3B's Research Group, I3Bs-Research Institute on Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, AvePark, Parque de Ciência e Tecnologia, Zona Industrial da Gandra, 4805-017 Barco, Guimarães, Portugal.
ICVS/3B's-PT Government Associate Laboratory, 4805-017 Barco, Guimarães, Portugal.
Int J Mol Sci. 2019 Jun 19;20(12):3002. doi: 10.3390/ijms20123002.
Tendon tissues have limited healing capacity. The incidence of tendon injuries and the unsatisfactory functional outcomes of tendon repair are driving the search for alternative therapeutic approaches envisioning tendon regeneration. Cellular therapies aim at delivering adequate, regeneration-competent cell types to the injured tendon and toward ultimately promoting its reconstruction and recovery of functionality. Mesenchymal stem cells (MSCs) either obtained from tendons or from non-tendon sources, like bone marrow (BM-MSCs) or adipose tissue (ASCs), have been receiving increasing attention over the years toward enhancing tendon healing. Evidences from in vitro and in vivo studies suggest MSCs can contribute to accelerate and improve the quality of tendon healing. Nonetheless, the exact mechanisms underlying these repair events are yet to be fully elucidated. This review provides an overview of the main challenges in the field of cell-based regenerative therapies, discussing the role of MSCs in boosting tendon regeneration, particularly through their capacity to enhance the tenogenic properties of tendon resident cells.
肌腱组织的愈合能力有限。肌腱损伤的发生率以及肌腱修复的功能结果不尽人意,这促使人们寻求替代治疗方法,以实现肌腱再生。细胞疗法旨在向受损的肌腱提供足够的、具有再生能力的细胞类型,并最终促进其重建和恢复功能。多年来,人们越来越关注从肌腱或非肌腱来源(如骨髓(BM-MSCs)或脂肪组织(ASCs))中获得的间充质干细胞(MSCs),以增强肌腱愈合。体外和体内研究的证据表明,MSCs 可以促进和改善肌腱愈合的质量。尽管如此,这些修复事件的确切机制仍有待充分阐明。本综述概述了细胞再生治疗领域的主要挑战,讨论了 MSCs 在促进肌腱再生中的作用,特别是通过增强肌腱固有细胞的腱形成特性。