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The Role of Bone Marrow-Derived Mesenchymal Stem Cells in Sports Injuries

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Bone and Cartilage Regeneration

Part of the book series: Stem Cells in Clinical Applications ((SCCA))

Abstract

Bone marrow-derived mesenchymal stem cells (BM-MSCs) have been used as treatment to various soft tissues prone to sport-related injuries. Injecting BM-MSCs directly into the defect is one of the techniques that have been applied. Although it is a method of minimal invasiveness, it has limitations that have been addressed with the utilisation of scaffolds. Collagen gel, poly-lactide-co-glycolide (PLGE) and coral are some of the scaffold options, with individual advantages and flaws under research. BM-MSCs are a unique tissue engineering raw material because they are harvested with minimally invasive aspiration, their proliferation rate in vitro is adequate and they preserve their potential for differentiation. Research so far has been mainly limited to small animals. Application and testing on large animals and humans are necessary.

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References

  • Agung M, Ochi M, Yanada S, Adachi N, Izuta Y, Yamasaki T, Toda K. Mobilization of bone marrow-derived mesenchymal stem cells into the injures tissues after intraarticular injection and their contribution to tissue regeneration. Knee Surg Sports Traumatol Arthrosc. 2006;14:1307–14.

    Article  PubMed  Google Scholar 

  • Angele P, Johnstone B, Kujat R, Zellner J, Nerlich M, Goldberg V, Yoo J. Stem cell based tissue engineering for meniscus repair. J Biomed Mater Res A. 2008;85A(2):445–55.

    Article  CAS  Google Scholar 

  • Angelidis IK, Thorfinn J, Connolly ID, Lindsey D, Pham HM, Chang J. Tissue engineering of flexor tendons: the effect of a tissue bioreactor on adipoderived stem cell–seeded and fibroblast-seeded tendon constructs. J Hand Surg. 2010;35(9):1466–72.

    Article  Google Scholar 

  • Aroen A, Loken S, Heir S, Alvik E, Ekeland A, Granlund O, Engebretsen L. Articular cartilage lesions in 993 consecutive knee arthroscopies. Am J Sports Med. 2004;32:211–5.

    Article  PubMed  Google Scholar 

  • Awad H, Butler D, Boivin G, Smith F, Malaviya P, Huibregtse B, Caplan A. Autologous mesenchymal stem cell-mediated repair of tendon. Tissue Eng. 1999;5(3):267–77.

    Article  CAS  PubMed  Google Scholar 

  • Ben-David D, Kizhner TA, Kohler T, Müller R, Livne E, Srouji S. Cell-scaffold transplant of hydrogel seeded with rat bone marrow progenitors for bone regeneration. J Cranio-Maxillofac Surg. 2011;39(5):364–71.

    Article  Google Scholar 

  • Bennell KL, Malcolm SA, Thomas SA, Wark JD, Brukner PD. The incidence and distribution of stress fractures in competitive track and field athletes. Am J Sports Med. 1996;24(2):211–7.

    Article  CAS  PubMed  Google Scholar 

  • Bruder SP, Kraus KH, Goldberg V, Kadiyala S. The effect of implants loaded with autologous mesenchymal stem cells on the healing of canine segmental bone defects. J Bone Joint Surg. 1998a;80(7):985–96.

    Article  CAS  PubMed  Google Scholar 

  • Bruder SP, Kurth AA, Shea M, Hayes WC, Jaiswal N, Kadiyala S. Bone regeneration by implantation of purified, culture-expanded human mesenchymal stem cells. J Orthop Res. 1998b;16(2):155–62.

    Article  CAS  PubMed  Google Scholar 

  • Buckwalter JA, Martin JA. Sports and osteoarthritis. Curr Opin Rheumatol. 2004 Sep;16(5):634–9.

    Google Scholar 

  • Charbord P, Livne E, Gross G, Häupl T, Neves NM, Marie P, Bianco P, Jorgensen C. Human bone marrow mesenchymal stem cells: a systematic reappraisal via the genostem experience. Stem Cell Rev. 2010;7(1):32–42.

    Article  Google Scholar 

  • Chong A, Ang A, Goh J, Hui J, Lim A, Lee E, Lim B. Bone marrow-derived mesenchymal stem cells influenced early tendon-healing in a rabbit Achilles tendon model. J Bone Joint Surg. 2007;89:74–81.

    PubMed  Google Scholar 

  • de la Garza-Rodea AS, van der Velde-van Dijke L, Boersma H, Gonçalves MA, van Bekkum DW, de Vries AA, Knaän-Shanzer S. Myogenic properties of human mesenchymal cells derived from three different sources. Cell Transplant. 2012;21(1):153–73.

    Google Scholar 

  • de Loes M. Medical treatment and costs of sports-related injuries in a total population. Int J Sports Med. 1990;11(1):66–72.

    Article  PubMed  Google Scholar 

  • Ferrari G, Cusella-De Angelis G, Coletta M, Paolucci E, Stornaiuolo A, Cossu G, Mavilio F. Muscle regeneration by bone marrow-derived myogenic progenitors. Science. 1998;279:1528–30.

    Article  CAS  PubMed  Google Scholar 

  • Fithian DC, Kelly M, Mow V. Material properties and structure-function relationships in the Menisci. Clin Orthop Relat Res. 1990 Mar;(252):19–31.

    Google Scholar 

  • Frank C. Ligament structure, physiology and function. J Musculoskel Neuron Interact. 2004;4(2):199–201.

    CAS  Google Scholar 

  • Fukashiro S, Komi P, Jarvinen M, Miyashita M. In vivo achilles tendon loading’ during jumping in humans. Eur J Appl Physiol Occup Physiol. 1995;71(5):453–8.

    Article  CAS  PubMed  Google Scholar 

  • Gillquist J, Messner K. Anterior cruciate ligament reconstruction and the long-term incidence of gonarthrosis. Sports Med. 1999;27(3):143–56.

    Article  CAS  PubMed  Google Scholar 

  • Gobbi A, Bathan L, Boldrini L. Primary repair combined with bone marrow stimulation in acute anterior Cruciate ligament lesions. Am J Sports Med. 2009;37(3):571–8.

    Article  PubMed  Google Scholar 

  • Granero-Molto F, Weis JA, Miga M, Landis B, Myers T, O'Rear L, Longobardi L, Duco Jansen E, Mortlock D, Spagnoli A. Regenerative effects of transplanted mesenchymal stem cells in fracture healing. Stem cells. 2009;27:1887–98.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Grigolo B, Lisignoli G, Desando G, Cavallo C, Marconi E, Tschon M, Giavaresi G, Fini M, Giardino R, Facchini A. Osteoarthritis treated with mesenchymal stem cells on hyaluronan-based scaffold in rabbit. Tissue Eng. 2009;15(4):647–58.

    Article  CAS  Google Scholar 

  • Gulotta LV, Kovacevic D, Montgomery S, Ehteshami JR, Packer JD, Rodeo SA. Stem cells genetically modified with the developmental gene MT1-MMP improve regeneration of the supraspinatus tendon-to-bone insertion site. Am J Sports Med. 2010;38(7):1429–37.

    Article  PubMed  Google Scholar 

  • Hangody L, Rathonyi G, Duska Z, Vasarhelyi G, Fules P, Modis L. Autologous osteochondral mosaicplasty: surgical technique. J Sci Med Sport. 2003;85a(2):25–32.

    Google Scholar 

  • Hunt S, Jazrawi L, Sherman O. Arthroscopic management of osteoarthritis of the knee. J Am Acad Orthop Surg. 2002;10:356–63.

    Article  PubMed  Google Scholar 

  • Im G, Kim D, Shin J, Hyun C, Cho W. Repair of cartilage defect in the rabbit with cultured mesenchymal stem cells from bone marrow. J Bone Joint Surg. 2001;83b;289–94.

    Google Scholar 

  • Izuta Y, Ochi M, Adachi N, Deie M, Yamasaki T, Shinomiya R. Meniscal repair using bone marrow-derived mesenchymal stem cells: experimental study using green fluorescent protein transgenic mice. Knee. 2001;12:217–23.

    Article  Google Scholar 

  • Jakob R, Franz T, Gautier E, Mainil-Varlet P. Autologous osteochondral grafting in the knee: indications, results, and reflections. Clin Orthop Relat Res. 2002;401:170–84.

    Article  Google Scholar 

  • Kagami H, Agata H, Tojo A. Bone marrow stromal cells (bone marrow-derived multipotent mesenchymal stromal cells) for bone tissue engineering: Basic science to clinical translation. Int J Biochem Cell Biol. 2011;43(3):286–9.

    Article  CAS  PubMed  Google Scholar 

  • Kanaya A, Deie M, Adachi N, Nishimori M, Yanada S, Ochi M. Intra-articular injection of mesenchymal stromal cells in partially torn anterior cruciate ligaments in a rat model. Arthroscopy. 2007;23(6):610–7.

    Article  PubMed  Google Scholar 

  • Kavalkovich, K., Murphy, J., & Barry, F. 2000, "Adhesion of mesenchymal stem cells to fibrillated osteoarthritic cartilage.", Osteoarthritis and Cartilage, vol. 8.

    Google Scholar 

  • Koen H, Roeland J. Patellar tendinopathy in athletes: Current diagnostic and therapeutic recommendations. Sports Med. 2005;35(1):71–87.

    Article  Google Scholar 

  • Kujala U, Kaprio J, Sarno S. Osteoarthritis of weight bearing joints of lower limbs in former elite male athletes. BMJ. 1994;308(6923):231–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kujala U, Sarna S, Kaprio J. Cumulative incidence of achilles tendon rupture and tendinopathy in male former elite athletes. Clin J Sport Med. 2005;15(3):133–5.

    Article  PubMed  Google Scholar 

  • Kvist M. Achilles tendon injuries in athletes. Sports Med. 1994;18(3):173–201.

    Article  CAS  PubMed  Google Scholar 

  • LaBarge MA, Blau HA. Biological progression from adult bone marrow to mononucleate muscle stem cell to multinucleate muscle fiber in response to injury. Cell. 2002;111(4):589–601.

    Article  CAS  PubMed  Google Scholar 

  • Lim J, Hui J, Li L, Thambyah A, Goh J, Lee E. Enhancement of tendon graft osteointegration using mesenchymal stem cells in a rabbit model of anterior cruciate ligament reconstruction. J Arthroscopic Relat Surg. 2004;20(9):899–910.

    Article  Google Scholar 

  • Lindqvist K, Timpka T, Bjurulf P. Injuries during leisure physical activity in a Swedish municipality. Scand J Public Health. 1996;24(4):282–92.

    Article  CAS  Google Scholar 

  • Lovati A, Corradetti B, Lange C, Recordati C, Bonacina E, Bizzaro D, Cremonesi F. Comparison of equine bone marrow-, umbilical cord matrix and amniotic fluid-derived progenitor cells. Vet Res Commun. 2011;35(2):103–21.

    Article  PubMed  Google Scholar 

  • Murphy J, Fink D, Hunziker E, Barry F. Stem cell therapy in a caprine model of osteoarthritis. Arthritis Rheum. 2003;48(12):3464–74.

    Article  PubMed  Google Scholar 

  • Nejadnik H, Hui J, Feng Choong E, Tai B, Lee E. Autologous bone marrow-derived mesenchymal stem cells versus autologous chondrocyte implantation. Am J Sports Med. 2010;38(6):1110–6.

    Article  PubMed  Google Scholar 

  • Nielsen A, Yde J. Epidemiology of acute knee injuries: a prospective hospital investigation. J Trauma. 1991;31(12):1644–8.

    Article  CAS  PubMed  Google Scholar 

  • Noyes F, Basset R, Grood E, Butler D. Arthroscopy in acute traumatic hemarthrosis of the knee. Incidence of anterior cruciate tears and other injuries. J Bone Joint Surg. 1980;62:687–95.

    Article  CAS  PubMed  Google Scholar 

  • O'Donaghue D. Surgical treatment of fresh injuries to the major ligaments of the knee. J Bone Joint Surg. 1950;32:721–37.

    Article  Google Scholar 

  • Orchard J, Wood T, Seward H, Broad A. Comparison of injuries in elite senior and junior Australian football. J Sci Med Sport. 1998;1(2):83–8.

    Article  CAS  PubMed  Google Scholar 

  • Ouyang HW, Goh JC, Thambyah A, Teoh SH, Lee EH. Knitted poly-lactide-co-glycolide scaffold loaded with bone marrow stromal cells in repair and regeneration of rabbit Achilles tendon. Tissue Eng. 2003;9(3):431–9.

    Article  CAS  PubMed  Google Scholar 

  • Ouyang HW, Goh J, Lee E. Use of bone marrow stromal cells for tendon graft-to-bone healing: histological and immunohistochemical studies in a rabbit model. Am J Sports Med. 2004;32:321–7.

    Article  PubMed  Google Scholar 

  • Petite H, Viateau V, Bensaid W, Meunier A, Pollack C, Bourguignon M, Oudina K, Sedel L, Guillemin G. Tissue-engineered bone regeneration. Nat Biotechnol. 2000;18:959–63.

    Article  CAS  PubMed  Google Scholar 

  • Pittenger M, Mackay A, Beck S, Jaiswal R, Douglas R, Mosca J, Moorman M, Simonetti D, Craig S, Marshak D. Multilineage potential of adult human mesenchymal stem cells. Science. 1999;284:143–7.

    Article  CAS  PubMed  Google Scholar 

  • Port J, Jackson DW, Lee TQ, Simon TM. Meniscal repair supplemented with exogenous fibrin clot and autogenous cultured marrow cells in the goat model. Am J Sports Med. 1996;24(4):547–55.

    Article  CAS  PubMed  Google Scholar 

  • Redman S, Oldfield S, Archer C. Current strategies for articular cartilage repair. Eur Cells Mater. 2005;9:23–32.

    Article  CAS  Google Scholar 

  • Roos H, Ornell M, Gardsell P, Lohmander L, Lindstrand A. Soccer after anterior cruciate ligament injury- an incompatible combination? A national survey of incidence and risk factors and a 7-year follow up of 310 players. Acta Orthop Scand. 1995;66(2):107–12.

    Article  CAS  PubMed  Google Scholar 

  • Shao X, Goh J, Hutmacher D, Lee E, Zigang G. Repair of large osteochondral defects using hybrid scaffolds and bone marrow-derived mesenchymal stem cells in a rabbit model. Tissue Eng. 2006;12(6):1539–51.

    Article  CAS  PubMed  Google Scholar 

  • Sherman M, Warren R, Marshall J, Savatsky G. A clinical and radiographical analysis of 127 anterior cruciate insufficient knees. Clin Orthop Relat Res. 1988;227:229–37.

    CAS  PubMed  Google Scholar 

  • Uematsu K, Hattori K, Ishimoto Y, Yamauchi J, Habata T, Takakura Y, Ohgushi H, Fukuchi T, Sato M. Cartilage regeneration using mesenchymal stem cells and a three-dimensional poly-lactic-glycolic acid (PLGA) scaffold. Biomaterials. 2005;26:4273–9.

    Article  CAS  PubMed  Google Scholar 

  • Van Eijk F, Saris D, Riesle J, Willems W, van Blitterswijk C, Verbout A, Dhert W. Tissue engineering of ligaments: a comparison of bone marrow stromal cells, anterior cruciate ligament, and skin fibroblasts as cell source. Tissue Eng. 2004;10(5–6):893–903.

    Article  PubMed  Google Scholar 

  • Wakitani S, Goto T, Pineda S, Young R, Mansour J, Kaplan A, Goldberg V. Mesenchymal cell-based repair of large, full-thickness defects of articular cartilage. J Bone Joint Surg. 1994;76:579–92.

    Article  CAS  PubMed  Google Scholar 

  • Wakitani S, Imoto K, Yamamoto T, Saito M, Murata N, Yoneda M. Human autologous culture expanded bone marrow mesenchymal cell transplantation for repair of cartilage defects in osteoarthritic knees. Osteoarthritis Cartilage. 2002;10:199–206.

    Article  CAS  PubMed  Google Scholar 

  • Walsh C, Goodman D, Caplan A, Goldberg V. Meniscus regeneration in a rabbit partial meniscectomy model. Tissue Eng. 1999;5(4):327–37.

    Article  CAS  PubMed  Google Scholar 

  • Williams R, Peterson L, Cole B. Cartilage repair strategies. Humana Press Inc.; 2007.

    Book  Google Scholar 

  • Wiss DA Stetson WB. Unstable fractures of the tibia treated with a reamed intramedullary interlocking nail. Clin Orthop Relat Res. 1995 Jun;(315):56–63.

    Google Scholar 

  • Zellner J, Mueller M, Berner A, Dienstknecht T, Kujat R, Nerlich M, Hennemann B, Koller M, Prantl L, Angele M, Angele P. Role of mesenchymal stem cells in tissue engineering of meniscus. J Biomed Mater Res A. 2010;94(4):1150–61.

    PubMed  Google Scholar 

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Correspondence to Atif A. Malik .

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Vris, A., Aresti, N., Khan, W.S., Malik, A.A. (2016). The Role of Bone Marrow-Derived Mesenchymal Stem Cells in Sports Injuries. In: Pham, P. (eds) Bone and Cartilage Regeneration. Stem Cells in Clinical Applications. Springer, Cham. https://doi.org/10.1007/978-3-319-40144-7_14

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