PMID- 32066427 OWN - NLM STAT- MEDLINE DCOM- 20201204 LR - 20201214 IS - 1471-2474 (Electronic) IS - 1471-2474 (Linking) VI - 21 IP - 1 DP - 2020 Feb 17 TI - Reduced hypertrophy in vitro after chondrogenic differentiation of adult human mesenchymal stem cells following adenoviral SOX9 gene delivery. PG - 109 LID - 10.1186/s12891-020-3137-4 [doi] LID - 109 AB - BACKGROUND: Mesenchymal stem cell (MSC) based-treatments of cartilage injury are promising but impaired by high levels of hypertrophy after chondrogenic induction with several bone morphogenetic protein superfamily members (BMPs). As an alternative, this study investigates the chondrogenic induction of MSCs via adenoviral gene-delivery of the transcription factor SOX9 alone or in combination with other inducers, and comparatively explores the levels of hypertrophy and end stage differentiation in a pellet culture system in vitro. METHODS: First generation adenoviral vectors encoding SOX9, TGFB1 or IGF1 were used alone or in combination to transduce human bone marrow-derived MSCs at 5 x 10(2) infectious particles/cell. Thereafter cells were placed in aggregates and maintained for three weeks in chondrogenic medium. Transgene expression was determined at the protein level (ELISA/Western blot), and aggregates were analysed histologically, immunohistochemically, biochemically and by RT-PCR for chondrogenesis and hypertrophy. RESULTS: SOX9 cDNA was superior to that encoding TGFB1, the typical gold standard, as an inducer of chondrogenesis in primary MSCs as evidenced by improved lacuna formation, proteoglycan and collagen type II staining, increased levels of GAG synthesis, and expression of mRNAs associated with chondrogenesis. Moreover, SOX9 modified aggregates showed a markedly lower tendency to progress towards hypertrophy, as judged by expression of the hypertrophy markers alkaline phosphatase, and collagen type X at the mRNA and protein levels. CONCLUSION: Adenoviral SOX9 gene transfer induces chondrogenic differentiation of human primary MSCs in pellet culture more effectively than TGFB1 gene transfer with lower levels of chondrocyte hypertrophy after 3 weeks of in vitro culture. Such technology might enable the formation of more stable hyaline cartilage repair tissues in vivo. FAU - Weissenberger, M AU - Weissenberger M AUID- ORCID: 0000-0003-3551-3204 AD - Department of Orthopaedic Surgery, Konig-Ludwig-Haus, Center for Musculoskeletal Research, Julius-Maximilians-University, Brettreichstrasse 11, D-97074, Wurzburg, Germany. m-weissenberger.klh@uni-wuerzburg.de. FAU - Weissenberger, M H AU - Weissenberger MH AD - Department of Orthopaedic Surgery, Konig-Ludwig-Haus, Center for Musculoskeletal Research, Julius-Maximilians-University, Brettreichstrasse 11, D-97074, Wurzburg, Germany. AD - Department of Pathology, Caritas-Hospital, Bad Mergentheim, Germany. FAU - Gilbert, F AU - Gilbert F AD - Department of Orthopaedic Surgery, Konig-Ludwig-Haus, Center for Musculoskeletal Research, Julius-Maximilians-University, Brettreichstrasse 11, D-97074, Wurzburg, Germany. AD - Department of Orthopaedic Trauma, Hand, Plastic and Reconstructive Surgery, University Hospital Wurzburg, Wurzburg, Germany. FAU - Groll, J AU - Groll J AD - Department of Functional Materials in Medicine and Dentistry, Julius-Maximilians-University, Wurzburg, Germany. FAU - Evans, C H AU - Evans CH AD - Rehabilitation Medicine Research Center, Mayo Clinic, Rochester, MN, USA. FAU - Steinert, A F AU - Steinert AF AD - Department of Orthopaedic Surgery, Konig-Ludwig-Haus, Center for Musculoskeletal Research, Julius-Maximilians-University, Brettreichstrasse 11, D-97074, Wurzburg, Germany. AD - Present address: Department of Orthopaedic, Trauma, Shoulder and Arthroplasty Surgery, Rhon-Klinikum Campus Bad Neustadt, Bad Neustadt a.d. Saale, Germany. LA - eng PT - Journal Article DEP - 20200217 PL - England TA - BMC Musculoskelet Disord JT - BMC musculoskeletal disorders JID - 100968565 RN - 0 (SOX9 Transcription Factor) RN - 0 (SOX9 protein, human) SB - IM MH - Adenoviridae/*genetics MH - Adult MH - Aged MH - Cell Differentiation/*physiology MH - Cells, Cultured MH - Chondrogenesis/*physiology MH - Female MH - *Gene Transfer Techniques MH - Humans MH - Hypertrophy MH - Male MH - Mesenchymal Stem Cells/*physiology MH - Middle Aged MH - SOX9 Transcription Factor/biosynthesis/*genetics PMC - PMC7026978 OTO - NOTNLM OT - Adenovirus OT - Bone marrow OT - Cartilage OT - Chondrogenesis OT - Gene therapy OT - Hypertrophy OT - Mesenchymal stem cell OT - SOX9 COIS- The authors declare that they have no competing interests. EDAT- 2020/02/19 06:00 MHDA- 2020/12/15 06:00 PMCR- 2020/02/17 CRDT- 2020/02/19 06:00 PHST- 2019/11/01 00:00 [received] PHST- 2020/02/12 00:00 [accepted] PHST- 2020/02/19 06:00 [entrez] PHST- 2020/02/19 06:00 [pubmed] PHST- 2020/12/15 06:00 [medline] PHST- 2020/02/17 00:00 [pmc-release] AID - 10.1186/s12891-020-3137-4 [pii] AID - 3137 [pii] AID - 10.1186/s12891-020-3137-4 [doi] PST - epublish SO - BMC Musculoskelet Disord. 2020 Feb 17;21(1):109. doi: 10.1186/s12891-020-3137-4.