Effect of Low-Intensity Pulsed Ultrasound after Mesenchymal Stromal Cell Injection to Treat Osteochondral Defects: An In Vivo Study.
We investigated the effect of low-intensity pulsed ultrasound (LIPUS) treatment combined with mesenchymal stromal cell (MSC) injection for cartilage repair and subchondral bone reconstitution for treatment of osteochondral defects. An osteochondral defect was created on both femur grooves of Wistar rats. Four weeks later, bone marrow MSCs were injected into the right knee joint. The rats were divided into two intervention groups: without or with LIPUS irradiation. Cartilage repair was evaluated histologically based on the Wakitani cartilage repair score. Subchondral bone reconstitution was evaluated as bone volume (BV)/tissue volume (TV) by micro-computed tomography analysis. MSC injection improved the cartilage repair score, and LIPUS irradiation improved BV/TV. Combination treatment promoted both cartilage repair and BV/TV improvement. Thus, MSC injection combined with LIPUS irradiation is more effective than either treatment alone in promoting concurrent cartilage repair and subchondral reconstitution.
Department of Motor Function Analysis, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan; Japan Society for the Promotion of Science, Tokyo, Japan.
Shoki
S
Yamaguchi
Department of Development and Rehabilitation of Motor Function, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Tomoki
T
Aoyama
Japan Society for the Promotion of Science, Tokyo, Japan; Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Akira
A
Ito
Congenital Anomaly Research Center, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Momoko
M
Nagai
Department of Motor Function Analysis, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan; Japan Society for the Promotion of Science, Tokyo, Japan.
Hirotaka
H
Iijima
Department of Motor Function Analysis, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Junichi
J
Tajino
Department of Motor Function Analysis, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Xiangkai
X
Zhang
Department of Motor Function Analysis, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Kiyan
K
Wataru
Department of Motor Function Analysis, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan. Electronic address: kuroki.hiroshi.6s@kyoto-u.ac.jp.
Hiroshi
H
Kuroki
D000818:Animals; D001847:Bone Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D002357:Cartilage Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D002358:Cartilage, Articular / Q000000981:diagnostic imaging / Q000293:injuries*; D003131:Combined Modality Therapy / Q000379:methods; D004195:Disease Models, Animal; D005269:Femur / Q000000981:diagnostic imaging / Q000293:injuries*; D007270:Injections, Intra-Articular; D045164:Mesenchymal Stem Cell Transplantation / Q000331:legislation & jurisprudence*; D010012:Osteogenesis / Q000502:physiology; D051381:Rats; D017208:Rats, Wistar; D014464:Ultrasonic Therapy / Q000379:methods*; D055114:X-Ray Microtomography / Q000379:methods
Cartilage; Low-intensity pulsed ultrasound; Mesenchymal stromal cells; Osteochondral defect; Rat; Subchondral bone