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Published in: International Orthopaedics 12/2012

01-12-2012 | Original Paper

The effects of autologous bone marrow mesenchymal stem cell arterial perfusion on vascular repair and angiogenesis in osteonecrosis of the femoral head in dogs

Authors: Hongting Jin, Bingjiang Xia, Nanze Yu, Bangjian He, Yan Shen, Luwei Xiao, Peijian Tong

Published in: International Orthopaedics | Issue 12/2012

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Abstract

Purpose

The purpose of this study was to observe the effects of marrow mesenchymal stem cell (MSCs) arterial perfusion on vascular repair and angiogenesis in osteonecrosis of the femoral head (ONFH).

Methods

Twelve healthy male adult Beagle dogs were randomly divided into two groups: group A (the control group) and group B (the MSCs arterial perfusion group). ONFH animal models were established by hip dislocation and liquid nitrogen. At the same time, MSCs were obtained, cultured and proliferated. After three weeks, arterial perfusion was performed in all animals. Group B was given 1 ml MSCs (5 × 106–1 × 107/ml), while 0.9 % normal saline was used in group A. After four weeks or eight weeks, the dogs were put to death. The changes of main arteries, the expression of vascular endothelial growth factor (VEGF), VEGF mRNA and microvessel density (MVD) of ONFH were observed. All the data were analysed by SPSS13.0.

Results

In digital subtraction angiography (DSA), after four or eight weeks of treatment, the quantity and diameter of the main arteries of the femoral head in group B were improved, compared to group A (P < 0.05,P < 0.01). Concerning histology and immunohistochemistry, after four or eight weeks of treatment, the expression of VEGF and MVD were significantly higher than that of group A (P < 0.05, P < 0.01). For real-time quantitative polymerase chain reaction (RT-PCR), after four or eight weeks of treatment, the expression of VEGF mRNA in group B was significantly higher than that of group A (P < 0.05, P < 0.01), and after eight weeks of treatment, the expression of VEGF mRNA were significantly higher than that of four-weeks treatment in group A (P <0.01).

Conclusions

MSCs arterial perfusion can promote vascular repair and angiogenesis and then improve blood supply and repair of femoral head.
Literature
1.
go back to reference Lee MS, Hsieh PH, Shih CH et al (2010) Non-traumatic osteonecrosis of the femoral head-from clinical to bench. Chang Gung Med J 33(4):351–360PubMed Lee MS, Hsieh PH, Shih CH et al (2010) Non-traumatic osteonecrosis of the femoral head-from clinical to bench. Chang Gung Med J 33(4):351–360PubMed
2.
go back to reference Aaron RK, Ciombor DM (2001) Coagulopathies and osteonecrosis. Curr Opin Orthop 12:378–383CrossRef Aaron RK, Ciombor DM (2001) Coagulopathies and osteonecrosis. Curr Opin Orthop 12:378–383CrossRef
3.
go back to reference Wang BL, Sun W, Shi ZC et al (2010) Treatment of nontraumatic osteonecrosis of the femoral head using bone impaction grafting through a femoral neck window. Int Orthop 34:635–639PubMedCrossRef Wang BL, Sun W, Shi ZC et al (2010) Treatment of nontraumatic osteonecrosis of the femoral head using bone impaction grafting through a femoral neck window. Int Orthop 34:635–639PubMedCrossRef
4.
go back to reference Ehlinger M, Moser T, Adam P et al (2011) Early prediction of femoral head avascular necrosis following neck fracture. Orthop Traumatol Surg Res 97:79–88PubMedCrossRef Ehlinger M, Moser T, Adam P et al (2011) Early prediction of femoral head avascular necrosis following neck fracture. Orthop Traumatol Surg Res 97:79–88PubMedCrossRef
5.
go back to reference Bastian JD, Turina M, Siebenrock KA et al (2011) Long-term outcome after traumatic anterior dislocation of the hip. Arch Orthop Trauma Surg 131:1273–1278PubMedCrossRef Bastian JD, Turina M, Siebenrock KA et al (2011) Long-term outcome after traumatic anterior dislocation of the hip. Arch Orthop Trauma Surg 131:1273–1278PubMedCrossRef
6.
go back to reference Mont MA, Hungerford DS (1995) Non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg Am 77:459–474PubMed Mont MA, Hungerford DS (1995) Non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg Am 77:459–474PubMed
7.
go back to reference Urbaniak JR, Harvey EJ (1998) Revascularization of the femoral head in osteonecrosis. J Am Acad Orthop Surg 6:44–54PubMed Urbaniak JR, Harvey EJ (1998) Revascularization of the femoral head in osteonecrosis. J Am Acad Orthop Surg 6:44–54PubMed
8.
go back to reference Hong JM, Kim TH, Kim HJ et al (2010) Genetic association of angiogenesis- and hypoxia-related gene polymorphisms with osteonecrosis of the femoral head. Exp Mol Med 42:376–385PubMedCrossRef Hong JM, Kim TH, Kim HJ et al (2010) Genetic association of angiogenesis- and hypoxia-related gene polymorphisms with osteonecrosis of the femoral head. Exp Mol Med 42:376–385PubMedCrossRef
9.
10.
go back to reference Poole TJ, Coffin JD (1989) Vasculogenesis and angiogenesis: two distinct morphogenetic mechanisms establish embryonic vascular pattern. J Exp Zool 251(2):224–231PubMedCrossRef Poole TJ, Coffin JD (1989) Vasculogenesis and angiogenesis: two distinct morphogenetic mechanisms establish embryonic vascular pattern. J Exp Zool 251(2):224–231PubMedCrossRef
11.
go back to reference Drescher W, Pufe T, Smeets R et al (2011) Avascular necrosis of the hip-diagnosis and treatment. Z Orthop Unfall 149:231–240PubMedCrossRef Drescher W, Pufe T, Smeets R et al (2011) Avascular necrosis of the hip-diagnosis and treatment. Z Orthop Unfall 149:231–240PubMedCrossRef
12.
go back to reference Li Q (2009) Interventional therapy in the treatment of avascular necrosis of femoral head and short-term efficacy. Zhong Guo Gu Shang 22:789–790 Li Q (2009) Interventional therapy in the treatment of avascular necrosis of femoral head and short-term efficacy. Zhong Guo Gu Shang 22:789–790
13.
go back to reference Bernardo ME, Zaffaroni N, Novara F et al (2007) Human bone marrow derived mesenchymal stem cells do not undergo transformation after long-term in vitro culture and do not exhibit telomere maintenance mechanisms. Cancer Res 1:9142–9149CrossRef Bernardo ME, Zaffaroni N, Novara F et al (2007) Human bone marrow derived mesenchymal stem cells do not undergo transformation after long-term in vitro culture and do not exhibit telomere maintenance mechanisms. Cancer Res 1:9142–9149CrossRef
14.
go back to reference Sekiya I, Larson BL, Smith JR et al (2002) Expansion of human adult stem cells from bone marrow stroma: conditions that maximize the yields of early progenitors and evaluate their quality. Stem Cells 20:530–541PubMedCrossRef Sekiya I, Larson BL, Smith JR et al (2002) Expansion of human adult stem cells from bone marrow stroma: conditions that maximize the yields of early progenitors and evaluate their quality. Stem Cells 20:530–541PubMedCrossRef
15.
go back to reference Devine SM, Cobbs C, Jennings M et al (2003) Mesenchymal stem cells distribute to a wide range of tissues following systemic infusion into nonhuman primates. Blood 101:2999–3001PubMedCrossRef Devine SM, Cobbs C, Jennings M et al (2003) Mesenchymal stem cells distribute to a wide range of tissues following systemic infusion into nonhuman primates. Blood 101:2999–3001PubMedCrossRef
16.
go back to reference Le Blanc K (2003) Immunomodulatory effects of fetal and adult mesenchymal stem cells. Cytotherapy 5:485–489PubMedCrossRef Le Blanc K (2003) Immunomodulatory effects of fetal and adult mesenchymal stem cells. Cytotherapy 5:485–489PubMedCrossRef
17.
go back to reference Hernigou P, Beaujean F (2002) Treatment of osteonecrosis with autologous bone marrow grafting. Clin Orthop Relat Res 405:14–23PubMedCrossRef Hernigou P, Beaujean F (2002) Treatment of osteonecrosis with autologous bone marrow grafting. Clin Orthop Relat Res 405:14–23PubMedCrossRef
18.
go back to reference Gangji V, Hauzeur JP, Matos C et al (2004) Treatment of osteonecrosis of the femoral head with implantation of autologous bone marrow cells. A pilot study. J Bone Joint Surg Am 86A:1153–1160 Gangji V, Hauzeur JP, Matos C et al (2004) Treatment of osteonecrosis of the femoral head with implantation of autologous bone marrow cells. A pilot study. J Bone Joint Surg Am 86A:1153–1160
19.
go back to reference Sun Y, Feng Y, Zhang CQ (2009) The effect of bone marrow mononuclear cells on vascularization and bone regeneration in steroid-induced osteonecrosis of the femoral head. Joint Bone Spine 76:685–690PubMedCrossRef Sun Y, Feng Y, Zhang CQ (2009) The effect of bone marrow mononuclear cells on vascularization and bone regeneration in steroid-induced osteonecrosis of the femoral head. Joint Bone Spine 76:685–690PubMedCrossRef
20.
go back to reference Takaoka K, Yoshioka T, Hosoya T et al (1981) The repair process in experimentally induced avascular necrosis of the femoral head in dogs. Arch Orthop Trauma Surg 99:109–115PubMedCrossRef Takaoka K, Yoshioka T, Hosoya T et al (1981) The repair process in experimentally induced avascular necrosis of the femoral head in dogs. Arch Orthop Trauma Surg 99:109–115PubMedCrossRef
21.
go back to reference Barnett HJ, Taylor DW, Eliasziw M, Fox AJ et al (1998) Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. N Engl J Med 339:1415–1425PubMedCrossRef Barnett HJ, Taylor DW, Eliasziw M, Fox AJ et al (1998) Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. N Engl J Med 339:1415–1425PubMedCrossRef
22.
go back to reference Asymptomatic Carotid Surgery Trial (ACST) Collaborative Group (2004) Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: randomised controlled trial. Lancet 363:1491–1502CrossRef Asymptomatic Carotid Surgery Trial (ACST) Collaborative Group (2004) Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: randomised controlled trial. Lancet 363:1491–1502CrossRef
23.
go back to reference Ly TV, Swiontkowski MF (2008) Management of femoral neck fractures in young adults. Indian J Orthop 42:3–12PubMedCrossRef Ly TV, Swiontkowski MF (2008) Management of femoral neck fractures in young adults. Indian J Orthop 42:3–12PubMedCrossRef
24.
go back to reference Zhao DW, Wang BJ, Wang WM et al (2006) Evaluation of hemodynamic changes by digital subtraction angiography after treatment of avascular osteonecrosis of femoral head with vascularized bone flaps. Zhonghua Yi Xue Za Zhi 86:438–441PubMed Zhao DW, Wang BJ, Wang WM et al (2006) Evaluation of hemodynamic changes by digital subtraction angiography after treatment of avascular osteonecrosis of femoral head with vascularized bone flaps. Zhonghua Yi Xue Za Zhi 86:438–441PubMed
25.
go back to reference Yu J, Xu TG (2008) Evaluation on therapeutic efficacy regarding the necrosis of femoral head by digital subtraction arteriography. Anat Clin 13:241–243 Yu J, Xu TG (2008) Evaluation on therapeutic efficacy regarding the necrosis of femoral head by digital subtraction arteriography. Anat Clin 13:241–243
26.
go back to reference Kinnaird T, Stabile E, Burnett MS et al (2004) Marrow-derived stromal cells express genes encoding a broad spectrum of arteriogenic cytokines and promote in vitro and in vivo arteriogenesis through paracrine mechanisms. Circ Res 94:678–685PubMedCrossRef Kinnaird T, Stabile E, Burnett MS et al (2004) Marrow-derived stromal cells express genes encoding a broad spectrum of arteriogenic cytokines and promote in vitro and in vivo arteriogenesis through paracrine mechanisms. Circ Res 94:678–685PubMedCrossRef
27.
go back to reference Qian HG, Zhu DX, Zhu JZ et al (2008) Promotive effect of autologous bone marrow mesenchymal stem cell transplantation on angiogenesis in rabbit ischemic limbs. J Clin Rehabil Tissue Eng Res 12:10095–10097 Qian HG, Zhu DX, Zhu JZ et al (2008) Promotive effect of autologous bone marrow mesenchymal stem cell transplantation on angiogenesis in rabbit ischemic limbs. J Clin Rehabil Tissue Eng Res 12:10095–10097
28.
go back to reference Asahara T, Masuda H, Takahashi T et al (1999) Bone marrow origin of endothelial progenitor cells responsible for postnatal vasculogenesis in physiological and pathological neovascularization. Circ Res 85:221–228PubMedCrossRef Asahara T, Masuda H, Takahashi T et al (1999) Bone marrow origin of endothelial progenitor cells responsible for postnatal vasculogenesis in physiological and pathological neovascularization. Circ Res 85:221–228PubMedCrossRef
29.
go back to reference Schutnann P, Tavassol F, Lindhorst D et al (2009) Consequences of seeded cell type on vascularization of tissue engineering constructs in vivo. Microvasc Res 78:180–190CrossRef Schutnann P, Tavassol F, Lindhorst D et al (2009) Consequences of seeded cell type on vascularization of tissue engineering constructs in vivo. Microvasc Res 78:180–190CrossRef
30.
go back to reference Gerber HP, Vu TH, Ryan AM et al (1999) VEGF couples hypertrophic cartilage remodeling, ossification and angiogenesis during endochondral bone formation. Nat Med 5:623–628PubMedCrossRef Gerber HP, Vu TH, Ryan AM et al (1999) VEGF couples hypertrophic cartilage remodeling, ossification and angiogenesis during endochondral bone formation. Nat Med 5:623–628PubMedCrossRef
31.
go back to reference Street J, Bao M, deGuzman L et al (2002) Vascular endothelial growth factor stimulates bone repair by promoting angiogenesis and bone turnover. Proc Natl Acad Sci USA 99:9656–9661PubMedCrossRef Street J, Bao M, deGuzman L et al (2002) Vascular endothelial growth factor stimulates bone repair by promoting angiogenesis and bone turnover. Proc Natl Acad Sci USA 99:9656–9661PubMedCrossRef
Metadata
Title
The effects of autologous bone marrow mesenchymal stem cell arterial perfusion on vascular repair and angiogenesis in osteonecrosis of the femoral head in dogs
Authors
Hongting Jin
Bingjiang Xia
Nanze Yu
Bangjian He
Yan Shen
Luwei Xiao
Peijian Tong
Publication date
01-12-2012
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 12/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-012-1674-7

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