Pilot clinical trial of tissue engineered constructs consisting of autologous stromal cells from adipose tissue in patients with bone tissue deficiency in the field of the alveolar process of maxilla and mandible


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Abstract

Despite the progress in conventional methods of maxillofacial surgery, which are based on the substitution of bone defects, alternative methods are being intensively developed. Recent studies focused on the use of a variety of matrices either inorganic or organic (autologous bone) have shown the limitations of these materials: inorganic matrices do not possess sufficient osteoinductive capacity and autologous bone cannot be obtained in large amounts. The presented results of the pilot clinical trial point to the fact that the introduction of tissue engineered constructs consisting of stromal cells from adipose tissue and osteoinductive materials have a beneficial effect on wound healing and formation of new bone tissue.

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Московский государственный медико-стоматологический университет

Author for correspondence.
Email: author@vestnik-surgery.com
Дробышев Алексей Юрьевич – д.м.н., проф., зав. кафедрой госпитальной хирургической стомато- логии и челюстно-лицевой хирургии Московского государственного медико-стоматологического уни- верситета; e-mail: dr.drobyshev@gmail.com

Московский государственный университет им. М.В.Ломоносова

Email: author@vestnik-surgery.com
Рубина Ксения Андреевна – к.б.н., доцент, стар- ший научный сотрудник научно-исследовательской лаборатории постгеномных технологий в медицине Московского государственного университета им. М.В.Ломоносова; e-mail: rkseniya@mail.ru

Московский государственный университет им. М.В.Ломоносова

Email: author@vestnik-surgery.com
Сысоева Вероника Юрьевна – старший преподава- тель кафедры медицинской биохимии и молекуляр- ной медицины Московского государственного уни- верситета им. М.В.Ломоносова; e-mail: veroniks@ mail.ru

Московский государственный университет им. М.В.Ломоносова

Email: author@vestnik-surgery.com
Калинина Наталья Игоревна – доцент, старший научный сотрудник научно-исследовательской ла- боратории генных и клеточных технологий Мо- сковского государственного университета им. М.В.Ломоносова; e-mail: n_i_kalinina@mail.ru

Московский государственный университет им. М.В.Ломоносова

Email: author@vestnik-surgery.com
Григорьева Ольга Александровна – аспирант кафе- дры медицинской биохимии и молекулярной меди- цины Московского государственного университета им. М.В.Ломоносова; e-mail: o_grigorieva@list.ru

Федеральный научно-клинический центр детской гематологии, онкологии и иммунологии

Email: author@vestnik-surgery.com
Мелерзанов Александр Викторович – к.м.н., стар- ший научный сотрудник лаборатории информатики и биофизики Федерального научно-клинического центра детской гематологии, онкологии и иммуно- логии; e-mail: m83071@gmail.com

Федеральный научно-клинический центр детской гематологии, онкологии и иммунологии

Email: author@vestnik-surgery.com
Румянцев Cергей Александрович – д.м.н., проф., врач-педиатр высшей категории, руководитель от- дела молекулярной и экспериментальной гемато- логии Федерального научно-клинического центра детской гематологии, онкологии и иммунологии; e-mail: s_roumiantsev@mail.ru

Московский государственный медико-стоматологический университет

Email: author@vestnik-surgery.com
Чаусская Ирина Юрьевна – аспирант кафедры го- спитальной хирургической стоматологии и челюст- но-лицевой хирургии Московского государствен- ного медико-стоматологического университета; e-mail: dr.chausskaya@mail.com

References

  1. Agapov V.S., Asnina S.A., Volozhin A.I., Mal'ko E.V., Khaled Al' Khindi. Primenenie preparatov kolapol i gidroksiapol dlia zapolneniia polostei posle udaleniia radikuliarnykh kist [Use of medicines колапол and гидроксиапол for filling of cavities after removal the radikulyarnykh of cysts]. Meditsinskaia konsul'tatsiia. 1996; 3: 44-45.
  2. Agapov V.S., Asnina S.A., Volozhin A.I., Belozerov M.N., Mazur L.G., Mal'ko E.V. Analiz blizhaishikh i otdalennykh rezul'tatov primeneniia osteoplasticheskikh materialov gidroksiapol i kolapol v poliklinicheskoi khirurgicheskoi praktike. Iubileinyi spisok rabot, posviashchennyi 60-letiiu kafedry gospital'noi khirurgicheskoi stomatologii i cheliustno-litsevoi khirurgii [The analysis of the immediate and remote results of use of osteoplastic materials гидроксиапол and колапол in polyclinic surgical practice. The anniversary list of works devoted to the 60 anniversary of department of hospital surgical stomatology and maxillofacial surgery]. Moskva: MMSI. 1998; 25-27.
  3. Belozerov M.N. Otsenka osteoplasticheskikh svoistv razlichnykh biokompozitsionnykh materialov dlia zapolneniia defektov cheliustei (eksperimental'no-klinicheskoe issledovanie) [Assessment of osteoplastic properties of various biocomposite materials for filling of defects of jaws (experimental clinical trial)]. Dis. …kand. med. nauk. M. 2004; 147.
  4. Volozhin A.I., Popov V.K., Kraslov A.P. i dr. Fiziko-mekhanicheskie i morfologicheskie kharakteristiki novykh kompozitov na osnove sverkhmolekuliarnogo polietilena i gidroksiapatita [Physicomechanical and morphological characteristics of new composites on the basis of supermolecular polyethylene and a hydroxyapatite]. «Novoe v stomatologii». 1999; 8: 35-43.
  5. Kulakov A.A., Gol'dshtein D.V., Grigorian A.S. i dr. Klinicheskoe issledovanie effektivnosti primeneniia kombinirovannogo kletochnogo transplantata na osnove mul'tipotentnykh mezenkhimal'nykh stromal'nykh kletok zhirovoi tkani u patsientov s vyrazhennym defitsitom kostnoi tkani v oblasti verkhnei i nizhnei cheliusti [Clinical trial of efficiency of application of the combined cellular transplant on a basis the multipotentnykh mesenchymal the stromalnykh of cells of fatty tissue at patients with the expressed deficit of a bone tissue in the upper and lower jaw]. Kletochnye tekhnologii v biologii i meditsine. 2008; 4: 206-210.
  6. Drobyshev A.Iu. Eksperimental'noe obosnovanie i prakticheskoe primenenie otechestvennykh biokompozitnykh materialov pri kostnovostanovitel'nykh operatsiiakh na cheliustiakh [Experimental justification and practical use of domestic biocomposite materials at the kostnovostanovitelnykh jaw operations]. Diss. Dok-ra med. nauk. M. 2001; 237.
  7. Maksimovskii Iu.M., Churkova T.D., Volozhin A.I. Novyi otechestvennyi preparat gidroksiapol pri khirurgicheskom lechenii parodontita [New domestic medicine hydroxiapol at surgical treatment of a periodontal disease]. Zubovrachebnyi vestnik. 1993; 3: 19-22.
  8. Rubina K.A., Kalinina N.I., Efimenko A., Lopatina T., Melikhova V., Tsokolaeva Z.I., Sysoeva V.Iu., Tkachuk V.A., Parfenova E.V. Mekhanizm stimuliatsii angiogeneza v ishemizirovannom miokarde s pomoshch'iu stromal'nykh kletok zhirovoi tkani [The mechanism of stimulation of angiogenesis in an ischemic myocardium with the help the stromalnykh of cells of fatty tissue]. Kardiologiia. 2010; 2: 58-66.
  9. Savel'ev V.I., Kornilov N.V., Kalinin A.V., Bulatov A.A. Tekhnologii izgotovleniia i eksperimental'no-klinicheskogo primeneniia demineralizovannykh kostnykh transplantatov [Manufacturing techniques and an experimental clinical use of the demineralized osteal grafts]. Simpozium po problemam tkanevykh bankov s mezhdunarodnym uchastiem. Sankt-Peterburg: Rossiia. 2001; 27.
  10. Chiapasco M., Drusati R., Ronchi P. Clin Oral Implants Reg. 2007; 18: 1: 74-85.
  11. Dudas J.R., Marra K.G., Cooper G.M. et al. The osteogenic potential of adipose-derived stem cells for the repair of rabbit calvarial defects. Ann. Plast. Surg. 2006; 56: 543-548.
  12. Fang B., Song Y., Lin Q. et al. Pediatr Transplant. 2007; 11: 7: 814-817.
  13. Gronthos S., Franklin D.M., Leddy H.A. et al. Surface protein characterization of human adipose tissue-derived stromal cells. J. Cell Physiol. 2001; 189: 54-63.
  14. Kinnaird T., Stabile E., Burnett M.S. et al. Marrow-derived stromal cells express genes encoding a broad spectrum of arteriogenic cytokines and promote in vitro and in vivo arteriogenesis through paracrine mechanisms. Circ Res. 2004; 94: 678-685.
  15. Lendeskel S., Jödicke A., Christophis P. et al. J. Craniomaxillofac Surg. 2004; 32: 6: 370-373. Li X., Jin L., Balian G. et al. Biomaterials. 2006; 27: 11: 2426-2433.
  16. Martin-Rendon E., Hale S.J., Ryan D. et al. Transcriptional profiling of human cord blood CD133+ and cultured bone marrow mesenchymal stem cells in response to hypoxia. Stem Cells. 2007; 25: 1003-1012.
  17. Ohnishi S., Yasuda T., Kitamura S. et al. Effect of hypoxia on gene expression of bone marrow-derived mesenchymal stem cells and mononuclear cells. Stem cells. 2007; 25: 1166-1177.
  18. Rah D.K. Art of replacing Craniofacial bone defects. Yonsi Med. J. 2000; 41: 756-765.
  19. Rehman J., Traktuev D., Li J. et al. Secretion of angiogenic and antiapoptotic factors by human adipose stromal cells. Circulation. 2004; 109: 1292-1298.
  20. Rubina K., Kalinina N., Efimenko A., Lopatina T., Melikhova V., Tsokolaeva Z., Sysoeva V., Tkachuk V., Parfyonova Y. Adipose Stromal Cells Stimulate Angiogenesis via Promoting Progenitor Cell Differentiation, Secretion of Angiogenic Factors and Enhancing Vessel Maturation. Tissue Eng. Part A. 2009; 15: 8: 2039-2050.
  21. Sadat S., Gehmert S., Song Y.-H. et al. The cardioprotective effect of mesenchymal stem cells is mediated by IGF-I and VEGF. Biochem Biophys Res Com. 2007; 363, 674.
  22. Stashower M., Smith K., Willams J., Skelton H. Dermatol Surg. 1999; 25: 5: 945
  23. Weinzierl K., Yemprich A., Frerich B.J. Craniomaxillofac Surg. 2006; 34: 8: 466-471.
  24. Zuk P.A., Zhu M., Ashjian P., De Ugarte D.A., Huang J.I., Mizuno H., Alfonso Z.C., Fraser J.K., Benhaim P., Hedrick M.H. Human adipose tissue is a source of multipotent stem cells. Mol Biol Cell. 2002; 13: 4279

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