2008
DOI: 10.1089/ten.tea.2008.0297
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Chondrogenic Priming of Human Bone Marrow Stromal Cells: A Better Route to Bone Repair?

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Cited by 34 publications
(79 citation statements)
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“…This undesirable outcome results in terminal differentiation of chondrocytes, followed by ossification when transplanted in vivo subcutaneously [24,25] where they are exposed to high levels of vascularization, unlike articular cartilage. Recent studies argue that the observed terminal differentiation of in vitro differentiated MSCs is a direct result of the in vitro culture conditions, not of the natural differentiation process [50,51] inherent in these progenitor cells.…”
Section: Discussionmentioning
confidence: 99%
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“…This undesirable outcome results in terminal differentiation of chondrocytes, followed by ossification when transplanted in vivo subcutaneously [24,25] where they are exposed to high levels of vascularization, unlike articular cartilage. Recent studies argue that the observed terminal differentiation of in vitro differentiated MSCs is a direct result of the in vitro culture conditions, not of the natural differentiation process [50,51] inherent in these progenitor cells.…”
Section: Discussionmentioning
confidence: 99%
“…More recently, Cals et al have demonstrated that individual TGF-b subtypes orchestrate in vitro terminal differentiation [52]. Exploitation of these observations has lead to the in vitro chondrogenic priming of MSCs, followed by subsequent implantation and natural ossification, as an improved method to engineer bone for regenerative applications [24,53].…”
Section: Discussionmentioning
confidence: 99%
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“…However, the chondrogenic priming of human MSC in the absence of a scaffold [40], in distinct hydrogels [51], on a collagen-GAG scaffold [38] or on HA/TCP particles [50] had no [38,40,51] or little [50] success regarding heterotopic new bone formation in mice. Nevertheless, we were encouraged to use b-TCP particles in combination with chondrogenic priming to achieve or even enhance bone formation since b-TCP particles supported in vitro chondrogenesis of MSC of donor G. We have here provided evidence that, if human MSC pellets contain fibrin and b-TCP particles smaller than 1.4 mm, chondrogenic pre-induction can strongly support the endochondral formation of heterotopic bone, including haematopoietic tissue, while the same unprimed b-TCP/MSC composites underwent intramembranous bone formation without marrow attraction.…”
Section: Discussionmentioning
confidence: 99%
“…Unfortunately, no HA/TCP ceramic was included in these studies, so whether b-TCP and CDHA are inferior to the gold standard HA/TCP in ectopic bone formation capability could not be determined. In general, in vitro stimulation of MSC toward the osteogenic lineage before transplantation, intended as an approach to enhance or speed up intramembranous bone formation or overcome donor variability, yielded disappointing results independent of whether dexamethasone [14,37,38] or vitamin D [39] was used for osteogenic priming.…”
Section: Introductionmentioning
confidence: 99%