The Holy Grail of Orthopedic Surgery: Mesenchymal Stem Cells—Their Current Uses and Potential Applications

Only select tissues and organs are able to spontaneously regenerate after disease or trauma, and this regenerative capacity diminishes over time. Human stem cell research explores therapeutic regenerative approaches to treat various conditions. Mesenchymal stem cells (MSCs) are derived from adult st...

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Main Authors: Roberto Berebichez-Fridman, Ricardo Gómez-García, Julio Granados-Montiel, Enrique Berebichez-Fastlicht, Anell Olivos-Meza, Julio Granados, Cristina Velasquillo, Clemente Ibarra
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Stem Cells International
Online Access:http://dx.doi.org/10.1155/2017/2638305
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author Roberto Berebichez-Fridman
Ricardo Gómez-García
Julio Granados-Montiel
Enrique Berebichez-Fastlicht
Anell Olivos-Meza
Julio Granados
Cristina Velasquillo
Clemente Ibarra
author_facet Roberto Berebichez-Fridman
Ricardo Gómez-García
Julio Granados-Montiel
Enrique Berebichez-Fastlicht
Anell Olivos-Meza
Julio Granados
Cristina Velasquillo
Clemente Ibarra
author_sort Roberto Berebichez-Fridman
collection DOAJ
description Only select tissues and organs are able to spontaneously regenerate after disease or trauma, and this regenerative capacity diminishes over time. Human stem cell research explores therapeutic regenerative approaches to treat various conditions. Mesenchymal stem cells (MSCs) are derived from adult stem cells; they are multipotent and exert anti-inflammatory and immunomodulatory effects. They can differentiate into multiple cell types of the mesenchyme, for example, endothelial cells, osteoblasts, chondrocytes, fibroblasts, tenocytes, vascular smooth muscle cells, and sarcomere muscular cells. MSCs are easily obtained and can be cultivated and expanded in vitro; thus, they represent a promising and encouraging treatment approach in orthopedic surgery. Here, we review the application of MSCs to various orthopedic conditions, namely, orthopedic trauma; muscle injury; articular cartilage defects and osteoarthritis; meniscal injuries; bone disease; nerve, tendon, and ligament injuries; spinal cord injuries; intervertebral disc problems; pediatrics; and rotator cuff repair. The use of MSCs in orthopedics may transition the practice in the field from predominately surgical replacement and reconstruction to bioregeneration and prevention. However, additional research is necessary to explore the safety and effectiveness of MSC treatment in orthopedics, as well as applications in other medical specialties.
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spelling doaj-art-87ddb9029bb54876a087a028262a86292025-02-03T01:24:27ZengWileyStem Cells International1687-966X1687-96782017-01-01201710.1155/2017/26383052638305The Holy Grail of Orthopedic Surgery: Mesenchymal Stem Cells—Their Current Uses and Potential ApplicationsRoberto Berebichez-Fridman0Ricardo Gómez-García1Julio Granados-Montiel2Enrique Berebichez-Fastlicht3Anell Olivos-Meza4Julio Granados5Cristina Velasquillo6Clemente Ibarra7Tissue Engineering, Cell Therapy and Regenerative Medicine Unit, Instituto Nacional de Rehabilitación “Luis Guillermo Ibarra Ibarra”, Calzada México Xochimilco, No. 289, Col. Arenal de Guadalupe, 14389 Mexico City, MexicoTissue Engineering, Cell Therapy and Regenerative Medicine Unit, Instituto Nacional de Rehabilitación “Luis Guillermo Ibarra Ibarra”, Calzada México Xochimilco, No. 289, Col. Arenal de Guadalupe, 14389 Mexico City, MexicoTissue Engineering, Cell Therapy and Regenerative Medicine Unit, Instituto Nacional de Rehabilitación “Luis Guillermo Ibarra Ibarra”, Calzada México Xochimilco, No. 289, Col. Arenal de Guadalupe, 14389 Mexico City, MexicoDepartment of Orthopedic Surgery, American British Cowdray Medical Center, Av. Carlos Graef Fernández, No. 154, Col. Santa Fe, Cuajimalpa, 05300 Mexico City, MexicoOrthopedic Sports Medicine and Arthroscopy Division, Instituto Nacional de Rehabilitación “Luis Guillermo Ibarra Ibarra”, Calzada México Xochimilco, No. 289, Col. Arenal de Guadalupe, 14389 Mexico City, MexicoDepartment of Transplantation, Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”, Av. Vasco de Quiroga, No. 15, Tlalpan, Belisario Domínguez Sección XVI, 14080 Mexico City, MexicoDirection of Research, Instituto Nacional de Rehabilitación “Luis Guillermo Ibarra Ibarra”, Calzada México Xochimilco, No. 289, Col. Arenal de Guadalupe, 14389 Mexico City, MexicoGeneral Direction, Instituto Nacional de Rehabilitación “Luis Guillermo Ibarra Ibarra”, Calzada México Xochimilco, No. 289, Col. Arenal de Guadalupe, 14389 Mexico City, MexicoOnly select tissues and organs are able to spontaneously regenerate after disease or trauma, and this regenerative capacity diminishes over time. Human stem cell research explores therapeutic regenerative approaches to treat various conditions. Mesenchymal stem cells (MSCs) are derived from adult stem cells; they are multipotent and exert anti-inflammatory and immunomodulatory effects. They can differentiate into multiple cell types of the mesenchyme, for example, endothelial cells, osteoblasts, chondrocytes, fibroblasts, tenocytes, vascular smooth muscle cells, and sarcomere muscular cells. MSCs are easily obtained and can be cultivated and expanded in vitro; thus, they represent a promising and encouraging treatment approach in orthopedic surgery. Here, we review the application of MSCs to various orthopedic conditions, namely, orthopedic trauma; muscle injury; articular cartilage defects and osteoarthritis; meniscal injuries; bone disease; nerve, tendon, and ligament injuries; spinal cord injuries; intervertebral disc problems; pediatrics; and rotator cuff repair. The use of MSCs in orthopedics may transition the practice in the field from predominately surgical replacement and reconstruction to bioregeneration and prevention. However, additional research is necessary to explore the safety and effectiveness of MSC treatment in orthopedics, as well as applications in other medical specialties.http://dx.doi.org/10.1155/2017/2638305
spellingShingle Roberto Berebichez-Fridman
Ricardo Gómez-García
Julio Granados-Montiel
Enrique Berebichez-Fastlicht
Anell Olivos-Meza
Julio Granados
Cristina Velasquillo
Clemente Ibarra
The Holy Grail of Orthopedic Surgery: Mesenchymal Stem Cells—Their Current Uses and Potential Applications
Stem Cells International
title The Holy Grail of Orthopedic Surgery: Mesenchymal Stem Cells—Their Current Uses and Potential Applications
title_full The Holy Grail of Orthopedic Surgery: Mesenchymal Stem Cells—Their Current Uses and Potential Applications
title_fullStr The Holy Grail of Orthopedic Surgery: Mesenchymal Stem Cells—Their Current Uses and Potential Applications
title_full_unstemmed The Holy Grail of Orthopedic Surgery: Mesenchymal Stem Cells—Their Current Uses and Potential Applications
title_short The Holy Grail of Orthopedic Surgery: Mesenchymal Stem Cells—Their Current Uses and Potential Applications
title_sort holy grail of orthopedic surgery mesenchymal stem cells their current uses and potential applications
url http://dx.doi.org/10.1155/2017/2638305
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