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Ali Akbari Ghavimi S, Faulkner TJ, Tata RR, Hemmerla AJ, Huddleston SE, Rezaei F, Lungren ES, Zhang R, Bumann EE, Ulery BD. Hydrogen Sulfide Delivery to Enhance Bone Tissue Engineering Cell Survival. Pharmaceuticals (Basel) 2024; 17:585. [PMID: 38794155 PMCID: PMC11124412 DOI: 10.3390/ph17050585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2024] [Revised: 03/29/2024] [Accepted: 04/10/2024] [Indexed: 05/26/2024] Open
Abstract
Though crucial for natural bone healing, local calcium ion (Ca2+) and phosphate ion (Pi) concentrations can exceed the cytotoxic limit leading to mitochondrial overload, oxidative stress, and cell death. For bone tissue engineering applications, H2S can be employed as a cytoprotective molecule to enhance mesenchymal stem cell (MSC) tolerance to cytotoxic Ca2+/Pi concentrations. Varied concentrations of sodium hydrogen sulfide (NaSH), a fast-releasing H2S donor, were applied to assess the influence of H2S on MSC proliferation. The results suggested a toxicity limit of 4 mM for NaSH and that 1 mM of NaSH could improve cell proliferation and differentiation in the presence of cytotoxic levels of Ca2+ (32 mM) and/or Pi (16 mM). To controllably deliver H2S over time, a novel donor molecule (thioglutamic acid-GluSH) was synthesized and evaluated for its H2S release profile. Excitingly, GluSH successfully maintained cytoprotective level of H2S over 7 days. Furthermore, MSCs exposed to cytotoxic Ca2+/Pi concentrations in the presence of GluSH were able to thrive and differentiate into osteoblasts. These findings suggest that the incorporation of a sustained H2S donor such as GluSH into CaP-based bone graft substitutes can facilitate considerable cytoprotection, making it an attractive option for complex bone regenerative engineering applications.
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Affiliation(s)
- Soheila Ali Akbari Ghavimi
- Department of Chemical and Biomedical Engineering, University of Missouri, Columbia, MO 65211, USA; (S.A.A.G.); (R.R.T.); (S.E.H.)
| | - Trent J. Faulkner
- Department of Chemical and Biomedical Engineering, University of Missouri, Columbia, MO 65211, USA; (S.A.A.G.); (R.R.T.); (S.E.H.)
| | - Rama Rao Tata
- Department of Chemical and Biomedical Engineering, University of Missouri, Columbia, MO 65211, USA; (S.A.A.G.); (R.R.T.); (S.E.H.)
| | - August J. Hemmerla
- Department of Chemical and Biomedical Engineering, University of Missouri, Columbia, MO 65211, USA; (S.A.A.G.); (R.R.T.); (S.E.H.)
| | - Samantha E. Huddleston
- Department of Chemical and Biomedical Engineering, University of Missouri, Columbia, MO 65211, USA; (S.A.A.G.); (R.R.T.); (S.E.H.)
| | - Farnoushsadat Rezaei
- Department of Chemical and Biomedical Engineering, University of Missouri, Columbia, MO 65211, USA; (S.A.A.G.); (R.R.T.); (S.E.H.)
| | - Ethan S. Lungren
- Department of Chemistry, University of Missouri, Columbia, MO 65211, USA
| | - Rui Zhang
- Department of Chemical and Biomedical Engineering, University of Missouri, Columbia, MO 65211, USA; (S.A.A.G.); (R.R.T.); (S.E.H.)
| | - Erin E. Bumann
- Department of Oral and Craniofacial Sciences, University of Missouri, Kansas City, MO 64110, USA;
| | - Bret D. Ulery
- Department of Chemical and Biomedical Engineering, University of Missouri, Columbia, MO 65211, USA; (S.A.A.G.); (R.R.T.); (S.E.H.)
- NextGen Precision Health Institute, University of Missouri, Columbia, MO 65211, USA
- Materials Science & Engineering Institute, University of Missouri, Columbia, MO 65211, USA
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Current use of bone turnover markers in the management of osteoporosis. Clin Biochem 2022; 109-110:1-10. [PMID: 36096182 DOI: 10.1016/j.clinbiochem.2022.09.002] [Citation(s) in RCA: 27] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Revised: 08/31/2022] [Accepted: 09/01/2022] [Indexed: 11/21/2022]
Abstract
The adult bone is continuously being remodelled to repair microdamage, preserve bone strength and mechanical competence as well as maintain calcium homeostasis. Bone turnover markers are products of osteoblasts (bone formation markers) and osteoclasts (bone resorption markers) providing a dynamic assessment of remodelling (turnover). Resorption-specific bone turnover markers are typically degradation products of bone collagen molecules (N- [NTX] and C-telopeptide cross-linked type 1 collagen [CTX]), which are released into the circulation and excreted in urine; or enzymatic activities reflecting osteoclastic resorption, tartrate-resistant acid phosphatase [TRACP]. Formation-specific bone turnover markers embrace different osteoblastic activities: type 1 collagen synthesis (Procollagen type I N- propeptide [PINP]), osteoblast enzymes (bone-specific alkaline phosphatase [BALP]), or bone matrix proteins [osteocalcin]. Among individuals not receiving osteoporosis treatment, resorption and formation markers are tightly linked and highly correlated (r= 0.6-0.8). Significant biological variability was reported in the past, but these issues have been greatly improved with automated assays and attention to pre-analytical and analytical factors that are known to influence bone turnover marker levels. Bone turnover markers are not useful in the diagnosis of osteoporosis, the individual prediction of bone loss, fracture, or rare complications, or in the selection of pharmacological treatment. Despite remaining issues with reference intervals and assays harmonization, bone turnover markers have proven to be useful in elucidating the pharmacodynamics and effectiveness of osteoporosis medications in clinical trials. As an alternative to BMD testing, BTMs may be useful to monitor osteoporosis therapies.
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Comparison between bone alkaline phosphatase immunoassay and electrophoresis technique in hemodialysis patients. J Med Biochem 2019; 39:178-183. [DOI: 10.2478/jomb-2019-0048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2019] [Accepted: 09/30/2019] [Indexed: 01/18/2023] Open
Abstract
Summary
Background
Problem of the variability between the different methods using for bone alkaline phosphatase (bALP) determination greately influences the clinical significance of bALP as direct marker of bone metabolism. The aim of this study was to compare immunoassay with electrophoresis technique for bALP determination.
Methods
We measured bALP in 71 patients on hemodialysis with agar gel electrophoresis (ISO-PAL, SEBIA) and immunoassay (OSTASE, Beckman Coulter).
Results
The analyzed methods showed significant correlation (Spearman’s rho: 0.776, P < 0.01), but we found statistically significant (P < 0.01) positive bias (27%) for the results measured by immunoassay. In support of this, using electrophoresis technique we have detected presence of the intestinal isoenzymes of alkaline phosphatase in 55% of patients with median value of 30% of the total alkaline phoshatase and presence of liver-2 alkaline phosphatase isoform in 42% of patients with median value of 16.6%. The Kendall’s W of 0.787 (P<0.0001) revealed significant concordance between two analysed methods. Cusum test showed no significant deviation from linearity (P=0.850).
Conclusions
Despite good agreement between immunoassay methods and electrophoresis technique for bALP determination, interchangeability between these two methods is questionable. Although immunoassays are increasingly used, as fully automated methods, in a large number of laboratories and become routine methods for bALP determination, it should be beared in mind, besides various interferences, also the heterogeneity of the bALP itself, especially in patients on hemodialysis.
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Haji SM, Chipchase A, Fraser WD, Gomez J. Retrospective evaluation of a local protocol used to enhance laboratory savings through minimizing the performance of alkaline phosphatase isoenzyme analysis. Ann Clin Biochem 2018; 56:298-301. [PMID: 30450943 DOI: 10.1177/0004563218817571] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Alkaline phosphatase isoenzyme analysis is an expensive and time-consuming laboratory test. We evaluated the effect of a locally derived screening algorithm for alkaline phosphatase isoenzyme requests on the number of alkaline phosphatase isoenzyme analyses performed, laboratory cost and patient care. METHOD A total of 110 alkaline phosphatase isoenzyme analysis requests from the year 2015 were reviewed and subsequent alkaline phosphatase concentrations were monitored over a two-year period, to determine if the decision of performing/not performing alkaline phosphatase isoenzyme analysis, based on the algorithm, had an impact on patient care and laboratory cost. All alkaline phosphatase isoenzyme analysis requests with two consecutive elevated alkaline phosphatase concentrations (>upper limit of reference interval) were screened and, subject to the gamma glutamyl transferase being within the reference interval, either Bone alkaline phosphatase or 25 hydroxyvitamin D was measured depending on the age of the patient. RESULTS Compliance with this algorithm led to the normalization of subsequent serum alkaline phosphatase in 97% of patients without requiring alkaline phosphatase isoenzyme analysis. The cost of performing Bone alkaline phosphatase and 25 hydroxyvitamin D in-house was £778.50, while the cost of performing alkaline phosphatase isoenzyme analysis would have been £3040. This resulted in a laboratory saving of £2261.50. CONCLUSIONS Implementation of this algorithm led to a significant reduction in alkaline phosphatase isoenzyme analysis, without compromising patient care. Total savings could be increased if 25 hydroxyvitamin D was used as a first-line test, for all patients with an elevated alkaline phosphatase and a normal gamma glutamyl transferase regardless of age. This algorithm is cost-effective and can be implemented in laboratories with 25 hydroxyvitamin D assay.
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Affiliation(s)
- Saliha Mi Haji
- 1 Department of Clinical Biochemistry, Aberdeen Royal Infirmary, Aberdeen, UK
| | - Allison Chipchase
- 2 Department of Clinical Biochemistry and Immunology, Laboratory Medicine, Norfolk and Norwich University Hospitals, Norwich, UK
| | - William D Fraser
- 2 Department of Clinical Biochemistry and Immunology, Laboratory Medicine, Norfolk and Norwich University Hospitals, Norwich, UK.,3 Norwich Medical School, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK
| | - Javier Gomez
- 2 Department of Clinical Biochemistry and Immunology, Laboratory Medicine, Norfolk and Norwich University Hospitals, Norwich, UK
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Liu G, Sun S, Guo B, Miao B, Luo Z, Xia Z, Ying D, Liu F, Guo B, Tang J, Cao Y, Miao J. Bioactive peptide isolated from casein phosphopeptides promotes calcium uptake in vitro and in vivo. Food Funct 2018; 9:2251-2260. [PMID: 29557438 DOI: 10.1039/c7fo01709j] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Casein phosphopeptides (CPPs) have been demonstrated to be calcium chelators. Unfortunately, few studies have been reported on the effects of CPPs on the mechanism of the uptake and absorption of Ca2+ and bone metabolism. In this study, a monomeric peptide fraction isolated by RP-HPLC (F6-1) that possessed high calcium transport capacity in Caco-2 cell monolayers was separated and characterized. The effects of F6-1 on the absorption mechanisms of Ca2+ in a Caco-2 monolayer model and bone metabolism in rats were investigated. F6-1 was isolated by preparative and analytical RP-HPLC. Results for calcium transport suggested that the rates of Ca2+ transportation by F6-1 were approximately 2.57, 2.87 and 2.38 times higher than those in the control group at 30, 60 and 120 min, respectively. Results of ultraviolet (UV) spectroscopy indicated that the intensity of UV absorption changed because of the binding of Ca2+ to F6-1. Analysis of transepithelial electrical resistance (TEER) and the expression of TRPV6 in Caco-2 cells showed that F6-1 was likely to influence the transcellular pathway of intestinal absorption of Ca2+ rather than the paracellular pathway. Furthermore, the F6-1 group (1% Ca, 0.03% F6-1) exhibited increases in serum Ca2+ levels, femur length and femur Ca and decreases in serum alkaline phosphatase (ALP) levels and urinary pyridinoline content in a Sprague-Dawley rat model, which implied that F6-1 was beneficial for bone calcification. Overall, our results suggested that F6-1 enhanced the transport of Ca2+ in Caco-2 cells by affecting the transcellular pathway by upregulating the expression of TRPV6. F6-1 also improved bone formation and prevented bone resorption to benefit bone health in rats, which provided a basis for using F6-1 in calcium supplements or functional foods.
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Affiliation(s)
- Guo Liu
- College of Food Science, South China Agricultural University, Guangzhou 510642, China. and CSIRO Agriculture and Food, 671 Sneydes Road, Werribee, VIC 3030, Australia
| | - Shengwei Sun
- College of Food Science, South China Agricultural University, Guangzhou 510642, China.
| | - Baoyan Guo
- College of Food Science, South China Agricultural University, Guangzhou 510642, China. and CSIRO Agriculture and Food, 671 Sneydes Road, Werribee, VIC 3030, Australia
| | - Benchun Miao
- Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA 02114, USA
| | - Zhen Luo
- Infinitus (China) Company Ltd, Guangzhou 510000, China
| | - Zumeng Xia
- Infinitus (China) Company Ltd, Guangzhou 510000, China
| | - Danyang Ying
- CSIRO Agriculture and Food, 671 Sneydes Road, Werribee, VIC 3030, Australia
| | - Fei Liu
- Guangzhou Greencream Biotech Co., Ltd, Guangzhou 510663, China
| | - Bin Guo
- Guangzhou Greencream Biotech Co., Ltd, Guangzhou 510663, China
| | - Jian Tang
- Infinitus (China) Company Ltd, Guangzhou 510000, China
| | - Yong Cao
- College of Food Science, South China Agricultural University, Guangzhou 510642, China.
| | - Jianyin Miao
- College of Food Science, South China Agricultural University, Guangzhou 510642, China.
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Ali Akbari Ghavimi S, Allen BN, Stromsdorfer JL, Kramer JS, Li X, Ulery BD. Calcium and phosphate ions as simple signaling molecules with versatile osteoinductivity. ACTA ACUST UNITED AC 2018; 13:055005. [PMID: 29794341 DOI: 10.1088/1748-605x/aac7a5] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Due to the continually increasing clinical need to heal large bone defects, synthetic bone graft substitutes have become ever more necessary with calcium phosphates (CaP) widely used due to their similarity to the mineral component of bone. In this research, different concentrations of calcium ions (Ca2+), phosphate ions (Pi), or their combination were provided to mesenchymal stem cells (MSCs) to evaluate their influence on proliferation and differentiation. The results suggest that 1-16 mM Ca2+ and 1-8 mM Pi is osteoinductive, but not cytotoxic. Furthermore, three distinct calcium phosphates (i.e. monobasic, dibasic, and hydroxyapatite) with different dissolution rates were investigated for their Ca2+ and Pi release. These biomaterials were then adjusted to release ion concentrations within the established therapeutics window for which MSC bioactivity was assessed. These findings suggest that CaP-based biomaterials can be leveraged to achieve Ca2+ and Pi dose-dependent osteoinduction for bone regenerative engineering applications.
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Affiliation(s)
- Soheila Ali Akbari Ghavimi
- Department of Chemical Engineering, University of Missouri, Columbia, MO 65211, United States of America
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Ali Akbari Ghavimi S, Tata RR, Greenwald AJ, Allen BN, Grant DA, Grant SA, Lee MW, Ulery BD. Controlled Ion Release from Novel Polyester/Ceramic Composites Enhances Osteoinductivity. AAPS JOURNAL 2017; 19:1029-1044. [DOI: 10.1208/s12248-017-0072-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2016] [Accepted: 02/28/2017] [Indexed: 02/01/2023]
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