Regeneration of osteonecrosis of canine scapho-lunate using bone marrow stromal cells: possible therapeutic approach for Kienböck disease

Cell Transplant. 2006;15(5):411-22. doi: 10.3727/000000006783981800.

Abstract

We evaluated the ability of canine bone marrow stromal cells (cBMSCs) to regenerate bone in a cavity of the scapholunate created by curretage and freeze-thawing with liquid nitrogen (LN). Autologous BMSCs were harvested from the iliac crest and expanded in vitro. Their potential to differentiate into osteo-, chondro-, and adipogenic lineages was confirmed using a standard differentiation induction assay. LN-treated scapholunates showed no regeneration of bone tissue when the cavity was left alone, demonstrating severe collapse and deformity as observed in human Kienböck disease. A combination of beta-tri-calcium phosphate and a vascularized bone graft with autologous fibroblasts failed to regenerate bone in the LN-treated cavity. When the same procedure was performed using BMSCs, however, LN-treated scapholunates showed no collapse and deformity, and the cavity was completely filled with normal cancerous bone within 4 weeks. These results suggested the potential of using BMSCs to treat Kienböck disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adipogenesis / physiology
  • Animals
  • Bone Marrow Cells / cytology*
  • Bone Marrow Cells / physiology
  • Bone Marrow Transplantation / methods*
  • Bone Regeneration / drug effects
  • Bone Regeneration / physiology*
  • Calcium Phosphates / therapeutic use
  • Cell Culture Techniques / methods
  • Cell Differentiation / drug effects
  • Cell Differentiation / physiology
  • Cells, Cultured
  • Chondrogenesis / drug effects
  • Chondrogenesis / physiology
  • Dogs
  • Lunate Bone / drug effects
  • Lunate Bone / physiology
  • Lunate Bone / surgery*
  • Magnetic Resonance Imaging / methods
  • Nitrogen / therapeutic use
  • Osteochondritis / therapy
  • Osteogenesis / drug effects
  • Osteogenesis / physiology
  • Osteonecrosis / diagnostic imaging
  • Osteonecrosis / physiopathology
  • Osteonecrosis / therapy*
  • Radiography
  • Stromal Cells / cytology*
  • Stromal Cells / transplantation
  • Transplantation, Autologous

Substances

  • Calcium Phosphates
  • calcium phosphate
  • Nitrogen