Trauma or infection that results in segmental bone loss poses a common, difficult reconstruction dilemma for orthopedic surgeons. Devascularized bone does not heal and is prone to infection. Clinically, it is well established that both an angiogenic and osteogenic environment is needed, but traditionally these two processes have been studied in isolation. This has resulted in many treatment options, but no one solution that works in every patient. Human placental tissue has been shown to have both angiogenic and osteogenic capabilities. It is unknown if these properties can successfully augment the mineralization of critical-sized bone defects. Purified human placental-derived matrix (hPM) is rich in growth factors and has been shown to rapidly create morphologically and phenotypically accurate vascular structures in vitro and functional vessels in vivo. We hypothesize that hPM can facilitate angiogenesis on demineralized bone graft, thus enhancing mineralization of defects. We will measure the angiogenic and osteogenic response to hPM in vitro in 3D culture and test healing of a critical sized defect in an in vivo rat femur defect model.

Public Health Relevance

Musculoskeletal trauma results in the expenditure of billions of healthcare dollars each year, and leads to more death and disability in the developing world than HIV, TB and malaria combined. Segmental bone loss following trauma or infection presents a daunting challenge for orthopedic surgeons and their patients because the various treatment techniques can require multiple surgeries, prolonged disability, extensive cost, and are not always successful. We intend to develop a method of facilitating the healing of bone defects by improving the angiogenic and osteogenic environment.

Agency
National Institute of Health (NIH)
Institute
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21AR072291-01A1
Application #
9528079
Study Section
Musculoskeletal Tissue Engineering Study Section (MTE)
Program Officer
Wang, Fei
Project Start
2018-08-01
Project End
2020-05-31
Budget Start
2018-08-01
Budget End
2019-05-31
Support Year
1
Fiscal Year
2018
Total Cost
Indirect Cost
Name
University of Florida
Department
Dentistry
Type
Schools of Dentistry/Oral Hygn
DUNS #
969663814
City
Gainesville
State
FL
Country
United States
Zip Code
32611