ADSC-Based Cell Therapies for Musculoskeletal Disorders: A Review of Recent Clinical Trials

Int J Mol Sci. 2021 Sep 30;22(19):10586. doi: 10.3390/ijms221910586.

Abstract

Recently published clinical trials involving the use of adipose-derived stem cells (ADSCs) indicated that approximately one-third of the studies were conducted on musculoskeletal disorders (MSD). MSD refers to a wide range of degenerative conditions of joints, bones, and muscles, and these conditions are the most common causes of chronic disability worldwide, being a major burden to the society. Conventional treatment modalities for MSD are not sufficient to correct the underlying structural abnormalities. Hence, ADSC-based cell therapies are being tested as a form of alternative, yet more effective, therapies in the management of MSDs. Therefore, in this review, MSDs subjected to the ADSC-based therapy were further categorized as arthritis, craniomaxillofacial defects, tendon/ligament related disorders, and spine disorders, and their brief characterization as well as the corresponding conventional therapeutic approaches with possible mechanisms with which ADSCs produce regenerative effects in disease-specific microenvironments were discussed to provide an overview of under which circumstances and on what bases the ADSC-based cell therapy was implemented. Providing an overview of the current status of ADSC-based cell therapy on MSDs can help to develop better and optimized strategies of ADSC-based therapeutics for MSDs as well as help to find novel clinical applications of ADSCs in the near future.

Keywords: adipose-derived stem cell; clinical trials; musculoskeletal disorders.

Publication types

  • Review

MeSH terms

  • Adipose Tissue / cytology*
  • Animals
  • Cell Differentiation
  • Cell- and Tissue-Based Therapy / methods*
  • Clinical Trials as Topic / methods
  • Clinical Trials as Topic / statistics & numerical data
  • Humans
  • Mesenchymal Stem Cells / cytology*
  • Musculoskeletal Diseases / pathology
  • Musculoskeletal Diseases / physiopathology
  • Musculoskeletal Diseases / therapy*
  • Regenerative Medicine / methods*
  • Stem Cell Transplantation / methods*