2019
DOI: 10.1002/jcp.28601
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Effect of strontium substituted ß‐TCP associated to mesenchymal stem cells from bone marrow and adipose tissue on spinal fusion in healthy and ovariectomized rat

Abstract: Despite alternatives to autogenous bone graft for spinal fusion have been investigated, it has been shown that osteoconductive materials alone do not give a rate of fusion comparable with autogenous bone. This study analyzed a strontium substituted ß-tricalcium phosphate (Sr-ßTCP) associated with syngeneic, unexpanded, and undifferentiated mesenchymal stem cells from bone marrow (BMSC) or adipose tissue (ADSC) as a new tissue engineering approach for spinal fusion procedures. A posterolateral fusion was perfor… Show more

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Cited by 29 publications
(22 citation statements)
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“…Moreover, their beneficial effect on bone cells has also been observed when coupled to β-TCP [20,21,22,23,24]. In particular, strontium-substituted β-TCP (SrTCP) added with mesenchymal stem cells has been shown to improve bone formation and fusion across the transverse processes, both in osteoporotic and non-osteoporotic animal models [25]. The possible substitution of these two cations into β-TCP structure has been previously investigated.…”
Section: Introductionmentioning
confidence: 99%
“…Moreover, their beneficial effect on bone cells has also been observed when coupled to β-TCP [20,21,22,23,24]. In particular, strontium-substituted β-TCP (SrTCP) added with mesenchymal stem cells has been shown to improve bone formation and fusion across the transverse processes, both in osteoporotic and non-osteoporotic animal models [25]. The possible substitution of these two cations into β-TCP structure has been previously investigated.…”
Section: Introductionmentioning
confidence: 99%
“…Results reported from preclinical studies are confirming that BMA clot could be able to perform the necessary physiological functions to achieve and facilitate cartilage and bone tissue regeneration in patients [218]. Recently, we also demonstrated the better efficiency of BM-MSC with respect to Ad-MSC in a preclinical study performed on a rat model of spinal fusion, using a strontium substituted β-tricalcium phosphate as a scaffold, associated with unexpanded and undifferentiated MSC [227].…”
Section: Challenges In Msc Translation Into Clinical Practice: Thementioning
confidence: 64%
“…Several studies to date have shown that ASCs can induce spinal fusion in various preclinical models; however, the majority of these studies either use genetically modified cells, [20][21][22]24 cells of a higher passage number (≥P4), 20,21,23,25 immunocompromised recipients, [20][21][22][24][25][26] experimental carriers, [27][28][29][30] or some combination therein, thus limiting their clinical relevance. Our study circumvents many of these issues by utilizing low passage number rASCs and rBMCs from the same donor animals, a clinical-grade bone graft substitute, and immune intact syngeneic recipient animals.…”
Section: Discussionmentioning
confidence: 99%
“…More importantly, studies have suggested that ASCs are less influenced by aging and skeletal conditions than marrow-derived progenitors. [17][18][19] However, the use of ASCs in spinal fusion procedures is only beginning to be explored, [20][21][22][23][24][25][26][27][28][29][30][31][32] with limited research directly comparing their performance to BMCs. 21,30 In this study, we thus directly compare the efficacy of ASCs and BMCs in achieving successful spinal fusion when combined with a clinical-grade bone graft substitute in a rat model.…”
mentioning
confidence: 99%