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Experimental Studies for Bone Bonding Ability of Artificial Joint Using Tissue-Engineering

Research Project

Project/Area Number 14571399
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Orthopaedic surgery
Research InstitutionNara Medical University

Principal Investigator

TAKAKURA Yoshinori  Nara Medical University, Dept.of Orthop., Professor, 医学部, 教授 (40094578)

Co-Investigator(Kenkyū-buntansha) TANAKA Yasuhito  Nara Medical University, Dept.of Orthop., Assistant Professor, 医学部, 講師 (30316070)
KAWATE Kenji  Nara Medical University, Dept.of Orthop., Assistant Professor, 医学部, 助手 (70275329)
YOSHIKAWA Takafumi  Nara Medical University, Dept.of Orthop., Assistant Professor, 医学部, 講師 (90275347)
OHGUSHI Hajime  Research Institute for Cell Engineering and Tissue Engineering Research Group, Technology, Head of Group, セルエンジニアリング研究部門・組織・再生工学研究グループ, グループ長 (80213669)
Project Period (FY) 2002 – 2005
Project Status Completed (Fiscal Year 2005)
Budget Amount *help
¥4,100,000 (Direct Cost: ¥4,100,000)
Fiscal Year 2005: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 2004: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 2003: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 2002: ¥1,800,000 (Direct Cost: ¥1,800,000)
Keywordsregenerative medicine / marrow mesenchymal cell / implant / alumina ceramic / osteoblast / detaching test / アルテミナセラミック / 間葉系骨髄幹細胞 / 骨髄間葉系幹細胞
Research Abstract

1,Early Bone in-growth Ability of Alumina Ceramic Implants Loaded with Tissue-Engineered Bone
To enhance early bonding of an alumina ceramic implant to bone, we evaluated a method of seeding the implant surface with bone marrow mesenchymal cells that differentiated to osteoblasts and bone matrix prior to implantation. The usefulness of the method was evaluated in Japanese white rabbits. In our study, an alumina ceramic test piece loaded with differentiated osteoblasts and bone matrix by a tissue engineering technique was implanted into rabbit bones. Three weeks after the procedure, evaluation of mechanical bonding, X-ray and micro computed tomography (CT) images and histological examination were performed. In the mechanical test, the average failure load was 0.60±0.21 kgf for the non-cell-loaded side and 1.49±0.29 kgf for the cell-loaded side. In X-ray examination, radiographs showed th non-cell-load surfaces showed a radiolucent zone between the implant and bone, but that the cell-load … More ed surfaces with direct contact between the implant and bone. In micro CT images, the non-cell-loaded side showed a low-intensity region, indicating connective tissue, but that the cell-loaded side showed a high-intensity region, indicating new bone formation. Furthermore, histological examination of the non-cell-loaded implant surfaces showed no bone infiltration into the implant gap. However, the cell-loaded implant surfaces exhibited new bone infiltration into the implant gap with mechanical bonding. The present findings indicate early bonding between the alumina ceramic implant and bone three weeks after the procedure. Therefore, using these approaches, such as preculturing mesenchymal cells on the surface of the implants prior to implantation increased the debonding strength. The benefits would be applicable not only to alumina ceramic implants, but to all types of bone implants. That is, we may be able to alter the surface of bioinert materials through bioactive substances with osteogenic function.
2,Osteogenic Activity of Human Marrow Cells on Alumina Ceramics
Three ml of fresh marrow cells was aspirated from anterior iliac crest of the osteoarthritic patients and cultured. in a humidified atmosphere of 95% air with 5% CO_2 at 37℃. After six to 11days of the primary culture, adherent cells were released from the substratum and applied on the ceramic surface (1 x 10^5cells/cm^2) as well as culture dish and further cultured in the medium supplemented with 10 mM Na beta-glycerophosphate, 82 μg/ml vitamin C phosphate (L-Ascorbic Acid Phosphate Magnesium salt n-Hydrate) and with or without 100nM dexamethasone (Dex). Alkaline phosphatase activity (ALP) was measured by biochemical assay and mineralization processes by cultured cells were monitored using calcium binding fluorescent dyes. The calcein uptake was also quantified in situ by using an image analyzer. Cultured cells grew well on the alumina ceramics as well as culture dish surface and showed abundant mineralization evidenced by calcein uptake and alizarin red staining in the culture with Dex. ALP activities of the cells cultured on the alumina ceramics and culture dish were less than 0.06 μmole/30min/μg DNA in the absence of Dex but significantly higher of these cells in the presence of Dex and these activities were in the range of 0.15 to 0.4 μmole/30min/μg DNA. Present data showed that alumina ceramic is qualified material for culturing human marrow mesenchymal cells, which finally differentiate into osteoblasts. Importantly, the differentiated osteoblasts can make bone matrix consisting of hydroxyaptatite crystal on the alumina ceramic surface.
3,Preliminary Clinical Result of the Tissue Engineered Artificial Ankle Joint Replacement
An alumina ceramic total ankle prosthesis loaded with cultured cells were used for the replacement of the osteoatthritic ankles in 3 patients. Clinical and radiographic results were investigated 2 years after surgery. Clinical AOFAS (American Orthopaedic Foot Ankle Surgety) scores of the patient were improved significantly. Radiographic findings showed early bohe fixation around the cell seeded areas even 2 months after the operation. Coverage of osteoblast/bone matrix on the ceramic surface vests the ceramics with osteogenic capability, which demonstrate the early bone fixation around the ceramic total ankle joint. All of these results show our method using patient marrow mesenchymal cells and alumina ceramics is the promising approach for the reconstruction arthritic joints. Less

Report

(5 results)
  • 2005 Annual Research Report   Final Research Report Summary
  • 2004 Annual Research Report
  • 2003 Annual Research Report
  • 2002 Annual Research Report
  • Research Products

    (19 results)

All 2006 2005 2004 Other

All Journal Article (15 results) Book (2 results) Publications (2 results)

  • [Journal Article] Early bone in-growth ability of alumina ceramic implants loaded with tissue-engineered bone.2006

    • Author(s)
      Tohma Y, Tanaka Y, Ohgushi H, et al.
    • Journal Title

      J Orthop Res. 24

      Pages: 595-603

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Early bone in-growth ability of alumina ceramic implants loaded with tissue' engineered bone.2006

    • Author(s)
      Tohma Y, Tanaka Y, Ohgushi H, et al.
    • Journal Title

      J Orthop Res. 24

      Pages: 595-603

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Early bone in一growth ability of alumina ceramic implants loaded with tissue-engineered bone.2006

    • Author(s)
      Tohma Y, Tanaka Y, Ohgushi H et al.
    • Journal Title

      J Orthop Res 24-4(In print)

      Pages: 595-603

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Tissue engineered ceramic artificial joint-ex vivo osteogenic differentiation of patient mesenchymal cells on total ankle joints for treatment of osteoarthritis.2005

    • Author(s)
      Ohgushi H, Kotobuki N, Funaoka H et al.
    • Journal Title

      Biomaterials 26

      Pages: 4654-4661

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Annual Research Report 2005 Final Research Report Summary
  • [Journal Article] Culturing human mesenchymal stem cells on bioceramics for hard tissue regeneration. Validation of in vitro bone matrix formed on ceramics for clinical application.2005

    • Author(s)
      Ohgushi H, Kitamura S, Kotobuki N et al.
    • Journal Title

      Bioceramics 17

      Pages: 603-606

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Culturing human mesenchymal stem cells on bioceramics for hard tissue regeneration ( Validation of in vitro bone matrix formed on ceramics for clinical application)2005

    • Author(s)
      Ohgushi H, Kitamura S, Kotobuki N et al.
    • Journal Title

      Bioceramics 17

      Pages: 603-606

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 再生医療におけるヒト骨髄開業系細胞のバリデーション2005

    • Author(s)
      寿典子, 大串始, 田中康仁, 高倉義典
    • Journal Title

      日本リウマチ・関節外科学会雑誌 23

      Pages: 193-200

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Culturing human mesenchymal stem cells on bioceramics for hard tissue regeneration2005

    • Author(s)
      Ohgushi H, Tanaka Y, Takakura Y et al.
    • Journal Title

      Bioceramics 17

      Pages: 603-606

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 骨関節疾患への再生医療の臨床応用.2004

    • Author(s)
      高倉義典
    • Journal Title

      治療学 38

      Pages: 1150-1153

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] 【自己細胞を利用する再生医学のTrial】間葉系幹細胞を用いた骨関節疾患の治療.2004

    • Author(s)
      高倉義典
    • Journal Title

      炎症と免疫 12

      Pages: 141-146

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] 再生医療におけるヒト骨髄間葉系細胞のバリデーション.2004

    • Author(s)
      寿 典子, 大串 始, 田中康仁, 高倉義典
    • Journal Title

      日本リウマチ・関節外科学会雑誌(日関外誌) 23

      Pages: 193-200

    • NAID

      10015448456

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Osteogenic Activity of Human Marrow Cells on Alumina Ceramics.2004

    • Author(s)
      Tanaka, Y., Ohgushi, H., Kitamura, S et al.
    • Journal Title

      Bioceramics 16

      Pages: 181-184

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] 骨関節疾患への再生医療の臨床応用2004

    • Author(s)
      高倉義典
    • Journal Title

      治療学 38

      Pages: 1150-1153

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 【運動器の再生医学・現状と今後の展望】骨の再生2004

    • Author(s)
      田中康仁, 高倉義典, 大串始ほか
    • Journal Title

      臨床スポーツ医学 21

      Pages: 617-621

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 【自己細胞を利用する再生医学のTrial】間葉系幹細胞を用いた骨関節疾患の治療2004

    • Author(s)
      高倉義典
    • Journal Title

      炎症と免疫 12

      Pages: 141-146

    • Related Report
      2004 Annual Research Report
  • [Book] Culturing human mesenchymal stem cells on bioceramics for hard tissue regeneration. Validation of in vitro bone matrix formed on ceramics for clinical application. In Bioceramics Vol.17,2005

    • Author(s)
      Ohgushi H, Kitamura S, Kotobuki N et al.
    • Publisher
      Trans Tech Publications. Ltd, Uetikon-Zuerich, Switzerland
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Book] Osteogenic Activity of Human Marrow Cells on Alumina Ceramics. In Bioceramics Vol.16.2004

    • Author(s)
      Tanaka, Y., Ohgushi, H., Kitamura, S et al.
    • Publisher
      Trans Tech Publications. Ltd, Uetikon-Zuerich, Switzerland
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Publications] Kitamura S, Ohgushi H, Funaoka H, Takakura Y, Ito H: "Osteogenic differentiation of human bone marrow-derived mesenchymal cells cultured on alumina ceramics."Artificial Organs. 28. 72-82 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] Tanaka, Y., Ohgushi, H., Takakura, Y.et al.: "Osteogenic Activity of Human Marrow Cells on Alumina Ceramics."Bioceramics. 16. 181-184 (2003)

    • Related Report
      2003 Annual Research Report

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Published: 2002-04-01   Modified: 2016-04-21  

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