Zha Kangkang, Li Xu, Yang Zhen, Tian Guangzhao, Sun Zhiqiang, Sui Xiang, Dai Yongjing, Liu Shuyun, Guo Quanyi
Medical School of Chinese PLA, Beijing, China.
Institute of Orthopaedics, Chinese PLA General Hospital, Beijing Key Lab of Regenerative Medicine in Orthopaedics, Key Laboratory of Musculoskeletal Trauma & War Injuries, PLA, Beijing, China.
NPJ Regen Med. 2021 Mar 19;6(1):14. doi: 10.1038/s41536-021-00122-6.
Articular cartilage is susceptible to damage but hard to self-repair due to its avascular nature. Traditional treatment methods are not able to produce satisfactory effects. Mesenchymal stem cells (MSCs) have shown great promise in cartilage repair. However, the therapeutic effect of MSCs is often unstable partly due to their heterogeneity. Understanding the heterogeneity of MSCs and the potential of different types of MSCs for cartilage regeneration will facilitate the selection of superior MSCs for treating cartilage damage. This review provides an overview of the heterogeneity of MSCs at the donor, tissue source and cell immunophenotype levels, including their cytological properties, such as their ability for proliferation, chondrogenic differentiation and immunoregulation, as well as their current applications in cartilage regeneration. This information will improve the precision of MSC-based therapeutic strategies, thus maximizing the efficiency of articular cartilage repair.
关节软骨易受损伤,但因其无血管特性而难以自我修复。传统治疗方法无法产生令人满意的效果。间充质干细胞(MSCs)在软骨修复方面已显示出巨大潜力。然而,MSCs的治疗效果往往不稳定,部分原因是其异质性。了解MSCs的异质性以及不同类型MSCs在软骨再生方面的潜力,将有助于选择用于治疗软骨损伤的优质MSCs。本综述概述了MSCs在供体、组织来源和细胞免疫表型水平上的异质性,包括它们的细胞学特性,如增殖能力、软骨形成分化能力和免疫调节能力,以及它们目前在软骨再生中的应用。这些信息将提高基于MSCs的治疗策略的精准性,从而最大限度地提高关节软骨修复的效率。