PMID- 35450010 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220423 IS - 2306-9759 (Print) IS - 2313-0792 (Electronic) IS - 2306-9759 (Linking) VI - 9 DP - 2022 TI - Expression of inflammatory cytokines in mesenchymal stem cells derived from proximal humerus fractures. PG - 3 LID - 10.21037/sci-2021-031 [doi] LID - 3 AB - BACKGROUND: Mesenchymal stem cells (MSCs) are an excellent treatment option for a wide variety of orthopaedic conditions. This study aimed to establish if bone marrow MSCs obtained from proximal humerus fractures can be an alternative source for obtaining primary cultures of human MSCs. METHODS: Human bone marrow was obtained during osteosynthesis surgeries on closed proximal humerus fractures within 48 hours of injury. MSCs were harvested using the Ficoll gradient separation protocol and in vitro cultured until the third passage. Then, the cells were immunophenotyped by flow cytometry using stem cell specific surface markers. The cells were also induced to differentiate into osteoblasts and adipocytes for the characterization and confirmation of MSCs. The production of cytokines interleukin (IL)-1beta, IL-6, IL-8, IL-10, tumor necrosis factor alpha (TNF-alpha), and interferon gamma (IFN-gamma) was assessed using enzyme-linked immunosorbent assay (ELISA) in the supernatant of the cultures after 3, 5 or 7 days. RESULTS: Immunophenotyping showed high expression of the stem cell surface markers CD73, CD90, and CD105 and negative or very low expression of CD34, CD45, CD11b, CD19, and human leukocyte antigen (HLA)-DR. The bone marrow derived MSCs were able to differentiate into osteoblasts and adipocytes. The quantification of secreted cytokines revealed that IL-8 was the most produced cytokine, followed by IL-6 and IL-10 at similar quantities and lower levels of IL-1beta. TNF-alpha and IFN-gamma were not detected. CONCLUSIONS: Proximal humerus fractures can be an alternative source for the collection of bone marrow MSCs. The cytokine production of these cells is very similar to the production profile of fracture haematomas previously reported and may be used for improving bone repair. CI - 2022 Stem Cell Investigation. All rights reserved. FAU - Viveiros, Magda Massae Hata AU - Viveiros MMH AD - Medical School, Sao Paulo State University (Unesp), Botucatu, Sao Paulo, Brazil. FAU - Viveiros, Marcio Eduardo de Melo AU - Viveiros MEM AD - Medical School, Sao Paulo State University (Unesp), Botucatu, Sao Paulo, Brazil. FAU - Silva, Marcia Guimaraes AU - Silva MG AD - Medical School, Sao Paulo State University (Unesp), Botucatu, Sao Paulo, Brazil. FAU - Kaneno, Ramon AU - Kaneno R AD - Institute of Biosciences, Sao Paulo State University (Unesp), Botucatu, Sao Paulo, Brazil. FAU - Avelino, Natalia Porfirio AU - Avelino NP AD - Institute of Biosciences, Sao Paulo State University (Unesp), Botucatu, Sao Paulo, Brazil. FAU - Rainho, Claudia Aparecida AU - Rainho CA AD - Institute of Biosciences, Sao Paulo State University (Unesp), Botucatu, Sao Paulo, Brazil. FAU - Schellini, Silvana Artioli AU - Schellini SA AD - Medical School, Sao Paulo State University (Unesp), Botucatu, Sao Paulo, Brazil. LA - eng PT - Journal Article DEP - 20220412 PL - China TA - Stem Cell Investig JT - Stem cell investigation JID - 101672113 PMC - PMC9016364 OTO - NOTNLM OT - Human bone marrow mesenchymal stem cells OT - bone repair OT - cytokines OT - fracture situs OT - in vitro culture COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://sci.amegroups.com/article/view/10.21037/sci-2021-031/coif). The authors have no conflicts of interest to declare. EDAT- 2022/04/23 06:00 MHDA- 2022/04/23 06:01 PMCR- 2022/04/12 CRDT- 2022/04/22 06:34 PHST- 2021/05/11 00:00 [received] PHST- 2022/03/29 00:00 [accepted] PHST- 2022/04/22 06:34 [entrez] PHST- 2022/04/23 06:00 [pubmed] PHST- 2022/04/23 06:01 [medline] PHST- 2022/04/12 00:00 [pmc-release] AID - sci-09-2021-031 [pii] AID - 10.21037/sci-2021-031 [doi] PST - epublish SO - Stem Cell Investig. 2022 Apr 12;9:3. doi: 10.21037/sci-2021-031. eCollection 2022.