PMID- 32804289 OWN - NLM STAT- MEDLINE DCOM- 20210818 LR - 20210818 IS - 1432-1068 (Electronic) IS - 1633-8065 (Linking) VI - 31 IP - 2 DP - 2021 Feb TI - Allogeneic umbilical cord-derived mesenchymal stem cells for treating critical-sized bone defects: a translational study. PG - 265-273 LID - 10.1007/s00590-020-02765-5 [doi] AB - INTRODUCTION: The current 'gold-standard' treatment of critical-sized bone defects (CSBDs) is autografts; however, they have drawbacks including lack of massive bone source donor site morbidity, incomplete remodeling, and the risk of infection. One potential treatment for treating CSBDs is bone marrow-derived mesenchymal stem cells (BM-MSCs). Previously, there were no studies regarding the use of human umbilical cord-mesenchymal stem cells (hUC-MSCs) for treating BDs. We aim to investigate the use of allogeneic hUC-MSCs for treating CSBDs. METHOD: We included subjects who were diagnosed with non-union fracture with CSBDs who agreed to undergo hUC-MSCs implantation. All patients were given allogeneic hUC-MSCs. All MSCs were obtained and cultured using the multiple-harvest explant method. Subjects were evaluated functionally using the Lower Extremity Functional Scale (LEFS) and radiologically by volume defect reduction. RESULT: A total of seven (3 male, 4 female) subjects were recruited for this study. The subjects age ranged from 14 to 62 years. All seven subjects had increased LEFS during the end of the follow-up period, indicating improved functional ability. The follow-up period ranged from 12 to 36 months. One subject had wound dehiscence and infection, and two subjects developed partial union. CONCLUSION: Umbilical cord mesenchymal stem cells are a potential new treatment for CSBDs. Additional studies with larger samples and control groups are required to further investigate the safety and efficacy of umbilical cord-derived mesenchymal stem cells for treating CSBDs. FAU - Dilogo, Ismail Hadisoebroto AU - Dilogo IH AUID- ORCID: 0000-0002-6202-0918 AD - Department of Orthopaedic and Traumatology, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia. ismailortho@gmail.com. AD - Stem Cell Medical Technology Integrated Service Unit, Cipto Mangunkusumo Central Hospital, Faculty of Medicine, Universitas Indonesia, CMU 2 Building 5th Floor, Jl. Diponegoro 71, Jakarta Pusat, Indonesia. ismailortho@gmail.com. AD - Stem Cell and Tissue Engineering Research Center, IMERI, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia. ismailortho@gmail.com. FAU - Rahmatika, Dina AU - Rahmatika D AD - Stem Cell Medical Technology Integrated Service Unit, Cipto Mangunkusumo Central Hospital, Faculty of Medicine, Universitas Indonesia, CMU 2 Building 5th Floor, Jl. Diponegoro 71, Jakarta Pusat, Indonesia. FAU - Pawitan, Jeanne Adiwinata AU - Pawitan JA AD - Stem Cell Medical Technology Integrated Service Unit, Cipto Mangunkusumo Central Hospital, Faculty of Medicine, Universitas Indonesia, CMU 2 Building 5th Floor, Jl. Diponegoro 71, Jakarta Pusat, Indonesia. AD - Department Histology, Faculty of Medicine, Universitas Indonesia, Jl. Salemba 6, Jakarta, Indonesia. AD - Stem Cell and Tissue Engineering Research Center, IMERI, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia. FAU - Liem, Isabella Kurnia AU - Liem IK AD - Stem Cell Medical Technology Integrated Service Unit, Cipto Mangunkusumo Central Hospital, Faculty of Medicine, Universitas Indonesia, CMU 2 Building 5th Floor, Jl. Diponegoro 71, Jakarta Pusat, Indonesia. AD - Stem Cell and Tissue Engineering Research Center, IMERI, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia. AD - Department of Anatomy, Faculty of Medicine, Universitas Indonesia, Jl. Salemba 6, Jakarta, Indonesia. FAU - Kurniawati, Tri AU - Kurniawati T AD - Stem Cell Medical Technology Integrated Service Unit, Cipto Mangunkusumo Central Hospital, Faculty of Medicine, Universitas Indonesia, CMU 2 Building 5th Floor, Jl. Diponegoro 71, Jakarta Pusat, Indonesia. AD - Stem Cell and Tissue Engineering Research Center, IMERI, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia. FAU - Kispa, Tera AU - Kispa T AD - Stem Cell Medical Technology Integrated Service Unit, Cipto Mangunkusumo Central Hospital, Faculty of Medicine, Universitas Indonesia, CMU 2 Building 5th Floor, Jl. Diponegoro 71, Jakarta Pusat, Indonesia. FAU - Mujadid, Fajar AU - Mujadid F AD - Stem Cell Medical Technology Integrated Service Unit, Cipto Mangunkusumo Central Hospital, Faculty of Medicine, Universitas Indonesia, CMU 2 Building 5th Floor, Jl. Diponegoro 71, Jakarta Pusat, Indonesia. LA - eng PT - Journal Article DEP - 20200817 PL - France TA - Eur J Orthop Surg Traumatol JT - European journal of orthopaedic surgery & traumatology : orthopedie traumatologie JID - 9518037 SB - IM MH - Adolescent MH - Adult MH - Cell Differentiation MH - Cells, Cultured MH - Female MH - *Hematopoietic Stem Cell Transplantation MH - Humans MH - Male MH - *Mesenchymal Stem Cell Transplantation MH - *Mesenchymal Stem Cells MH - Middle Aged MH - Transplantation, Autologous MH - Umbilical Cord MH - Young Adult OTO - NOTNLM OT - Critical-sized bone defect OT - Mesenchymal stem cells OT - Umbilical cord EDAT- 2020/08/18 06:00 MHDA- 2021/08/19 06:00 CRDT- 2020/08/18 06:00 PHST- 2020/07/16 00:00 [received] PHST- 2020/08/05 00:00 [accepted] PHST- 2020/08/18 06:00 [pubmed] PHST- 2021/08/19 06:00 [medline] PHST- 2020/08/18 06:00 [entrez] AID - 10.1007/s00590-020-02765-5 [pii] AID - 10.1007/s00590-020-02765-5 [doi] PST - ppublish SO - Eur J Orthop Surg Traumatol. 2021 Feb;31(2):265-273. doi: 10.1007/s00590-020-02765-5. Epub 2020 Aug 17.