Exploring Orthopedic Stem-Cell Approaches for Osteoarthritis Management: Current Trends and Future Horizons

Purpose of Review Osteoarthritis (OA) is a prevalent and debilitating condition characterized by joint degeneration and pain. Current treatment options aim to alleviate symptoms and slow disease progression but lack curative potential. Stem cell therapies have emerged as a promising alternative. This article explores the epidemiology, pathophysiology, clinical manifestations of hip and knee OA, and the evolving role of stem cell therapies in their treatment. Recent Findings The global prevalence of OA, with knee OA being the most common form, has fueled the demand for stem cell therapies. Despite limited robust evidence supporting their efficacy, clinical trials investigating stem-cell treatments for OA have reported encouraging radiological and clinical improvements. Stem cell therapies offer potential disease-modifying benefits through immunomodulatory actions, growth factor secretion, and chondrogenic capabilities. Adipose-derived mesenchymal stem cells (ADMSCs) have shown promise in clinical trials for OA treatment, offering potential pain relief and functional improvement. ADMSCs possess advantages such as accessibility and a favorable safety profile, making them a viable option for OA management. Although other stem-cell types, including human embryonic stem cells (hESCs) and induced pluripotent stem cells (iPSCs), have been used in OA treatment, ADMSCs have demonstrated superior outcomes. Summary By providing a comprehensive overview of the evolving landscape of stem cell therapies for hip and knee OA, this article highlights the potential of stem-cell treatments to address the limitations of current therapies. However, further research is required to establish their long-term efficacy, identify optimal stem-cell types, and develop standardized protocols..

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:28

Enthalten in:

Current Review of Pain - 28(2023), 1 vom: 27. Nov., Seite 27-35

Sprache:

Englisch

Beteiligte Personen:

Ehioghae, Mark [VerfasserIn]
Vippa, Tarun K. [VerfasserIn]
Askins, Dorothy [VerfasserIn]
Slusarczyk, Sonia [VerfasserIn]
Bobo, Elena [VerfasserIn]
Montoya, Alexis [VerfasserIn]
Anderson, Danyon [VerfasserIn]
Robinson, Christopher L. [VerfasserIn]
Kaye, Alan D. [VerfasserIn]
Urits, Ivan [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Cartilage regeneration
Conservative treatment
Mesenchymal stem cell
Orthopedics
Osteoarthritis
Stem cell

Anmerkungen:

© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1007/s11916-023-01191-6

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

SPR054640725