PMID- 33171116 OWN - NLM STAT- MEDLINE DCOM- 20210209 LR - 20210209 IS - 1531-5053 (Electronic) IS - 0278-2391 (Linking) VI - 79 IP - 2 DP - 2021 Feb TI - Overexpression of HIF-1alpha in Bone Marrow Mesenchymal Stem Cells Promote the Repair of Mandibular Condylar Osteochondral Defect in a Rabbit Model. PG - 345.e1-345.e15 LID - S0278-2391(20)31244-1 [pii] LID - 10.1016/j.joms.2020.10.013 [doi] AB - PURPOSE: The self-repair ability of temporomandibular joint (TMJ) cartilage is limited. Hypoxia-inducible factor-1 alpha (HIF-1alpha) may induce stem cells to promote chondrogenic repair. The purpose of this study was to systematically evaluate the effect of HIF-1alpha overexpression in bone marrow mesenchymal stem cells (BMSCs) combined with collagen scaffolds on the repair of TMJ condylar osteochondral defects in a rabbit model. METHODS: Osteochondral defects of 3-mm diameter x 2-mm depth were created at the right side of the mandibular condyle in 40 New Zealand white rabbits. The defect sites were treated with simple empty, collagen scaffolds (COL), BMSCs/COL, and HIF-1alpha overexpression BMSCs/COL groups. The histomorphologic features of condylar cartilage were monitored by gross examination, safranin O-fast green staining (Solarbio, Beijing, China), and immunohistochemical staining. The changes in subchondral bone were examined by microcomputed tomography. Immunofluorescence staining was used to trace the transplanted BMSCs in vivo. RESULTS: At 12 weeks postimplantation, histologic staining showed that the osteochondral defects in the simple empty and COL groups were mainly filled with fibrous tissue, whereas the BMSCs/COL and HIF-1alpha overexpression BMSCs/COL groups repaired the defect with fibrocartilage. Furthermore, the cartilage was better organized in the HIF-1alpha overexpression BMSCs/COL group compared with the BMSCs/COL group. Microcomputed tomography showed that osteochondral defects can cause abnormal hyperosteogeny in subchondral bone, and the transplantation of BMSCs, especially HIF-1alpha overexpression BMSCs, may alleviate osteosclerosis. Immunofluorescence staining showed that HIF-1alpha overexpression can promote the survival of transplanted BMSCs. CONCLUSIONS: The transplantation of HIF-1alpha overexpression BMSCs combined with a COL scaffold promotes cartilaginous repair of condylar cartilage and inhibits subchondral bone sclerosis in TMJ condylar osteochondral defect rabbits. CI - Copyright (c) 2020 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved. FAU - Cheng, Mo-Sha AU - Cheng MS AD - Doctoral Candidate, Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, Liaoning Province, China. FAU - Yi, Xin AU - Yi X AD - Lecturer, Department of Oral Anatomy and Physiology, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, Liaoning Province, China. FAU - Zhou, Qing AU - Zhou Q AD - Doctoral Candidate, Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, Liaoning Province, China. Electronic address: zqforstudent@163.com. LA - eng PT - Journal Article DEP - 20201016 PL - United States TA - J Oral Maxillofac Surg JT - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons JID - 8206428 SB - IM MH - Animals MH - Bone Marrow Cells MH - Cartilage MH - *Cartilage, Articular/surgery MH - China MH - Mandibular Condyle/surgery MH - *Mesenchymal Stem Cells MH - Rabbits MH - Tissue Engineering MH - Tissue Scaffolds MH - X-Ray Microtomography EDAT- 2020/11/11 06:00 MHDA- 2021/02/10 06:00 CRDT- 2020/11/10 20:09 PHST- 2020/07/09 00:00 [received] PHST- 2020/09/18 00:00 [revised] PHST- 2020/10/10 00:00 [accepted] PHST- 2020/11/11 06:00 [pubmed] PHST- 2021/02/10 06:00 [medline] PHST- 2020/11/10 20:09 [entrez] AID - S0278-2391(20)31244-1 [pii] AID - 10.1016/j.joms.2020.10.013 [doi] PST - ppublish SO - J Oral Maxillofac Surg. 2021 Feb;79(2):345.e1-345.e15. doi: 10.1016/j.joms.2020.10.013. Epub 2020 Oct 16.