PMID- 37224290 OWN - NLM STAT- MEDLINE DCOM- 20240223 LR - 20240223 IS - 1529-4242 (Electronic) IS - 0032-1052 (Linking) VI - 153 IP - 3 DP - 2024 Mar 1 TI - A Calvarial Defect Model to Investigate the Osteogenic Potential of Umbilical Cord Stem Cells in Bone Regeneration. PG - 637-646 LID - 10.1097/PRS.0000000000010754 [doi] AB - BACKGROUND: The standard graft material for alveolar cleft repair (ACR) is autogenous iliac crest. A promising alternative potential graft adjunct-newborn human umbilical cord mesenchymal stem cells (h-UCMSCs)-has yet to be explored in vivo. Their capacity for self-renewal, multipotent differentiation, and proliferation allows h-UCMSCs to be harnessed for regenerative medicine. This study sought to evaluate the efficacy of using tissue-derived h-UCMSCs and their osteogenic capabilities to improve ACR in a murine model. METHODS: Foxn1 mice were separated into three groups with the following calvarial defects: no treatment (empty defect; n = 6), poly(D,L-lactide-co-glycolide) (PLGA) scaffold ( n = 6), or h-UCMSCs with PLGA ( n = 4). Bilateral 2-mm-diameter parietal bone critical-sized defects were created using a dental drill. Microcomputed tomography (microCT) imaging was performed 1, 2, 3, and 4 weeks postoperatively. The mice were euthanized 4 weeks postoperatively for RNAScope, immunohistochemical, and histological analysis. RESULTS: No mice experienced complications during the follow-up period. MicroCT imaging and histological analysis demonstrated that the no-treatment and PLGA-only defects remained patent without significant defect size differences across groups. In contrast, the h-UCMSCs with PLGA group had significantly greater bone fill on microCT and histological analysis. CONCLUSIONS: This study demonstrates a successful calvarial defect model for the investigation of h-UCMSC-mediated osteogenesis and bone repair. Evidence reveals that PLGA alone has neither short-term effects on bone formation nor any unwanted side effects, making it an attractive scaffold. Further investigation using h-UCMSCs with PLGA in larger animals is warranted to advance future translation to patients requiring ACR. CLINICAL RELEVANCE STATEMENT: The authors' results demonstrate a successful murine calvarial defect model for the investigation of h-UCMSC-mediated osteogenesis and bone repair, and they provide preliminary evidence for the safe and efficacious use of this graft adjunct in alveolar cleft repair. CI - Copyright (c) 2023 by the American Society of Plastic Surgeons. FAU - Stanton, Eloise AU - Stanton E AD - From the Center for Craniofacial Molecular Biology. AD - Keck School of Medicine. AD - Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles. FAU - Feng, Jifan AU - Feng J AD - From the Center for Craniofacial Molecular Biology. FAU - Kondra, Katelyn AU - Kondra K AD - Keck School of Medicine. AD - Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles. FAU - Sanchez, Janet AU - Sanchez J AD - From the Center for Craniofacial Molecular Biology. FAU - Jimenez, Christian AU - Jimenez C AD - Keck School of Medicine. AD - Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles. FAU - Brown, Katherine S AU - Brown KS AD - Research and Development, CBR Systems, Inc., a CooperSurgical Company. FAU - Skiles, Matthew L AU - Skiles ML AD - Research and Development, CBR Systems, Inc., a CooperSurgical Company. FAU - Urata, Mark M AU - Urata MM AD - From the Center for Craniofacial Molecular Biology. AD - Keck School of Medicine. AD - Ostrow School of Dentistry, University of Southern California. AD - Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles. FAU - Chai, Yang AU - Chai Y AD - From the Center for Craniofacial Molecular Biology. AD - Ostrow School of Dentistry, University of Southern California. FAU - Hammoudeh, Jeffrey A AU - Hammoudeh JA AD - Keck School of Medicine. AD - Ostrow School of Dentistry, University of Southern California. AD - Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles. LA - eng PT - Journal Article DEP - 20230524 PL - United States TA - Plast Reconstr Surg JT - Plastic and reconstructive surgery JID - 1306050 RN - 1SIA8062RS (Polylactic Acid-Polyglycolic Acid Copolymer) SB - IM MH - Humans MH - Mice MH - Animals MH - *Osteogenesis MH - Polylactic Acid-Polyglycolic Acid Copolymer MH - *Tissue Scaffolds MH - X-Ray Microtomography MH - Bone Regeneration MH - Stem Cells MH - Cell Differentiation MH - Umbilical Cord MH - Skull/surgery/pathology EDAT- 2023/05/24 19:13 MHDA- 2024/02/23 06:43 CRDT- 2023/05/24 14:43 PHST- 2024/02/23 06:43 [medline] PHST- 2023/05/24 19:13 [pubmed] PHST- 2023/05/24 14:43 [entrez] AID - 00006534-990000000-01918 [pii] AID - 10.1097/PRS.0000000000010754 [doi] PST - ppublish SO - Plast Reconstr Surg. 2024 Mar 1;153(3):637-646. doi: 10.1097/PRS.0000000000010754. Epub 2023 May 24.