Abstract
The reconstruction and repair of large bone defects, resulting from trauma, cancer or metabolic disorders, is a major clinical challenge in orthopaedics. Clinically available biological and synthetic grafts have clear limitations that necessitate the development of new graft materials and/or strategies. Human mesenchymal stem cells (MSCs), obtained from the adult bone marrow, are multipotent cells capable of differentiating into various mesenchymal tissues. Of particular interest is the ability of these cells to differentiate into osteoblasts, or bone-forming cells. At Osiris, we have extensively characterized MSCs and have demonstrated MSCs can induce bone repair when implanted in vivo in combination with a biphasic calcium phosphate, specifically hydroxyapatite/tricalcium phosphate. This article reviews previous and current studies utilizing mesenchymal stem cells and biphasic calcium phosphates in bone repair.
Similar content being viewed by others
References
M. F. Pittenger, A. M. Mackay, S. C. Beck, R. K. Jaiswal, R. Douglas, J. Mosca, M. A. Moorman, D. W. Simonetti, S. Craig and D. R. Marshak, Science 284 (1999) 143.
A. I. Caplan, D. J. Fink, T. Goto, A. E. Linton, R. G. Young, S. Wakitani, V. Goldberg and S. E. Haynesworth, in “The Anterior Cruciate Ligament: Current and Future Concepts” (Raven Press, New York, 1993) p. 405.
N. Jaiswal, S. E. Haynesworth, A. I. Caplan and S. P. Bruder, J. Cell. Biochem. 64 (1997) 295.
A. Friedenstein, R. Chailakhyan and U. V. Gerasimov, Cell Tissue Kinet. 20 (1987) 263.
D. P. Lennon, S. E. Haynesworth, S. P. Bruder, N. Jaiswal and A. I. Caplan, In Vitro Cell. Dev. Biol. Animal 32 (1996) 602.
J. N. Beresford, Clin. Orthop. 240 (1989) 270.
S. Haynesworth, M. Baber and A. Caplan, J. Cell. Physiol. 138 (1992) 8.
S. Kadiyala, R. G. Young, M. A. Thiede and S. P. Bruder, Cell Transplan. 6 (1997) 125.
M. J. Yaszemski, R. G. Payne, W. C. Hayes, R. Langer and A. G. Mikos, Biomaterials 17 (1996) 175.
A. Gazdag, J. Lane, D. Glaser and R. Forster, J. Am. Acad. Orthop. Surg. 3 (1995) 1.
X. Li, S. Stevenson, L. Klein, D. Davy, J. Shaffer and V. Goldberg, Acta Anat. Basel 140 (1991) 236.
D. Ehrler and A. Vaccaro, Clin. Orthop. 371 (2000) 38.
W. Head, T. Malinin, T. Mallory and R. Emerson, Orthop. Clin. North Am. 29 (1998) 307.
A. Aho, T. Ekfors, P. Dean, H. Aro, A. Ahonen and V. Nikkanen, Clin. Orthop. 307 (1994) 200.
D. Garbuz, B. Masri and A. Czitrom, Orthop. Clin. North Am. 29 (1998) 199.
L. L. Hench, J. Am. Ceram. Soc. 74 (1991) 1487.
E. C. Shors, Orthop. Clin. North Am. 30 (1999) 599.
R. Z. Legeros, Adv. Dental Res. 2 (1988) 164.
P. Patka, G. Den Otter, K. De Groot and A. Driessen, Neth. J. Surg. 37 (1985) 38.
G. Daculsi, N. Passuti, S. Martin, C. Deudon, R. Z. Legeros and S. Raher, J. Biomed. Mater. Res. 24 (1990) 379.
M. Marcacci, E. Kon, S. Zaffagnini, R. Giardino, M. Rocca, A. Corsi, A. Benvenuti, P. Bianco, R. Quarto, I. Martin, A. Muraglia and R. Cancedda, Calcif. Tissue. Int. 64 (1999) 83.
K. Johnson, K. Frierson, T. Keller, C. Cook, R. Scheinberg, J. Zerwekh, L. Meyers and M. Sciadini, J. Orthop. Res. 14 (1996) 351.
C. Friedman, P. Costantino, C. Synderman, L. Chow and S. Takagi, Arch. Facial Plast. Surg. 2 (2000) 124.
O. Gauthier, J. M. Bouler, E. Aguado, P. Pilet and G. Daculsi, Biometerials 19 (1998) 133.
E. J. G. Schepers and P. Ducheyne, J. Oral Rehab. 24 (1997) 171.
Y. Matsusue, T. Kotake, Y. Nakagawa and T. Nakamura, Arthroscopy 17 (2001) 653.
D. Buser, B. Hoffmann, J. Bernard, A. Lussi, D. Mettler and R. Schenk, Clin. Oral. Implants Res. 9 (1998) 137.
K. Hamson, J. Toth, J. Stiehl and K. Lynch, Calcif. Tissue Int. 57 (1995) 64.
H. Ohgushi, Y. Dohi, T. Yoshikawa, S. Tamai, S. Tabata, K. Okunaga and T. Shibuya, J. Biomed. Mater. Res. 32 (1996) 341.
J. Toquet, R. Rohanizadeh, J. Guicheux, S. Couillaud, N. Passuti, G. Daculsi and D. Heymann, ibid. 44 (1999) 98.
T. Livingston, P. Ducheyne and J. Garino, ibid. (2002) in press.
S. Haynesworth, J. Goshima, V. Goldberg and A. Caplan, Bone 13 (1992) 81.
T. A. Einhorn, J. M. Lane, A. H. Burstein, C. R. Kopman and V. J. Vigorita, J. Bone Joint Surg. Am. 66-A (1984) 274.
M. Nottebaert, J. M. Lane, A. Juhn, A. Burnstein, R. Schneider, C. Klein, R. S. Sinn, C. Dowling, C. Cornell and M. Catsimpoolas, J. Orthop. Res. 7 (1989) 157.
S. Kadiyala, N. Jaiswal and S. P. Bruder, Tiss. Eng. 3 (1997) 173.
S. P. Bruder, A. A. Kurth, M. Shea, W. C. Hayes, N. Jaiswal and S. Kadiyala, J. Orthop. Res. 16 (1998) 155.
S. P. Bruder, K. H. Kraus, V. M. Goldberg and S. Kadiyala, J. Bone. Joint Surg. 80-A (1998) 985.
G. Daculsi, Biomaterials 19 (1998) 1473.
T. L. Livingston, G. Dalcusi, M. Elkalay and S. Kadiyala, Am. Soc. Artificial Internal Organs J. 46 (2000) 238.
K. Mcintosh and A. Bartholomew, Graft 3 (2000) 324.
S. Devine, S. Peter, B. J. Martin, F. Barry and K. Mcintosh, Cancer J. 7 (2001) S76.
W. E. Braun, Am. J. Med. Sci. 313 (1997) 279.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Livingston, T.L., Gordon, S., Archambault, M. et al. Mesenchymal stem cells combined with biphasic calcium phosphate ceramics promote bone regeneration. Journal of Materials Science: Materials in Medicine 14, 211–218 (2003). https://doi.org/10.1023/A:1022824505404
Issue Date:
DOI: https://doi.org/10.1023/A:1022824505404