Repair of critical sized cranial defects with BMP9-transduced calvarial cells delivered in a thermoresponsive scaffold

PLoS One. 2017 Mar 1;12(3):e0172327. doi: 10.1371/journal.pone.0172327. eCollection 2017.

Abstract

Large skeletal defects caused by trauma, congenital malformations, and post-oncologic resections of the calvarium present major challenges to the reconstructive surgeon. We previously identified BMP-9 as the most osteogenic BMP in vitro and in vivo. Here we sought to investigate the bone regenerative capacity of murine-derived calvarial mesenchymal progenitor cells (iCALs) transduced by BMP-9 in the context of healing critical-sized calvarial defects. To accomplish this, the transduced cells were delivered to the defect site within a thermoresponsive biodegradable scaffold consisting of poly(polyethylene glycol citrate-co-N-isopropylacrylamide mixed with gelatin (PPCN-g). A total of three treatment arms were evaluated: PPCN-g alone, PPCN-g seeded with iCALs expressing GFP, and PPCN-g seeded with iCALs expressing BMP-9. Defects treated only with PPCN-g scaffold did not statistically change in size when evaluated at eight weeks postoperatively (p = 0.72). Conversely, both animal groups treated with iCALs showed significant reductions in defect size after 12 weeks of follow-up (BMP9-treated: p = 0.0025; GFP-treated: p = 0.0042). However, H&E and trichrome staining revealed more complete osseointegration and mature bone formation only in the BMP9-treated group. These results suggest that BMP9-transduced iCALs seeded in a PPCN-g thermoresponsive scaffold is capable of inducing bone formation in vivo and is an effective means of creating tissue engineered bone for critical sized defects.

MeSH terms

  • Animals
  • Cell Line
  • Fracture Healing*
  • Gelatin / chemistry
  • Growth Differentiation Factor 2
  • Growth Differentiation Factors* / biosynthesis
  • Growth Differentiation Factors* / genetics
  • Humans
  • Mesenchymal Stem Cells / metabolism*
  • Mice
  • Osseointegration*
  • Polyethylene Glycols / chemistry
  • Skull / injuries*
  • Tissue Scaffolds / chemistry*
  • Transduction, Genetic*

Substances

  • GDF2 protein, human
  • Growth Differentiation Factor 2
  • Growth Differentiation Factors
  • Polyethylene Glycols
  • Gelatin
  • polyethylene glycol 1000

Grants and funding

This study was supported by the pre-doctoral fellowship from the China Scholarship Council (JY), National Institute of Dental and Craniofacial Research, DE020140, Chicago Community Trust, and the National Center for Advancing Translational Sciences, UL1 TR000430 granted to Dr. Russell Reid. The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript.