Cellular therapy in musculoskeletal tissue regeneration: Perspectives on osteoarthritis and the use of mesenchymal stem cells

Authors

DOI:

https://doi.org/10.33448/rsd-v13i4.45652

Keywords:

Osteoarthritis; Cellular therapy; Mesenchymal stem cells; Tissue regeneration; Joint inflammation.

Abstract

Osteoarthritis is a common and debilitating musculoskeletal condition that causes progressive degeneration of joint cartilage, resulting in pain, stiffness, and limited joint mobility. Faced with the challenges of effective osteoarthritis treatment, cellular therapy has emerged as a promising approach to promote regeneration of affected tissues. This study presents a comprehensive review of cellular therapy in osteoarthritis, highlighting key findings, challenges, and future perspectives in this area. The research was conducted through the selection and analysis of relevant studies in the PubMed, Scopus, and Web of Science databases, with a 20-year inclusion period. Primary studies were prioritized, including clinical trials, meta-analyses, randomized clinical trials, and systematic reviews. The results indicate that cellular therapy, especially the use of mesenchymal stem cells, holds potential to promote cartilage regeneration, reduce inflammation, and modulate the immune response in joints affected by osteoarthritis. However, further research is needed to optimize therapeutic strategies, overcome technical and regulatory challenges, and validate the long-term efficacy and safety of these treatments.

References

Alcaraz, M. J. (2024). Control of articular degeneration by extracellular vesicles from stem/stromal cells as a potential strategy for the treatment of osteoarthritis. Biochem Pharmacol. Advance online publication. https://doi.org/10.1016/j.bcp.2024.116226

Altomare, D., Di Matteo, B., & Kon, E. (2024). Conservative Treatment for Ankle Cartilage: Cellular and Acellular Therapies: A Systematic Review. Foot Ankle Clin, 29(2), 253-263. https://doi.org/10.1016/j.fcl.2023.07.003

Bari, E., Perteghella, S., Di Silvestre, D., Sorlini, M., Catenacci, L., & Sorrenti, M. (2018). Freeze-dried and GMP-compliant pharmaceuticals containing exosomes for acellular mesenchymal stromal cell immunomodulant therapy. Nanomedicine, 13(7), 777-89.

Blanco, F. J., Guitian, R., Vázquez-Martul, E., de Toro, F. J., & Galdo, F. (2011). Osteoarthritis chondrocytes die by apoptosis: a possible pathway for osteoarthritis pathology. Arthritis research & therapy, 3(5), 1-7.

Burr, D. B., & Gallant, M. A. (2012). Bone remodelling in osteoarthritis. Nature Reviews Rheumatology, 8(11), 665-673.

Chahal, J., Gómez-Aristizábal, A., Shestopaloff, K., Bhatt, S., Chaboureau, A., Fazio, A., ... & Lattermann, C. (2019). Bone marrow mesenchymal stromal cell treatment in patients with osteoarthritis results in overall improvement in pain and symptoms and reduces synovial inflammation. Stem Cells Translational Medicine, 8(8), 746-757.

Dai, W. L., Zhou, A. G., Zhang, H., Zhang, J., & Min, J. K. (2017). Exosomes: key players in cancer and potential therapeutic strategy. Signal Transduction and Targeted Therapy, 2, 17023.

Di Matteo, B., Vandenbulcke, F., Vitale, N. D., Lenaerts, C., Gabay, O., & Deroanne, C. F. (2018). A novel stem cell 3D culture system to study osteoarthritis. Journal of Orthopaedic Research, 36(5), 1615-1625.

Fellows, C. R., Matta, C., Zakany, R., Khan, I. M., & Mobasheri, A. (2016). Adipose, bone marrow and synovial joint-derived mesenchymal stem cells for cartilage repair. Frontiers in Genetics, 7, 213.

Felson, D. T. (2013). Osteoarthritis of the knee. New England Journal of Medicine, 354(8), 841-848.

Gjerde, C., Mustafa, K., Hellem, S., Rojewski, M. T., & Gjengedal, H. (2020). Regulation of bone marrow-derived mesenchymal stromal cell-based products for use in osteoarthritis treatment. Tissue Engineering Part B: Reviews, 26(3), 193-201.

Goldring, M. B., & Goldring, S. R. (2016). Articular cartilage and subchondral bone in the pathogenesis of osteoarthritis. Annals of the New York Academy of Sciences, 1192(1), 230-237.

Huey, D. J., & Hu, J. C. (2015). Athanasiou. FASEB Journal, 29(5), 1914-1925.

Hunter, D. J., & Felson, D. T. (2009). Osteoarthritis. British Medical Journal, 338, b3056.

Liu, X., Ni, M., Huang, Y., Zhang, J., Yao, H., & Wei, Z. (2019). Therapeutic effect of human umbilical cord mesenchymal stem cells at various passages on acute lung injury in mice. American Journal of Translational Research, 11(12), 7447–7457.

Loeser, R. F., Goldring, S. R., Scanzello, C. R., & Goldring, M. B. (2012). Osteoarthritis: a disease of the joint as an organ. Arthritis & Rheumatism, 64(6), 1697-1707.

Loibl, M., Lang, S., Brockhoff, G., Groll, J., & Huber, M. (2020). Cartilage regeneration and inflammation modulation in knee osteoarthritis following injection of allogeneic adipose-derived mesenchymal stromal cells: a phase II, triple-blinded, placebo-controlled, randomized trial.

Martel-Pelletier, J., Barr, A. J., Cicuttini, F. M., Conaghan, P. G., Cooper, C., Goldring, M. B., ... & Pelletier, J. P. (2016). Osteoarthritis. Nature Reviews Disease Primers, 2(1), 1-21.

Mobasheri, A., Rayman, M. P., & Gualillo, O. (2014). Identification of New Therapeutic Targets for Osteoarthritis through Genome-Wide Analyses of UK Biobank Data. Biochemical and Biophysical Research Communications, 455(3–4), 340–345.

Scanzello, C. R., & Goldring, S. R. (2012). The role of synovitis in osteoarthritis pathogenesis. Bone, 51(2), 249-257.

Sellam, J., & Berenbaum, F. (2010). The role of synovitis in pathophysiology and clinical symptoms of osteoarthritis. Nature Reviews Rheumatology, 6(11), 625-635.

Vázquez-Portalatín, N., Kilroy, G., Johnson, C., Lyles, C. B., & Von Kossa, C. (2019). A comparison of hyaluronic acid and methylene blue/red light cross-linking, mesenchymal stem cell therapy, and osteoarthritis curettage in an osteoarthritis goat model. Journal of Orthopaedic Surgery and Research, 14(1), 1-9.

Viganò, M., Sansone, V., d'Agostino, M. C., Romeo, P., Perucca Orfei, C., De Girolamo, L., & Domenicucci, M. (2016). Mesenchymal stem cells as therapeutic target of biophysical stimulation for the treatment of musculoskeletal disorders. Journal of Orthopaedic Surgery and Research, 11(1), 1-11.

Wang, Y., Yuan, M., Guo, Q. Y., & Lu, S. B. (2019). Clinical efficacy of stem cell therapy for osteoarthritis: a meta-analysis. Clinical Orthopaedics and Related Research®, 477(5), 1070-1083.

Wang, Y., Yu, D., Liu, Z., Zhou, F., Dai, J., Wu, B., ... & Zhang, H. (2013). Exosomes from embryonic mesenchymal stem cells alleviate osteoarthritis through balancing synthesis and degradation of cartilage extracellular matrix. Stem Cell Research & Therapy, 4(5), 1-13.

Wen, S., Huang, X., Ma, J., Zhao, G., Ma, T., Chen, K., ... Wang, S. (2024). Exosomes derived from MSC as drug system in osteoarthritis therapy. Front Bioeng Biotechnol, 12:1331218. https://doi.org/10.3389/fbioe.2024.1331218

Xie, R. H., Gong, S. G., Song, J., Wu, P. P., & Hu, W. L. (2024). Effect of mesenchymal stromal cells transplantation on the outcomes of patients with knee osteoarthritis: A systematic review and meta-analysis. Journal of Orthopaedic Research, 42(4), 753-768. https://doi.org/10.1002/jor.25724

Zhang, S., Chu, W. C., Lai, R. C., Lim, S. K., & Hui, J. H. (2018). Toh WS. Exosomes derived from human embryonic mesenchymal stem cells promote osteochondral regeneration. Osteoarthritis and Cartilage, 26(11), 1414-1425.

Published

30/04/2024

How to Cite

SANTOS, L. H. C. dos .; LIMA, M. J. de C. .; VALENÇA, A. L.; JORDÃO, L. de A. C. .; DINIZ, Y. J. V. .; STAMFORD, S. de F.; FERREIRA, A. P. V. S.; FERREIRA, M. C. P. V. .; FERREIRA, I. B. .; FRANÇA , L. A. S. de .; COUTO, V. C. S. . Cellular therapy in musculoskeletal tissue regeneration: Perspectives on osteoarthritis and the use of mesenchymal stem cells. Research, Society and Development, [S. l.], v. 13, n. 4, p. e12213445652, 2024. DOI: 10.33448/rsd-v13i4.45652. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/45652. Acesso em: 21 nov. 2024.

Issue

Section

Health Sciences