<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vestim</journal-id><journal-title-group><journal-title xml:lang="ru">Известия Национальной  академии наук Беларуси. Серия медицинских наук</journal-title><trans-title-group xml:lang="en"><trans-title>Proceedings of the National Academy of Sciences of Belarus, Medical series</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1814-6023</issn><issn pub-type="epub">2524-2350</issn><publisher><publisher-name>The Republican Unitary Enterprise Publishing House "Belaruskaya Navuka"</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.29235/1814-6023-2020-17-1-7-19</article-id><article-id custom-type="elpub" pub-id-type="custom">vestim-655</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКАЯ И ЭКСПЕРИМЕНТАЛЬНАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL AND EXPERIMENTAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>Экспериментальное обоснование способа аутотрансплантации мезенхимальных стволовых клеток для регенерации костной ткани головки бедра</article-title><trans-title-group xml:lang="en"><trans-title>Experimental justification of the method of mesenchymal stem cell autotransplantation for regeneration of the femoral head bone tissue</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мурзич</surname><given-names>А. Э.</given-names></name><name name-style="western" xml:lang="en"><surname>Murzich</surname><given-names>A. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мурзич Александр Эдуардович – кандидат медицинских наук, заведующий лабораторией</p><p>ул. Кижеватова, 60/4, 220024, г. Минск</p><p> </p></bio><bio xml:lang="en"><p>Alyaksandr E. Murzich – Ph. D. (Med.), Head of the Laboratory</p><p>60, Bld. 4, Kizhevatov Str., 220024, Minsk</p></bio><email xlink:type="simple">mae77@list.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пашкевич</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Pashkevich</surname><given-names>L. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Пашкевич Людмила Антоновна – доктор медицинских  наук, заведующий лабораторией</p><p>ул. Кижеватова, 60/4, 220024, г. Минск</p><p> </p></bio><bio xml:lang="en"><p>Lyudmila A. Pashkevich – D. Sc. (Med.), Head of the Laboratory</p><p>60, Bld. 4, Kizhevatov Str., 220024, Minsk</p></bio><email xlink:type="simple">pashkevichla@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жерносеченко</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhernasechanka</surname><given-names>H. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Жерносеченко Анна Александровна – научный  сотрудник</p><p>ул. Фрунзенская, 43, 223053, Минский р-н, д. Боровляны</p></bio><bio xml:lang="en"><p>Hanna A. Zhernasechanka – Researcher</p><p>43, Frunzenskaya Str., v. Borovliany, 223053, Minsk Region</p></bio><email xlink:type="simple">sapphire.anna@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Республиканский научно-практический центр травматологии и ортопедии</institution></aff><aff xml:lang="en"><institution>Republican Scientific and Practical Centre of Traumatology and Orthopedics</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Республиканский научно-практический центр детской онкологии, гематологии и иммунологии</institution></aff><aff xml:lang="en"><institution>Republican Research Center for Pediatric Oncology, Hematology and Immunology</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>18</day><month>03</month><year>2020</year></pub-date><volume>17</volume><issue>1</issue><fpage>7</fpage><lpage>19</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мурзич А.Э., Пашкевич Л.А., Жерносеченко А.А., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Мурзич А.Э., Пашкевич Л.А., Жерносеченко А.А.</copyright-holder><copyright-holder xml:lang="en">Murzich A.E., Pashkevich L.A., Zhernasechanka H.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vestimed.belnauka.by/jour/article/view/655">https://vestimed.belnauka.by/jour/article/view/655</self-uri><abstract><p>Представлены результаты экспериментальной работы по обоснованию нового способа восстановления костной ткани головки бедренной кости с помощью мезенхимальных стволовых клеток (МСК). Проведены оперативные вмешательства на 5 собаках, включающие эксфузию костного мозга, получение МСК и их последующую остеогенную дифференцировку, подбор носителя для МСК, создание дефектов головки бедра, имплантацию клеточного продукта в дефект кости. После операций осуществляли наблюдение и уход за экспериментальными животными, а затем выводили их из эксперимента и производили забор биологического материала. Результаты гистологического исследования микропрепаратов головок бедренных костей собак подтверждают образование зрелой костной ткани компактного строения с остеобластами на месте введения МСК. В экспериментальных образцах контрольной группы (без введения МСК) место дефекта выполнено грубоволокнистой остеобластической тканью без формирования костных структур. Полученный экспериментальный материал позволит разработать метод аутотрансплантации МСК для регенеративного восстановления повреждений костной ткани при остеонекрозе головки бедра у взрослых, который будет внедрен в систему практического здравоохранения.</p></abstract><trans-abstract xml:lang="en"><p>The results of experimental justification of a new method for restoring the femoral head bone tissue with the use of mesenchymal stem cells (MSCs) are presented. Surgical interventions were performed on 5 dogs, including the bone marrow exfusion, the obtaining of MSCs and their subsequent osteogenic differentiation, the selection of a carrier for MSCs, the creation of femoral head defects, and the implantation of a cellular product into a bone defect. Experimental animals were observed and cared after operations, and removed from the experiment, as well as the biological material was taken. The histological results of the femoral head micropreparations of dogs confirm the formation of the mature bone tissue of compact structure with osteoblasts at the site of MSCs injection. In the control group of the experimental samples (without MSCs), the  The obtained experimental material will allow us to develop a method for autologous transplantation of MSCs for regenerative restoration of bone tissue damage in the adult’s femoral head osteonecrosis, which will find use in the practical healthcare system.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>мезенхимальные стволовые клетки</kwd><kwd>остеогенная дифференцировка</kwd><kwd>фибриновый гель</kwd><kwd>остеонекроз головки бедра</kwd><kwd>эксперимент</kwd></kwd-group><kwd-group xml:lang="en"><kwd>mesenchymal stem cells</kwd><kwd>osteogenic differentiation</kwd><kwd>fibrin gel</kwd><kwd>femoral head osteonecrosis</kwd><kwd>experiment</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Эффективность использования биорезорбируемых материалов для заполнения костных полостей при остеонекрозе головки бедренной кости / В. А. Конев [и др.] // Травматология и ортопедия России. – 2014. – № 3. – С. 28–38.</mixed-citation><mixed-citation xml:lang="en">Konev V. A., Tikhilov R. M., Shubnyakov I. I., Myasoedov A. A., Denisov A. O. Bioresorbable materials for bone defects substitution in patients with osteonecrosis of the femoral head. Travmatologiya i ortopediya Rossii [Traumatology and orthopedics of Russia], 2014, no. 3, pp. 28–38 (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Hernigou, P. Decrease in the mesenchymal stem-cell pool in the proximal femur in corticosteroid-induced osteonecrosis / P. Hernigou, F. Beaujean, J. C. Lambotte // J. Bone Joint Surg. – 1999. – Vol. 81, N 2. – P. 349–355. https://doi.org/10.1302/0301-620x.81b2.8818</mixed-citation><mixed-citation xml:lang="en">Hernigou P., Beaujean F., Lambotte J. C. Decrease in the mesenchymal stem-cell pool in the proximal femur in corticosteroid-induced osteonecrosis. The Journal of Bone and Joint Surgery, 1999, vol. 81, no. 2, pp. 349–355. https://doi.org/10.1302/0301-620x.81b2.8818</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Klingemanna, H. Mesenchymal stem cells – sources and clinical applications / H. Klingemann, D. Matzilevich, J. Marchand // Transfus. Med. Hemother. – 2008. – Vol. 35, N 4. – P. 272–277. https://doi.org/10.1159/000142333</mixed-citation><mixed-citation xml:lang="en">Klingemann H., Matzilevich D., Marchand J. Mesenchymal stem cells – sources and clinical applications. Transfusion Medicine and Hemotherapy, 2008, vol. 35, no. 4, pp. 272–277. https://doi.org/10.1159/000142333</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Aging is associated with decreased maximal life span and accelerated senescence of bone marrow stromal cells / K. Stenderup [et al.] // Bone. – 2003. – Vol. 33, N 6. – P. 919–926. https://doi.org/10.1016/j.bone.2003.07.005</mixed-citation><mixed-citation xml:lang="en">Stenderup K., Justesen J., Clausen C., Kassem M. Aging is associated with decreased maximal life span and accelerated senescence of bone marrow stromal cells. Bone, 2003, vol. 33, no. 6, pp. 919–926. https://doi.org/10.1016/j.bone.2003.07.005</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Conget, P. A. Identification of a discrete population of human bone marrow-derived mesenchymal cells exhibiting properties of uncommitted progenitors / P. A. Conget, C. Allers, J. J. Minguell // J. Hematother. Stem Cell Res. – 2001. – Vol. 10, N 6. – P. 749–758. https://doi.org/10.1089/152581601317210845</mixed-citation><mixed-citation xml:lang="en">Conget P. A., Allers C., Minguell J. J. Identification of a discrete population of human bone marrow-derived mesenchymal cells exhibiting properties of uncommitted progenitors. Journal of Hematotherapy and Stem Cell Research, 2001, vol. 10, no. 6, pp. 749–758. https://doi.org/10.1089/152581601317210845</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Malluche, H. Renal bone disease 1990: an unmet challenge for the nephrologist / H. Malluche, M. C. Faugere // Kidney Int. – 1990. – Vol. 38, N 2. – P. 193–211. https://doi.org/10.1038/ki.1990.187</mixed-citation><mixed-citation xml:lang="en">Malluche H., Faugere M. C. Renal bone disease 1990: an unmet challenge for the nephrologist. Kidney International, 1990, vol. 38, no. 2, pp. 193–211. https://doi.org/10.1038/ki.1990.187</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">K/DOQI clinical practice guidelines for bone metabolism and disease in chronic kidney disease / Nat. Kidney Found. // Am. J. Kidney Dis. – 2003. – Vol. 42, N 4, suppl. 3. – P. S1–S201.</mixed-citation><mixed-citation xml:lang="en">K/DOQI clinical practice guidelines for bone metabolism and disease in chronic kidney disease. American Journal of Kidney Diseases, 2003, vol. 42, no. 4, suppl. 3, pp. S1–S201.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">The Dialysis Outcomes and Practice Patterns Study (DOPPS): design, data elements, and methodology / R. L. Pisoni [et al.] // Am. J. Kidney Dis. – 2004. – Vol. 44, N 5C, suppl. 2. – Р. 7–15. https://doi.org/10.1053/j.ajkd.2004.08.005</mixed-citation><mixed-citation xml:lang="en">Pisoni R. L., Gillespie B. W., Dickinson D. M., Chen K., Kutner M. H., Wolfe R. A. The Dialysis Outcomes and Practice Patterns Study (DOPPS): design, data elements, and methodology. American Journal of Kidney Diseases, 2004, vol. 44, no. 5C, suppl. 2, pp. 7–15. https://doi.org/10.1053/j.ajkd.2004.08.005</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Development of an osteogenic bone-marrow preparation / J. Connolly [et al.] // J. Bone Joint Surg. Am. – 1989. – Vol. 71, N 5. – P. 684–691. https://doi.org/10.2106/00004623-198971050-00007</mixed-citation><mixed-citation xml:lang="en">Connolly J., Guse R., Lippiello L., Dehne R. Development of an osteogenic bone-marrow preparation. Journal of Bone and Joint Surgery, 1989, vol. 71, no. 5, pp. 684–691. https://doi.org/10.2106/00004623-198971050-00007</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Autologous bone marrow mesenchymal stem cells associated with tantalum rod implantation and vascularized iliac grafting for the treatment of end-stage osteonecrosis of the femoral head / D. Zhao [et al.] // BioMed Res. Int. – 2015. – Vol. 2015. – P. 1–9. https://doi.org/10.1155/2015/240506</mixed-citation><mixed-citation xml:lang="en">Zhao D., Liu B., Wang B., Yang L., Xie H., Huang S., Zhang Y., Wei X. Autologous bone marrow mesenchymal stem cells associated with tantalum rod implantation and vascularized iliac grafting for the treatment of end-stage osteonecrosis of the femoral head. BioMed Research International, 2015, vol. 2015, pp. 1–9. https://doi.org/10.1155/2015/240506</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">An exploratory clinical trial for idiopathic osteonecrosis of femoral head by cultured autologous multipotent mesenchymal stromal cells augmented with vascularized bone grafts / T. Aoyama [et al.] // Tissue Eng. Part B.: Rev. – 2014. – Vol. 20, N 4. – P. 233–242. https://doi.org/10.1089/ten.teb.2014.0090</mixed-citation><mixed-citation xml:lang="en">Aoyama T., Goto K., Kakinoki R., Ikeguchi R., Ueda M., Kasai Y. [et al.]. An exploratory clinical trial for idiopathic osteonecrosis of femoral head by cultured autologous multipotent mesenchymal stromal cells augmented with vascularized bone grafts. Tissue Engineering. Part B: Reviews, 2014, vol. 20, no. 4, pp. 233–242. https://doi.org/10.1089/ten.teb.2014.0090</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Tissue-engineered approach for the treatment of steroid-induced osteonecrosis of the femoral head: transplantation of autologous mesenchymal stem cells cultured with beta-tricalcium phosphate ceramics and free vascularized fibula / K. Kawate [et al.] // Artif. Organs. – 2006. – Vol. 30, N 12. – P. 960–962. https://doi.org/10.1111/j.1525-1594.2006.00333.x</mixed-citation><mixed-citation xml:lang="en">Kawate K., Yajima H., Ohgushi H., Kotobuki N., Sugimoto K., Ohmura T. [et al.]. Tissue-engineered approach for the treatment of steroid-induced osteonecrosis of the femoral head: transplantation of autologous mesenchymal stem cells cultured with beta-tricalcium phosphate ceramics and free vascularized fibula. Artificial Organs, 2006, vol. 30, no. 12, pp. 960– 962. https://doi.org/10.1111/j.1525-1594.2006.00333.x</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Low oxygen tension inhibits osteogenic differentiation and enhances stemness of human MIAMI cells / G. D’Ippolito [et al.] // Bone. – 2006. – Vol. 39, N 3. – P. 513–522. https://doi.org/10.1016/j.bone.2006.02.061</mixed-citation><mixed-citation xml:lang="en">D’Ippolito G., Diabira S., Howard G. A., Roos B. A., Schiller P. C. Low oxygen tension inhibits osteogenic differentiation and enhances stemness of human MIAMI cells. Bone, 2006, vol. 39, no. 3, pp. 513–522. https://doi.org/10.1016/j.bone.2006.02.061</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Langenbach, F. Effects of dexamethasone, ascorbic acid and β-glycerophosphate on the osteogenic differentiation of stem cells in vitro / F. Langenbach, J. Handschel // Stem Cell Res. Ther. – 2013. – Vol. 4, N 5. – Art. 117. https://doi.org/10.1186/scrt328</mixed-citation><mixed-citation xml:lang="en">Langenbach F., Handschel J. Effects of dexamethasone, ascorbic acid and β-glycerophosphate on the osteogenic differentiation of stem cells in vitro. Stem Cell Research and Therapy, 2013, vol. 4, no. 5, art. 117. https://doi.org/10.1186/scrt328</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Development of a simple procedure for the treatment of femoral head osteonecrosis with intra-osseous injection of bone marrow mesenchymal stromal cells: study of their biodistribution in the early time points after injection / A. Lebouvier [et al.] // Stem Cell Res. Ther. – 2015. – Vol. 6, N 1. – Art. 68. https://doi.org/10.1186/s13287-015-0036-y</mixed-citation><mixed-citation xml:lang="en">. Lebouvier A., Poignard A., Cavet M., Amiaud J., Leotot J., Hernigou P. [et al.]. Development of a simple procedure for the treatment of femoral head osteonecrosis with intra-osseous injection of bone marrow mesenchymal stromal cells: study of their biodistribution in the early time points after injection. Stem Cell Research and Therapy, 2015, vol. 6, no. 1, art. 68. https://doi.org/10.1186/s13287-015-0036-y</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">. Fate of mesenchymal stem cells transplanted to osteonecrosis of femoral head / Z. Yan [et al.] // J. Orthop. Res. – 2009. – Vol. 27, N 4. – P. 442–446. https://doi.org/10.1002/jor.20759</mixed-citation><mixed-citation xml:lang="en">Yan Z., Hang D., Guo C., Chen Z. Fate of mesenchymal stem cells transplanted to osteonecrosis of femoral head. Journal of Orthopaedic Research, 2009, vol. 27, no. 4, pp. 442–446. https://doi.org/10.1002/jor.20759</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Core decompression with marrow stem cells / P. Hernigou [et al.] // Oper. Tech. Orthop. – 2004. – Vol. 14, N 2. – P. 68–74. https://doi.org/10.1053/j.oto.2004.03.001</mixed-citation><mixed-citation xml:lang="en">Hernigou P., Manicom O., Poignard A., Nogier A., Filippini P., de Abreu L. Core decompression with marrow stem cells. Operative Techniques in Orthopaedics, 2004, vol. 14, no. 2, pp. 68–74. https://doi.org/10.1053/j.oto.2004.03.001</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Stem cell treatment for avascular necrosis of the femoral head: current perspectives / R. J. Sierra [et al.] // Stem Cells Cloning: Advances Applications. – 2014. – Vol. 7. – P. 65–70. https://doi.org/10.2147/sccaa.s36584</mixed-citation><mixed-citation xml:lang="en">Sierra R. J., Houdek M. T., Wyles C. C., Martin J. R. Stem cell treatment for avascular necrosis of the femoral head: current perspectives. Stem Cells and Cloning: Advances and Applications, 2014, vol. 7, pp. 65–70. https://doi.org/10.2147/sccaa.s36584</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">The efficacy of targeted intraarterial delivery of concentrated autologous bone marrow containing mononuclear cells in the treatment of osteonecrosis of the femoral head: a five year follow-up study / Q. Mao [et al.] // Bone. – 2013. – Vol. 57, N 2. – P. 509–516. https://doi.org/10.1016/j.bone.2013.08.022</mixed-citation><mixed-citation xml:lang="en">Mao Q., Jin H., Liao F., Xiao L., Chen D., Tong P. The efficacy of targeted intraarterial delivery of concentrated autologous bone marrow containing mononuclear cells in the treatment of osteonecrosis of the femoral head: a five year followup study. Bone, 2013, vol. 57, no. 2, pp. 509–516. https://doi.org/10.1016/j.bone.2013.08.022</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
