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Combination of bone marrow concentrate and PGA scaffolds enhance bone marrow stimulation in rabbit articular cartilage repair

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Abstract

Bone marrow stimulation (BMS) has been regarded as a first-line procedure for the repair of articular cartilage. However, cartilage repair using BMS alone has so far not been ideal because cell homing to the required area has not been sufficient. The aim of this study was to investigate the feasibility of autologous bone marrow concentrate transplantation for the repair of large, full-thickness cartilage defects. Thirty rabbits were divided into five groups: untreated (control); BMS only (BMS); BMS followed by PGA implantation (PGA); BMS followed by a combination of PGA and autologous bone marrow concentrate (BMC); and BMS together with a composite of PGA and cultured bone marrow stem cells (BME). The animals were sacrificed at week 8 after operation, and HE staining, toluidine blue staining and immunohistochemistry were used to assess the repair of defects. The results showed that improved repair, including more newly formed cartilage tissue and hyaline cartilage-specific extracellular matrix, was observed in BMC group relative to the first three groups, in addition similar results were found between BMC and BME groups, however it took longer time for in vitro cell expansion in the BME group. This study demonstrates that the transplantation of autologous bone marrow concentrate is an easy, safe and potentially viable method to contribute to articular cartilage repair.

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Acknowledgments

We acknowledge the support of the Specialized Research Fund for the Doctoral Program of Higher Education of China (Grant No. 20100073120090) and the Research funds for combination of engineering (science) with medicine of Shanghai Jiao Tong University (Grant No. YG2011MS28).

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Authors and Affiliations

  1. Department of Orthopaedic, Shanghai First People’s Hospital, Shanghai Jiao Tong University, 100 Haining Road, Shanghai, 200080, People’s Republic of China

    Qinghua Zhao, Jiwei Tian, Lei Wang, Shuanghai Dong & Tian Xia

  2. Department of Orthopaedics, Huai’an First People’s Hospital, Nanjing Medical University, 6 Beijing Road West, Huai’an, Jiangsu, 223300, People’s Republic of China

    Shouguo Wang

  3. Department of Trauma Surgery and Critical Care, Shanghai First People’s Hospital, Shanghai Jiao Tong University, 100 Haining Road, Shanghai, 200080, People’s Republic of China

    Zhenkai Wu

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  1. Qinghua Zhao
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  4. Lei Wang
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Correspondence to Zhenkai Wu.

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Shouguo Wang—Co-first author.

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Zhao, Q., Wang, S., Tian, J. et al. Combination of bone marrow concentrate and PGA scaffolds enhance bone marrow stimulation in rabbit articular cartilage repair. J Mater Sci: Mater Med 24, 793–801 (2013). https://doi.org/10.1007/s10856-012-4841-x

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  • DOI: https://doi.org/10.1007/s10856-012-4841-x

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