PMID- 21774449 OWN - NLM STAT- MEDLINE DCOM- 20110809 LR - 20170214 IS - 0003-4894 (Print) IS - 0003-4894 (Linking) VI - 120 IP - 6 DP - 2011 Jun TI - Implantation of an atelocollagen sponge with autologous bone marrow-derived mesenchymal stromal cells for treatment of vocal fold scarring in a canine model. PG - 401-8 AB - OBJECTIVES: Vocal fold scarring remains a therapeutic challenge. A new regenerative approach is needed to restore disorganized extracellular matrix. Tissue regeneration requires appropriate cells and a scaffold. Bone marrow-derived mesenchymal stromal cells (BMSCs) are multipotent and secrete many kinds of growth factors to regenerate tissues. Atelocollagen sponges have many large pores that permit cell entry. The present study was performed to evaluate whether implantation of an atelocollagen sponge plus BMSCs is effective for the treatment of vocal fold scarring. METHODS: Twelve beagles underwent implantation of an atelocollagen sponge or of an atelocollagen sponge with autologous BMSCs (1.0 x 10(6) cells) in the subepithelial pockets of scarred vocal folds. Six months after the operation, vibratory examinations and histologic examinations were performed. RESULTS: Mucosal vibrations improved significantly for the atelocollagen sponge-implanted vocal folds. Histologic analyses revealed favorable restoration of the extracellular matrix in the lamina propria. Increased distribution of hyaluronic acid and decreased dense collagen deposition were also noted. These improvements were enhanced by implantation of BMSCs. CONCLUSIONS: Implantation of atelocollagen sponges with autologous BMSCs into scarred vocal folds significantly increased hyaluronic acid distribution and decreased dense collagen deposition in the lamina propria, leading to better mucosal vibration. FAU - Ohno, Satoshi AU - Ohno S AD - Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Hirano, Shigeru AU - Hirano S FAU - Kanemaru, Shin-Ichi AU - Kanemaru S FAU - Kitani, Yoshiharu AU - Kitani Y FAU - Kojima, Tsuyoshi AU - Kojima T FAU - Tateya, Ichiro AU - Tateya I FAU - Nakamura, Tatsuo AU - Nakamura T FAU - Ito, Juichi AU - Ito J LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Ann Otol Rhinol Laryngol JT - The Annals of otology, rhinology, and laryngology JID - 0407300 RN - 0 (Drug Carriers) RN - 0 (atelocollagen) RN - 9007-34-5 (Collagen) SB - IM MH - Animals MH - Cicatrix/pathology/*surgery MH - *Collagen MH - Disease Models, Animal MH - Dogs MH - Drug Carriers MH - Mesenchymal Stem Cell Transplantation/*methods MH - *Surgical Sponges MH - Transplantation, Autologous MH - Treatment Outcome MH - Vocal Cords/pathology/physiopathology/*surgery MH - Voice Disorders/pathology/physiopathology/*surgery EDAT- 2011/07/22 06:00 MHDA- 2011/08/10 06:00 CRDT- 2011/07/22 06:00 PHST- 2011/07/22 06:00 [entrez] PHST- 2011/07/22 06:00 [pubmed] PHST- 2011/08/10 06:00 [medline] AID - 10.1177/000348941112000610 [doi] PST - ppublish SO - Ann Otol Rhinol Laryngol. 2011 Jun;120(6):401-8. doi: 10.1177/000348941112000610.