Academic Journal

The transplantation of particulated juvenile allograft cartilage and synovium for the repair of meniscal defect in a lapine model

التفاصيل البيبلوغرافية
العنوان: The transplantation of particulated juvenile allograft cartilage and synovium for the repair of meniscal defect in a lapine model
المؤلفون: Wenqiang Yan, Maihemuti Maimaitimin, Fengyuan Zhao, Yifei Fan, Shuai Yang, Yuwan Li, Chenxi Cao, Zhenxing Shao, Ziming Liu, Xiaoqing Hu, Yingfang Ao, Jin Cheng
المصدر: Journal of Orthopaedic Translation, Vol 33, Iss , Pp 72-89 (2022)
بيانات النشر: Elsevier, 2022.
سنة النشر: 2022
المجموعة: LCC:Diseases of the musculoskeletal system
مصطلحات موضوعية: Particulated juvenile allograft cartilage, Synovium, Meniscal injury, Meniscal repair, Donor cell survival, Diseases of the musculoskeletal system, RC925-935
الوصف: Background: Synovium has been confirmed to be the primary contributor to meniscal repair. Particulated Juvenile Allograft Cartilage (PJAC) has demonstrated promising clinical effect on repairing cartilage. The synergistic effect of synovium and PJAC transplant on meniscal fibrocartilaginous repair is unclear. We hypothesize that the transplantation of synovium and PJAC synergistically facilitates meniscal regeneration and the donor cells within graft tissues still survive in the regenerated tissue at the last follow up (16 weeks postoperatively). Methods: The study included 24 mature female rabbits, which were randomly divided into experimental and control groups. A cylindrical full-thickness defect measuring 2.0 ​mm was prepared in the avascular portion of the anterior horn of medial meniscus in both knees. The synovium and PJAC transplant were harvested from juvenile male rabbits (2 months after birth). The experimental group received synovium and PJAC transplant encapsulated with fibrin gel. The control groups received synovium transplant encapsulated with fibrin gel, pure fibrin gel and nothing. The macroscopic, imageological and histological evaluations of repaired tissue were performed at 8 weeks and 16 weeks postoperatively. The in situ hybridization (ISH) of male-specific sex-determining region Y-linked (SRY) gene was performed to detect the transplanted cells. Results: The regenerated tissue in experimental group showed superior structural integrity, superficial smoothness, and marginal integration compared to control groups at 8 weeks or 16 weeks postoperatively. More meniscus-like fibrochondrocytes filled the repaired tissue in the experimental group, and the matrix surrounding these cell clusters demonstrated strongly positive safranin O and type 2 collagen immunohistochemistry staining. By SRY gene ISH, the positive SRY signal of experimental group could be detected at 8 weeks (75.72%, median) and 16 weeks (48.69%, median). The expression of SOX9 in experimental group was the most robust, with median positive rates of 65.52% at 8 weeks and 67.55% at 16 weeks. Conclusion: The transplantation of synovium and PJAC synergistically facilitates meniscal regeneration. The donor cells survive for at least 16 weeks in the recipient. The translational potential of this article: This study highlighted the positive effect of PJAC and synovium transplant on meniscal repair. We also clarified the potential repair mechanisms reflected by the survival of donor cells and upregulated expression of meniscal fibrochondrocytes related genes. Thus, based on our study, further clinical experiments are needed to investigate synovium and PJAC transplant as a possible treatment to meniscal defects.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2214-031X
Relation: http://www.sciencedirect.com/science/article/pii/S2214031X22000080; https://doaj.org/toc/2214-031X
DOI: 10.1016/j.jot.2022.02.004
URL الوصول: https://doaj.org/article/69987e650def45d1a036ebdea29767f9
رقم الانضمام: edsdoj.69987e650def45d1a036ebdea29767f9
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:2214031X
DOI:10.1016/j.jot.2022.02.004