Imagine telling someone who suffers from age-related (type II) osteoporosis that just one injection of stem cells could their normal bone structure. Scientists now believe that this scenario may not be too far away.
Osteoporosis affects over 200 million people worldwide and, unlike post-menopausal (type-I) osteoporosis, both women and men are equally susceptible to developing the age-related form. With age-related osteoporosis, the inner structure of the bone diminishes, leaving the bone thinner, less dense, which leads to a loss of function.
The disease is responsible for an estimated 8.9 million fractures per year worldwide. Fractures of the hip—one of the most common breaks for those suffering from type-II osteoporosis—lead to a significant lack of mobility and, for some, can be deadly.
But how can an injection of stem cells reverse the ravages of age in the bones?
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Researchers had previously demonstrated a causal effect between mice that developed age-related osteoporosis and low or defective mesenchymal stem cells (MSCs) in these animals.
“We reasoned that if defective MSCs are responsible for osteoporosis, transplantation of healthy MSCs should be able to prevent or treat osteoporosis,” says senior author William Stanford, a senior scientist and professor at the University of Ottawa.
To test that theory, researchers injected osteoporotic mice with MSCs from healthy mice. Stem cells are “progenitor” cells, capable of dividing and changing into all the different cell types in the body. Able to become bone cells, MSCs have a second unique feature, ideal for the development of human therapies: these stem cells can be transplanted from one person to another without the need for matching (needed for blood transfusions, for instance) and without being rejected.
After six months post-injection, a quarter of the life span of these animals, the osteoporotic bone had astonishingly given way to healthy, functional bone.
“We had hoped for a general increase in bone health,” says John E. Davies, professor at the University of Toronto and a coauthor of the study published in the journal Stem Cells Translational Medicine.
“But the huge surprise was to find that the exquisite inner ‘coral-like’ architecture of the bone structure of the injected animals—which is severely compromised in osteoporosis—was restored to normal.”
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The study could soon give rise to a whole new paradigm for treating or even indefinitely postponing the onset of osteoporosis. Currently there is only one commercially available therapy for type-II osteoporosis, a drug that maintains its effectiveness for just two years.
And, while there are no human stem cell trials looking at a systemic treatment for osteoporosis, the long-range results of the study point to the possibility that as little as one dose of stem cells might offer long-term relief.
“It’s very exciting,” says Jeff Kiernan, first author of the study and a graduate from the University of Toronto.
“We’re currently conducting ancillary trials with a research group in the US, where elderly patients have been injected with MSCs to study various outcomes. We’ll be able to look at those blood samples for biological markers of bone growth and bone reabsorption,” he says.
If improvements to bone health are observed in these ancillary trials, larger dedicated trials could follow within the next five years.
The Canadian Institutes of Health Research, Natural Sciences and Engineering Research Council of Canada, and Canada Research Chair funded the work.
Source: University of Toronto