Aim: To provide a systematic analysis of the study design in knee osteoarthritis (OA) preclinical studies, focusing on the characteristics of animal models and cell doses, and to compare these to the characteristics of clinical trials using mesenchymal stem cells (MSCs) for the treatment of knee OA.Method: A systematic and comprehensive search was conducted using the PubMed, Web of Science, Ovid, and Embase electronic databases for research papers published in 2009-2020 on testing MSC treatment in OA animal models. The PubMed database and ClinicalTrials.gov website were used to search for published studies reporting clinical trials of MSC therapy for knee OA.
Results:In total, 9234 articles and two additional records were retrieved, of which 120 studies comprising preclinical and clinical studies were included for analysis. Among the preclinical studies, rats were the most commonly used species for modeling knee OA, and anterior cruciate ligament transection was the most commonly used method for inducing OA. There was a correlation between the cell dose and body weight of the animal. In clinical trials, there was large variation in the dose of MSCs used to treat knee OA, ranging from 1 × 10 6 to 200 × 10 6 cells with an average of 37.91 × 10 6 cells.
Conclusion: Mesenchymal stem cells have shown great potential in improving pain relief and tissue protection in both preclinical and clinical studies of knee OA. Further high-quality preclinical and clinical studies are needed to explore the dose | 533 WANG et Al. Study Animal species Sample size OA modeling method Cell type Cell donor
A great deal of engineering effort is focused on developing stretchable strain sensors for human motion monitoring and wearable devices. The ultrasensitivity and fast response under tiny strain (1%) while maintaining the working range remain the grand challenge. In this work, we propose an entirely stretchable strain sensor based on the sandwich sensing film, which is fabricated by vacuum filtration of silver nanowires (AgNWs)/ graphene/ AgNWs in sequence and the injection of liquid metal as electrodes. The novel sandwich sensing film endows the stretchable strain sensor high sensitivity under tiny strain (Gauge factor = 111.5 at 1%), fast response (<10 ms), relative large working range (0%–35%) with a maximum gauge factor of 1403.7, followed by good linearity, long-term durability, and the recovery property from being overstretched (>100%). The excellent performance is due to the slippage of the inner graphene under tiny strain, whereas the ‘sewing’ phenomenon of the outer AgNWs under larger strain. The sandwich structure illustrates a better combination of graphene and AgNWs than other hybrid methods, showing great potential in wearable devices and soft robotics.
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