A New Tissue Engineering Strategy to Promote Tendon-bone Healing: Regulation of Osteogenic and Chondrogenic Differentiation of Tendon-derived Stem Cells.

IF 1.8 2区 医学 Q2 ORTHOPEDICS
Orthopaedic Surgery Pub Date : 2024-10-01 Epub Date: 2024-07-23 DOI:10.1111/os.14152
Sinuo Shen, Yucheng Lin, Jiachen Sun, Yuanhao Liu, Yuzhi Chen, Jun Lu
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Abstract

In the field of sports medicine, repair surgery for anterior cruciate ligament (ACL) and rotator cuff (RC) injuries are remarkably common. Despite the availability of relatively effective treatment modalities, outcomes often fall short of expectations. This comprehensive review aims to thoroughly examine current strategies employed to promote tendon-bone healing and analyze pertinent preclinical and clinical research. Amidst ongoing investigations, tendon-derived stem cells (TDSCs), which have comparatively limited prior exploration, have garnered increasing attention in the context of tendon-bone healing, emerging as a promising cell type for regenerative therapies. This review article delves into the potential of combining TDSCs with tissue engineering methods, with ACL reconstruction as the main focus. It comprehensively reviews relevant research on ACL and RC healing to address the issues of graft healing and bone tunnel integration. To optimize tendon-bone healing outcomes, our emphasis lies in not only reconstructing the original microstructure of the tendon-bone interface but also achieving proper bone tunnel integration, encompassing both cartilage and bone formation. In this endeavor, we thoroughly analyze the transcriptional and molecular regulatory variables governing TDSCs differentiation, incorporating a retrospective analysis utilizing single-cell sequencing, with the aim of unearthing relevant signaling pathways and processes. By presenting a novel strategy rooted in TDSCs-driven osteogenic and chondrogenic differentiation for tendon-bone healing, this study paves the way for potential future research avenues and promising therapeutic applications. It is anticipated that the findings herein will contribute to advancing the field of tendon-bone healing and foster the exploration of TDSCs as a viable option for regenerative therapies in the future.

Abstract Image

促进肌腱骨愈合的组织工程新策略:调节肌腱来源干细胞的成骨和软骨分化。
在运动医学领域,前交叉韧带(ACL)和肩袖(RC)损伤的修复手术非常常见。尽管有相对有效的治疗方法,但疗效往往不尽如人意。这篇综合综述旨在全面考察当前促进肌腱-骨骼愈合的策略,并分析相关的临床前和临床研究。在目前的研究中,腱源性干细胞(TDSCs)的研究相对有限,但在腱-骨愈合方面已引起越来越多的关注,成为再生疗法中一种很有前景的细胞类型。这篇综述文章以前交叉韧带重建为重点,深入探讨了 TDSCs 与组织工程方法相结合的潜力。文章全面回顾了前交叉韧带和RC愈合的相关研究,以解决移植物愈合和骨隧道整合的问题。为了优化肌腱-骨愈合效果,我们的重点不仅在于重建肌腱-骨界面的原始微观结构,还在于实现适当的骨隧道整合,包括软骨和骨的形成。在这项研究中,我们通过利用单细胞测序技术进行回顾性分析,对支配 TDSCs 分化的转录和分子调控变量进行了深入分析,旨在发现相关的信号通路和过程。本研究提出了一种根植于 TDSCs 驱动的成骨和软骨分化以促进肌腱骨愈合的新策略,为潜在的未来研究途径和有前景的治疗应用铺平了道路。预计本文的研究结果将有助于推动肌腱-骨骼愈合领域的发展,并促进将 TDSCs 探索为未来再生疗法的可行选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Orthopaedic Surgery
Orthopaedic Surgery ORTHOPEDICS-
CiteScore
3.40
自引率
14.30%
发文量
374
审稿时长
20 weeks
期刊介绍: Orthopaedic Surgery (OS) is the official journal of the Chinese Orthopaedic Association, focusing on all aspects of orthopaedic technique and surgery. The journal publishes peer-reviewed articles in the following categories: Original Articles, Clinical Articles, Review Articles, Guidelines, Editorials, Commentaries, Surgical Techniques, Case Reports and Meeting Reports.
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