Effect of Low-Intensity Pulsed Ultrasound after Mesenchymal Stromal Cell Injection to Treat Osteochondral Defects: An In Vivo Study

Shoki Yamaguchi; Tomoki Aoyama; Akira Ito; Momoko Nagai; Hirotaka Iijima; Junichi Tajino; Xiangkai Zhang; Kiyan Wataru; Hiroshi Kuroki

doi:10.1016/j.ultrasmedbio.2016.07.021

Effect of Low-Intensity Pulsed Ultrasound after Mesenchymal Stromal Cell Injection to Treat Osteochondral Defects: An In Vivo Study

Ultrasound Med Biol. 2016 Dec;42(12):2903-2913. doi: 10.1016/j.ultrasmedbio.2016.07.021. Epub 2016 Sep 3.

Authors

Shoki Yamaguchi¹, Tomoki Aoyama², Akira Ito³, Momoko Nagai⁴, Hirotaka Iijima¹, Junichi Tajino⁵, Xiangkai Zhang⁵, Kiyan Wataru⁵, Hiroshi Kuroki⁶

Affiliations

¹ Department of Motor Function Analysis, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan; Japan Society for the Promotion of Science, Tokyo, Japan.
² Department of Development and Rehabilitation of Motor Function, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
³ Japan Society for the Promotion of Science, Tokyo, Japan; Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
⁴ Congenital Anomaly Research Center, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
⁵ Department of Motor Function Analysis, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
⁶ Department of Motor Function Analysis, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan. Electronic address: kuroki.hiroshi.6s@kyoto-u.ac.jp.

PMID: 27600474
DOI: 10.1016/j.ultrasmedbio.2016.07.021

Abstract

We investigated the effect of low-intensity pulsed ultrasound (LIPUS) treatment combined with mesenchymal stromal cell (MSC) injection for cartilage repair and subchondral bone reconstitution for treatment of osteochondral defects. An osteochondral defect was created on both femur grooves of Wistar rats. Four weeks later, bone marrow MSCs were injected into the right knee joint. The rats were divided into two intervention groups: without or with LIPUS irradiation. Cartilage repair was evaluated histologically based on the Wakitani cartilage repair score. Subchondral bone reconstitution was evaluated as bone volume (BV)/tissue volume (TV) by micro-computed tomography analysis. MSC injection improved the cartilage repair score, and LIPUS irradiation improved BV/TV. Combination treatment promoted both cartilage repair and BV/TV improvement. Thus, MSC injection combined with LIPUS irradiation is more effective than either treatment alone in promoting concurrent cartilage repair and subchondral reconstitution.

Keywords: Cartilage; Low-intensity pulsed ultrasound; Mesenchymal stromal cells; Osteochondral defect; Rat; Subchondral bone.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Animals
Bone Diseases / diagnostic imaging
Bone Diseases / therapy*
Cartilage Diseases / diagnostic imaging
Cartilage Diseases / therapy*
Cartilage, Articular / diagnostic imaging
Cartilage, Articular / injuries*
Combined Modality Therapy / methods
Disease Models, Animal
Femur / diagnostic imaging
Femur / injuries*
Injections, Intra-Articular
Mesenchymal Stem Cell Transplantation / legislation & jurisprudence*
Osteogenesis / physiology
Rats
Rats, Wistar
Ultrasonic Therapy / methods*
X-Ray Microtomography / methods