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Related Concept Videos

Mesenchymal Stem Cells01:19

Mesenchymal Stem Cells

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Mesenchymal stem cells (MSCs) are adult stem cells that can differentiate into most connective tissue cell types, except for hematopoietic cells, depending upon the source of MSCs. For example, bone-marrow-derived MSCs (BM-MSCs) can differentiate into osteocytes, hepatocytes, and pancreatic and neuronal cells. MSCs can be isolated from various sources such as bone marrow, placenta, adipose tissue, teeth, and Wharton’s jelly, a gelatinous substance in the umbilical cord. The ease of their...
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Author Spotlight: Advancements in Cell and Tissue Engineering for Tendon Repair
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Mesenchymal Stem Cell Sheets for Engineering of the Tendon-Bone Interface.

Lisa Berntsen1, Anoosha Forghani1, Daniel J Hayes1

  • 1Department of Biomedical Engineering, Pennsylvania State University, University Park, Pennsylvania, USA.

Tissue Engineering. Part A
|September 3, 2021
PubMed
Summary

Engineered composite cell sheets from human stem cells successfully regenerated the tendon-bone interface. This method shows promise for improving surgical repair outcomes by creating a functional gradient tissue.

Keywords:
adipose-derived mesenchymal stem cellscell sheetsenthesistendon–bone interfacetenogenesis

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Area of Science:

  • Biomaterials Science
  • Regenerative Medicine
  • Tissue Engineering

Background:

  • The tendon-bone interface (enthesis) is crucial for musculoskeletal health.
  • Regenerating this gradient tissue after injury remains a significant clinical challenge.
  • Current surgical repair methods often yield suboptimal functional outcomes.

Purpose of the Study:

  • To evaluate composite cell sheets for engineering the tendon-bone interface.
  • To improve the regeneration of the functionally graded enthesis tissue.
  • To hypothesize that stacked tenogenic and osteogenic progenitor cell sheets create integrated layers.

Main Methods:

  • Human adipose-derived stem cells were differentiated into tenogenic and osteogenic progenitors.
  • Cell sheets were fabricated on thermally reversible polymers.
  • Tenogenic and osteogenic cell sheets were stacked to create the engineered interface (TM-OM).
  • Characterization included histology, gene expression (RT-qPCR), and immunofluorescence.

Main Results:

  • The TM-OM construct exhibited integrated layers expressing tendon, mineralized fibrocartilage, and bone markers.
  • Tenogenic cell sheets upregulated scleraxis and tenomodulin.
  • Osteogenic cell sheets showed mineralization and upregulated osterix and osteonectin.
  • The engineered interface displayed increased gene expression of IHH and COLX, indicating endochondral ossification.

Conclusions:

  • Composite cell sheets fabricated with adipose-derived stem cells show potential for engineering the tendon-bone interface.
  • This method facilitates the regeneration of a biological gradient at the enthesis.
  • The approach offers a promising strategy for complex tissue interface engineering using a single autologous cell source.