Jeyaraman Naveen, Jeyaraman Madhan, Muthu Sathish, Balaji Sangeetha, Ramasubramanian Swaminathan, Patro Bishnu Prasad
Department of Orthopaedics, ACS Medical College and Hospital, Dr MGR Educational and Research Institute, Tamil Nadu, Chennai, 600077 India.
VirginiaTech India, Dr MGR Educational and Research Institute, Tamil Nadu, Chennai, 600095 India.
Indian J Orthop. 2024 Aug 24;58(10):1349-1361. doi: 10.1007/s43465-024-01239-8. eCollection 2024 Oct.
The advent of tissue engineering and regenerative medicine has introduced innovative approaches to treating degenerative and traumatic injuries, particularly in cartilage, a tissue with limited self-repair capabilities. Among the various stem cell sources, umbilical cord-derived mesenchymal stromal cells (UC-MSCs) have garnered significant interest due to their non-invasive collection, minimal ethical concerns, and robust regenerative potential, particularly in cartilage regeneration.
A comprehensive literature review was conducted using multiple databases, including PubMed, Scopus, Web of Science, and Google Scholar. Search terms focused on "umbilical cordderived mesenchymal stromal cells," "chondrogenesis," "cartilage regeneration," and related topics. Studies published in the past two decades were included, with selection criteria emphasizing methodological rigor and relevance to UC-MSC chondrogenesis. The review synthesizes findings from various sources to provide a thorough analysis of the potential of UC-MSCs in cartilage tissue engineering.
UC-MSCs exhibit significant chondrogenic potential, supported by their ability to differentiate into chondrocytes under specific conditions. Recent advancements include the development of biomaterial scaffolds and the application of genetic engineering techniques, such as CRISPR/Cas9, to enhance chondrogenic differentiation. Despite these advancements, challenges remain in standardizing cell isolation techniques, scaling up production for clinical use, and ensuring the long-term functionality of regenerated cartilage.
UC-MSCs offer a promising solution for cartilage regeneration in the field of regenerative medicine. Ongoing research is focused on overcoming current challenges through the use of advanced technologies, including bioreactors and gene editing. Collaborative efforts among researchers, clinicians, and bioengineers are essential to translating the potential of UC-MSCs into effective clinical therapies, which could significantly advance tissue regeneration and therapeutic innovation.
组织工程学和再生医学的出现为治疗退行性和创伤性损伤引入了创新方法,尤其是在软骨这种自我修复能力有限的组织中。在各种干细胞来源中,脐带间充质基质细胞(UC-MSCs)因其采集无创、伦理问题少以及强大的再生潜力,特别是在软骨再生方面,而备受关注。
使用多个数据库进行了全面的文献综述,包括PubMed、Scopus、科学网和谷歌学术。检索词集中在“脐带间充质基质细胞”、“软骨形成”、“软骨再生”及相关主题。纳入了过去二十年发表的研究,选择标准强调方法的严谨性以及与UC-MSC软骨形成的相关性。该综述综合了各种来源的研究结果,以全面分析UC-MSCs在软骨组织工程中的潜力。
UC-MSCs表现出显著的软骨形成潜力,这由其在特定条件下分化为软骨细胞的能力所支持。最近的进展包括生物材料支架的开发以及基因工程技术(如CRISPR/Cas9)的应用,以增强软骨形成分化。尽管有这些进展,但在标准化细胞分离技术、扩大临床应用的生产规模以及确保再生软骨的长期功能方面仍存在挑战。
UC-MSCs为再生医学领域的软骨再生提供了一个有前景的解决方案。正在进行的研究致力于通过使用先进技术(包括生物反应器和基因编辑)来克服当前的挑战。研究人员、临床医生和生物工程师之间的合作对于将UC-MSCs的潜力转化为有效的临床治疗至关重要,这可能会显著推动组织再生和治疗创新。