“…6 One of the key cellular players in bone physiology is the osteoblast, a bone-forming cell derived from BM resident mesenchymal stromal cells (MSCs). BM-MSCs are selfrenewing in vivo, and the shift in their differentiation from osteogenic to adipogenic lineage with increase in age [7][8][9][10] can potentially affect osteoblast formation and bone remodeling, in general, and thus be a factor in OP and OA development and pathogenesis. In vitro expanded MSCs have broadly been defined by their adherence to plastic, ability to give rise to at least 3 cell lineages (adipogenic, osteogenic, and chondrogenic); presence of CD73, CD90, and CD105 surface molecules; and absence of CD11b or CD14, CD19 or CD79a, CD34, CD45, and human leukocyte antigen-antigen D related (human leukocyte antigen-antigen D related [HLA-DR])-as defined by the International Society for Cellular Therapy.…”