Engaging Stem Cells for Customized Tendon Regeneration

The need for a consistent therapeutic approach to tendon injury repair is long overdue. Patients with tendon microtears or full ruptures are eligible for a wide range of invasive and non invasive interventions, often subjectively decided by the physician. Surgery produces the best outcomes, and whil...

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Main Authors: Hatim Thaker, Arun K. Sharma
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Stem Cells International
Online Access:http://dx.doi.org/10.1155/2012/309187
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author Hatim Thaker
Arun K. Sharma
author_facet Hatim Thaker
Arun K. Sharma
author_sort Hatim Thaker
collection DOAJ
description The need for a consistent therapeutic approach to tendon injury repair is long overdue. Patients with tendon microtears or full ruptures are eligible for a wide range of invasive and non invasive interventions, often subjectively decided by the physician. Surgery produces the best outcomes, and while studies have been conducted to optimize graft constructs and to track outcomes, the data from these studies have been inconclusive on the whole. What has been established is a clear understanding of healthy tendon architecture and the inherent process of healing. With this knowledge, tissue regeneration efforts have achieved immense progress in scaffold design, cell line selection, and, more recently, the appropriate use of cytokines and growth factors. This paper evaluates the plasticity of bone-marrow-derived stem cells and the elasticity of recently developed biomaterials towards tendon regeneration efforts. Mesenchymal stem cells (MSCs), hematopoietic progenitor cells, and poly(1,8-octanediol co-citrate) scaffolds (POC) are discussed in the context of established grafting strategies. With POC scaffolds to cradle the growth of MSCs and hematopoietic progenitor cells, developing a fibroelastic network guided by cytokines and growth factors may contribute towards consistent graft constructs, enhanced functionality, and better patient outcomes.
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spelling doaj-art-23e48bb7d45b4a529ba30819d040a4092025-02-03T01:27:17ZengWileyStem Cells International1687-966X1687-96782012-01-01201210.1155/2012/309187309187Engaging Stem Cells for Customized Tendon RegenerationHatim Thaker0Arun K. Sharma1Division of Pediatric Urology, Children's Memorial Hospital of Chicago, Chicago, IL, USADivision of Pediatric Urology, Children's Memorial Hospital of Chicago, Chicago, IL, USAThe need for a consistent therapeutic approach to tendon injury repair is long overdue. Patients with tendon microtears or full ruptures are eligible for a wide range of invasive and non invasive interventions, often subjectively decided by the physician. Surgery produces the best outcomes, and while studies have been conducted to optimize graft constructs and to track outcomes, the data from these studies have been inconclusive on the whole. What has been established is a clear understanding of healthy tendon architecture and the inherent process of healing. With this knowledge, tissue regeneration efforts have achieved immense progress in scaffold design, cell line selection, and, more recently, the appropriate use of cytokines and growth factors. This paper evaluates the plasticity of bone-marrow-derived stem cells and the elasticity of recently developed biomaterials towards tendon regeneration efforts. Mesenchymal stem cells (MSCs), hematopoietic progenitor cells, and poly(1,8-octanediol co-citrate) scaffolds (POC) are discussed in the context of established grafting strategies. With POC scaffolds to cradle the growth of MSCs and hematopoietic progenitor cells, developing a fibroelastic network guided by cytokines and growth factors may contribute towards consistent graft constructs, enhanced functionality, and better patient outcomes.http://dx.doi.org/10.1155/2012/309187
spellingShingle Hatim Thaker
Arun K. Sharma
Engaging Stem Cells for Customized Tendon Regeneration
Stem Cells International
title Engaging Stem Cells for Customized Tendon Regeneration
title_full Engaging Stem Cells for Customized Tendon Regeneration
title_fullStr Engaging Stem Cells for Customized Tendon Regeneration
title_full_unstemmed Engaging Stem Cells for Customized Tendon Regeneration
title_short Engaging Stem Cells for Customized Tendon Regeneration
title_sort engaging stem cells for customized tendon regeneration
url http://dx.doi.org/10.1155/2012/309187
work_keys_str_mv AT hatimthaker engagingstemcellsforcustomizedtendonregeneration
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