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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 12/2011

01.12.2011 | Experimental Study

Labeling and tracing of bone marrow mesenchymal stem cells for tendon-to-bone tunnel healing

verfasst von: Yong-Gang Li, Ji-Nan Wei, Jun Lu, Xiao-Tao Wu, Gao-Jun Teng

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 12/2011

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Abstract

Purpose

To investigate the effects of bone marrow mesenchymal stem cells (BMSCs) on tendon-to-bone tunnel healing and provide experimental evidence for labeling and tracing of stem cells.

Methods

Rat BMSCs were harvested using the adherence separation technique and labeled by super paramagnetic iron oxide (SPIO) and 1,1-Dioctadecyl-3,3,3,3-tetramethylindocarbocyanine perchlorate (Dil) particles. Thirty-nine male Sprague–Dawley (SD) rats aged 8 weeks were randomly divided into two groups: experimental (n = 21) and control (n = 18). Rats from the experimental group were injected with SPIO- and Dil-labeled BMSCs and Pluronic F-127, and rats from the control group were only injected with Pluronic F-127. At 2, 4, and 8 weeks after surgery, biomechanical analysis was performed to evaluate tendon-to-bone tunnel healing. The transplanted BMSCs were observed by fluorescence microscope at 2, 4, and 8 weeks after surgery and traced by magnetic resonance (MR) imaging at 0, 3, and 7 days after surgery.

Results

BMSCs were labeled effectively by SPIO and Dil particles. At 2, 4, and 8 weeks after surgery, Dil-labeled cells were observed at tendon-bone interface by fluorescence microscope. In the experimental group, no obvious signal changes of tendon-bone interface were observed by MR imaging. The maximum biomechanical pull-out strength was not statistically different between experimental and control groups at 2 weeks, but significantly higher in the experimental group at 4 and 8 weeks after surgery (P < 0.05).

Conclusion

The present study indicated that the transplanted BMSCs could promote tendon-to-bone tunnel healing at 4–8 weeks postoperatively. Dil- and SPIO-labeled transplanted BMSCs distributed at the tendon-bone interface and might play a role in promoting tendon-to-bone tunnel healing, which may be translated into practical cytotherapy for patients those who need earlier rehabilitation for ligament reconstruction surgery in clinic.
Literatur
1.
Zurück zum Zitat Brekke C, Williams SC, Price J, Thorsen F, Modo M (2007) Cellular multiparametric MRI of neural stem cell therapy in a rat glioma model. Neuroimage 37:769–782PubMedCrossRef Brekke C, Williams SC, Price J, Thorsen F, Modo M (2007) Cellular multiparametric MRI of neural stem cell therapy in a rat glioma model. Neuroimage 37:769–782PubMedCrossRef
2.
Zurück zum Zitat Chen CH, Chen WJ, Shih CH, Yang CY, Liu SJ, Lin PY (2003) Enveloping the tendon graft with periosteum to enhance tendon-bone healing in a bone tunnel: a biomechanical and histologic study in rabbits. Arthroscopy 19:290–296PubMedCrossRef Chen CH, Chen WJ, Shih CH, Yang CY, Liu SJ, Lin PY (2003) Enveloping the tendon graft with periosteum to enhance tendon-bone healing in a bone tunnel: a biomechanical and histologic study in rabbits. Arthroscopy 19:290–296PubMedCrossRef
3.
Zurück zum Zitat Chong AK, Ang AD, Goh JC, Hui JH, Lim AY, Lee EH et al (2007) Bone marrow-derived mesenchymal stem cells influence early tendon-healing in a rabbit achilles tendon model. J Bone Joint Surg Am 89:74–81PubMedCrossRef Chong AK, Ang AD, Goh JC, Hui JH, Lim AY, Lee EH et al (2007) Bone marrow-derived mesenchymal stem cells influence early tendon-healing in a rabbit achilles tendon model. J Bone Joint Surg Am 89:74–81PubMedCrossRef
4.
Zurück zum Zitat Garcia-Castro J, Trigueros C, Madrenas J, Perez-Simon JA, Rodriguez R, Menendez P (2008) Mesenchymal stem cells and their use as cell replacement therapy and disease modelling tool. J Cell Mol Med 12:2552–2565PubMedCrossRef Garcia-Castro J, Trigueros C, Madrenas J, Perez-Simon JA, Rodriguez R, Menendez P (2008) Mesenchymal stem cells and their use as cell replacement therapy and disease modelling tool. J Cell Mol Med 12:2552–2565PubMedCrossRef
5.
Zurück zum Zitat Gorden M, Stein M (2004) Anterior cruciate ligament injuries. In: Garrick J (ed) Orthopaedic knowledge update: sports medicine. Am Academy of Orthop Surg, Rosemont, pp 169–181 Gorden M, Stein M (2004) Anterior cruciate ligament injuries. In: Garrick J (ed) Orthopaedic knowledge update: sports medicine. Am Academy of Orthop Surg, Rosemont, pp 169–181
6.
Zurück zum Zitat Ju S, Teng G, Zhang Y, Ma M, Chen F, Ni Y (2006) In vitro labeling and MRI of mesenchymal stem cells from human umbilical cord blood. Magn Reson Imaging 24:611–617PubMedCrossRef Ju S, Teng G, Zhang Y, Ma M, Chen F, Ni Y (2006) In vitro labeling and MRI of mesenchymal stem cells from human umbilical cord blood. Magn Reson Imaging 24:611–617PubMedCrossRef
7.
Zurück zum Zitat Ju S, Teng GJ, Lu H, Jin J, Zhang Y, Zhang A et al (2010) In vivo differentiation of magnetically labeled mesenchymal stem cells into hepatocytes for cell therapy to repair damaged liver. Invest Radiol 45:625–633PubMedCrossRef Ju S, Teng GJ, Lu H, Jin J, Zhang Y, Zhang A et al (2010) In vivo differentiation of magnetically labeled mesenchymal stem cells into hepatocytes for cell therapy to repair damaged liver. Invest Radiol 45:625–633PubMedCrossRef
8.
Zurück zum Zitat Karaoglu S, Celik C, Korkusuz P (2009) The effects of bone marrow or periosteum on tendon-to-bone tunnel healing in a rabbit model. Knee Surg Sports Traumatol Arthrosc 17:170–178PubMedCrossRef Karaoglu S, Celik C, Korkusuz P (2009) The effects of bone marrow or periosteum on tendon-to-bone tunnel healing in a rabbit model. Knee Surg Sports Traumatol Arthrosc 17:170–178PubMedCrossRef
9.
Zurück zum Zitat Kuang GM, Yau WP, Lu WW, Chiu KY (2010) Osteointegration of soft tissue grafts within the bone tunnels in anterior cruciate ligament reconstruction can be enhanced. Knee Surg Sports Traumatol Arthrosc 18:1038–1051PubMedCrossRef Kuang GM, Yau WP, Lu WW, Chiu KY (2010) Osteointegration of soft tissue grafts within the bone tunnels in anterior cruciate ligament reconstruction can be enhanced. Knee Surg Sports Traumatol Arthrosc 18:1038–1051PubMedCrossRef
10.
Zurück zum Zitat Lawhorn KW, Howell SM (2007) Principles for using hamstring tendons for anterior cruciate ligament reconstruction. Clin Sports Med 26:567–585PubMedCrossRef Lawhorn KW, Howell SM (2007) Principles for using hamstring tendons for anterior cruciate ligament reconstruction. Clin Sports Med 26:567–585PubMedCrossRef
11.
Zurück zum Zitat Lim JK, Hui J, Li L, Thambyah A, Goh J, Lee EH (2004) Enhancement of tendon graft osteointegration using mesenchymal stem cells in a rabbit model of anterior cruciate ligament reconstruction. Arthroscopy 20:899–910PubMedCrossRef Lim JK, Hui J, Li L, Thambyah A, Goh J, Lee EH (2004) Enhancement of tendon graft osteointegration using mesenchymal stem cells in a rabbit model of anterior cruciate ligament reconstruction. Arthroscopy 20:899–910PubMedCrossRef
12.
Zurück zum Zitat Lu CC, Liu YC, Cheng YM, Chih TT, Tien YC (2009) Augmentation of tendon-bone interface healing with low-intensity pulsed ultrasound. Orthopedics 32:173PubMedCrossRef Lu CC, Liu YC, Cheng YM, Chih TT, Tien YC (2009) Augmentation of tendon-bone interface healing with low-intensity pulsed ultrasound. Orthopedics 32:173PubMedCrossRef
13.
Zurück zum Zitat Ouyang HW, Goh JC, Lee EH (2004) Use of bone marrow stromal cells for tendon graft-to-bone healing: histological and immunohistochemical studies in a rabbit model. Am J Sports Med 32:321–327PubMedCrossRef Ouyang HW, Goh JC, Lee EH (2004) Use of bone marrow stromal cells for tendon graft-to-bone healing: histological and immunohistochemical studies in a rabbit model. Am J Sports Med 32:321–327PubMedCrossRef
14.
Zurück zum Zitat Pittenger MF, Mackay AM, Beck SC, Jaiswal RK, Douglas R, Mosca JD et al (1999) Multilineage potential of adult human mesenchymal stem cells. Science 284:143–147PubMedCrossRef Pittenger MF, Mackay AM, Beck SC, Jaiswal RK, Douglas R, Mosca JD et al (1999) Multilineage potential of adult human mesenchymal stem cells. Science 284:143–147PubMedCrossRef
15.
Zurück zum Zitat Qin L, Fok P, Lu H, Shi S, Leng Y, Leung K (2006) Low intensity pulsed ultrasound increases the matrix hardness of the healing tissues at bone-tendon insertion-a partial patellectomy model in rabbits. Clin Biomech 21:387–394CrossRef Qin L, Fok P, Lu H, Shi S, Leng Y, Leung K (2006) Low intensity pulsed ultrasound increases the matrix hardness of the healing tissues at bone-tendon insertion-a partial patellectomy model in rabbits. Clin Biomech 21:387–394CrossRef
16.
Zurück zum Zitat Reinhardt KR, Hetsroni I, Marx RG (2010) Graft selection for anterior cruciate ligament reconstruction: a level I systematic review comparing failure rates and functional outcomes. Orthop Clin North Am 41:249–262PubMedCrossRef Reinhardt KR, Hetsroni I, Marx RG (2010) Graft selection for anterior cruciate ligament reconstruction: a level I systematic review comparing failure rates and functional outcomes. Orthop Clin North Am 41:249–262PubMedCrossRef
17.
Zurück zum Zitat Sasaki K, Kuroda R, Ishida K, Kubo S, Matsumoto T, Mifune Y et al (2008) Enhancement of tendon-bone osteointegration of anterior cruciate ligament graft using granulocyte colony-stimulating factor. Am J Sports Med 36:1519–1527PubMedCrossRef Sasaki K, Kuroda R, Ishida K, Kubo S, Matsumoto T, Mifune Y et al (2008) Enhancement of tendon-bone osteointegration of anterior cruciate ligament graft using granulocyte colony-stimulating factor. Am J Sports Med 36:1519–1527PubMedCrossRef
18.
Zurück zum Zitat Soon MY, Hassan A, Hui JH, Goh JC, Lee EH (2007) An analysis of soft tissue allograft anterior cruciate ligament reconstruction in a rabbit model: a short-term study of the use of mesenchymal stem cells to enhance tendon osteointegration. Am J Sports Med 35:962–971PubMedCrossRef Soon MY, Hassan A, Hui JH, Goh JC, Lee EH (2007) An analysis of soft tissue allograft anterior cruciate ligament reconstruction in a rabbit model: a short-term study of the use of mesenchymal stem cells to enhance tendon osteointegration. Am J Sports Med 35:962–971PubMedCrossRef
19.
Zurück zum Zitat Tom JA, Rodeo SA (2002) Soft tissue allografts for knee reconstruction in sports medicine. Clin Orthop Relat Res 402:135–156PubMedCrossRef Tom JA, Rodeo SA (2002) Soft tissue allografts for knee reconstruction in sports medicine. Clin Orthop Relat Res 402:135–156PubMedCrossRef
20.
Zurück zum Zitat Tomita F, Yasuda K, Mikami S, Sakai T, Yamazaki S, Tohyama H (2001) Comparisons of intraosseous graft healing between the doubled flexor tendon graft and the bone-patellar tendon-bone graft in anterior cruciate ligament reconstruction. Arthroscopy 17:461–476PubMedCrossRef Tomita F, Yasuda K, Mikami S, Sakai T, Yamazaki S, Tohyama H (2001) Comparisons of intraosseous graft healing between the doubled flexor tendon graft and the bone-patellar tendon-bone graft in anterior cruciate ligament reconstruction. Arthroscopy 17:461–476PubMedCrossRef
21.
Zurück zum Zitat Vandepitte J, Maes J, Van Cleynenbreugel B, Van Poppel H, Lerut E, Agostinis P et al (2010) An improved orthotopic rat bladder tumor model using Dil-loaded fluorescent AY-27 cells. Cancer Biol Ther 9:986–993PubMedCrossRef Vandepitte J, Maes J, Van Cleynenbreugel B, Van Poppel H, Lerut E, Agostinis P et al (2010) An improved orthotopic rat bladder tumor model using Dil-loaded fluorescent AY-27 cells. Cancer Biol Ther 9:986–993PubMedCrossRef
22.
Zurück zum Zitat Walsh WR, Stephens P, Vizesi F, Bruce W, Huckle J, Yu Y (2007) Effects of low-intensity pulsed ultrasound on tendon-bone healing in an intra-articular sheep knee model. Arthroscopy 23:197–204PubMedCrossRef Walsh WR, Stephens P, Vizesi F, Bruce W, Huckle J, Yu Y (2007) Effects of low-intensity pulsed ultrasound on tendon-bone healing in an intra-articular sheep knee model. Arthroscopy 23:197–204PubMedCrossRef
23.
Zurück zum Zitat Young RG, Butler DL, Weber W, Caplan AI, Gordon SL, Fink DJ (1998) Use of mesenchymal stem cells in a collagen matrix for Achilles tendon repair. J Orthop Res 16:406–413PubMedCrossRef Young RG, Butler DL, Weber W, Caplan AI, Gordon SL, Fink DJ (1998) Use of mesenchymal stem cells in a collagen matrix for Achilles tendon repair. J Orthop Res 16:406–413PubMedCrossRef
Metadaten
Titel
Labeling and tracing of bone marrow mesenchymal stem cells for tendon-to-bone tunnel healing
verfasst von
Yong-Gang Li
Ji-Nan Wei
Jun Lu
Xiao-Tao Wu
Gao-Jun Teng
Publikationsdatum
01.12.2011
Verlag
Springer-Verlag
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 12/2011
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-011-1506-0

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