The Crosstalk between Mesenchymal Stem Cells and Macrophages in Bone Regeneration: A Systematic Review

Bone regeneration is a complex and well-coordinated process that involves crosstalk between immune cells and resident cells in the injury site. Transplantation of mesenchymal stem cells (MSCs) is a promising strategy to enhance bone regeneration. Growing evidence suggests that macrophages have a sig...

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Main Authors: Rita Lih-Ying Shin, Chien-Wei Lee, Oscar Yuan-Jie Shen, Hongtao Xu, Oscar Kuang-Sheng Lee
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Stem Cells International
Online Access:http://dx.doi.org/10.1155/2021/8835156
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author Rita Lih-Ying Shin
Chien-Wei Lee
Oscar Yuan-Jie Shen
Hongtao Xu
Oscar Kuang-Sheng Lee
author_facet Rita Lih-Ying Shin
Chien-Wei Lee
Oscar Yuan-Jie Shen
Hongtao Xu
Oscar Kuang-Sheng Lee
author_sort Rita Lih-Ying Shin
collection DOAJ
description Bone regeneration is a complex and well-coordinated process that involves crosstalk between immune cells and resident cells in the injury site. Transplantation of mesenchymal stem cells (MSCs) is a promising strategy to enhance bone regeneration. Growing evidence suggests that macrophages have a significant impact on osteogenesis during bone regeneration. However, the precise mechanisms by which macrophage subtypes influence bone regeneration and how MSCs communicate with macrophages have not yet been fully elucidated. In this systematic literature review, we gathered evidence regarding the crosstalk between MSCs and macrophages during bone regeneration. According to the PRISMA protocol, we extracted literature from PubMed and Embase databases by using “mesenchymal stem cells” and “macrophages” and “bone regeneration” as keywords. Thirty-three studies were selected for this review. MSCs isolated from both bone marrow and adipose tissue and both primary macrophages and macrophage cell lines were used in the selected studies. In conclusion, anti-inflammatory macrophages (M2) have significantly more potential to strengthen bone regeneration compared with naïve (M0) and classically activated macrophages (M1). Transplantation of MSCs induced M1-to-M2 transition and transformed the skeletal microenvironment to facilitate bone regeneration in bone fracture and bone defect models. This review highlights the complexity between MSCs and macrophages, providing more insight into the polarized macrophage behavior in this evolving field of osteoimmunology. The results may serve as a useful reference for definite success in MSC-based therapy based on the critical interaction with macrophages.
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spelling doaj-art-18595c9767414729b6cd9055c517a6d72025-02-03T01:12:53ZengWileyStem Cells International1687-966X1687-96782021-01-01202110.1155/2021/88351568835156The Crosstalk between Mesenchymal Stem Cells and Macrophages in Bone Regeneration: A Systematic ReviewRita Lih-Ying Shin0Chien-Wei Lee1Oscar Yuan-Jie Shen2Hongtao Xu3Oscar Kuang-Sheng Lee4Department of Orthopaedics and Traumatology, Faculty of Medicine, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR 999077, ChinaInstitute for Tissue Engineering and Regenerative Medicine, The Chinese University of Hong Kong, Hong Kong SAR 999077, ChinaFaculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR 999077, ChinaDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR 999077, ChinaDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR 999077, ChinaBone regeneration is a complex and well-coordinated process that involves crosstalk between immune cells and resident cells in the injury site. Transplantation of mesenchymal stem cells (MSCs) is a promising strategy to enhance bone regeneration. Growing evidence suggests that macrophages have a significant impact on osteogenesis during bone regeneration. However, the precise mechanisms by which macrophage subtypes influence bone regeneration and how MSCs communicate with macrophages have not yet been fully elucidated. In this systematic literature review, we gathered evidence regarding the crosstalk between MSCs and macrophages during bone regeneration. According to the PRISMA protocol, we extracted literature from PubMed and Embase databases by using “mesenchymal stem cells” and “macrophages” and “bone regeneration” as keywords. Thirty-three studies were selected for this review. MSCs isolated from both bone marrow and adipose tissue and both primary macrophages and macrophage cell lines were used in the selected studies. In conclusion, anti-inflammatory macrophages (M2) have significantly more potential to strengthen bone regeneration compared with naïve (M0) and classically activated macrophages (M1). Transplantation of MSCs induced M1-to-M2 transition and transformed the skeletal microenvironment to facilitate bone regeneration in bone fracture and bone defect models. This review highlights the complexity between MSCs and macrophages, providing more insight into the polarized macrophage behavior in this evolving field of osteoimmunology. The results may serve as a useful reference for definite success in MSC-based therapy based on the critical interaction with macrophages.http://dx.doi.org/10.1155/2021/8835156
spellingShingle Rita Lih-Ying Shin
Chien-Wei Lee
Oscar Yuan-Jie Shen
Hongtao Xu
Oscar Kuang-Sheng Lee
The Crosstalk between Mesenchymal Stem Cells and Macrophages in Bone Regeneration: A Systematic Review
Stem Cells International
title The Crosstalk between Mesenchymal Stem Cells and Macrophages in Bone Regeneration: A Systematic Review
title_full The Crosstalk between Mesenchymal Stem Cells and Macrophages in Bone Regeneration: A Systematic Review
title_fullStr The Crosstalk between Mesenchymal Stem Cells and Macrophages in Bone Regeneration: A Systematic Review
title_full_unstemmed The Crosstalk between Mesenchymal Stem Cells and Macrophages in Bone Regeneration: A Systematic Review
title_short The Crosstalk between Mesenchymal Stem Cells and Macrophages in Bone Regeneration: A Systematic Review
title_sort crosstalk between mesenchymal stem cells and macrophages in bone regeneration a systematic review
url http://dx.doi.org/10.1155/2021/8835156
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