Autofluorescence and cell size-based sorting eliminates senescent cells in synovial mesenchymal stem cells from

Kurea Sakuma1, Kentaro Endo1, Nobutake Ozeki1

  • 1Center for Stem Cell and Regenerative Medicine, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan.

Tissue & Cell
|March 28, 2026
PubMed
Abstract

Insights

This study developed a drug-free method to remove senescent cells from mesenchymal stem cell (MSC) therapies for osteoarthritis (OA). Cell sorting based on autofluorescence and size effectively eliminated senescent cells, improving MSC function and therapeutic potential.

Area of Science:

  • Biomedical Engineering
  • Regenerative Medicine
  • Cell Biology

Background:

  • Senescent cells in mesenchymal stem cell (MSC) preparations reduce therapeutic efficacy for osteoarthritis (OA).
  • Existing senolytic drugs raise safety concerns.
  • A novel method to eliminate senescent MSCs is needed for OA treatment.

Purpose of the Study:

  • To investigate cell sorting based on autofluorescence (AF) and cell size to selectively eliminate senescent cells from human synovial MSCs.
  • To assess the impact of this sorting method on MSC stem cell function.

Main Methods:

  • Human synovial MSCs from OA patients were sorted into three fractions (AFhigh, AFlowFSChigh, AFlowFSClow) using fluorescence-activated cell sorting based on AF and forward scatter (FSC).
  • Senescence was evaluated by cell diameter, morphology, and SA-β-gal activity.
  • Stem cell function was assessed by colony-forming ability and trilineage differentiation potential.

Main Results:

  • The AFlowFSClow fraction exhibited reduced SA-β-gal activity, smaller cell diameter, and less enlarged morphology, indicating successful elimination of senescent cells.
  • AFlowFSClow cells showed enhanced colony-forming ability and superior chondrogenic differentiation.
  • Adipogenic and osteogenic differentiation potentials were similar across all fractions.

Conclusions:

  • Cell sorting based on AF and size effectively removes senescent cells from human synovial MSCs.
  • This drug-free approach enhances MSC stem cell function, improving potential for OA therapy.
  • This method offers a safer and more effective strategy for MSC-based OA treatments.