Open AccessTomorrow's skeleton staff: mesenchymal stem cells and the repair of bone and cartilage
Author(s) -
Otto W. R.,
Rao J.
Publication year - 2004
Publication title -
cell proliferation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.647
H-Index - 74
eISSN - 1365-2184
pISSN - 0960-7722
DOI - 10.1111/j.1365-2184.2004.00303.x
Subject(s) - mesenchymal stem cell , stem cell , microbiology and biotechnology , wnt signaling pathway , clinical uses of mesenchymal stem cells , stem cell transplantation for articular cartilage repair , biology , adult stem cell , cellular differentiation , cartilage , immunology , cancer research , neuroscience , anatomy , signal transduction , genetics , gene
. Stem cells are regenerating medicine. Advances in stem cell biology, and bone marrow‐derived mesenchymal stem cells in particular, are demonstrating that many clinical options once thought to be science fiction may be attainable as fact. The extra‐ and intra‐cellular signalling used by stem cells as they differentiate into lineages appropriate to their destination are becoming understood. Thus, the growth stimuli afforded by LIF, FGF‐2 and HGF, as well as the complementary roles of Wnt and Dickkopf‐1 in stem cell proliferation are evident. The ability to direct multi‐lineage mesenchymal stem sell (MSC) potential towards an osteogenic phenotype by stimulation with Menin and Shh are important, as are the modulatory roles of Notch‐1 and PPARγ. Control of chondrocytic differentiation is effected by interplay of Brachyury, BMP‐4 and TGFβ3. Smads 1, 4 and 5 also play a role in these phenotypic expressions. The ability to culture MSC has led to their use in tissue repair, both as precursor and differentiated cell substitutes, and with successful animal models of bone and cartilage repair using MSC, their clinical use is accelerating. However, MSC also suppress some T‐cell functions in transplanted hosts, and could facilitate tumour growth, so a cautious approach is needed.