Transplante de células-tronco com a fração total de células mononucleares autógenas da medula óssea na lesão iatrogência aguda de tendão calcâneo de cães

Abstract

Most injuries of the tendons in small animals are linked to trauma and the most important injuries are partial or complete section due to the action of sharp or acute objects or laceration associated with automobile accident leading to a functional disability of the member. The treatments offered are different, but effects such as improving the quality and speed of healing are not confirmed by controlled studies. Recently, the medical advances have shown growing interest in the use of cell therapy in treatment of degenerative diseases and also in slow or ineffective healing. This study aimed to evaluate the effects of the transplant autogenous of mononuclear cells of bone marrow with or without MEC in tendon healing. Compared tendons were treated only with mononuclears cells (GI); mononuclears cells embedded in MEC of collagen (GII); only MEC of collagen (GIII) with the control group (GIV), besides the presence of such cells in the new tissue. It was induced Achilles tendon injury trial in common law of the pelvic member in 36 dogs, randomly separated into four groups with nine experimental animals each, and followed by autogenou transplantation of at least 0,6 x 108 and a maximum 7,4 x 108 mononuclear cells. kg-1, with more than 90% viability, marked with nanocristal Q-tracker 655. The animals were evaluated by clinical and hematological parameters and through biopsy cyhtological features. Analyses performed at 7th, 14th and 30th days of evolution through cytological features analyses and direct fluorescent histopathological about the quality of healing tissue as: increasing of the inflammatory infiltrate, presence of extracellular matrix, increased cell proliferation and marked presence of mononuclear cells in tissue that characterize the improvement of the regeneration of tendineous repair. Statistically, the group treated with the combination of MEC of collagen embedded with mononuclears cells was more significant when compared to other groups. Thus it appears that after examining the results, tendon cell therapy with mononuclear cells improved the organization of proliferative tendon repair between 14th and 30th of days after treatment.