Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

PDGF-B gene therapy accelerates bone engineering and oral implant osseointegration

Abstract

Platelet-derived growth factor-BB (PDGF-BB) stimulates repair of healing-impaired chronic wounds such as diabetic ulcers and periodontal lesions. However, limitations in predictability of tissue regeneration occur due, in part, to transient growth factor bioavailability in vivo. Here, we report that gene delivery of PDGF-B stimulates repair of oral implant extraction socket defects. Alveolar ridge defects were created in rats and were treated at the time of titanium implant installation with a collagen matrix containing an adenoviral (Ad) vector encoding PDGF-B (5.5 × 108 or 5.5 × 109 pfu ml−1), Ad encoding luciferase (Ad-Luc; 5.5 × 109 pfu ml−1; control) or recombinant human PDGF-BB protein (rhPDGF-BB, 0.3 mg ml−1). Bone repair and osseointegration were measured through backscattered scanning electron microscopy, histomorphometry, micro-computed tomography and biomechanical assessments. Furthermore, a panel of local and systemic safety assessments was performed. Results indicated that bone repair was accelerated by Ad-PDGF-B and rhPDGF-BB delivery compared with Ad-Luc, with the high dose of Ad-PDGF-B more effective than the low dose. No significant dissemination of the vector construct or alteration of systemic parameters was noted. In summary, gene delivery of Ad-PDGF-B shows regenerative and safety capabilities for bone tissue engineering and osseointegration in alveolar bone defects comparable with rhPDGF-BB protein delivery in vivo.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4

Similar content being viewed by others

Zixuan Zhao, Xinyi Chen, … Hanry Yu

References

  1. Wikesjo UM, Sorensen RG, Wozney JM . Augmentation of alveolar bone and dental implant osseointegration: clinical implications of studies with rhBMP-2. J Bone Joint Surg Am 2001; 83-A (Suppl 1): S136–S145.

    Google Scholar 

  2. Lynch SE, de Castilla GR, Williams RC, Kiritsy CP, Howell TH, Reddy MS et al. The effects of short-term application of a combination of platelet-derived and insulin-like growth factors on periodontal wound healing. J Periodontol 1991; 62: 458–467.

    Article  CAS  Google Scholar 

  3. Fang J, Zhu YY, Smiley E, Bonadio J, Rouleau JP, Goldstein SA et al. Stimulation of new bone formation by direct transfer of osteogenic plasmid genes. Proc Natl Acad Sci USA 1996; 93: 5753–5758.

    Article  CAS  Google Scholar 

  4. Ramseier CA, Abramson ZR, Jin Q, Giannobile WV . Gene therapeutics for periodontal regenerative medicine. Dent Clin North Am 2006; 50: 245–263, ix.

    Article  Google Scholar 

  5. Ghosh SS, Gopinath P, Ramesh A . Adenoviral vectors: a promising tool for gene therapy. Appl Biochem Biotechnol 2006; 133: 9–29.

    Article  CAS  Google Scholar 

  6. Chang PC, Cirelli JA, Jin Q, Seol YJ, Sugai JV, D'Silva NJ et al. Adenovirus encoding human platelet-derived growth factor-B delivered to alveolar bone defects exhibits safety and biodistribution profiles favorable for clinical use. Hum Gene Ther 2009; 20: 486–496.

    Article  CAS  Google Scholar 

  7. Gu DL, Nguyen T, Gonzalez AM, Printz MA, Pierce GF, Sosnowski BA et al. Adenovirus encoding human platelet-derived growth factor-B delivered in collagen exhibits safety, biodistribution, and immunogenicity profiles favorable for clinical use. Mol Ther 2004; 9: 699–711.

    Article  CAS  Google Scholar 

  8. Barrientos S, Stojadinovic O, Golinko MS, Brem H, Tomic-Canic M . Growth factors and cytokines in wound healing. Wound Repair Regen 2008; 16: 585–601.

    Article  Google Scholar 

  9. Anusaksathien O, Jin Q, Zhao M, Somerman MJ, Giannobile WV . Effect of sustained gene delivery of platelet-derived growth factor or its antagonist (PDGF-1308) on tissue-engineered cementum. J Periodontol 2004; 75: 429–440.

    Article  CAS  Google Scholar 

  10. Canalis E, McCarthy TL, Centrella M . Effects of platelet-derived growth factor on bone formation in vitro. J Cell Physiol 1989; 140: 530–537.

    Article  CAS  Google Scholar 

  11. Nevins M, Giannobile WV, McGuire MK, Kao RT, Mellonig JT, Hinrichs JE et al. Platelet-derived growth factor stimulates bone fill and rate of attachment level gain: results of a large multicenter randomized controlled trial. J Periodontol 2005; 76: 2205–2215.

    Article  CAS  Google Scholar 

  12. Uhl E, Rosken F, Sirsjo A, Messmer K . Influence of platelet-derived growth factor on microcirculation during normal and impaired wound healing. Wound Repair Regen 2003; 11: 361–367.

    Article  Google Scholar 

  13. Simion M, Rocchietta I, Monforte M, Maschera E . Three-dimensional alveolar bone reconstruction with a combination of recombinant human platelet-derived growth factor BB and guided bone regeneration: a case report. Int J Periodontics Restorative Dent 2008; 28: 239–243.

    PubMed  Google Scholar 

  14. Jin Q, Anusaksathien O, Webb SA, Printz MA, Giannobile WV . Engineering of tooth-supporting structures by delivery of PDGF gene therapy vectors. Mol Ther 2004; 9: 519–526.

    Article  CAS  Google Scholar 

  15. Chang PC, Seol YJ, Kikuchi N, Goldstein SA, Giannobile WV . Functional apparent moduli: Indicators to predict dynamics of oral implant osseointegration (in review).

  16. Gabet Y, Müller R, Levy J, Dimarchi R, Chorev M, Bab I et al. Parathyroid hormone 1-34 enhances titanium implant anchorage in low-density trabecular bone: a correlative micro-computed tomographic and biomechanical analysis. Bone 2006; 39: 276–282.

    Article  CAS  Google Scholar 

  17. Ramp LC, Jeffcoat RL . Dynamic behavior of implants as a measure of osseointegration. Int J Oral Maxillofac Implants 2001; 16: 637–645.

    CAS  PubMed  Google Scholar 

  18. Lin Z, Sugai JV, Jin Q, Chandler LA, Giannobile WV . Platelet-derived growth factor-B gene delivery sustains gingival fibroblast signal transduction. J Periodontal Res 2008; 43: 440–449.

    Article  CAS  Google Scholar 

  19. De Donatis A, Comito G, Buricchi F, Vinci MC, Parenti A, Caselli A et al. Proliferation versus migration in platelet-derived growth factor signaling: the key role of endocytosis. J Biol Chem 2008; 283: 19948–19956.

    Article  CAS  Google Scholar 

  20. Hsieh SC, Graves DT . Pulse application of platelet-derived growth factor enhances formation of a mineralizing matrix while continuous application is inhibitory. J Cell Biochem 1998; 69: 169–180.

    Article  CAS  Google Scholar 

  21. Tokunaga A, Oya T, Ishii Y, Motomura H, Nakamura C, Ishizawa S et al. PDGF receptor beta is a potent regulator of mesenchymal stromal cell function. J Bone Miner Res 2008; 23: 1519–1528.

    Article  CAS  Google Scholar 

  22. Kono SJ, Oshima Y, Hoshi K, Bonewald LF, Oda H, Nakamura K et al. Erk pathways negatively regulate matrix mineralization. Bone 2007; 40: 68–74.

    Article  CAS  Google Scholar 

  23. Huang Z, Nelson ER, Smith RL, Goodman SB . The sequential expression profiles of growth factors from osteoprogenitors (correction of osteroprogenitors) to osteoblasts in vitro. Tissue Eng 2007; 13: 2311–2320.

    Article  CAS  Google Scholar 

  24. Ng F, Boucher S, Koh S, Sastry KS, Chase L, Lakshmipathy U et al. PDGF, TGF-beta, and FGF signaling is important for differentiation and growth of mesenchymal stem cells (MSCs): transcriptional profiling can identify markers and signaling pathways important in differentiation of MSCs into adipogenic, chondrogenic, and osteogenic lineages. Blood 2008; 112: 295–307.

    Article  CAS  Google Scholar 

  25. Kratchmarova I, Blagoev B, Haack-Sorensen M, Kassem M, Mann M . Mechanism of divergent growth factor effects in mesenchymal stem cell differentiation. Science 2005; 308: 1472–1477.

    Article  CAS  Google Scholar 

  26. Doukas J, Chandler LA, Gonzalez AM, Gu D, Hoganson DK, Ma C et al. Matrix immobilization enhances the tissue repair activity of growth factor gene therapy vectors. Hum Gene Ther 2001; 12: 783–798.

    Article  CAS  Google Scholar 

  27. Pouton CW, Wagstaff KM, Roth DM, Moseley GW, Jans DA . Targeted delivery to the nucleus. Adv Drug Deliv Rev 2007; 59: 698–717.

    Article  CAS  Google Scholar 

  28. Dunn CA, Jin Q, Taba Jr M, Franceschi RT, Bruce Rutherford R, Giannobile WV . BMP gene delivery for alveolar bone engineering at dental implant defects. Mol Ther 2005; 11: 294–299.

    Article  CAS  Google Scholar 

  29. Andrae J, Gallini R, Betsholtz C . Role of platelet-derived growth factors in physiology and medicine. Genes Dev 2008; 22: 1276–1312.

    Article  CAS  Google Scholar 

  30. Tokuda H, Takai S, Hanai Y, Harada A, Matsushima-Nishiwaki R, Kato H et al. Potentiation by platelet-derived growth factor-BB of FGF-2-stimulated VEGF release in osteoblasts. J Bone Miner Metab 2008; 26: 335–341.

    Article  CAS  Google Scholar 

  31. Zhang J, Cao R, Zhang Y, Jia T, Cao Y, Wahlberg E . Differential roles of PDGFR-{alpha} and PDGFR-{beta} in angiogenesis and vessel stability. FASEB J 2008; 23: 153–163.

    Article  Google Scholar 

  32. Douglas JT . Adenoviral vectors for gene therapy. Mol Biotechnol 2007; 36: 71–80.

    Article  CAS  Google Scholar 

  33. Hartman ZC, Appledorn DM, Amalfitano A . Adenovirus vector induced innate immune responses: impact upon efficacy and toxicity in gene therapy and vaccine applications. Virus Res 2008; 132: 1–14.

    Article  CAS  Google Scholar 

  34. Sonobe J, Okubo Y, Kaihara S, Miyatake S, Bessho K . Osteoinduction by bone morphogenetic protein 2-expressing adenoviral vector: application of biomaterial to mask the host immune response. Hum Gene Ther 2004; 15: 659–668.

    Article  CAS  Google Scholar 

  35. Wang Y, Yang Z, Liu S, Kon T, Krol A, Li CY et al. Characterisation of systemic dissemination of nonreplicating adenoviral vectors from tumours in local gene delivery. Br J Cancer 2005; 92: 1414–1420.

    Article  CAS  Google Scholar 

  36. Paleos CM, Tziveleka LA, Sideratou Z, Tsiourvas D . Gene delivery using functional dendritic polymers. Expert Opin Drug Deliv 2009; 6: 27–38.

    Article  CAS  Google Scholar 

  37. Ditto AJ, Shah PN, Gump LR, Yun YH . Nanospheres formulated from l-tyrosine polyphosphate exhibiting sustained release of polyplexes and in vitro controlled transfection properties. Mol Pharm 2009; 6: 986–995.

    Article  CAS  Google Scholar 

  38. Traini T, Degidi M, Iezzi G, Artese L, Piattelli A . Comparative evaluation of the peri-implant bone tissue mineral density around unloaded titanium dental implants. J Dent 2007; 35: 84–92.

    Article  CAS  Google Scholar 

  39. Otsu N . Threshold selection method from gray-level histograms. IEEE Trans Syst Man Cybern 1979; 9: 62–66.

    Article  Google Scholar 

Download references

Acknowledgements

We thank Valeria Pontelli Navarro Tedeschi for assistance with animal surgeries, Dennis Kayner for assisting removal of the implants, Dr. Noboru Kikuchi for establishing finite element models and Anna Colvig for performing hematological and clinical chemical examinations. This study was supported in part by the grants from the National Institutes of Health (NIH)/National Institute of Dental and Craniofacial Research (NIDCR) (R01-DE13397) and the AO Foundation Research Advisory Council (Davos, Switzerland) to WVG.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to W V Giannobile.

Additional information

Supplementary Information accompanies the paper on Gene Therapy website (http://www.nature.com/gt)

Supplementary information

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chang, PC., Seol, YJ., Cirelli, J. et al. PDGF-B gene therapy accelerates bone engineering and oral implant osseointegration. Gene Ther 17, 95–104 (2010). https://doi.org/10.1038/gt.2009.117

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/gt.2009.117

Keywords

This article is cited by

Search

Quick links