Use of mesenchymal stem cells in osteoarthritis

Authors

  • Hugo Esquivel-Solís Unidad de Biotecnología Médica y Farmacéutica. Centro de Investigación y Asistencia en Tecnología y Diseño del Estado de Jalisco, CIATEJ, Guadalajara.
  • Alejandro Arturo Canales-Aguirre Unidad de Biotecnología Médica y Farmacéutica. Centro de Investigación y Asistencia en Tecnología y Diseño del Estado de Jalisco, CIATEJ, Guadalajara.
  • Teresa Neri-Gómez Escuela Superior de Medicina del Instituto Politécnico Nacional, México, D.F.
  • N Emmanuel Díaz-Martínez Unidad de Biotecnología Médica y Farmacéutica. Centro de Investigación y Asistencia en Tecnología y Diseño del Estado de Jalisco, CIATEJ, Guadalajara.

Keywords:

Articular cartilage, osteoarthritis, tissue engineering, extracellular matrix, mesenchymal stem cells

Abstract

Joint pain is often caused by cartilage degeneration (osteoarthritis), a disease that represents a
serious medical problem affecting an important proportion of adults in Mexico. Almost none of
the current therapies employed to treat cartilage lesions has provided satisfactory results in the

long term because they neither solve the problem nor interrupt the progression of the degenera-
tive process. In the last decades, tissue engineering aimed at achieving cartilage regeneration

has emerged as a promising technique. This is due to recent advances in materials science on
the use of biodegradable and biocompatible implants, which has permitted the development
of artificial extracellular matrices with features very similar to those of native tissue. Scaffolds
of extracellular matrices in combination with transplantation of autologous mesenchymal stem
cells have permitted the restoration of damaged cartilage with a novel technique that offers
a promising avenue for cartilage tissue regeneration. The goal of this review is to provide an
overview of the current knowledge in the field of articular cartilage regeneration based on the
use of extracellular matrix scaffolds and mesenchymal stem cell implants.

Publication Facts

Metric
This article
Other articles
Peer reviewers 
0
2.4

Reviewer profiles  N/A

Author statements

Author statements
This article
Other articles
Data availability 
N/A
16%
External funding 
N/A
32%
Competing interests 
No
11%
Metric
This journal
Other journals
Articles accepted 
18%
33%
Days to publication 
26
145

Indexed in

Editor & editorial board
profiles
Academic society 
N/A

References

Lawrence JS, Bremner JM, Bier F, Osteo-arthrosis.

Prevalence in the population and relationship between

symptoms and x-ray changes. Ann Rheum Dis. 1966;

: 1-24.

Miralles G, Baudoin R, Dumas D, Baptiste D, Hubert P,

Stoltz JF et al. Sodium alginate sponges with or without

sodium hyaluronate: in vitro engineering of cartilage.

Journal of Biomedical Materials Research. 2001; 57:

-278.

Genes NG, Rowley JA, Mooney DJ, Bonassar LJ. Effect

of substrate mechanics on chondrocyte adhesion to

modifi ed alginate surfaces. Archives of Biochemistry

and Biophysics. 2004; 422: 161-167.

Park H, Temenoff JS, Holland TA, Tabata Y, Mikos AG.

Delivery of TGF-beta 1 and chondrocytes via injectable,

biodegradable hydrogels for cartilage tissue engineering

applications. Biomaterials. 2005; 26: 7095-7103.

Muller FA, Muller L, Hofmann I, Greil P, Wenzel MM,

Staudenmaier R. Cellulose-based scaffold materials

for cartilage tissue engineering. Biomaterials. 2006; 27:

-3963.

Vinatier C, Magne D, Moreau A, Gauthier O, Malard O,

Vignes-Colombeix C et al. Engineering cartilage with

human nasal chondrocytes and a silanized hydroxy-

propyl methylcellulose hydrogel. Journal of Biomedical

Materials Research. 2007; 80A: 66-74.

Lee CR, Breinan HA, Nehrer S, Spector M. Articular

cartilage chondrocytes in type I and type II collagen-

GAG matrices exhibit contractile behavior in vitro. Tissue

Engineering. 2000; 6: 555-565.

Lee CR, Grodzinsky AJ, Spector A. Biosynthetic res-

ponse of passaged chondrocytes in a type II collagen

scaffold to mechanical compression. Journal of Biome-

dical Materials Research. 2003; 64A: 560-569.

Liu X, Xu Y, Chen S, Tan Z, Xiong K, Li Y, Ye Y, Luo

ZP, He F, Gong Y. Rescue of proinfl ammatory cytokine-

inhibited chondrogenesis by the antiarthritic effect of

melatonin in synovium mesenchymal stem cells via

suppression of reactive oxygen species and matrix

metalloproteinases. Free Radic Biol Med. 2014; 68:

-46.

De Franceschi L, Grigolo B, Roseti L, Facchini A, Fini

M, Giavaresi G et al. Transplantation of chondrocytes

seeded on collagen-based scaffold in cartilage defects

in rabbits. Journal of Biomedical Materials Research.

; 75A: 612-622.

Li Q, Williams CG, Sun DD, Wang J, Leong K, Elis-

seeff JH. Photocross linkable polysaccharides based

on chondroitin sulfate. Journal of Biomedical Materials

Research. 2004; 68: 28-33.

Fan HB, Hu YY, Zhang CL, Li XS, Lv R, Qin L et al.

Cartilage regeneration using mesenchymal stem cells

and a PLGA-gelatin/chondroitin/hyaluronate hybrid

scaffold. Biomaterials. 2006; 27: 4573-4580.

Matsushita M1, Kitoh H, Kaneko H, Mishima K, Kado-

no I, Ishiguro N, Nishimura G. A novel SOX9 H169Q

mutation in a family with overlapping phenotype of mild

campomelic dysplasia and small patella syndrome. Am

J Med Genet. 2013; 161 (10): 2528-2534.

Liao J1, Hu N1, Zhou N1, Lin L1, Zhao C1, Yi S1 et

al. Sox9 potentiates BMP2-induced chondrogenic

differentiation and inhibits bmp2-induced osteogenic

differentiation. PLoS One. 2014; 9 (2): 89025.

Iyama K, Ninomiya Y, Olsen BR, Linsenmayer TF,

Trelstad RL, Hayashi M. Spatiotemporal pattern of type

X collagen gene expression and collagen deposition in

embryonic chick vertebrae undergoing endochondral

ossifi cation. Anat Rec. 1991; 229 (4): 462-472.

Pratap J, Galindo M, Zaidi SK, Vradii D, Bhat BM, Robin-

son JA et al. Cell growth regulatory role of Runx2 during

proliferative expansion of preosteoblasts. Cancer Res.

; 63 (17): 5357-5362.

Galindo M, Pratap J, Young DW, Hovhannisyan H, Im

HJ, Choi JY et al. The bone-specifi c expression of Runx2

oscillates during the cell cycle to support a G1-related

antiproliferative function in osteoblasts. J BiolChem.

; 280 (21): 20274-20285.

Brittberg M, Lindahl A, Nilsson A, Ohlsson C, Isaksson

O, Peterson L. Treatment of deep cartilage defects in

the knee with autologous chondrocyte transplantation.

N Engl J Med. 1994; 331 (14): 889-895.

Bahuaud J, Maitrot RC, Bouvet R, Kerdiles N, Tovagliaro

F, Synave J et al. Implantation of autologous chondro-

cytes for cartilagenous lesions in young patients. A study

of 24 cases. Chirurgie. 1998; 123 (6): 568-571.

Goodstone NJ, Cartwright A, Ashton B. Effects of high

molecular weight hyaluronan on chondrocytes cultured

within a resorbable gelatin sponge. Tiss Engin. 2004;

: 621-631.

Xia WY, Liu W, Cui L, Liu YC, Zhong W, Liu DL et al.

Tissue engineering of cartilage with the use of chitosan

gelatin complex scaffolds. Journal of Biomedical Mate-

rials Research Part B-Applied Biomaterials. 2004; 71B:

-380.

Hoshikawa A, Nakayama Y, Matsuda T, Oda H, Naka-

mura K, Mabuchi K. Encapsulation of chondrocytes

in photopolymerizable styrenated gelatin for cartilage

tissue engineering. Tiss Engin. 2006; 12: 2333-2341.

Sechriest VF, Miao YJ, Niyibizi C, Westerhausen-Larson

A, Matthew, HW, Evans CH et al. GAG-augmented

polysaccharide hydrogel: a novel biocompatible and

biodegradable material to support chondrogenesis. J

of Biomed Mat Res. 1999; 49: 534-541.

Nettles DL, Elder SH, Gilbert JA, Potential use of

chitosan as a cell scaffold material for cartilage tissue

engineering. Tiss Engin. 2002; 8: 1009-1016.

García-Carvajal Z, Garciadiego-Cázares D, Parra-Cid C,

Aguilar-Gaytán R, Velasquillo C, Ibarra C et al. Cartilage

tissue engineering: the role of extracellular matrix (ECM)

and novel strategies. En: Regenerative medicine and

tissue engineering. 2013. ISBN: 978-953-51-1108-5.

Li WJ, Danielson KG, Alexander PG, Tuan RS. Biological

response of chondrocytes cultured in three-dimensional

nanofi brous poly (epsiloncaprolactone) scaffolds. J of

Biomed Mat Res. 2003; Part A 67A: 1105-1114.

Shin HJ, Lee CH, Cho IH, Kim YJ, Lee YJ, Kim IA et al.

Electrospun PLGA nanofi ber scaffolds for articular car-

tilage reconstruction: mechanical stability, degradation

and cellular responses under mechanical stimulation in

vitro. J of Biomat. 2006; 17: 103-119.

Uematsu K, Hattori K, Ishimoto Y, Yamauchi J, Habata

T, Takakura Y et al. Cartilage regeneration using mes-

enchymal stem cells and a three-dimensional poly-lactic-

glycolic acid (PLGA) scaffold. Biomaterials. 2005; 26:

-4279.

Elisseeff J, McIntosh W, Anseth K, Riley S, Ragan P,

Langer R. Photoencapsulation of chondrocytes in poly

(ethylene oxide)-based semi interpenetrating networks.

J of Biomed Mat Res. 2000; 51: 164-171.

Bryant SJ, Bender RJ, Durand KL, Anseth KS. Encap-

sulating chondrocytes in degrading PEG hydrogels with

high modulus: engineering gel structural changes to

facilitate cartilaginous tissue production. Biotech and

Bioeng. 2004; 86: 747-755.

Holland TA, Tabata Y, Mikos AG. Dual growth factor

delivery from degradable oligo (poly [ethylene glycol]

fumarate) hydrogel scaffolds for cartilage tissue engi-

neering. J of ContRel. 2005; 101: 111-125.

Liao E, Yaszemski M, Krebsbach P, Hollister S. Tis-

sue-engineered cartilage constructs using composite

hyaluronic acid/collagen I hydrogels and designed poly

(propylene fumarate) scaffolds. Tiss Engin. 2007; 13:

-550.

Grad S, Kupcsik L, Gorna K, Gogolewski S, Alini M.

The use of biodegradable polyurethane scaffolds for

cartilage tissue engineering: potential and limitations.

Biomaterials. 2003; 24: 5163-5171.

Liu Y, Webb K, Kirker KR, Bernshaw NJ, Tresco PA,

Gray SD et al. Composite articular cartilage engineered

on a chondrocyte seeded aliphatic polyurethane sponge.

Tiss Engin. 2004; 10: 1084-1092.

Chia SL, Gorna K, Gogolewski S, Alini M. Biodegradable

elastomeric polyurethane membranes as chondrocyte

carriers for cartilage repair. Tiss Engin. 2006; 12: 1945-

Martens PJ, Bryant SJ, Anseth KS. Tailoring the degra-

dation of hydrogels formed from multivinyl poly (ethylene

glycol) and poly (vinyl alcohol) macromers for cartilage

tissue engineering. Biomacromol. 2003; 4: 283-292.

Bryant SJ, Bender RJ, Durand KL, Anseth KS. Encap-

sulating chondrocytes in degrading PEG hydrogels with

high modulus: engineering gel structural changes to

facilitate cartilaginous tissue production. Biotech and

Bioeng. 2004; 86: 747-755.

Buda, R. Osteochondral lesions of the knee: a new one-

step repair technique with bone marrow-derived cells.

The J of Bone and Joint Surg Am. 2010; 92: 2-11.

Matsumoto T. Articular cartilage repair with autologous

bone marrow mesenchymal cells. J of Cell Physiol. 2010;

: 291-295.

Nejadnik H, Hui JH, Feng Choong EP, Tai BC, Lee EH.

Autologous bone marrow derived mesenchymal stem

cells versus autologous chondrocyte implantation: an

observational cohort study. The Amer J of Sp Med.

; 38: 1110-1116.

Haleem AM. The clinical use of human culture-expanded

autologous bone marrow mesenchymal stem cells

transplanted on platelet-rich fi brin glue in the treatment

of articular cartilage defects: a pilot study and preliminary

results. Cartilage. 2010; 1: 253-261.

Kasemkijwattana C. Autologous bone marrow mesen-

chymal stem cells implantation for cartilage defects:

two cases report. J of the Med Assoc of Thail. 2011;

: 395-400.

Davatchi F, Abdollahi BS, Mohyeddin M, Shahram

F, Nikbin B. Mesenchymal stem cell therapy for knee

osteoarthritis. Preliminary report of four patients. Inter

J of Rheum Dis. 2011; 14: 211-215.

Koh YG. Mesenchymal stem cell injections improve

symptoms of knee osteoarthritis. Arthroscopy. 2013;

: 748-755.

Hauser RA, Orlofsky A. Regenerative injection therapy

with whole bone marrow aspirate for degenerative joint

disease: a case series. Clin Med Insights Arthritis Mus-

culoskelet Disord. 2013; 6: 65-72.

Burdick JA, Chung C, Jia XQ, Randolph MA, Langer

R. Controlled degradation and mechanical behavior of

photopolymerized hyaluronic acid networks. Biomacro-

molecules. 2005; 6: 386-391.

Chung C, Mesa J, Randolph MA, Yaremchuk M, Burdick

JA. Infl uence of gel properties on neocartilage forma-

tion by auricular chondrocytes photoencapsulated in

hyaluronic acid networks. J of Biom Mat Res. 2006; 77:

-525.

Mauck RL, Yuan X, Tuan RS. Chondrogenic differentia-

tion and functional maturation of bovine mesenchymal

stem cells in long-term agarose culture. Osteoart and

Cart. 2006; 14: 179-189.

Genes NG, Rowley JA, Mooney DJ, Bonassar LJ. Effect

of substrate mechanics on chondrocyte adhesion to

modifi ed alginate surfaces. Arch of Biochem and Bioph.

; 422: 161-167.

Park H, Temenoff JS, Holland TA, Tabata Y, Mikos AG.

Delivery of TGF-beta 1 and chondrocytes via injectable,

biodegradable hydrogels for cartilage tissue engineering

applications. Biomaterials. 2005; 26: 7095-7103.

Muller FA, Muller L, Hofmann I, Greil P, Wenzel MM,

Staudenmaier R. Cellulose-based scaffold materials

for cartilage tissue engineering. Biomaterials. 2006; 27:

-3963.

Vinatier C, Magne D, Moreau A, Gauthier O, Malard O,

Vignes-Colombeix C et al. Engineering cartilage with hu-

man nasal chondrocytes and a silanized hydroxypropyl

methylcellulose hydrogel. J of Biomed Mat Res. 2007;

A: 66-74.

De Franceschi L, Grigolo B, Roseti L, Facchini A, Fini

M, Giavaresi G et al. Transplantation of chondrocytes

seeded on collagen based scaffold in cartilage defects

in rabbits. J of Biomed Mat Res. 2005; 75A: 612-622.

Li Q, Williams CG, Sun DD, Wang J, Leong K, Elisseeff

JH. Photocross linkable polysaccharides based on chon-

droitin sulfate. J of Biomed Mat Res. 2004; 68: 28-33.

Fan HB, Hu YY, Zhang CL, Li XS, Lv R, Qin L et al.

Cartilage regeneration using mesenchymal stem cells

and a PLGA-gelatin/chondroitin/hyaluronate hybrid

scaffold. Biomaterials. 2006; 27: 4573-4580.

Uematsu K, Hattori K, Ishimoto Y, Yamauchi J, Habata T,

Takakura Y et al. Cartilage regeneration using mesenchy-

mal stem cells and a three-dimensional poly-lactic-glycolic

acid (PLGA) scaffold. Biomaterials. 2005; 26: 4273-4279.

Chen X, Zhang F, He X, Xu Y, Yang Z, Chen L, Chon-

drogenic differentiation of umbilical cord-derived mesen-

chymal stem cells in type I collagen-hydrogel for cartilage

engineering. Injury Int J Care Injured. 2013; 44: 540-549.

Hendriks JA, Moroni L, Riesle J, deWijn JR, van Blitter-

swijk CA. The effect of scaffold-cell entrapment capacity

and physico-chemical properties on cartilage regenera-

tion. Biomaterials. 2013; 34: 4259-4265.

Du M, Liang H, MouCh, Li X, Sun J, Zhuang Y et al.

Regulation of human mesenchymal stem cells differen-

tiation into chondrocytes in extracellular matrix-based

hydrogel scaffolds. Biointerfaces. 2014; 114: 316-323.

Coates EE, Riggin CN, Fisher JP, Photocross-linked

alginate with hyaluronic acid hydrogels as vehicles

for mesenchymal stem cell encapsulation and

chondrogenesis. J of Biomed Mat Res. 2013; 101:

-1970.

Brochhausen C, Sanchez N, Halstenberg S, Zehbe R,

Watzer B, Schmitt VH et al. Phenotypic differentiation

and cell cluster formation of cultured human articular

chondrocytes in three-dimensional oriented gelatin

scaffold in the presence of PGE2 - first results of a

pilot study. J of Biomed Mat Res. 2013; 101: 2374-

Published

2026-04-08

How to Cite

1.
Esquivel-Solís H, Canales-Aguirre AA, Neri-Gómez T, Díaz-Martínez NE. Use of mesenchymal stem cells in osteoarthritis. Invest. Discapacidad [Internet]. 2026 Apr. 8 [cited 2026 Apr. 8];3(2):77-86. Available from: https://dsm.inr.gob.mx/indiscap/index.php/INDISCAP/article/view/902

Issue

Section

Evidence synthesis and meta-research

Similar Articles

<< < 1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.