Department of Bioengineering, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Organogenesis. 2023 Dec 31;19(1):2278235. doi: 10.1080/15476278.2023.2278235. Epub 2023 Nov 14.
Articular cartilage is a common cartilage type found in a multitude of joints throughout the human body. However, cartilage is limited in its regenerative capacity. A range of methods have been employed to aid adults under the age of 45 with cartilage defects, but other cartilage pathologies such as osteoarthritis are limited to non-steroidal anti-inflammatory drugs and total joint arthroplasty. Cell therapies and synthetic biology can be utilized to assist not only cartilage defects but have the potential as a therapeutic approach for osteoarthritis as well. In this review, we will cover current cell therapy approaches for cartilage defect regeneration with a focus on autologous chondrocyte implantation and matrix autologous chondrocyte implantation. We will then discuss the potential of stem cells for cartilage repair in osteoarthritis and the use of synthetic biology to genetically engineer cells to promote cartilage regeneration and potentially reverse osteoarthritis.
关节软骨是一种常见的软骨类型,存在于人体的多个关节中。然而,软骨的再生能力有限。已经采用了一系列方法来帮助 45 岁以下的成年人治疗软骨缺损,但其他软骨病变,如骨关节炎,仅限于非甾体抗炎药和全关节置换术。细胞疗法和合成生物学不仅可用于辅助软骨缺损的治疗,而且也可能成为治疗骨关节炎的一种方法。在这篇综述中,我们将介绍目前用于软骨缺损再生的细胞治疗方法,重点介绍自体软骨细胞移植和基质自体软骨细胞移植。然后,我们将讨论干细胞在骨关节炎中的软骨修复潜力,以及利用合成生物学对细胞进行基因工程以促进软骨再生并可能逆转骨关节炎的应用。