Biomaterial-assisted cell therapy in osteoarthritis: From mesenchymal stem cells to cell encapsulation
Fahd Hached1, Claire Vinatier1, Catherine Le Visage1
1Inserm, UMR 1229, RMeS, Regenerative Medicine and Skeleton, Université de Nantes, ONIRIS, Nantes, F-44042, France; Université de Nantes, UFR Odontologie, Nantes, F-44042, France.
Abstract:
Osteoarthritis (OA) is a degenerative and inflammatory joint disease that affects the cartilage, subchondral bone, and joint tissues. Although current drug therapies can provide a degree of symptomatic relief from pain, they fail to prevent joint damage. Mesenchymal stem/stromal cells (MSCs) have generated significant interest in terms of medical applications because they exert their therapeutic properties by secretion of bioactive factors that have potent immunomodulatory, antiapoptotic, antifibrotic, and anti-inflammatory effects. However, intra-articular injection of MSCs has major limitations including cell death upon injection and massive leakage from the injection site. Encapsulation of MSCs has therefore been developed as a way to overcome these limitations and to deliver therapeutic bioactive factors in several pathologies. In this review, we first briefly highlight the main therapeutic properties of MSCs and their applications in OA treatment. We then focus on MSC encapsulation and the current advances this strategy offers for the treatment of OA.
Insights
Mesenchymal stem/stromal cells (MSCs) show promise for osteoarthritis (OA) treatment by secreting therapeutic factors. Encapsulating MSCs overcomes limitations like cell death and leakage, improving OA therapy delivery.
Area of Science:
- Regenerative Medicine
- Biotechnology
- Orthopedics
Background:
- Osteoarthritis (OA) is a degenerative joint disease causing pain and cartilage damage.
- Current OA drugs offer symptomatic relief but do not prevent disease progression.
- Mesenchymal stem/stromal cells (MSCs) possess therapeutic properties including immunomodulatory and anti-inflammatory effects.
Purpose of the Study:
- To review the therapeutic potential of MSCs for osteoarthritis (OA).
- To explore MSC encapsulation as a strategy to enhance OA treatment.
- To highlight advances in using encapsulated MSCs for OA therapy.
Main Methods:
- Review of current literature on MSCs and their application in OA.
- Discussion of MSC properties and limitations of intra-articular injection.
- Analysis of MSC encapsulation techniques and their benefits for OA treatment.
Main Results:
- MSCs secrete bioactive factors with potent therapeutic effects relevant to OA.
- Intra-articular injection of MSCs faces challenges like cell death and leakage.
- MSC encapsulation offers a promising solution to improve cell survival and targeted delivery for OA.
Conclusions:
- MSCs hold significant therapeutic potential for osteoarthritis.
- Encapsulation is a key strategy to overcome MSC delivery limitations in OA.
- Advances in MSC encapsulation pave the way for improved OA treatment modalities.
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