Intra-articular Delivery of Purified Mesenchymal Stem Cells from C57BL/6 or MRL/MpJ Superhealer Mice Prevents Posttraumatic Arthritis

Joint injury dramatically enhances the onset of osteoarthritis (OA) and is responsible for an estimated 12% of OA. Posttraumatic arthritis (PTA) is especially common after intra-articular fracture, and no disease-modifying therapies are currently available. We hypothesized that the delivery of mesen...

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Main Authors: Brian O. Diekman, Chia-Lung Wu, Craig R. Louer, Bridgette D. Furman, Janet L. Huebner, Virginia B. Kraus, Steven A. Olson, Farshid Guilak
Format: Article
Language:English
Published: SAGE Publishing 2013-08-01
Series:Cell Transplantation
Online Access:https://doi.org/10.3727/096368912X653264
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author Brian O. Diekman
Chia-Lung Wu
Craig R. Louer
Bridgette D. Furman
Janet L. Huebner
Virginia B. Kraus
Steven A. Olson
Farshid Guilak
author_facet Brian O. Diekman
Chia-Lung Wu
Craig R. Louer
Bridgette D. Furman
Janet L. Huebner
Virginia B. Kraus
Steven A. Olson
Farshid Guilak
author_sort Brian O. Diekman
collection DOAJ
description Joint injury dramatically enhances the onset of osteoarthritis (OA) and is responsible for an estimated 12% of OA. Posttraumatic arthritis (PTA) is especially common after intra-articular fracture, and no disease-modifying therapies are currently available. We hypothesized that the delivery of mesenchymal stem cells (MSCs) would prevent PTA by altering the balance of inflammation and regeneration after fracture of the mouse knee. Additionally, we examined the hypothesis that MSCs from the MRL/MpJ (MRL) “superhealer” mouse strain would show increased multilineage and therapeutic potentials as compared to those from C57BL/6 (B6) mice, as MRL mice have shown exceptional in vivo regenerative abilities. A highly purified population of MSCs was prospectively isolated from bone marrow using cell surface markers (CD45 - /TER119 - /PDGFRa + /Sca-1 + ). B6 MSCs expanded greater than 100,000-fold in 3 weeks when cultured at 2% oxygen and displayed greater adipogenic, osteogenic, and chondrogenic differentiation as compared to MRL MSCs. Mice receiving only a control saline injection after fracture demonstrated PTA after 8 weeks, but the delivery of 10,000 B6 or MRL MSCs to the joint prevented the development of PTA. Cytokine levels in serum and synovial fluid were affected by treatment with stem cells, including elevated systemic interleukin-10 at several time points. The delivery of MSCs did not reduce the degree of synovial inflammation but did show increased bone volume during repair. This study provides evidence that intra-articular stem cell therapy can prevent the development of PTA after fracture and has implications for possible clinical interventions after joint injury before evidence of significant OA.
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spelling doaj.art-8b5afa67372e4ef1bfd364b830e8ca532022-12-21T21:47:04ZengSAGE PublishingCell Transplantation0963-68971555-38922013-08-012210.3727/096368912X653264Intra-articular Delivery of Purified Mesenchymal Stem Cells from C57BL/6 or MRL/MpJ Superhealer Mice Prevents Posttraumatic ArthritisBrian O. Diekman0Chia-Lung Wu1Craig R. Louer2Bridgette D. Furman3Janet L. Huebner4Virginia B. Kraus5Steven A. Olson6Farshid Guilak7 Department of Biomedical Engineering, Duke University, Durham, NC, USA Department of Biomedical Engineering, Duke University, Durham, NC, USA Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA Department of Medicine, Duke University Medical Center, Durham, NC, USA Department of Medicine, Duke University Medical Center, Durham, NC, USA Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA Department of Biomedical Engineering, Duke University, Durham, NC, USAJoint injury dramatically enhances the onset of osteoarthritis (OA) and is responsible for an estimated 12% of OA. Posttraumatic arthritis (PTA) is especially common after intra-articular fracture, and no disease-modifying therapies are currently available. We hypothesized that the delivery of mesenchymal stem cells (MSCs) would prevent PTA by altering the balance of inflammation and regeneration after fracture of the mouse knee. Additionally, we examined the hypothesis that MSCs from the MRL/MpJ (MRL) “superhealer” mouse strain would show increased multilineage and therapeutic potentials as compared to those from C57BL/6 (B6) mice, as MRL mice have shown exceptional in vivo regenerative abilities. A highly purified population of MSCs was prospectively isolated from bone marrow using cell surface markers (CD45 - /TER119 - /PDGFRa + /Sca-1 + ). B6 MSCs expanded greater than 100,000-fold in 3 weeks when cultured at 2% oxygen and displayed greater adipogenic, osteogenic, and chondrogenic differentiation as compared to MRL MSCs. Mice receiving only a control saline injection after fracture demonstrated PTA after 8 weeks, but the delivery of 10,000 B6 or MRL MSCs to the joint prevented the development of PTA. Cytokine levels in serum and synovial fluid were affected by treatment with stem cells, including elevated systemic interleukin-10 at several time points. The delivery of MSCs did not reduce the degree of synovial inflammation but did show increased bone volume during repair. This study provides evidence that intra-articular stem cell therapy can prevent the development of PTA after fracture and has implications for possible clinical interventions after joint injury before evidence of significant OA.https://doi.org/10.3727/096368912X653264
spellingShingle Brian O. Diekman
Chia-Lung Wu
Craig R. Louer
Bridgette D. Furman
Janet L. Huebner
Virginia B. Kraus
Steven A. Olson
Farshid Guilak
Intra-articular Delivery of Purified Mesenchymal Stem Cells from C57BL/6 or MRL/MpJ Superhealer Mice Prevents Posttraumatic Arthritis
Cell Transplantation
title Intra-articular Delivery of Purified Mesenchymal Stem Cells from C57BL/6 or MRL/MpJ Superhealer Mice Prevents Posttraumatic Arthritis
title_full Intra-articular Delivery of Purified Mesenchymal Stem Cells from C57BL/6 or MRL/MpJ Superhealer Mice Prevents Posttraumatic Arthritis
title_fullStr Intra-articular Delivery of Purified Mesenchymal Stem Cells from C57BL/6 or MRL/MpJ Superhealer Mice Prevents Posttraumatic Arthritis
title_full_unstemmed Intra-articular Delivery of Purified Mesenchymal Stem Cells from C57BL/6 or MRL/MpJ Superhealer Mice Prevents Posttraumatic Arthritis
title_short Intra-articular Delivery of Purified Mesenchymal Stem Cells from C57BL/6 or MRL/MpJ Superhealer Mice Prevents Posttraumatic Arthritis
title_sort intra articular delivery of purified mesenchymal stem cells from c57bl 6 or mrl mpj superhealer mice prevents posttraumatic arthritis
url https://doi.org/10.3727/096368912X653264
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