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Mesenchymal Stromal Cells in Osteoarthritis: Evidence for Structural Benefit and Cartilage Repair
Yujie Song1, Christian Jorgensen1
1IRMB, CARTIGEN, University of Montpellier, Inserm, CHU de Montpellier, 34090 Montpellier, France.
Abstract:
Osteoarthritis (OA) presents a major clinical challenge to rheumatologists and orthopedists due to the lack of available drugs reducing structural degradation. Mesenchymal stromal cells (MSCs) may represent new therapeutic approaches in cartilage regeneration. In this review, we highlight the latest knowledge on the biological properties of MSC, such as their chondrogenic and immunomodulatory potential, and we give a brief overview of the effects of MSCs in preclinical and clinical studies of OA treatment and also compare different MSC sources, with the adipose tissue-derived MSCs being promising. Then, we focus on their structural benefit in treating OA and summarize the current evidence for the assessment of cartilage in OA according to magnetic resonance imaging (MRI) and second-look arthroscopy after MSC therapy. Finally, this review provides a brief perspective on enhancing the activity of MSCs.
Insights
Mesenchymal stromal cells (MSCs) show promise for osteoarthritis treatment by regenerating cartilage. Adipose-derived MSCs are particularly effective, offering structural benefits and improved cartilage assessment via MRI.
Area of Science:
- Regenerative Medicine
- Orthopedics
- Rheumatology
Background:
- Osteoarthritis (OA) poses a significant clinical challenge with limited treatments for structural degradation.
- Mesenchymal stromal cells (MSCs) offer potential therapeutic strategies for cartilage regeneration in OA.
- Current OA therapies lack agents that effectively reduce structural damage.
Purpose of the Study:
- To review the latest knowledge on Mesenchymal stromal cells (MSCs) for osteoarthritis (OA) treatment.
- To highlight the chondrogenic and immunomodulatory potential of MSCs.
- To assess the structural benefits and cartilage regeneration capabilities of MSCs in OA.
Main Methods:
- Review of preclinical and clinical studies on MSC therapy for OA.
- Comparison of different Mesenchymal stromal cells (MSCs) sources, focusing on adipose tissue-derived MSCs.
- Summarization of current evidence for cartilage assessment using MRI and arthroscopy post-MSC therapy.
Main Results:
- Adipose tissue-derived Mesenchymal stromal cells (MSCs) show promise in OA treatment.
- MSCs demonstrate chondrogenic and immunomodulatory potential relevant to OA.
- Magnetic resonance imaging (MRI) and arthroscopy are key for evaluating cartilage changes after MSC therapy.
Conclusions:
- Mesenchymal stromal cells (MSCs), especially from adipose tissue, represent a promising therapeutic avenue for osteoarthritis.
- Further research into enhancing MSC activity could improve their therapeutic efficacy in OA.
- MSC therapy shows potential for structural benefits and cartilage regeneration in OA patients.
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