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Blood, 9 July 2009, Vol. 114, No. 2, pp. 459-468.
Prepublished online as a Blood First Edition Paper on May 4, 2009; DOI 10.1182/blood-2008-12-195859.


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Submitted December 22, 2008
Accepted April 27, 2009

In utero transplantation of adult bone marrow decreases perinatal lethality and rescues the bone phenotype in the knock-in murine model for classical, dominant osteogenesis imperfecta

Cristina Panaroni, Roberta Gioia, Anna Lupi, Roberta Besio, Steven A. Goldstein, Jaclynn Kreider, Sergey Leikin, Juan Carlos Vera, Edward L. Mertz, Egon Perilli, Fabio Baruffaldi, Isabella Villa, Aurora Farina, Marco Casasco, Giuseppe Cetta, Antonio Rossi, Annalisa Frattini, Joan C. Marini, Paolo Vezzoni, and Antonella Forlino*

ITB-CNR, Milan, Italy
Department of Biochemistry, University of Pavia, Pavia, Italy
Orthopaedic Research Laboratories, University of Michigan, Ann Arbor, MI, United States
Section on Physical Biochemistry, NICHD, NIH, Bethesda, MD, United States
Laboratorio di Tecnologia Medica, Istituti Ortopedici Rizzoli, Bologna, Italy
Bone Metabolic Unit San Raffaele Scientific Institute, Milan, Italy
Department of Experimental Medicine, Section of Histology and Embryology, University of Pavia, Pavia, Italy
Istituto Clinico Humanitas, Rozzano, Italy
Section on Connective Tissue Disorders, BEMB, NICHD, NIH, Bethesda, MD, United States

* Corresponding author; email: aforlino{at}unipv.it.

Autosomal dominant osteogenesis imperfecta (OI) caused by glycine substitutions in type I collagen is a paradigmatic disorder for stem cell therapy. Bone marrow transplantation in OI children has produced a low engraftment rate, but surprisingly encouraging symptomatic improvements. In utero transplantation may hold even more promise. However, systematic studies of both methods have so far been limited to a recessive mouse model. In this study, we evaluated intrauterine transplantation of adult bone marrow into heterozygous BrtlIV mice. Brtl is a knock-in mouse with a classical glycine substitution in type I collagen ({alpha}1(I)-Gly349Cys), dominant trait transmission, and a phenotype resembling moderately severe and lethal OI. Adult bone marrow donor cells from eGFP transgenic mice engrafted in haematopoietic and non haematopoietic tissues, differentiated to trabecular and cortical bone cells, and synthesized up to 20% of all type I collagen in the host bone. The transplantation eliminated the perinatal lethality of heterozygous BrtlIV mice. At 2 months of age, femora of treated Brtl mice had significant improvement in geometric parameters (p<0.05) versus untreated Brtl mice, and their mechanical properties attained wild-type values. Our results suggest that the engrafted cells form bone with higher efficiency than the endogenous cells, supporting in utero transplantation as a promising approach for the treatment of genetic bone diseases.


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