机构:[1]Department of Sports Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, China,外科科室运动医学科昆明医科大学附属第一医院[2]Department of Diabetology, First Affiliated Hospital of Kunming Medical University, Kunming, China,昆明医科大学附属第一医院内分泌二科(糖尿病科)内分泌科内科科室[3]Department of Orthopedics, West Virginia University, Morgantown, United States of America,[4]Department of Orthopedics, Warren Alpert Medical School of Brown University, Providence, United States of America
Objectives: To investigate whether a combination of demineralized bone matrix (DBM) and bone marrow mesenchymal stem cells (BMSCs) infected with adenovirus-mediated-bone morphogenetic protein (Ad-BMP-2) and transforming growth factor-beta 3 (Ad-TGF-beta 3) promotes the repair of the full-thickness cartilage lesions in pig model. Methods: BMSCs isolated from pig were cultured and infected with Ad-BMP-2(B group), Ad-TGF-beta 3 (T group), Ad-BMP-2 + Ad-TGF-beta 3(BT group), cells infected with empty Ad served as a negative group(N group), the expression of the BMP-2 and TGF-beta 3 were confirmed by immunofluorescence, PCR, and ELISA, the expression of SOX-9, type II collagen(COL-2A), aggrecan (ACAN) in each group were evaluated by real-time PCR at 1w, 2w, 3w, respectively. The chondrogenic differentiation of BMSCs was evaluated by type II collagen at 21d with immunohistochemical staining. The third-passage BMSCs infected with Ad-BMP-2 and Ad-TGF-beta 3 were suspended and cultured with DBM for 6 days to construct a new type of tissue engineering scaffold to repair full-thickness cartilage lesions in the femur condyles of pig knee, the regenerated tissue was evaluated at 1,2 and 3 months after surgery by gross appearance, H&E, safranin O staining and O'driscoll score. Results: Ad-BMP-2 and Ad-TGF-beta 3 (BT group) infected cells acquired strong type II collagen staining compared with Ad-BMP-2 (B group) and Ad-TGF-beta 3 (T group) along. The Ad-BMP-2 and Ad-TGF-beta 3 infected BMSCs adhered and propagated well in DBM and the new type of tissue engineering scaffold produced hyaline cartilage morphology containing a stronger type II collagen and safranin O staining, the O'driscoll score was higher than other groups. Conclusions: The DBM compound with Ad-BMP-2 and Ad-TGF-beta 3 infected BMSCs scaffold has a good biocompatibility and could well induce cartilage regeneration to repair the defects of joint cartilage. This technology may be efficiently employed for cartilage lesions repair in vivo.
基金:
(No. 20115317110001) Specialized
Research Fund for the Doctoral Program of Higher
Education www.cutech.edu.cn and
(No. 2011FB169) Natural Science Foundation of
Yunnan Province www.nsfc.gov.cn. The funders
had no role in study design, data collection and
analysis, decision to publish, or preparation of the
manuscript.