Rybalko Viktoriya Y, Pham Chantal B, Hsieh Pei-Ling, Hammers David W, Merscham-Banda Melissa, Suggs Laura J, Farrar Roger P
Department of Kinesiology, The University of Texas at Austin, 1 University Station D3700, Austin, TX 78712, USA.
Biomater Sci. 2015 Nov;3(11):1475-86. doi: 10.1039/c5bm00233h.
Therapeutic delivery of regeneration-promoting biological factors directly to the site of injury has demonstrated its efficacy in various injury models. Several reports describe improved tissue regeneration following local injection of tissue specific growth factors, cytokines and chemokines. Evidence exists that combined cytokine/growth factor treatment is superior for optimizing tissue repair by targeting different aspects of the regeneration response. The purpose of this study was to evaluate the therapeutic potential of the controlled delivery of stromal cell-derived factor-1alpha (SDF-1α) alone or in combination with insulin-like growth factor-I (SDF-1α/IGF-I) for the treatment of tourniquet-induced ischemia/reperfusion injury (TK-I/R) of skeletal muscle. We hypothesized that SDF-1α will promote sustained stem cell recruitment to the site of muscle injury, while IGF-I will induce progenitor cell differentiation to effectively restore muscle contractile function after TK-I/R injury while concurrently reducing apoptosis. Utilizing a novel poly-ethylene glycol PEGylated fibrin gel matrix (PEG-Fib), we incorporated SDF-1α alone (PEG-Fib/SDF-1α) or in combination with IGF-I (PEG-Fib/SDF-1α/IGF-I) for controlled release at the site of acute muscle injury. Despite enhanced cell recruitment and revascularization of the regenerating muscle after SDF-1α treatment, functional analysis showed no benefit from PEG-Fib/SDF-1α therapy, while dual delivery of PEG-Fib/SDF-1α/IGF-I resulted in IGF-I-mediated improvement of maximal force recovery and SDF-1α-driven in vivo neovasculogenesis. Histological data supported functional data, as well as highlighted the important differences in the regeneration process among treatment groups. This study provides evidence that while revascularization may be necessary for maximizing muscle force recovery, without modulation of other effects of inflammation it is insufficient.
将促进再生的生物因子直接递送至损伤部位进行治疗,已在多种损伤模型中证明了其有效性。一些报告描述了局部注射组织特异性生长因子、细胞因子和趋化因子后组织再生得到改善。有证据表明,联合细胞因子/生长因子治疗通过针对再生反应的不同方面,在优化组织修复方面更具优势。本研究的目的是评估单独或与胰岛素样生长因子-I联合(SDF-1α/IGF-I)控制递送基质细胞衍生因子-1α(SDF-1α)治疗骨骼肌止血带诱导的缺血/再灌注损伤(TK-I/R)的治疗潜力。我们假设,SDF-1α将促进干细胞持续募集至肌肉损伤部位,而IGF-I将诱导祖细胞分化,以有效恢复TK-I/R损伤后的肌肉收缩功能,同时减少细胞凋亡。利用一种新型聚乙二醇化纤维蛋白凝胶基质(PEG-Fib),我们将单独的SDF-1α(PEG-Fib/SDF-1α)或与IGF-I联合(PEG-Fib/SDF-1α/IGF-I)掺入其中,以便在急性肌肉损伤部位进行控释。尽管SDF-1α治疗后再生肌肉的细胞募集和血管再生增强,但功能分析表明PEG-Fib/SDF-1α治疗并无益处,而PEG-Fib/SDF-1α/IGF-I的双重递送导致IGF-I介导的最大力量恢复改善以及SDF-1α驱动的体内新生血管形成。组织学数据支持功能数据,并突出了各治疗组再生过程中的重要差异。本研究提供的证据表明,虽然血管再生对于最大限度地恢复肌肉力量可能是必要的,但如果不调节炎症的其他影响则是不够的。