Cell repopulation in vascularized bone grafts

Journal of Orthopaedic Research - Tập 20 - Trang 772-778 - 2002
Keiichi Muramatsu1, Allen T Bishop1
1Department of Orthopedic Surgery, Microvascular Research Laboratory, Mayo Clinic, 200 First Street S.W., Rochester, MN 55905, USA

Tóm tắt

AbstractFollowing vascularized bone autografts, osteocyte viability is largely maintained. Viable cells within a graft may be surviving graft‐derived cells, their progeny, or host‐derived cells from circulation or surrounding bone. This study was conducted to define the process of cell repopulation, within vascularized bone grafts. Using inbred Lewis rats, 30 female vascularized tibial bones were transplanted to syngeneic male recipients and 45 male grafts were transplanted to female recipients. Twenty‐five female recipients were immunosuppressed with FK506 to prevent rejection caused by Y‐chromosome related antigens. The grafts were assessed up to 24 weeks post‐transplant by radiography, histology and semi‐quantitative polymerase chain reaction (PCR) using both Y‐chromosome and autosome gene‐specific primers. The female to male isograft transplants were useful to measure low levels of repopulation with host‐derived cells, while male to female transplants more accurately quantified higher levels of cellular replacement. No host‐derived cells were detected in the transplanted bone before six weeks. Thereafter, the ratio of host‐derived cells gradually increased. By 24 weeks only 0.1–1.0% of graft‐derived cells remained in the transplanted tibias. This study demonstrates that Y‐chromosome‐specific PCR is a useful tool to detect the cell lineage and cell repopulation following rat sex‐mismatch vascularized bone grafting. Our results showed that donor cells in vascularized bone grafts were gradually repopulated with recipient cells. Correlation with histologic findings suggests that the periosteal hypertrophy observed by six weeks post‐transplant results from graft‐derived cells, while later remodeling is associated with host‐derived cells. © 2002 Orthopaedic Research Society. Published by Elsevier Science Ltd. All rights reserved.

Tài liệu tham khảo

10.1016/S0140-6736(97)22019-2 10.1055/s-2007-1007048 Arora BK, 1964, Sex chromatin as a cellular label of osteogenesis by bone grafts, J Bone Joint Surg, 46, 1269, 10.2106/00004623-196446060-00013 10.1093/nar/3.9.2303 Buckwalter JA, 1987, Bone structure and function, Instr Course Lect, 36, 27 Buckwalter JA, 1996, Bone biology I: structure, blood supply, cells, matrix, and mineralization, Instr Course Lect, 45, 371 Buckwalter JA, 1996, Bone biology II: formation, form, modeling, remodeling, and regulation of cell function, Instr Course Lect, 45, 387 10.1016/0021-9290(72)90053-X 10.1097/00007890-199101000-00043 Chen HD, 1982, Studies on the behaviour of H–Y incompatible skin grafts in rats, J Immunol, 128, 2044, 10.4049/jimmunol.128.5.2044 de Boer HH, 1989, Bone changes in the vascularized fibular graft, J Bone Joint Surg [Br], 71, 374, 10.1302/0301-620X.71B3.2722923 Eichwald EJ, 1981, H–Y and serendipity, Hum Genet, 58, 6, 10.1007/BF00284140 10.1002/micr.1920151012 10.1073/pnas.87.7.2725 10.2106/00004623-197961040-00008 Goshima J, 1986, The effect of ischemia on bone tissue—bone histomorphometrical analysis, J Nara Med Assoc, 37, 325 Hirasawa A, 1995, PCR of the rat sex‐determining region of the Y‐chromosome and its application to estimating a state of sensitization to minor histocompatibility antigen H–Y, Transplant Proc, 27, 1598 Jupiter JB, 1987, The reconstruction of defects in the femoral shaft with vascularized transfers of fibular bone, J Bone Joint Surg [Am], 69, 365, 10.2106/00004623-198769030-00007 10.1016/8756-3282(92)90191-X 10.1093/nar/16.3.1215 10.1055/s-2007-1007031 10.1002/jcb.240550303 Ray RD, 1963, Bone grafts: cellular survival vs induction, J Bone Joint Surg, 45, 337, 10.2106/00004623-196345020-00012 10.1097/00006534-199303000-00017 10.1002/jor.1100080219 10.1016/S0167-5699(82)80025-X 10.1016/S8756-3282(96)00387-0 10.1002/micr.1920160404 10.1016/0963-6897(94)00060-W 10.1002/hep.510230425 Tayler GI, 1975, The free vascularized bone graft: a clinical extension of microsurgical technique, Plast Reconstr Surg, 55, 533, 10.1097/00006534-197505000-00002 10.2106/00004623-198163010-00025 Weiland AJ, 1983, Vascularized bone autografts, Clin Orthop, 174, 87, 10.1097/00003086-198304000-00012 Wolff J, 1869, Uber die Bedeutung der Architektur der spongiosen Substanz. Zentralblatt fur die medizinische Wissenschaft, Jahrgang, 223 10.1016/S0025-6196(12)60414-5 10.1007/BF02489044 10.1016/0378-1119(94)00895-Y