Abstract
For both academics and clinicians, the repair and regeneration of articular cartilage have offered a challenging array of issues. Injuries to articular cartilage have a poor chance of healing since it is an avascular tissue. Small defects may eventually heal on their own without treatment, but the repair tissue is inferior to the body’s own hyaline cartilage because it is made of fibrocartilage. Due to its regenerative capabilities, the idea of stem cell therapy has sparked intense research into its potential application for treating cartilage lesions, including OA. The purpose of this chapter is to present a perspective on stem cell-based therapy for cartilage repair and to highlight recent developments in advanced cell therapy, in particular, the use of embryonic stem cells, mesenchymal stem cells, and induce pluripotent stem cells for treating diseases associated with cartilage defects, particularly OA.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Acharya C et al (2012) Enhanced chondrocyte proliferation and mesenchymal stromal cells chondrogenesis in coculture pellets mediate improved cartilage formation. J Cell Physiol 227(1):88–97
Adkar SS et al (2019) Step-wise chondrogenesis of human-induced pluripotent stem cells and purification via a reporter allele generated by CRISPR-Cas9 genome editing. Stem Cells 37(1):65–76
Akgun I et al (2015) Matrix-induced autologous mesenchymal stem cell implantation versus matrix-induced autologous chondrocyte implantation in the treatment of chondral defects of the knee: a 2-year randomized study. Arch Orthop Trauma Surg 135(2):251–263
Armiento AR, Alini M, Stoddart MJ (2019) Articular fibrocartilage-Why does hyaline cartilage fail to repair? Adv Drug Deliv Rev 146:289–305
Bai HY et al (2010) Three step derivation of cartilage like tissue from human embryonic stem cells by 2D-3D sequential culture in vitro and further implantation in vivo on alginate/PLGA scaffolds. J Biomed Mater Res A 94(2):539–546
Bell DM et al (1997) SOX9 directly regulates the type-II collagen gene. Nat Genet 16(2):174–178
Berebichez-Fridman R, Montero-Olvera PR (2018) Sources and clinical applications of mesenchymal stem cells: state-of-the-art review. Sultan Qaboos Univ Med J 18(3):e264
Bianchi VJ et al (2017) Formation of hyaline cartilage tissue by passaged human osteoarthritic chondrocytes. Tissue Eng A 23(3–4):156–165
Bigdeli N et al (2009) Coculture of human embryonic stem cells and human articular chondrocytes results in significantly altered phenotype and improved chondrogenic differentiation. Stem Cells 27(8):1812–1821
Boehme KA, Rolauffs B (2018) Onset and progression of human osteoarthritis—can growth factors, inflammatory cytokines, or differential miRNA expression concomitantly induce proliferation, ECM degradation, and inflammation in articular cartilage? Int J Mol Sci 19(8):2282
Bridgewater LC, Lefebvre V, de Crombrugghe B (1998) Chondrocyte-specific enhancer elements in the Col11a2 gene resemble the Col2a1 tissue-specific enhancer. J Biol Chem 273(24):14998–15006
Bruschi M, Agarwal P, Bhutani N (2022) Chapter 7: Induced pluripotent stem cells–derived chondrocyte progenitors. In: Birbrair A (ed) iPSC-derived progenitors. Academic Press, pp 159–176
Buhrmann C et al (2010) Curcumin mediated suppression of nuclear factor-κB promotes chondrogenic differentiation of mesenchymal stem cells in a high-density co-culture microenvironment. Arthritis Res Ther 12(4):1–15
Caldwell KL, Wang J (2015) Cell-based articular cartilage repair: the link between development and regeneration. Osteoarthr Cartil 23(3):351–362
Cancedda R, Descalzi Cancedda F, Castagnola P (1995) Chondrocyte differentiation. Int Rev Cytol 159:265–358
Caplan AI (2007) Adult mesenchymal stem cells for tissue engineering versus regenerative medicine. J Cell Physiol 213(2):341–347
Caplan AI (2015) Adult mesenchymal stem cells: when, where, and how. Stem Cells Int 2015:628767
Caplan AI (2017) Mesenchymal stem cells: time to change the name! Stem Cells Transl Med 6(6):1445–1451
Caplan AI, Correa D (2011) The MSC: an injury drugstore. Cell Stem Cell 9(1):11–15
Caplan AI, Dennis JE (2006) Mesenchymal stem cells as trophic mediators. J Cell Biochem 98(5):1076–1084
Castro-Viñuelas R et al (2018) Induced pluripotent stem cells for cartilage repair: current status and future perspectives. Eur Cells Mater 36:96–109. https://doi.org/10.22203/ecm.v036a08
Chahal J et al (2019) Bone marrow mesenchymal stromal cell treatment in patients with osteoarthritis results in overall improvement in pain and symptoms and reduces synovial inflammation. Stem Cells Transl Med 8(8):746–757
Chandran B, Goel A (2012) A randomized, pilot study to assess the efficacy and safety of curcumin in patients with active rheumatoid arthritis. Phytother Res 26(11):1719–1725
Chen K et al (2010) Human umbilical cord mesenchymal stem cells hUC-MSCs exert immunosuppressive activities through a PGE2-dependent mechanism. Clin Immunol 135(3):448–458
Chen X et al (2013a) Chondrogenic differentiation of umbilical cord-derived mesenchymal stem cells in type I collagen-hydrogel for cartilage engineering. Injury 44(4):540–549
Chen CW et al (2013b) Human pericytes for ischemic heart repair. Stem Cells 31(2):305–316
Chen WC, Péault B, Huard J (2015) Regenerative translation of human blood-vessel-derived MSC precursors. Stem Cells Int 2015:375187
Chen C-F et al (2021) Treatment of knee osteoarthritis with intra-articular injection of allogeneic adipose-derived stem cells (ADSCs) ELIXCYTE®: a phase I/II, randomized, active-control, single-blind, multiple-center clinical trial. Stem Cell Res Ther 12(1):1–12
Cheng T et al (2012) Fibroblast growth factor 2 enhances the kinetics of mesenchymal stem cell chondrogenesis. Biochem Biophys Res Commun 426(4):544–550
Cheng A et al (2014a) Cartilage repair using human embryonic stem cell-derived chondroprogenitors. Stem Cells Transl Med 3(11):1287–1294
Cheng A, Hardingham TE, Kimber SJ (2014b) Generating cartilage repair from pluripotent stem cells. Tissue Eng Part B Rev 20(4):257–266
Cheng A et al (2017) Recombinant extracellular matrix protein fragments support human embryonic stem cell chondrogenesis. Tissue Eng A 24(11–12):968–978
Choo AB et al (2008) Selection against undifferentiated human embryonic stem cells by a cytotoxic antibody recognizing podocalyxin-like protein-1. Stem Cells 26(6):1454–1463
Cipollaro L et al (2019) Biomechanical issues of tissue-engineered constructs for articular cartilage regeneration: in vitro and in vivo approaches. Br Med Bull 132:53–80
Cleary MA et al (2015) FGF, TGFβ and Wnt crosstalk: embryonic to in vitro cartilage development from mesenchymal stem cells. J Tissue Eng Regen Med 9(4):332–342
Collins NJ, Hart HF, Mills KA (2019) Osteoarthritis year in review 2018: rehabilitation and outcomes. Osteoarthr Cartil 27(3):378–391
Cosenza S et al (2017) Pathogenic or therapeutic extracellular vesicles in rheumatic diseases: role of mesenchymal stem cell-derived vesicles. Int J Mol Sci 18(4):889
Crisan M et al (2008) A perivascular origin for mesenchymal stem cells in multiple human organs. Cell Stem Cell 3(3):301–313
Csaki C et al (2008) Regulation of inflammation signalling by resveratrol in human chondrocytes in vitro. Biochem Pharmacol 75(3):677–687
Davatchi F et al (2016) Mesenchymal stem cell therapy for knee osteoarthritis: 5 years follow-up of three patients. Int J Rheum Dis 19(3):219–225
Dayan V et al (2016) Human mesenchymal stromal cells improve cardiac perfusion in an ovine immunocompetent animal model. J Investig Surg 29(4):218–225
de Almeida PE et al (2013) Immunogenicity of pluripotent stem cells and their derivatives. Circ Res 112(3):549–561
De Bari C, Roelofs AJ (2018) Stem cell-based therapeutic strategies for cartilage defects and osteoarthritis. Curr Opin Pharmacol 40:74–80
De Girolamo L et al (2016) Regenerative approaches for the treatment of early OA. Knee Surg Sports Traumatol Arthrosc 24(6):1826–1835
de Kroon LMG et al (2016) Activin receptor-like kinase receptors ALK5 and ALK1 are both required for TGFβ-induced chondrogenic differentiation of human bone marrow-derived mesenchymal stem cells. PLoS One 10(12):e0146124
De Luca P et al (2019) Human diseased articular cartilage contains a mesenchymal stem cell-like population of chondroprogenitors with strong immunomodulatory responses. J Clin Med 8(4):423
de Souza LEB et al (2016) Mesenchymal stem cells and pericytes: to what extent are they related? Stem Cells Dev 25(24):1843–1852
de Windt TS et al (2017) Allogeneic mesenchymal stem cells stimulate cartilage regeneration and are safe for single-stage cartilage repair in humans upon mixture with recycled autologous chondrons. Stem Cells 35(1):256–264
Deng Z et al (2020) Narrative review of the choices of stem cell sources and hydrogels for cartilage tissue engineering. Ann Transl Med 8(23):1598
Dicks A et al (2020) Prospective isolation of chondroprogenitors from human iPSCs based on cell surface markers identified using a CRISPR-Cas9-generated reporter. Stem Cell Res Ther 11(1):66
Diekman BO et al (2012) Cartilage tissue engineering using differentiated and purified induced pluripotent stem cells. Proc Natl Acad Sci U S A 109(47):19172–19177
Doi D et al (2020) Pre-clinical study of induced pluripotent stem cell-derived dopaminergic progenitor cells for Parkinson’s disease. Nat Commun 11(1):3369
Dorman LJ, Tucci M, Benghuzzi H (2012) In vitro effects of bmp-2, bmp-7, and bmp-13 on proliferation and differentation of mouse mesenchymal stem cells. Biomed Sci Instrum 48:81–87
Driessen BJH, Logie C, Vonk LA (2017) Cellular reprogramming for clinical cartilage repair. Cell Biol Toxicol 33(4):329–349
Dulic O et al (2020) Do knee injection portals affect clinical results of bone marrow aspirate concentrate injection in the treatment of osteoarthritis? A prospective randomized controlled study. Regen Med 15(8):1987–2000
Emadedin M et al (2015) Long-term follow-up of intra-articular injection of autologous mesenchymal stem cells in patients with knee, ankle, or hip osteoarthritis. Arch Iran Med 18(6):336–344
Emadedin M et al (2018) Intra-articular implantation of autologous bone marrow–derived mesenchymal stromal cells to treat knee osteoarthritis: a randomized, triple-blind, placebo-controlled phase 1/2 clinical trial. Cytotherapy 20(10):1238–1246
Facchini A et al (2006) Human chondrocytes and mesenchymal stem cells grown onto engineered scaffold. Biorheology 43(3, 4):471–480
Fahy N, Alini M, Stoddart MJ (2018) Mechanical stimulation of mesenchymal stem cells: implications for cartilage tissue engineering. J Orthop Res 36(1):52–63
Fayazi N et al (2021) Stem cell-derived exosomes: a new strategy of neurodegenerative disease treatment. Mol Neurobiol 58(7):3494–3514
Ferreira MJ et al (2021) Pluripotent stem cells for skeletal tissue engineering. Crit Rev Biotechnol 42:774–793
Filardo G et al (2013) Mesenchymal stem cells for the treatment of cartilage lesions: from preclinical findings to clinical application in orthopaedics. Knee Surg Sports Traumatol Arthrosc 21(8):1717–1729
Foltz L et al (2021) Craniofacial cartilage organoids from human embryonic stem cells via a neural crest cell intermediate. bioRxiv
Freitag J et al (2016) Mesenchymal stem cell therapy in the treatment of osteoarthritis: reparative pathways, safety and efficacy—a review. BMC Musculoskelet Disord 17(1):230
Frese L, Dijkman PE, Hoerstrup SP (2016) Adipose tissue-derived stem cells in regenerative medicine. Transfus Med Hemother 43(4):268–274
Fu X, Xu Y (2012) Challenges to the clinical application of pluripotent stem cells: towards genomic and functional stability. Genome Med 4(6):55
García-Bernal D et al (2021) The current status of mesenchymal stromal cells: controversies, unresolved issues and some promising solutions to improve their therapeutic efficacy. Front Cell Dev Biol 9:609
Gardner OF et al (2017) Asymmetrical seeding of MSCs into fibrin–poly (ester-urethane) scaffolds and its effect on mechanically induced chondrogenesis. J Tissue Eng Regen Med 11(10):2912–2921
Garreta E et al (2018) Roadblocks in the path of iPSC to the clinic. Curr Transpl Rep 5(1):14–18
Gertow K et al (2013) WNT3A promotes hematopoietic or mesenchymal differentiation from hESCs depending on the time of exposure. Stem Cell Rep 1(1):53–65
Goetzke R et al (2019) Differentiation of induced pluripotent stem cells towards mesenchymal stromal cells is hampered by culture in 3D hydrogels. Sci Rep 9(1):15578
Goldring MB (2006) Update on the biology of the chondrocyte and new approaches to treating cartilage diseases. Best Pract Res Clin Rheumatol 20(5):1003–1025
Gomez M et al (2020) Mesenchymal stromal cell transplantation induces regeneration of large and full-thickness cartilage defect of the temporomandibular joint. Cartilage 13:1814S–1821S
Gong G et al (2010) Direct and progressive differentiation of human embryonic stem cells into the chondrogenic lineage. J Cell Physiol 224(3):664–671
Goyal D et al (2013) Evidence-based status of microfracture technique: a systematic review of level I and II studies. Arthroscopy 29(9):1579–1588
Grad S et al (2011) Physical stimulation of chondrogenic cells in vitro: a review. Clin Orthop Relat Res 469(10):2764–2772
Grande DA et al (2003) Stem cells as platforms for delivery of genes to enhance cartilage repair. JBJS 85(suppl_2):111–116
Griffith LA et al (2021) A scaffold-free approach to cartilage tissue generation using human embryonic stem cells. Sci Rep 11(1):1–11
Gudas R et al (2013) Comparison of osteochondral autologous transplantation, microfracture, or debridement techniques in articular cartilage lesions associated with anterior cruciate ligament injury: a prospective study with a 3-year follow-up. Arthroscopy 29(1):89–97
Gupta PK et al (2012) Mesenchymal stem cells for cartilage repair in osteoarthritis. Stem Cell Res Ther 3(4):1–9
Hargus G et al (2008) Loss of Sox9 function results in defective chondrocyte differentiation of mouse embryonic stem cells in vitro. Int J Dev Biol 52(4):323–332
Hayashi S et al (2018) Histological evaluation of early-phase changes in the osteochondral unit after microfracture in a full-thickness cartilage defect rat model. Am J Sports Med 46(12):3032–3039
Hill KL et al (2010) Human embryonic stem cell-derived vascular progenitor cells capable of endothelial and smooth muscle cell function. Exp Hematol 38(3):246–257.e1
Hoben GM, Willard VP, Athanasiou KA (2009) Fibrochondrogenesis of hESCs: growth factor combinations and cocultures. Stem Cells Dev 18(2):283–292
Hofrichter M et al (2017) Comparative performance analysis of human iPSC-derived and primary neural progenitor cells (NPC) grown as neurospheres in vitro. Stem Cell Res 25:72–82
Hontani K et al (2019) Chondrogenic differentiation of mouse induced pluripotent stem cells using the three-dimensional culture with ultra-purified alginate gel. J Biomed Mater Res A 107(5):1086–1093
Hoolwerff MV et al (2021) High-impact FN1 mutation decreases chondrogenic potential and affects cartilage deposition via decreased binding to collagen type II. Sci Adv 7(45):eabg8583
Huang CYC, Reuben PM, Cheung HS (2005) Temporal expression patterns and corresponding protein inductions of early responsive genes in rabbit bone marrow–derived mesenchymal stem cells under cyclic compressive loading. Stem Cells 23(8):1113–1121
Huang L et al (2018) Synergistic effects of FGF-18 and TGF-β3 on the chondrogenesis of human adipose-derived mesenchymal stem cells in the pellet culture. Stem Cells Int 2018:7139485
Huang P et al (2020) Atorvastatin enhances the therapeutic efficacy of mesenchymal stem cells-derived exosomes in acute myocardial infarction via up-regulating long non-coding RNA H19. Cardiovasc Res 116(2):353–367
Hurst JM et al (2010) Rehabilitation following microfracture for chondral injury in the knee. Clin Sports Med 29(2):257–265
Hwang NS et al (2006a) Effects of three-dimensional culture and growth factors on the chondrogenic differentiation of murine embryonic stem cells. Stem Cells 24(2):284–291
Hwang NS et al (2006b) Enhanced chondrogenic differentiation of murine embryonic stem cells in hydrogels with glucosamine. Biomaterials 27(36):6015–6023
Hwang NS, Varghese S, Elisseeff J (2008a) Derivation of chondrogenically-committed cells from human embryonic cells for cartilage tissue regeneration. PLoS One 3(6):e2498
Hwang YS, Polak JM, Mantalaris A (2008b) In vitro direct osteogenesis of murine embryonic stem cells without embryoid body formation. Stem Cells Dev 17(5):963–970
Ikeda Y et al (2017) IGF-1 gene transfer to human synovial MSCs promotes their chondrogenic differentiation potential without induction of the hypertrophic phenotype. Stem Cells Int 2017:5804147
Im G-I (2022) Pluripotent stem cells: embryonic/fetal stem cells and induced pluripotent stem cells. In: Orthobiologics. Springer, pp 371–381
Jackson MT et al (2014) Activation of matrix metalloproteinases 2, 9, and 13 by activated protein C in human osteoarthritic cartilage chondrocytes. Arth Rheumatol 66(6):1525–1536
Jacquet L et al (2013) Strategy for the creation of clinical grade hESC line banks that HLA-match a target population. EMBO Mol Med 5(1):10–17
James D et al (2005) TGFbeta/activin/nodal signaling is necessary for the maintenance of pluripotency in human embryonic stem cells. Development 132(6):1273–1282
Jelodari S et al (2022) New insights into cartilage tissue engineering: improvement of tissue-scaffold integration to enhance cartilage regeneration. Biomed Res Int 2022:7638245
Jeong SY et al (2013) Thrombospondin-2 secreted by human umbilical cord blood-derived mesenchymal stem cells promotes chondrogenic differentiation. Stem Cells 31(10):2136–2148
Jeong SY et al (2015) Autocrine action of thrombospondin-2 determines the chondrogenic differentiation potential and suppresses hypertrophic maturation of human umbilical cord blood-derived mesenchymal stem cells. Stem Cells 33(11):3291–3303
Jia Z et al (2018) Repair of articular cartilage defects with intra-articular injection of autologous rabbit synovial fluid-derived mesenchymal stem cells. J Transl Med 16(1):1–12
Jiang S et al (2020) Clinical application status of articular cartilage regeneration techniques: tissue-engineered cartilage brings new hope. Stem Cells Int 2020:5690252
Jiang S et al (2021) Research progress on stem cell therapies for articular cartilage regeneration. Stem Cells Int 2021:8882505
Jonidi Shariatzadeh F et al (2018) Use of stem cells in cartilage tissue regeneration and engineering: a review. Pathobiol Res 21(1):41–63
Jorgensen C, Noël D (2012) Mesenchymal stem cells in osteoarticular diseases: an update. Int J Mol Cell Med 1(1):1–10
Jukes JM et al (2008) Critical steps toward a tissue-engineered cartilage implant using embryonic stem cells. Tissue Eng Part A 14(1):135–147
Kamaraj A et al (2021) Use of human-induced pluripotent stem cells for cartilage regeneration in vitro and within chondral defect models of knee joint cartilage in vivo: a Preferred Reporting Items for Systematic Reviews and Meta-Analyses systematic literature review. Cytotherapy 23(8):647–661
Kang S-W et al (2012) Increase of chondrogenic potentials in adipose-derived stromal cells by co-delivery of type I and type II TGFβ receptors encoding bicistronic vector system. J Control Release 160(3):577–582
Kang R et al (2015) Mesenchymal stem cells derived from human-induced pluripotent stem cells retain adequate osteogenicity and chondrogenicity but less adipogenicity. Stem Cell Res Ther 6(1):144
Kangari P et al (2020a) Mesenchymal stem cells: amazing remedies for bone and cartilage defects. Stem Cell Res Ther 11(1):492
Kangari P et al (2020b) Mesenchymal stem cells: amazing remedies for bone and cartilage defects. Stem Cell Res Ther 11(1):1–21
Karlsson C et al (2009) Human embryonic stem cell-derived mesenchymal progenitors—potential in regenerative medicine. Stem Cell Res 3(1):39–50
Kawaguchi J, Mee PJ, Smith AG (2005) Osteogenic and chondrogenic differentiation of embryonic stem cells in response to specific growth factors. Bone 36(5):758–769
Kawata M et al (2019) Simple and robust differentiation of human pluripotent stem cells toward chondrocytes by two small-molecule compounds. Stem Cell Rep 13(3):530–544
Kean TJ et al (2013) MSCs: delivery routes and engraftment, cell-targeting strategies, and immune modulation. Stem Cells Int 2013:732742
Khajeh S et al (2021) Cartilage tissue and therapeutic strategies for cartilage repair. Curr Mol Med 21(1):56–72
Khoei SG et al (2020) The use of mesenchymal stem cells and their derived extracellular vesicles in cardiovascular disease treatment. Curr Stem Cell Res Ther 15(7):623–638
Kim JH et al (2005) Overexpression of SOX9 in mouse embryonic stem cells directs the immediate chondrogenic commitment. Exp Mol Med 37(4):261–268
Kim M et al (2012) Transient exposure to TGF-β3 improves the functional chondrogenesis of MSC-laden hyaluronic acid hydrogels. J Mech Behav Biomed Mater 11:92–101
Kim JY et al (2022) Review of the current trends in clinical trials involving induced pluripotent stem cells. Stem Cell Rev Rep 18(1):142–154
Klimanskaya I, Kimbrel EA, Lanza R (2020) Chapter 23: Embryonic stem cells. In: Lanza R et al (eds) Principles of tissue engineering, 5th edn. Academic Press, pp 421–434
Ko JY et al (2014) In vitro chondrogenesis and in vivo repair of osteochondral defect with human-induced pluripotent stem cells. Biomaterials 35(11):3571–3581
Koay EJ, Hoben GM, Athanasiou KA (2007) Tissue engineering with chondrogenically differentiated human embryonic stem cells. Stem Cells 25(9):2183–2190
Koci B et al (2017) An impedance-based approach using human iPSC-derived cardiomyocytes significantly improves in vitro prediction of in vivo cardiotox liabilities. Toxicol Appl Pharmacol 329:121–127
Kondo T et al (2017) iPSC-based compound screening and in vitro trials identify a synergistic anti-amyloid β combination for Alzheimer’s disease. Cell Rep 21(8):2304–2312
Kramer J et al (2000) Embryonic stem cell-derived chondrogenic differentiation in vitro: activation by BMP-2 and BMP-4. Mech Dev 92(2):193–205
Kwon HJ, Lee GS, Chun H (2016) Electrical stimulation drives chondrogenesis of mesenchymal stem cells in the absence of exogenous growth factors. Sci Rep 6(1):1–13
Lach MS et al (2022) The induced pluripotent stem cells in articular cartilage regeneration and disease modelling: are we ready for their clinical use? Cell 11(3):529
Lamo-Espinosa JM et al (2020) Phase II multicenter randomized controlled clinical trial on the efficacy of intra-articular injection of autologous bone marrow mesenchymal stem cells with platelet-rich plasma for the treatment of knee osteoarthritis. J Transl Med 18(1):1–9
Lamo-Espinosa JM et al (2021) Long-term efficacy of autologous bone marrow mesenchymal stromal cells for treatment of knee osteoarthritis. J Transl Med 19(1):1–4
Lee WY-W, Wang B (2017) Cartilage repair by mesenchymal stem cells: clinical trial update and perspectives. J Orthop Transl 9:76–88
Lee G et al (2009) Modelling pathogenesis and treatment of familial dysautonomia using patient-specific iPSCs. Nature 461(7262):402–406
Lee AS et al (2013) Tumorigenicity as a clinical hurdle for pluripotent stem cell therapies. Nat Med 19(8):998–1004
Lee J et al (2015) Early induction of a prechondrogenic population allows efficient generation of stable chondrocytes from human-induced pluripotent stem cells. FASEB J 29(8):3399–3410
Lee H-L et al (2016) Transforming growth factor-β-induced KDM4B promotes chondrogenic differentiation of human mesenchymal stem cells. Stem Cells (Dayton, Ohio) 34(3):711–719
Lee WS et al (2019) Intra-articular injection of autologous adipose tissue-derived mesenchymal stem cells for the treatment of knee osteoarthritis: a phase IIb, randomized, placebo-controlled clinical trial. Stem Cells Transl Med 8(6):504–511
Lee M-S et al (2021) Comparative evaluation of isogenic mesodermal and ectomesodermal chondrocytes from human iPSCs for cartilage regeneration. Science. Advances 7(21):eabf0907
Lefebvre V et al (1997) SOX9 is a potent activator of the chondrocyte-specific enhancer of the pro alpha1(II) collagen gene. Mol Cell Biol 17(4):2336–2346
Lei M, Liu SQ, Liu YL (2008) Resveratrol protects bone marrow mesenchymal stem cell-derived chondrocytes cultured on chitosan-gelatin scaffolds from the inhibitory effect of interleukin-1β. Acta Pharmacol Sin 29(11):1350–1356
Lemos Dario R, Duffield Jeremy S (2018) Tissue-resident mesenchymal stromal cells: implications for tissue-specific antifibrotic therapies. Sci Transl Med 10(426):eaan5174
Lespasio MJ et al (2017) Knee osteoarthritis: a primer. Perm J 21:16–183
Li Y et al (2016) Reprogramming of blood cells into induced pluripotent stem cells as a new cell source for cartilage repair. Stem Cell Res Ther 7(1):31
Li M et al (2017) Regenerative approaches for cartilage repair in the treatment of osteoarthritis. Osteoarthr Cartil 25(10):1577–1587
Li L et al (2018) Mesenchymal stem cells in combination with hyaluronic acid for articular cartilage defects. Sci Rep 8(1):1–11
Li H et al (2019) Immunomodulatory functions of mesenchymal stem cells in tissue engineering. Stem Cells Int 2019:9671206
Lietman SA (2016) Induced pluripotent stem cells in cartilage repair. World J Orthop 7(3):149–155
Liu G et al (2007) Optimal combination of soluble factors for tissue engineering of permanent cartilage from cultured human chondrocytes. J Biol Chem 282(28):20407–20415
Liu Y et al (2010) Therapeutic potential of human umbilical cord mesenchymal stem cells in the treatment of rheumatoid arthritis. Arthritis Res Ther 12(6):R210
Liu Z et al (2018) Looking into the future: toward advanced 3D biomaterials for stem-cell-based regenerative medicine. Adv Mater 30(17):1705388
Lo Monaco M et al (2018) Stem cells for cartilage repair: preclinical studies and insights in translational animal models and outcome measures. Stem Cells Int 2018:9079538
Lópiz-Morales Y et al (2010) In vivo comparison of the effects of rhBMP-2 and rhBMP-4 in osteochondral tissue regeneration. Eur Cell Mater 20(367):e78
Lu L et al (2019) Treatment of knee osteoarthritis with intra-articular injection of autologous adipose-derived mesenchymal progenitor cells: a prospective, randomized, double-blind, active-controlled, phase IIb clinical trial. Stem Cell Res Ther 10(1):1–10
Luo S et al (2013) Inactivation of Wnt/β-catenin signaling in human adipose-derived stem cells is necessary for chondrogenic differentiation and maintenance. Biomed Pharmacother 67(8):819–824
Ma Q, Liao J, Cai X (2018) Different sources of stem cells and their application in cartilage tissue engineering. Curr Stem Cell Res Ther 13(7):568–575
Majka M et al (2017) Concise review: mesenchymal stem cells in cardiovascular regeneration: emerging research directions and clinical applications. Stem Cells Transl Med 6(10):1859–1867
Mamidi MK et al (2016) Mesenchymal stromal cells for cartilage repair in osteoarthritis. Osteoarthr Cartil 24(8):1307–1316
Matas J et al (2019) Umbilical cord-derived mesenchymal stromal cells (MSCs) for knee osteoarthritis: repeated MSC dosing is superior to a single MSC dose and to hyaluronic acid in a controlled randomized phase I/II trial. Stem Cells Transl Med 8(3):215–224
Matsumura Y et al (2004) Phase I clinical trial and pharmacokinetic evaluation of NK911, a micelle-encapsulated doxorubicin. Br J Cancer 91(10):1775–1781
Medvedev SP et al (2010) Human-induced pluripotent stem cells derived from fetal neural stem cells successfully undergo directed differentiation into cartilage. Stem Cells Dev 20(6):1099–1112
Medvedeva EV et al (2018) Repair of damaged articular cartilage: current approaches and future directions. Int J Mol Sci 19(8):2366
Meirelles LDS, Chagastelles PC, Nardi NB (2006) Mesenchymal stem cells reside in virtually all post-natal organs and tissues. J Cell Sci 119(11):2204–2213
Mithoefer K et al (2009) Clinical efficacy of the microfracture technique for articular cartilage repair in the knee: an evidence-based systematic analysis. Am J Sports Med 37(10):2053–2063
Miyanishi K et al (2006) Effects of hydrostatic pressure and transforming growth factor-β 3 on adult human mesenchymal stem cell chondrogenesis in vitro. Tissue Eng 12(6):1419–1428
Mokbel AN et al (2011) Homing and reparative effect of intra-articular injection of autologus mesenchymal stem cells in osteoarthritic animal model. BMC Musculoskelet Disord 12(1):259
Murphy C et al (2018) The potency of induced pluripotent stem cells in cartilage regeneration and osteoarthritis treatment. Adv Exp Med Biol 1079:55–68
Musumeci G et al (2015) Osteoarthritis in the XXIst century: risk factors and behaviours that influence disease onset and progression. Int J Mol Sci 16(3):6093–6112
Najar M et al (2020) Mesenchymal stromal cell immunology for efficient and safe treatment of osteoarthritis. Front Cell Dev Biol 8:567813
Nakagawa T, Lee SY, Reddi AH (2009) Induction of chondrogenesis from human embryonic stem cells without embryoid body formation by bone morphogenetic protein 7 and transforming growth factor beta1. Arthritis Rheum 60(12):3686–3692
Nakayama N et al (2003) Macroscopic cartilage formation with embryonic stem-cell-derived mesodermal progenitor cells. J Cell Sci 116(Pt 10):2015–2028
Nakayama N, Ravuri S, Huard J (2021) Rejuvenated stem/progenitor cells for cartilage repair using the pluripotent stem cell technology. Bioengineering (Basel) 8(4):46
Nam Y et al (2017) Cord blood cell-derived iPSCs as a new candidate for chondrogenic differentiation and cartilage regeneration. Stem Cell Res Ther 8(1):16
Nam Y et al (2018) Current therapeutic strategies for stem cell-based cartilage regeneration. Stem Cells Int 2018:8490489
Nejadnik H et al (2015) Improved approach for chondrogenic differentiation of human induced pluripotent stem cells. Stem Cell Rev Rep 11(2):242–253
Neybecker P et al (2020) Respective stemness and chondrogenic potential of mesenchymal stem cells isolated from human bone marrow, synovial membrane, and synovial fluid. Stem Cell Res Ther 11(1):1–12
Nguyen D et al (2017) Cartilage tissue engineering by the 3D bioprinting of iPS cells in a nanocellulose/alginate bioink. Sci Rep 7(1):658
O’Conor CJ, Case N, Guilak F (2013) Mechanical regulation of chondrogenesis. Stem Cell Res Ther 4(4):1–13
Okita K, Ichisaka T, Yamanaka S (2007) Generation of germline-competent induced pluripotent stem cells. Nature 448(7151):313–317
Ozay EI et al (2019) Cymerus™ iPSC-MSCs significantly prolong survival in a pre-clinical, humanized mouse model of Graft-vs-host disease. Stem Cell Res 35:101401
Palazzo C et al (2016) Risk factors and burden of osteoarthritis. Ann Phys Rehabil Med 59(3):134–138
Pawitan JA (2014) Prospect of stem cell conditioned medium in regenerative medicine. Biomed Res Int 2014:965849
Pretemer Y et al (2021) Differentiation of hypertrophic chondrocytes from human iPSCs for the in vitro modeling of chondrodysplasias. Stem Cell Rep 16(3):610–625
Puetzer JL, Petitte JN, Loboa EG (2010) Comparative review of growth factors for induction of three-dimensional in vitro chondrogenesis in human mesenchymal stem cells isolated from bone marrow and adipose tissue. Tissue Eng Part B Rev 16(4):435–444
Qu C et al (2013) Chondrogenic differentiation of human pluripotent stem cells in chondrocyte co-culture. Int J Biochem Cell Biol 45(8):1802–1812
Reissis D et al (2016) Current clinical evidence for the use of mesenchymal stem cells in articular cartilage repair. Expert Opin Biol Ther 16(4):535–557
Roark EF, Greer K (1994) Transforming growth factor-beta and bone morphogenetic protein-2 act by distinct mechanisms to promote chick limb cartilage differentiation in vitro. Dev Dyn 200(2):103–116
Rodríguez Ruiz A et al (2021) Cartilage from human-induced pluripotent stem cells: comparison with neo-cartilage from chondrocytes and bone marrow mesenchymal stromal cells. Cell Tissue Res 386(2):309–320
Roseti L et al (2019) Articular cartilage regeneration in osteoarthritis. Cells 8(11):1305
Saiko P et al (2008) Resveratrol and its analogs: defense against cancer, coronary disease and neurodegenerative maladies or just a fad? Mutat Res/Rev Mutat Res 658(1–2):68–94
Samadi P et al (2021) Therapeutic applications of mesenchymal stem cells:: a comprehensive review. Curr Stem Cell Res Ther 16(3):323–353
Sawatjui N et al (2015) Silk fibroin/gelatin–chondroitin sulfate–hyaluronic acid effectively enhances in vitro chondrogenesis of bone marrow mesenchymal stem cells. Mater Sci Eng C 52:90–96
Sawatjui N et al (2018) Biomimetic scaffolds and dynamic compression enhance the properties of chondrocyte-and MSC-based tissue-engineered cartilage. J Tissue Eng Regen Med 12(5):1220–1229
Schätti O et al (2011) A combination of shear and dynamic compression leads to mechanically induced chondrogenesis of human mesenchymal stem cells. Eur Cell Mater 22(214–225):b97
Schmal H et al (2010) Association between expression of the bone morphogenetic proteins 2 and 7 in the repair of circumscribed cartilage lesions with clinical outcome. BMC Musculoskelet Disord 11(1):1–8
Seidl CI, Fulga TA, Murphy CL (2019) CRISPR-Cas9 targeting of MMP13 in human chondrocytes leads to significantly reduced levels of the metalloproteinase and enhanced type II collagen accumulation. Osteoarthr Cartil 27(1):140–147
Sekiya I et al (2000) SOX9 enhances aggrecan gene promoter/enhancer activity and is up-regulated by retinoic acid in a cartilage-derived cell line, TC6. J Biol Chem 275(15):10738–10744
Shakibaei M et al (2007) Resveratrol inhibits IL-1β–induced stimulation of caspase-3 and cleavage of PARP in human articular chondrocytes in vitro. Ann N Y Acad Sci 1095(1):554–563
Simon TM, Jackson DW (2018) Articular cartilage: injury pathways and treatment options. Sports Med Arthrosc Rev 26(1):31–39
Sirenko O et al (2013) Multiparameter in vitro assessment of compound effects on cardiomyocyte physiology using iPSC cells. J Biomol Screen 18(1):39–53
Solanki K et al (2021) Articular cartilage repair & joint preservation: a review of the current status of biological approach. J Clin Orthop Trauma 22:101602
Soliman H et al (2021) Multipotent stromal cells: one name, multiple identities. Cell Stem Cell 28(10):1690–1707
Somoza RA et al (2014) Chondrogenic differentiation of mesenchymal stem cells: challenges and unfulfilled expectations. Tissue Eng Part B Rev 20(6):596–608
Spakova T et al (2018) Influence of kartogenin on chondrogenic differentiation of human bone marrow-derived MSCs in 2D culture and in co-cultivation with OA osteochondral explant. Molecules 23(1):181
Steinmetz NJ et al (2015) Mechanical loading regulates human MSC differentiation in a multi-layer hydrogel for osteochondral tissue engineering. Acta Biomater 21:142–153
Sui Y, Clarke T, Khillan JS (2003) Limb bud progenitor cells induce differentiation of pluripotent embryonic stem cells into chondrogenic lineage. Differentiation 71(9–10):578–585
Sundberg M et al (2013) Improved cell therapy protocols for Parkinson’s disease based on differentiation efficiency and safety of hESC-, hiPSC-, and non-human primate iPSC-derived dopaminergic neurons. Stem Cells 31(8):1548–1562
Takahashi I et al (1998) Compressive force promotes sox9, type II collagen and aggrecan and inhibits IL-1beta expression resulting in chondrogenesis in mouse embryonic limb bud mesenchymal cells. J Cell Sci 111(14):2067–2076
Tan HL et al (2009) mAb 84, a cytotoxic antibody that kills undifferentiated human embryonic stem cells via oncosis. Stem Cells 27(8):1792–1801
Tanaka H et al (2004) Chondrogenic differentiation of murine embryonic stem cells: effects of culture conditions and dexamethasone. J Cell Biochem 93(3):454–462
Taniyama T et al (2015) Repair of osteochondral defects in a rabbit model using a porous hydroxyapatite collagen composite impregnated with bone morphogenetic protein-2. Artif Organs 39(6):529–535
Tao S-C et al (2017) Exosomes derived from miR-140-5p-overexpressing human synovial mesenchymal stem cells enhance cartilage tissue regeneration and prevent osteoarthritis of the knee in a rat model. Theranostics 7(1):180–195
Teunissen M et al (2021) The lower in vitro chondrogenic potential of canine adipose tissue-derived mesenchymal stromal cells (MSC) compared to bone marrow-derived MSC is not improved by BMP-2 or BMP-6. Vet J 269:105605
Tichy ED, Mourkioti F (2018) Human skeletal stem cells: the markers provide some clues in the hunt for hidden treasure. Cell Stem Cell 23(4):462–463
Toh WS et al (2005) Combined effects of TGFbeta1 and BMP2 in serum-free chondrogenic differentiation of mesenchymal stem cells induced hyaline-like cartilage formation. Growth Factors 23(4):313–321
Toh WS et al (2007) Effects of culture conditions and bone morphogenetic protein 2 on extent of chondrogenesis from human embryonic stem cells. Stem Cells 25(4):950–960
Toh WS et al (2009) Differentiation and enrichment of expandable chondrogenic cells from human embryonic stem cells in vitro. J Cell Mol Med 13(9B):3570–3590
Toh WS et al (2010) Cartilage repair using hyaluronan hydrogel-encapsulated human embryonic stem cell-derived chondrogenic cells. Biomaterials 31(27):6968–6980
Toh WS, Lee EH, Cao T (2011) Potential of human embryonic stem cells in cartilage tissue engineering and regenerative medicine. Stem Cell Rev Rep 7(3):544–559
Uebersax L, Merkle HP, Meinel L (2008) Insulin-like growth factor I releasing silk fibroin scaffolds induce chondrogenic differentiation of human mesenchymal stem cells. J Control Release 127(1):12–21
Urlić I, Ivković A (2021) Cell sources for cartilage repair—biological and clinical perspective. Cell 10(9):2496
Vágó J et al (2021) Cyclic uniaxial mechanical load enhances chondrogenesis through entraining the molecular circadian clock. J Pineal Res 73:e12827
Vangsness CT Jr et al (2014) Adult human mesenchymal stem cells delivered via intra-articular injection to the knee following partial medial meniscectomy: a randomized, double-blind, controlled study. JBJS 96(2):90–98
Vats A et al (2006) Chondrogenic differentiation of human embryonic stem cells: the effect of the micro-environment. Tissue Eng 12(6):1687–1697
Vizoso FJ et al (2017) Mesenchymal stem cell secretome: toward cell-free therapeutic strategies in regenerative medicine. Int J Mol Sci 18(9):1852
Vonk LA et al (2015) Autologous, allogeneic, induced pluripotent stem cell or a combination stem cell therapy? Where are we headed in cartilage repair and why: a concise review. Stem Cell Res Ther 6(1):94
Wakitani S et al (2002) Human autologous culture expanded bone marrow mesenchymal cell transplantation for repair of cartilage defects in osteoarthritic knees. Osteoarthr Cartil 10(3):199–206
Wang Y et al (2017) Exosomes from embryonic mesenchymal stem cells alleviate osteoarthritis through balancing synthesis and degradation of cartilage extracellular matrix. Stem Cell Res Ther 8(1):189
Wang C-Z et al (2018a) Enhancement of chondrogenesis of adipose-derived stem cells in HA-PNIPAAm-CL hydrogel for cartilage regeneration in rabbits. Sci Rep 8(1):1–12
Wang M, Yuan Q, Xie L (2018b) Mesenchymal stem cell-based immunomodulation: properties and clinical application. Stem Cells Int 2018:3057624
Wang T et al (2019) Enhanced chondrogenesis from human embryonic stem cells. Stem Cell Res 39:101497
Wang X et al (2020) Effect of different aged cartilage ECM on chondrogenesis of BMSCs in vitro and in vivo. Regen Biomater 7(6):583–595
Wei W, Dai H (2021) Articular cartilage and osteochondral tissue engineering techniques: recent advances and challenges. Bioactive Mater 6(12):4830–4855
Wert GD, Mummery C (2003) Human embryonic stem cells: research, ethics and policy. Hum Reprod 18(4):672–682
Willard VP et al (2021) Transient receptor potential vanilloid 4 as a regulator of induced pluripotent stem cell chondrogenesis. Stem Cells 39(11):1447–1456
Wu L et al (2011) Trophic effects of mesenchymal stem cells increase chondrocyte proliferation and matrix formation. Tissue Eng A 17(9–10):1425–1436
Wu C-L et al (2021) Single-cell transcriptomic analysis of human pluripotent stem cell chondrogenesis. Nat Commun 12(1):362
Xu Y et al (2019) Biomaterials for stem cell engineering and biomanufacturing. Bioactive Mater 4:366–379
Yamagata K, Nakayamada S, Tanaka Y (2018) Use of mesenchymal stem cells seeded on the scaffold in articular cartilage repair. Inflam Regen 38(1):1–8
Yamanaka S (2020) Pluripotent stem cell-based cell therapy—promise and challenges. Cell Stem Cell 27(4):523–531
Yamashita A, Krawetz R, Rancourt DE (2009) Loss of discordant cells during micro-mass differentiation of embryonic stem cells into the chondrocyte lineage. Cell Death Differ 16(2):278–286
Yang Z et al (2009) Stage-dependent effect of TGF-beta1 on chondrogenic differentiation of human embryonic stem cells. Stem Cells Dev 18(6):929–940
Yang Z et al (2020) Endogenous cell recruitment strategy for articular cartilage regeneration. Acta Biomater 114:31–52
Yoo JU et al (1998) The chondrogenic potential of human bone-marrow-derived mesenchymal progenitor cells. J Bone Joint Surg Am 80(12):1745–1757
Zakrzewski W et al (2019) Stem cells: past, present, and future. Stem Cell Res Ther 10(1):1–22
Zha K et al (2021) Heterogeneity of mesenchymal stem cells in cartilage regeneration: from characterization to application. NPJ Regen Med 6(1):1–15
Zhang Q, Lai D (2020) Application of human amniotic epithelial cells in regenerative medicine: a systematic review. Stem Cell Res Ther 11(1):1–16
Zhang Z et al (2006) Reorganization of actin filaments enhances chondrogenic differentiation of cells derived from murine embryonic stem cells. Biochem Biophys Res Commun 348(2):421–427
Zhang Y et al (2018) Co-culture systems-based strategies for articular cartilage tissue engineering. J Cell Physiol 233(3):1940–1951
Zhang R et al (2019) Mesenchymal stem cell-related therapies for cartilage lesions and osteoarthritis. Am J Transl Res 11(10):6275
Zhang S et al (2020) Articular cartilage regeneration: the role of endogenous mesenchymal stem/progenitor cell recruitment and migration. In: Seminars in arthritis and rheumatism. Elsevier
Zhao T et al (2011) Immunogenicity of induced pluripotent stem cells. Nature 474(7350):212–215
Zhao X et al (2019a) Multi-compositional MRI evaluation of repair cartilage in knee osteoarthritis with treatment of allogeneic human adipose-derived mesenchymal progenitor cells. Stem Cell Res Ther 10(1):308
Zhao X et al (2019b) Multi-compositional MRI evaluation of repair cartilage in knee osteoarthritis with treatment of allogeneic human adipose-derived mesenchymal progenitor cells. Stem Cell Res Ther 10(1):1–15
Zhao L-N et al (2021) Bone marrow mesenchymal stem cell therapy regulates gut microbiota to improve post-stroke neurological function recovery in rats. World J Stem Cells 13(12):1905–1917
Zhou S et al (2019) Determinants of stem cell lineage differentiation toward chondrogenesis versus adipogenesis. Cell Mol Life Sci 76(9):1653–1680
Zhu Y et al (2016) Repair of cartilage defects in osteoarthritis rats with induced pluripotent stem cell-derived chondrocytes. BMC Biotechnol 16(1):78
Zhu H et al (2018) SAT0057 The effect of exosomes from bone marrow mesenchymal stem cells on osteoarthritis. Ann Rheum Dis 77(Suppl 2):893
Zhuo Q et al (2012) Metabolic syndrome meets osteoarthritis. Nat Rev Rheumatol 8(12):729–737
Zur Nieden NI et al (2005) Induction of chondro-, osteo- and adipogenesis in embryonic stem cells by bone morphogenetic protein-2: effect of cofactors on differentiating lineages. BMC Dev Biol 5(1):1
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Shahnazari, M. et al. (2023). Stem Cells Therapy for Cartilage Regeneration in Clinic: Challenges and Opportunities. In: Baghaban Eslaminejad, M., Hosseini, S. (eds) Cartilage: From Biology to Biofabrication. Springer, Singapore. https://doi.org/10.1007/978-981-99-2452-3_17
Download citation
DOI: https://doi.org/10.1007/978-981-99-2452-3_17
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-99-2451-6
Online ISBN: 978-981-99-2452-3
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)