Cell therapy for tendinitis, experimental and clinical report.
Abstract: To compare cultured bone marrow mesenchymal cells (cBMSC), bone marrow mononucleated cells (BMMNCs), and placebo to repair collagenase-induced tissue damage in an equine model of experimental tendonitis, 6 Standardbred horses with no signs of previous SDF tendon injury have been recruited. Three weeks after collagenase treatment an average of either 5.5 x 10(6) cBMSCs or 122.3 x 10(6) BMMNCs, saline solution (placebo) or fibrin glue were injected intralesionally in random order. Horses were stall rested for 21 weeks, and tendon ultrasound scans performed before and during this period. Horses were euthanized and tendons harvested for histology and immunohistochemistry. Data observed in this study showed effectiveness of cBMSC and BMMNC in regenerating tendon tissue after collagenase -induced tendonitis. Both cBMSC and BMMNC transplantation resulted in qualitatively similar regeneration of tendon extracellular matrix in terms of type I/III collagen ratio, fiber orientation, and COMP expression. After this favourable results, 20 horses were recruited referred for spontaneous lesions of the flexor tendons or the suspensory ligament. Horses were treated with autologous graft of BMMNCs.After treatment the. the exercise program allowed was 8 weeks stall rest, 4 weeks hand walking, 4 weeks trotting, 4 weeks of gradually raising of exercise level then horses were gone back to race. US characteristics of lesions started to improve at T3. CSA-l, FPS and TLS were better in all patients, with an appreciable filling of lesions indicated by a decreasing of CSA-l and increasing of TLS. When horses started the exercise program T8 tendon architecture improved, demonstrated by their longitudinal alignment and length. At T6, and persistently in later follow-up, no lameness was evident by clinical examination. At time of writing 12 patients (60%) were go back to races, while other 8 (40%) are under controlled exercise program. Re-injury rate was assessed at 25%. All the owners judged good to excellent the outcome in term of athletic success.
Publication Date: 2008-08-08 PubMed ID: 18686004DOI: 10.1007/s11259-008-9085-3Google Scholar: Lookup
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Summary
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This research studied the effectiveness of using cultured bone marrow mesenchymal cells (cBMSC) and bone marrow mononucleated cells (BMMNCs) in treating tendinitis in horses. The results showed promising regeneration of damaged tendon tissue and a significant number of the studied horses were able to return to racing after treatment.
Overview of the Study
- This study aimed to compare the effectiveness of cultured bone marrow mesenchymal cells (cBMSC), bone marrow mononucleated cells (BMMNCs), and a saline solution (placebo) in repairing collagenase-induced tissue damage in an equine experimental tendonitis model.
- Throughout the research, ultrasound scans were carried out before and after treatment to monitor the condition of the tendons in the different groups of horses.
Experimental Observations
- The results demonstrated the effectiveness of both cBMSC and BMMNC in regenerating tendon tissue after induced tendonitis.
- The regeneration of the tendon extracellular matrix was seen to be qualitatively similar in terms of type I/III collagen ratio, fiber orientation, and COMP expression.
Treatment and Results of Clinical Cases
- After the positive results from the experimental study, the treatment was applied to 20 horses suffering from spontaneous lesions of the flexor tendons or the suspensory ligament.
- Changes in ultrasound characteristics of lesions were recorded, improvements were observed in all patients.
- Signs of regenerated tendon architecture were evident at the time the horses began their exercise programme.
- At the time of writing, 12 of the horses (60%) had returned to races, while the remaining 8 (40%) were under a controlled exercise programme.
- The rate of re-injury was recorded to be 25%, and all the owners reported favorable outcomes in terms of athletic success.
Conclusions
- The study concluded that cell therapy using bone marrow mesenchymal cells and bone marrow mononucleated cells can effectively repair damaged tissue in tendonitis. The treatment method has resulted in successful athletic recovery for a majority of the treated horses, thus indicating its potential application in treating tendon injuries in equine veterinary practice.
Cite This Article
APA
Lacitignola L, Crovace A, Rossi G, Francioso E.
(2008).
Cell therapy for tendinitis, experimental and clinical report.
Vet Res Commun, 32 Suppl 1, S33-S38.
https://doi.org/10.1007/s11259-008-9085-3 Publication
Researcher Affiliations
- Dipartimento Scienze Cliniche Veterinarie, Teramo, Italy.
MeSH Terms
- Animals
- Bone Marrow Transplantation / veterinary
- Cell- and Tissue-Based Therapy / methods
- Cell- and Tissue-Based Therapy / veterinary
- Fibrin Tissue Adhesive / therapeutic use
- Horse Diseases / surgery
- Horse Diseases / therapy
- Horses
- Humans
- Mesenchymal Stem Cell Transplantation / methods
- Mesenchymal Stem Cell Transplantation / veterinary
- Sheep
- Sheep Diseases / surgery
- Sheep Diseases / therapy
- Tendinopathy / surgery
- Tendinopathy / therapy
- Tendinopathy / veterinary
- Treatment Outcome
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Citations
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