TUESDAY, June 17 (HealthDay News) -- Adult stem cell transplants
can help improve healing of fractures, a finding that may lead to
new treatments for the 10 percent to 20 percent of people whose
broken bones fail to mend, say researchers at the University of
North Carolina at Chapel Hill.
Adult stems cells are specialized cells that can regenerate
damaged tissue, but many patients lack sufficient numbers of these
cells, which means they can't heal properly, the researchers
explained.
The UNC team used adult stem cells to heal fractures of the
tibia (the long bone of the leg) in mice. The bone marrow-derived
stem cells were engineered to express insulin-like growth factor 1
(IGF-1), which help bones grow in strength and size. The
transplanted stem cells migrated to the site of the fracture and
improved healing by increasing the bone and cartilage that bridged
the break.
The bone at the fracture site of the mice that received stem
cell transplants was three time stronger than healed fractures in
untreated mice, the team reported.
The study was to have been presented Monday at the annual
meeting of the Endocrine Society, in San Francisco.
"This finding is critical to patients who lack the proper
healing process and to individuals prone to broken bones, such as
those with osteoporosis and the rare genetic condition known as
brittle bone disease," senior author Dr. Anna Spagnoli, associate
professor of pediatrics and biomedical engineering in the UNC
School of Medicine, said in a prepared statement.
During normal fracture healing, stem cells travel to the site of
the break and form the cartilage and bone required to mend broken
bones. But each year in the United States, doctors treat about
600,000 patients wherein this process doesn't occur as it should,
and the bones don't heal. This can lead to long periods of
immobilization, pain, bone deformities and even death.
Current therapies include multiple surgeries with bone
autografts and artificial prosthetic materials. But these often
fail to help patients.
"Man-made materials do not address the normal bone's function,
and recurrent fractures, wear and toxicity are a real problem,"
Spagnoli said. "There is clearly a need to develop alternative
therapies to enhance fracture healing in patients with bone union
failure."
More information
The American Academy of Orthopaedic Surgeons has more about
fractures.