骨髓间充质干细胞作为自体疗法治疗犬自然发生的椎间盘疾病:可行性、安全性和初步结果。

Bone Marrow-Derived Mesenchymal Stem Cells as Autologous Therapy in Dogs with Naturally Occurring Intervertebral Disc Disease: Feasibility, Safety, and Preliminary Results.

机构信息

1 Section of Small Animal Surgery/Neurology, Vetsuisse Faculty of the University of Zurich , Zurich, Switzerland .

2 Swiss Paraplegic Research , Nottwill, Switzerland .

出版信息

Tissue Eng Part C Methods. 2017 Nov;23(11):643-651. doi: 10.1089/ten.TEC.2017.0033. Epub 2017 Jun 22.

Abstract

The intradiscal application of mesenchymal stem cells (MSCs) is considered a promising strategy for intervertebral disc (IVD) regeneration. Although many studies have been published, the feasibility and regenerative effects of intradiscal MSC application have not been evaluated in an animal model suffering from naturally occurring degenerative disc disease. Six German Shepherd Dogs suffering from naturally occurring degenerative IVD disease were included. Autologous MSCs were isolated from bone marrow (iliac crest) and cultured for 3 weeks. After decompressive spinal surgery, three dogs received an intradiscal injection of MSCs, while the other three dogs received an intradiscal injection of saline (control). Clinical status, disc height index, Pfirrmann grading, and disc volumetry were evaluated at 1, 6, and 12 months after treatment. Autologous application of canine MSCs was feasible and successful in all dogs. No evident complication was found. Surgery resulted in an equal improvement in clinical status in the treatment and control dogs. In the MSC group, the Pfirrmann grade increased in all patients over time, whereas in the control group, the Pfirrmann grade remained stable. The volume of the L7-S1 IVD gradually increased during the 12-month study period in all dogs, with no evident difference between the MSC and control group. On the basis of this preliminary study, it can be concluded that intradiscal injection of autologous MSCs in dogs with spontaneous degenerative IVD disease is well tolerated without any adverse effects, does not affect clinical outcome, and does not have any evident regenerative effects.

摘要

椎间盘内注射间充质干细胞(MSCs)被认为是一种有前途的椎间盘(IVD)再生策略。尽管已经发表了许多研究,但在患有自然发生退行性椎间盘疾病的动物模型中,椎间盘内 MSC 应用的可行性和再生效果尚未得到评估。纳入了 6 只患有自然发生退行性 IVD 疾病的德国牧羊犬。从骨髓(髂嵴)中分离出自体 MSCs 并培养 3 周。在减压脊柱手术后,3 只狗接受了 MSC 椎间盘内注射,而另外 3 只狗接受了椎间盘内生理盐水注射(对照)。在治疗后 1、6 和 12 个月评估临床状态、椎间盘高度指数、Pfirrmann 分级和椎间盘容积。自体犬 MSC 的应用在所有狗中都是可行且成功的。未发现明显并发症。手术导致治疗组和对照组的临床状况均得到同等改善。在 MSC 组,所有患者的 Pfirrmann 分级随时间逐渐增加,而在对照组,Pfirrmann 分级保持稳定。在所有狗中,L7-S1 IVD 的体积在 12 个月的研究期间逐渐增加,MSC 组和对照组之间没有明显差异。基于这项初步研究,可以得出结论,在患有自发性退行性 IVD 疾病的狗中,椎间盘内注射自体 MSCs 耐受性良好,没有任何不良反应,不会影响临床结果,也没有明显的再生效果。

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