Cell therapy approach for correction of osteoporosis-associated fractures using adipose-derived mesenchymal stem cells functionalized with osteophilic polymer

Authors

  • F. Olzhayev
  • Y. Safarova (Yantsen)
  • A. Tsoy
  • B. Umbayev
  • S. Askarova

DOI:

https://doi.org/10.26577/eb-2018-4-1364
        63 60

Abstract

Osteoporosis is a progressive systemic skeletal disease characterized by reduced bone density and disrupted microarchitecture of the bone tissue that leads to increased bone fragility and elevated risk of bone fractures. In osteoporotic condition decrease in bone density and strength happens not only due to the increased osteoclastic activity but also due to the decreased number of osteoblast cells precursors (mesenchymal stem cells) and development of so called “osteogenic insufficiency”. We proposed the new method of cell therapy with adipose derived mesenchymal stem cells (AT-MSCs) and surface modification with synthetic bisphosphonate osteophilic polymer that would restore the osteoblast  progenitor pool and at the same time inhibit osteoclastic activity in the regeneration zone of osteoporosis associated fractures. In current paper we have outlined the process of osteophilic polymer synthesis, isolation of homogenic population of AT-MSCs and assessment of the purity of obtained cell populations, assessment of polymer effect on cell proliferation and subsequent differentiation down the osteogenic lineage and polymer effect on the osteoclastic activity in vitro. According to the obtained data polymer was not found to be cytotoxic and did not affect the speed of MSCs proliferation. Surface modification with the polymer has no effect on cell osteogenic differentiation however inhibits phagocytic activity of bone marrow derived macrophages. Polymer functionalized MSCs could be subsequently used in further animal studies to assess the efficacy of suggested approach for stimulation of regenerative processes in vivo using the animal model of osteoporosis and osteoporosis associated fractures of compact bones.

Keywords: osteoporosis, osteoclasts, reparative osteogenesis, adipose mesenchymal stem cells, osteophilic polymer, cell therapy.

References

1 Hernlund E., Svedbom A., Ivergård M., Compston J., Cooper C., Stenmark J., McCloskey E.V., Jönsson B., Kanis J.A. Osteoporosis in the European Union: medical management, epidemiology and economic burden: A report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA) // Archives of Osteoporosis. -2013. -Vol. 8, № 1-2. - P. 136.
2 JA K. WHO Technical Report. — University of Sheffield, UK, 2007. — 66.
3 Gullberg B., Johnell O., Kanis J.A. World-wide projections for hip fracture // Osteoporos Int. -1997. -Vol. 7, № 5. - P. 407-413.
4 Johnell O., Kanis J.A. An estimate of the worldwide prevalence and disability associated with osteoporotic fractures // Osteoporos Int. -2006. -Vol. 17, № 12. - P. 1726-1733.
5 Giannoudis P., Tzioupis C., Almalki T., Buckley R. Fracture healing in osteoporotic fractures: is it really different? A basic science perspective // Injury. -2007. -Vol. 38 Suppl 1. - P. S90-99.
6 Bone H.G., Hosking D., Devogelaer J.P., Tucci J.R., Emkey R.D., Tonino R.P., Rodriguez-Portales J.A., Downs R.W., Gupta J., Santora A.C., Liberman U.A. Ten years' experience with alendronate for osteoporosis in postmenopausal women // N Engl J Med. -2004. -Vol. 350, № 12. - P. 1189-1199.
7 Cranney A., Wells G., Willan A., Griffith L., Zytaruk N., Robinson V., Black D., Adachi J., Shea B., Tugwell P., Guyatt G. Meta-analyses of therapies for postmenopausal osteoporosis. II. Meta-analysis of alendronate for the treatment of postmenopausal women // Endocr Rev. -2002. -Vol. 23, № 4. - P. 508-516.
8 Wells G., Cranney A., Peterson J., Boucher M., Shea B., Robinson V., Coyle D., Tugwell P. Risedronate for the primary and secondary prevention of osteoporotic fractures in postmenopausal women // Cochrane Database Syst Rev. -2008. № 1. - P. Cd004523.
9 Drake M.T., Clarke B.L., Khosla S. Bisphosphonates: mechanism of action and role in clinical practice // Mayo Clinic proceedings. -2008. -Vol. 83, № 9. - P. 1032-1045.
10 Teitelbaum S.L. Stem cells and osteoporosis therapy // Cell stem cell. -2010. -Vol. 7, № 5. - P. 553-554.
11 Cho S.W., Sun H.J., Yang J.Y., Jung J.Y., An J.H., Cho H.Y., Choi H.J., Kim S.W., Kim S.Y., Kim D., Shin C.S. Transplantation of mesenchymal stem cells overexpressing RANK-Fc or CXCR4 prevents bone loss in ovariectomized mice // Mol Ther. -2009. -Vol. 17, № 11. - P. 1979-1987.
12 Agacayak S., Gulsun B., Ucan M.C., Karaoz E., Nergiz Y. Effects of mesenchymal stem cells in critical size bone defect // Eur Rev Med Pharmacol Sci. -2012. -Vol. 16.
13 Breitbart E.A., Meade S., Azad V., Yeh S., Al-Zube L., Lee Y.S. Mesenchymal stem cells accelerate bone allograft incorporation in the presence of diabetes mellitus // J Orthop Res. -2010. -Vol. 28.
14 Chen K.Y., Dong G.C., Hsu C.Y., Chen Y.S., Yao C.H. Autologous bone marrow stromal cells loaded onto porous gelatin scaffolds containing Drynaria fortunei extract for bone repair // J Biomed Mater Res A. -2013. -Vol. 101.
15 Granero-Molto F., Weis J.A., Miga M.I., Landis B., Myers T.J., O’Rear L. Regenerative effects of transplanted mesenchymal stem cells in fracture healing // Stem Cells. -2009. -Vol. 27.
16 Ito H. Chemokines in mesenchymal stem cell therapy for bone repair: a novel concept of recruiting mesenchymal stem cells and the possible cell sources // Mod Rheumatol. -2011. -Vol. 21.
17 Pak J., Lee J.H., Park K.S., Jeon J.H., Lee S.H. Potential use of mesenchymal stem cells in human meniscal repair: current insights // Open Access J Sports Med. -2017. -Vol. 8. - P. 33-38.
18 Quarto R., Mastrogiacomo M., Cancedda R., Kutepov S.M., Mukhachev V., Lavroukov A. Repair of large bone defects with the use of autologous bone marrow stromal cells // N Engl J Med. -2001. -Vol. 344.
19 Shao J., Zhang W., Yang T. Using mesenchymal stem cells as a therapy for bone regeneration and repairing // Biological Research. -2015. -Vol. 48, № 1. - P. 1-7.
20 Singh J., Onimowo J.O., Khan W.S. Bone marrow derived stem cells in trauma and orthopaedics: a review of the current trend // Curr Stem Cell Res Ther. -2014. -Vol. 10.
21 Tasso R., Ulivi V., Reverberi D., Lo S.C., Descalzi F., Cancedda R. In vivo implanted bone marrow-derived mesenchymal stem cells trigger a cascade of cellular events leading to the formation of an ectopic bone regenerative niche // Stem Cells Dev. -2013. -Vol. 22.
22 Voss P.J., Matsumoto A., Alvarado E., Schmelzeisen R., Duttenhofer F., Poxleitner P. Treatment of stage II medication-related osteonecrosis of the jaw with necrosectomy and autologous bone marrow mesenchymal stem cells // Odontology. -2017.
23 Huang S., Xu L., Zhang Y., Sun Y., Li G. Systemic and Local Administration of Allogeneic Bone Marrow-Derived Mesenchymal Stem Cells Promotes Fracture Healing in Rats // Cell Transplant. -2015. -Vol. 24, № 12. - P. 2643-2655.
24 Horwitz E.M., Prockop D.J., Fitzpatrick L.A., Koo W.W., Gordon P.L., Neel M., Sussman M., Orchard P., Marx J.C., Pyeritz R.E., Brenner M.K. Transplantability and therapeutic effects of bone marrow-derived mesenchymal cells in children with osteogenesis imperfecta // Nature medicine. -1999. -Vol. 5, № 3. - P. 309-313.
25 Cancedda R., Bianchi G., Derubeis A., Quarto R. Cell therapy for bone disease: a review of current status // Stem cells. -2003. -Vol. 21, № 5. - P. 610-619.
26 Horwitz E.M., Prockop D.J., Gordon P.L., Koo W.W., Fitzpatrick L.A., Neel M.D., McCarville M.E., Orchard P.J., Pyeritz R.E., Brenner M.K. Clinical responses to bone marrow transplantation in children with severe osteogenesis imperfecta // Blood. -2001. -Vol. 97, № 5. - P. 1227-1231.
27 Gangji V., Hauzeur J.P. Treatment of osteonecrosis of the femoral head with implantation of autologous bone-marrow cells. Surgical technique // The Journal of bone and joint surgery. American volume. -2005. -Vol. 87 Suppl 1, № Pt 1. - P. 106-112.
28 Onishi K., Jones D.L., Riester S.M., Lewallen E.A., Lewallen D.G., Sellon J.L., Dietz A.B., Qu W., van Wijnen A.J., Smith J. Human Adipose-Derived Mesenchymal Stromal/Stem Cells Remain Viable and Metabolically Active Following Needle Passage // Pm r. -2016. -Vol. 8, № 9. - P. 844-854.
29 De Becker A., Riet I.V. Homing and migration of mesenchymal stromal cells: How to improve the efficacy of cell therapy? // World journal of stem cells. -2016. -Vol. 8, № 3. - P. 73-87.
30 Schrepfer S., Deuse T., Reichenspurner H., Fischbein M.P., Robbins R.C., Pelletier M.P. Stem cell transplantation: the lung barrier // Transplantation proceedings. -2007. -Vol. 39, № 2. - P. 573-576.
31 Fischer U.M., Harting M.T., Jimenez F., Monzon-Posadas W.O., Xue H., Savitz S.I., Laine G.A., Cox C.S., Jr. Pulmonary passage is a major obstacle for intravenous stem cell delivery: the pulmonary first-pass effect // Stem cells and development. -2009. -Vol. 18, № 5. - P. 683-692.
32 Eggenhofer E., Benseler V., Kroemer A., Popp F.C., Geissler E.K., Schlitt H.J., Baan C.C., Dahlke M.H., Hoogduijn M.J. Mesenchymal stem cells are short-lived and do not migrate beyond the lungs after intravenous infusion // Frontiers in immunology. -2012. -Vol. 3. - P. 297.
33 Kurtz A. Mesenchymal stem cell delivery routes and fate // International journal of stem cells. -2008. -Vol. 1, № 1. - P. 1-7.
34 Kidd S., Spaeth E., Dembinski J.L., Dietrich M., Watson K., Klopp A., Battula V.L., Weil M., Andreeff M., Marini F.C. Direct evidence of mesenchymal stem cell tropism for tumor and wounding microenvironments using in vivo bioluminescent imaging // Stem cells. -2009. -Vol. 27, № 10. - P. 2614-2623.
35 Sarkar D., Spencer J.A., Phillips J.A., Zhao W., Schafer S., Spelke D.P., Mortensen L.J., Ruiz J.P., Vemula P.K., Sridharan R., Kumar S., Karnik R., Lin C.P., Karp J.M. Engineered cell homing // Blood. -2011. -Vol. 118, № 25. - P. e184-191.
36 Guan M., Yao W., Liu R., Lam K.S., Nolta J., Jia J., Panganiban B., Meng L., Zhou P., Shahnazari M., Ritchie R.O., Lane N.E. Directing mesenchymal stem cells to bone to augment bone formation and increase bone mass // Nature medicine. -2012. -Vol. 18, № 3. - P. 456-462.
37 Yao W., Lane N.E. Targeted delivery of mesenchymal stem cells to the bone // Bone. -2015. -Vol. 70. - P. 62-65.
38 D'Souza S., Murata H., Jose M.V., Askarova S., Yantsen Y., Andersen J.D., Edington C.D., Clafshenkel W.P., Koepsel R.R., Russell A.J. Engineering of cell membranes with a bisphosphonate-containing polymer using ATRP synthesis for bone targeting // Biomaterials. -2014. -Vol. 35, № 35. - P. 9447-9458.
39 Arana M., Mazo M., Aranda P., Pelacho B., Prosper F. Adipose tissue-derived mesenchymal stem cells: isolation, expansion, and characterization // Methods in molecular biology. -2013. -Vol. 1036. - P. 47-61.
40 Tevlin R., McArdle A., Chan C.K.F., Pluvinage J., Walmsley G.G., Wearda T., Marecic O., Hu M.S., Paik K.J., Senarath-Yapa K., Atashroo D.A., Zielins E.R., Wan D.C., Weissman I.L., Longaker M.T. Osteoclast Derivation from Mouse Bone Marrow // Jove-Journal of Visualized Experiments. -2014. № 93.
41 Martins C.A., Leyhausen G., Volk J., Geurtsen W. Effects of Alendronate on Osteoclast Formation and Activity In Vitro // Journal of Endodontics. -2015. -Vol. 41, № 1. - P. 45-49.

References

Agacayak S, B Gulsun, MC Ucan, E Karaoz, Y Nergiz (2012) Effects of mesenchymal stem cells in critical size bone defect. Eur Rev Med Pharmacol Sci vol. 16.
Arana M, M Mazo, P Aranda, B Pelacho, F Prosper (2013) Adipose tissue-derived mesenchymal stem cells: Isolation, expansion, and characterization. Methods Mol Biol vol. 1036, pp. 47-61.
Bone HG, D Hosking, JP Devogelaer, JR Tucci, RD Emkey, RP Tonino, JA Rodriguez-Portales, RW Downs, J Gupta, AC Santora, UA Liberman (2004) Ten years' experience with alendronate for osteoporosis in postmenopausal women. The New England journal of medicine vol. 350, pp. 1189-1199.
Breitbart EA, S Meade, V Azad, S Yeh, L Al-Zube, YS Lee (2010) Mesenchymal stem cells accelerate bone allograft incorporation in the presence of diabetes mellitus. J Orthop Res vol. 28.
Cancedda R, G Bianchi, A Derubeis, R Quarto (2003) Cell therapy for bone disease: A review of current status. Stem Cells vol. 21, pp. 610-619.
Chen KY, GC Dong, CY Hsu, YS Chen, CH Yao (2013) Autologous bone marrow stromal cells loaded onto porous gelatin scaffolds containing drynaria fortunei extract for bone repair. J Biomed Mater Res A vol. 101.
Cho SW, HJ Sun, JY Yang, JY Jung, JH An, HY Cho, HJ Choi, SW Kim, SY Kim, D Kim, CS Shin (2009) Transplantation of mesenchymal stem cells overexpressing rank-fc or cxcr4 prevents bone loss in ovariectomized mice. Molecular therapy : the journal of the American Society of Gene Therapy vol. 17, pp. 1979-1987.
Cranney A, G Wells, A Willan, L Griffith, N Zytaruk, V Robinson, D Black, J Adachi, B Shea, P Tugwell, G Guyatt (2002) Meta-analyses of therapies for postmenopausal osteoporosis. Ii. Meta-analysis of alendronate for the treatment of postmenopausal women. Endocrine reviews vol. 23, pp. 508-516.
D'Souza S, H Murata, MV Jose, S Askarova, Y Yantsen, JD Andersen, CD Edington, WP Clafshenkel, RR Koepsel, AJ Russell (2014) Engineering of cell membranes with a bisphosphonate-containing polymer using atrp synthesis for bone targeting. Biomaterials vol. 35, pp. 9447-9458.
De Becker A, IV Riet (2016) Homing and migration of mesenchymal stromal cells: How to improve the efficacy of cell therapy? World J Stem Cells vol. 8, pp. 73-87.
Drake MT, BL Clarke, S Khosla (2008) Bisphosphonates: Mechanism of action and role in clinical practice. Mayo Clin Proc vol. 83, pp. 1032-1045.
Eggenhofer E, V Benseler, A Kroemer, FC Popp, EK Geissler, HJ Schlitt, CC Baan, MH Dahlke, MJ Hoogduijn (2012) Mesenchymal stem cells are short-lived and do not migrate beyond the lungs after intravenous infusion. Front Immunol vol. 3, pp. 297.
Fischer UM, MT Harting, F Jimenez, WO Monzon-Posadas, H Xue, SI Savitz, GA Laine, CS Cox, Jr. (2009) Pulmonary passage is a major obstacle for intravenous stem cell delivery: The pulmonary first-pass effect. Stem Cells Dev vol. 18, pp. 683-692.
Gangji V, JP Hauzeur (2005) Treatment of osteonecrosis of the femoral head with implantation of autologous bone-marrow cells. Surgical technique. J Bone Joint Surg Am vol. 87 Suppl 1, pp. 106-112.
Giannoudis P, C Tzioupis, T Almalki, R Buckley (2007) Fracture healing in osteoporotic fractures: Is it really different? A basic science perspective. Injury vol. 38 Suppl 1, pp. S90-99.
Granero-Molto F, JA Weis, MI Miga, B Landis, TJ Myers, L O’Rear (2009) Regenerative effects of transplanted mesenchymal stem cells in fracture healing. Stem Cells vol. 27.
Guan M, W Yao, R Liu, KS Lam, J Nolta, J Jia, B Panganiban, L Meng, P Zhou, M Shahnazari, RO Ritchie, NE Lane (2012) Directing mesenchymal stem cells to bone to augment bone formation and increase bone mass. Nat Med vol. 18, pp. 456-462.
Gullberg B, O Johnell, JA Kanis (1997) World-wide projections for hip fracture. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA vol. 7, pp. 407-413.
Hernlund E, A Svedbom, M Ivergård, J Compston, C Cooper, J Stenmark, EV McCloskey, B Jönsson, JA Kanis (2013) Osteoporosis in the european union: Medical management, epidemiology and economic burden: A report prepared in collaboration with the international osteoporosis foundation (iof) and the european federation of pharmaceutical industry associations (efpia). Archives of Osteoporosis vol. 8, pp. 136.
Horwitz EM, DJ Prockop, LA Fitzpatrick, WW Koo, PL Gordon, M Neel, M Sussman, P Orchard, JC Marx, RE Pyeritz, MK Brenner (1999) Transplantability and therapeutic effects of bone marrow-derived mesenchymal cells in children with osteogenesis imperfecta. Nat Med vol. 5, pp. 309-313.
Horwitz EM, DJ Prockop, PL Gordon, WW Koo, LA Fitzpatrick, MD Neel, ME McCarville, PJ Orchard, RE Pyeritz, MK Brenner (2001) Clinical responses to bone marrow transplantation in children with severe osteogenesis imperfecta. Blood vol. 97, pp. 1227-1231.
Huang S, L Xu, Y Zhang, Y Sun, G Li (2015) Systemic and local administration of allogeneic bone marrow-derived mesenchymal stem cells promotes fracture healing in rats. Cell Transplant vol. 24, pp. 2643-2655.
Ito H (2011) Chemokines in mesenchymal stem cell therapy for bone repair: A novel concept of recruiting mesenchymal stem cells and the possible cell sources. Mod Rheumatol vol. 21.
JA K. 2007. Who technical report. University of Sheffield, UK.
Johnell O, JA Kanis (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA vol. 17, pp. 1726-1733.
Kidd S, E Spaeth, JL Dembinski, M Dietrich, K Watson, A Klopp, VL Battula, M Weil, M Andreeff, FC Marini (2009) Direct evidence of mesenchymal stem cell tropism for tumor and wounding microenvironments using in vivo bioluminescent imaging. Stem Cells vol. 27, pp. 2614-2623.
Kurtz A (2008) Mesenchymal stem cell delivery routes and fate. Int J Stem Cells vol. 1, pp. 1-7.
Martins CA, G Leyhausen, J Volk, W Geurtsen (2015) Effects of alendronate on osteoclast formation and activity in vitro. J Endodont vol. 41, pp. 45-49.
Onishi K, DL Jones, SM Riester, EA Lewallen, DG Lewallen, JL Sellon, AB Dietz, W Qu, AJ van Wijnen, J Smith (2016) Human adipose-derived mesenchymal stromal/stem cells remain viable and metabolically active following needle passage. PM & R : the journal of injury, function, and rehabilitation vol. 8, pp. 844-854.
Pak J, JH Lee, KS Park, JH Jeon, SH Lee (2017) Potential use of mesenchymal stem cells in human meniscal repair: Current insights. Open access journal of sports medicine vol. 8, pp. 33-38.
Quarto R, M Mastrogiacomo, R Cancedda, SM Kutepov, V Mukhachev, A Lavroukov (2001) Repair of large bone defects with the use of autologous bone marrow stromal cells. N Engl J Med vol. 344.
Sarkar D, JA Spencer, JA Phillips, W Zhao, S Schafer, DP Spelke, LJ Mortensen, JP Ruiz, PK Vemula, R Sridharan, S Kumar, R Karnik, CP Lin, JM Karp (2011) Engineered cell homing. Blood vol. 118, pp. e184-191.
Schrepfer S, T Deuse, H Reichenspurner, MP Fischbein, RC Robbins, MP Pelletier (2007) Stem cell transplantation: The lung barrier. Transplant Proc vol. 39, pp. 573-576.
Shao J, W Zhang, T Yang (2015) Using mesenchymal stem cells as a therapy for bone regeneration and repairing. Biological Research vol. 48, pp. 1-7.
Singh J, JO Onimowo, WS Khan (2014) Bone marrow derived stem cells in trauma and orthopaedics: A review of the current trend. Curr Stem Cell Res Ther vol. 10.
Tasso R, V Ulivi, D Reverberi, SC Lo, F Descalzi, R Cancedda (2013) In vivo implanted bone marrow-derived mesenchymal stem cells trigger a cascade of cellular events leading to the formation of an ectopic bone regenerative niche. Stem Cells Dev vol. 22.
Teitelbaum SL (2010) Stem cells and osteoporosis therapy. Cell Stem Cell vol. 7, pp. 553-554.
Tevlin R, A McArdle, CKF Chan, J Pluvinage, GG Walmsley, T Wearda, O Marecic, MS Hu, KJ Paik, K Senarath-Yapa, DA Atashroo, ER Zielins, DC Wan, IL Weissman, MT Longaker (2014) Osteoclast derivation from mouse bone marrow. Jove-J Vis Exp vol.
Voss PJ, A Matsumoto, E Alvarado, R Schmelzeisen, F Duttenhofer, P Poxleitner (2017) Treatment of stage ii medication-related osteonecrosis of the jaw with necrosectomy and autologous bone marrow mesenchymal stem cells. Odontology vol.
Wells G, A Cranney, J Peterson, M Boucher, B Shea, V Robinson, D Coyle, P Tugwell (2008) Risedronate for the primary and secondary prevention of osteoporotic fractures in postmenopausal women. The Cochrane database of systematic reviews vol., pp. Cd004523.
Yao W, NE Lane (2015) Targeted delivery of mesenchymal stem cells to the bone. Bone vol. 70, pp. 62-65.

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Published

2019-01-31

How to Cite

Olzhayev, F., Safarova (Yantsen), Y., Tsoy, A., Umbayev, B., & Askarova, S. (2019). Cell therapy approach for correction of osteoporosis-associated fractures using adipose-derived mesenchymal stem cells functionalized with osteophilic polymer. Experimental Biology, 77(4), 58–72. https://doi.org/10.26577/eb-2018-4-1364

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