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Peripheral Blood Mononuclear Cells Enhance Cartilage Repair in in vivo Osteochondral Defect Model.

Hopper N, Wardale J, Brooks R, Power J, Rushton N, Henson F - PLoS ONE (2015)

Bottom Line: Four key genes in muskuloskeletal biology were significantly upregulated in adherent PBMCs by hypoxia: BMP2 4.2-fold (p = 0.0007), BMP6 10.7-fold (p = 0.0004), GDF5 2.0-fold (p = 0.002) and COL1 5.0-fold (p = 0.046).The monolayer multilineage analysis confirmed the trilineage mesenchymal potential of the adherent PBMCs.Our results show that PBMCs support cartilage healing and oxygen tension of the environment was found to have a key effect on the derivation of a novel adherent cell population with an MSC-like phenotype.

View Article: PubMed Central - PubMed

Affiliation: Division of Trauma and Orthopaedic Surgery, University of Cambridge, Addenbrooke's Hospital, Cambridge, BC2 0QQ, the United Kingdom.

ABSTRACT
This study characterized peripheral blood mononuclear cells (PBMC) in terms of their potential in cartilage repair and investigated their ability to improve the healing in a pre-clinical large animal model. Human PBMCs were isolated with gradient centrifugation and adherent PBMC's were evaluated for their ability to differentiate into adipogenic, chondrogenic and osteogenic lineages and also for their expression of musculoskeletal genes. The phenotype of the PBMCs was evaluated using Stro-1, CD34, CD44, CD45, CD90, CD106, CD105, CD146 and CD166 cell surface markers. Osteochondral defects were created in the medial femoral condyle (MFC) of 24 Welsh mountain sheep and evaluated at a six month time point. Four cell treatment groups were evaluated in combination with collagen-GAG-scaffold: (1) MSC alone; (2) MSCs and PBMCs at a ratio of 20:1; (3) MSCs and PBMC at a ratio of 2:1 and (4) PBMCs alone. Samples from the surgical site were evaluated for mechanical properties, ICRS score and histological repair. Fresh PBMC samples were 90% positive for hematopoietic cell surface markers and negative for the MSC antibody panel (<1%, p = 0.006). However, the adherent PBMC population expressed mesenchymal stem cell markers in hypoxic culture and lacked CD34/45 positive cells (<0.2%). This finding demonstrated that the adherent cells had acquired an MSC-like phenotype and transformed in hypoxia from their original hematopoietic lineage. Four key genes in muskuloskeletal biology were significantly upregulated in adherent PBMCs by hypoxia: BMP2 4.2-fold (p = 0.0007), BMP6 10.7-fold (p = 0.0004), GDF5 2.0-fold (p = 0.002) and COL1 5.0-fold (p = 0.046). The monolayer multilineage analysis confirmed the trilineage mesenchymal potential of the adherent PBMCs. PBMC cell therapy was equally good as bone marrow MSC therapy for defects in the ovine large animal model. Our results show that PBMCs support cartilage healing and oxygen tension of the environment was found to have a key effect on the derivation of a novel adherent cell population with an MSC-like phenotype. This study presents a novel and easily attainable point-of-care cell therapy with PBMCs to treat osteochondral defects in the knee avoiding any cell manipulations outside the surgical room.

No MeSH data available.


Related in: MedlinePlus

Peripheral blood mononuclear cell characterization.(A) Fluorescent labelling of fresh PBMC in suspension and adherent PBMC in both normoxia and hypoxia comparing hematopoietic and mesenchymal cell surface markers (n = 4). Representative images of PBMCs after 12 days growing in (B) normoxia and (C) hypoxia (scale bar 50 μm).
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pone.0133937.g001: Peripheral blood mononuclear cell characterization.(A) Fluorescent labelling of fresh PBMC in suspension and adherent PBMC in both normoxia and hypoxia comparing hematopoietic and mesenchymal cell surface markers (n = 4). Representative images of PBMCs after 12 days growing in (B) normoxia and (C) hypoxia (scale bar 50 μm).

Mentions: The fresh PBMC samples were 90% positive for the hematopoietic cell surface markers CD34/45 (combined) and negative for the MSC antibody panel (<1.0%, p = 0.006) (Fig 1A). After 2 weeks of hypoxic culture adherent peripheral blood mononucleated cell population had a fibroblast-like morphology (Fig 1C) and 94% expressed mesenchymal stem cell markers; Stro-1, CD90, CD106, CD105, CD146, CD166 and CD44) (p<0.0001) compared to 41% in normoxia where cells were more rounded. At the same time as the PBMCs had become adherent and changed their phenotype to MSC positive there was a concomitant decrease in hematopoietic phenotype markers CD34/45 (<0.2%, p = 0.0008). These findings demonstrated that the adherent cells had acquired an MSC-like phenotype and transformed from their original hematopoietic lineage.


Peripheral Blood Mononuclear Cells Enhance Cartilage Repair in in vivo Osteochondral Defect Model.

Hopper N, Wardale J, Brooks R, Power J, Rushton N, Henson F - PLoS ONE (2015)

Peripheral blood mononuclear cell characterization.(A) Fluorescent labelling of fresh PBMC in suspension and adherent PBMC in both normoxia and hypoxia comparing hematopoietic and mesenchymal cell surface markers (n = 4). Representative images of PBMCs after 12 days growing in (B) normoxia and (C) hypoxia (scale bar 50 μm).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4529143&req=5

pone.0133937.g001: Peripheral blood mononuclear cell characterization.(A) Fluorescent labelling of fresh PBMC in suspension and adherent PBMC in both normoxia and hypoxia comparing hematopoietic and mesenchymal cell surface markers (n = 4). Representative images of PBMCs after 12 days growing in (B) normoxia and (C) hypoxia (scale bar 50 μm).
Mentions: The fresh PBMC samples were 90% positive for the hematopoietic cell surface markers CD34/45 (combined) and negative for the MSC antibody panel (<1.0%, p = 0.006) (Fig 1A). After 2 weeks of hypoxic culture adherent peripheral blood mononucleated cell population had a fibroblast-like morphology (Fig 1C) and 94% expressed mesenchymal stem cell markers; Stro-1, CD90, CD106, CD105, CD146, CD166 and CD44) (p<0.0001) compared to 41% in normoxia where cells were more rounded. At the same time as the PBMCs had become adherent and changed their phenotype to MSC positive there was a concomitant decrease in hematopoietic phenotype markers CD34/45 (<0.2%, p = 0.0008). These findings demonstrated that the adherent cells had acquired an MSC-like phenotype and transformed from their original hematopoietic lineage.

Bottom Line: Four key genes in muskuloskeletal biology were significantly upregulated in adherent PBMCs by hypoxia: BMP2 4.2-fold (p = 0.0007), BMP6 10.7-fold (p = 0.0004), GDF5 2.0-fold (p = 0.002) and COL1 5.0-fold (p = 0.046).The monolayer multilineage analysis confirmed the trilineage mesenchymal potential of the adherent PBMCs.Our results show that PBMCs support cartilage healing and oxygen tension of the environment was found to have a key effect on the derivation of a novel adherent cell population with an MSC-like phenotype.

View Article: PubMed Central - PubMed

Affiliation: Division of Trauma and Orthopaedic Surgery, University of Cambridge, Addenbrooke's Hospital, Cambridge, BC2 0QQ, the United Kingdom.

ABSTRACT
This study characterized peripheral blood mononuclear cells (PBMC) in terms of their potential in cartilage repair and investigated their ability to improve the healing in a pre-clinical large animal model. Human PBMCs were isolated with gradient centrifugation and adherent PBMC's were evaluated for their ability to differentiate into adipogenic, chondrogenic and osteogenic lineages and also for their expression of musculoskeletal genes. The phenotype of the PBMCs was evaluated using Stro-1, CD34, CD44, CD45, CD90, CD106, CD105, CD146 and CD166 cell surface markers. Osteochondral defects were created in the medial femoral condyle (MFC) of 24 Welsh mountain sheep and evaluated at a six month time point. Four cell treatment groups were evaluated in combination with collagen-GAG-scaffold: (1) MSC alone; (2) MSCs and PBMCs at a ratio of 20:1; (3) MSCs and PBMC at a ratio of 2:1 and (4) PBMCs alone. Samples from the surgical site were evaluated for mechanical properties, ICRS score and histological repair. Fresh PBMC samples were 90% positive for hematopoietic cell surface markers and negative for the MSC antibody panel (<1%, p = 0.006). However, the adherent PBMC population expressed mesenchymal stem cell markers in hypoxic culture and lacked CD34/45 positive cells (<0.2%). This finding demonstrated that the adherent cells had acquired an MSC-like phenotype and transformed in hypoxia from their original hematopoietic lineage. Four key genes in muskuloskeletal biology were significantly upregulated in adherent PBMCs by hypoxia: BMP2 4.2-fold (p = 0.0007), BMP6 10.7-fold (p = 0.0004), GDF5 2.0-fold (p = 0.002) and COL1 5.0-fold (p = 0.046). The monolayer multilineage analysis confirmed the trilineage mesenchymal potential of the adherent PBMCs. PBMC cell therapy was equally good as bone marrow MSC therapy for defects in the ovine large animal model. Our results show that PBMCs support cartilage healing and oxygen tension of the environment was found to have a key effect on the derivation of a novel adherent cell population with an MSC-like phenotype. This study presents a novel and easily attainable point-of-care cell therapy with PBMCs to treat osteochondral defects in the knee avoiding any cell manipulations outside the surgical room.

No MeSH data available.


Related in: MedlinePlus