Source: UNIVERSITY OF ILLINOIS submitted to NRP
GROWTH FACTOR ENHANCED PROGENITOR CELLS FOR TENDON HEALING
Sponsoring Institution
Cooperating Schools of Veterinary Medicine
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
0209201
Grant No.
(N/A)
Cumulative Award Amt.
(N/A)
Proposal No.
(N/A)
Multistate No.
(N/A)
Project Start Date
May 1, 2006
Project End Date
Jun 1, 2008
Grant Year
(N/A)
Program Code
[(N/A)]- (N/A)
Recipient Organization
UNIVERSITY OF ILLINOIS
2001 S. Lincoln Ave.
URBANA,IL 61801
Performing Department
VETERINARY CLINICAL MEDICINE
Non Technical Summary
Our goal is to determine the best population of progenitor cells and growth factors to use in a cell based repair for tendons. Tendinitis is a common injury in race horses that have a significant economic impact on the industry. This research is the next step toward scientifically documented the value of using either bone marrow or tendon-derived progenitor cells in tendon repair. We anticipate that growth factor supplementation will further enhance the quality of the repair. If these results are promising, we anticipate starting research on clinical cases of tendinitis.
Animal Health Component
50%
Research Effort Categories
Basic
50%
Applied
50%
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
31138101020100%
Knowledge Area
311 - Animal Diseases;

Subject Of Investigation
3810 - Horses, ponies, and mules;

Field Of Science
1020 - Physiology;
Goals / Objectives
Tendinitis is a debilitating injury that primarily affects performance horses, especially race horses. The healing response is prolonged and the resultant repair tissue is usually of inferior mechanical strength. Consequently, the prognosis for return to previous levels of performance is poor and reinjury is common. A variety of surgical and conservative treatments have been developed, however none have succeeded in returning the healed tendon to its original strength. A cell based repair may provide a more physiologic repair, particularly if the cell can express tenocytic matrix and properties. Intratendinous bone marrow injections are being performed with no scientific documentation of benefit. Our hypothesis is growth factor enhanced tendon progenitor cells will have more tenocytic-like properties when compared similarly treated progenitor cells from bone marrow. Our specific aims are: (1) to determine if FGF-2 expansion of progenitor cells will enhance later differentiation, (2) to determine if tenocyte progenitor cells are superior to bone marrow- derived progenitor cells, and (3) to determine if IGF-1 supplementation can enhance the tenocytic properties further.
Project Methods
Tendon, tendon- derived progenitor cells, and bone marrow-derived progenitor cells will be isolated from 6 horses. The progenitor cells will be preplated for isolation and then expanded with 100 ng/ml of FGF-2 or 0 ng/ml for Control. The expanded progenitor cells will be seeded with tendon matrix derived from autologous tendon. Tendon matrix containing no cells will be used as a negative control. The tendon matrix/ cell complexes will be supplemented with media containing 100 ng/ml of IGF-1 or no IFG-1 supplementation. Samples will be analyzed for tenogenic matrix elaboration of Collagen and COMP production. Further tenocytic properties will be evaluated using mRNA for expression of Collagen I, Collagen III, Fibrillins 1 & 2, and Scleraxis. Histologic samples will be used to evaluate cell incorporation into the matrix and cell viability.

Progress 05/01/06 to 06/01/08

Outputs
OUTPUTS: Growth factor enhanced progenitor cells for tendon healing has been submitted to the ACVS 2009 symposim. Stewart AA, Durgam S. PARTICIPANTS: Dr. Sushmitha Durgam assisted in this project during her Master's study. TARGET AUDIENCES: We are targeting the referring veterinarian's in an effort to help them understand the "stem cell" therapy and where we are really at scientifically. PROJECT MODIFICATIONS: The only change we have made in the study is to use a pulverized tendon matrix rather than a flat tendon matrix for the cells to adhere to. This allowed a more complete 3-dimensional matrix to form when compared to a monolayer type adherence to the surface of the tendon matrix. Our laboratory has used this model successfully with bone marrow-derived progenitor cells and a pulverized cartilage matrix.

Impacts
Both tendon and bone marrow-derived cells responded favorably to growth factor supplementation. In general tendon-derived cells were easier to culture and responded more consistently in cell culture to growth factor supplementation. IGF-I alone or in combination with FGF-2 had the most beneficial effects on tendon-derived cells adherence and viability, protein matrix synthesis, and mRNA expression. While bone marrow derived-cells showed similar effects, there was marked variation in the individual's response to growth factor supplementation. Most of the bone marrow-derived cells' lack of significant findings is due to the variability in response. The results of this study have supported further investigation using in-vivo models prior to use in a client owned animal. Although these results support the use of tendon-derived progenitor cells, the authors remain concerned about the benefits of using tendon-derived cells relative to the risks of collecting tendon-derived progenitor cells from the lateral digital extensor tendon. To date, eight lateral digital extensor tendons have been collected from live horses without any longterm complications.

Publications

  • No publications reported this period


Progress 10/01/06 to 09/30/07

Outputs
OUTPUTS: Durgam S, Stewart A, Stewart M, Byron C, Pondenis H. In vitro comparison of tendon and bone marrow-derived progenitor cells enhanced with IGF-1 cultured on a tendon matrix. Accepted for presentation at the Veterinary Orthopedic Society, March 2008, Big Sky, MT. PARTICIPANTS: Sushmitha Durgam- BVSc, Graduate Student on the project. Allison Stewart- MS,DACVS,DVM, principle investigator on this project. Matthew Stewart- MS,PhD,BVSc,FACVS, co-investigator on this project. Christopher Byron- MS,DVM,DACVS, co-investigator on this project. Holly Pondenis- BS laboratory technician. This project was funded by the American Quarter Horse Foundation. TARGET AUDIENCES: Our target audiences are equine veterinarians and horse owners. The project will be presented to enhance the knowledge of these audiences about the likely benefits of progenitor cells in tendon injuries. PROJECT MODIFICATIONS: No major changes have been made.

Impacts
Tendon derived cells were easier to isolate, had a higher metabolic rate and propagate more readily in monolayer culture than bone marrow-derived stem cells. After 7 days of culture on tendon matrix, both tendon-derived and bone marrow-derived cells enhanced with IGF-I had an increase in cell adherence and viability when compared to the non IGF-I treated cells (P<0.001). A trend (p=0.052) in increased collagen synthesis was observed in the tendon derived progenitor cells treated with IGF-1. After 7 days of culture on matrix tendon- and bone marrow-derived progenitor cells showed no significant difference with reference to total DNA, total GAG content, and proteoglycans synthesis. These findings suggest we should further evaluate the possible use of tendon derived progenitor cells and IGF-1 in the treatment of tendinitis.

Publications

  • No publications reported this period