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Human autologous plasma-derived clot as a biological scaffold for mesenchymal stem cells in treatment of orthopedic healing

✍ Scribed by Luisa Trombi; Letizia Mattii; Simone Pacini; Delfo D'Alessandro; Barbara Battolla; Enrico Orciuolo; Gabriele Buda; Rita Fazzi; Sara Galimberti; Mario Petrini


Publisher
Elsevier Science
Year
2008
Tongue
English
Weight
335 KB
Volume
26
Category
Article
ISSN
0736-0266

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✦ Synopsis


Abstract

Recent advances in the isolation, expansion, and characterization of human mesenchymal stem cells (hMSCs) have raised the possibility of using them in cell therapies and tissue engineering for bone reconstruction. hMSCs, isolated from the bone marrow of eight normal adult patients, were minimally expanded ex vivo and pulsed twice toward osteogenic lineage. The cells were then included into autologous plasma‐derived clots. Cytofluorimetric analysis, immunocytochemistry (osteopontin), histochemistry (alkaline phosphatase, Alcian blue, Von Kossa, and alizarin red staining), and viable/proliferation tests were performed to study both stem and differentiating cells. Although two short inductions increased osteogenic markers in hMSCs, inside the clot the cells were able to terminally differentiate into osteoblasts. Moreover, we show that the clot is able to sustain cell proliferation under appropriate cell culture conditions. Our results suggested that clot could be useful for hMSC delivery into the site of the lesion to promote bone formation. Moreover, the plasticity of this material allowed good in vitro hMSC spreading and proliferation. The advantages of using this autologous biological material are its biocompatibility and reabsorption; furthermore, using a gel as scaffold, it is possible to mold it to the shape of a bone cavity. © 2007 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 26:176–183, 2008