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PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2010-1-14
pubmed:abstractText
We report a novel technology for the rapid healing of large osseous and chondral defects, based upon the genetic modification of autologous skeletal muscle and fat grafts. These tissues were selected because they not only possess mesenchymal progenitor cells and scaffolding properties, but also can be biopsied, genetically modified and returned to the patient in a single operative session. First generation adenovirus vector carrying cDNA encoding human bone morphogenetic protein-2 (Ad.BMP-2) was used for gene transfer to biopsies of muscle and fat. To assess bone healing, the genetically modified ("gene activated") tissues were implanted into 5mm-long critical size, mid-diaphyseal, stabilized defects in the femora of Fischer rats. Unlike control defects, those receiving gene-activated muscle underwent rapid healing, with evidence of radiologic bridging as early as 10 days after implantation and restoration of full mechanical strength by 8 weeks. Histologic analysis suggests that the grafts rapidly differentiated into cartilage, followed by efficient endochondral ossification. Fluorescence in situ hybridization detection of Y-chromosomes following the transfer of male donor muscle into female rats demonstrated that at least some of the osteoblasts of the healed bone were derived from donor muscle. Gene activated fat also healed critical sized defects, but less quickly than muscle and with more variability. Anti-adenovirus antibodies were not detected. Pilot studies in a rabbit osteochondral defect model demonstrated the promise of this technology for healing cartilage defects. Further development of these methods should provide ways to heal bone and cartilage more expeditiously, and at lower cost, than is presently possible.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1473-2262
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
18
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
96-111
pubmed:meshHeading
pubmed-meshheading:20073015-Adipose Tissue, pubmed-meshheading:20073015-Animals, pubmed-meshheading:20073015-Bone Diseases, pubmed-meshheading:20073015-Bone Morphogenetic Protein 2, pubmed-meshheading:20073015-Bone Regeneration, pubmed-meshheading:20073015-Cartilage Diseases, pubmed-meshheading:20073015-Cell Differentiation, pubmed-meshheading:20073015-Cell Line, pubmed-meshheading:20073015-Cell Lineage, pubmed-meshheading:20073015-Disease Models, Animal, pubmed-meshheading:20073015-Female, pubmed-meshheading:20073015-Femur, pubmed-meshheading:20073015-Gene Expression Regulation, Developmental, pubmed-meshheading:20073015-Gene Therapy, pubmed-meshheading:20073015-Gene Transfer Techniques, pubmed-meshheading:20073015-Genetic Vectors, pubmed-meshheading:20073015-Graft Survival, pubmed-meshheading:20073015-Humans, pubmed-meshheading:20073015-Male, pubmed-meshheading:20073015-Muscle, Skeletal, pubmed-meshheading:20073015-Rabbits, pubmed-meshheading:20073015-Rats, pubmed-meshheading:20073015-Rats, Inbred F344, pubmed-meshheading:20073015-Tissue Transplantation, pubmed-meshheading:20073015-Transplantation, Autologous, pubmed-meshheading:20073015-Treatment Outcome, pubmed-meshheading:20073015-Wound Healing
pubmed:year
2009
pubmed:articleTitle
Use of genetically modified muscle and fat grafts to repair defects in bone and cartilage.
pubmed:affiliation
Center for Molecular Orthopaedics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. cevans@bidmc.harvard.edu
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural