Advancements in regenerative medicine: a comprehensive review of stem cell and growth factor therapies for osteoarthritis

被引:0
作者
Hung, Chen-Yuan [1 ]
Hsueh, Tai-Yuan [1 ]
Rethi, Lekshmi [2 ,3 ]
Lu, Hsien-Tsung [4 ,5 ,6 ]
Chuang, Andrew E. -Y. [2 ,3 ,7 ]
机构
[1] Taipei Med Univ, Sch Med, Taipei, Taiwan
[2] Taipei Med Univ, Grad Inst Biomed Mat & Tissue Engn, Coll Biomed Engn, New Taipei City, Taiwan
[3] Taipei Med Univ, Coll Biomed Engn, Int PhD Program Biomed Engn, New Taipei City, Taiwan
[4] Taipei Med Univ Hosp, Dept Orthoped, Taipei City 11031, Taiwan
[5] Taipei Med Univ, Coll Med, Sch Med, Dept Orthoped, Taipei City 11031, Taiwan
[6] Taipei Med Univ, Coll Med, Int PhD Program Cell Therapy & Regenerat Med, Taipei 11031, Taiwan
[7] Taipei Med Univ, Wan Fang Hosp, Cell Physiol & Mol Image Res Ctr, Taipei, Taiwan
关键词
MESENCHYMAL STROMAL CELLS; ARTICULAR-CARTILAGE; KNEE OSTEOARTHRITIS; INTRAARTICULAR SPRIFERMIN; FACTOR-I; DIFFERENTIATION; BONE; REPAIR; VEGF; HIP;
D O I
10.1039/d4tb01769b
中图分类号
TB3 [工程材料学]; R318.08 [生物材料学];
学科分类号
0805 ; 080501 ; 080502 ;
摘要
Osteoarthritis (OA) is a widely encountered degenerative joint disorder marked by gradual cartilage deterioration, inflammation, and pain, which collectively impose considerable strain on global healthcare systems. While traditional therapies typically offer relief from symptoms, they do not tackle the core pathophysiological aspects of the disease. Regenerative medicine has recently risen as a promising field for addressing OA, capitalizing on the regenerative capabilities of stem cells and growth factors to foster tissue healing and renewal. This thorough review delves into the most recent progress in stem cell and growth factor treatments for OA, covering preclinical studies, clinical trials, and novel technological developments. We discuss the diverse origins of stem cells, such as mesenchymal stem cells (MSCs), induced pluripotent stem cells (iPSCs), and adipose-derived stem cells (ASCs), underscoring their therapeutic actions and effectiveness in both preclinical and clinical environments. Moreover, we explore contributions of growth factors like transforming growth factor (TGF)-beta, platelet-derived growth factor (PDGF), and insulin-like growth factor (IGF) in modifying OA's pathology and enhancing tissue restoration. Additionally, this review discusses the hurdles and constraints tied to current regenerative strategies, including the standardization of cell sources, the refinement of delivery techniques, and considerations for long-term safety. By meticulously assessing the latest research outcomes and technological breakthroughs, this review aims to shed light on the potential of stem cell and growth factor therapies as forthcoming therapeutic options for OA, thereby propelling forward the domain of regenerative medicine and enhancing clinical results for individuals afflicted with this incapacitating ailment.
引用
收藏
页码:4494 / 4526
页数:33
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