Treatment of Muscle Injury with Stem Cells – Experimental Study in Rabbits

Objective  Histological and macroscopic evaluation of the healing process of acute lesions of the femoral rectus muscle using stem cells derived from adipose tissue-derived stem cells (ADSCs). Method  An experimental study was conducted with 18 hind legs of New Zealand rabbits, which were divided into three study groups according to the intervention to be performed. In group I, no surgical procedure was performed; in group II—SHAN, the experimental lesion was performed without any additional intervention protocol; in group III—Intervention, the addition of ADSCs was performed in the same topography of the experimental lesion. After the proposed period, 2 weeks, the material was collected and submitted to macroscopic and histological evaluation. Results  The quantitative analysis showed that the addition of ADSCs is related to the reduction of inflammatory cells in the 2-week evaluation (164.2 cells in group II – SHAN to 89.62 cells in group III – ADSC). The qualitative analysis of the slides with Picrosirius red, noticed an increase in orange/yellow fibers in group III – ADSC, which evidences a final healing process. The macroscopic evaluation found no difference between the groups. Conclusion  The use of ADSCs in the treatment of acute muscle injury presented histological advantages when compared to their non-use.

[1]  Alex de Lima Santos,et al.  Lipidomics of mesenchymal stem cell differentiation. , 2020, Chemistry and physics of lipids.

[2]  Bo Yang,et al.  Clinical therapeutic efficacy of mesenchymal stem cells derived from adipose or bone marrow for knee osteoarthritis: a meta-analysis of randomized controlled trials. , 2020, Journal of comparative effectiveness research.

[3]  F. Faloppa,et al.  A new decellularized tendon scaffold for rotator cuff tears – evaluation in rabbits , 2019, BMC Musculoskeletal Disorders.

[4]  Monya Baker,et al.  Reporting animal research: Explanation and Elaboration for the ARRIVE guidelines 2019 , 2019, bioRxiv.

[5]  C. Franciozi,et al.  Biomechanical evaluation of tendon regeneration with adipose‐derived stem cell , 2019, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[6]  Moisés Cohen,et al.  Prospective Evaluation of Injuries occurred during the Brazilian Soccer Championship in 2016 * , 2019, Revista Brasileira de Ortopedia.

[7]  Moisés Cohen,et al.  Treatment of Acute Thigh Muscle Injury with or without Hematoma Puncture in Athletes * , 2019, Revista Brasileira de Ortopedia.

[8]  M. Ferretti,et al.  Evaluation of different commercial hyaluronic acids as a vehicle for injection of human adipose-derived mesenchymal stem cells☆ , 2018, Revista brasileira de ortopedia.

[9]  K. Samuelsson,et al.  Is Platelet-Rich Plasma (PRP) Effective in the Treatment of Acute Muscle Injuries? A Systematic Review and Meta-Analysis , 2018, Sports Medicine.

[10]  F. Mahyudin,et al.  Implantation of platelet rich fibrin and allogenic mesenchymal stem cells facilitate the healing of muscle injury: An experimental study on animal , 2018 .

[11]  J. Dragoo,et al.  AAOS Research Symposium Updates and Consensus: Biologic Treatment of Orthopaedic Injuries. , 2016, The Journal of the American Academy of Orthopaedic Surgeons.

[12]  Benno Ejnisman,et al.  LESÃO MUSCULAR: PERSPECTIVAS E TENDÊNCIAS ATUAIS NO BRASIL , 2014 .

[13]  F. Gozzo,et al.  Cell kinetics, DNA integrity, differentiation, and lipid fingerprinting analysis of rabbit adipose-derived stem cells , 2014, In Vitro Cellular & Developmental Biology - Animal.

[14]  Joon Yub Kim,et al.  2013 Neer Award: Effect of the adipose-derived stem cell for the improvement of fatty degeneration and rotator cuff healing in rabbit model. , 2014, Journal of shoulder and elbow surgery.

[15]  Renato da Costa Bomfim Sociedade Brasileira de Ortopedia e Traumatologia , 2012 .

[16]  A. Shield,et al.  Hamstring strain injuries: Factors that lead to injury and re-injury [accepted manuscript] , 2017 .

[17]  Martin Hägglund,et al.  Epidemiology of Muscle Injuries in Professional Football (Soccer) , 2011, The American journal of sports medicine.

[18]  R. Guarniero,et al.  Efeito da utilização de um centrifugado de medula óssea no tratamento de lesão muscular: estudo experimental em coelhos , 2011 .

[19]  H. Bruschini,et al.  Autologous transplantation of adult adipose derived stem cells into rabbit urethral wall , 2010, International Urogynecology Journal.

[20]  D. Covas,et al.  Mechanisms involved in the therapeutic properties of mesenchymal stem cells. , 2009, Cytokine & growth factor reviews.

[21]  Beng Hai Lim,et al.  Bone marrow-derived mesenchymal stem cells influence early tendon-healing in a rabbit achilles tendon model. , 2007, The Journal of bone and joint surgery. American volume.

[22]  Hermann Eichler,et al.  Comparative Analysis of Mesenchymal Stem Cells from Bone Marrow, Umbilical Cord Blood, or Adipose Tissue , 2006, Stem cells.

[23]  Rogério Teixeira da Silva,et al.  Assessment of orthopedic injuries in competitive amateur tennis players * , 2005 .

[24]  H Kalimo,et al.  Muscle strain injuries. , 2000, Current opinion in rheumatology.