Evaluation of bone marrow-derived mesenchymal stem cell quality from patients with congenital pseudoarthrosis of the tibia

• Published in: Journal of orthopaedic surgery and research Vol. 13; no. 1; pp. 266 - 8
• Main Authors: Dilogo, Ismail Hadisoebroto, Mujadid, Fajar, Nurhayati, Retno Wahyu, Kurniawan, Aryadi
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 23.10.2018; BioMed Central; BMC
• Subjects: Adolescent; Adult; Autografts; Biomedical materials; Bone growth; Bone healing; Bone marrow; Bone Marrow Cells - pathology; Care and treatment; Cell differentiation; Cell Differentiation - physiology; Cell Proliferation - physiology; Cell Separation - methods; Cells, Cultured; Cellular Senescence - physiology; Flow Cytometry; Fractures; Health aspects; Humans; Iliac crest; Ilium - pathology; Mesenchymal stem cells; Mesenchymal Stem Cells - pathology; Mesenchyme; Methods; Middle Aged; Orthopedics; Osteocytes; Osteogenesis - physiology; Patients; Pediatrics; Phenotype; Phenotypes; Pseudarthrosis - congenital; Pseudarthrosis - pathology; Pseudoarthrosis; Quality; Regeneration; Senescence; Stem cells; Tibia; Tibia - pathology; Young Adult; United States > US; Indonesia; Pseudoarthrosis; Osteocytes; Cell differentiation; Mesenchymal stem cells
• ISSN: 1749-799X; 1749-799X
• DOI: 10.1186/s13018-018-0977-9

The treatment of congenital pseudoarthrosis of the tibia (CPT) remains challenging in pediatric orthopedics due to the difficulties in bone union, continuous angulation, joint stiffness, and severe limb length discrepancy. Mesenchymal stem cells (MSCs) therapy offers a complementary approach to improve the conventional surgical treatments. Although the autologous MSC treatment shows a promising strategy to promote bone healing in CPT patients, the quality of MSCs from CPT patients has not been well studied. The purpose of this study is to investigate the quality of MSCs isolated from patients with CPT. The bone marrow-derived MSCs from the fracture site and iliac crest of six CPT patients were isolated and compared. The cumulative population doubling level (cPDL), phenotype characteristics, and trilineage differentiation potency were observed to assess the quality of both MSCs. There were no significant differences of the MSCs derived from the fracture site and the MSCs from the iliac crest of the subjects, in terms of cPDL, phenotype characteristics, and trilineage differentiation potency (all p > 0.05). However, MSCs from the fracture site had a higher senescence tendency than those from the iliac crest. MSC quality is not the main reason for delayed bone regeneration in those with CPT. Thus, autologous MSC is a promising source for treating CPT patients.