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Human Adipose-Derived Stromal Cells Respond to and Elaborate Bone Morphogenetic Protein-2 during In Vitro Osteogenic Differentiation

Panetta, Nicholas J. M.D.; Gupta, Deepak M. M.D.; Lee, Jacqueline K.; Wan, Derrick C. M.D.; Commons, George W. M.D.; Longaker, Michael T. M.D., M.B.A.

Plastic and Reconstructive Surgery: February 2010 - Volume 125 - Issue 2 - p 483-493
doi: 10.1097/PRS.0b013e3181c82d75
Experimental: Original Articles

Background: Interest in the potential application of adipose-derived stromal cells in cell-mediated tissue engineering of bone and other mesenchymal-derived tissues is growing. This study aimed to investigate the hypothesis that human adipose-derived stromal cells respond to and elaborate bone morphogenetic protein (BMP) 2, which could represent an important target of molecular manipulation to enhance the osteogenic potential of human adipose-derived stromal cells.

Methods: Human adipose-derived stromal cells were differentiated for 10 days toward the osteogenic lineage in osteogenic differentiation media alone or supplemented with recombinant human BMP2 (rhBMP2). Alizarin red staining was quantified by spectrophotometry. Gene expression analyses were performed using quantitative real-time polymerase chain reaction. BMP2 levels in conditioned media were titered by enzyme-linked immunosorbent assay daily during osteogenic differentiation. Human adipose-derived stromal cells were cultured in complete or partially (50 percent) changed osteogenic differentiation media, or unchanged osteogenic differentiation media, to assay for pro-osteogenic secreted factors. In addition, human adipose-derived stromal cells were cultured in osteogenic differentiation media supplemented with BMP2/BMP4-neutralizing antibody.

Results: Exogenous rhBMP2 significantly augmented the in vitro osteogenic potential of human adipose-derived stromal cells in a dose-dependent fashion, and significantly increased transcript levels of RUNX2 and osteocalcin. BMP2, BMP4, BMPR1B, and SMAD1/5 expression was significantly increased during differentiation. Enzyme-linked immunosorbent assay demonstrated significantly increased BMP2 elaboration during differentiation. Culture in conditioned osteogenic differentiation media led to significantly increased matrix mineralization. Mineralization was significantly decreased when osteogenic differentiation media was supplemented with a BMP2/BMP4-neutralizing antibody.

Conclusions: These data strongly support that BMP signaling is dynamic and important during normal in vitro osteogenic differentiation of human adipose-derived stromal cells. Thus, BMP2 may be used to enhance the osteogenic differentiation of human adipose-derived stromal cells for bone tissue engineering. Future studies will examine the effect of rhBMP2 on osteogenic differentiation of human adipose-derived stromal cells in vivo.

Stanford, Calif.

From the Hagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine.

Received for publication June 9, 2009; accepted August 27, 2009.

The first two authors contributed equally to this work.

Presented at the 94th Annual Clinical Congress of the American College of Surgeons, in San Francisco, California, October 12 through 16, 2008; the 4th Annual Academic Surgical Congress, in Fort Myers, Florida, February 3 through 6, 2009; and the Plastic Surgery Research Council meeting, in Pittsburgh, Pennsylvania, May 27 through 30, 2009.

Disclosure: The authors have no commercial affiliations or conflicts of interest to disclose..

Michael T. Longaker, M.D., M.B.A.; Stanford University School of Medicine; 257 Campus Drive; Stanford, Calif. 94305-5148;

©2010American Society of Plastic Surgeons