Authors: Noriko Kotobuki, Motohiro Hirose, Koji Ioku, Akira Sakaguchi, Akifumi Iwama, Masaki Harada, Hiroshi Yamamoto, Hajime Ohgushi
Abstract: Since 2001, we have clinically utilized human bone marrow-derived mesenchymal stem
cells (MSCs) for bone regeneration. The osteogenic ability of MSCs has been assessed by measurement
of alkaline phosphatase activity and calcium deposition. As for the detection of in vitro
calcium deposition, we have established the method using calcein, which is a calcium-binding fluorescence
material. Using this fluorescence material, we could observe the calcium deposition and then
estimate the value of calcium deposition. In this report, we cultured rat MSCs on culture plate as well
as transparent β-TCP, and calcium deposition was visualized and quantitated using an image analyzer.
After 2 weeks differentiation of rat MSCs to osteoblasts, calcium deposition on β-TCP was observed
as a signal of calcium-binding fluorescence. This fluorescence signal was also quantitated with an
image analyzer.
997
Authors: Akiko Obata, Toshihiro Kasuga
Abstract: Cellular activities of human mesenchymal stem cells (MSCs) and osteoblasts (HOBs) on
a silicon-releasable scaffold, which is siloxane-doped poly(lactic acid) / vaterite composite coated
with hydroxycarbonate apatite (SPV-H), were estimated using two types of media, with or without
organic factors, dexamethasone (Dex) and β-glycerophosphate (β-GP). The culture tests using
MSCs shows that the level of alkaline phosphatase (ALP) activity in the cells cultured on SPV-H
increased for 21-day culturing in medium without Dex and β-GP. The proliferation of MSCs on
SPV-H was significantly higher than that on a poly(lactic acid) / vaterite composite coated with
hydroxyapatite (PV-H) at all time points. In the case of supplementing Dex and β-GP to the
medium, the level of ALP activity in MSCs cultured on SPV-H was higher in comparison with that
on PV-H at all time points. Scanning electron microscopy showed that there were some
agglomerates in HOBs cultured on the SPV-H surface after 21-day culturing in the medium without
the factors, while there are no agglomerates on PV-H. The agglomerates were regarded from laser
Raman spectroscopy as bone nodules. This result implies stimulation to HOBs by silicon species in
SPV-H. SPV-H is expected to be useful as the scaffold for bone tissue engineering.
399
Authors: David J. Wood, J. Dyson, K. Xiao, Kenny W. Dalgarno, P. Genever
Abstract: There is a clinical and socio-economic need to produce synthetic alternatives to
autologous or allogenic bone grafts. Bioactive glasses and glass-ceramics offer great potential in this
area. The aims of this study were to optimise production of apatite-wollastonite (A-W) glassceramic
scaffolds produced by selective laser sintering, in terms of their physical and biological
properties and to look at how human Mesenchymal Stem Cells (MSCs) responded to these 3-D
scaffolds in vitro. An indirect selective laser sintering process successfully produced strong, porous
scaffolds. Depending upon particle size(s) and infiltration of the porous structure, flexural strengths
between 35 MPa and 100 MPa were obtained. Following static seeding of A-W scaffolds with
MSCs, fluoresecent actin and nuclei staining, as observed by confocal microscopy, showed that
these scaffolds supported the adherence of human MSC’s at time periods of up to 21 days. As such
these seeded scaffolds show great potential for use in bone regenerative medicine.
923
Authors: Sun Young Lee, Min Jung Son, Gil Son Khang, Young Suk Son, Chang Kuk You, Suk Young Kim, Hong In Shin, Eui Kyun Park, Shin Yoon Kim
Abstract: Recently, nanomaterials have received considerable attention because of their potential
applications in the biomedical field. In the present study, we investigated the effects of nano-sized
calcium metaphosphate (CMP) particles (50 nm) compared with micro-sized CMP particles (200-500
nm and 10 μm) on the proliferation and osteoblastic differentiation of human bone marrow stem cells
(BMSCs). BMSCs were challenged with CMP particles with different sizes for 3, 5, and 7 days. An
analysis of the proliferation revealed that the nano-sized CMP particles (50 nm) stimulated the
proliferation of BMSCs up to 27.79% compared to the untreated control. This stimulatory effect of
the nano-sized CMP particle was dose-dependent. CMP particles appeared to adhere on the surface of
BMSCs but this did not cause distinguishable morphological changes. Moreover, all CMP particles
(50 nm to 10 μm) were capable of stimulating an osteoblastic differentiation of BMSCs as accessed
by alkaline phosphatase (ALP) and von Kossa stainings. Further molecular analysis revealed that all
the CMP particles induced an expression of osteoblast-related genes such as osteocalcin (OC) and
collagen I (Col I). Taken together, our data demonstrate that nano-sized CMP particles have the
potential to stimulate the proliferation and osteoblastic differentiation of BMSCs.
1177
Authors: Mika Tadokoro, Motohiro Hirose, Hajime Ohgushi
Abstract: In the field of tissue engineering for bone regeneration, there have been many studies that
examined in the bone forming ability of the porous biomaterials with mesenchymal stem cells
(MSCs). To promote the tissue engineering approach in clinical situation, there is a need for the
establishment and standardization of evaluation methods for measuring the in vivo bone forming
ability. In this study, we examined the seeding process using rat MSCs to ascertain whether it is a
valid protocol for various materials. Our results showed that the cell seeding process for the
fabrication method of MSCs/materials composite influenced the number and distribution of the
MSCs in the materials, therefore the process is a key to show new bone formation which derived from
the seeded MSCs. Here, we describe the detailed process which can show consistent new bone
formation in pores of the materials.
1161
Authors: Ho Yun Chung, Eun Jung Oh, Jin Hyun Choi, Byung Chae Cho
Abstract: Mesenchymal stem cells (MSCs) from bone marrow seem to be the one of best
candidates to regenerate injured tissue. However, recent advances in application of MSCs toward
large tissue regeneration are faced with lack of vascularity. In this study, endothelial cells
differentiated from MSCs were applied for constructing tissue-engineered bone and cartilage. It was
found that endothelial cells from MSCs play an important role of providing vasculature.
193
Authors: Min Sung Park, Young Mee Jung, Soo Hyun Kim, Sang Heon Kim, Young Ha Kim, Byoung Goo Min, Jin Woo Lee
Abstract: Poly-L-lactic acid (PLLA) is a desirable and very attractive polymer for fabricating
porous scaffolds. As of now, a solvent casting method with organic solvents has been used in
scaffold fabrication process. However, residual organic solvents in the scaffolds have the problems
of decreasing the effect of osteogenic induction due to the hindrance of bioceramic by polymer
solution and it’s harmfulness in vivo. To avoid these disadvantages of scaffolds by organic solvent
casting method, we developed a new method fabricating polymer (PLLA)/ceramic (β -TCP)
composite scaffolds by baking method without using solvent, and then we tested properties of
scaffolds on animals. As the result, non-toxicity has been proved through animal experiment and
newly fabricated polymer/ceramic composites by a novel sintering method were induced rapid bone
regeneration through enhancing the interaction of cells and a bone induction factor without any host
immune response.
145
Authors: Chan Wai Chan, Ling Qin, K.M. Lee, H.Y. Yeung, Yun Yu Hu, K.H.K. Wong, R.C.L. Yip, Jack C.Y. Cheng
Abstract: Grafting of autologous iliac crest and decortication approach in posterior spinal fusion
surgery has been the “gold standard”. However, the limited source of autograft has prompted
extensive research into bone substitute and biological enhancement of the fusion mass. In this study,
the application of stem cell therapy by tissue engineering method was investigated to enhance
posterior spinal fusion with -tricalcium phosphate ceramics in rabbit model. Rabbit bone marrow
derived mesenchymal stem cells were aspirated from trochanter region of proximal femur. The
mesenchymal stem cells were grown and directed to differentiate into osteogenic cells by
osteogenic supplement (ascorbic acid, -glycerophosphate and dexamethasone) in basal medium
(10% FBS in DMEM). The osteogenic cells were seeded on tricalcium phosphate ceramics for one
day (MSC group, n=6). The cell-ceramics composite was implanted onto autologous L5 and L6
transverse processes with decortication approach in posterior spinal fusion. The cell free ceramics
acts as control (Control group, n=6) and iliac crest autograft as positive control (Autograft group).
The spinal segments were harvested at week 7 post-operation. Manual palpation was performed
with spinal segments to assess any movement of L5-L6 vertebral joint. The stiffness of the joint was
considered as solid fusion. The specimens then were fixed by formalin and transferred to 70%
ethanol. The BMC and volume of fusion transverse processes of L5 and L6 was measured by
peripheral quantitative computed tomography.
In manual palpation, 50% solid fusion was found in MSC group, 60% in autograft group but
none in control group. Moreover, the BMC of L5 and L6 transverse processes in MSC group was
greater than autograft and control group (45%, 40% respectively, p<0.01). The volume of transverse
processes in MSC group was greater than autograft by 45% (p<0.01) and control group by 26%
(p<0.05). In conclusion, the mesenchymal stem cells derived osteogenic cells augmented spinal
fusion and bone mineralization.
1201
Authors: Jie Feng, Qiang Zheng, Zhong Li Shi, Hong Liang Jiang, Wei Qi Yan
Abstract: Bone grafts have been used to fill bone defects caused by disease or trauma. The amount of
autografts is limited and allogenic bone grafts may transmit diseases and cause immune responses.
Numerous materials have been proposed and used as scaffolds for bone tissue reconstruction. In this
study, we tested nanophase PLGA/HA composite with mesenchymal stem cells in vitro to examine
its biological response and cellular activity. The nanophase composite was compared to
conventional polystyrene on cytocompatibility by cell attachment, proliferation, alkaline
phosphotase activity test and scanning electron microscopy (SEM) analysis. The results
demonstrated that human mesenchymal cells showed more cell attachment and higher cell
proliferation rate when growing on nanophase PLGA/HA composite than those growing on
polystyrene alone. And the composite also promoted MSC cells differentiate to osteoblast cells as
compared with control. It was suggested that the combination of bone marrow mesenchymal cells
with artificial materials or differentiation factors may enhance bone formation and regeneration,
nanophase PLGA/HA composite might therefore be a promising scaffold material for bone tissue
substitute in clinical application.
1153
Authors: Chan Wai Chan, K.M. Lee, Ling Qin, K.H.K. Wong, H.Y. Yeung, H.B. Fan, Yun Yu Hu, Jack C.Y. Cheng
Abstract: The limited source of autograft has prompted extensive research on bone substitute and
biological enhancement of the fusion mass in spinal fusion. Biomaterials impregnated with bone
marrow aspirate has been applied to spinal fusion surgery. In this study, the effect of stem cell therapy
in enhancing posterior spinal fusion was compared with the bone marrow aspirate method in a
standard rabbit model. Bone marrow was aspirated from rabbit proximal femur (BMA group, n=6)
and loaded on β-tricalcium phosphate ceramics (β-TCP) in excess. The composite was then
implanted onto L5 and L6 transverse processes of the same animal in posterior spinal fusion
operation with decortication on the same day. For stem cell therapy group, mesenchymal stem cells
(MSCs) were isolated from bone marrow aspirate by adherence on plastic culture-ware. The MSCs
were treated with osteogenic supplements (OS) during ex vivo cell expansion (MSC group, n=6). The
osteogenic cells were seeded on β-TCP ceramics and cultured for one day. The cell-ceramics
composite was implanted into the same rabbit as BMA group. The ceramics acted as control (n=6).
Three fluorochromes, tetracycline, xyelonol orange and caclein were injected at week 2, 4 and 6
sequentially. The spinal segments were harvested at week 7 post-operation. The manual palpation of
vertebral joint was assesses for solid fusion. The gap distance of inter-transverse process was
measured by microCT and the bone mineral content (BMC) and volume of transverse processes by
peripheral quantitative computed tomography. The specimens were undergone undecalcified
histological analysis. The mineralization process was examined by fluorescent microscopy. By
manual palpation, 50% of MSC group samples were found to have solid fusion in comparison with
the incomplete fusion observed in the BMA and control group. The gap distance of inter-transverse
processes in MSC group was the shortest. The volume of the transverse processes in MSC group was
significantly greater than BMA and control group by 16% and 26% respectively. The BMC of
transverse processes in MSC group was 40% greater than control (p<0.05) and 8% greater than BMA
group. In fluorescent microscopy, both green fluorescent signal (labeled at week 6) and orange
fluorescent signal (labeled at week 4) were observed in MSC group compare with the predominantly
green fluorescent signal in the BMA group. In conclusion, the augmentation of MSC derived
osteogenic cells is superior to bone marrow aspirate in rabbit posterior spinal fusion.
1149