Cell therapy for cartilage repair

Author:

Hulme Charlotte H.12ORCID,Perry Jade12,McCarthy Helen S.12,Wright Karina T.12,Snow Martyn3,Mennan Claire12,Roberts Sally12

Affiliation:

1. School of Pharmacy and Bioengineering, Keele University, Keele, Staffordshire, U.K.

2. Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire, U.K.

3. The Royal Orthopaedic Hospital, Birmingham, U.K.

Abstract

Regenerative medicine, using cells as therapeutic agents for the repair or regeneration of tissues and organs, offers great hope for the future of medicine. Cell therapy for treating defects in articular cartilage has been an exemplar of translating this technology to the clinic, but it is not without its challenges. These include applying regulations, which were designed for pharmaceutical agents, to living cells. In addition, using autologous cells as the therapeutic agent brings additional costs and logistical challenges compared with using allogeneic cells. The main cell types used in treating chondral or osteochondral defects in joints to date are chondrocytes and mesenchymal stromal cells derived from various sources such as bone marrow, adipose tissue or umbilical cord. This review discusses some of their biology and pre-clinical studies before describing the most pertinent clinical trials in this area.

Publisher

Portland Press Ltd.

Subject

General Agricultural and Biological Sciences,General Biochemistry, Genetics and Molecular Biology

Reference97 articles.

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5. Microfracture versus autologous chondrocyte implantation for articular cartilage lesions in the knee: a systematic review of 5-year outcomes;Am. J. Sports Med.,2018

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