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Cytokine release by human bone marrow stromal cells isolated from osteoarthritic and diabetic osteoarthritic patients in vitro

  • Kar Wai Loh , Norshazliza Shaz , Simmrat Singh , Murali Malliga Raman , Hanumantha Rao Balaji Raghavendran EMAIL logo and Tunku Kamarul EMAIL logo
Published/Copyright: June 28, 2021

Abstract

Objectives

Primary Osteoarthritis (OA) is a disease of progressive joints degeneration due to idiopathic causes. Recent evidence showed a positive relationship between OA and metabolic syndrome. This pilot study aimed to assess the baseline level of pro and anti-inflammatory cytokines in OA patients with or without Diabetic Mellitus (DM) and assess the effect of hydrogen peroxide (H2O2) in cytokine production.

Methods

Patients with primary hip and knee OA were recruited, and 3 mL of bone marrow was harvested during joint replacement surgery. Bone marrow stromal cells (BMSC) was isolated and cultured in a culture flask for three passages. Later experiment was then sub-cultured in a well plate labeled as the control group and H2O2 (0.1 mM) treated group. ProcartaPlex® Multiplex Immunoassay was performed to measure cytokine levels produced by the BMSC at 0 h, as well as 72 h.

Results

Cytokines such as tumor necrosis factor-alpha, interleukin (IL)-6, IL-8, and IL-1β generally exhibited higher cytokine levels in subjects with DM than in nonDM subjects at 0 and 72 h. For IL-17, its expression was similar in nonDM and DM groups at 0 and 72 h. Cytokine IL-10 showed no significant difference in both the groups while DM and nonDM groups treated with H2O2 showed decreased IL-4 levels compared to control groups at 72 h. Bone marrow cells from DM-OA are more vulnerable to chemical insult and are associated with higher levels of proinflammatory cytokines production and lower IL-4 level production.

Conclusions

This study provides a clue that management of OA with co-morbidity like DM needs future studies.


Corresponding author: Prof. Tunku Kamarul, Tissue Engineering Group, Department of Orthopaedic Surgery (NOCERAL), Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia, E-mail: ; and Dr. Hanumantha Rao Balaji Raghavendran, Tissue Engineering Group, Department of Orthopaedic Surgery (NOCERAL), Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia; and Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai 600 116, India, E-mail:

Funding source: Fundamental Research Grant Scheme Ministry of Higher Education

Award Identifier / Grant number: FRGS/1/2016/STG03/UM/02/2

  1. Research funding: This study was supported by Fundamental Research Grant (FRGS/1/2016/STG03/UM/02/2).

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: Medical ethics of this study was approved and granted by the Medical Research Ethics Committee (MREC) of the University of Malaya Medical Center (UMMC) with the reference number: 2018713-6483.

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Received: 2020-10-06
Accepted: 2021-04-15
Published Online: 2021-06-28

© 2021 Walter de Gruyter GmbH, Berlin/Boston

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