected to secondary culture.
  • As the basic medium Dulbecco's modified Eagle medium (DMEM + 15% FBS + antibiotic) containing 15% fetal bovine serum (FBS) and an antibiotic (penicillin / streptomycin) was used.
  • dexamethasone and ascorbic acid were added to the basic medium, and the cells were cultured for about 14 days until the cells became confluent to prepare a fresh cell sheet.
  • a 37 ° C., 5% CO 2 incubator was used for cell culture.
  • the culture medium was aspirated, washed twice with PBS, and fresh cell sheets adhering to the culture dish were collected with a scraper. Although it was mechanically collected with a scraper, the shape as a cultured cell sheet was maintained and it was in a transplantable state (FIG. 9).
  • Fresh cell sheets made from Fisher344 rat bone marrow cells in a 100 mm diameter culture dish (Falcon dish) were subcutaneously applied to the back of recipient rats (ACI and Lewis rats) with 500 ⁇ l of PBS using an injection needle and syringe. Injection transplanted.
  • the fresh cell sheet can be transplanted in a form covering artificial bone ( ⁇ -TCP: ⁇ -tricalcium phosphate)
  • ⁇ -TCP ⁇ -tricalcium phosphate
  • RNA was extracted from the extracted hard tissue and the expression of osteocalcin and alkaline phosphatase (ALP) mRNA, which are bone formation markers, was confirmed by real-time PCR, and the expression was confirmed (FIG. 11).
  • ALP alkaline phosphatase
  • FIG. 12 is a photograph of the formed bone tissue by HE staining, of which (a) is a microscopic observation, (b) is a partially enlarged view of (a), and (c) is (b) ) Is a diagram showing a region surrounded by a square. As shown by arrows in FIG. 12 (c), formation of bone tissue could be observed on the surface of the artificial bone and in the pores.
  • FIG. 13 is a photograph of the formed bone tissue by Sirius red staining, of which (a) is an observation view by a microscope, (b) is a partially enlarged view of (a), and (c) is ( It is a figure which shows the area
  • FIG. 14 is a photograph of the formed bone tissue by V ⁇ ⁇ ⁇ Goldner staining.
  • V Goldner staining stains calcified and uncalcified bones in different colors. As shown by the arrows in FIG. 14, the presence of calcified bone (yellowish green part) could be observed.
  • FIG. 15 is a photographic view of the formed bone tissue by H-E staining, of which (a) is an observation view by a microscope, and (b) is a view showing a region surrounded by a square in (a). As shown by the arrows in FIG. 15 (b), formation of bone tissue surrounded by soft tissue was observed. The nucleus of the cells present in the bone tissue could also be observed.
  • FIG. 16 is a photograph of the formed bone tissue by Sirius red staining, in which (a) is an observation view by a microscope, and (b) is a diagram showing a region surrounded by a square in (a). As indicated by arrows in FIG. 16 (b), even in Sirius red staining using continuous sections of the tissue specimen, the site where bone tissue was observed by H-E staining was positive for Sirius red staining.
  • FIG. 17 is a photograph of the formed bone tissue by V ⁇ ⁇ ⁇ Goldner staining, of which (a) is an observation view with a microscope, and (b) is a partially enlarged view of (a). As shown by the arrows in FIG. 17 (b), the presence of calcified bone could be observed.
  • FIG. 18 is a photograph of the formed bone tissue by von Kossa staining, in which (a) is an observation view by a microscope, and (b) is a partially enlarged view of (a).
  • von Kossa staining only calcium phosphate and calcium carbonate in the section are stained black. As shown by the arrow in FIG. 18 (b), it was observed that the deposited calcium salt was dyed black.
  • FIG. 19 is a photograph showing the results of transplanting a syngeneic fresh cell sheet and the same type of fresh cell sheet.
  • the arrow indicates the fracture part.
  • the progress of bone fusion was observed with X-rays.
  • callus formation was observed 4 weeks after transplantation, further bone fusion progressed at 8 weeks, and almost complete bone fusion at 12 weeks.
  • the bone fusion rate at 16 weeks was 50%.
  • callus formation was observed at 4 weeks, bone fusion was completed at 8 weeks, and the bone fusion rate at 16 weeks was 83%. It was confirmed that a bone tissue for transplantation can be sufficiently obtained by collecting a bone tissue formed from a cultured cell sheet even if it is a fresh cell sheet of the same type as well as a fresh cell sheet of the same type.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cell Biology (AREA)
  • Medicinal Chemistry (AREA)
  • Developmental Biology & Embryology (AREA)
  • Chemical & Material Sciences (AREA)
  • Epidemiology (AREA)
  • Immunology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Micro-Organisms Or Cultivation Processes Thereof (AREA)
  • Hematology (AREA)
  • Dermatology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Biotechnology (AREA)
  • Virology (AREA)
  • Zoology (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Materials For Medical Uses (AREA)
  • Transplantation (AREA)

Abstract

Provided is a cultured cell sheet for transplantation use, which can be stored in a simple manner and rarely undergoes a rejection reaction caused by transplantation immunity without requiring the use of an immunosuppressing agent. The cultured cell sheet for transplantation use is characterized by being produced by washing a cultured cell sheet, which has been produced by culturing mesenchymal stem cells into a sheet-like form on a plate, with PBS and then subjecting the cultured cell sheet to a freezing treatment while immersing the cultured cell sheet in PBS on the plate. Cells in the cultured cell sheet can be killed through the freezing treatment, and a rejection reaction caused by transplantation immunity rarely occurs without requiring the use of an immunosuppressing agent. The mesenchymal stem cells are, for example, bone marrow mesenchymal stem cells. The freezing treatment is, for example, a rapid freezing treatment with liquid nitrogen.

Description

移植用培養細胞シート、移植用培養細胞シートの製造方法、及び、移植用の骨組織作製方法Cultured cell sheet for transplantation, method for producing cultured cell sheet for transplantation, and method for producing bone tissue for transplantation
 本発明は、移植用培養細胞シート、移植用培養細胞シートの製造方法、及び、移植用の骨組織作製方法に関する。 The present invention relates to a cultured cell sheet for transplantation, a method for producing a cultured cell sheet for transplantation, and a bone tissue preparation method for transplantation.
 骨折後の癒合不全(偽関節)や骨壊死に対して骨形成を促進する技術にはタンパク(BMP等)を利用するものと培養細胞を利用するもの等がある。培養細胞を用いる手技の代表的なものは、1)人工骨とともに培養骨髄細胞を移植する技術、2)ゲル状物質とともに培養骨髄細胞を移植する技術、3)培養細胞シートを移植する技術である。 <Techniques for promoting bone formation against unsettled fusion (false joints) and osteonecrosis after fracture include those using proteins (such as BMP) and those using cultured cells. Typical techniques using cultured cells are 1) a technique for transplanting cultured bone marrow cells with artificial bone, 2) a technique for transplanting cultured bone marrow cells with a gel material, and 3) a technique for transplanting cultured cell sheets. .
 このうち培養細胞シートを移植する技術とは、人体から採取した幹細胞をプレート(培養皿)において培地で培養し、得られたシート状の培養細胞を外傷等による皮膚等の欠損部に配置して、欠損部を修復する技術である(特許文献1、非特許文献1)。 Among them, the technique of transplanting a cultured cell sheet is a method in which stem cells collected from a human body are cultured in a medium in a plate (culture dish), and the obtained sheet-shaped cultured cells are placed in a defect such as a skin due to an injury. This is a technique for repairing a defect (Patent Document 1, Non-Patent Document 1).
 培養細胞シートを作製する際に、同種細胞(他家細胞、他人の細胞)を用いて移植すると免疫拒絶が起こるため、生細胞を用いた再生治療はいずれも自家細胞を用いるのが一般的である。しかしながら、患者本人から細胞を採取するため合併症が発生し、細胞培養に1か月程度必要であるため必要な時にすぐに利用することには適さない。他家細胞を用いて培養細胞シートを大量生産しストックしたものを利用できれば、必要な時にすぐに移植することができる。 When producing cultured cell sheets, transplantation with allogeneic cells (transgenic cells, cells of other people) causes immune rejection, so regenerative treatment using living cells generally uses autologous cells. is there. However, complications occur because the cells are collected from the patient himself, and the cell culture is necessary for about one month. If it is possible to use a mass-produced and stocked cultured cell sheet using allogeneic cells, it can be transplanted immediately when needed.
 しかし、ここで問題となるのが、移植免疫による拒絶反応である。他家細胞から作ったものでありながら抗原性を低下させ、骨形成促進作用だけが維持できれば、免疫抑制剤は不要であり理想的な生体由来の移植材料となる。 However, the problem here is rejection due to transplantation immunity. If the antigenicity is reduced and only the bone formation promoting action can be maintained even though it is made from an allogeneic cell, an immunosuppressive agent is unnecessary and it becomes an ideal living body-derived transplant material.
 また、機能障害や機能不全に陥った骨組織の再生を計る再生医療の実現が求められている。 Also, there is a demand for the realization of regenerative medicine that measures the regeneration of bone tissue that has fallen into dysfunction or dysfunction.
 ポリ乳酸とグリコール酸との共重合体のような生体吸収性合成高分子又はゼラチン等の天然高分子で調製した多孔質性担体材料を骨補填材の基材として用いる手法がある(特許文献2、3)。しかしながら、これらは生体組織由来ではないため、元の組織と同じような形態や機能を再び作り出すことが困難である。 There is a technique in which a porous carrier material prepared with a bioabsorbable synthetic polymer such as a copolymer of polylactic acid and glycolic acid or a natural polymer such as gelatin is used as a base material for bone prosthesis (Patent Document 2). 3). However, since these are not derived from living tissue, it is difficult to recreate the same form and function as the original tissue.
 生体から取り出した自己の細胞をin vitroで培養・組織化して生体に近い骨組織を再構築するティッシュエンジニアリングの研究が進められている(特許文献4)。しかしながら、患者本人から細胞を採取するため合併症が発生し、細胞培養に1か月程度必要であるため必要な時にすぐに利用することには適さない。 Research on tissue engineering that reconstructs bone tissue close to the living body by culturing and organizing its own cells taken out from the living body in vitro (Patent Document 4). However, complications occur because the cells are collected from the patient himself, and the cell culture is necessary for about one month.
 そこで、他人から取得した他家細胞を凍結保存しておき、その他家細胞を用いて骨組織を再生することが考えられる。 Therefore, it is conceivable to store frozen cells obtained from other people in a frozen state and regenerate bone tissue using the other cells.
 しかし、ここで問題となるのが、移植免疫による拒絶反応である。他家細胞からの組織でありながら抗原性を低下させ、骨形成促進作用が維持できれば、免疫抑制剤は不要であり理想的な生体由来の移植材料となる。 However, the problem here is rejection due to transplantation immunity. If the antigenicity is reduced and the bone formation promoting action can be maintained even though it is a tissue from an allogeneic cell, an immunosuppressive agent is unnecessary and an ideal living body-derived transplantation material is obtained.
特開2003-275294号公報JP 2003-275294 A 特開2006-116212号公報JP 2006-116212 A 特開2004-105046号公報JP 2004-105046 A 特開2009-240766号公報JP 2009-240766 A
 本発明はかかる問題点に鑑みてなされたものであって、簡便にストック可能であり、且つ、免疫抑制剤を使用せずとも移植免疫による拒絶反応が発生しにくい移植用培養細胞シート及び移植用培養細胞シートの製造方法を提供することを目的とする。 The present invention has been made in view of such a problem, and can be easily stocked, and a transplanted cultured cell sheet that is less likely to cause rejection due to transplantation immunity without using an immunosuppressant, and for transplantation It aims at providing the manufacturing method of a cultured cell sheet.
 また、生体に近い骨組織を再構築する技術であって、しかも免疫抑制剤を使用せずとも移植免疫による拒絶反応が発生しにくい移植用の骨組織作製方法を提供することを目的とする。 It is another object of the present invention to provide a bone tissue preparation method for transplantation, which is a technique for reconstructing bone tissue close to a living body and hardly causes rejection due to transplantation immunity without using an immunosuppressant.
 本発明にかかる移植用培養細胞シートは、間葉系幹細胞をプレート上でシート状に培養した培養細胞シートを洗浄液で洗浄し、その培養細胞シートが前記プレート上で前記洗浄液に浸漬された状態で凍結処理されたことを特徴とする。 In the cultured cell sheet for transplantation according to the present invention, a cultured cell sheet obtained by culturing mesenchymal stem cells in a sheet shape on a plate is washed with a washing solution, and the cultured cell sheet is immersed in the washing solution on the plate. It is characterized by being frozen.
 また、本発明にかかる移植用培養細胞シートの製造方法は、間葉系幹細胞をプレート上でシート状に培養した培養細胞シートを洗浄液で洗浄する工程と、その培養細胞シートを前記プレート上で前記洗浄液に浸漬された状態で凍結処理する工程と、を有することを特徴とする。 The method for producing a cultured cell sheet for transplantation according to the present invention includes a step of washing a cultured cell sheet obtained by culturing mesenchymal stem cells in a sheet shape on a plate with a washing solution, and the cultured cell sheet on the plate. And a step of freezing in a state of being immersed in a cleaning liquid.
 また、本発明にかかる移植用の骨組織作製方法は、間葉系幹細胞をプレート上でシート状に培養した培養細胞シートを、生体組織材料の存在する環境下に置く載置工程と、前記生体組織材料の存在する環境から、骨組織が形成された培養細胞シートを、取り出す取出工程と、前記培養細胞シートから形成された骨組織を採取する採取工程と、を有することを特徴とする。 The bone tissue preparation method for transplantation according to the present invention includes a placing step of placing a cultured cell sheet obtained by culturing mesenchymal stem cells in a sheet shape on a plate in an environment where biological tissue material exists, and the living body It is characterized by having an extraction step of taking out a cultured cell sheet in which bone tissue is formed from an environment in which tissue material is present, and a sampling step of collecting the bone tissue formed from the cultured cell sheet.
 本発明によれば、簡便にストック可能であり、且つ、免疫抑制剤を使用せずとも移植免疫による拒絶反応が発生しにくい移植用培養細胞シート及び移植用培養細胞シートの製造方法が得られる。 According to the present invention, it is possible to obtain a cultured cell sheet for transplantation and a method for producing a cultured cell sheet for transplantation that can be easily stocked and are less likely to cause rejection due to transplantation immunity without using an immunosuppressant.
 また、本発明によれば、免疫抑制剤を使用せずに生体に近い骨組織を再構築できる骨組織が得られる。 Further, according to the present invention, a bone tissue that can reconstruct a bone tissue close to a living body without using an immunosuppressive agent can be obtained.
新鮮細胞シートを凍結融解処理した凍結融解細胞シートを示す図であり、そのうち(a)は凍結融解処理後の培養皿上に載置される凍結融解細胞シートの肉眼観察での状態を示す図であり、(b)は凍結融解処理後の培養皿上に載置される凍結融解細胞シートの40倍顕微鏡拡大図であり、(c)は凍結融解処理後の培養皿上に載置される凍結融解細胞シートの100倍顕微鏡拡大図であり、(d)は凍結融解処理後に培養皿からスクレーパーで採取した凍結融解細胞シートの40倍顕微鏡拡大図である。It is a figure which shows the freeze-thaw cell sheet which freeze-thaw-processed the fresh cell sheet, (a) is a figure which shows the state by the macroscopic observation of the freeze-thaw cell sheet mounted on the culture dish after a freeze-thaw process. And (b) is a 40 × microscope enlarged view of a freeze-thawed cell sheet placed on the culture dish after freeze-thaw treatment, and (c) is a freeze placed on the culture dish after freeze-thaw treatment. It is a 100 times microscope enlarged view of a thawed cell sheet, (d) is a 40 times microscope enlarged view of the frozen thawed cell sheet extract | collected with the scraper from the culture dish after the freeze thaw process. 底面積の異なる培養皿で新鮮細胞シートを作製し、異なる5つの大きさの新鮮細胞シートに含まれる生細胞数を基にして標準線を作成した標準線を示す図である。It is a figure which shows the standard line which produced the standard line based on the number of the living cells which produced the fresh cell sheet | seat in the culture dish from which a bottom area differs, and contained five different sizes of fresh cell sheets. 凍結細胞シートを融解させた凍結融解細胞シートを、Lewisラットの背部皮下に注入移植させた場合の新生骨組織形成の状態を示す図であり、そのうち(a)はLewisラットの背部皮下に発生した硬結の肉眼所見を示す図であり、(b)はLewisラットの背部皮下に発生した硬結組織切片の20倍顕微鏡拡大図であり、(c)はLewisラットの背部皮下に発生した硬結組織切片の100倍顕微鏡拡大図である。It is a figure which shows the state of new-bone tissue formation when the frozen cell sheet which thawed the frozen cell sheet is inject | poured and transplanted to the back part of a Lewis rat subcutaneously, Of which (a) generate | occur | produced in the back part of Lewis rat. It is a figure which shows the macroscopic findings of induration, (b) is a 20 times microscope enlarged view of the incisional tissue section which generate | occur | produced in the back part of Lewis rat, and (c) is the incision of the induration structure which occurred in the back part of Lewis rat. It is a 100 times microscope enlarged view. Fisher 344ラットの大腿骨骨折部での新生骨組織形成の状態を比較する図であり、そのうち(a)は凍結細胞シートを融解させた凍結融解細胞シートを移植させた場合の図であり、(b)は移植がない場合のコントロールを示す図である。It is a figure comparing the state of new bone tissue formation at the femur fracture part of Fisher 344 rats, of which (a) is a figure when a frozen thawed cell sheet obtained by thawing a frozen cell sheet is transplanted, ( b) is a diagram showing a control in the absence of transplantation. 形成された骨組織のヘマトキリシリン・エオジン(H-E)染色による写真図であり、そのうち(a)は顕微鏡による観察図であり、(b)は(a)の四角で囲まれた領域を示す図である。It is a photograph of hematoxylin and eosin (HE) staining of the formed bone tissue, of which (a) is a microscopic observation, (b) is a diagram showing a region surrounded by the square of (a) It is. 形成された骨組織のシリウスレッド染色による写真図であり、そのうち(a)は顕微鏡による観察図であり、(b)は(a)の四角で囲まれた領域を示す図である。It is the photograph figure by Sirius red dyeing | staining of the formed bone tissue, (a) is an observation figure by a microscope, (b) is a figure which shows the area | region enclosed by the square of (a). 同系(自家)の新鮮細胞シート及び同種の凍結融解細胞シートを移植した結果を示す写真図である。It is a photograph figure which shows the result of having transplanted the same type | system | group (autologous) fresh cell sheet | seat and the freeze-thaw cell sheet | seat of the same kind. 形成された骨組織のV Goldner染色による写真図である。FIG. 3 is a photograph of the formed bone tissue by V Goldner staining. 作製した新鮮細胞シートの写真図であり、そのうち(a)は肉眼観察での状態を示す図であり、(b)は40倍に拡大した顕微鏡拡大図である。It is a photograph figure of the produced fresh cell sheet | seat, (a) is a figure which shows the state by macroscopic observation, (b) is the microscope enlarged view expanded by 40 time. レシピエントラットの背部皮下に注入移植あるいは人工骨を覆い組み合わせ皮下移植した新鮮細胞シートに形成された骨組織を示す図であり、そのうち(a)はLewisラットにおける肉眼観察での状態を示す図(矢印は形成された骨組織を示す)であり、(b)はLewisラットにおける40倍に拡大した組織顕微鏡拡大図であり、(c)はACIラットにおける肉眼観察での状態を示す図(矢印は形成された骨組織を示す)であり、(d)はACIラットにおける40倍に拡大した組織顕微鏡拡大図である。(e)は人工骨を覆い組み合わせて皮下移植した新鮮細胞シートの組織切片を20倍に拡大した顕微鏡写真であり、(f)は(e)の一部の拡大写真(100倍写真)、矢印は新生骨を示している。It is a figure which shows the bone structure | tissue formed in the fresh cell sheet | seat which carried out the implantation | transplantation transplant or artificial bone covering the subcutaneous part of the recipient rat, and was transplanted subcutaneously, and (a) is a figure which shows the state by macroscopic observation in a Lewis rat ( (B shows formed bone tissue), (b) is a magnified view of a tissue microscope magnified 40 times in Lewis rats, and (c) is a diagram showing a state of macroscopic observation in ACI rats (arrows are (D) is an enlarged view of a tissue microscope magnified 40 times in an ACI rat. (E) is a micrograph of a tissue section of a fresh cell sheet subcutaneously transplanted by covering and combining an artificial bone, magnified 20 times, (f) is a magnified photograph of a part of (e) (100 times photograph), arrow Indicates new bone. 形成された骨組織由来のmRNA発現を示す図であり、そのうち(a)はLewisラットの骨組織由来のosteocalcinのmRNA発現を示す図であり、(b)はLewisラットの骨組織由来のalkaline phosphatase(ALP)のmRNA発現を示す図である。It is a figure which shows the mRNA expression derived from the formed bone tissue, (a) is a figure which shows mRNA expression of osteocalcin derived from the bone tissue of Lewis rat, (b) is an alkaline phosphatase derived from the bone tissue of Lewis rat. It is a figure which shows the mRNA expression of (ALP). 形成された骨組織のH-E染色による写真図であり、そのうち(a)は顕微鏡による観察図であり、(b)は(a)の一部拡大図であり、(c)は(b)の四角で囲まれた領域を示す図である。It is a photographic diagram of the formed bone tissue by HE staining, of which (a) is a microscopic observation, (b) is a partially enlarged view of (a), (c) is a square of (b) It is a figure which shows the area | region enclosed by. 形成された骨組織のシリウスレッド染色による写真図であり、そのうち(a)は顕微鏡による観察図であり、(b)は(a)の一部拡大図であり、(c)は(b)の四角で囲まれた領域を示す図である。It is a photographic view of the formed bone tissue by Sirius red staining, of which (a) is a microscopic observation view, (b) is a partially enlarged view of (a), (c) is (b) of It is a figure which shows the area | region enclosed with the square. 形成された骨組織のV Goldner染色による写真図である。FIG. 3 is a photograph of the formed bone tissue by V Goldner staining. 形成された骨組織のH-E染色による写真図であり、そのうち(a)は顕微鏡による観察図であり、(b)は(a)の四角で囲まれた領域を示す図である。FIG. 2 is a photographic view of the formed bone tissue by H-E staining, of which (a) is an observation view by a microscope, and (b) is a view showing a region surrounded by a square in (a). 形成された骨組織のシリウスレッド染色による写真図であり、そのうち(a)は顕微鏡による観察図であり、(b)は(a)の四角で囲まれた領域を示す図である。It is the photograph figure by Sirius red dyeing | staining of the formed bone tissue, (a) is an observation figure by a microscope, (b) is a figure which shows the area | region enclosed by the square of (a). 形成された骨組織のV Goldner染色による写真図であり、そのうち(a)は顕微鏡による観察図であり、(b)は(a)の一部拡大図である。It is the photograph figure by V * Goldner dyeing | staining of the formed bone tissue, (a) is an observation figure by a microscope, (b) is a partially enlarged view of (a). 形成された骨組織のvon Kossa染色による写真図であり、そのうち(a)は顕微鏡による観察図であり、(b)は(a)の一部拡大図である。It is the photograph figure by von Kossa dyeing | staining of the formed bone tissue, (a) is an observation figure by a microscope, (b) is a partially enlarged view of (a). 同系(自家の)新鮮細胞シート及び同種の新鮮細胞シートを移植した結果を示す写真図である。It is a photograph figure which shows the result of having transplanted the syngeneic (in-house) fresh cell sheet and the same kind of fresh cell sheet.
 以下、添付の図面を参照して本発明の実施形態について具体的に説明するが、当該実施形態は本発明の原理の理解を容易にするためのものであり、本発明の範囲は、下記の実施形態に限られるものではなく、当業者が以下の実施形態の構成を適宜置換した他の実施形態も、本発明の範囲に含まれる。 Hereinafter, embodiments of the present invention will be specifically described with reference to the accompanying drawings. However, the embodiments are for facilitating understanding of the principle of the present invention, and the scope of the present invention is as follows. The present invention is not limited to the embodiments, and other embodiments in which those skilled in the art appropriately replace the configurations of the following embodiments are also included in the scope of the present invention.
 本実施形態にかかる移植用培養細胞シートは、間葉系幹細胞をプレート上でシート状に培養した培養細胞シートを洗浄液で洗浄し、その培養細胞シートがプレート上で洗浄液に浸漬された状態で凍結処理されたものである。換言すれば、本実施形態にかかる移植用細胞シートは、間葉系幹細胞を含む細胞シートであって、前記細胞シートは、凍結状態の洗浄液中に凍結状態で包摂されて、プレート上に載置されている。 The cultured cell sheet for transplantation according to this embodiment is obtained by washing a cultured cell sheet obtained by culturing mesenchymal stem cells in a sheet form on a plate with a washing solution, and freezing the cultured cell sheet immersed in the washing solution on the plate. It has been processed. In other words, the cell sheet for transplantation according to the present embodiment is a cell sheet containing mesenchymal stem cells, and the cell sheet is included in the frozen state in a frozen state and placed on the plate. Has been.
 培養細胞シートは、間葉系幹細胞を培地の存在下でプレート上にてコンフルエントな状態になるまで増殖させて一枚のシートとしてそのプレートからはがすことができるものである。プレート上にてコンフルエントな状態になるまでの期間である培養期間は、細胞をまく密度によって異なるが、例えば1週間~2週間である。培養細胞シートは、例えば単層のものであって、厚みは5~50μm程度である。培養細胞シートは、培養細胞シートのみで載置してもよいし、培養細胞シートを人工骨に組み合わせたものとして載置することもできる。 The cultured cell sheet is a mesenchymal stem cell that is allowed to grow in the presence of a medium until it becomes confluent on the plate, and can be peeled off from the plate as a single sheet. The culture period, which is a period until the plate becomes confluent, varies depending on the density of cells, but is, for example, 1 to 2 weeks. The cultured cell sheet is, for example, a single layer and has a thickness of about 5 to 50 μm. The cultured cell sheet may be placed using only the cultured cell sheet, or may be placed as a combination of the cultured cell sheet and an artificial bone.
 なお、本明細書において、凍結処理を行っていない培養細胞シートを新鮮細胞シートと呼ぶことがある。新鮮細胞シートが凍結状態の場合を凍結細胞シートと呼ぶことがある。凍結細胞シートが融解処理された状態の場合を凍結融解細胞シートと呼ぶことがある。培養細胞シートとは、上述の新鮮細胞シート、凍結細胞シート、及び、凍結融解細胞シートを含む概念である。 In the present specification, a cultured cell sheet that has not been subjected to a freezing treatment may be referred to as a fresh cell sheet. A case where the fresh cell sheet is in a frozen state may be referred to as a frozen cell sheet. A case where the frozen cell sheet is in a thawed state may be referred to as a frozen thawed cell sheet. The cultured cell sheet is a concept including the above-described fresh cell sheet, frozen cell sheet, and freeze-thawed cell sheet.
 プレートは、細胞を培養する際に通常用いられる容器であれば、特に限定されることはなく、例えばシャーレ、フラスコ、ビーカー、トレイ、スライド等が挙げられる。 The plate is not particularly limited as long as it is a container usually used for culturing cells, and examples thereof include a petri dish, a flask, a beaker, a tray, and a slide.
 培地は、間葉系幹細胞を好適に増殖させる条件を満たすものが適宜選択され、例えばMEM、α-MEM、DMEM、IMEM、RPMI-1640等が挙げられる。これらの培地は、商業的に入手が可能であり、単独で用いてもよく、2種以上を組み合わせて用いてもよい。培地に対して、炭酸水素ナトリウム、ピルビン酸ナトリウム、L-グルタミン、L-アラニル-L-グルタミン等の添加物を必要に応じて添加してもよい。また、培地には、細胞の増殖及び/又は生存の維持のために血清が含まれていてもよい。血清の由来は特に限定されるものではなく、ウシ、ウマ、ヒト等が挙げられる。 As the medium, a medium that satisfies the conditions for suitably proliferating mesenchymal stem cells is appropriately selected, and examples thereof include MEM, α-MEM, DMEM, IMEM, and RPMI-1640. These media are commercially available and may be used alone or in combination of two or more. Additives such as sodium bicarbonate, sodium pyruvate, L-glutamine, and L-alanyl-L-glutamine may be added to the medium as necessary. The medium may also contain serum for the maintenance of cell growth and / or survival. The origin of serum is not particularly limited, and examples include cattle, horses and humans.
 培養期間の最終日にβグリセロリン酸を添加することが可能である。βグリセロリン酸はリン酸を供給して石灰化を促進する作用を有するため、ある程度に骨形成を促進させた状態で培養細胞シートを移植できる。また、骨形成が促進されることにより、骨様組織で囲まれた組織内は、免疫細胞による攻撃から保護されるため、他家由来の細胞であっても免疫拒絶反応が起こりにくい。更に、培養期間の初日からβグリセロリン酸を添加すると、骨分化誘導が促進されることにより培養細胞シートがプレートに付着し、スクレーパー等でプレートから培養細胞シートを採取する際に作業性が低下することがあるが、培養期間の最終日に添加することにより、プレートから培養細胞シートを採取する際の作業性を低下させない。なお、培養期間の最終日にβグリセロリン酸を添加する場合、例えば6~8時間添加することが好ましい。 Β-glycerophosphate can be added on the last day of the culture period. Since β-glycerophosphate has an action of promoting calcification by supplying phosphate, the cultured cell sheet can be transplanted in a state where bone formation is promoted to some extent. In addition, since the formation of bone is promoted, the tissue surrounded by the bone-like tissue is protected from attack by immune cells, so that immune rejection is unlikely to occur even in cells derived from other families. Furthermore, when β-glycerophosphate is added from the first day of the culture period, the differentiation of bone is promoted and the cultured cell sheet adheres to the plate, and the workability is reduced when the cultured cell sheet is collected from the plate with a scraper or the like. However, by adding it on the last day of the culture period, workability when collecting the cultured cell sheet from the plate is not lowered. When β-glycerophosphate is added on the last day of the culture period, it is preferably added for 6 to 8 hours, for example.
 間葉系幹細胞は、ヒトの骨髄、脂肪組織、その他の組織から細胞を採取し、慣用の方法により培養することにより、容易に調製することができ、好ましくは骨髄間葉系幹細胞である。培養細胞シートには、未分化の状態を保ったまま増殖した間葉系幹細胞に加え、間葉系幹細胞が分化した骨芽細胞、軟骨細胞、線維芽細胞、間質細胞、脂肪細胞、血管内皮細胞、血管内皮前駆細胞、平滑筋細胞、SP細胞等が含まれていてもよい。 Mesenchymal stem cells can be easily prepared by collecting cells from human bone marrow, adipose tissue, and other tissues and culturing them by a conventional method, preferably bone marrow mesenchymal stem cells. The cultured cell sheet includes osteoblasts, chondrocytes, fibroblasts, stromal cells, adipocytes, vascular endothelium in which mesenchymal stem cells are differentiated in addition to mesenchymal stem cells grown in an undifferentiated state Cells, vascular endothelial progenitor cells, smooth muscle cells, SP cells and the like may be included.
 培養細胞シートを洗浄する洗浄液は、培養細胞シートに含有される細胞やタンパクを破壊することなく培養細胞シートを洗浄できるものであるならば特に限定されるものではなく、例えば生理食塩水、純水、培養液等であり、好ましくはリン酸緩衝液(PBS)である。PBSはpHは6~8とするのが好ましい。培養細胞シートはプレート上で洗浄液に浸漬された状態で凍結処理される。凍結処理されることにより培養細胞シート内の細胞が殺細胞処理され、免疫抑制剤を使用せずとも移植免疫による拒絶反応が発生しにくくなる。これは凍結処理によって、殺細胞処理され培養細胞シートに含まれる細胞の抗原性が低下するためであると考えられる。 The washing solution for washing the cultured cell sheet is not particularly limited as long as it can wash the cultured cell sheet without destroying cells and proteins contained in the cultured cell sheet. For example, physiological saline, pure water A culture solution, and preferably a phosphate buffer solution (PBS). The pH of PBS is preferably 6-8. The cultured cell sheet is frozen on the plate while immersed in a washing solution. By the freezing treatment, the cells in the cultured cell sheet are killed, and rejection reaction due to transplantation immunity hardly occurs without using an immunosuppressant. This is considered to be because the antigenicity of the cells contained in the cultured cell sheet after being killed by freezing treatment is reduced.
 また、本発明では凍結処理することにより、移植用培養細胞シートのストック性を向上させる。即ち、凍結処理することにより大量生産したものを長期間ストック可能で有り、必要な時には融解させて凍結融解細胞シートとして採取してすぐに移植することが可能である。 In the present invention, the stock property of the cultured cell sheet for transplantation is improved by freezing treatment. That is, a mass-produced product by freezing can be stocked for a long period of time, and when necessary, it can be thawed and collected as a frozen-thawed cell sheet and transplanted immediately.
 また、培養細胞シートを例えばピンセット等で把持して凍結処理すると培養細胞シートの形状があたかも金平糖状になり、骨損傷部位等に適用する際に操作性が低下するが、本発明では培養細胞シートがプレート上に載置された状態で凍結処理されるから、凍結処理の際にシート形状を維持することができ、骨損傷部位等に適用する際にも操作性に優れる。 In addition, when the cultured cell sheet is frozen by holding with, for example, tweezers, the shape of the cultured cell sheet becomes like a confetti, and the operability is lowered when applied to a bone damage site or the like. Since the sheet is frozen on the plate, the sheet shape can be maintained during the freezing process, and the operability is excellent when applied to a bone damaged site.
 また、本発明では、培養細胞シートが洗浄液に浸漬された状態で凍結処理されるから、骨損傷部位等に適用する際に凍結状態から融解させた場合、洗浄液が凍結融解細胞シートに付着しており、それ故に凍結融解細胞シートの柔軟性が担保でき、骨損傷部位等に適用する際の操作性に優れる。 Further, in the present invention, since the cultured cell sheet is frozen in a state of being immersed in a washing solution, when it is thawed from the frozen state when applied to a bone damage site or the like, the washing solution adheres to the frozen and thawed cell sheet. Therefore, the flexibility of the freeze-thawed cell sheet can be secured, and the operability when applied to a bone damage site or the like is excellent.
 凍結処理は、特に限定されるものではないが、液体窒素による急速凍結処理であることが好ましい。液体窒素による急速凍結処理は、細胞内外に氷晶を形成させずに凍結する方法であり、急速に冷却させることにより本来の凝固点を素早く通過して過冷却状態となり、氷晶が形成されずに水分子の動きが止まるという現象を利用したものである。凍結処理にかかる時間が短い点、特別な機器が不要な点において優れている。液体窒素による急速凍結処理した培養細胞シートを移植の際に使用する場合は特に限定されるものではないが、緩徐融解させることが好ましい。 The freezing treatment is not particularly limited, but is preferably a quick freezing treatment with liquid nitrogen. The quick freezing treatment with liquid nitrogen is a method of freezing without forming ice crystals inside and outside the cells. By rapidly cooling, it quickly passes through the original freezing point and becomes supercooled, so that ice crystals are not formed. It utilizes the phenomenon that water molecules stop moving. It is excellent in that the time required for the freezing process is short and no special equipment is required. Although there is no particular limitation on the use of a cultured cell sheet that has been subjected to rapid freezing treatment with liquid nitrogen at the time of transplantation, it is preferable to slowly thaw it.
 なお、凍結処理として緩慢凍結法を用いることも可能である。緩慢凍結法は、緩慢な冷却速度で長時間かけて培養細胞シートを冷却し、細胞内での氷晶の形成を抑えることによって、凍結による細胞の損傷(凍害)を避けることができる手法である。 Note that the slow freezing method can be used as the freezing treatment. The slow freezing method is a technique that can avoid cell damage (freezing damage) due to freezing by cooling the cultured cell sheet over a long period of time at a slow cooling rate and suppressing the formation of ice crystals in the cells. .
 また、本実施形態にかかる移植用の骨組織作製方法は、間葉系幹細胞をプレート上でシート状に培養した培養細胞シートを、生体組織材料の存在する環境下に置く載置工程と、前記生体組織材料の存在する環境から、骨組織が形成された培養細胞シートを、取り出す取出工程と、前記培養細胞シートから形成された骨組織を採取する採取工程と、を有する。 Further, the bone tissue preparation method for transplantation according to the present embodiment includes a placing step of placing a cultured cell sheet obtained by culturing mesenchymal stem cells in a sheet shape on a plate in an environment where biological tissue material is present, It has the extraction process which takes out the cultured cell sheet in which the bone tissue was formed from the environment where biological tissue material exists, and the extraction process which extracts the bone tissue formed from the cultured cell sheet.
 培養細胞シート、プレート、培地、間葉系幹細胞については、上述の移植用培養細胞シートにて説明したとおりである。 The cultured cell sheet, plate, medium, and mesenchymal stem cells are as described above for the cultured cell sheet for transplantation.
 培養期間の最終日にβグリセロリン酸を添加することが可能である。βグリセロリン酸はリン酸を供給して石灰化を促進する作用を有するため、移植用の骨形成が促進される利点がある。また、上述の移植用培養細胞シートにて説明したことと同様に、骨形成が促進されることにより、骨様組織で囲まれた組織内は、免疫細胞による攻撃から保護されるため、他家由来の細胞であっても免疫拒絶反応が起こりにくい。更に、上述の移植用培養細胞シートにて説明したことと同様に、培養期間の最終日に添加することにより、プレートから培養細胞シートを採取する際の作業性を低下させない。なお、培養期間の最終日にβグリセロリン酸を添加する場合、例えば6~8時間添加することが好ましい。 Β-glycerophosphate can be added on the last day of the culture period. Since β-glycerophosphate has an action of supplying phosphoric acid to promote calcification, there is an advantage that bone formation for transplantation is promoted. In addition, as explained in the above-mentioned cultured cell sheet for transplantation, since the formation of bone is promoted, the tissue surrounded by the bone-like tissue is protected from attack by immune cells. Even in cells derived from it, immune rejection is unlikely to occur. Furthermore, as described in the above-mentioned cultured cell sheet for transplantation, the workability when collecting the cultured cell sheet from the plate is not lowered by adding it on the last day of the culture period. When β-glycerophosphate is added on the last day of the culture period, it is preferably added for 6 to 8 hours, for example.
 培地の存在下でプレート上において間葉系幹細胞は分化しており、培養細胞シートには未分化の状態を保ったまま増殖した間葉系幹細胞に加え、間葉系幹細胞が分化した前駆細胞、骨芽細胞、軟骨細胞、線維芽細胞、SP細胞等が含まれる。分化の過程において、早期にはALPが発現し、引き続いて骨に特異的なオステオカルシン蛋白の発現がみられ、次に生体内の骨基質やI型コラーゲンの産生がおこる。 Mesenchymal stem cells are differentiated on the plate in the presence of the medium, and in addition to the mesenchymal stem cells grown in an undifferentiated state on the cultured cell sheet, progenitor cells from which the mesenchymal stem cells have differentiated, Osteoblasts, chondrocytes, fibroblasts, SP cells and the like are included. In the process of differentiation, ALP is expressed early, followed by osteocalcin protein expression specific to bone, followed by production of bone matrix and type I collagen in vivo.
 培養細胞シートは生体組織材料の存在する環境下に置かれる。ここで生体組織とは、特に限定されるものではないが、例えば、生細胞、その生細胞が放出するコラーゲン等の各種蛋白質や糖等の細胞外マトリックス、生細胞に栄養や酸素を届ける毛細血管、及び各種生理活性物質等が存在する生物体内の組織であり、具体的にはラット等のげっ歯類の背部皮下等である。 The cultured cell sheet is placed in an environment where biological tissue material exists. Here, the biological tissue is not particularly limited. For example, living cells, various proteins such as collagen released by the living cells, extracellular matrices such as sugar, and capillaries that deliver nutrients and oxygen to living cells. , And various biologically active substances in living organisms, specifically, the back of rodents such as rats and the like.
 他家由来の細胞をそのまま生体組織材料の存在する環境下に置く場合、定着がしにくい問題のみならず免疫拒絶反応が発生する可能性があるが、本発明では間葉系幹細胞を培地の存在下でプレート上にてコンフルエントな状態になるまで増殖させて培養細胞シートを作製しており、培養細胞シートには間葉系幹細胞のみならずそこから分化した前駆細胞や骨芽細胞等が存在し、且つ細胞外基質も形成されているので他家由来の細胞であっても免疫拒絶反応が起こりにくい。 When cells derived from other families are placed in an environment where biological tissue materials are present as they are, there is a possibility that not only the problem of colonization but also immune rejection occurs, but in the present invention, mesenchymal stem cells are present in the presence of the medium. A cultured cell sheet is produced by growing the plate to a confluent state on the plate, and the cultured cell sheet includes not only mesenchymal stem cells but also differentiated progenitor cells and osteoblasts. Moreover, since an extracellular matrix is also formed, immune rejection is unlikely to occur even in cells derived from other families.
 培養細胞シートを生体組織材料の存在する環境下に置いた後、例えば7日~30日の期間が経過することにより、培養細胞シートに骨組織が形成されるので、生体組織材料の存在する環境から当該骨組織が形成された培養細胞シートを取り出す。その後は、培養細胞シートから、形成された骨組織を採取することにより、移植用の骨組織が得られる。 After placing the cultured cell sheet in an environment where the biological tissue material exists, for example, a bone tissue is formed on the cultured cell sheet after a period of 7 to 30 days has passed, so the environment where the biological tissue material exists The cultured cell sheet on which the bone tissue is formed is taken out from the above. Thereafter, a bone tissue for transplantation is obtained by collecting the formed bone tissue from the cultured cell sheet.
 得られた骨組織は、骨腫瘍、先天性疾患あるいは外傷による骨・関節の欠損、脊椎や関節の変形性あるいはリウマチ性疾患等の治療に用いることができる。 The obtained bone tissue can be used for the treatment of bone tumors, congenital diseases or bone / joint defects due to trauma, spinal and joint deformities, rheumatic diseases, and the like.
A.実施例1
 実施例1では、新鮮細胞シートを作製し、凍結融解処理を行って凍結融解細胞シートを作製し、ラットに移植することによる骨形成を試みた。
A. Example 1
In Example 1, a fresh cell sheet was prepared, freeze-thawed, a frozen-thawed cell sheet was prepared, and bone formation was attempted by transplanting to a rat.
 1<新鮮細胞シートの作製>
 1-1<初期培養>
 Fisher344ラットの大腿骨から骨髄細胞を採取し、培養フラスコ(培養面積75cm2)で初期培養を14日間行った。細胞培養は37℃、5%CO2インキュベーターを使用した。初期培養14日目にPBS(pH=7.4)で2回洗浄後にトリプシン/EDTA処理を行い、細胞浮遊液として骨髄間葉系幹細胞を採取した。
1 <Preparation of fresh cell sheet>
1-1 <Initial culture>
Bone marrow cells were collected from the femurs of Fisher344 rats and subjected to initial culture in a culture flask (culture area 75 cm 2 ) for 14 days. For cell culture, a 37 ° C., 5% CO 2 incubator was used. On the 14th day of initial culture, the cells were washed twice with PBS (pH = 7.4) and treated with trypsin / EDTA, and bone marrow mesenchymal stem cells were collected as a cell suspension.
 1-2<2次培養>
 採取した骨髄間葉系幹細胞を通常の細胞培養に使用する培養皿(直径100mmのファルコンディッシュ)に1×10細胞/cm2の細胞密度で播種し、2次培養を行う。基本培地は15%ウシ胎児血清(FBS)と抗生剤(ペニシリン・ストレプトマイシン)を含有したダルベッコ改変イーグル培地(DMEM+15%FBS+抗生剤)を使用した。
1-2 <Secondary culture>
The collected bone marrow mesenchymal stem cells are seeded at a cell density of 1 × 10 4 cells / cm 2 in a culture dish (100 mm diameter Falcon dish) used for normal cell culture, and then subjected to secondary culture. As the basic medium, Dulbecco's modified Eagle medium (DMEM + 15% FBS + antibiotic) containing 15% fetal bovine serum (FBS) and an antibiotic (penicillin / streptomycin) was used.
 2次培養では、基本培地にデキサメサゾンとアスコルビン酸を添加し、細胞がコンフルエントになるまで約14日間細胞培養をし、新鮮細胞シートを作製した。細胞培養は37℃、5%CO2インキュベーターを使用した。 In the secondary culture, dexamethasone and ascorbic acid were added to the basal medium, and the cells were cultured for about 14 days until the cells became confluent to produce a fresh cell sheet. For cell culture, a 37 ° C., 5% CO 2 incubator was used.
 2<殺細胞処理>
 約14日間の培養でコンフルエントに達した後、培養液を吸引し5mlのPBSで2回洗浄後に培養皿に付着したまま新鮮細胞シートを液体窒素で急速凍結した。急速凍結時は凍結保護液を使用せずに、新鮮細胞シートが完全に浸漬する程度(約5ml)のPBSを培養皿に残した。液体窒素による凍結処理により凍結細胞シートを得た。
2 <Cell killing treatment>
After reaching confluence in about 14 days of culture, the culture solution was aspirated, washed twice with 5 ml of PBS, and then rapidly frozen with liquid nitrogen while adhering to the culture dish. At the time of quick freezing, the cryoprotection solution was not used, and PBS of the extent that the fresh cell sheet was completely immersed (about 5 ml) was left in the culture dish. A frozen cell sheet was obtained by freezing with liquid nitrogen.
 凍結細胞シートの融解処理は室温放置(ウォーターバスでも可)で行い、完全に融解したことを確認後、スクレーパーで凍結融解細胞シートとして採取した。 The thawing treatment of the frozen cell sheet was carried out at room temperature (water bath is acceptable), and after confirming that the cell was completely thawed, it was collected as a frozen and thawed cell sheet with a scraper.
 融解直後(スクレーパー採取前)とスクレーパー採取後とに、肉眼及び顕微鏡で凍結融解細胞シートの観察をした。 The frozen and thawed cell sheet was observed with the naked eye and a microscope immediately after thawing (before collecting the scraper) and after collecting the scraper.
 顕微鏡観察(強拡大)では凍結融解細胞シートの状態に亀裂が見られたが、スクレーパーで採取後の凍結融解細胞シートの形状への影響は少なく、凍結融解細胞シートとして移植可能な状態が保たれていた(図1)。 Microscopic observation (strong enlargement) showed cracks in the state of the frozen and thawed cell sheet, but there was little effect on the shape of the frozen and thawed cell sheet after collection with a scraper, and the transplanted state as a frozen and thawed cell sheet was maintained. (Fig. 1).
 3<殺細胞処理の効果の確認>
 直径60mmの培養皿(ファルコンディッシュ)で作製した新鮮細胞シートを用いて液体窒素による殺細胞処理の効果を確認した。
3 <Confirmation of cell killing effect>
The effect of cell killing treatment with liquid nitrogen was confirmed using a fresh cell sheet prepared in a culture dish (falcon dish) having a diameter of 60 mm.
 培養皿ごと急速凍結した凍結細胞シートに含まれる生細胞を計測したところ、生細胞は確認できなかった。生細胞数の計測は、Cell Counting Kit-8(同仁化学研究所)を用いて行った。高感度水溶性ホルマザンを生成するテトラゾリウム塩WST-8を発色基質として用いる細胞数測定キットであり、WST-8は細胞内脱水素酵素により還元され、水溶性のホルマザンを生成する。このホルマザンの450 nmの吸光度を測定することにより、生細胞数を計測することができる。 When viable cells contained in a frozen cell sheet rapidly frozen together with the culture dish were measured, no viable cells could be confirmed. The number of viable cells was measured using Cell Counting Kit-8 (Dojindo Laboratories). This is a cell count kit using tetrazolium salt WST-8, which generates highly sensitive water-soluble formazan, as a chromogenic substrate. WST-8 is reduced by intracellular dehydrogenase to produce water-soluble formazan. By measuring the absorbance of this formazan at 450 nm, the number of living cells can be measured.
 底面積の異なる培養皿で新鮮細胞シートを作製し、異なる5つの大きさの新鮮細胞シートに含まれる生細胞数を基に標準線を作成した(図2)。凍結細胞シートの吸光度を測定したところ、0.01未満(0.00775)であった。標準線と凍結細胞シートの測定結果から、凍結処理により生細胞が含まれないことがわかる。 Fresh cell sheets were prepared in culture dishes with different bottom areas, and a standard line was prepared based on the number of viable cells contained in five different sizes of fresh cell sheets (FIG. 2). The absorbance of the frozen cell sheet was measured and found to be less than 0.01 (0.00775). It can be seen from the measurement results of the standard line and the frozen cell sheet that the living cells are not contained by the freezing treatment.
 4<移植試験>
 レシピエントは主要組織適合性抗原の違いによる免疫拒絶反応の程度を考慮して組織適合性抗原の異なる2種類のラット(同種ラット)を用いた。
4 <Transplantation test>
Recipients used two types of rats (allogeneic rats) with different histocompatibility antigens in consideration of the degree of immune rejection due to differences in major histocompatibility antigens.
 Fisher344ラットをドナーとして凍結融解細胞シートを作製し、ACIラットとLewisラットをレシピエントとして使用した。Fisher344ラットとACIラット及びLewisラット間の移植では、それぞれの組織適合性抗原が異なるために免疫拒絶反応が起こる。組織適合性抗原のミスマッチの程度によってメジャーミスマッチとマイナーミスマッチに区分される。Fisher344ラットをドナーとするケースでは、ACIラットがメジャーミスマッチとなり、Lewisラットがマイナーミスマッチとなる。メジャーミスマッチの方が免疫拒絶反応が大きい。 A frozen and thawed cell sheet was prepared using Fisher344 rats as donors, and ACI rats and Lewis rats were used as recipients. In transplantation between Fisher344 rats, ACI rats and Lewis rats, immune rejection occurs due to different histocompatibility antigens. Major mismatch and minor mismatch are classified according to the degree of mismatch of histocompatibility antigen. In the case of Fisher344 rats as donors, ACI rats are major mismatches and Lewis rats are minor mismatches. A major mismatch has a greater immune rejection.
 4-1<人工骨を覆った状態での移植>
 Fisher344ラットの骨髄細胞を用いて直径100mmの培養皿(ファルコンディッシュ)で作製した凍結融解細胞シートで人工骨(β-TCP:β-リン酸三カルシウム)を覆い、ラットの皮下に移植した。
4-1 <Transplantation with artificial bone covered>
Artificial bone (β-TCP: β-tricalcium phosphate) was covered with a frozen and thawed cell sheet made of Fisher344 rat bone marrow cells in a 100 mm diameter culture dish (Falcon dish) and transplanted subcutaneously into the rat.
 凍結融解細胞シート移植後4週でラットを屠殺し、移植した人工骨を摘出したところ、組織像で新生骨組織が形成されていた。 When 4 weeks after transplantation of the frozen and thawed cell sheet, the rat was sacrificed, and the transplanted artificial bone was removed. As a result, a new bone tissue was formed as a histological image.
 摘出した人工骨を10%中性緩衝ホルマリン液で2日間固定後、脱灰処理を行い、パラフィンに包埋しパラフィンブロックを作製した。ブロックから薄切片を作製しH-E染色を行い、顕微鏡で新生骨形成を観察した。 The extracted artificial bone was fixed with 10% neutral buffered formalin solution for 2 days, decalcified, and embedded in paraffin to prepare a paraffin block. Thin sections were prepared from the blocks, stained with H-E, and new bone formation was observed with a microscope.
 4-2<注射針で注入移植>
 同様に作製及び処理した凍結融解細胞シートをレシピエントラット(ACIラットとLewisラット)の背部皮下に500μlのPBSとともに注入移植した。4週間後に摘出し、組織像で確認したところ、新生骨組織が形成されていた(図3)。(c)は(b)の一部分を拡大した図であり、(c)の矢印箇所は形成された骨組織である。
4-2 <Injection transplantation with a needle>
Similarly prepared and processed freeze-thawed cell sheets were injected and implanted with 500 μl of PBS subcutaneously in the back of recipient rats (ACI rats and Lewis rats). After 4 weeks, it was excised and confirmed by histology. As a result, new bone tissue was formed (FIG. 3). (c) is an enlarged view of a part of (b), and the arrow in (c) is the formed bone tissue.
 4-3<大腿骨偽関節モデルに移植>
 Fisher 344ラットの大腿骨にボーンソーを用いて外科的に骨折を作製し、ここに凍結融解細胞シートを移植する実験を行った。
4-3 <Transplant to the femoral pseudo-joint model>
A fracture was surgically made on the femur of Fisher 344 rats using a bone saw, and an experiment was conducted in which a frozen thawed cell sheet was transplanted.
 移植用の培養細胞シートは、Fisher 344ラットの骨髄細胞に由来する同系の新鮮細胞シートを殺細胞処理して用いた。凍結融解方法は前述の方法と同様であり、培養皿は直径100mmであった。 The cultured cell sheet for transplantation was used after killing a syngeneic fresh cell sheet derived from bone marrow cells of Fisher 344 rats. The freeze-thaw method was the same as that described above, and the culture dish was 100 mm in diameter.
 Fisher 344ラットは近交系ラットであり、Fisher 344ラットをドナーとして別のFisher 344ラットをレシピエントとした移植を行うケースでは、遺伝的背景が同一(組織適合性抗原がマッチしている。つまり一卵性双生児と同じ条件)であり、同系移植である。 Fisher 344 rats are inbred rats, and in the case of transplantation using Fisher 344 rats as donors and other Fisher 344 rats as recipients, the genetic background is the same (histocompatibility antigen matches. Same condition as identical twins) and syngeneic transplantation.
 移植後、移植状態を観察・評価した。ラット大腿骨の骨折部に凍結融解細胞シートを1枚移植後レントゲンで骨形成の状態を評価した。移植4週間後で骨折部の周囲に仮骨形成が観察できた(図4(a))。図において太矢印が骨折部を示し、細矢印が新しく形成された仮骨を示す。移植なし群(コントロール群)には仮骨形成が見られなかった(図4(b))。
B.実施例2
 実施例2では、実施例1と異なり、新鮮細胞シートの作製条件を変更した。
After transplantation, the state of transplantation was observed and evaluated. The bone formation was evaluated with X-rays after transplanting a sheet of frozen-thawed cells into the fracture of the rat femur. Callus formation was observed around the fracture at 4 weeks after transplantation (FIG. 4 (a)). In the figure, a thick arrow indicates a fractured portion, and a thin arrow indicates a newly formed callus. No callus formation was observed in the non-transplanted group (control group) (FIG. 4 (b)).
B. Example 2
In Example 2, unlike Example 1, the production conditions of the fresh cell sheet were changed.
 1<新鮮細胞シートの作製>
 2次培養時に培養条件を追加した。Fisher 344ラットの骨髄細胞を直径100mmの培養皿を用いて、基本培地にデキサメサゾンとアスコルビン酸を添加し、細胞がコンフルエントになるまで約14日間細胞培養した。培養最終日のみ、基本培地にデキサメサゾンとアスコルビン酸に加えてβ-グリセロリン酸(β-glycerophosphate:βGP)も添加した培地で6時間程度培養を行った後、前述と同様の方法にならい、液体窒素による凍結処理及び室温放置による融解処理を行い、スクレーパーで凍結融解細胞シートを採取した。
1 <Preparation of fresh cell sheet>
Culture conditions were added during the secondary culture. Fisher 344 rat bone marrow cells were cultured in a culture dish having a diameter of 100 mm, dexamethasone and ascorbic acid were added to the basic medium, and the cells were cultured for about 14 days until the cells became confluent. Only on the last day of culture, after culturing for about 6 hours in a medium supplemented with dexamethasone and ascorbic acid in addition to β-glycerophosphate (βGP) in the basic medium, follow the same method as described above. A freezing treatment by, and a thawing treatment at room temperature were performed, and a frozen and thawed cell sheet was collected with a scraper.
 2<移植試験>
 上記のFisher 344ラットの骨髄細胞で作製して採取した凍結融解細胞シートを、レシピエントとしてのACIラットに移植する実験を行った。ドナーがFisher 344ラット由来であり、ACIラットをレシピエントとした移植モデルであるため組織適合性抗原はメジャーミスマッチとなり、免疫抑制剤を使用しなければ拒絶反応が起こる実験モデルとした。
2 <Transplantation test>
An experiment was conducted in which the frozen thawed cell sheet prepared and collected from the bone marrow cells of the Fisher 344 rat was transplanted into the ACI rat as a recipient. Since the donor was derived from Fisher 344 rats and transplanted with ACI rats as recipients, the histocompatibility antigen was a major mismatch, and an experimental model in which rejection occurred if no immunosuppressant was used.
 2-1<注射針で注入移植>
 Fisher 344ラットの骨髄細胞から作製した凍結融解細胞シートをレシピエントラット(ACI)の背部皮下に注入移植した。移植後の免疫抑制剤投与は行わず、2週後に摘出して組織像を観察した。
2-1 <Injection transplantation with a needle>
A frozen thawed cell sheet prepared from Fisher 344 rat bone marrow cells was implanted and implanted subcutaneously in the back of recipient rats (ACI). After transplantation, no immunosuppressant was administered, and the tissue image was observed after 2 weeks.
 2-2<大腿骨偽関節モデルに移植>
 ACIラットの大腿骨にボーンソーを用いて外科的に骨折を作製し、ここにFisher 344ラットの骨髄細胞で作製した凍結融解細胞シートを移植した(同種の凍結融解細胞シート移植)。また、Fisher 344ラットの大腿骨にボーンソーを用いて外科的に骨折を作製し、ここにFisher 344ラットの骨髄細胞で作製した新鮮細胞シートを移植した(同系の新鮮細胞シート移植)。移植後の免疫抑制剤投与は行わず、ラットに歩行や荷重の制限は行わなかった。移植後4,8,12及び16週にレントゲン撮影を行い骨癒合の状態を観察した。
2-2 <Transplant to the femur pseudo-joint model>
A fracture was surgically created in the femur of an ACI rat using a bone saw, and a freeze-thawed cell sheet prepared from bone marrow cells of a Fisher 344 rat was transplanted here (transplantation of the same type of frozen-thawed cell sheet). In addition, fractures were surgically made on the femurs of Fisher 344 rats using a bone saw, and fresh cell sheets made from bone marrow cells of Fisher 344 rats were transplanted thereto (syngeneic fresh cell sheet transplantation). No immunosuppressant was administered after transplantation, and the rats were not restricted in walking or loading. Radiographs were taken at 4, 8, 12, and 16 weeks after transplantation to observe the state of bone fusion.
 2-3<人工骨を覆った状態での移植>
 Fisher 344ラットの骨髄細胞から作製した凍結融解細胞シートで人工骨(β-TCP)を覆いレシピエントラット(ACI)の背部皮下に移植した。移植後の免疫抑制剤投与は行わず、2週後に摘出して組織像を観察した。
2-3 <Transplantation with artificial bone covered>
Artificial bone (β-TCP) was covered with a frozen thawed cell sheet prepared from Fisher 344 rat bone marrow cells and transplanted subcutaneously to the back of recipient rats (ACI). After transplantation, no immunosuppressant was administered, and the tissue image was observed after 2 weeks.
 3<移植結果の観察>
 3-1<注射針で注入移植した結果の観察>
 2週後に摘出した標本の組織像を観察した。観察は、H-E染色、及び、シリウスレッド染色にて行った。
3 <Observation of transplantation results>
3-1 <Observation of the result of injection transplantation with a needle>
The tissue image of the specimen removed 2 weeks later was observed. Observation was performed by HE staining and Sirius red staining.
 図5は形成された骨組織のH-E染色による写真図であり、そのうち(a)は顕微鏡による観察図であり、(b)は(a)の四角で囲まれた領域を示す図である。図5(b)に矢印で示されるように、軟部組織に囲まれた骨組織の形成が観察できた。骨組織内に存在する細胞の核も観察できた。 FIG. 5 is a photographic view of the formed bone tissue by H-E staining, of which (a) is an observation view by a microscope, and (b) is a view showing a region surrounded by a square in (a). As shown by the arrows in FIG. 5 (b), the formation of bone tissue surrounded by soft tissue was observed. The nucleus of the cells present in the bone tissue could also be observed.
 図6は形成された骨組織のシリウスレッド染色による写真図であり、そのうち(a)は顕微鏡による観察図であり、(b)は(a)の四角で囲まれた領域を示す図である。シリウスレッド染色は、組織切片上のI型コラーゲンとIII型コラーゲン線維を染色する。図6(b)に矢印で示されるように、組織標本の連続切片を用いたシリウスレッド染色においても、H-E染色で骨組織が観察された部位が、シリウスレッド染色陽性であった。 FIG. 6 is a photograph of the formed bone tissue by Sirius red staining, in which (a) is an observation view by a microscope, and (b) is a diagram showing a region surrounded by a square in (a). Sirius red staining stains type I collagen and type III collagen fibers on tissue sections. As indicated by arrows in FIG. 6 (b), even in Sirius red staining using continuous sections of tissue specimens, the sites where bone tissue was observed by H-E staining were positive for Sirius red staining.
 3-2<大腿骨偽関節モデルに移植した結果の観察>
 図7は、同系の新鮮細胞シート移植及び同種の凍結融解細胞シート移植の結果を示す写真図である。矢印は骨折部を示す。レントゲン写真で骨癒合が進展していく経過が観察できた。同種の凍結融解細胞シートを移植した群では、移植後4週で仮骨形成が観察され、8週目にはさらに骨癒合が進行し、12週目にはほぼ骨癒合が完了していた。16週での骨癒合率は50%であった。なお、同系の新鮮細胞シートを移植した群でも4週で仮骨形成が観察され、8週で骨癒合が完了し、16週での骨癒合率は83%であった。
3-2 <Observation of the result of transplantation to the femoral pseudo-joint model>
FIG. 7 is a photograph showing the results of syngeneic fresh cell sheet transplantation and the same type of freeze-thaw cell sheet transplantation. The arrow indicates the fracture part. The progress of bone fusion was observed with X-rays. In the group transplanted with the same type of freeze-thawed cell sheet, callus formation was observed at 4 weeks after transplantation, further bone fusion progressed at 8 weeks, and almost complete bone fusion at 12 weeks. The bone fusion rate at 16 weeks was 50%. In the group transplanted with syngeneic fresh cell sheets, callus formation was observed at 4 weeks, bone fusion was completed at 8 weeks, and the bone fusion rate at 16 weeks was 83%.
 3-3<人工骨を覆った状態での移植結果の観察>
 2週後に摘出した標本の組織像を観察した。観察は、V Goldner染色にて行った。
3-3 <Observation of transplantation result with artificial bone covered>
The tissue image of the specimen removed 2 weeks later was observed. Observation was performed by V Goldner staining.
 図8は形成された骨組織のV Goldner染色による写真図である。V Goldner染色は、石灰化骨と未石灰化骨を色分けて染色する。図8に矢印で示されるように、石灰化骨(黄緑色部分)の存在が観察できた。
C.実施例3
 実施例3では、新鮮細胞シートを作製してラットに移植し、移植用の骨形成を試みた。
FIG. 8 is a photograph of the formed bone tissue by V Goldner staining. V Goldner staining stains calcified and uncalcified bones in different colors. As indicated by arrows in FIG. 8, the presence of calcified bone (yellowish green part) could be observed.
C. Example 3
In Example 3, a fresh cell sheet was prepared and transplanted into a rat, and bone formation for transplantation was attempted.
 1<新鮮細胞シートの作製>
 1-1<初期培養>
 Fisher344ラットの大腿骨から骨髄細胞を採取し、培養フラスコ(培養面積75cm2)で初期培養を14日間行った。細胞培養は37℃、5%CO2インキュベーターを使用した。初期培養14日目にリン酸緩衝液(PBS)で2回洗浄後にトリプシン/EDTA処理を行い、細胞浮遊液として骨髄間葉系幹細胞を採取した。
1 <Preparation of fresh cell sheet>
1-1 <Initial culture>
Bone marrow cells were collected from the femurs of Fisher344 rats and subjected to initial culture in a culture flask (culture area 75 cm 2 ) for 14 days. For cell culture, a 37 ° C., 5% CO 2 incubator was used. On the 14th day of initial culture, the cells were washed twice with phosphate buffer (PBS) and then treated with trypsin / EDTA, and bone marrow mesenchymal stem cells were collected as a cell suspension.
 1-2<2次培養>
 採取した骨髄間葉系幹細胞を通常の細胞培養に使用する培養皿(ファルコンディッシュ)に1×10細胞/cm2の細胞密度で播種し、2次培養を行う。基本培地は15%ウシ胎児血清(FBS)と抗生剤(ペニシリン・ストレプトマイシン)を含有したダルベッコ改変イーグル培地(DMEM+15%FBS+抗生剤)を使用した。
1-2 <Secondary culture>
The harvested bone marrow mesenchymal stem cells are seeded at a cell density of 1 × 10 4 cells / cm 2 in a culture dish (Falcon dish) used for normal cell culture, and subjected to secondary culture. As the basic medium, Dulbecco's modified Eagle medium (DMEM + 15% FBS + antibiotic) containing 15% fetal bovine serum (FBS) and an antibiotic (penicillin / streptomycin) was used.
 2次培養時に、基本培地にデキサメサゾンとアスコルビン酸を添加し、細胞がコンフルエントになるまで約14日間細胞培養し、新鮮細胞シートを作製した。細胞培養は37℃、5%CO2インキュベーターを使用した。 At the time of secondary culture, dexamethasone and ascorbic acid were added to the basic medium, and the cells were cultured for about 14 days until the cells became confluent to prepare a fresh cell sheet. For cell culture, a 37 ° C., 5% CO 2 incubator was used.
 約14日間の培養でコンフルエントに達した後、培養液を吸引しPBSで2回洗浄後に培養皿に付着した新鮮細胞シートをスクレーパーで採取した。スクレーパーで機械的に採取したが、培養細胞シートとしての形状は保たれており移植可能な状態であった(図9)。 After reaching confluence in about 14 days of culture, the culture medium was aspirated, washed twice with PBS, and fresh cell sheets adhering to the culture dish were collected with a scraper. Although it was mechanically collected with a scraper, the shape as a cultured cell sheet was maintained and it was in a transplantable state (FIG. 9).
 2<載置試験>
 Fisher344ラットの骨髄細胞を用いて直径100mmの培養皿(ファルコンディッシュ)で作製した新鮮細胞シートを、レシピエントラット(ACIラットとLewisラット)の背部皮下に500μlのPBSとともに注射針とシリンジを用いて注入移植した。また、新鮮細胞シートは人工骨(β-TCP:β-リン酸三カルシウム)を覆う形にして移植することもできるため、ACIラットへの載置試験でその骨形成を確認した。レシピエントラットの背部の皮膚を切開し、人工骨を覆った新鮮細胞シートを皮下に移植した後、皮膚縫合を行った。レシピエントは主要組織適合性抗原の違いによる免疫拒絶反応の程度を考慮して同種ラットを用いた。
2 <Mounting test>
Fresh cell sheets made from Fisher344 rat bone marrow cells in a 100 mm diameter culture dish (Falcon dish) were subcutaneously applied to the back of recipient rats (ACI and Lewis rats) with 500 μl of PBS using an injection needle and syringe. Injection transplanted. In addition, since the fresh cell sheet can be transplanted in a form covering artificial bone (β-TCP: β-tricalcium phosphate), the bone formation was confirmed by the placement test in the ACI rat. The skin on the back of the recipient rat was incised and a fresh cell sheet covering the artificial bone was implanted subcutaneously, and then skin suture was performed. Recipients used allogeneic rats considering the degree of immune rejection due to differences in major histocompatibility antigens.
 Fisher344ラットで新鮮細胞シートを作製し(ドナー)、ACIラットとLewisラットをレシピエントとして使用した。Fisher344ラットとの組み合わせでは、ACIラットがメジャーミスマッチ、Lewisラットがマイナーミスマッチとなり、前者の方が免疫拒絶反応は大きい。 Fresh cell sheets were prepared from Fisher 344 rats (donor), and ACI rats and Lewis rats were used as recipients. In combination with Fisher344 rats, ACI rats have major mismatches and Lewis rats have minor mismatches, and the former has greater immune rejection.
 3<硬組織の形成と骨組織の採取>
 4週後に注入部位を確認したところ、硬組織の腫瘤形成が認められた。腫瘤の認められた部位を摘出、採取し、H-E染色で組織切片を作製したところ新生骨組織が形成されていた(図10(a)(b)(c)(d))。人工骨を覆った新鮮細胞シートを皮下から4週間後に摘出、採取した。脱灰処理後にH-E染色を行い、組織切片を作製したところ新生骨組織が形成されていた(図10(e)(f))。
3 <Hard tissue formation and bone tissue collection>
When the injection site was confirmed after 4 weeks, the formation of a hard tissue mass was observed. A site where a tumor was observed was removed and collected, and a tissue section was prepared by HE staining. As a result, a new bone tissue was formed (FIGS. 10A, 10B, 10C, and 10D). A fresh cell sheet covering the artificial bone was excised and collected 4 weeks after subcutaneous. HE staining was performed after the decalcification treatment, and tissue sections were prepared. As a result, new bone tissue was formed (FIGS. 10E and 10F).
 4<骨形成マーカー>
 摘出した硬組織からRNAを抽出し、リアルタイムPCR法で骨形成マーカーであるosteocalcin とalkaline phosphatase(ALP)のmRNA発現を確認したところ、発現が確認できた(図11)。
D.実施例4
 実施例4では、実施例3と異なり、新鮮細胞シートの作製条件を変更した。
4 <Bone formation marker>
RNA was extracted from the extracted hard tissue and the expression of osteocalcin and alkaline phosphatase (ALP) mRNA, which are bone formation markers, was confirmed by real-time PCR, and the expression was confirmed (FIG. 11).
D. Example 4
In Example 4, unlike Example 3, the production conditions of the fresh cell sheet were changed.
 1<新鮮細胞シートの作製>
 2次培養時に培養条件を追加した。Fisher 344ラットの骨髄細胞を直径100mmの培養皿を用いて、基本培地にデキサメサゾンとアスコルビン酸を添加し、細胞がコンフルエントになるまで約14日間細胞培養した。培養最終日のみ、基本培地にデキサメサゾンとアスコルビン酸に加えてβ-グリセロリン酸(β-glycerophosphate:βGP)も添加した培地で6時間程度培養を行った後、培地を吸引しPBSで洗浄後にスクレーパーで新鮮細胞シートとして採取した。
1 <Preparation of fresh cell sheet>
Culture conditions were added during the secondary culture. Fisher 344 rat bone marrow cells were cultured in a culture dish having a diameter of 100 mm, dexamethasone and ascorbic acid were added to the basic medium, and the cells were cultured for about 14 days until the cells became confluent. Only on the last day of culture, after culturing for about 6 hours in a medium containing β-glycerophosphate (βGP) in addition to dexamethasone and ascorbic acid in the basic medium, the medium is aspirated, washed with PBS, and then scraped. It was collected as a fresh cell sheet.
 2<載置試験>
 上記のFisher 344ラットの骨髄細胞で作製して採取した新鮮細胞シートを、レシピエントとしてのACIラットに移植する実験を行った。ドナーがFisher 344ラット由来であり、ACIラットをレシピエントとした移植モデルであるため組織適合性抗原はメジャーミスマッチとなり、免疫抑制剤を使用しなければ拒絶反応が起こる実験モデルとした。
2 <Mounting test>
An experiment was conducted in which a fresh cell sheet prepared and collected from the bone marrow cells of the Fisher 344 rat was transplanted into ACI rats as recipients. Since the donor was derived from Fisher 344 rats and transplanted with ACI rats as recipients, the histocompatibility antigen was a major mismatch, and an experimental model in which rejection occurred if no immunosuppressant was used.
 2-1<人工骨を覆った状態での移植>
 Fisher 344ラットの骨髄細胞から作製した新鮮細胞シートで人工骨(β-TCP)を覆いレシピエントラット(ACI)の背部皮下に移植した。移植後の免疫抑制剤投与は行わず、2週後に摘出して組織像を観察した。
2-1 <Transplantation with artificial bone covered>
An artificial bone (β-TCP) was covered with a fresh cell sheet prepared from bone marrow cells of Fisher 344 rats, and transplanted subcutaneously to the back of recipient rats (ACI). After transplantation, no immunosuppressant was administered, and the tissue image was observed after 2 weeks.
 2-2<注射針で注入移植>
 Fisher 344ラットの骨髄細胞から作製した新鮮細胞シートをレシピエントラット(ACI)の背部皮下に注入移植した。移植後の免疫抑制剤投与は行わず、2週後に摘出して組織像を観察した。
2-2 <Transplantation with a needle>
Fresh cell sheets made from Fisher 344 rat bone marrow cells were injected and implanted subcutaneously in the back of recipient rats (ACI). After transplantation, no immunosuppressant was administered, and the tissue image was observed after 2 weeks.
 2-3<大腿骨偽関節モデルに移植>
 ACIラットの大腿骨にボーンソーを用いて外科的に骨折を作製し、ここにFisher 344ラットの骨髄細胞で作製した新鮮細胞シートを移植した(同種の新鮮細胞シート移植)。また、Fisher 344ラットの大腿骨にボーンソーを用いて外科的に骨折を作製し、ここにFisher 344ラットの骨髄細胞で作製した新鮮細胞シートを移植した(同系の新鮮細胞シート移植)。移植後の免疫抑制剤投与は行わず、ラットに歩行や荷重の制限は行わなかった。移植後4,8,12および16週にレントゲン撮影を行い骨癒合の状態を観察した。
2-3 <Transplant to the femur pseudo-joint model>
A fracture was surgically created in the femur of an ACI rat using a bone saw, and a fresh cell sheet made of bone marrow cells of a Fisher 344 rat was transplanted here (transgenic fresh cell sheet transplantation). In addition, fractures were surgically made on the femurs of Fisher 344 rats using a bone saw, and fresh cell sheets made from bone marrow cells of Fisher 344 rats were transplanted thereto (syngeneic fresh cell sheet transplantation). No immunosuppressant was administered after transplantation, and the rats were not restricted in walking or loading. Radiographs were taken at 4, 8, 12 and 16 weeks after transplantation to observe the state of bone fusion.
 3<移植結果の観察>
 3-1<人工骨を覆った状態での移植結果の観察>
 2週後に摘出した標本の組織像を観察した。観察は、H-E染色、シリウスレッド染色、及び、V Goldner染色にて行った。
3 <Observation of transplantation results>
3-1 <Observation of transplantation result with artificial bone covered>
The tissue image of the specimen removed 2 weeks later was observed. Observation was performed by HE staining, Sirius red staining, and V Goldner staining.
 図12は形成された骨組織のH-E染色による写真図であり、そのうち(a)は顕微鏡による観察図であり、(b)は(a)の一部拡大図であり、(c)は(b)の四角で囲まれた領域を示す図である。図12(c)に矢印で示されるように、人工骨の表面と気孔内に骨組織の形成が観察できた。 FIG. 12 is a photograph of the formed bone tissue by HE staining, of which (a) is a microscopic observation, (b) is a partially enlarged view of (a), and (c) is (b) ) Is a diagram showing a region surrounded by a square. As shown by arrows in FIG. 12 (c), formation of bone tissue could be observed on the surface of the artificial bone and in the pores.
 図13は形成された骨組織のシリウスレッド染色による写真図であり、そのうち(a)は顕微鏡による観察図であり、(b)は(a)の一部拡大図であり、(c)は(b)の四角で囲まれた領域を示す図である。シリウスレッド染色は、組織切片上のI型コラーゲンとIII型コラーゲン線維を染色する。図13(c)に矢印で示されるように、シリウスレッド染色も陽性であり、人工骨の周囲に骨組織の形成が観察できた。 FIG. 13 is a photograph of the formed bone tissue by Sirius red staining, of which (a) is an observation view by a microscope, (b) is a partially enlarged view of (a), and (c) is ( It is a figure which shows the area | region enclosed by the square of b). Sirius red staining stains type I collagen and type III collagen fibers on tissue sections. As indicated by arrows in FIG. 13 (c), Sirius red staining was also positive, and formation of bone tissue could be observed around the artificial bone.
 図14は形成された骨組織のV Goldner染色による写真図である。V Goldner染色は、石灰化骨と未石灰化骨を色分けて染色する。図14に矢印で示されるように、石灰化骨(黄緑色部分)の存在が観察できた。 FIG. 14 is a photograph of the formed bone tissue by V に よ る Goldner staining. V Goldner staining stains calcified and uncalcified bones in different colors. As shown by the arrows in FIG. 14, the presence of calcified bone (yellowish green part) could be observed.
 3-2<注射針で注入移植した結果の観察>
 2週後に摘出した標本の組織像を観察した。観察は、H-E染色、シリウスレッド染色、V Goldner染色、及び、von Kossa染色にて行った。
3-2 <Observation of the result of injection transplantation with an injection needle>
The tissue image of the specimen removed 2 weeks later was observed. Observation was performed by HE staining, Sirius red staining, V Goldner staining, and von Kossa staining.
 図15は形成された骨組織のH-E染色による写真図であり、そのうち(a)は顕微鏡による観察図であり、(b)は(a)の四角で囲まれた領域を示す図である。図15(b)に矢印で示されるように、軟部組織に囲まれた骨組織の形成が観察できた。骨組織内に存在する細胞の核も観察できた。 FIG. 15 is a photographic view of the formed bone tissue by H-E staining, of which (a) is an observation view by a microscope, and (b) is a view showing a region surrounded by a square in (a). As shown by the arrows in FIG. 15 (b), formation of bone tissue surrounded by soft tissue was observed. The nucleus of the cells present in the bone tissue could also be observed.
 図16は形成された骨組織のシリウスレッド染色による写真図であり、そのうち(a)は顕微鏡による観察図であり、(b)は(a)の四角で囲まれた領域を示す図である。図16(b)に矢印で示されるように、組織標本の連続切片を用いたシリウスレッド染色においても、H-E染色で骨組織が観察された部位が、シリウスレッド染色陽性であった。 FIG. 16 is a photograph of the formed bone tissue by Sirius red staining, in which (a) is an observation view by a microscope, and (b) is a diagram showing a region surrounded by a square in (a). As indicated by arrows in FIG. 16 (b), even in Sirius red staining using continuous sections of the tissue specimen, the site where bone tissue was observed by H-E staining was positive for Sirius red staining.
 図17は形成された骨組織のV Goldner染色による写真図であり、そのうち(a)は顕微鏡による観察図であり、(b)は(a)の一部拡大図である。図17(b)に矢印で示されるように、石灰化骨の存在が観察できた。 FIG. 17 is a photograph of the formed bone tissue by V に よ る Goldner staining, of which (a) is an observation view with a microscope, and (b) is a partially enlarged view of (a). As shown by the arrows in FIG. 17 (b), the presence of calcified bone could be observed.
 図18は形成された骨組織のvon Kossa染色による写真図であり、そのうち(a)は顕微鏡による観察図であり、(b)は(a)の一部拡大図である。von Kossa染色は、切片中のリン酸カルシウム塩と炭酸カルシウム塩のみを黒く染色する。図18(b)に矢印で示されるように、沈着したカルシウム塩が黒く染まっている様子が観察できた。 FIG. 18 is a photograph of the formed bone tissue by von Kossa staining, in which (a) is an observation view by a microscope, and (b) is a partially enlarged view of (a). In von Kossa staining, only calcium phosphate and calcium carbonate in the section are stained black. As shown by the arrow in FIG. 18 (b), it was observed that the deposited calcium salt was dyed black.
 3-3<大腿骨偽関節モデルに移植した結果の観察>
 図19は、同系の新鮮細胞シート及び同種の新鮮細胞シートを移植した結果を示す写真図である。矢印は骨折部を示す。レントゲン写真で骨癒合が進展していく経過が観察できた。同種の新鮮細胞シートを移植した群では、移植後4週で仮骨形成が観察され、8週目にはさらに骨癒合が進行し、12週目にはほぼ骨癒合が完了していた。16週での骨癒合率は50%であった。なお、同系の新鮮細胞シートを移植した群でも4週で仮骨形成が観察され、8週で骨癒合が完了し、16週での骨癒合率は83%であった。同系の新鮮細胞シートはもちろん同種の新鮮細胞シートであっても、培養細胞シートから形成された骨組織を採取することにより、移植用の骨組織が十分に得られることが確認された。
3-3 <Observation of the result of transplantation to the femoral pseudo-joint model>
FIG. 19 is a photograph showing the results of transplanting a syngeneic fresh cell sheet and the same type of fresh cell sheet. The arrow indicates the fracture part. The progress of bone fusion was observed with X-rays. In the group transplanted with fresh cell sheets of the same type, callus formation was observed 4 weeks after transplantation, further bone fusion progressed at 8 weeks, and almost complete bone fusion at 12 weeks. The bone fusion rate at 16 weeks was 50%. In the group transplanted with syngeneic fresh cell sheets, callus formation was observed at 4 weeks, bone fusion was completed at 8 weeks, and the bone fusion rate at 16 weeks was 83%. It was confirmed that a bone tissue for transplantation can be sufficiently obtained by collecting a bone tissue formed from a cultured cell sheet even if it is a fresh cell sheet of the same type as well as a fresh cell sheet of the same type.
 骨形成治療材として利用できる。また、骨腫瘍、先天性疾患あるいは外傷による骨・関節の欠損、脊髄や関節の変形性あるいはリウマチ性疾患等の治療に利用できる。 Can be used as a bone formation treatment material. It can also be used to treat bone tumors, congenital diseases or bone / joint defects due to trauma, spinal cord and joint deformities, or rheumatic diseases.

Claims (15)

  1.  間葉系幹細胞をプレート上でシート状に培養した培養細胞シートを洗浄液で洗浄し、その培養細胞シートが前記プレート上で前記洗浄液に浸漬された状態で凍結処理されたことを特徴とする移植用培養細胞シート。 For transplantation, wherein a cultured cell sheet obtained by culturing mesenchymal stem cells in a sheet form on a plate is washed with a washing solution, and the cultured cell sheet is frozen in a state immersed in the washing solution on the plate. Cultured cell sheet.
  2.  前記間葉系幹細胞は、骨髄間葉系幹細胞であることを特徴とする請求項1に記載の移植用培養細胞シート。 The cultured cell sheet for transplantation according to claim 1, wherein the mesenchymal stem cells are bone marrow mesenchymal stem cells.
  3.  前記凍結処理は、液体窒素による急速凍結処理であることを特徴とする請求項1又は2に記載の移植用培養細胞シート。 3. The cultured cell sheet for transplantation according to claim 1 or 2, wherein the freezing treatment is a quick freezing treatment with liquid nitrogen.
  4.  前記プレート上でシート状に培養した培養細胞シートは、βグリセロリン酸を培養期間の最終日に添加した培地にて培養したものであることを特徴とする請求項1乃至3の何れか1項に記載の移植用培養細胞シート。 The cultured cell sheet cultured in a sheet form on the plate is cultured in a medium added with β-glycerophosphoric acid on the last day of the culture period, according to any one of claims 1 to 3. The cultured cell sheet for transplantation as described.
  5.  間葉系幹細胞をプレート上でシート状に培養した培養細胞シートを洗浄液で洗浄する工程と、その培養細胞シートを前記プレート上で前記洗浄液に浸漬された状態で凍結処理する工程と、を有することを特徴とする移植用培養細胞シートの製造方法。 A step of washing a cultured cell sheet obtained by culturing mesenchymal stem cells in a sheet form on a plate with a washing solution, and a step of freezing the cultured cell sheet in a state immersed in the washing solution on the plate. A method for producing a cultured cell sheet for transplantation, characterized by the following.
  6.  前記間葉系幹細胞は、骨髄間葉系幹細胞であることを特徴とする請求項5に記載の移植用培養細胞シートの製造方法。 The method for producing a cultured cell sheet for transplantation according to claim 5, wherein the mesenchymal stem cells are bone marrow mesenchymal stem cells.
  7.  前記凍結処理は、液体窒素による急速凍結処理であることを特徴とする請求項5又は6に記載の移植用培養細胞シートの製造方法。 The method for producing a cultured cell sheet for transplantation according to claim 5 or 6, wherein the freezing treatment is a quick freezing treatment with liquid nitrogen.
  8.  前記プレート上でシート状に培養した培養細胞シートは、βグリセロリン酸を培養期間の最終日に添加した培地にて培養したものであることを特徴とする請求項5乃至7の何れか1項に記載の移植用培養細胞シートの製造方法。 The cultured cell sheet cultured in a sheet form on the plate is cultured in a medium added with β-glycerophosphoric acid on the last day of the culture period, according to any one of claims 5 to 7. The manufacturing method of the cultured cell sheet for transplant of description.
  9.  間葉系幹細胞をプレート上でシート状に培養した培養細胞シートを、生体組織材料の存在する環境下に置く載置工程と、
     前記生体組織材料の存在する環境から、骨組織が形成された培養細胞シートを、取り出す取出工程と、
     前記培養細胞シートから形成された骨組織を採取する採取工程と、を有することを特徴とする移植用の骨組織作製方法。
    Placing a cultured cell sheet obtained by culturing mesenchymal stem cells in a sheet on a plate in an environment where biological tissue material exists; and
    An extraction step of removing the cultured cell sheet in which bone tissue is formed from the environment in which the biological tissue material exists;
    And a sampling step for collecting the bone tissue formed from the cultured cell sheet.
  10.  前記間葉系幹細胞は、骨髄間葉系幹細胞であることを特徴とする請求項9に記載の移植用の骨組織作製方法。 The bone tissue preparation method for transplantation according to claim 9, wherein the mesenchymal stem cells are bone marrow mesenchymal stem cells.
  11.  前記間葉系幹細胞は他家由来であり、
     前記載置工程では、免疫抑制剤を使用せずに培養細胞シートを生体組織材料の存在する環境下に置くことを特徴とする請求項9又は10に記載の移植用の骨組織作製方法。
    The mesenchymal stem cell is derived from another family,
    The bone tissue preparation method for transplantation according to claim 9 or 10, wherein, in the above-described placing step, the cultured cell sheet is placed in an environment in which a biological tissue material exists without using an immunosuppressive agent.
  12.  前記生体組織材料の存在する環境は、げっ歯類の背部皮下であることを特徴とする請求項9乃至11の何れか1項に記載の移植用の骨組織作製方法。 The bone tissue preparation method for transplantation according to any one of claims 9 to 11, wherein the environment in which the biological tissue material exists is subcutaneous in the back of a rodent.
  13.  前記培養細胞シートはPBSとともに注入移植により、生体組織材料の存在する環境下に置かれることを特徴とする請求項9乃至12の何れか1項に記載の移植用の骨組織作製方法。 The bone tissue preparation method for transplantation according to any one of claims 9 to 12, wherein the cultured cell sheet is placed in an environment in which a biological tissue material exists by injection transplantation together with PBS.
  14.  培養した培養細胞シートを生体組織材料の存在する環境下に置いた後、1月~2月の期間経過した後に、培養細胞シートに骨組織が形成されることを特徴とする請求項9乃至13の何れか1項に記載の移植用の骨組織作製方法。 14. The bone tissue is formed on the cultured cell sheet after the cultured cell sheet is placed in an environment where the biological tissue material is present and after a period of 1 to 2 months has passed. A bone tissue preparation method for transplantation according to any one of the above.
  15.  前記プレート上でシート状に培養した培養細胞シートは、βグリセロリン酸を培養期間の最終日に添加した培地にて培養したものであることを特徴とする請求項9乃至14の何れか1項に記載の移植用の骨組織作製方法。 The cultured cell sheet cultured in a sheet form on the plate is cultured in a medium added with β-glycerophosphoric acid on the last day of the culture period, according to any one of claims 9 to 14. The bone tissue preparation method for transplant as described.
PCT/JP2015/005992 2014-12-02 2015-12-02 Cultured cell sheet for transplantation use, method for producing cultured cell sheet for transplantation use, and method for producing bone tissue for transplantation use WO2016088373A1 (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
JP2014-244090 2014-12-02
JP2014244084 2014-12-02
JP2014-244084 2014-12-02
JP2014244090 2014-12-02

Publications (1)

Publication Number Publication Date
WO2016088373A1 true WO2016088373A1 (en) 2016-06-09

Family

ID=56091335

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/JP2015/005992 WO2016088373A1 (en) 2014-12-02 2015-12-02 Cultured cell sheet for transplantation use, method for producing cultured cell sheet for transplantation use, and method for producing bone tissue for transplantation use

Country Status (1)

Country Link
WO (1) WO2016088373A1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021251271A1 (en) * 2020-06-09 2021-12-16 帝人株式会社 Cell with suppressed expression of mhc class i

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2006080434A1 (en) * 2005-01-27 2006-08-03 Japan Health Sciences Foundation Cell sheet containing mesenchymal stem cells
JP2011115058A (en) * 2009-12-01 2011-06-16 Terumo Corp Method for producing isolated sheet-like cell culture
JP2012044970A (en) * 2010-08-30 2012-03-08 Tokyo Univ Of Agriculture & Technology Method for producing cell sheet for transplantation, cell sheet for transplantation, and method for treating using cell sheet for transplantation

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2006080434A1 (en) * 2005-01-27 2006-08-03 Japan Health Sciences Foundation Cell sheet containing mesenchymal stem cells
JP2011115058A (en) * 2009-12-01 2011-06-16 Terumo Corp Method for producing isolated sheet-like cell culture
JP2012044970A (en) * 2010-08-30 2012-03-08 Tokyo Univ Of Agriculture & Technology Method for producing cell sheet for transplantation, cell sheet for transplantation, and method for treating using cell sheet for transplantation

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
TOMOHIKO KURA ET AL.: "Toketsu Hozon Kotsuzui Kan'yokei Kansaibo Yurai Saibo Sheet no Chunyu Ishoku ni yoru Kotsukeiseino no Hyoka", THE JOURNAL OF THE JAPANESE ORTHOPAEDIC ASSOCIATION, vol. 87, no. 8, 30 August 2013 (2013-08-30), pages S1306, ISSN: 0021-5325 *

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021251271A1 (en) * 2020-06-09 2021-12-16 帝人株式会社 Cell with suppressed expression of mhc class i

Similar Documents

Publication Publication Date Title
JP3808900B2 (en) Biological material composed of a three-dimensional biocompatible and biodegradable matrix comprising an effective culture of bone marrow stem cells partially or fully differentiated into connective tissue cells and a hyaluronic acid derivative
JP2001502905A (en) Formation of cartilage tissue using cells isolated from Wharton&#39;s jelly
CN107073168B (en) tissue graft
KR20090010607A (en) Double layered scaffold for treatment of articular cartilage
JP5890222B2 (en) Cultured cartilage tissue material
KR101178153B1 (en) New stem cell lines, their application and culture methods
JP2022501118A (en) Biomaterials containing adipose-derived stem cells and gelatin and methods for producing them
CA2419923C (en) Vascularised tissue graft
KR20170108325A (en) Composition and method for differentiation adult stem cells into chondrocytes
EP2732030B1 (en) Preparation of parental cell bank from foetal tissue
WO2005014070A1 (en) Method of bone regeneration
CN107854732A (en) Improve space and hole promotes the compound rest and preparation method of cell adhesion rate
JP7105487B2 (en) Cryografts and methods of making cryografts
WO2016088373A1 (en) Cultured cell sheet for transplantation use, method for producing cultured cell sheet for transplantation use, and method for producing bone tissue for transplantation use
KR20110032433A (en) The method of manufacturing the transplantable spheroids of mixed cellular complexes for cell transplantation and the usage of the same
JP4061487B2 (en) Transplant material for angiogenesis and method for producing the same
JP6525282B2 (en) Fat-derived stem cell sheet having osteogenic potential and method for producing the same
RU2240135C1 (en) Cell culture comprising precursor cells of osteogenesis, implant based on thereof and its applying for recovery bone integrity
JP2003180819A (en) Material for transplant and cellular retention carrier
Sasimonthon Craniofacial bone defect repair with polymer scaffold and cell-derived matrix
JP2007252393A (en) Composition and method for forming marrow from fat tissue derived stem cell
CN114657122A (en) Nano polypeptide hydrogel of composite stem cell sphere and preparation method and application thereof
Ishikawa et al. Periodontal regeneration based on cell sheet engineering: The future of periodontal therapy
AU2001283687A1 (en) Vascularised tissue graft
JP2005065868A (en) Bone supplementation system loading living cell on treated bone with killed cell

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 15865402

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 15865402

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: JP