The use of stem cells to augment the healing of bone defects represents an exciting new frontier in many surgical disciplines. This thesis verified the in vitro osteogenic capability of ovine Adipose Derived Stromal Stem Cells (ADSCs) and Bone Marrow Derived Stem Cells (BMSCs), examined the in vivo osteogenic potential of the ovine ADSCs population and compared it to the in vivo osteogenic potential of ovine BMSCs. The pilot study used both cell populations, expanded and osteogenically stimulated ex vivo and mixed with resorbable porous hydroxyapatite-calcium carbonate bone graft substitute (ProOsteon 200R, Interpore Cross International, Irvine, CA). This study demonstrated the preferred length of time in ex vivo osteogenic stimulation of the ADSCs and BMSCs populations to promote the bone formation in vivo to be 7 days. In the main ovine study which employed 48 wethers, ADSCs and BMSCs were expanded, stimulated osteogenically for 7 days, mixed with ProOsteon 200R and deposited in an autologous manner into a bilateral medial femoral condyle confined cancellous defect. In vivo performance of 7 treatment groups was examined: 1. ???Bone autograft/ADSCs???, 2. ???Bone autograft/BMSCs???, 3. ???ProOsteon 200R/ADSCs???, 4. ???ProOsteon 200R/BMSCs???, 5. ???Bone autograft???, 6. ???ProOsteon 200R??? and 7. ???Empty defect???. The time-points were: 2, 4, 8 and 12 weeks. The analysis of the harvested specimens used the following methods: computerized tomography, histological assessment, histomorphometry and immunohistochemistry. There was a progressive and time dependant increase in woven bone in the defects treated with ADSCs and BMSCs across all time points. The amount of woven bone in the defects treated with the combination of ADSCs and ProOsteon 200R was comparable with the defects treated with the combination of BMSCs and ProOsteon 200R. In addition, the combination of ADSCs or BMSCs and ProOsteon 200R demonstrated no more bone than ProOsteon 200R alone. However, the ???Autograft/BMSCs??? and ???Autograft/ADSCs??? groups demonstrated a remarkable increase in the amount of woven bone formed in the defects across all time points when compared with all other groups. In addition, the amounts of bone formed in the ???Autograft/BMSCs??? and the ???Autograft/ADSCs??? group were comparable across all timepoints. The results of these studies support the hypothesis that ovine ADSCs and BMSCs populations in combination with the bone autograft can increase the formation of woven bone in the autologous orthotopic environment in a comparable manner.
| Identifer | oai:union.ndltd.org:ADTP/187223 |
| Date | January 2006 |
| Creators | Niechoda, Beata, School of Surgery, UNSW |
| Publisher | Awarded by:University of New South Wales. School of Surgery |
| Source Sets | Australiasian Digital Theses Program |
| Language | English |
| Detected Language | English |
| Rights | Copyright Beata Niechoda, http://unsworks.unsw.edu.au/copyright |
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