Isolation of clinically relevant concentrations of bone marrow mesenchymal stem cells without centrifugation

Michael Scarpone1, Daniel Kuebler2, Andrew Chambers3

  • 1Trinity Sports Medicine and Performance Center, Trinity Hospital, Steubenville, OH, 43952, USA. scarponesportsmedicine@trinityhealth.com.

Abstract

Insights

The novel Marrow Cellutions (MC) system using small lateral draws (SSLM) method yields higher concentrations of colony-forming unit fibroblasts (CFU-f) and comparable stem cell yields to traditional bone marrow aspirate concentrates (BMAC). This offers a simpler, faster alternative for bone marrow cell collection.

Area of Science:

  • Regenerative Medicine
  • Hematology
  • Biotechnology

Background:

  • A novel FDA-cleared method, the small draws from a single puncture that promote only lateral flow from multiple sites (SSLM) method, was developed for bone marrow aspiration.
  • This technique targets cells from the inner cortical iliac bone surface, aiming to improve aspirate quality without centrifugation.

Purpose of the Study:

  • To evaluate the cellular quality of bone marrow aspirates obtained using the Marrow Cellutions (MC) system, which employs the SSLM method.
  • To compare the MC system's performance directly against bone marrow aspirate concentrates (BMAC) generated by standard centrifugation methods.

Main Methods:

  • Three direct comparative studies were performed using contralateral iliac crests from the same patients.
  • Key cellular components, including total nucleated cells (TNCs), CD34+ cells, CD117+ cells, and colony-forming unit fibroblasts (CFU-f), were quantified per milliliter.
  • The study also analyzed the cellular content of serial SSLM draws to determine TNC counts and mesenchymal stem/progenitor cell concentrations (CFU-f).

Main Results:

  • SSLM draws demonstrated significantly higher CFU-f concentrations compared to BMAC.
  • Concentrations of CD34+ and CD117+ cells were comparable between SSLM draws and BMAC.
  • The average TNC concentration in 30 patients using SSLM was 35.2 × 10^6 ± 17.1 × 10^6 cells/mL, with an average CFU-f concentration of 2885 ± 1716 cells/mL.

Conclusions:

  • The MC Device, utilizing the SSLM technique, yields bone marrow preparations with CFU-f concentrations comparable to or greater than BMAC.
  • The study highlights the MC Device's potential for producing high-quality stem cell yields.
  • The SSLM method offers significant practical advantages in speed and simplicity over current centrifugation-based systems for bone marrow aspiration.

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