Bone regenerates when two human cell populations (pericytes and adventitial cells) are mixed and implanted in a skull bone defect in immunocompromised mice. (Photo courtesy of  Yiyun Wang, research fellow at the Dept of Surgical Pathology, The Johns Hopkins University School of Medicine)

Bone regenerates when two human cell populations (pericytes and adventitial cells) are mixed and implanted in a skull bone defect in immunocompromised mice. (Photo courtesy of Yiyun Wang, research fellow at the Dept of Surgical Pathology, The Johns Hopkins University School of Medicine)

Research led by Johns Hopkins investigators has uncovered the roles of two types of cells found in the vessel walls of fat tissue and described how these cells may help speed bone repair.

One of these perivascular stem cell types, pericytes, induces growth of new blood vessels, while another type, adventicytes, induces the formation of bone cells called osteoblasts, according to the study, published recently in NPJ Regenerative Medicine.

In laboratory tests, researchers found that the two types of cells did a better job promoting bone repair in mice with skull defects when they were used together than when either type was used alone, notes a media release from Johns Hopkins Medicine.

Bone defects from trauma, cancer, or congenital reasons are common, but beyond a certain size, bone deficits cannot heal on their own, says senior study author Aaron James, MD, PhD, associate professor of pathology at the Johns Hopkins University School of Medicine. Cells taken from fat tissue have been tried in tissue engineering studies for bone repair, but some results have been disappointing, he says.

“A prevailing theory in stem cell therapies derived from fat is that a heterogeneous cell population somehow works in concert to speed tissue regeneration, like different instruments in an orchestra playing in unison,” James says, in the release. “But the cellular or molecular mechanisms behind this theory have not been defined.”

The current study tried to isolate specific subpopulations of cells to try to determine which would work best.

“This study shows that two different cell populations—pericytes and adventicytes—can be used to regenerate tissue in a sort of beneficial duet,” James adds, with distinct but complementary roles.

In the study, James and colleagues isolated pericytes and adventicytes from human liposuction specimens. To determine the functions of each cell type, they applied pericytes and adventicytes in equal numbers alone and in combination with nonhealing skull defects in mice. Then they used microcomputed tomography imaging (used for high-resolution assessment of bones and soft tissue) 8 weeks later to study the amount of bone repair.

Bone formation was just patchy in the mice given either one of the cell types, but was much more robust in the mice that received both cell types as a combination therapy.

Additional laboratory tests of the cells in culture found that pericytes stimulated blood vessel growth while adventicytes stimulated bone cell formation, the release continues.

“Given these distinct but overlapping roles in bone repair, future use of a combination progenitor cell therapy may be effective,” James comments. “Although our study used equal numbers of each type of cell, it will be important to study whether different ratios of these two cell types can support even more dramatic bone repair.”

James’ lab and collaborators have studied perivascular stem cells in other models, including placing cells in an intramuscular location to form bones, and using them to fuse segments of bone together in rat spines and to repair fractures in rat leg bones. Ongoing studies are further categorizing cell types and teasing out their functional differences.

[Source(s): Johns Hopkins Medicine, Science Daily]