×
Home Current Archive Editorial board
News Contact
Review paper

TGF-1 biomarker level evaluation on fracture healing in a murine model with a bone defect after stromal vascular fraction application

By
Panji Sananta Orcid logo ,
Panji Sananta
Contact Panji Sananta

Orthopedic and Traumatology Department, Faculty of Medicine, Universitas Brawijaya-RSUD Dr. Saiful Anwar , Malang , Indonesia

Respati S Dradjat ,
Respati S Dradjat

Orthopedic and Traumatology Department, Faculty of Medicine, Universitas Brawijaya, RSUD Dr. Saiful Anwar , Malang , Indonesia

Rizqi Daniar Rosandi ,
Rizqi Daniar Rosandi

Orthopedic and Traumatology Department, Faculty of Medicine, Universitas Brawijaya, RSUD Dr. Saiful Anwar , Malang , Indonesia

Lasa Dhakka Siahaan
Lasa Dhakka Siahaan

Orthopedic and Traumatology Department, Faculty of Medicine, Universitas Brawijaya, RSUD Dr. Saiful Anwar , Malang , Indonesia

Abstract

Aim
Bone defect is a challenge even for experienced orthopaedic surgeons and it is a significant cause of morbidity in patients and a source of high economic burden in health care. A severe bone defect is a condition whereby the bone tissue cannot undergo natural healing despite surgical stabilization and requires further surgical intervention. Stromal vascular fraction (SVF) is a heterogeneous cell population derived from adipose tissue that results from minimal manipulation of the adipose tissue itself. TGF is essential in maintaining and expanding mesenchymal stem cells or progenitors of osteoblasts. Furthermore, TGF-β signalling also triggers osteoprogenitor cell proliferation, early differentiation, and maintenance of osteoblasts in the bone healing process. The aim of this study was to determine the effect of administering SVF on bone
defects’ healing process assessed based on the TGF- β1.
Methods
This was an animal study involving twelve Wistar strain Rattus norvegicus. They were divided into three groups: negative
group (normal rats), positive group (rats with bone defect without SVF application), and SVF group (rats with bone defect with SVF application). After 30 days, the rats were sacrificed, the TGF- β1 biomarker was evaluated (quantified using ELISA).
Results
TGF- β1 biomarker expressions were higher in the group with SVF application than in the group without SVF application. All comparisons of the SVF group and positive control group showed significant differences (p=0,000), respectively.
Conclusion
Giving SVF application could aid the healing process in a murine model with bone defect, marked by an increased level
of TGF- β1.

References

1
Kamal A, Iskandriati D, Dilogo I, Sirega N, Hutagalung E, Susworo R, et al. Biocompatibility of various hydoxyapatite scaffolds evaluated by proliferation of rat’s bone marrow mesenchymal stem cells: an in vitro study. Med J Indones 2013:202–8.
2
Prins H, Schulten E, Bruggenkate T, Klein-Nulend C, Helder J, M. Bone regeneration using the freshly isolated autologous stromal vascular fraction of adipose tissue in combination with calcium phosphate ceramics. Stem Cells Transl Med 2016:1362–74.
3
Todorov A, Kreutz M, Haumer A, Scotti C, Barbero A, Bourgine P, et al. Fat-derived stromal vascular fraction cells enhance the bone-forming capacity of devitalized engineered hypertrophic cartilage matrix. Stem Cells Transl Med 2016:1684–94.
4
Zuk P. Adipose-derived stem cells in tissue regeneration: a review. ISRN Stem Cells 2013:1–35.
5
Kilkenny C, Browne W, Cuthill I, Emerson M, Altman D. Improving bioscience research reporting: the ARRIVE guidelines for reporting animal research. PLoS Biol 2010:1000412.
6
Sananta P, Rahaditya I, Gmo, Suryanto R, Suroto H, Mustamsir E, et al. Adipose-derived stromal vascular fraction prevents bone bridge formation on growth plate injury in rat (in vivo studies) experimental research. Ann Med Surg 2020:211–7.
7
Rodriguez J, Murphy M, Hong S, Madrigal M, March K, Minev B, et al. Autologous stromal vascular fraction therapy for rheumatoid arthritis: rationale and clinical safety. Int Arch Med 2012:5.
8
Gentile P, Piccinno M, Calabrese C. Characteristics and potentiality of human adipose-derived stem cells (hASCs) obtained from enzymatic digestion of fat graft. Cells 2019:282.
9
Chen G, Deng C, Li Y. TGF-β and BMP signaling in osteoblast differentiation and bone formation. Int J Biol Sci 2012:272–88.
10
Perez J, Kouroupis D, Li D, Best T, Kaplan L, Correa D. Tissue engineering and cell-based therapies for fractures and bone defects. Front Bioeng Biotechnol 2018:105.
11
Kheirallah M, Almeshaly H. Present strategies for critical bone defects regeneration. Oral Health Case Rep 2016:3.
12
Kozhemyakina E, Lassar A, Zelzer E. A pathway to bone: signaling molecules and transcription factors involved in chondrocyte development and maturation. Development 2015:817–31.
13
Alexander R. Understanding adipose-derived stromal vascular fraction (AD-SVF) cell biology and use on the basis of cellular, chemical, structural and paracrine components: a concise review. Journal of Prolotherapy 2012:855–69.
14
Levi B, Longaker M. Concise review: adipose-derived stromal cells for skeletal regenerative medicine. Stem Cells 2011:576–82.
15
Bora P, Majumdar A. Adipose tissue-derived stromal vascular fraction in regenerative medicine: a brief review on biology and translation. Stem Cell Res Ther 2017:145.
16
Roato I, Belisario D, Compagno M, Verderio L, Sighinolfi A, Mussano F, et al. Adipose-derived stromal vascular fraction/xenohybrid bone scaffold: an alternative source for bone regeneration. Stem Cells Int 2018:4126379.
17
Adamczyk A, Meulenkamp B, Wilken G, Papp S. Managing bone loss in open fractures. OTA Int 2020:59.
18
Kim J, Kim H. Rat defect models for bone grafts and tissue engineered bone constructs. Tissue Eng Regen Med 2013:10310–6.

Citation

Authors retain copyright. This work is licensed under a Creative Commons Attribution 4.0 International License. Creative Commons License

 

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.