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Updated: Apr 18, 2026

Use of Human Perivascular Stem Cells for Bone Regeneration
Published on: May 25, 2012
Gremlin 1 identifies a skeletal stem cell with bone, cartilage, and reticular stromal potential
Daniel L Worthley1, Michael Churchill2, Jocelyn T Compton3
1Department of Medicine and Irving Cancer Research Center, Columbia University, New York, NY 10032, USA; Department of Medicine, University of Adelaide, SA, 5005, Australia; Cancer theme, South Australian Health and Medical Research Institute, SA, 5001, Australia; Murdoch Children's Research Institute, Royal Children's Hospital, Vic., 3052, Australia.
Researchers identified novel osteochondroreticular (OCR) stem cells in bone marrow, crucial for skeletal repair and development. These gremlin 1-expressing cells regenerate bone and cartilage, but not fat cells.
Area of Science:
- Stem cell biology
- Skeletal biology
- Connective tissue research
Background:
- Postnatal skeletal maintenance and repair rely on undefined stem cells.
- A proposed model involves perisinusoidal mesenchymal stem cells (MSCs) differentiating into various bone and marrow cell types, lacking experimental validation.
- The precise identity and function of skeletal stem cells remain a significant knowledge gap.
Purpose of the Study:
- To identify and characterize the specific stem cell population responsible for postnatal skeletal maintenance and repair.
- To investigate the role of gremlin 1 (Grem1) expression in defining skeletal stem cells.
- To determine the differentiation potential and anatomical location of these identified stem cells.
Main Methods:
- Utilized fate-mapping experiments to trace cell lineages within the bone marrow.
- Analyzed gene expression patterns, specifically focusing on the bone morphogenetic protein (BMP) antagonist gremlin 1 (Grem1).
- Examined the distribution and self-renewal capacity of Grem1-expressing cells in the bone marrow and intestine.
Main Results:
- Demonstrated that gremlin 1 expression defines a distinct population of osteochondroreticular (OCR) stem cells in the bone marrow.
- Showed that OCR stem cells possess self-renewal capabilities and generate osteoblasts, chondrocytes, and reticular marrow stromal cells, excluding adipocytes.
- Located OCR stem cells in the metaphysis of long bones, not the perisinusoidal space, and confirmed their necessity for bone development, remodeling, and fracture repair.
- Identified Grem1 expression in intestinal reticular stem cells (iRSCs), the origin of the periepithelial intestinal mesenchymal sheath.
Conclusions:
- Gremlin 1 expression serves as a marker for a unique population of connective tissue stem cells in both bone (OCR stem cells) and the intestine (iRSCs).
- OCR stem cells are critical for skeletal homeostasis, including development, ongoing remodeling, and the response to injury.
- The study refines our understanding of stem cell hierarchies and identifies specific cellular sources for distinct connective tissues.
Related Concept Videos
Mesenchymal Stem Cells
Source And Potency Of Stem Cells
Multipotency of Hematopoietic Stem Cells
Growth of Cartilage and Bone Tissue
Stem Cell Niche
Embryonic Stem Cells

