Abstract
Bone marrow stem cells (BMSCs) can be obtained from the vertebral body (VB) and iliac crest (IC) for augmenting spinal arthrodesis. However, it is still not evaluated, which of the two sites would have a better BMSCs potential on Proliferation and osteoblastic differentiation is still not evaluated. Fourteen patients (10 men and 4 women) undergoing posterolateral lumbar arthrodesis and pedicle screw instrumentation were involved. The mean age was 54.7 years (range 31–75 years). Bone marrow aspirates were obtained from the vertebral body through the bilateral pedicle and were quantified relative to matched, bilateral aspirates from the iliac crest that were obtained from the same patient and at the same time. The mononuclear cell count and concentration of BMSCs were calculated and compared. Proliferation and osteoblastic differentiation of each of the BMSCs were characterized using biochemical and molecular biology techniques. Concentration (cells/mL) of BMSCs from VB and IC were 3.73 × 103 and 3.19 × 103, respectively (P > 0.05). VB and IC exhibited similar proliferation pattern at 3, 5 and 7 days, but BMSCs from the VB exhibited an increased mineralization staining with Alizarin Red S at 14 days. BMSCs from both anatomic sites expressed comparable levels of CD29, CD34, CD44, CD90 and CD105. VB and IC displayed similar levels of expression of ALP, type I collagen and osterix, but VB expressed higher level of osteocalcin and Runx-2, especially at 14 and 21 days. Our studies show that BMSCs from VB have osteogenic differentiation potential similar to IC. Based on these findings, we suggest that BMSCs from VB would be comparable candidates for osseous graft supplementation especially in spinal fusion procedures.
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Abbreviations
- BMSCs:
-
Bone marrow stem cells
- VB:
-
Vertebral body
- IC:
-
Iliac crest
- CD:
-
Clust designation
- ALP:
-
Alkaline phosphatase
- CFU-F:
-
Colony-forming unit-fibroblastic
- DNA:
-
Deoxynucleic acid
- RNA:
-
Ribonucleic acid
- cDNA:
-
Complementary DNA
- cRNA:
-
Complementary RNA
- MEM:
-
Minimum essential medium
- FBS:
-
Fetal bovine serum
- FACS:
-
Flow cytometric analysis scan
- ELISA:
-
Enzyme-linked immunosorbent assay
- ASD:
-
Adjacent segment degeneration
- SS:
-
Spinal stenosis
- HNP:
-
Herniated nucleus pulposus
- PTK:
-
Posttraumatic kyphosis
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Acknowledgments
This research was supported by Musculoskeletal Bioorgans Center (0405-B001-0204-0006) of the Ministry of Health and Welfare, the Ministry of Knowledge Economy (MKE), Korea Institute for Advancement of Technology (KIAT) and Dae-Gyeong Leading Industry Office through the Leading Industry Development for Economic Region (2009-T-2-A-Y0-A-05) and a grant (SC4170) from Stem Cell Research Center of the 21st Century Frontier Research Program funded by the Ministry of Science and Technology, Republic of Korea.
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Min, WK., Bae, JS., Park, BC. et al. Proliferation and osteoblastic differentiation of bone marrow stem cells: comparison of vertebral body and iliac crest. Eur Spine J 19, 1753–1760 (2010). https://doi.org/10.1007/s00586-010-1424-8
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DOI: https://doi.org/10.1007/s00586-010-1424-8