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    Erratum: Engraftment, neuroglial transdifferentiation and behavioral recovery after complete spinal cord transection in rats (Surg Neurol Int 2018 9 :19 DOI: 10.4103/sni.sni_369_17)

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    In the article titled “Engraftment, neuroglial transdifferentiation and behavioral recovery after complete spinal cord transection in rats”, published on pages 19, Issue 1, Volume 9 of Surgical Neurology International,[1] the name of the authors is written incorrectly as The “How to cite this article” section should read correctly as “Luzzi S, Crovace AM, Lacitignola L, Valentini V, Francioso E, Rossi G, Invernici G, Galzio RJ, Crovace A”

    Histology and immunohistochemistry study of ovine Achille’s tendon grafted with Cultured Bone Marrow Mesenchymal Cells and Bone Marrow Mononucleated Cells after collagenase-induced tendonitis

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    The aim of this study was to compare the regeneration abilities of cultured bone marrow mesenchymal cells (cBMSC) and bone marrow mononuclear cells (BMMNC) with fibrin glue, saline solution and sham control in collagenase-induced tendinitis of the Achilles tendon in sheep. METHODS: Six sheep were recruited randomly to each group: cBMSC, BMMNC, fibrin, saline and sham control. Each group received the relative treatment two weeks after inducing lesions (T(0)). After eight weeks (T(8)) of treatment, the tendons were harvested and evaluated for histomorphology, Collagen type I, III, Cartilage Oligomeric Matrix Protein (COMP) and CD34 positive cells expression. RESULTS: Histology and immunohistochemistry showed similar capabilities of cBMSC and BMMNC to restore the architecture of fibres and Extra Cellular Matrix (ECM), with a high expression of collagen type I and COMP and a very low expression of collagen type III in treated tendons. The complete architectural disruption of fibres, dramatic reduction of collagen Type I and COMP expression and increase collagen type III expression were commonly observed in tendons treated with fibrin or saline only. The presence of CD34 positive cells was appreciable in the BMMNC group while few cBMSC showed this cluster of differentiation, not expressed in tendons treated with fibrin or saline. CLINICAL SIGNIFICANCE: The data in this study show the efficacy of cBMSC and BMMNC in regenerating tendon tissue after collagenase-induced tendinitis

    Survival of mesenchymal stem cells in collagenase induced tendonitis in an ovine model.

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    The pourpose of this study was to evaluate the efficacy and the survival of local injection of allogenic MSC marked with Red Fluorescent Protein (RFP) (Lentigen-Italy) in collagenase induced tendonitis in the ovine Achille's tendon.The study was performed after the approval by the National Animal Care and Use Committee Four sheep (2 years old, female, 45 bwt) have been enrolled in the study. After some days for the acclimatation, the sheep have been investigated to exclude any previous Achilles' tendon lesion. Three weeks before starting of the study one sheep was randomly selected for Bone Marrow harvesting for MSCs cultivation. The MSCs obtained has been trasfected with a lentivirus for integration of a gene for expression of Red Fluorescent Protein (RFP). After a week the other 3 sheep was injected in both Achilles' tendon with 400 U.I. of Collagenase IA of Cl. hystoliticum (Sigma- Aldrich-Italy). After two weeks the left Achilles' tendon of each sheep was injected with a solution of 6x106 RFPMSCs ( MSCRFP ) in 1 ml of fibrine glue (TISSUCOL , Baxter). The remaining tendons were used as negative control and received the same volume of saline solution as placebo. At 3-4-6 weeks from the treatment the tendons were harvested and evaluated for morphology, collagen I and III expression, and visualized at fluorescence microscope to assess RFP expression of the grafted MSCRFP. The results of these investigations evidenced the presence of MSCRFP in the treated tendons respect to the control ones at 3, 4 and 6 weeks after the treatment. Moreover, the RFP positive tissue showed high expression of collagen I and low collagen III with good morfphology in comparison to the lesions treated with placebo.The presence of high expression of collagen I and low collagen III with good morfopholgy, in term of restored tendon architecture, can be related to the MSCRFP injected into tendon lesions, as a large number of cells can survive in the site of injection. These results showed that intralocal administration of MSCs into the tendon lesion can lead to a good effect on injured tendon . The local infusion delivery entails injecting MSCs directly into the tissue of interest and guarantees a higher number of engrafted cells and optimal therapuetic effect. Besides the survival of high numbers of positive RFP -MSCs in treated samples have been demonstrated at 3, 4 (Fig.1) and 6 weeks from the treatment. We have evaluated also that quality of tendon healing in MSCRFP treated tendons has been based on a better architecture of collagen fibers and high expression of collagen I respect to collagen III (Fig.2), related to the control tendons. The data obtained in this study confirm that MSCs allograft have a positive effect on tendon healing, its lack of significant immunogenicity permitting allogenic transplantation without immunosuppressive drugs and that the local injection in the tendon allows the survival of MSCs with good engraftment effincency

    Survival of bone marrow mesenchymal stem cells labelled with red fluorescent protein in an ovine model of collagenase-induced tendinitis

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    Objective: The aim of this study was to track the survival and efficacy of allogeneic bone marrow mesenchymal stem cells (BM-MSC) marked with red fluorescent protein (BM-MSCRFP) in an ovine model of collagenase-induced tendinopathy. Methods: Bone marrow was harvested from one donor sheep and BM-MSC were isolated, cultivated and transfected with red fluorescent protein (BM-MSCRFP). Collagenase was injected into both Achilles tendons in the remaining nine sheep. After two weeks the left tendon was injected with a solution of 6 x 106 BM-MSCRFP and fibrin glue, while only fibrin glue was administered to the contra-lateral tendon in each sheep. After three, four and six weeks the tendons were harvested and evaluated for morphology, collagen I deposition, presence of CD34+ cells, and fluorescent labelled BM-MSC. Results: We demonstrated that delivery of BM-MSC into tendon lesions had positive effects on the injured tendons. The BM-MSCRFP survived at three, four and six weeks after treatment, leading to better quality healing of tendons as compared to the controls, where no labelled cells were detected. Interestingly, we demonstrated high expression of CD34+ cells in tendons that had been treated with BM-MSCRFP. Clinical relevance: Mesenchymal stem cell allografts have a positive effect on tendon healing and local injection of BM-MSC directly into the tendon allows the homing of BM-MSC for good efficiency of engraftment
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