Periosteum and fascia lata: Are
they so different?
Julie Manon
1,2,3,4
*, Robin Evrard
1,2,3,4
, Louis Maistriaux
2,3
,
Lies Fievé
2
, Ugo Heller
5,6
, Delphine Magnin
7
, Jean Boisson
6
,
Natacha Kadlub
5,6
, Thomas Schubert
1,4
, Benoît Lengelé
2
,
Catherine Behets
2
and Olivier Cornu
1,4
1
Neuromusculoskeletal Lab (NMSK), Institut de Recherche Expérimentale et Clinique (IREC),
UCLouvain, Brussels, Belgium,
2
Morphology Lab (MORF), IREC, UCLouvain, Brussels, Belgium,
3
Transplantation and Experimental Surgery Lab (CHEX), IREC, UCLouvain, Brussels, Belgium,
4
Centre
de Thérapie Cellulaire et Tissulaire Locomoteur, Cliniques Universitaires Saint-Luc, Brussels, Belgium,
5
APHP, Necker Enfants Malades, Unit of Maxillofacial Surgery and Plastic Surgery, Paris, France,
6
Department of Mechanical Engineering, Ecole Nationale Supérieure de Techniques Avancées
(ENSTA) de Paris, Institut des Sciences de la Mécanique et Applications Industrielles (IMSIA), Paris,
France,
7
Bio- and Soft Matter (BSMA), Institute of Condensed Matter and Nanosciences (IMCN),
Louvain-la-Neuve, Belgium
Introduction: The human fascia lata (HFL) is used widely in reconstructive
surgery in indications other than fracture repair. The goal of this study was to
compare microscopic, molecular, and mechanical properties of HFL and
periosteum (HP) from a bone tissue engineering perspective.
Material and Methods: Cadaveric HP and HFL (N = 4 each) microscopic
morphology was characterized using histology and immunohistochemistry
(IHC), and the extracellular matrix (ECM) ultrastructure assessed by means of
scanning electron microscopy (SEM). DNA, collagen, elastin,
glycosaminoglycans, major histocompatibility complex Type 1, and bone
morphogenetic protein (BMP) contents were quantified. HP (N = 6) and HFL
(N = 11) were submitted to stretch tests.
Results: Histology and IHC highlighted similarities (Type I collagen fibers and
two-layer organization) but also differences (fiber thickness and compaction
and cell type) between both tissues, as confirmed using SEM. The collagen
content was statistically higher in HFL than HP (735 vs. 160.2 μg/mg dry weight,
respectively, p < 0.0001). On the contrary, DNA content was lower in HFL than
HP (404.75 vs. 1,102.2 μg/mg dry weight, respectively, p = 0.0032), as was the
immunogenic potential (p = 0.0033). BMP-2 and BMP-7 contents did not differ
between both tissues (p = 0.132 and p = 0.699, respectively). HFL supported a
significantly higher tension stress than HP.
OPEN ACCESS
EDITED BY
Bryan Brown,
University of Pittsburgh, United States
REVIEWED BY
Ching-Li Tseng,
Taipei Medical University, Taiwan
Carmelo Pirri,
University of Padua, Italy
Mariah Hahn,
Rensselaer Polytechnic Institute,
United States
*CORRESPONDENCE
Julie Manon,
julie.manon@uclouvain.be
SPECIALTY SECTION
This article was submitted to Tissue
Engineering and Regenerative Medicine,
a section of the journal
Frontiers in Bioengineering and
Biotechnology
RECEIVED 15 May 2022
ACCEPTED 03 October 2022
PUBLISHED 19 October 2022
CITATION
Manon J, Evrard R, Maistriaux L, Fievé L,
Heller U, Magnin D, Boisson J, Kadlub N,
Schubert T, Lengelé B, Behets C and
Cornu O (2022), Periosteum and fascia
lata: Are they so different?
Front. Bioeng. Biotechnol. 10:944828.
doi: 10.3389/fbioe.2022.944828
COPYRIGHT
© 2022 Manon, Evrard, Maistriaux, Fievé,
Heller, Magnin, Boisson, Kadlub,
Schubert, Lengelé, Behets and Cornu.
This is an open-access article
distributed under the terms of the
Creative Commons Attribution License
(CC BY). The use, distribution or
reproduction in other forums is
permitted, provided the original
author(s) and the copyright owner(s) are
credited and that the original
publication in this journal is cited, in
accordance with accepted academic
practice. No use, distribution or
reproduction is permitted which does
not comply with these terms.
Abbreviations: AB, alcian blue; IHC, immunohistochemistry; BMP, bone morphogenetic protein; l,
length; BSA, bovine serum albumin; L1, Layer 1; CSBD, critical size bone defect; L2, Layer 2; CPD,
critical point dryer; MHC-1, major histocompatibility complex Type 1; DAB, 3,3′-diaminobenzidine;
MT, Masson’s trichrome; ECM, extracellular matrix; RT, room temperature; EDTA,
ethylenediaminetetraacetic acid; RIPA, radioimmunoprecipitation assay buffer; F, force; S, surface;
GAG, glycosaminoglycans; SEM, scanning electron microscopy; H&E, hematoxylin and eosin; SEM,
standard error of the mean; HFL, human fascia lata; SR, srius red; HP, human periosteum; TBS, tris-
buffered saline; HRP, horseradish peroxidase.
Frontiers in Bioengineering and Biotechnology frontiersin.org 01
TYPE Original Research
PUBLISHED 19 October 2022
DOI 10.3389/fbioe.2022.944828