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Additionally, they were induced into the bone, fibrocartilage, and tendon under different environments or pretreatments (Song et al., 2014). It is believed that MSCs cultured in chemically defined serum-free media may be more suitable for the manufacture of EVs. Notably, it is possible to achieve similar mechanical properties with tendon tissue and good structural integrity, which are important in the regeneration of tendon repair (Pina et al., 2019). When evaluating the actual injuries that were reported in these studies, participants were only included if they had suffered rotator cuff tears, whereas studies that reported no significant differences often only looked at tendinopathy [11, 14]. Biologic augmentation of rotator cuff repair with mesenchymal stem cells during arthroscopy improves healing and prevents further tears: a case-controlled study. For this reason, they have a high risk of immune response (Won et al., 2014). EVs have become an attractive approach in regenerative medicine because they exert biological activities like those of stem cells and overcome the shortages of cell-based therapy, such as cell expansion, low survival rate, and potential immunological rejection (Keshtkar et al., 2018; Woo et al., 2020). Stem cell therapy can help relieve shoulder pain by stimulating and supporting the regeneration of the damaged tissue. Numerous synthetic materials are used for tendon tissue repairs, such as poly-ε-caprolactone (PCL), poly (lactic acid) (PLA), poly (glycolic acid) (PGA), poly (ethylene glycol) (PEG), and poly (lactic-co-glycolic acid) (PLGA). Bursa-derived stem cells (B-MSCs) are easily accessible stem cells that can be harvested from routine rotator cuff repair surgery (Baldino et al., 2020). The MMP-2 degradable hydrogel is fabricated by crosslinking allyl glycidyl ether (AGE) modified carboxymethyl chitosan (CMCS-AGE) and the MMP-2 substrate peptide CPLGLAGC (MMP-2 sp). With demonstrable safety and mounting evidence of the effectiveness of stem cell therapy for some orthopedic conditions, potentially all orthopedic disease could be treated with stem cell therapy in the future. Yamada, T., Gotoh, M., Nakama, K., Mitsui, Y., Higuchi, F., and Nagata, K. Effects of Hyaluronan on Cell Proliferation and mRNA Expression of Procollagens α1 (I) and α1 (III) in Tendon-Derived Fibroblasts from Patients with Rotator Cuff Disease.
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As a primary effector in stem cell therapy, EVs can promote the healing process by reducing inflammation and fatty infiltration, stimulating cell proliferation and tenogenic differentiation, and maintaining homeostasis. Then, they investigated the efficacy of UCB-MSCs for chronic full-thickness rotator cuff tendon tears without repair and found that the injection of UCB-MSCs had a similar therapeutic effect in histological examination and motion analysis of walking 4 weeks after treatment (Rak Kwon et al., 2020). Commonly, recombinant viruses include adenovirus, lentivirus, retrovirus, and adeno-associated virus in tendon repair. Cardwell, R. D., Dahlgren, L. A., and Goldstein, A. S. (2014). The tendon is a unique form of connective tissue that transmits muscle-contraction force to the skeleton to maintain posture or produce motion.
Received: 30 January 2022; Accepted: 25 April 2022; Published: 25 May 2022. When discussing stem cell therapy, it's important to understand that pure stem cells are not currently available to U. S. patients outside of a clinical research study. MMP-2 is a member of the zinc endopeptidase family and has the ability to cleave ECM components, which is upregulated in the peritendinous area where the adhesion tissue forms after tendon injury. Techniques Used for the Isolation and Characterization of Extracellular Vesicles: Results of a Worldwide Survey. Zhang, X., Cai, Z., Wu, M., Huangfu, X., Li, J., and Liu, X. Adipose Stem Cell-Derived Exosomes Recover Impaired Matrix Metabolism of Torn Human Rotator Cuff Tendons by Maintaining Tissue Homeostasis.
Stem Cell Therapy For Shoulder Reviews 2020
The effect of purified human bone marrow–derived mesenchymal stem cells on rotator cuff tendon healing in an athymic rat. Exogenous BMSC can be delivered to the repair site by various carriers (Chen P. et al., 2020). 2013 Neer award: effect of the adipose-derived stem cell for the improvement of fatty degeneration and rotator cuff healing in rabbit model. I would definitely consider this therapy again for another joint. These diseases have been targets of stem cell treatment. Muscles Ligaments Tendons J. Then, intrinsic healing is activated and simultaneously induces the tenocyte recruitment, proliferation, and secretion of collagen I fibers, which can strengthen the mechanical property of the tendon (Docheva et al., 2015). Release 333, 448–486. For instance, BMSCs endowed with platelet-rich plasma (PRP) enhanced the production of growth factors, the ability of osteogenic differentiation, and the resistance of cell death in vitro, and they promoted bone formation and the biomechanical property of the newly generated bone in vivo (Han et al., 2019). 7326/0003-4819-153-4-201008170-00263.
Théry, C., Witwer, K. W., Aikawa, E., Alcaraz, M. J., Anderson, J. D., Andriantsitohaina, R., et al. Regenerative medicine in rotator cuff injuries. To date, various natural and synthetic materials have been developed to promote stem cells in rotator cuff repair and regeneration. 1186/s13287-020-01918-x. The American Society of Shoulder and Elbow Therapists' Consensus Statement on Rehabilitation Following Arthroscopic Rotator Cuff Repair. JASN 20 (5), 1053–1067. Chung SW, Song BW, Kim YH, Park KU, Oh JH.
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Meanwhile, the tenocytes are recruited to the wounded site and induced to proliferate. To learn more about the affects of biologics in sports medicine, please visit the biologic research section of our website: Biologic Research. Stem Cells (Dayton, Ohio) 31 (9), 1840–1856. This review aims to critically compare and evaluate recent research and provide possible future directions. 2106/00004623-200402000-00002. Viral vectors have been widely used in gene therapy due to their high efficiency in gene delivery into the cells they infect. Compared to natural biomaterials, synthetic materials have a low risk of disease transmission because they are not obtained from biological organisms or tissues.
Hoboken) 300 (12), 2166–2174. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. Much of what is known about stem cells in arthritis comes from research into knee degeneration. Augmentation of Chronic Rotator Cuff Healing Using Adipose‐Derived Stem Cell‐Seeded Human Tendon‐Derived Hydrogel. Platelet-rich plasma injection with arthroscopic acromioplasty for chronic rotator cuff tendinopathy: a randomized controlled trial. It is not possible to say which method is better right now; more research is required including double-blinded, controlled studies.
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Human Adipose Stem Cells: From Bench to Bedside. MMP-2 Responsive Unidirectional Hydrogel-Electrospun Patch Loading TGF-Beta 1 siRNA Polyplexes for Peritendinous Anti-Adhesion. Stem cell therapies currently used outside clinical studies do not contain pure stem cells. Prevalence of Symptomatic and Asymptomatic Rotator Cuff Tears in the General Population: From Mass-Screening in One Village. Stem Cell Treatment for Ankle and foot. MiR124 Suppresses Collagen Formation of Human Tendon Derived Stem Cells through Targeting Egr1. Platelet-rich plasma (PRP) uses the patient's own blood in a concentrated form, to supply the repair site with various growth factors that promote the healing response; however, research shows conflicting evidence about the efficacy and effectiveness of PRP. To date, we're thrilled to have collected 22 reviews with an average rating of 5 out of 5 stars. Furthermore, some miRNAs participate in tenogenic differentiation and prevent chondro-osteogenic differentiation, including miR-124, miR-135a, miR-140, and miR-337-3p (Chen et al., 2015; Wang et al., 2016; Geng et al., 2020; Liu Y. J. Umbilical cord-derived mesenchymal stem cells (UCB-MSCs) are a promising source of human cells because of their easy availability, high proliferation capacity, and low immunogenicity (Wang et al., 2009; Bai et al., 2016). Of these two, one was an early study [33, 37] which included one of the shortest follow-up times of a maximum of 4 weeks, leaving the possibility that they might have overlooked any potential prolonged benefits.
Collectively, these nano-sized particles with a lipid bilayer, naturally released by cells, are called extracellular vesicles (EVs) (Théry et al., 2018). The effect of platelet-rich fibrin matrix on rotator cuff tendon healing: a prospective, randomized clinical study. Part A 21 (21-22), 2766–2774. Yasui, Y., Tonogai, I., Rosenbaum, A. J., Shimozono, Y., Kawano, H., and Kennedy, J.
They conclude that these treatments have great potential based on laboratory studies demonstrating a positive effect of these materials on the basic biology of tissue healing, however, the clinical data for their use in both shoulder and elbow pathologies are very limited. Carr AJ, Murphy R, Dakin SG, Rombach I, Wheway K, Watkins B, et al. Savin D, Meadows M, Verma N, Cole B. Rotator cuff healing: improving biology. 1177/2325967117734517. To search for the therapeutically active components, Bruno and colleagues successfully fractioned CM of MSCs by ultracentrifugation and discovered the therapeutic vesicular structures (Bruno et al., 2009). 1177/0963689718805383. In some cases, patients with tendinopathy may have an increased risk of tendon rupture, especially among those in the older population (Yasui et al., 2017).