The effect of aquatic activity and alogenic bone marrow derived mesenchymal stem cells fortified with Platelet-Rich Plasma in treatment of Achilles tendon in rat

Authors

Abstract
The aim of this study was to the effect of aquatic activity and alogenic bone marrow derived mesenchymal stem cells fortified with Platelet-Rich Plasma in treatment of Achilles tendon in rat. 74 Sprague-Dawley rats were selected and tendon injury was formed in 69 of them. Subsequently, these rats were randomly divided into 8 groups and 5 rats which were without any injuries were chosen as the control group. 72 hours after the surgery, isolated cells from bone marrow and PRP were injected to the groups via catheters. The experimental groups had aquatic activity for 8 weeks. At the end of the eighth week, the Achilles tendon was separated and H&E and Mason Trichrome were used for special staining to assess the tendon healing. The results show there is a significant difference between the studied groups on the Achilles tendon healing. Also, results from histopathological examination indicated that there is a significant difference between the studied groups on the number of fibroblasts, collagen deposition, cellularity and tendon diameter. It could be generally concluded that, using these treatment methods could help with the tendon healing through bounding with target cells membrane receptors such as fibroblasts, mesenchymal stem cells and endothelial, which leads to activation of a series of intracellular proteins and as a result of their activities some reactions happen that lead into formation of matrix and collagen synthesis.

Keywords


1. Rodeo, S.A., Delos, D., Weber, A. (2010). What’s New in Orthopaedic Research? Journal of Bone Joint Surgery. 92(2): 491–01.
2. Palmes, D., Spiegel, H.U., Schneider, T.O., Langer, M., Stratmann, U., Budny, T., Probst, A. (2002). Achilles tendon healing: Long-term biomechanical effects of postoperative mobilization and immobilization in a new mouse model. Journal of Orthopaedic Research. 20: 939-46.
3. Lehninger, L.A. (1982). Principles of biochemistry. 6th. New York. Worth Publishers Inc. 157-60.
4. Andre, F., Steinert, M.K., Patrick, P., Thomas, B., Franz, J., Ulrich, N., Murray, C. H., Evans, D., Ryan, M.P. (2011). Mesenchymal stem cell characteristics of human anterior cruciate ligament outgrowth cells.Tissue Engineering.17: 9- 10.
5. Karp, J.M., Teo, G.S. (2009). Mesenchymal stem cell homing: the devil is in the details. Cell Stem Cell. 4: 206-16.
6. Zigang, G.E., Fang, Y., James, C.H., Goh, S.R., Eng, H. (2006). Biomaterials and scaffolds for ligament tissue engineering. Journal of Biomedical Materials Research. 10:639-52.
7. Caplan, A.I., Bruder, S.P. (2001). Mesenchymal Stem Cells: Building Blocks for Molecular Medicine in the 21st Century. Trends in Molecular Medicine. 7: 259-64.
8. Pittenger, M.F., Mackay, A.M., Beck, S.C., Jaiswal, R.K., Douglas, R., Mosca, J.D., Moorman, M.A., Simonetti, D.W., Craig, S., and Marshak, D.R. (1999). Multilineage potential of adult human mesenchymal. Stem Cells. 284: 143-48.
9. Young, M. (2012). Stem cell applications in tendon disorders: A Clinical Perspective. Stem Cells International. 10(1): 155-65.
10. Obaid, H., Connell, D. (2010). Cell Therapy In Tendon Disorders: What Is The Current Evidence? American Journal of Sports Medicine. 10(2): 123–32.
11. Phinney, D.G., Prockop, D.J. (2007). Concise review: mesenchymal stem/multipotent stromal cells: the state of transdifferentiation and modes of tissue repair—current views. Stem Cells. 11(2): 896–02.
12. Caplan, A.I., Dennis, J.E. (2006). Mesenchymal stem cells as trophic mediators. Journal of Cellular Biochemistry. 98(10): 76-84.
13. Chong, A.K., Ang, A.D., Goh, J.C., Hui, J.H., Lim, A.Y., Lee, E.H., Lim, B.H. (2007). Bone Marrow-Derived Mesenchymal Stem Cells Influence Early Tendon-Healing in a Rabbit Achilles tendon Model. Journal of Bone Joint Surgery, 89(1): 74-81.
14. Huntsman, H.D., Zachwieja, N., Zou, K., Ripchik, P., Valero, M.C., De Lisio, M., Boppart, M.D. (2013). Mesenchymal stem cells contribute to vascular growth in skeletal muscle in response to eccentric exercise. American Journal of Physiology-Heart and Circulatory Physiology; 304(1):72-81.
15. Genovese, J.A., Spadaccio, C., Rivello, H.G., Toyoda, Y., Patel, A.N. (2009). Electro stimulated Bone Marrow Human Mesenchymal Stem Cells Produce Follistatin. Cytotherapy.11 (4): 448–56.
16. Mescher, L.A. (2016). Junqueira’s basic histology.Shirazi, R. 1.Tehran.Mirmah.580-90. (Persian).
17. Hilberg, T., Volker, H., Wolfgang, L.S., Holger, H.W. (2003). Platelet activity and sensitivity to agonists after exhaustive treadmill exercise. Journal of Sports Science and Medicine. 2:15-22.
18. Akinbo, S., Aiyegbusi, A., Duru, F., Noronha, C., Okanlawon, A. (2008). The efficacy of uktrasound therapy on the acute tendon injury. Journal of Orthopedic Surgery. 13(2): 1-7.
19. Hart, K.J., SHAW, J.M., Vajda, E., Hegsted, M., Miller1, S.C. (2001). Swim-trained rats have greater: bone mass, density, strength, and dynamics. Journal of Applied Physiology. 91(1): 663–68.
20. McVeig, J., Kihngsley, S., Gray, D., and Loram, L.C. (2010). Swimming enhances bone mass acquisition in growing female rats. Journal of Sports Science and Medicine. 9: 612-19.
21. Lane, J.G., Healey, R.M., Chase, D.C., Amiel, D. (2013). Use of platelet-rich plasma to enhance tendon function and cellularity. American Journal of Orthopedics.42 (5): 209-14.
22. Wang, J. H.C. (2006). Mechanobiology of tendon. Journal of Biomechanics. 39(1): 563–82.
23. Graziani, F., Ivanovski, S. Cei, S. Ducci, F. Tonetti, M. Gabriele, M. (2005). The in vitro effect of different PRP concentrations on osteoblasts and fibroblasts. Clinical Oral Implants Reserch. 17: 212–19.
24. Lisa, m., Zena, W. (2002). Inflammation and cancer. Nature. 420: 860-67.
25. Ernie, M.S. (2010). Natural growth factor: platelet rich plasma stimulates proliferation of fibroblast cell culture. Indonesian Journal Of Tropical And Infectious Disease.2: 102-04.
26. Heinemeier, K.M. (2007). Adaptation of tendon and muscle connective tissue to mechanical loading. Ph.D Degree, Copenhagen University.
27. Kjaer, M. (2004). Role of extracellular matrix in adaptation of tendon and skeletal muscle to mechanical loading. Physiological Reviews. 84:649–98.
28. Heinemeier, K., Langberg, H., Olesen, J.K., Kjaer, M. (2003). Role of TGF-β1 in relation to exercise-induced type I collagen synthesis in human tendinous tissue. Journal of Applied Physiology 95(2): 390–97.