Preview

Proceedings of the National Academy of Sciences of Belarus, Medical series

Advanced search

Experimental justification of the method of mesenchymal stem cell autotransplantation for regeneration of the femoral head bone tissue

https://doi.org/10.29235/1814-6023-2020-17-1-7-19

Abstract

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.

About the Authors

A. E. Murzich
Republican Scientific and Practical Centre of Traumatology and Orthopedics
Belarus

Alyaksandr E. Murzich – Ph. D. (Med.), Head of the Laboratory

60, Bld. 4, Kizhevatov Str., 220024, Minsk



L. A. Pashkevich
Republican Scientific and Practical Centre of Traumatology and Orthopedics
Belarus

Lyudmila A. Pashkevich – D. Sc. (Med.), Head of the Laboratory

60, Bld. 4, Kizhevatov Str., 220024, Minsk



H. A. Zhernasechanka
Republican Research Center for Pediatric Oncology, Hematology and Immunology
Belarus

Hanna A. Zhernasechanka – Researcher

43, Frunzenskaya Str., v. Borovliany, 223053, Minsk Region



References

1. 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).

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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.

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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

14. 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

15. . 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

16. 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

17. 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

18. 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

19. 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


Review

For citations:


Murzich A.E., Pashkevich L.A., Zhernasechanka H.A. Experimental justification of the method of mesenchymal stem cell autotransplantation for regeneration of the femoral head bone tissue. Proceedings of the National Academy of Sciences of Belarus, Medical series. 2020;17(1):7-19. (In Russ.) https://doi.org/10.29235/1814-6023-2020-17-1-7-19

Views: 635


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1814-6023 (Print)
ISSN 2524-2350 (Online)