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Stem cells international2019; 2019; 9431894; doi: 10.1155/2019/9431894

Intra-Articular Injection of 2 Different Dosages of Autologous and Allogeneic Bone Marrow- and Umbilical Cord-Derived Mesenchymal Stem Cells Triggers a Variable Inflammatory Response of the Fetlock Joint on 12 Sound Experimental Horses.

Abstract: Osteoarthritis is a significant and costly cause of pain for both humans and horses. The horse has been identified as a suitable model for human osteoarthritis. Regenerative therapy with allogeneic mesenchymal stem cells (MSCs) is a promising treatment, but the safety of this procedure continues to be debated. The aim of this study is to evaluate the safety of intra-articular injections of allogeneic MSCs on healthy joints by comparing two different dosages and two different tissue sources, namely, bone marrow and umbilical cord blood, with a placebo treatment on the same individuals. We also assessed the influence of autologous versus allogeneic cells for bone marrow-derived MSC treatment. Twelve clinically sound horses were subjected to injections in their 4 fetlock joints. Each of the three fetlocks was administered a different MSC type, and the remaining fetlock was injected with phosphate-buffered saline as a control. Six horses received 10 million cells per joint, and the 6 other horses received 20 million cells per joint. Clinical and ultrasound monitoring revealed that allogeneic bone marrow-derived MSCs induced significantly more synovial effusion compared to umbilical cord blood-derived MSCs but no significant difference was noted within the synovial fluid parameters. The administration of 10 million cells in horses triggered significantly more inflammatory signs than the administration of 20 million cells. Mesenchymal stem cell injections induced mild to moderate local inflammatory signs compared to the placebo, with individual variability in the sensitivity to the same line of MSCs. Understanding the behavior of stem cells when injected alone is a step towards the safer use of new strategies in stem cell therapy, where the use of either MSC secretome or MSCs combined with biomaterials could enhance their viability and metabolic activity.
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Publication Date: 2019-05-02 PubMed ID: 31191689PubMed Central: PMC6525957DOI: 10.1155/2019/9431894Google Scholar: Lookup
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Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research article investigates the safety of using two different types of mesenchymal stem cells (MSCs) and two different dosages for treating osteoarthritis in horses. The study used 12 healthy horses and noted a variable inflammatory response, raising questions on the safety of such procedures.

Methodology of the Study

  • The study involved 12 clinically sound horses with healthy joints.
  • Each of the four fetlock joints of the horses were injected with different treatments. Three joints received different types of MSCs, namely, autologous and allogeneic bone marrow-, and umbilical cord-derived MSCs. The fourth joint was injected with phosphate-buffered saline as a control.
  • The horses were split into two groups. Six horses received 10 million cells per joint, while the remaining six received 20 million cells per joint.

Findings of the Study

  • It was found that all types of stem cell injections induced some degree of local inflammatory response when compared to the control injection.
  • The use of allogeneic bone marrow-derived MSCs caused significantly more synovial effusion when compared to MSCs derived from umbilical cord blood.
  • There was no significant difference in the synovial fluid parameters across different treatments.
  • Interestingly, the administration of a lower dosage (10 million cells) triggered more local inflammatory signs than the higher dosage (20 million cells).
  • There was also a noticeable individual variability in the response to the same type of MSCs, raising questions on the predictability and safety of the procedure.

Implications of the Findings

  • This study raises important questions on the safety and effectiveness of using MSCs for regenerative therapy in osteoarthritis, especially considering the variable inflammatory response.
  • The findings will provide useful insights into the behavior of stem cells when injected alone, which could help in improving the safety of stem cell therapies.
  • The study could also pave the way for new strategies in stem cell therapy. These might involve using the secretome of MSCs or combining MSCs with biomaterials to enhance viability and metabolic activity.

Cite This Article

APA
Bertoni L, Branly T, Jacquet S, Desancé M, Desquilbet L, Rivory P, Hartmann DJ, Denoix JM, Audigié F, Galéra P, Demoor M. (2019). Intra-Articular Injection of 2 Different Dosages of Autologous and Allogeneic Bone Marrow- and Umbilical Cord-Derived Mesenchymal Stem Cells Triggers a Variable Inflammatory Response of the Fetlock Joint on 12 Sound Experimental Horses. Stem Cells Int, 2019, 9431894. https://doi.org/10.1155/2019/9431894

Publication

Stem cells international
ISSN: 1687-966X
NlmUniqueID: 101535822
Country: United States
Language: English
Volume: 2019
Pages: 9431894

Researcher Affiliations

Bertoni, Lélia
  • CIRALE, USC 957, BPLC, INRA, Ecole Nationale Vétérinaire d'Alfort, Maisons-Alfort F-94700, France.
Branly, Thomas
  • Normandie University, UNICAEN, BIOTARGEN, 14000 Caen, France.
Jacquet, Sandrine
  • CIRALE, USC 957, BPLC, INRA, Ecole Nationale Vétérinaire d'Alfort, Maisons-Alfort F-94700, France.
Desancé, Mélanie
  • Normandie University, UNICAEN, BIOTARGEN, 14000 Caen, France.
Desquilbet, Loïc
  • U955-IMRB, Inserm, Ecole Nationale Vétérinaire d'Alfort, UPEC, Maisons-Alfort F-94700, France.
Rivory, Pascaline
  • NOVOTEC, ZAC du Chêne, Europarc, 69500 Bron, France.
Hartmann, Daniel-Jean
  • NOVOTEC, ZAC du Chêne, Europarc, 69500 Bron, France.
Denoix, Jean-Marie
  • CIRALE, USC 957, BPLC, INRA, Ecole Nationale Vétérinaire d'Alfort, Maisons-Alfort F-94700, France.
Audigié, Fabrice
  • CIRALE, USC 957, BPLC, INRA, Ecole Nationale Vétérinaire d'Alfort, Maisons-Alfort F-94700, France.
Galéra, Philippe
  • Normandie University, UNICAEN, BIOTARGEN, 14000 Caen, France.
Demoor, Magali
  • Normandie University, UNICAEN, BIOTARGEN, 14000 Caen, France.

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