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Tendon-Derived Progenitor Cells With Multilineage Potential Are Present Within Human Patellar Tendon
Erika A Leonardi1, Michelle Xiao1, Iain R Murray1
1Department of Orthopedic Surgery, Stanford University School of Medicine, Stanford, California, USA.
Orthopaedic Journal of Sports Medicine
|August 26, 2021
Summary
Tendon-derived progenitor cells (TDPCs) can be successfully isolated from the patellar tendon. These multipotent cells show promise for regenerative therapies in tendinopathy.
Area of Science:
- Biomedical Engineering
- Regenerative Medicine
- Cell Biology
Background:
- Progenitor cells offer regenerative potential but are underutilized in tendinopathy treatment.
- Tendon-derived progenitor cells (TDPCs) were previously isolated from hamstring tendons, often during other procedures.
- The patellar tendon's accessibility makes it a potential source for clinical TDPC utilization.
Purpose of the Study:
- To characterize TDPCs isolated from human patellar tendon samples.
- To assess the multipotent differentiation capacity of patellar tendon-derived progenitor cells.
Main Methods:
- Human patellar tendon samples were obtained during elective knee surgery.
- TDPCs were isolated, cultured, and analyzed for cell surface markers (CD90, CD105, CD44, CD31, CD34, CD45) via flow cytometry.
- Multilineage differentiation potential was assessed through in vitro adipogenic, osteogenic, and chondrogenic assays, confirmed by specific staining and ELISA for secreted factors.
Main Results:
- TDPCs exhibited consistent expression of CD90, CD105, and CD44, with minimal expression of CD34, CD31, and CD45.
- Successful adipogenic, osteogenic, and chondrogenic differentiation of TDPCs was confirmed.
- Key differentiation markers (adiponectin, alkaline phosphatase, SOX9) were significantly upregulated in differentiated cells.
Conclusions:
- TDPCs can be effectively isolated from human patellar tendon.
- Isolated TDPCs display characteristics of multipotent progenitor cells.
- Patellar tendon is a promising source for progenitor cells in biologic therapies for tendinopathy.

