Analyze Diet
Cytotherapy2013; 15(8); 1011-1020; doi: 10.1016/j.jcyt.2013.03.002

Investigating the efficacy of amnion-derived compared with bone marrow-derived mesenchymal stromal cells in equine tendon and ligament injuries.

Abstract: This is the first study to compare the treatment of horse tendon and ligament injuries with the use of mesenchymal stromal cells (MSCs) obtained from two different sources: amniotic membrane (AMSCs) and bone marrow (BM-MSCs). The objective was to prove the ability of AMSCs to exert beneficial effects in vivo. Methods: Five million allogeneic frozen-thawed AMSCs or autologous fresh BM-MSCs were injected intralesionally in horses belonging to group A (51 horses) and group B (44 horses). The interval lesion/implantation was of 6-15 days for the AMSCs and 16-35 days for the BM-MSCs. Healing was assessed clinically and ultrasonographically. Follow-up was monitored for 2 further years from return to full work. Results: No significant adverse effects after MSCs treatment were seen in any of the horses studied, independent of the type of stromal cell implanted. All animals belonging to group A resumed their activities between 4-5 months after treatment, whereas animals of group B resumed their activities after 4-12 months. The rate of re-injury in horses treated with AMSCs is lower (4.00%) compared with the average observed when horses were treated with BM-MSCs (23.08%). Conclusions: The possibility to inject allogeneic AMSCs in real time, before any ultrasonographic change occurs within the injured tendon and ligament, together with the higher plasticity and proliferative capacity of these cells compared with BM-MSCs, represents the main features of interest for this novel approach for the treatment of equine tendon diseases. An obvious active proliferative healing in the area injected with AMSCs makes these cells more effective than BM-MSCs.
Publication Date: 2013-04-17 PubMed ID: 23602577DOI: 10.1016/j.jcyt.2013.03.002Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Comparative Study
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research aimed to compare the effectiveness of using mesenchymal stromal cells (MSCs) from two different sources, the amnion and bone marrow, in treating horse tendon and ligament injuries. The results indicated that treatment with amnion-derived MSCs is more effective than bone marrow-derived MSCs, with quicker recovery times and a lower rate of re-injury.

Research Methods

  • The researchers used two groups of horses to compare the treatment effects of amnion-derived mesenchymal stromal cells (AMSCs) and bone marrow-derived mesenchymal stromal cells (BM-MSCs).
  • Group A, consisting of 51 horses, received injections of AMSCs, while Group B, consisting of 44 horses, were treated with BM-MSCs.
  • The horses received treatment within specific timeframes after lesion occurrence, with the AMSC group receiving treatment between 6-15 days post-lesion and the BM-MSC group between 16-35 days post-lesion.
  • The researchers monitored the healing process of the horses clinically and ultrasonographically, observing the horses for an additional two years after they returned to full activity.

Results

  • The study found no significantly harmful effects from either type of MSC treatment.
  • All horses in Group A (that received AMSCs) resumed their activities within 4-5 months post-treatment, while those in Group B (treated with BM-MSCs) took notably longer, resuming activities 4-12 months post-treatment.
  • The rate of re-injury was also significantly lower in Group A (with only 4% experiencing re-injury) compared to Group B (with a re-injury rate of 23.08%).

Conclusions

  • The results of this study suggest that AMSCs may be more effective than BM-MSCs in the treatment of horse tendon and ligament injuries.
  • AMSCs can be injected in real-time (before ultrasonographic changes occur in the injured tendon or ligament), which may contribute to their increased effectiveness.
  • Additionally, the higher plasticity and proliferative capacity of AMSCs may make them a preferable treatment option compared to BM-MSCs, evident by the observable proliferative healing in the area injected with AMSCs.

Cite This Article

APA
Lange-Consiglio A, Tassan S, Corradetti B, Meucci A, Perego R, Bizzaro D, Cremonesi F. (2013). Investigating the efficacy of amnion-derived compared with bone marrow-derived mesenchymal stromal cells in equine tendon and ligament injuries. Cytotherapy, 15(8), 1011-1020. https://doi.org/10.1016/j.jcyt.2013.03.002

Publication

ISSN: 1477-2566
NlmUniqueID: 100895309
Country: England
Language: English
Volume: 15
Issue: 8
Pages: 1011-1020
PII: S1465-3249(13)00449-0

Researcher Affiliations

Lange-Consiglio, Anna
  • Università degli Studi di Milano, Large Animal Hospital, Reproduction Unit, Lodi, Italy.
Tassan, Stefano
    Corradetti, Bruna
      Meucci, Aurora
        Perego, Roberta
          Bizzaro, Davide
            Cremonesi, Fausto

              MeSH Terms

              • Amnion / cytology
              • Animals
              • Bone Marrow Cells / cytology
              • Cell Culture Techniques
              • Cell Differentiation
              • Cell- and Tissue-Based Therapy
              • Cells, Cultured
              • Female
              • Horses
              • Ligaments / injuries
              • Male
              • Mesenchymal Stem Cell Transplantation / veterinary
              • Mesenchymal Stem Cells / cytology
              • Tendon Injuries / therapy
              • Tendon Injuries / veterinary
              • Transplantation, Homologous / veterinary
              • Wound Healing

              Citations

              This article has been cited 27 times.
              1. Banu SA, Mamachan M, El-Husseiny HM, Golchin A, Sharun K. Mesenchymal stem cell therapy in veterinary orthopaedics: Evidence from canine clinical medicine. Vet Res Commun 2025 Aug 28;49(5):290.
                doi: 10.1007/s11259-025-10843-4pubmed: 40875146google scholar: lookup
              2. Morawska-Kozłowska M, Pitas M, Zhalniarovich Y. Mesenchymal Stem Cells in Veterinary Medicine-Still Untapped Potential. Animals (Basel) 2025 Apr 19;15(8).
                doi: 10.3390/ani15081175pubmed: 40282009google scholar: lookup
              3. Vaiasicca S, James DW, Melone G, Saeed O, Francis LW, Corradetti B. Amniotic fluid-derived mesenchymal stem cells as a therapeutic tool against cytokine storm: a comparison with umbilical cord counterparts. Stem Cell Res Ther 2025 Mar 28;16(1):151.
                doi: 10.1186/s13287-025-04262-0pubmed: 40156072google scholar: lookup
              4. Pill SG, Ahearn B, Tokish JM, Cook C, Siffri PJ, Mercuri JJ, Burnikel B, Cassas KJ, Wyland DJ, Sawvell E, Wright N, Hutchinson J, Bynarowicz T, Adams KJ, Kissenberth MJ. Amniotic Tissue Injections Are an Effective Alternative to Corticosteroid Injections for Pain Relief and Function in Patients With Severe Knee Osteoarthritis: A Double-Blind, Randomized, Prospective Study. J Am Acad Orthop Surg Glob Res Rev 2025 Jan 1;9(1).
              5. O'Brien TJ, Hollinshead F, Goodrich LR. Extracellular vesicles in the treatment and prevention of osteoarthritis: can horses help us translate this therapy to humans?. Extracell Vesicles Circ Nucl Acids 2023 Jun;4(2):151-169.
                doi: 10.20517/evcna.2023.11pubmed: 37829144google scholar: lookup
              6. Ning C, Li P, Gao C, Fu L, Liao Z, Tian G, Yin H, Li M, Sui X, Yuan Z, Liu S, Guo Q. Recent advances in tendon tissue engineering strategy. Front Bioeng Biotechnol 2023;11:1115312.
                doi: 10.3389/fbioe.2023.1115312pubmed: 36890920google scholar: lookup
              7. Quintero D, Perucca Orfei C, Kaplan LD, de Girolamo L, Best TM, Kouroupis D. The roles and therapeutic potentialof mesenchymal stem/stromal cells and their extracellular vesicles in tendinopathies. Front Bioeng Biotechnol 2023;11:1040762.
                doi: 10.3389/fbioe.2023.1040762pubmed: 36741745google scholar: lookup
              8. Iacono E, Lanci A, Gugole P, Merlo B. Shipping Temperature, Time and Media Effects on Equine Wharton's Jelly and Adipose Tissue Derived Mesenchymal Stromal Cells Characteristics. Animals (Basel) 2022 Aug 3;12(15).
                doi: 10.3390/ani12151967pubmed: 35953956google scholar: lookup
              9. Russo V, El Khatib M, Prencipe G, Citeroni MR, Faydaver M, Mauro A, Berardinelli P, Cerveró-Varona A, Haidar-Montes AA, Turriani M, Di Giacinto O, Raspa M, Scavizzi F, Bonaventura F, Stöckl J, Barboni B. Tendon Immune Regeneration: Insights on the Synergetic Role of Stem and Immune Cells during Tendon Regeneration. Cells 2022 Jan 27;11(3).
                doi: 10.3390/cells11030434pubmed: 35159244google scholar: lookup
              10. Lange-Consiglio A, Capra E, Herrera V, Lang-Olip I, Ponsaerts P, Cremonesi F. Application of Perinatal Derivatives in Ovarian Diseases. Front Bioeng Biotechnol 2022;10:811875.
                doi: 10.3389/fbioe.2022.811875pubmed: 35141212google scholar: lookup
              11. Orlandin JR, Gomes IDS, Sallum Leandro SF, Fuertes Cagnim A, Casals JB, Carregaro AB, Freitas SH, Machado LC, Reis Castiglioni MC, Garcia Alves AL, de Vasconcelos Machado VM, Ambrósio CE. Treatment of Chronic Spinal Cord Injury in Dogs Using Amniotic Membrane-Derived Stem Cells: Preliminary Results. Stem Cells Cloning 2021;14:39-49.
                doi: 10.2147/SCCAA.S324184pubmed: 34703247google scholar: lookup
              12. Citeroni MR, Mauro A, Ciardulli MC, Di Mattia M, El Khatib M, Russo V, Turriani M, Santer M, Della Porta G, Maffulli N, Forsyth NR, Barboni B. Amnion-Derived Teno-Inductive Secretomes: A Novel Approach to Foster Tendon Differentiation and Regeneration in an Ovine Model. Front Bioeng Biotechnol 2021;9:649288.
                doi: 10.3389/fbioe.2021.649288pubmed: 33777919google scholar: lookup
              13. Kamm JL, Riley CB, Parlane N, Gee EK, McIlwraith CW. Interactions Between Allogeneic Mesenchymal Stromal Cells and the Recipient Immune System: A Comparative Review With Relevance to Equine Outcomes. Front Vet Sci 2020;7:617647.
                doi: 10.3389/fvets.2020.617647pubmed: 33521090google scholar: lookup
              14. Ribitsch I, Oreff GL, Jenner F. Regenerative Medicine for Equine Musculoskeletal Diseases. Animals (Basel) 2021 Jan 19;11(1).
                doi: 10.3390/ani11010234pubmed: 33477808google scholar: lookup
              15. Ambrósio CE, Orlandin JR, Oliveira VC, Motta LCB, Pinto PAF, Pereira VM, Padoveze LR, Karam RG, Pinheiro AO. Potential application of aminiotic stem cells in veterinary medicine. Anim Reprod 2020 May 22;16(1):24-30.
              16. Citeroni MR, Ciardulli MC, Russo V, Della Porta G, Mauro A, El Khatib M, Di Mattia M, Galesso D, Barbera C, Forsyth NR, Maffulli N, Barboni B. In Vitro Innovation of Tendon Tissue Engineering Strategies. Int J Mol Sci 2020 Sep 14;21(18).
                doi: 10.3390/ijms21186726pubmed: 32937830google scholar: lookup
              17. Lui PPY. Mesenchymal Stem Cell-Derived Extracellular Vesicles for the Promotion of Tendon Repair - an Update of Literature. Stem Cell Rev Rep 2021 Apr;17(2):379-389.
                doi: 10.1007/s12015-020-10023-8pubmed: 32785869google scholar: lookup
              18. Huddleston HP, Cohn MR, Haunschild ED, Wong SE, Farr J, Yanke AB. Amniotic Product Treatments: Clinical and Basic Science Evidence. Curr Rev Musculoskelet Med 2020 Apr;13(2):148-154.
                doi: 10.1007/s12178-020-09614-2pubmed: 32076938google scholar: lookup
              19. Merlo B, Teti G, Lanci A, Burk J, Mazzotti E, Falconi M, Iacono E. Comparison between adult and foetal adnexa derived equine post-natal mesenchymal stem cells. BMC Vet Res 2019 Aug 2;15(1):277.
                doi: 10.1186/s12917-019-2023-5pubmed: 31375144google scholar: lookup
              20. Lange-Consiglio A, Lazzari B, Perrini C, Pizzi F, Stella A, Cremonesi F, Capra E. MicroRNAs of Equine Amniotic Mesenchymal Cell-derived Microvesicles and Their Involvement in Anti-inflammatory Processes. Cell Transplant 2018 Jan;27(1):45-54.
                doi: 10.1177/0963689717724796pubmed: 29562776google scholar: lookup
              21. Barboni B, Russo V, Berardinelli P, Mauro A, Valbonetti L, Sanyal H, Canciello A, Greco L, Muttini A, Gatta V, Stuppia L, Mattioli M. Placental Stem Cells from Domestic Animals: Translational Potential and Clinical Relevance. Cell Transplant 2018 Jan;27(1):93-116.
                doi: 10.1177/0963689717724797pubmed: 29562773google scholar: lookup
              22. Schröck C, Eydt C, Geburek F, Kaiser L, Päbst F, Burk J, Pfarrer C, Staszyk C. Bone marrow-derived multipotent mesenchymal stromal cells from horses after euthanasia. Vet Med Sci 2017 Nov;3(4):239-251.
                doi: 10.1002/vms3.74pubmed: 29152317google scholar: lookup
              23. Corradetti B, Taraballi F, Martinez JO, Minardi S, Basu N, Bauza G, Evangelopoulos M, Powell S, Corbo C, Tasciotti E. Hyaluronic acid coatings as a simple and efficient approach to improve MSC homing toward the site of inflammation. Sci Rep 2017 Aug 11;7(1):7991.
                doi: 10.1038/s41598-017-08687-3pubmed: 28801676google scholar: lookup
              24. Canciello A, Russo V, Berardinelli P, Bernabò N, Muttini A, Mattioli M, Barboni B. Progesterone prevents epithelial-mesenchymal transition of ovine amniotic epithelial cells and enhances their immunomodulatory properties. Sci Rep 2017 Jun 19;7(1):3761.
                doi: 10.1038/s41598-017-03908-1pubmed: 28630448google scholar: lookup
              25. Fernandez-Moure JS, Corradetti B, Chan P, Van Eps JL, Janecek T, Rameshwar P, Weiner BK, Tasciotti E. Enhanced osteogenic potential of mesenchymal stem cells from cortical bone: a comparative analysis. Stem Cell Res Ther 2015 Oct 26;6:203.
                doi: 10.1186/s13287-015-0193-zpubmed: 26503337google scholar: lookup
              26. Martino NA, Reshkin SJ, Ciani E, Dell'Aquila ME. Calcium-sensing receptor-mediated osteogenic and early-stage neurogenic differentiation in umbilical cord matrix mesenchymal stem cells from a large animal model. PLoS One 2014;9(11):e111533.
                doi: 10.1371/journal.pone.0111533pubmed: 25379789google scholar: lookup
              27. Corradetti B, Correani A, Romaldini A, Marini MG, Bizzaro D, Perrini C, Cremonesi F, Lange-Consiglio A. Amniotic membrane-derived mesenchymal cells and their conditioned media: potential candidates for uterine regenerative therapy in the horse. PLoS One 2014;9(10):e111324.
                doi: 10.1371/journal.pone.0111324pubmed: 25360561google scholar: lookup