Therapeutic gene transfer may be a means to enhance the healing of articular cartilage damage. We tested the hypotheses that FGF-2 gene transfer via rAAV modulates the chondrocytic phenotype and stimulates the healing of osteochondral defects in rabbit knee joints. A human basic fibroblast growth factor cDNA was cloned in rAAV. Rabbit chondrocytes were transduced by rAAV and encapsulated in alginate (constructs) to evaluate the synthesis of FGF-2, viable cell numbers, proteoglycans, and DNA contents. In vivo, osteochondral defects (3.2 mm, femoro-patellar groove) received 10 |[igrave]|l rAAV-hFGF-2 or rAAV-lacZ. After 4 months, the distal femora were removed, fixed, and decalcified for histological analyses (safranin O, hematoxylin eosin, type-II collagen) and to monitor transgene expression. The sections were graded using a repair scoring system. In the FGF-2 constructs, FGF-2 synthesis was elevated for 14 days and detected until day 26, leading to a significant increase in cell densities (P < 0.001). The proteoglycan content was not significantly different between the FGF-2 and lacZ constructs (P = 0.233), while the DNA content in the FGF-2 constructs was significantly higher (P < 0.001). In vivo, there were no adverse reactions in the knees and transgene expression was seen in all defects. At 4 months, tissue healing was enhanced in the FGF-2-treated defects, with an improved total score (P < 0.01), filling (P < 0.05), architecture (P < 0.01), cell morphology (P < 0.001), and a more intense type-II collagen staining. The data show that rAAV-mediated FGF-2 production improves the healing of osteochondral defects, suggesting that rAAV have the potential to enhance cartilage repair by direct application to sites of damage. (See Table 1)
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