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The regenerative effect of human umbilical cord blood mesenchymal stem cells in a rabbit model of osteoarthritis

Abstract

Background

Osteoarthritis (OA) is a degenerative disorder characterized by changes in subchondral and periarticular bone. The limited number of therapeutic choices for articular injury and disease has increased the need for stem cells as a biological replacement for damaged cartilage. Umbilical cord (UC) blood cells are easily available and less immunogenic than other sources of stem cells, and there are no ethical concerns surrounding their use. These cells are isolated from young donors. Human umbilical cord blood mesenchymal stem cells (HUCB-MSCs) appear to be an ideal candidate for cartilage regeneration.

Objective

The aim of the study was to investigate the regenerative effect of HUCB stem cells on degenerated articular cartilage in New Zealand white rabbits experimentally induced with OA.

Materials and methods

This study was performed on 42 New Zealand white rabbits. They were surgically induced with OA in the left knees by cutting the anterior cruciate ligament. After confirmation of the development of OA histopathologically, we delivered a single dose of HUCB-MSCs directly intra-articularly in the cell-treated groups. Controls were injected with only suspension media. Histopathological tests were performed 8 and 24 weeks after injection.

Results

Histopathologically, 8 weeks after the injection, cell-treated rabbits showed better cartilage quality and lower degree of degeneration, whereas 24 weeks after the injection all parameters in the cell-treated groups were significantly better.

Conclusion

HUCB-MSCs are a promising stem cell source for cartilage tissue formation and can decrease the development of OA in rabbits.

References

  1. Rollín R, Marco F, Camafeita E, Calvo E, López-Durán L, Jover JA, et al. Differential proteome of bone marrow mesenchymal stem cells from osteoarthritis patients. Osteoarthritis Cartilage 2008; 16:929–935.

    Article  Google Scholar 

  2. Vangsness CT Jr, Kurzweil PR, Lieberman JR. Restoring articular cartilage in the knee. Am J Orthop (Belle Mead NJ) 2004; 33(Suppl):29–34.

    Google Scholar 

  3. Hunter DJ. Pharmacologic therapy for osteoarthritis — the era of disease modification. Nat Rev Rheumatol 2011; 7:13–22.

    Article  CAS  Google Scholar 

  4. Lodi D, Iannitti T, Palmieri B. Stem cells in clinical practice: applications and warnings. J Exp Clin Cancer Res 2011; 30:9.

    Article  Google Scholar 

  5. Guan X, Furth ME, Childers MK. Stem cell use in musculoskeletal disorders. PM R 2011; 3(Suppl 1):S95–S99.

    Article  Google Scholar 

  6. Fallahi-Sichani M, Soleimani M, Najafi SM, Kiani J, Arefian E, Atashi A. In vitro differentiation of cord blood unrestricted somatic stem cells expressing dopamine-associated genes into neuron-like cells. Cell Biol Int 2007; 31:299–303.

    Article  CAS  Google Scholar 

  7. Kim JY, Jeon HB, Yang YS, Oh W, Chang JW. Application of human umbilical cord blood-derived mesenchymal stem cells in disease models. World J Stem Cells 2010; 2:34–38.

    Article  Google Scholar 

  8. Sellers RS, Zhang R, Glasson SS, Kim HD, Peluso D, D’Augusta DA, et al. Repair of articular cartilage defects one year after treatment with recombinant human bone morphogenetic protein-2 (rhBMP-2). J Bone Joint Surg Am 2000; 82:151–160.

    Article  CAS  Google Scholar 

  9. Wang HS, Hung SC, Peng ST, Huang CC, Wei HM, Guo YJ, et al. Mesenchymal stem cells in the Wharton’s jelly of the human umbilical cord. Stem Cells 2004; 22:1330–1337.

    Article  Google Scholar 

  10. Sarugaser R, Lickorish D, Baksh D, Hosseini MM, Davies JE. Human umbilical cord perivascular (HUCPV) cells: a source of mesenchymal progenitors. Stem Cells 2005; 23:220–229.

    Article  Google Scholar 

  11. Bunnell BA, Flaat M, Gagliardi C, Patel B, Ripoll C. Adipose-derived stem cells: isolation, expansion and differentiation. Methods 2008; 45:115–120.

    Article  CAS  Google Scholar 

  12. Sekiya I, Larson BL, Vuoristo JT, Reger RL, Prockop DJ. Comparison of effect of BMP-2, -4, and -6 on in vitro cartilage formation of human adult stem cells from bone marrow stroma. Cell Tissue Res 2005; 320:269–276.

    Article  CAS  Google Scholar 

  13. Yoshioka M, Coutts RD, Amiel D, Hacker SA. Characterization of a model of osteoarthritis in the rabbit knee. Osteoarthritis Cartilage 1996; 4:87–98.

    Article  CAS  Google Scholar 

  14. Mankin HJ, Dorfman H, Lippiello L, Zarins A. Biochemical and metabolic abnormalities in articular cartilage from osteo-arthritic human hips. II. Correlation of morphology with biochemical and metabolic data. J Bone Joint Surg Am 1971; 53:523–537.

    Article  CAS  Google Scholar 

  15. Løken S, Jakobsen RB, Arøen A, Heir S, Shahdadfar A, Brinchmann JE, et al. Bone marrow mesenchymal stem cells in a hyaluronan scaffold for treatment of an osteochondral defect in a rabbit model. Knee Surg Sports Traumatol Arthrosc 2008; 16:896–903.

    Article  Google Scholar 

  16. Chen WP, Bao JP, Hu PF, Feng J, Wu LD. Alleviation of osteoarthritis by trichostatin A, a histone deacetylase inhibitor, in experimental osteoarthritis. Mol Biol Rep 2010; 37:3967–3972.

    Article  CAS  Google Scholar 

  17. Murphy JM, Fink DJ, Hunziker EB, Barry FP. Stem cell therapy in a caprine model of osteoarthritis. Arthritis Rheum 2003; 48:3464–3474.

    Article  Google Scholar 

  18. Janusz MJ, Bendele AM, Brown KK, Taiwo YO, Hsieh L, Heitmeyer SA. Induction of osteoarthritis in the rat by surgical tear of the meniscus: inhibition of joint damage by a matrix metalloproteinase inhibitor. Osteoarthritis Cartilage 2002; 10:785–791.

    Article  CAS  Google Scholar 

  19. Jean YH, Wen ZH, Chang YC, Lee HS, Hsieh SP, Wu CT, et al. Hyaluronic acid attenuates osteoarthritis development in the anterior cruciate ligament-transected knee: Association with excitatory amino acid release in the joint dialysate. J Orthop Res 2006; 24:1052–1061.

    Article  CAS  Google Scholar 

  20. Toghraie FS, Chenari N, Gholipour MA, Faghih Z, Torabinejad S, Dehghani S, Ghaderi A. Treatment of osteoarthritis with infrapatellar fat pad derived mesenchymal stem cells in rabbit. Knee 2011; 18:71–75.

    Article  CAS  Google Scholar 

  21. Jiang Y, Jahagirdar BN, Reinhardt RL, Schwartz RE, Keene CD, Ortiz-Gonzalez XR, et al. Pluripotency of mesenchymal stem cells derived from adult marrow. Nature 2002; 418:41–49.

    Article  CAS  Google Scholar 

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Correspondence to Sherif El Bassiony MD.

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Gharbia, O., Elmoaty Afify, A., El Ghaffar, H.A. et al. The regenerative effect of human umbilical cord blood mesenchymal stem cells in a rabbit model of osteoarthritis. Egypt Rheumatol Rehabil 42, 163–169 (2015). https://doi.org/10.4103/1110-161X.168151

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