Wharton's Jelly Mesenchymal Stem Cells: Shaping the Future of Osteoarthritis Therapy with Advancements in Chitosan-Hyaluronic Acid Scaffolds.

Ahed Ghamrawi, Rasha Basso, Nour Shakik, Lara Haddad, Zeina Nasr, Chaza Harmouch
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Abstract

This review explores the potential of Wharton's jelly-derived mesenchymal stem cells (WJ-MSCs) in cartilage regeneration and osteoarthritis treatment. It covers key factors influencing chondrogenesis, including growth factors, cytokines, and hypoxia, focusing on precise timing. The effectiveness of three-dimensional cultures and scaffold-based strategies in chondrogenic differentiation is discussed. Specific biomaterials such as chitosan and hyaluronic acid are highlighted for tissue engineering. The document reviews clinical applications, incorporating evidence from animal research and early trials and molecular and histological assessments of chondrogenic differentiation processes. It addresses challenges and strategies for optimizing MSC-derived chondrocyte therapy, emphasizing the immunomodulatory properties of these cells. The review concludes as a comprehensive road map for future research and clinical applications in regenerative medicine.

沃顿果冻间充质干细胞:通过壳聚糖-透明质酸支架的进步塑造骨关节炎治疗的未来。
这篇综述探讨了沃顿果冻衍生间充质干细胞(WJ-MSCs)在软骨再生和骨关节炎治疗中的潜力。它涵盖了影响软骨形成的关键因素,包括生长因子、细胞因子和缺氧,重点是精确的时间安排。讨论了三维培养和基于支架的软骨分化策略的有效性。重点介绍了用于组织工程的特定生物材料,如壳聚糖和透明质酸。文件回顾了临床应用,纳入了动物研究和早期试验的证据,以及软骨分化过程的分子和组织学评估。它探讨了优化间充质干细胞衍生软骨细胞疗法的挑战和策略,强调了这些细胞的免疫调节特性。综述最后为再生医学的未来研究和临床应用提供了一个全面的路线图。
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