2023
DOI: 10.1177/20417314231164765
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Regeneration of articular cartilage defects: Therapeutic strategies and perspectives

Abstract: Articular cartilage (AC), a bone-to-bone protective device made of up to 80% water and populated by only one cell type (i.e. chondrocyte), has limited capacity for regeneration and self-repair after being damaged because of its low cell density, alymphatic and avascular nature. Resulting repair of cartilage defects, such as osteoarthritis (OA), is highly challenging in clinical treatment. Fortunately, the development of tissue engineering provides a promising method for growing cells in cartilage regeneration … Show more

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Cited by 36 publications
(16 citation statements)
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“…Osteoarthritis is a chronic, degenerative joint disease characterized by the erosion of joint cartilage and inflammation, as well as degradation of the ECM [ 156 , 157 ]. Chondrocyte is the only type of cell found in cartilage, and the activity of chondrocyte is regulated by multiple inflammatory and metabolic factors [ 158 ]. Although METTL3 may help the chondrogenesis of BMSCs, the role of this m 6 A “writer” in the development of osteoarthritis was debatable [ 159 , 160 ].…”
Section: A Modification In Musculoskeletal Disordersmentioning
confidence: 99%
“…Osteoarthritis is a chronic, degenerative joint disease characterized by the erosion of joint cartilage and inflammation, as well as degradation of the ECM [ 156 , 157 ]. Chondrocyte is the only type of cell found in cartilage, and the activity of chondrocyte is regulated by multiple inflammatory and metabolic factors [ 158 ]. Although METTL3 may help the chondrogenesis of BMSCs, the role of this m 6 A “writer” in the development of osteoarthritis was debatable [ 159 , 160 ].…”
Section: A Modification In Musculoskeletal Disordersmentioning
confidence: 99%
“…Hyaline cartilage, also called articular cartilage is a connective tissue in nature which mainly consists of chondrocytes and extracellular matrix (ECM) containing abundant collagen fibers and proteoglycans ( Ortiz-Arrabal et al, 2021 ; Wu et al, 2021 ). The self-healing capability of damaged cartilage tissue is notably bounded due to features such as avascularity, neural and lymphatic characteristics, the poor migration ability of chondrocytes, and the small number of progenitor cells ( Ortiz-Arrabal et al, 2021 ; Guo et al, 2023 ), which may cause structural anomalies and malfunction( Redondo et al, 2018 ). Common surgical methods contain abrasion arthroplasty, drilling, and micro-fracture, but these techniques do not yield ideal results( Mobasheri et al, 2014 ), and the repair of cartilage defects is still a challenge for clinical surgeons ( Kwon et al, 2019 ; Xue et al, 2021 ).…”
Section: Introductionmentioning
confidence: 99%
“…Today, conservative treatments, such as physical therapy and pain-alleviating OA drugs, are used as the first treatment for OA [ 10 , 11 ]. When the disease advances, orthopedic techniques are timely options [ 12 ]. Regenerative tissue-engineering approaches have also been investigated more and more frequently taking advantage of various types of synthetic or natural scaffolds and chondrocytes/stem cells, bioactive factors, exosomes and even gene therapies with, for instance, anabolic factors or non-coding RNAs [ 12 ].…”
Section: Introductionmentioning
confidence: 99%