Equine bone marrow aspirate and bone marrow aspirate concentrate are enriched with interleukin-1 receptor antagonist

Sidney Long1, Grigorios Maleas2, Zarah A Belacic1

  • 1Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH.

Insights

Equine bone marrow aspirate concentrate (BMAC) significantly increases anti-inflammatory IL-1Ra and cellular components compared to bone marrow aspirate (BMA). This suggests BMAC

Area of Science:

  • Veterinary regenerative medicine
  • Equine sports medicine
  • Biologics in equine therapeutics

Background:

  • Equine bone marrow aspirate (BMA) and bone marrow aspirate concentrate (BMAC) are autologous biologics used in equine medicine.
  • Understanding the cellular and biochemical composition of these preparations is crucial for optimizing their therapeutic applications.

Purpose of the Study:

  • To characterize the cellular, growth factor, and cytokine profiles of equine sternal bone marrow aspirate (BMA) and laboratory-centrifuged bone marrow aspirate concentrate (BMAC).
  • To compare these profiles with whole blood and platelet-rich plasma.

Main Methods:

  • An in vitro experimental study involving 25 horses.
  • Quantification of cellular components, growth factors (IGF-I, VEGF, PDGF, TGF-β1), and cytokines (IL-6, IL-10, TNF-α, IL-1Ra) using automated hematology analyzers and ELISA.
  • Analysis of BMA, BMAC, whole blood, and platelet-rich plasma (E-PET).

Main Results:

  • BMAC showed significant increases in leukocytes (4.1-fold), neutrophils (3.4-fold), monocytes (4.6-fold), lymphocytes (4.4-fold), and thrombocytes (2.5-fold) compared to BMA.
  • Interleukin-1 receptor antagonist protein (IL-1Ra) was markedly elevated in BMAC (21-fold vs. BMA).
  • No significant changes were observed in IGF-I, VEGF, PDGF, TGF-β1, IL-6, IL-10, or TNF-α concentrations between BMA and BMAC.

Conclusions:

  • Laboratory centrifugation effectively enriches equine BMAC with cellular components and IL-1Ra compared to BMA.
  • Equine BMAC represents a promising biologic for musculoskeletal tissue healing, warranting further investigation.
Abstract