[EFFECT OF ENDOTHELIAL PROGENITOR CELLS IN PROMOTING OSTEOGENESIS OF TISSUE ENGINEERED BONE IN VIVO].

Objective: To investigate the ability of autologous peripheral blood endothelial progenitor cells (EPCs) in promoting neovascularization of tissue engineered bone and osteogenesis of bone marrow mesenchymal stem cells (BMSCs).

Methods: The peripheral blood EPCs and BMSCs from No. 1-9 New Zealand rabbits were isolated, cultured, and identified. According to the cell types, the third generation of cells were divided into 3 groups: EPCs (group A), BMSCs (group B), and co-cultured cells of EPCs and BMSCs (group C, EPCs : BMSCs = 1 : 2). Then cells were seeded on the partially deproteinised bone (PDPB) packaged with fibronectin to construct tissue engineered bone. After 4 days, autologous heterotopic transplantation of tissue engineered bone was performed in the rabbit's muscles bag of groups A, B, and C (the right arm, left arm, right lower limb respectively, 2 pieces each part). At 2, 4, and 8 weeks after transplantation, the growth of tissue engineered bone was observed, and the rate of bone ingrowth was calculated by HE staining; the expressions of CD34, CD105, and zonula occludens protein 1 (ZO-1) were compared by immunohistochemical staining at each time point in tissue engineered bone among 3 groups.

Results: The EPCs and BMSCs were isolated and identified successfully; immunofluorescent staining showed that EPCs were positive for CD34, CD133, and von Willebrand factor (vWF), and BMSCs were positive for CD29 and CD90 and were negative for CD34. The tissue engineered bone constructed in 3 groups was transplanted successfully. At 2, 4, and 8 weeks after autologous heterotopic transplantation, the general observations showed that the soft tissue around the tissue engineered bone increased and thickened gradually in each group with time passing; the boundary between bone and soft tissue was not clear; the pore space of tissue engineered bone gradually was filled, especially in group C, the circuitous vascular network could be seen in the tissue engineered bone. HE staining showed capillaries and collagen fibers increased gradually, tissue engineered bone ingrowth rate was significantly higher in group C than groups A and B at 4 and 8 weeks (P < 0.05), and group B was significantly higher than group A (P < 0.05). Immunohistochemical staining showed that the expressions of CD34, CD105, and ZO-1 in tissue engineered bone of 3 groups all increased with the extension of time, showing significant differences between groups at each time point (P < 0.05). At 2 weeks after transplantation, the expression of CD 105 in group C was significantly higher than that in groups A and B (P < 0.05); at 4 and 8 weeks, CD34, CD 105, and ZO-1 expressions showed significant differences between 2 groups (P < 0.05); the expression was the highest in group C, and was the lowest in group B.

Conclusion: Autologous peripheral blood EPCs and BMSCs have synergistic effect, and can promote neovascularization and osteogenesis of tissue engineered bone in vivo.