Injection of a PMMA‐doped MSC spheroid gel for the treatment of painful osteoporotic vertebral compression fractures

Abstract We aimed to develop a biocompatible treatment to overcome the limitations of polymethyl methacrylate (PMMA) vertebroplasty for osteoporotic compression fracture patients. We synthesized an injectable hydrogel containing PMMA. Mesenchymal stem cell (MSC) spheroids were included in the inject...

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Main Authors: Wan‐Kyu Ko, Daye Lee, Seong Jun Kim, Gong Ho Han, Donghyun Lee, Seung Hun Sheen, Seil Sohn
Format: Article
Language:English
Published: Wiley 2023-11-01
Series:Bioengineering & Translational Medicine
Subjects:
Online Access:https://doi.org/10.1002/btm2.10577
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author Wan‐Kyu Ko
Daye Lee
Seong Jun Kim
Gong Ho Han
Donghyun Lee
Seung Hun Sheen
Seil Sohn
author_facet Wan‐Kyu Ko
Daye Lee
Seong Jun Kim
Gong Ho Han
Donghyun Lee
Seung Hun Sheen
Seil Sohn
author_sort Wan‐Kyu Ko
collection DOAJ
description Abstract We aimed to develop a biocompatible treatment to overcome the limitations of polymethyl methacrylate (PMMA) vertebroplasty for osteoporotic compression fracture patients. We synthesized an injectable hydrogel containing PMMA. Mesenchymal stem cell (MSC) spheroids were included in the injectable PMMA‐doped gel (= PMMA‐doped spheroid gel). In vitro, the osteogenic/anti‐inflammatory effects of the embedded spheroids were investigated by the quantitative real‐time polymerase chain reaction method. In vivo, we used ovariectomy (OVX)‐induced osteoporotic rats with injured femurs to investigate the pain‐relief effects. The OVX rats were divided into four groups according to the materials injected (non, PMMA, PMMA gel, and PMMA‐spheroid gel) into the lesion. The immunofluorescence (IF) intensity levels of painful markers in dorsal root ganglia (DRG) were measured. In vitro, a volumetric ratio of the gel of 8 (gel):2 (PMMA) was non‐cytotoxic for MSCs and promoted the expression of osteogenic/anti‐inflammatory markers. In vivo, the values of several bone parameters in the PMMA‐doped spheroid gel group showed remarkable increases compared to those in the PMMA group. In addition, the IF intensity levels of the painful markers were noticeably decreased in the PMMA‐spheroid gel group. We, therefore, suggest that this treatment can be useful for osteoporotic vertebral compression fracture patients.
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spelling doaj.art-dee59de5e78744429bba687ea88c33202023-11-20T10:44:12ZengWileyBioengineering & Translational Medicine2380-67612023-11-0186n/an/a10.1002/btm2.10577Injection of a PMMA‐doped MSC spheroid gel for the treatment of painful osteoporotic vertebral compression fracturesWan‐Kyu Ko0Daye Lee1Seong Jun Kim2Gong Ho Han3Donghyun Lee4Seung Hun Sheen5Seil Sohn6Department of Neurosurgery, CHA Bundang Medical Center CHA University Seongnam‐si Gyeonggi‐do Republic of KoreaDepartment of Neurosurgery, CHA Bundang Medical Center CHA University Seongnam‐si Gyeonggi‐do Republic of KoreaDepartment of Neurosurgery, CHA Bundang Medical Center CHA University Seongnam‐si Gyeonggi‐do Republic of KoreaDepartment of Neurosurgery, CHA Bundang Medical Center CHA University Seongnam‐si Gyeonggi‐do Republic of KoreaPreclinical Research Center Daegu‐Gyeongbuk Medical Innovation Foundation (DGMIF) Daegu Republic of KoreaDepartment of Neurosurgery, CHA Bundang Medical Center CHA University Seongnam‐si Gyeonggi‐do Republic of KoreaDepartment of Neurosurgery, CHA Bundang Medical Center CHA University Seongnam‐si Gyeonggi‐do Republic of KoreaAbstract We aimed to develop a biocompatible treatment to overcome the limitations of polymethyl methacrylate (PMMA) vertebroplasty for osteoporotic compression fracture patients. We synthesized an injectable hydrogel containing PMMA. Mesenchymal stem cell (MSC) spheroids were included in the injectable PMMA‐doped gel (= PMMA‐doped spheroid gel). In vitro, the osteogenic/anti‐inflammatory effects of the embedded spheroids were investigated by the quantitative real‐time polymerase chain reaction method. In vivo, we used ovariectomy (OVX)‐induced osteoporotic rats with injured femurs to investigate the pain‐relief effects. The OVX rats were divided into four groups according to the materials injected (non, PMMA, PMMA gel, and PMMA‐spheroid gel) into the lesion. The immunofluorescence (IF) intensity levels of painful markers in dorsal root ganglia (DRG) were measured. In vitro, a volumetric ratio of the gel of 8 (gel):2 (PMMA) was non‐cytotoxic for MSCs and promoted the expression of osteogenic/anti‐inflammatory markers. In vivo, the values of several bone parameters in the PMMA‐doped spheroid gel group showed remarkable increases compared to those in the PMMA group. In addition, the IF intensity levels of the painful markers were noticeably decreased in the PMMA‐spheroid gel group. We, therefore, suggest that this treatment can be useful for osteoporotic vertebral compression fracture patients.https://doi.org/10.1002/btm2.10577mesenchymal stem cellosteoporotic fracturepainPMMAspheroid
spellingShingle Wan‐Kyu Ko
Daye Lee
Seong Jun Kim
Gong Ho Han
Donghyun Lee
Seung Hun Sheen
Seil Sohn
Injection of a PMMA‐doped MSC spheroid gel for the treatment of painful osteoporotic vertebral compression fractures
Bioengineering & Translational Medicine
mesenchymal stem cell
osteoporotic fracture
pain
PMMA
spheroid
title Injection of a PMMA‐doped MSC spheroid gel for the treatment of painful osteoporotic vertebral compression fractures
title_full Injection of a PMMA‐doped MSC spheroid gel for the treatment of painful osteoporotic vertebral compression fractures
title_fullStr Injection of a PMMA‐doped MSC spheroid gel for the treatment of painful osteoporotic vertebral compression fractures
title_full_unstemmed Injection of a PMMA‐doped MSC spheroid gel for the treatment of painful osteoporotic vertebral compression fractures
title_short Injection of a PMMA‐doped MSC spheroid gel for the treatment of painful osteoporotic vertebral compression fractures
title_sort injection of a pmma doped msc spheroid gel for the treatment of painful osteoporotic vertebral compression fractures
topic mesenchymal stem cell
osteoporotic fracture
pain
PMMA
spheroid
url https://doi.org/10.1002/btm2.10577
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