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Published in: Archives of Orthopaedic and Trauma Surgery 10/2010

01-10-2010 | Basic Science

Acceleration of articular cartilage repair by combined gene transfer of human insulin-like growth factor I and fibroblast growth factor-2 in vivo

Authors: Henning Madry, Patrick Orth, Gunter Kaul, David Zurakowski, Michael D. Menger, Dieter Kohn, Magali Cucchiarini

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 10/2010

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Abstract

Introduction

Improving the biochemical and structural qualities of the new tissue that fills deep osteochondral defects is critical to enhance articular cartilage repair. We developed a novel molecular therapy to increase articular cartilage repair based on a combined strategy to stimulate chondrogenesis by co-transfection of the human insulin-like growth factor I (IGF-I) and fibroblast growth factor 2 (FGF-2) in a xenogenic transplantation model.

Materials and methods

NIH 3T3 cells were transfected with expression plasmid vectors containing a cDNA for the E. coli lacZ gene (lacZ implants), the human IGF-I gene (IGF-I implants) or both the human IGF-I and FGF-2 genes (IGF-I/FGF-2 implants). The expression patterns of the transgenes were monitored in vitro for 21 days. LacZ, IGF-I and IGF-I/FGF-2 implants were transplanted into osteochondral defects in the trochlear groove of rabbits. At 3 weeks, the quality of articular cartilage repair was evaluated qualitatively and quantitatively.

Results

Both IGF-I and IGF-I/FGF-2 implants secreted increased levels of the corresponding recombinant proteins in vitro. In vivo, transplantation of the co-transfected IGF-I/FGF-2 implants increased the DNA content of the repair tissue, accelerated the formation of the subchondral bone and improved articular cartilage repair in a magnitude that was larger than with IGF-I alone or when compared to lacZ implants.

Conclusion

These results suggest that gene delivery of a combination of IGF-I and FGF-2 to cartilage defects may be more beneficial than application of IGF-I alone.
Literature
1.
go back to reference Buckwalter JA, Mankin HJ (1998) Articular cartilage repair and transplantation. Arthritis Rheum 41:1331–1342CrossRefPubMed Buckwalter JA, Mankin HJ (1998) Articular cartilage repair and transplantation. Arthritis Rheum 41:1331–1342CrossRefPubMed
2.
go back to reference Braun S, Vogt S, Imhoff AB (2007) Stadiengerechte operative Knorpeltherapie. Orthopade 36:589–600CrossRefPubMed Braun S, Vogt S, Imhoff AB (2007) Stadiengerechte operative Knorpeltherapie. Orthopade 36:589–600CrossRefPubMed
3.
go back to reference O’Driscoll SW, Salter RB (1984) The induction of neochondrogenesis in free intra-articular periosteal autografts under the influence of continuous passive motion. An experimental investigation in the rabbit. J Bone Joint Surg [Am] 66:1248–1257 O’Driscoll SW, Salter RB (1984) The induction of neochondrogenesis in free intra-articular periosteal autografts under the influence of continuous passive motion. An experimental investigation in the rabbit. J Bone Joint Surg [Am] 66:1248–1257
4.
go back to reference Rose T, Craatz S, Hepp P et al (2005) The autologous osteochondral transplantation of the knee: clinical results, radiographic findings and histological aspects. Arch Orthop Trauma Surg 125:628–637CrossRefPubMed Rose T, Craatz S, Hepp P et al (2005) The autologous osteochondral transplantation of the knee: clinical results, radiographic findings and histological aspects. Arch Orthop Trauma Surg 125:628–637CrossRefPubMed
5.
go back to reference Steadman JR, Rodkey WG, Rodrigo JJ (2001) Microfracture: surgical technique and rehabilitation to treat chondral defects. Clin Orthop 391:S362–S369CrossRefPubMed Steadman JR, Rodkey WG, Rodrigo JJ (2001) Microfracture: surgical technique and rehabilitation to treat chondral defects. Clin Orthop 391:S362–S369CrossRefPubMed
6.
go back to reference Johnson LL (1986) Arthroscopic abrasion arthroplasty historical and pathologic perspective: present status. Arthroscopy 2:54–69CrossRefPubMed Johnson LL (1986) Arthroscopic abrasion arthroplasty historical and pathologic perspective: present status. Arthroscopy 2:54–69CrossRefPubMed
7.
go back to reference Pridie KH (1959) A method of resurfacing osteoarthritic knee joints. Proceedings of the British Orthopaedic Association. J Bone Joint Surg (Br) 41:618 Pridie KH (1959) A method of resurfacing osteoarthritic knee joints. Proceedings of the British Orthopaedic Association. J Bone Joint Surg (Br) 41:618
8.
go back to reference Insall JN (1967) Intra-articular surgery for degenerative arthritis of the knee. A report of the work of the late KH. Pridie. J Bone Joint Surg [Br] 49B:211–228 Insall JN (1967) Intra-articular surgery for degenerative arthritis of the knee. A report of the work of the late KH. Pridie. J Bone Joint Surg [Br] 49B:211–228
9.
go back to reference Brittberg M, Lindahl A, Nilsson A, Ohlsson C, Isaksson O, Peterson L (1994) Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med 331:889–895CrossRefPubMed Brittberg M, Lindahl A, Nilsson A, Ohlsson C, Isaksson O, Peterson L (1994) Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med 331:889–895CrossRefPubMed
10.
go back to reference Bartlett W, Skinner JA, Gooding CR et al (2005) Autologous chondrocyte implantation versus matrix-induced autologous chondrocyte implantation for osteochondral defects of the knee: a prospective, randomised study. J Bone Joint Surg Br 87:640–645CrossRefPubMed Bartlett W, Skinner JA, Gooding CR et al (2005) Autologous chondrocyte implantation versus matrix-induced autologous chondrocyte implantation for osteochondral defects of the knee: a prospective, randomised study. J Bone Joint Surg Br 87:640–645CrossRefPubMed
11.
go back to reference Mankin HJ, Buckwalter JA (1996) Restoration of the osteoarthrotic joint. J Bone Joint Surg Am 78:1–2PubMed Mankin HJ, Buckwalter JA (1996) Restoration of the osteoarthrotic joint. J Bone Joint Surg Am 78:1–2PubMed
12.
go back to reference Martinek V, Ueblacker P, Imhoff AB (2003) Current concepts of gene therapy and cartilage repair. J Bone Joint Surg Br 85:782–788PubMed Martinek V, Ueblacker P, Imhoff AB (2003) Current concepts of gene therapy and cartilage repair. J Bone Joint Surg Br 85:782–788PubMed
13.
14.
go back to reference Goldring MB, Tsuchimochi K, Ijiri K (2006) The control of chondrogenesis. J Cell Biochem 97:33–44CrossRefPubMed Goldring MB, Tsuchimochi K, Ijiri K (2006) The control of chondrogenesis. J Cell Biochem 97:33–44CrossRefPubMed
15.
go back to reference Knutsen G, Drogset JO, Engebretsen L et al (2007) A randomized trial comparing autologous chondrocyte implantation with microfracture. Findings at five years. J Bone Joint Surg Am 89:2105–2112CrossRefPubMed Knutsen G, Drogset JO, Engebretsen L et al (2007) A randomized trial comparing autologous chondrocyte implantation with microfracture. Findings at five years. J Bone Joint Surg Am 89:2105–2112CrossRefPubMed
16.
go back to reference Schofield JN, Wolpert L (1990) Effect of TGF-beta 1, TGF-beta 2, and bFGF on chick cartilage and muscle cell differentiation. Exp Cell Res 191:144–148CrossRefPubMed Schofield JN, Wolpert L (1990) Effect of TGF-beta 1, TGF-beta 2, and bFGF on chick cartilage and muscle cell differentiation. Exp Cell Res 191:144–148CrossRefPubMed
17.
go back to reference Kato Y (1992) Roles of fibroblast growth factor and transforming growth factor-β families in cartilage formation. In: Adolphe M (ed) Biological regulation of the chondrocytes, vol 1. CRC Press, Boca Raton, pp 141–60 Kato Y (1992) Roles of fibroblast growth factor and transforming growth factor-β families in cartilage formation. In: Adolphe M (ed) Biological regulation of the chondrocytes, vol 1. CRC Press, Boca Raton, pp 141–60
18.
go back to reference Fujimoto E, Ochi M, Kato Y, Mochizuki Y, Sumen Y, Ikuta Y (1999) Beneficial effect of basic fibroblast growth factor on the repair of full-thickness defects in rabbit articular cartilage. Arch Orthop Trauma Surg 119:139–145CrossRefPubMed Fujimoto E, Ochi M, Kato Y, Mochizuki Y, Sumen Y, Ikuta Y (1999) Beneficial effect of basic fibroblast growth factor on the repair of full-thickness defects in rabbit articular cartilage. Arch Orthop Trauma Surg 119:139–145CrossRefPubMed
19.
go back to reference Sah RL, Chen AC, Grodzinsky AJ, Trippel SB (1994) Differential effects of bFGF and IGF-I on matrix metabolism in calf and adult bovine cartilage explants. Arch Biochem Biophys 308:137–147CrossRefPubMed Sah RL, Chen AC, Grodzinsky AJ, Trippel SB (1994) Differential effects of bFGF and IGF-I on matrix metabolism in calf and adult bovine cartilage explants. Arch Biochem Biophys 308:137–147CrossRefPubMed
20.
go back to reference Trippel SB (1995) Growth factor actions on articular cartilage. J Rheumatol Suppl 43:129–132PubMed Trippel SB (1995) Growth factor actions on articular cartilage. J Rheumatol Suppl 43:129–132PubMed
21.
go back to reference Trippel SB, Corvol MT, Dumontier MF, Rappaport R, Hung HH, Mankin HJ (1989) Effect of somatomedin-C/insulin-like growth factor I and growth hormone on cultured growth plate and articular chondrocytes. Pediatr Res 25:76–82CrossRefPubMed Trippel SB, Corvol MT, Dumontier MF, Rappaport R, Hung HH, Mankin HJ (1989) Effect of somatomedin-C/insulin-like growth factor I and growth hormone on cultured growth plate and articular chondrocytes. Pediatr Res 25:76–82CrossRefPubMed
22.
go back to reference Gelse K, von der Mark K, Aigner T, Park J, Schneider H (2003) Articular cartilage repair by gene therapy using growth factor-producing mesenchymal cells. Arthritis Rheum 48:430–441CrossRefPubMed Gelse K, von der Mark K, Aigner T, Park J, Schneider H (2003) Articular cartilage repair by gene therapy using growth factor-producing mesenchymal cells. Arthritis Rheum 48:430–441CrossRefPubMed
23.
go back to reference Madry H, Kaul G, Cucchiarini M et al (2005) Enhanced repair of articular cartilage defects in vivo by transplanted chondrocytes overexpressing insulin-like growth factor I (IGF-I). Gene Ther 12:1171–1179CrossRefPubMed Madry H, Kaul G, Cucchiarini M et al (2005) Enhanced repair of articular cartilage defects in vivo by transplanted chondrocytes overexpressing insulin-like growth factor I (IGF-I). Gene Ther 12:1171–1179CrossRefPubMed
24.
go back to reference Kaul G, Cucchiarini M, Arntzen D et al (2006) Local stimulation of articular cartilage repair by transplantation of encapsulated chondrocytes overexpressing human fibroblast growth factor 2 (FGF-2) in vivo. J Gene Med 8:100–111CrossRefPubMed Kaul G, Cucchiarini M, Arntzen D et al (2006) Local stimulation of articular cartilage repair by transplantation of encapsulated chondrocytes overexpressing human fibroblast growth factor 2 (FGF-2) in vivo. J Gene Med 8:100–111CrossRefPubMed
25.
go back to reference Madry H, Cucchiarini M, Stein U et al (2003) Sustained transgene expression in cartilage defects in vivo after transplantation of articular chondrocytes modified by lipid-mediated gene transfer in a gel suspension delivery system. J Gene Med 5:502–509CrossRefPubMed Madry H, Cucchiarini M, Stein U et al (2003) Sustained transgene expression in cartilage defects in vivo after transplantation of articular chondrocytes modified by lipid-mediated gene transfer in a gel suspension delivery system. J Gene Med 5:502–509CrossRefPubMed
26.
go back to reference Kim YJ, Sah RL, Doong JY, Grodzinsky AJ (1988) Fluorometric assay of DNA in cartilage explants using Hoechst 33258. Anal Biochem 174:168–176CrossRefPubMed Kim YJ, Sah RL, Doong JY, Grodzinsky AJ (1988) Fluorometric assay of DNA in cartilage explants using Hoechst 33258. Anal Biochem 174:168–176CrossRefPubMed
27.
go back to reference Kiernan JA (1999) Histological and histochemical methods—theory and practice, 3rd edn. Butterworth–Heinemann, Oxford Kiernan JA (1999) Histological and histochemical methods—theory and practice, 3rd edn. Butterworth–Heinemann, Oxford
28.
go back to reference Sellers RS, Peluso D, Morris EA (1997) The effect of recombinant human bone morphogenetic protein-2 (rhBMP-2) on the healing of full-thickness defects of articular cartilage. J Bone Joint Surg Am 79:1452–1463PubMed Sellers RS, Peluso D, Morris EA (1997) The effect of recombinant human bone morphogenetic protein-2 (rhBMP-2) on the healing of full-thickness defects of articular cartilage. J Bone Joint Surg Am 79:1452–1463PubMed
29.
go back to reference Sellers RS, Zhang R, Glasson SS et al (2000) Repair of articular cartilage defects one year after treatment with recombinant human bone morphogenetic protein-2 (rhBMP-2). J Bone Joint Surg Am 82:151–160CrossRefPubMed Sellers RS, Zhang R, Glasson SS et al (2000) Repair of articular cartilage defects one year after treatment with recombinant human bone morphogenetic protein-2 (rhBMP-2). J Bone Joint Surg Am 82:151–160CrossRefPubMed
30.
go back to reference Orth P, Weimer A, Kaul G, Kohn D, Cucchiarini M, Madry H (2008) Analysis of novel nonviral gene transfer systems for gene delivery to cells of the musculoskeletal system. Mol Biotechnol 38:137–144CrossRefPubMed Orth P, Weimer A, Kaul G, Kohn D, Cucchiarini M, Madry H (2008) Analysis of novel nonviral gene transfer systems for gene delivery to cells of the musculoskeletal system. Mol Biotechnol 38:137–144CrossRefPubMed
31.
go back to reference Hunziker EB, Rosenberg LC (1996) Repair of partial-thickness defects in articular cartilage: cell recruitment from the synovial membrane. J Bone Joint Surg Am 78:721–733PubMed Hunziker EB, Rosenberg LC (1996) Repair of partial-thickness defects in articular cartilage: cell recruitment from the synovial membrane. J Bone Joint Surg Am 78:721–733PubMed
32.
go back to reference Nixon AJ, Fortier LA, Williams J, Mohammed H (1999) Enhanced repair of extensive articular defects by insulin-like growth factor-I-laden fibrin composites. J Orthop Res 17:475–487CrossRefPubMed Nixon AJ, Fortier LA, Williams J, Mohammed H (1999) Enhanced repair of extensive articular defects by insulin-like growth factor-I-laden fibrin composites. J Orthop Res 17:475–487CrossRefPubMed
33.
go back to reference Fortier LA, Balkman CE, Sandell LJ, Ratcliffe A, Nixon AJ (2001) Insulin-like growth factor-I gene expression patterns during spontaneous repair of acute articular cartilage injury. J Orthop Res 19:720–728CrossRefPubMed Fortier LA, Balkman CE, Sandell LJ, Ratcliffe A, Nixon AJ (2001) Insulin-like growth factor-I gene expression patterns during spontaneous repair of acute articular cartilage injury. J Orthop Res 19:720–728CrossRefPubMed
34.
go back to reference Fortier LA, Mohammed HO, Lust G, Nixon AJ (2002) Insulin-like growth factor-I enhances cell-based repair of articular cartilage. J Bone Joint Surg Br 84:276–288CrossRefPubMed Fortier LA, Mohammed HO, Lust G, Nixon AJ (2002) Insulin-like growth factor-I enhances cell-based repair of articular cartilage. J Bone Joint Surg Br 84:276–288CrossRefPubMed
35.
go back to reference Tanaka H, Mizokami H, Shiigi E et al (2004) Effects of basic fibroblast growth factor on the repair of large osteochondral defects of articular cartilage in rabbits: dose–response effects and long-term outcomes. Tissue Eng 10:633–641CrossRefPubMed Tanaka H, Mizokami H, Shiigi E et al (2004) Effects of basic fibroblast growth factor on the repair of large osteochondral defects of articular cartilage in rabbits: dose–response effects and long-term outcomes. Tissue Eng 10:633–641CrossRefPubMed
36.
go back to reference Cucchiarini M, Madry H, Ma C et al (2005) Improved tissue repair in articular cartilage defects in vivo by rAAV-mediated overexpression of human fibroblast growth factor 2. Mol Ther 12:229–238CrossRefPubMed Cucchiarini M, Madry H, Ma C et al (2005) Improved tissue repair in articular cartilage defects in vivo by rAAV-mediated overexpression of human fibroblast growth factor 2. Mol Ther 12:229–238CrossRefPubMed
37.
go back to reference Loeser RF, Chubinskaya S, Pacione C, Im HJ (2005) Basic fibroblast growth factor inhibits the anabolic activity of insulin-like growth factor 1 and osteogenic protein 1 in adult human articular chondrocytes. Arthritis Rheum 52:3910–3917CrossRefPubMed Loeser RF, Chubinskaya S, Pacione C, Im HJ (2005) Basic fibroblast growth factor inhibits the anabolic activity of insulin-like growth factor 1 and osteogenic protein 1 in adult human articular chondrocytes. Arthritis Rheum 52:3910–3917CrossRefPubMed
38.
go back to reference Bentley G, Greer RB 3rd (1971) Homotransplantation of isolated epiphyseal and articular cartilage chondrocytes into joint surfaces of rabbits. Nature 230:385–388CrossRefPubMed Bentley G, Greer RB 3rd (1971) Homotransplantation of isolated epiphyseal and articular cartilage chondrocytes into joint surfaces of rabbits. Nature 230:385–388CrossRefPubMed
39.
go back to reference Paek HJ, Campaner AB, Kim JL et al (2006) Microencapsulated cells genetically modified to overexpress human transforming growth factor-beta1: viability and functionality in allogeneic and xenogeneic implant models. Tissue Eng 12:1733–1739CrossRefPubMed Paek HJ, Campaner AB, Kim JL et al (2006) Microencapsulated cells genetically modified to overexpress human transforming growth factor-beta1: viability and functionality in allogeneic and xenogeneic implant models. Tissue Eng 12:1733–1739CrossRefPubMed
40.
go back to reference Reape TJ, Kanczler JM, Ward JP, Thomas CR (1996) IGF-I increases bFGF-induced mitogenesis and upregulates FGFR-1 in rabbit vascular smooth muscle cells. Am J Physiol 270:H1141–H1148PubMed Reape TJ, Kanczler JM, Ward JP, Thomas CR (1996) IGF-I increases bFGF-induced mitogenesis and upregulates FGFR-1 in rabbit vascular smooth muscle cells. Am J Physiol 270:H1141–H1148PubMed
41.
go back to reference Zheng JL, Helbig C, Gao WQ (1997) Induction of cell proliferation by fibroblast and insulin-like growth factors in pure rat inner ear epithelial cell cultures. J Neurosci 17:216–226PubMed Zheng JL, Helbig C, Gao WQ (1997) Induction of cell proliferation by fibroblast and insulin-like growth factors in pure rat inner ear epithelial cell cultures. J Neurosci 17:216–226PubMed
42.
go back to reference Edmondson SR, Russo VC, McFarlane AC, Wraight CJ, Werther GA (1999) Interactions between growth hormone, insulin-like growth factor I, and basic fibroblast growth factor in melanocyte growth. J Clin Endocrinol Metab 84:1638–1644CrossRefPubMed Edmondson SR, Russo VC, McFarlane AC, Wraight CJ, Werther GA (1999) Interactions between growth hormone, insulin-like growth factor I, and basic fibroblast growth factor in melanocyte growth. J Clin Endocrinol Metab 84:1638–1644CrossRefPubMed
Metadata
Title
Acceleration of articular cartilage repair by combined gene transfer of human insulin-like growth factor I and fibroblast growth factor-2 in vivo
Authors
Henning Madry
Patrick Orth
Gunter Kaul
David Zurakowski
Michael D. Menger
Dieter Kohn
Magali Cucchiarini
Publication date
01-10-2010
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 10/2010
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-010-1130-3

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