Review
Biochemistry & Molecular Biology
Dawid Szwedowski, Joanna Szczepanek, Lukasz Paczesny, Jan Zabrzynski, Maciej Gagat, Ali Mobasheri, Slawomir Jeka
Summary: Knee osteoarthritis (KOA) treatment options include medication, physical therapy, braces, activity modification, and surgery, with intra-articular injections commonly used when non-operative treatment fails. PRP may improve the metabolic function of damaged structures, but its effects on chondrogenesis and stem cell proliferation are still controversial.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2021)
Article
Medicine, General & Internal
Marco Caforio, Carmelo Nobile
Summary: The study found that the intra-articular administration of autologous purified adipose tissue following arthroscopy significantly reduces pain and improves functional recovery in patients with knee osteoarthritis. No adverse effects were observed during the 1-year follow-up.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Orthopedics
Cristian Aletto, Lorenzo Giordano, Marco Quaranta, Arnaldo Zara, Donato Notarfrancesco, Nicola Maffulli
Summary: Intra-articular injection of stromal vascular fraction (SVF) is a safe and effective treatment for improving clinical and functional scores in patients with early knee osteoarthritis for up to 6 months.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Veterinary Sciences
Sohyun Kim, Lindsay Elam, Valerie Johnson, Ann Hess, Tracy Webb, Steven Dow, Felix Duerr
Summary: This study compared the efficacy of intra-articular allogeneic mesenchymal stem/stromal cells (MSC) to high molecular weight hyaluronic acid (HA) for treating pain associated with canine osteoarthritis (OA). The results showed that the HA group had greater improvement compared to the MSC group, but the overall results were inconsistent. However, due to the small sample size, the current literature combined with the study data does not support the clinical use of intra-articular MSC therapy for canine OA at this time.
FRONTIERS IN VETERINARY SCIENCE
(2022)
Review
Biotechnology & Applied Microbiology
Yanxi Liu, Karan M. Shah, Jian Luo
Summary: Articular cartilage is avascular and has limited ability to repair itself, leading to degenerative joint diseases. Current clinical treatments often result in mechanically inferior cartilage. Understanding factors affecting cartilage homeostasis and exploring emerging regenerative approaches are crucial for future treatment options.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2021)
Review
Biochemistry & Molecular Biology
Fabio Ramos Costa, Mariana Ramos Costa Marques, Vinicius Calumby Costa, Gabriel Silva Santos, Rubens Andrade Martins, Marcia da Silva Santos, Maria Helena Andrade Santana, Arulkumar Nallakumarasamy, Madhan Jeyaraman, Joao Vitor Bizinotto Lana, Jose Fabio Santos Duarte Lana
Summary: Musculoskeletal diseases, such as osteoarthritis and tendinopathies, have a significant impact on society and individuals' quality of life. Intra-articular hyaluronic acid (HA) has emerged as a safe and effective treatment option for these conditions, providing multiple benefits such as lubrication, anti-inflammation, and stimulation of cellular activity. This review addresses the scientific, commercial, and clinical aspects of HA, providing physicians with a deeper understanding of disease processes, tissue repair mechanisms, and the advantages of different HA types.
Article
Agriculture, Dairy & Animal Science
Michela Mocchi, Elia Bari, Silvia Dotti, Riccardo Villa, Priscilla Berni, Virna Conti, Maurizio Del Bue, Gian Paolo Squassino, Lorena Segale, Roberto Ramoni, Maria Luisa Torre, Sara Perteghella, Stefano Grolli
Summary: The study demonstrates the safety and potential efficacy of canine mesenchymal stromal cells-secretome in treating osteoarthritis through both in vitro experiments and clinical trials on dogs.
Review
Veterinary Sciences
Anna Mayet, Yury Zablotski, Susanne Pauline Roth, Walter Brehm, Antonia Troillet
Summary: Equine veterinarians face challenges in treating horses with osteoarthritic joint pain. The use of intra-articular applied biologic therapeutics derived from blood or mesenchymal stroma cell (MSC) sources is a well-accepted treatment option. Clinical reports are needed to support the current stage of science in regenerative medicine.
FRONTIERS IN VETERINARY SCIENCE
(2023)
Review
Orthopedics
Saseendar Shanmugasundaram, Abhishek Vaish, Vijay Chavada, William D. Murrell, Raju Vaishya
Summary: Intra-articular injection of SVF is shown to be a safe and effective treatment for knee osteoarthritis, with improvements in pain, range of motion, and minimal donor-site morbidity. Further comparative Level I studies are needed to evaluate the use of adjuvants with SVF and compare it with other regenerative therapies.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Agriculture, Dairy & Animal Science
Riccardo Botto, Valentina Riccio, Livio Galosi, Giacomo Rossi, Silvia Vincenzetti, Adolfo Maria Tambella, Francesco De Francesco, Luca Pennasilico, Michele Riccio, Alberto Salvaggio, Sara Sassaroli, Angela Palumbo Piccionello
Summary: The purpose of this study was to evaluate the safety, feasibility, and efficacy of autologous microfragmented adipose tissue treatment in dogs with spontaneous osteoarthritis. The results showed that this treatment is safe and effective in relieving pain and improving function, with the advantages of simplicity, time and cost savings, and minimally invasiveness.
Review
Cell Biology
Michal S. Lach, Monika A. Rosochowicz, Magdalena Richter, Inga Jagiello, Wiktoria M. Suchorska, Tomasz Trzeciak
Summary: The development of induced pluripotent stem cells has opened up unlimited possibilities for regenerative medicine. This technology can be used to treat skeletal diseases such as osteoarthritis and has the potential to replace current short-term solutions. Additionally, using patient-specific tissue for reprogramming purposes can provide a platform for drug screening and modeling skeletal abnormalities.
Article
Rheumatology
Isabel Andia, Nicola Maffulli
Summary: The article discusses the commonality of sports injuries and secondary joint problems, as well as the current research on intra-articular injection therapy with cell products. The lack of quality in current clinical studies hinders the ability to answer key questions, necessitating further exploration of disease pathology.
THERAPEUTIC ADVANCES IN MUSCULOSKELETAL DISEASE
(2021)
Editorial Material
Cell & Tissue Engineering
G-I. Im
Summary: Currently, there is little evidence to prove the efficacy of regenerative medicine for OA treatment. Clinical applications of regenerative medicine need to ensure both symptomatic relief and structural improvement to delay or avoid the need for joint arthroplasty.
BONE & JOINT RESEARCH
(2021)
Article
Agriculture, Dairy & Animal Science
J. C. Alves, Ana Santos, L. Miguel Carreira
Summary: This study evaluated the combined use of intra-articular platelet-rich plasma (PRP) and photobiomodulation in dogs with bilateral hip osteoarthritis. The results showed that combining these two treatments led to greater and longer-lasting clinical improvements.
Article
Health Care Sciences & Services
Simone Natali, Daniele Screpis, Edoardo Patania, Luca De Berardinis, Andrea Benoni, Gianluca Piovan, Venanzio Iacono, Bruno Magnan, Antonio Pompilio Gigante, Claudio Zorzi
Summary: This retrospective study examined the safety and clinical outcomes of intra-articular injection of adipose-derived mesenchymal stem cells (ADMSCs) in patients with glenohumeral osteoarthritis (GOA) over a 36-month period. The results showed that ADMSC treatment significantly improved clinical scores, reduced pain, and improved shoulder function in patients with GOA. These findings support the use of ADMSCs as a conservative treatment option for osteoarthritis.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Clinical Neurology
Sertac Kirnaz, Sunidhi Singh, Charisse Capadona, Marianne Lintz, Jacob L. Goldberg, Lynn B. McGrath, Branden Medary, Fabian Sommer, Lawrence J. Bonassar, Roger Hartl
Summary: Low back pain is often associated with degenerative disc disease, and biological treatment approaches like cell injections have shown promising results. However, challenges such as managing disc cells and the microenvironment of intervertebral discs need to be overcome for long-term safety and efficacy.
WORLD NEUROSURGERY
(2022)
Article
Multidisciplinary Sciences
Thomas Wyse Jackson, Jonathan Michel, Pancy Lwin, Lisa A. Fortier, Moumita Das, Lawrence J. Bonassar, Itai Cohen
Summary: This study presents experiments and theory that explain the structural origins of the shear properties of articular cartilage through the mechanical interdependence of collagen and aggrecan networks in its extracellular matrix. The study also highlights the importance of slight changes in collagen and aggrecan concentrations near the cartilage surface, which can significantly weaken its modulus and potentially lead to tissue collapse.
Article
Orthopedics
Marianne Lintz, Remy E. Walk, Simon Y. Tang, Lawrence J. Bonassar
Summary: Diabetes has been found to impact the biochemical composition, collagen fiber architecture, and mechanical behavior of intervertebral discs. Diabetic discs showed increased glycosaminoglycan and collagen content, as well as disorganized and unaligned collagen fibers at the boundary between the nucleus pulposus and annulus fibrosus. These changes made the diabetic discs stiffer and more resistant to deformation compared to wild-type discs. The findings suggest that diabetes may predispose individuals to degenerative disc disease later in life.
Article
Surgery
Nicholas A. Vernice, Sarah Caughey, Nabih Berri, Jason Harris, Alicia Matavosian, Xue Dong, Ryan J. Bender, Lawrence Bonassar, Jason A. Spector
Summary: This study explores the use of 3D-printed polylactic acid scaffolds and decellularized xenografts to bioengineer nipples in situ. The results demonstrate the maintenance of scaffold shape, diameter, and projection, as well as an increase in tissue volume. Histologic analyses reveal the preservation of native cartilage architecture and the invasion of fibrovascular tissue after 6 months. These findings support the potential use of decellularized allografts to enhance tissue ingrowth within a PLA scaffold for nipple reconstruction.
ANNALS OF PLASTIC SURGERY
(2022)
Article
Materials Science, Multidisciplinary
B. Kim, J. M. Middendorf, N. Diamantides, C. Dugopolski, S. Kennedy, E. Blahut, I Cohen, N. Bouklas, L. J. Bonassar
Summary: This study investigates the relationship between scaffold architecture and mechanical response in collagen scaffolds used for tissue-engineered cartilage. It demonstrates that the differences in mechanical response between scaffold architectures are primarily detected at the micro-scale due to the disparity in pore architecture. Confocal strain mapping combined with digital image correlation is critical for designing and optimizing architectures for porous materials.
EXPERIMENTAL MECHANICS
(2022)
Article
Orthopedics
Karan Vishwanath, Scott R. McClure, Lawrence J. Bonassar
Summary: This study characterized the lubricating ability of pAAm hydrogel and revealed its effectiveness in lubricating both native and degraded cartilage explants, suggesting an affinity for the articulating surface of the cartilage.
JOURNAL OF ORTHOPAEDIC RESEARCH
(2023)
Article
Engineering, Biomedical
Nicole Diamantides, Leigh Slyker, Sara Martin, Marcos R. Rodriguez, Lawrence J. Bonassar
Summary: This study aimed to investigate the effects of high sugar concentrations and extended glycation times on high concentration collagen pre-glycation. It was found that successful collagen gelation and rheological properties were strongly dependent on the ratio of added sugars to added AGEs.
JOURNAL OF BIOMEDICAL MATERIALS RESEARCH PART A
(2022)
Article
Cell & Tissue Engineering
Xue Dong, Carly Askinas, Jongkil Kim, John E. Sherman, Lawrence J. Bonassar, Jason Spector
Summary: The challenge of limited auricular chondrocyte yield in clinical translation of tissue-engineered ear scaffolds for ear reconstruction was addressed by co-culturing human mesenchymal stem cells (hMSCs) with HAuCs to promote healthy elastic cartilage formation. The study successfully achieved shaped human elastic cartilage in external scaffolds by co-implanting hAuCs and hMSCs in collagen, highlighting a crucial step towards clinical translation of auricular tissue engineering.
JOURNAL OF TISSUE ENGINEERING AND REGENERATIVE MEDICINE
(2022)
Article
Multidisciplinary Sciences
Cameron Darkes-Burkey, Xiao Liu, Leigh Slyker, Jason Mulderrig, Wenyang Pan, Emmanuel P. Giannelis, Robert F. Shepherd, Lawrence J. Bonassar, Nikolaos Bouklas
Summary: This study demonstrates the development of stiff and tough biohybrid composites by combining collagen with a zwitterionic hydrogel through simple mixing. The resulting composite material exhibits mechanical properties similar to soft biological tissues such as articular cartilage. The addition of collagen increases the elastic modulus and toughness of the composite, while also improving cytocompatibility.
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA
(2022)
Article
Engineering, Biomedical
Jongkil Kim, Lawrence J. Bonassar
Summary: This study demonstrates the profound effects of gelation pH on cellular activity, collagen fibril structure, and mechanical properties of collagen gels. Acidic and basic gelation pH resulted in cell death, while neutral pH showed a relatively high cell viability. Physiologic gelation pH displayed the greatest collagen deposition, and collagen fibril structure was affected by gelation pH. The gelation pH also influenced the equilibrium modulus of the gels.
JOURNAL OF BIOMEDICAL MATERIALS RESEARCH PART A
(2023)
Article
Orthopedics
Sara E. Sacher, John P. Neri, Madeleine A. Gao, Erin C. Argentieri, Hollis G. Potter, Kevin M. Koch, Matthew F. Koff
Summary: This study used MAVRIC-based T2 Mapping technique to measure the T2 values of IPFP in TKA patients and found that these values are related to fat pad scarring and clinical MRI findings. T2 values were elevated in patients with severe scarring and osteolysis. This suggests that MAVRIC-based T2 Mapping can be used as a quantitative biomarker of postoperative IPFP scarring in TKA individuals.
JOURNAL OF ORTHOPAEDIC RESEARCH
(2023)
Article
Materials Science, Biomaterials
Serafina G. Lopez, Jongkil Kim, Lara A. Estroff, Lawrence J. Bonassar
Summary: In this study, the researchers removed proteoglycans (GAGs) from collagen gel-based tissue engineered constructs using chondroitinase ABC (cABC) and found that it improved collagen fiber alignment and mechanical properties without compromising compressive strength. The increased fiber organization also appeared to prevent the propagation of large defects under loading. This study provides a new method of modulating the extracellular matrix for improved collagen fiber formation and mechanical properties in tissue engineered constructs.
ACS BIOMATERIALS SCIENCE & ENGINEERING
(2023)
Review
Radiology, Nuclear Medicine & Medical Imaging
Elka B. Rubin, Andrew M. Schmidt, Matthew F. Koff, Feliks Kogan, Kenneth Gao, Sharmila Majumdar, Hollis Potter, Garry E. Gold
Summary: Magnetic resonance imaging (MRI) provides accurate and non-invasive diagnoses of lower extremity injuries in athletes. Sports medicine physicians use MRI to evaluate and diagnose injuries, track recovery, estimate return to sport timelines, and assess the risk of recurrent injury. Innovative quantitative MRI tools can advance our understanding of sports injury diagnosis, prevention, and treatment.
JOURNAL OF MAGNETIC RESONANCE IMAGING
(2023)
Article
Orthopedics
Jordan S. S. Broberg, Matthew F. F. Koff, James L. L. Howard, Brent A. A. Lanting, Hollis G. G. Potter, Matthew G. G. Teeter
Summary: This study used radiography, radiostereometric analysis (RSA), and magnetic resonance imaging (MRI) to investigate the fixation of cementless total knee arthroplasty. It found that early micromotion was associated with the presence of fibrous membranes at the component-bone interface, providing important clinical significance for understanding the fixation of modern cementless TKA.
JOURNAL OF ORTHOPAEDIC RESEARCH
(2023)
Article
Sport Sciences
Emily J. Davidson, Caroline Figgie, Joseph Nguyen, Valentina Pedoia, Sharmila Majumdar, Hollis G. Potter, Matthew F. Koff
Summary: After ACL injury, early and progressive chondral damage primarily affects the lateral tibiofemoral compartment, but chondral degeneration also occurs in other compartments of the injured and contralateral knee.
SPORTS HEALTH-A MULTIDISCIPLINARY APPROACH
(2023)