Researchers with the Department of Orthopaedics at the Union Hospital of Huazhong University of Science and Technology seeded umbilical cord mesenchymal stem cells on a ‘cryogel’ biomaterial to treat osteoarthritis.
A 3D biomaterial scaffold design to slowly release stem cells has worked to ensure implanted stem cells stick around to relieve pain and reverse arthritis in mice knee joints. This reduces the use of stem cells by 90 percent, thus avoiding the challenge of redness, swelling and scar tissue that can arise from large doses of such stem cells, and potentially opening a path to reversal of osteoarthritis in humans for the first time. These results were published in Chemical Engineering Journal.
There is currently no treatment that can reverse the course of osteoarthritis, and the only options are to try to relieve pain. Stem cell therapy potentially offers hope and has been shown to alienate the disease, however a balanced dose of stem cells remains out of reach. A high dose of stem cells and the subject suffers redness, swelling and scar tissue. If the dose is too low, the therapy is only successful for a limited period due to gradual cell loss.
A team of researchers have found a way to overcome this dosage issue. Researchers with the Department of Orthopaedics at the Union Hospital of Huazhong University of Science and Technology seeded umbilical cord mesenchymal stem cells on a ‘cryogel’ biomaterial.
Mesenchymal stem cells (MSCs) are adult stem cells that can differentiate themselves into other types of cells. MSCs are sourced from bone marrow, fat, or umbilical cord tissue. Umbilical cord derived MSCs (UCMSCs) have emerged in recent years as popular therapeutic transplant cells because of their abundant supply, high proliferative capacity, and non-invasive harvesting procedure, and because they pose relatively minor ethical issues.
Cryogels are gel matrices that are formed at subzero temperatures. They have interconnected macropores (pores larger than 10 micrometers in diameter), much like a sponge. Much like a sponge, these holes can allow mass transport of small particles in them, cryogel biomaterials potentially have a range of biomedical uses.
Upon seeding of the stem cells on the cryogel biomaterial, the researchers found that the cells became stronger and showed enhanced therapeutic effects against osteoarthritis in mice. The cryogel also, crucially, ensured the implanted stem cells stayed in the knee joint area for a much longer time. This in turn allowed a reduction of the dosage of stem cells by 90 percent.
“It takes about two weeks for half of the implanted cells to leave, but their regenerative effects stick around for longer,” said corresponding author Wei Tong from the Department of Orthopedics of Union Hospital. “So, it is possible that the therapeutic result comes indirectly, via the stem cells secreting epidermal growth factors, which stimulate cell proliferation and healing, rather than directly becoming newly formed cartilage in the joint.”
The researchers also found that the cells were very powerful in reducing joint pain in the mice resulting from inflammation.
Following this proof of concept in mice, the researchers now want to test it out on non-human primates, and then ultimately use the stem cell-cryogel complex in clinical trials in humans with the hope of developing a new treatment for osteoarthritis that works to reverse the disease. [APBN]