PMID- 21343916 OWN - NLM STAT- MEDLINE DCOM- 20111102 LR - 20211020 IS - 1525-0024 (Electronic) IS - 1525-0016 (Print) IS - 1525-0016 (Linking) VI - 19 IP - 5 DP - 2011 May TI - "Same day" ex-vivo regional gene therapy: a novel strategy to enhance bone repair. PG - 960-8 LID - 10.1038/mt.2011.2 [doi] AB - Ex-vivo regional gene therapy with bone marrow cells (BMCs) overexpressing bone morphogenetic protein-2 (BMP-2) has demonstrated efficacy in healing critical sized bone defects in preclinical studies. The purpose of this preclinical study was to compare the osteoinductive potential of a novel "same day" ex-vivo regional gene therapy versus a traditional two-step approach, which involves culture expansion of the donor cells before implantation. In the "same day" strategy buffy coat cells were harvested from the rat bone marrow, transduced with a lentiviral vector-expressing BMP-2 for 1 hour and implanted into a rat femoral defect in the same sitting. There was no significant difference (P = 0.22) with respect to the radiographic healing rates between the femoral defects treated with the "same day" strategy (13/13; 100%) versus the traditional two-step approach (11/14; 78%). However, the femoral defects treated with the "same day" strategy induced earlier radiographic bone healing (P = 0.004) and higher bone volume (BV) [micro-computed tomography (micro-CT); P < 0.001]. The "same day" strategy represents a significant advance in the field of ex-vivo regional gene therapy because it offers a solution to limitations associated with the culture expansion process required in the traditional ex vivo approach. This strategy should be cost-effective when adapted for human use. FAU - Virk, Mandeep S AU - Virk MS AD - New England Musculoskeletal Institute, Department of Orthopedic Surgery, University of Connecticut Health Center, Farmington, Connecticut 06030-5456, USA. FAU - Sugiyama, Osamu AU - Sugiyama O FAU - Park, Sang H AU - Park SH FAU - Gambhir, Sanjiv S AU - Gambhir SS FAU - Adams, Douglas J AU - Adams DJ FAU - Drissi, Hicham AU - Drissi H FAU - Lieberman, Jay R AU - Lieberman JR LA - eng GR - R01 AR057076/AR/NIAMS NIH HHS/United States GR - R01 AR057076-01A1/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20110222 PL - United States TA - Mol Ther JT - Molecular therapy : the journal of the American Society of Gene Therapy JID - 100890581 RN - 0 (Bone Morphogenetic Protein 2) SB - IM MH - Animals MH - Bone Development MH - Bone Marrow Cells/*cytology/metabolism MH - Bone Morphogenetic Protein 2/genetics/*metabolism MH - Bone Regeneration/*genetics MH - Bone Transplantation/methods MH - Cells, Cultured/virology MH - Enzyme-Linked Immunosorbent Assay MH - Fracture Healing/*genetics MH - Fractures, Bone/metabolism/*therapy MH - Gene Transfer Techniques MH - Genetic Therapy/*methods MH - Genetic Vectors/genetics/therapeutic use MH - Lentivirus/genetics MH - Rats MH - Rats, Inbred Lew MH - Transduction, Genetic PMC - PMC3098640 EDAT- 2011/02/24 06:00 MHDA- 2011/11/04 06:00 PMCR- 2012/05/01 CRDT- 2011/02/24 06:00 PHST- 2011/02/24 06:00 [entrez] PHST- 2011/02/24 06:00 [pubmed] PHST- 2011/11/04 06:00 [medline] PHST- 2012/05/01 00:00 [pmc-release] AID - S1525-0016(16)31896-2 [pii] AID - 10.1038/mt.2011.2 [doi] PST - ppublish SO - Mol Ther. 2011 May;19(5):960-8. doi: 10.1038/mt.2011.2. Epub 2011 Feb 22.