Markides, H, McLaren, JS, Telling, ND, Alom, N, Al-Mutheffer, EA, Oreffo, ROC, Zannettino, A, Scammell, BE, White, LJ and El Haj, AJ (2018) Translation of remote control regenerative technologies for bone repair. NPJ Regenerative Medicine, 3. ISSN 2057-3995

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Abstract

The role of biomechanical stimuli, or mechanotransduction, in normal bone homeostasis and repair is understood to facilitate effective osteogenesis of mesenchymal stem cells (MSCs) in vitro. Mechanotransduction has been integrated into a multitude of in vitro bone tissue engineering strategies and provides an effective means of controlling cell behaviour towards therapeutic outcomes. However, the delivery of mechanical stimuli to exogenous MSC populations, post implantation, poses a significant translational hurdle. Here, we describe an innovative bio-magnetic strategy, MICA, where magnetic nanoparticles (MNPs) are used to remotely deliver mechanical stimuli to the mechano-receptor, TREK-1, resulting in activation and downstream signalling via an external magnetic array. In these studies, we have translated MICA to a pre-clinical ovine model of bone injury to evaluate functional bone repair. We describe the development of a magnetic array capable of in vivo MNP manipulation and subsequent osteogenesis at equivalent field strengths in vitro. We further demonstrate that the viability of MICA-activated MSCs in vivo is unaffected 48 h post implantation. We present evidence to support early accelerated repair and preliminary enhanced bone growth in MICA-activated defects within individuals compared to internal controls. The variability in donor responses to MICA-activation was evaluated in vitro revealing that donors with poor osteogenic potential were most improved by MICA-activation. Our results demonstrate a clear relationship between responders to MICA in vitro and in vivo. These unique experiments offer exciting clinical applications for cell-based therapies as a practical in vivo source of dynamic loading, in real-time, in the absence of pharmacological agents.

Item Type: Article
Additional Information: This is the final published version of the article (version of record). It first appeared online via Springer at https://www.nature.com/articles/s41536-018-0048-1 - Please refer to any applicable terms of use of the publisher.
Uncontrolled Keywords: cell signaling; mesenchymal stem cells
Subjects: Q Science > Q Science (General)
R Medicine > R Medicine (General)
Divisions: Faculty of Medicine and Health Sciences > Institute for Science and Technology in Medicine
Related URLs:
Depositing User: Symplectic
Date Deposited: 08 May 2018 14:05
Last Modified: 24 May 2019 14:58
URI: https://eprints.keele.ac.uk/id/eprint/4869

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