A Personalized Diagnostic Assay for the Treatment of Knee Injuries

WASHINGTON, Dec. 4, 2017 — An article published in Experimental Biology and Medicine (Volume 242, Issue 18, December 2017) describes a new approach for profiling patients with joint injuries. The study, led by Dr. Ursula Anderer, Professor for Cell Biology and Head of the Department Cell Biology and Tissue Engineering at Brandenburg University of Technology in Cottbus-Senftenberg, Germany, demonstrates that a microtissue culture assay can be used to identify patients that will benefit from cell-based therapies.

Trauma- and osteoarthritis-related joint injuries are rising due to increases in life expectancy and the number of individuals participating in sports-related activities. A central event in joint injuries is damage to or loss of cartilage, the strong elastic tissue in joints that absorbs shock and allows bones to smoothly glide past each other. Because the ability of cartilage to self-repair is limited, treatment options include replacing the damaged tissue with artificial cartilage or transplanting cells, chondrocytes, that can generate new cartilage. While using a patient's own cells (autologous transplantation) has the fewest side effects, this approach does not always produce functional cartilage. A ''personalized diagnostic tool'' that can predict the ability of a patient's cells to form functional cartilage would improve outcomes for patients with joint injuries.

In the current study, Dr. Anderer and colleagues used a three-dimensional (3D) cell culture technique to assess the ability of cartilage cells isolated from human donors to form cartilage. Previous studies have demonstrated that chondrocytes grown as a monolayer using standard two-dimensional (2D) cell culture techniques do not retain the characteristics associated with mature chondrocytes. In contrast, chondrocytes grown in a more physiological 3D environment that promotes organization into a tissue, resemble mature chondrocytes. All of the donor cells examined in this study exhibited an identical chondrocyte profile in 2D culture. However, there were clear differences in chondrogenic potential among individual donors in 3D microtissues. These findings suggest that this 3D assay may be a suitable ''personalized diagnostic tool'' for identifying patients that will benefit from autologous cell-based therapy. Dr. Anderer stated that “Choosing a cell culture system which is as close as possible to the natural tissue situation made it possible to identify personalized tissue forming properties in vitro. This individualized characterization of the potency of cartilage cells will be the basis for a “patient profiling” by identification of specific intrinsic markers (biomarkers) to classify these patients.

Dr. Steven R. Goodman, Editor-in-Chief of Experimental Biology & Medicine, said, “Anderer and colleagues have provided a 3D microtissue in vitro model platform that they demonstrate to be of value in predicting the personalized therapeutic value of autologous cell-based cartilage repair. This could be a valuable step towards regenerative medicine for traumatic or degenerative defects of cartilage tissue.”

About Experimental Biology and Medicine

Experimental Biology and Medicine is a journal dedicated to the publication of multidisciplinary and interdisciplinary research in the biomedical sciences. The journal was first established in 1903. Experimental Biology and Medicine is the journal of the Society of Experimental Biology and Medicine. To learn about the benefits of society membership, visit www.sebm.org. If you are interested in publishing in the journal, please visit http://ebm.sagepub.com.

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SOURCE Experimental Biology and Medicine

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About the Author: Bob Cooper

Bob Cooper is Canadian Business Tribune''s senior editor. He is also a nationally syndicated newspaper columnist and a bestselling author. He lives in London Ontario and covers the intersection of money, politics and finance. He appears periodically on national television shows and has been published in (among others) The National Post, Politico, The Atlantic, Harper’s, Wired.com, Vice and Salon.com. He also has served as a journalist and consultant on documentaries for CBC and Global News . In 2014, he was the winner of the Society of American Business Editors and Writers' investigative journalism award, and the winner of the Izzy Award for Journalism from Ithaca College's Park Center for Independent Media. He was also a finalist for UCLA's Gerald R. Loeb Award and Syracuse University's Mirror Award. Before becoming a journalist in 2006, Sirota worked in Washington for, among others, U.S. Rep. Bernie Sanders, the U.S. House Appropriations Committee Minority Staff and the Center for American Progress.