URMC Center for Musculoskeletal Research
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Our Discovery Research ProgramsBone Biology |
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Our Bone Biology program is focused on defining the signals and mechanisms involved in site-directed bone formation and healing. While it is known that osteoblasts differentiate and localize the formation of new bone to regions where osteoclast bone resorption has occurred, the signals responsible for this coupling effect are a major focus of our research. Because these effects have profound implications for osteoporosis, human development, and fracture healing, we continue to pursue important questions. |
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Skeletal Repair and Tissue Engineering |
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Freeze-Dried Tendon Allografts as Tissue Engineering Scaffolds for Gdf5 Gene Delivery Basile P, Dadali T, Jacobson JA, Hasslund S, Ulrich-Vinther M, Soballe K, Nishio Y, Drissi H, Langstein H, Mitten D, O’Keefe RJ, Schwarz EM, Awad HA. Mol Ther 2008; 16(3):466–473. |
Biological Effects of rAAV-caAlk2 Coating on Structural Allograft Healing Koefoed M, Ito H, Gromov K, Reynolds DG, Awad HA, Rubery PT, Ulrich-Vinther M, Soballe K, Guldberg RE, Lin AS, O'Keefe RJ, Zhang X, Schwarz EM. Mol Ther 2005; 12(2):212-8. |
In our skeletal repair program, we perform translational studies designed to help understand orthopaedic problems encountered in our practices and to ultimately develop advances in patient care. Animal models of facture healing, structural bone grafting, and distraction osteogenesis have been developed to study repair mechanisms. Current applications of our animal models include:
Bone Cancer Bone is a common site of breast and prostate cancer metastasis. It is also a site for the formation of primary tumors as well. In our bone cancer program, we are studying the mechanism of bone destruction following breast and prostate cancer metastasis and the regulation of malignant progression. Additional fields of active study include the effects of radiation therapy such as the mechanism of resistance exhibited by cartilage and tumor cells and the survival vs. apoptotic processes of primary bone tumor cells. And our research into biochemical pathways as targets of cancer therapy has revealed that the mevalonate, NFkappaB and TGFß pathways hold great promise for therapeutic intervention. |
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Stem Cells and Developmental Biology |
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Our Stem Cells and Developmental Biology program covers broad interests in the identification, self-renewal, maintenance, cell fate determination, and differentiation of several types of skeletal stem cells. These include mesenchymal stem cells that give rise to cartilage, bone, fat, and connective tissues and hematopoietic stem cells that generate all blood cells and are housed in the bone marrow. We are studying these stem cells both in the context of embryonic development and adult skeletal repair and tissue engineering. In most of our studies, we are attempting gain a broader understanding of the molecular circuits that regulate stem cell self-renewal and differentiation. |
Regenerative Medicine in Orthopaedic Surgery Corsi KA, Schwarz EM, Mooney DJ, Huard J. J Orthop Res 2007; 25 (10):1261-8. |
Currently, our primary focus is on signaling pathways that employ notch, TGFb, BMP, and Wnt using both in vivo genetic animal models and in vitro cell-based assays. Overall, the goals of the Stem Cells and Developmental Biology program are to develop strategies for the ex vivo manipulation of skeletal stem cells and the discovery of novel therapeutic targets for treatment of congenital skeletal dysplasias, age-related skeletal diseases (osteoporosis and osteoarthritis), bone fractures, myelodysplasias, and skeletal and hematopoietic related cancers. |
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Cartilage BiologyThe cartilage biology program investigates the mechanisms of chondrocyte metabolism so that it will be possible to better understand the processes of development and skeletal growth in health and in and disease. Additionally, we have launched a major program in uncovering the pathologic processes associated with osteoarthritis and cartilage degradation. Our belief is that combining laboratory research with clinical investigation is the most effective way to bring better treatments to people affected by all the arthridites. Inflammatory Bone DiseaseOur inflammatory disease program focuses on the pathophysiology of bone erosions in inflammatory arthritis, wear debris-induced osteolysis, which is responsible for aseptic loosening of orthopaedic implants, and bone infections, or osteomyelitis. This program also exemplifies the translational research in our Center as it encompasses basic research on intracellular signal transduction and inflammatory cytokine cascades, pre-clinical investigation of the etiology of aseptic loosening, and novel therapeutic interventions. |
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