Use of autologous mesenchymal stem cells derived from adipose tissue for the treatment of hyaline cartilage defects in laboratory animals: a literature review
- Authors: Pershina P.A.1, Novosad Y.A.1,2, Rodionova K.N.1,2, Asadulaev M.S.1, Zorin V.I.3, Bortulev P.I.3, Vissarionov S.V.3
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Affiliations:
- H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
- Peter the Great Saint Petersburg Polytechnic University
- H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
- Issue: Vol 12, No 4 (2024)
- Pages: 499-510
- Section: Scientific reviews
- Submitted: 11.09.2024
- Accepted: 11.11.2024
- Published: 15.12.2024
- URL: https://journals.eco-vector.com/turner/article/view/635941
- DOI: https://doi.org/10.17816/PTORS635941
- ID: 635941
Cite item
Abstract
BACKGROUND: Degenerative/dystrophic cartilage diseases are an epidemiologically important challenge in modern traumatology and orthopedics. The use of autologous mesenchymal stem cells to repair cartilage defects is currently the most promising treatment option.
AIM: The aim of this paper was to review the literature on the use of adipose tissue-derived mesenchymal stem cells to repair articular cartilage defects in laboratory animals.
MATERIALS AND METHODS: Recent and historical Russian and English literature was searched in Google Scholar, Cyberleninka, PubMed, eLibrary, Mendeley, Science Direct databases for over 20 years. A total of 113 papers were selected, and 25 papers that met the inclusion criteria were selected based on full-text materials and abstracts.
RESULTS: Literature shows that autologous adipose-derived mesenchymal stem cells stimulate hyaline cartilage regeneration. The vast majority of studies show that the addition of both differentiated and undifferentiated cells accelerates cartilage repair, regardless of the composition of the vehicle matrix or gel. Adipose-derived mesenchymal stem cells can also be used as a stand-alone technology without any vehicles.
CONCLUSIONS: There is still no ideal graft to restore cartilage tissue, despite a wide range of technologies, surgical techniques and materials for repairing cartilage defects. However, mesenchymal stem cells improve the rate of defect repair and may become a new therapeutic strategy for degenerative/dystrophic cartilage diseases.
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About the authors
Polina A. Pershina
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Author for correspondence.
Email: polinaiva2772@gmail.com
ORCID iD: 0000-0001-5665-3009
SPIN-code: 2484-9463
MD, PhD Student
Russian Federation, Saint PetersburgYuri A. Novosad
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery; Peter the Great Saint Petersburg Polytechnic University
Email: novosad.yur@yandex.ru
ORCID iD: 0000-0002-6150-374X
SPIN-code: 3001-1467
MD, PhD Student
Russian Federation, Saint Petersburg; Saint PetersburgKristina N. Rodionova
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery; Peter the Great Saint Petersburg Polytechnic University
Email: rkn0306@mail.ru
ORCID iD: 0000-0001-6187-2097
SPIN-code: 4627-3979
Russian Federation, Saint Petersburg; Saint Petersburg
Marat S. Asadulaev
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: marat.asadulaev@yandex.ru
ORCID iD: 0000-0002-1768-2402
SPIN-code: 3336-8996
MD, PhD, Cand. Sci. (Medicine)
Russian Federation, Saint PetersburgVyacheslav I. Zorin
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: traumaturner@yandex.ru
ORCID iD: 0000-0002-9712-5509
SPIN-code: 4651-8232
MD, PhD, Cand. Sci. (Medicine), Associate Professor
Russian Federation, Saint PetersburgPavel I. Bortulev
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: pavel.bortulev@yandex.ru
ORCID iD: 0000-0003-4931-2817
SPIN-code: 9903-6861
MD, PhD, Cand. Sci. (Medicine)
Russian Federation, Saint PetersburgSergey V. Vissarionov
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: vissarionovs@gmail.com
ORCID iD: 0000-0003-4235-5048
SPIN-code: 7125-4930
MD, PhD, Dr. Sci. (Medicine), Professor, Corresponding Member of the RAS
Russian Federation, Saint PetersburgReferences
- Runhaar J. Development and prevention of knee osteoarthritis: the load of obesity. Rotredame: Erasmus university; 2013. Available from: https://core.ac.uk/download/pdf/18511861.pdf
- Ezhov MY, Ezhov IY, Kashko AK, et al. Unresolved issues of the cartilage and the bone regeneration (review). Advances in current natural sciences. 2015;(5):126–131. (In Russ.) EDN: UCMJHT
- Xu Y, Jiang Y, Xia C, et al. Stem cell therapy for osteonecrosis of femoral head: opportunities and challenges. Regen Ther. 2020;15:295–304. doi: 10.1016/j.reth.2020.11.003
- Brittberg M, Lindahl A, Nilsson A, et al. Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med. 1994;331(14):889–895. doi: 10.1056/nejm199410063311401
- Mobasheri A, Kalamegam G, Musumeci G, et al. Chondrocyte and mesenchymal stem cell-based therapies for cartilage repair in osteoarthritis and related orthopaedic conditions. Maturitas. 2014;78(3):188–198. doi: 10.1016/j.maturitas.2014.04.017
- Mistry H, Connock M, Pink J, et al. Autologous chondrocyte implantation in the knee: systematic review and economic evaluation. Health Technol Assess (Rockv). 2017;21(6):1–294. doi: 10.3310/hta21060
- Friedenstein AJ, Petrakova KV, Kurolesova AI, et al. Heterotopic transplants of bone marrow. Transplantation. 1968;6(2):230–247. doi: 10.1097/00007890-196803000-00009
- Volarevic V, Arsenijevic N, Lukic ML, Stojkovic M. Concise review: mesenchymal stem cell treatment of the complications of diabetes mellitus. Stem Cells. 2011;29(1):5–10. doi: 10.1002/stem.556
- Xie X, Wang Y, Zhao C, et al. Comparative evaluation of MSCs from bone marrow and adipose tissue seeded in PRP-derived scaffold for cartilage regeneration. Biomaterials. 2012;33(29):7008–7018. doi: 10.1016/j.biomaterials.2012.06.058
- Steck E, Bertram H, Abel R, et al. Induction of intervertebral disc-like cells from adult mesenchymal stem cells. Stem Cells. 2005;23(3):403–411. doi: 10.1634/stemcells.2004-0107
- Peláez P, Damiá E, Torres-Torrillas M, et al. Cell and cell free therapies in osteoarthritis. Biomedicines. 2021;9(11):1726. doi: 10.3390/biomedicines9111726
- Zuk PA, Zhu M, Ashjian P, et al. Human adipose tissue is a source of multipotent stem cells. Mol Biol Cell. 2002;13(12):4279–4295. doi: 10.1091/mbc.e02-02-0105
- Kern S, Eichler H, Stoeve J, et al. Comparative analysis of mesenchymal stem cells from bone marrow, umbilical cord blood, or adipose tissue. Stem Cells. 2006;24(5):1294–1301. doi: 10.1634/stemcells.2005-0342
- Dominici M, Le Blanc K, Mueller I, et al. Minimal criteria for defining multipotent mesenchymal stromal cells. The International Society for Cellular Therapy position statement. Cytotherapy. 2006;8(4):315–317. doi: 10.1080/14653240600855905
- Anraku Y, Mizuta H, Sei A, et al. The chondrogenic repair response of undifferentiated mesenchymal cells in rat full-thickness articular cartilage defects. Osteoarthr Cartil. 2008;16(8):961–964. doi: 10.1016/j.joca.2007.12.009
- Wang W, He N, Feng C, et al. Human adipose-derived mesenchymal progenitor cells engraft into rabbit articular cartilage. Int J Mol Sci. 2015;16(6):12076–12091. doi: 10.3390/ijms160612076
- Brindo da Cruz IC, Velosa AP, Carrasco S, et al. Post-adipose-derived stem cells (ADSC) stimulated by collagen type V (Col V) mitigate the progression of osteoarthritic rabbit articular cartilage. Front Cell Dev Biol. 2021;9:606890. doi: 10.3389/fcell.2021.606890
- Ude CC, Sulaiman SB, Min-Hwei N, et al. Cartilage regeneration by chondrogenic induced adult stem cells in osteoarthritic sheep model. PLoS One. 2014;9(6):e98770. doi: 10.1371/journal.pone.0098770
- Desando G, Cavallo C, Sartoni F, et al. Intra-articular delivery of adipose derived stromal cells attenuates osteoarthritis progression in an experimental rabbit model. Arthritis Res Ther. 2013;15:1–16. doi: 10.1186/ar4156
- Ahmad MR, Badar W, Ullah Khan MA, et al. Combination of preconditioned adipose-derived mesenchymal stem cells and platelet-rich plasma improves the repair of osteoarthritis in rat. Regen Med. 2020;15(11):2285–2295. doi: 10.2217/rme-2020-0040
- Hsu YK, Sheu SY, Wang CY, et al. The effect of adipose-derived mesenchymal stem cells and chondrocytes with platelet-rich fibrin releasates augmentation by intra-articular injection on acute osteochondral defects in a rabbit model. Knee. 2018;25(6):1181–1191. doi: 10.1016/j.knee.2018.10.005
- Kuroda K, Kabata T, Hayashi K, et al. The paracrine effect of adipose-derived stem cells inhibits osteoarthritis progression. BMC Musculoskelet Disord. 2015;16(1). doi: 10.1186/s12891-015-0701-4
- Fu Q, Zhou R, Cao J, et al. Culture of mesenchymal stem cells derived from the infrapatellar fat pad without enzyme and preliminary study on the repair of articular cartilage defects in rabbits. Front Bioeng Biotechnol. 2022;10:889306. doi: 10.3389/fbioe.2022.889306
- Stock UA, Vacanti JP. Tissue engineering: current state and prospects. Annu Rev Med. 2001;52(1):443–451. doi: 10.1146/annurev.med.52.1.443
- Vannini F, Filardo G, Kon E, et al. Scaffolds for cartilage repair of the ankle joint: the impact on surgical practice. Foot Ankle Surg. 2013;19(1):2–8. doi: 10.1016/j.fas.2012.07.001
- Chang SCN, Rowley JA, Tobias G, et al. Injection molding of chondrocyte/alginate constructs in the shape of facial implants. J Biomed Mater Res. 2001;55(4):503–511. doi: 10.1002/1097-4636(20010615)55:4<503::aid-jbm1043>3.0.co;2-s
- Hull SM, Brunel LG, Heilshorn SC. 3D bioprinting of cell-laden hydrogels for improved biological functionality. Adv Mater. 2022;34(2):2103691. doi: 10.1002/adma.202103691
- Hung CT, Lima EG, Mauck RL, et al. Anatomically shaped osteochondral constructs for articular cartilage repair. J Biomech. 2003;36(12):1853–1864. doi: 10.1016/s0021-9290(03)00213-6
- Lee CH, Cook JL, Mendelson A, et al. Regeneration of the articular surface of the rabbit synovial joint by cell homing: a proof of concept study. Lancet. 2010;376(9739):440–448. doi: 10.1016/s0140-6736(10)60668-x
- Yang Z, Li H, Tian Y, et al. Biofunctionalized structure and ingredient mimicking scaffolds achieving recruitment and chondrogenesis for staged cartilage regeneration. Front Cell Dev Biol. 2021;9:655440. doi: 10.3389/fcell.2021.655440
- Yang ZG, Tang RF, Qi YY, et al. Restoration of cartilage defects using a superparamagnetic iron oxide-labeled adipose-derived mesenchymal stem cell and TGF-β3-loaded bilayer PLGA construct. Regen Med. 2020;16(6):1735–1747. doi: 10.2217/rme-2019-0151
- Lee Y-H, Petkova AP, Granneman JG. Identification of an adipogenic niche for adipose tissue remodeling and restoration. Cell Metab. 2013;18(3):355–367. doi: 10.1016/j.cmet.2013.08.003
- Bourin P, Bunnell BA, Casteilla L, et al. Stromal cells from the adipose tissue-derived stromal vascular fraction and culture expanded adipose tissue-derived stromal/stem cells: a joint statement of the International Federation for Adipose Therapeutics and Science (IFATS) and the International Society for Cellular Therapy (ISCT). Cytotherapy. 2013;15(6):641–648. doi: 10.1016/j.jcyt.2013.02.006
- Desando G, Bartolotti I, Martini L, et al. Regenerative features of adipose tissue for osteoarthritis treatment in a rabbit model: enzymatic digestion versus mechanical disruption. Int J Mol Sci. 2019;20(11):2636. doi: 10.3390/ijms20112636
- Chen Z, Ge Y, Zhou L, et al. Pain relief and cartilage repair by Nanofat against osteoarthritis: preclinical and clinical evidence. Stem Cell Res Ther. 2021;12(1):477. doi: 10.1186/s13287-021-02538-9
- Ge Y, Xu W, Chen Z, et al. Nanofat lysate ameliorates pain and cartilage degradation of osteoarthritis through activation of TGF-β–Smad2/3 signaling of chondrocytes. Front Pharmacol. 2023;14:900205. doi: 10.3389/fphar.2023.900205
- Li Q, Zhao F, Li Z, et al. Autologous fractionated adipose tissue as a natural biomaterial and novel one-step stem cell therapy for repairing articular cartilage defects. Front Cell Dev Biol. 2020;8:694. doi: 10.3389/fcell.2020.00694
- Upchurch DA, Renberg WC, Roush JK, et al. Effects of administration of adipose-derived stromal vascular fraction and platelet-rich plasma to dogs with osteoarthritis of the hip joints. Am J Vet Res. 2016;77(9):940–951. doi: 10.2460/ajvr.77.9.940
- Ba K, Ni D, Wang XB, et al. Chondrocyte cocultures with stromal vascular fraction of adipose tissue promote cartilage regeneration in vivo. Hua Xi Kou Qiang Yi Xue Za Zhi. 2020;38(3):240–244. doi: 10.7518/hxkq.2020.03.002
- Go G, Jeong SG, Yoo A, et al. Human adipose-derived mesenchymal stem cell-based medical microrobot system for knee cartilage regeneration in vivo. Sci Robot. 2020;5(38):eaay6626. doi: 10.1126/scirobotics.aay6626
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