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Mechanism of meniscal healing and clinical application through SDF-1/CXCR4 signaling pathway

Research Project

Project/Area Number 16K10871
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Orthopaedic surgery
Research InstitutionOsaka City University

Principal Investigator

Minoda Yukihide  大阪市立大学, 大学院医学研究科, 講師 (90453133)

Co-Investigator(Kenkyū-buntansha) 橋本 祐介  大阪市立大学, 大学院医学研究科, 講師 (10382178)
折田 久美 (荻久美)  大阪市立大学, 大学院医学研究科, 博士研究員 (40748597)
脇谷 滋之  武庫川女子大学, 健康・スポーツ科学部, 教授 (70243243)
Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2017: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords半月板修復 / 再生 / SDF-1 / 半月板 / 修復 / 再生医療 / SDF1 / 半月板治癒促進 / SDF-1/CXCR4システム
Outline of Final Research Achievements

Stromal cell-derived factor 1 (SDF-1) is known to be as a chemokine vital in stem and progenitor cell recruitment for tissue repair after injury. We investigated whether intra-articular injected SDF-1 enhanced meniscal healing in rat partial meniscal defect model. The healed meniscus was evaluated 6 weeks after the resection surgery. The Pauli score by the macroscopic evaluation was improved in the SDF-1 administration group compared to the control group receiving PBS. Histological evaluation showed an increase in metachromasia with toluidine blue staining. By safranin O staining, we observed the repaired tissue surrounded by safranin O-positive extracellular matrix. It indicated that these cells seemed to undergo chondrocytic differentiation. These results suggest that intra-articular injection of SDF-1 promotes meniscal healing.

Academic Significance and Societal Importance of the Research Achievements

半月板は血流に乏しいため損傷をきたすと治りにくい組織である。しかし損傷して半月板本来の衝撃吸収機能を失うと、関節軟骨に負荷がかかることから変形性関節症に至り、将来の膝関節痛の原因となる。このため現在は可能な限り半月板を温存するため、半月板縫合術という手術が選択されるが、その治癒能の乏しさから治療成績に限界があるのが現状である。
今回はSDF-1/CXCR4系という組織修復に関わるシステムを促進させることによって、半月板の良好な修復が得られることが確認できた。これは臨床に応用すれば、半月板縫合術時の治療成績の向上に役立てられる可能性がある。

Report

(4 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (19 results)

All 2018 2017

All Journal Article (9 results) (of which Peer Reviewed: 4 results,  Acknowledgement Compliant: 1 results) Presentation (10 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] Impingement of the patellar component against the tibial post depends on the design of the post-cam mechanism: Comparison between 12 posterior stabilized total knee prostheses2018

    • Author(s)
      Minoda Yukihide、Sugama Ryo、Ohta Yoichi、Ikebuchi Mitsuhiko、Nakamura Hiroaki
    • Journal Title

      The Knee

      Volume: 25 Issue: 4 Pages: 676-681

    • DOI

      10.1016/j.knee.2018.05.008

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Predictive factors for osteochondritis dissecans of the lateral femoral condyle concurrent with a discoid lateral meniscus.2017

    • Author(s)
      Takigami J, Hashimoto Y, Tomihara T, Yamasaki S, Tamai K, Kondo K, Nakamura H
    • Journal Title

      Knee Surg Sports Traumatol Arthrosc

      Volume: 印刷中 Issue: 3 Pages: 799-805

    • DOI

      10.1007/s00167-017-4451-8

    • Related Report
      2018 Annual Research Report 2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Comparison of in vivo polyethylene wear particles between mobile- and fixed-bearing TKA in the same patients2017

    • Author(s)
      Minoda Yukihide、Hata Kanako、Ikebuchi Mitsuhiko、Mizokawa Shigekazu、Ohta Yoichi、Nakamura Hiroaki
    • Journal Title

      Knee Surgery, Sports Traumatology, Arthroscopy

      Volume: 25 Issue: 9 Pages: 2887-2893

    • DOI

      10.1007/s00167-016-4027-z

    • Related Report
      2017 Research-status Report
  • [Journal Article] Detection of bone defects around zirconium component after total knee arthroplasty2017

    • Author(s)
      Minoda Yukihide、Yamamura Kazumasa、Sugimoto Kazutaka、Mizokawa Shigekazu、Baba Shingo、Nakamura Hiroaki
    • Journal Title

      The Knee

      Volume: 24 Issue: 4 Pages: 844-850

    • DOI

      10.1016/j.knee.2017.04.020

    • Related Report
      2017 Research-status Report
  • [Journal Article] Sequentially annealed highly cross-linked polyethylene reduced in vivo wear particle generation in total knee arthroplasty2017

    • Author(s)
      Minoda Yukihide、Hata Kanako、Goto Katsuko、Itohara Tomonobu、Nakamura Hiroaki
    • Journal Title

      Journal of Orhtopaedic Surg

      Volume: 25 Issue: 2 Pages: 1-5

    • DOI

      10.1177/2309499017718909

    • Related Report
      2017 Research-status Report
  • [Journal Article] Novel alignment measurement technique for total knee arthroplasty using patient specific instrumentation2017

    • Author(s)
      Yamamura Kazumasa、Minoda Yukihide、Mizokawa Shigekazu、Ohta Yoichi、Sugama Ryo、Nakamura Suguru、Ueyama Hideki、Nakamura Hiroaki
    • Journal Title

      Archives of Orthopaedic and Trauma Surgery

      Volume: 137 Issue: 3 Pages: 401-407

    • DOI

      10.1007/s00402-017-2628-8

    • Related Report
      2017 Research-status Report
  • [Journal Article] Clinical results of alumina medial pivot total knee arthroplasty at a minimum follow-up of 10 years2017

    • Author(s)
      Nakamura Suguru、Minoda Yukihide、Nakagawa Shigeru、Kadoya Yoshinori、Takemura Susumu、Kobayashi Akio、Mizokawa Shigekazu、Ohta Yoichi、Takahashi Sinji、Yamamura Kazumasa、Nakamura Hiroaki
    • Journal Title

      Knee

      Volume: 24 Issue: 2 Pages: 434-438

    • DOI

      10.1016/j.knee.2016.12.011

    • Related Report
      2017 Research-status Report
  • [Journal Article] Risk Factors Associated With Knee Joint Degeneration After Arthroscopic Reshaping for Juvenile Discoid Lateral Meniscus.2017

    • Author(s)
      Yamasaki S, Hashimoto Y, Takigami J, Terai S, Takahashi S, Nakamura H
    • Journal Title

      Am J Sports Med

      Volume: 印刷中 Issue: 3 Pages: 570-577

    • DOI

      10.1177/0363546516668623

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] The origin and distribution of CD68, CD163, and αSMA+ cells in the early phase after meniscal resection in a parabiotic rat model.2017

    • Author(s)
      Terai S, Hashimoto Y, Orita K, Yamasaki S, Takigami J, Shinkuma T, Teraoka T, Nishida Y, Takahashi M, Nakamura H.
    • Journal Title

      Connect Tissue Res

      Volume: 印刷中

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] 膝前十字靭帯大腿骨付着部の組織学的検討2018

    • Author(s)
      橋本祐介、西田洋平、中村博亮
    • Organizer
      第91回日本整形外科学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Meniscal Repair up to date How to manage the juvenile discoid lateral meniscus2018

    • Author(s)
      Hashimoto Y, Yamasaki S, Takigami J , Nakamura H
    • Organizer
      第10回日本関節鏡・膝・スポーツ整形外科学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Histological analysis of femoral attachment of Anterior Cruciate Ligament2018

    • Author(s)
      Hashimoto Y, Nishida Y, Nakamura H
    • Organizer
      第10回日本関節鏡・膝・スポーツ整形外科学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Risk factors of postoperative osteochondritis dissecans of lateral femoral condyle after meniscal surgery for juvenile discoid lateral meniscus patients.2018

    • Author(s)
      橋本祐介, 山崎真哉、瀧上順誠、中村博亮
    • Organizer
      第44回日本整形外科スポーツ医学会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 骨髄血由来と末梢血由来fibrin clotの成分分析2018

    • Author(s)
      橋本 祐介、荻 久美、西田 洋平、中村 博亮
    • Organizer
      第33回日本整形外科学会基礎学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Early accumulation of macrophages and smooth muscle actin positive cells during meniscal healing in rat parabiotic model2017

    • Author(s)
      Terai S, Hashimoto Y, Yamasaki S, Teraoka T, Nishida Y, Nakamura H
    • Organizer
      17th ESSKA
    • Place of Presentation
      Barcelona(Spain)
    • Year and Date
      2017-05-04
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Difference in Stem Alignment Between Supine Position And Lateral Position in THA Using The Same Muscle Sparing Modified Watson-Jones Approach2017

    • Author(s)
      Kishimura Y, Minoda Y, Mizokawa S, Sugama R, Ohta Y, Yamamura K, Nakamura S, Ueyama H, Nakamura H
    • Organizer
      63rd Annual meeting of Orthopaedic Research Society
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Supine Position Increased the Risk of Outliers of The Cup Alignment In THA Using the Muscle Sparing Modified Watson-Jones Approach2017

    • Author(s)
      Kishimura Y, Minoda Y, Mizokawa S, Sugama R, Ohta Y, Yamamura K, Nakamura S, Ueyama H, Nakamura H
    • Organizer
      63rd Annual meeting of Orthopaedic Research Society
    • Related Report
      2017 Research-status Report
  • [Presentation] 3D Evaluation for a Portable Accelerometer-Based Navigation System in Total Knee Arthroplasty2017

    • Author(s)
      Ueyama H, Minoda Y, Ohta Y, Sugama R, Nakamura S, Yamamura K, Nakamura H
    • Organizer
      63rd Annual meeting of Orthopaedic Research Society
    • Related Report
      2017 Research-status Report
  • [Presentation] Portable Accelerometer-based Navigation system for Total Knee Arthroplasty Improved the Prosthetic Alignment in Asian Patients with Marked Femoral Bow2017

    • Author(s)
      Ueyama H, Matsui Y, Matsumura M, Minoda Y, Ohta Y, Sugama R, Nakamura S, Yamamura K, Nakamura H.
    • Organizer
      63rd Annual meeting of Orthopaedic Research Society
    • Related Report
      2017 Research-status Report

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Published: 2016-04-21   Modified: 2020-03-30  

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