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Development of Gene Delivery Coating for Orthopedic Implants: Enhanced Gap Junction Communication in MSCs Accelerates Ischemic Bone Fracture Healing
Development of Gene Delivery Coating for Orthopedic Implants: Enhanced Gap Junction Commun...
Development of Gene Delivery Coating for Orthopedic Implants: Enhanced Gap Junction Communication in MSCs Accelerates Ischemic Bone Fracture Healing

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20250211152953
ISBN  
9798384042105
DDC  
610
저자명  
Mededovic, Merjem.
서명/저자  
Development of Gene Delivery Coating for Orthopedic Implants: Enhanced Gap Junction Communication in MSCs Accelerates Ischemic Bone Fracture Healing
발행사항  
[Sl] : University of Michigan, 2024
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2024
형태사항  
155 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-03, Section: B.
주기사항  
Advisor: Kohn, David H.
학위논문주기  
Thesis (Ph.D.)--University of Michigan, 2024.
초록/해제  
요약Delayed fracture healing is present in 22% of the 15 million fractures that occur every year. Patients experiencing delayed healing require additional interventions and experience pain for 6 months or longer. Current treatments require invasive surgeries, or non-invasive treatments that do not address both most common causes of delayed fracture healing, compromised osteogenesis and angiogenesis. The work in this dissertation demonstrates a local gene therapy approach to accelerate fracture healing by exogenously upregulating gap junction intercellular communication (GJIC) which improves osteogenic differentiation in mesenchymal stem cells (MSCs) and angiogenesis in endothelial cells. The design includes a polymeric coating for co-immobilizing a lentiviral vector for gene delivery of GJA1, the gene for Connexin 43, and an MSC-honing peptide for enhanced cell binding. This approach minimizes off-target transduction which is a risk of systemic gene delivery in-vivo. Risk reduction is achieved by immobilizing the viral particles to the surface of an orthopedic implant, as opposed to injection in vivo gene delivery, and by co-immobilizing with a cell-binding peptide, enhances the transduction efficiency of the system. Co-immobilization of lentiviral particles and a cell-binding peptide DPI (DPIYALSWSGMA) on titanium was achieved using chemical vapor deposition of a [2,2]paracyclophane-based polymer and μContact printing of DPI, resulting in a system more efficient than gene delivery alone. In vivo tests were done to observe osteogenic differentiation in MSCs an angiogenic tubule formation, as poor vascularity and bone formation are common causes of delayed fracture healing. The test concluded that transduction with viral particles in supernatant resulted in a 1.8 fold increase in GJIC which ultimately led to upregulation of early markers of osteogenic differentiation, but did not affect MSC migration. Upregulated GJIC resulted in the doubling of length and number of tubules formed both in mono- and co-culture in 2D tubule formation assays. Once the lentiviral particles were immobilized with the MSC-binding peptide, the combined therapy increased the number of cells exposed to the virus 2.7 fold, as well as the transduction efficiency of the gene therapy 33%. This design overcomes the common in vivo gene therapy limitations which include low transduction efficiency and off target effects. To observe the effects of upregulated GJIC on bone fracture healing, a mouse model with an ischemic fracture of the tibia was used with the tibial fracture being stabilized by an intramedullary rod coated with the polymeric gene delivery coating. The therapy resulted in increased anabolic activity at the callus, presenting early cartilage formation and a 46% larger callus size and revascularization of the fracture callus on day 7. By day 14, the gene therapy resulted in 40% more bone volume in the callus. Upregulation of Cx43 improved the vascularity in an ischemic tibial fracture and osteogenic differentiation resulting in increased bone volume at the fracture site. Together these results indicate that upregulated cell-cell communication in MSCs accelerated bone fracture healing, by inducing osteogenesis and angiogenesis at the fracture site. This work is a framework for an adaptable localized lentiviral gene delivery used to mitigate limitations of viral gene delivery, such as systemic viral delivery, low transduction efficiency and difficulties delivering to a target cell type in a heterogeneous cell population.
일반주제명  
Biomedical engineering
일반주제명  
Molecular biology
일반주제명  
Developmental biology
키워드  
Gene delivery
키워드  
Mesenchymal stem cells
키워드  
Bone fracture healing
키워드  
Gap junction intercellular communication
기타저자  
University of Michigan Biomedical Engineering
기본자료저록  
Dissertations Abstracts International. 86-03B.
전자적 위치 및 접속  
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MARC

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■1001  ▼aMededovic,  Merjem.
■24510▼aDevelopment  of  Gene  Delivery  Coating  for  Orthopedic  Implants:  Enhanced  Gap  Junction  Communication  in  MSCs  Accelerates  Ischemic  Bone  Fracture  Healing
■260    ▼a[Sl]▼bUniversity  of  Michigan▼c2024
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2024
■300    ▼a155  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-03,  Section:  B.
■500    ▼aAdvisor:  Kohn,  David  H.
■5021  ▼aThesis  (Ph.D.)--University  of  Michigan,  2024.
■520    ▼aDelayed  fracture  healing  is  present  in  22%  of  the  15  million  fractures  that  occur  every  year.  Patients  experiencing  delayed  healing  require  additional  interventions  and  experience  pain  for  6  months  or  longer.  Current  treatments  require  invasive  surgeries,  or  non-invasive  treatments  that  do  not  address  both  most  common  causes  of  delayed  fracture  healing,  compromised  osteogenesis  and  angiogenesis.  The  work  in  this  dissertation  demonstrates  a  local  gene  therapy  approach  to  accelerate  fracture  healing  by  exogenously  upregulating  gap  junction  intercellular  communication  (GJIC)  which  improves  osteogenic  differentiation  in  mesenchymal  stem  cells  (MSCs)  and  angiogenesis  in  endothelial  cells.  The  design  includes  a  polymeric  coating  for  co-immobilizing  a  lentiviral  vector  for  gene  delivery  of  GJA1,  the  gene  for  Connexin  43,  and  an  MSC-honing  peptide  for  enhanced  cell  binding.    This  approach  minimizes  off-target  transduction  which  is  a  risk  of  systemic  gene  delivery  in-vivo.  Risk  reduction  is  achieved  by  immobilizing  the  viral  particles  to  the  surface  of  an  orthopedic  implant,  as  opposed  to  injection  in  vivo  gene  delivery,  and  by  co-immobilizing  with  a  cell-binding  peptide,  enhances  the  transduction  efficiency  of  the  system.  Co-immobilization  of  lentiviral  particles  and  a  cell-binding  peptide  DPI  (DPIYALSWSGMA)  on  titanium  was  achieved  using  chemical  vapor  deposition  of  a  [2,2]paracyclophane-based  polymer  and  μContact  printing  of  DPI,  resulting  in  a  system  more  efficient  than  gene  delivery  alone.  In  vivo  tests  were  done  to  observe  osteogenic  differentiation  in  MSCs  an  angiogenic  tubule  formation,  as  poor  vascularity  and  bone  formation  are  common  causes  of  delayed  fracture  healing.  The  test  concluded  that  transduction  with  viral  particles  in  supernatant  resulted  in  a  1.8  fold  increase  in  GJIC  which  ultimately  led  to  upregulation  of  early  markers  of  osteogenic  differentiation,  but  did  not  affect  MSC  migration.  Upregulated  GJIC  resulted  in  the  doubling  of  length  and  number  of  tubules  formed  both  in  mono-  and  co-culture  in  2D  tubule  formation  assays.  Once  the  lentiviral  particles  were  immobilized  with  the  MSC-binding  peptide,  the  combined  therapy  increased  the  number  of  cells  exposed  to  the  virus  2.7  fold,  as  well  as  the  transduction  efficiency  of  the  gene  therapy  33%.  This  design  overcomes  the  common  in  vivo  gene  therapy  limitations  which  include  low  transduction  efficiency  and  off  target  effects.  To  observe  the  effects  of  upregulated  GJIC  on  bone  fracture  healing,  a  mouse  model  with  an  ischemic  fracture  of  the  tibia  was  used  with  the  tibial  fracture  being  stabilized  by  an  intramedullary  rod  coated  with  the  polymeric  gene  delivery  coating.  The  therapy  resulted  in  increased  anabolic  activity  at  the  callus,  presenting  early  cartilage  formation  and  a  46%  larger  callus  size  and  revascularization  of  the  fracture  callus  on  day  7.  By  day  14,  the  gene  therapy  resulted  in  40%  more  bone  volume  in  the  callus.  Upregulation  of  Cx43  improved  the  vascularity  in  an  ischemic  tibial  fracture  and  osteogenic  differentiation  resulting  in  increased  bone  volume  at  the  fracture  site.  Together  these  results  indicate  that  upregulated  cell-cell  communication  in  MSCs  accelerated  bone  fracture  healing,  by  inducing  osteogenesis  and  angiogenesis  at  the  fracture  site.  This  work  is  a  framework  for  an  adaptable  localized  lentiviral  gene  delivery  used  to  mitigate  limitations  of  viral  gene  delivery,  such  as  systemic  viral  delivery,  low  transduction  efficiency  and  difficulties  delivering  to  a  target  cell  type  in  a  heterogeneous  cell  population.
■590    ▼aSchool  code:  0127.
■650  4▼aBiomedical  engineering
■650  4▼aMolecular  biology
■650  4▼aDevelopmental  biology
■653    ▼aGene  delivery
■653    ▼aMesenchymal  stem  cells
■653    ▼aBone  fracture  healing
■653    ▼aGap  junction  intercellular  communication
■690    ▼a0541
■690    ▼a0758
■690    ▼a0307
■71020▼aUniversity  of  Michigan▼bBiomedical  Engineering.
■7730  ▼tDissertations  Abstracts  International▼g86-03B.
■790    ▼a0127
■791    ▼aPh.D.
■792    ▼a2024
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17164366▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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