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Frontiers in bioengineering and biotechnology2022; 10; 855095; doi: 10.3389/fbioe.2022.855095

MSC in Tendon and Joint Disease: The Context-Sensitive Link Between Targets and Therapeutic Mechanisms.

Abstract: Mesenchymal stromal cells (MSC) represent a promising treatment option for tendon disorders and joint diseases, primarily osteoarthritis. Since MSC are highly context-sensitive to their microenvironment, their therapeutic efficacy is influenced by their tissue-specific pathologically altered targets. These include not only cellular components, such as resident cells and invading immunocompetent cells, but also components of the tissue-characteristic extracellular matrix. Although numerous models have already shown potential MSC-related mechanisms of action in tendon and joint diseases, only a limited number reflect the disease-specific microenvironment and allow conclusions about well-directed MSC-based therapies for injured tendon and joint-associated tissues. In both injured tissue types, inflammatory processes play a pivotal pathophysiological role. In this context, MSC-mediated macrophage modulation seems to be an important mode of action across these tissues. Additional target cells of MSC applied in tendon and joint disorders include tenocytes, synoviocytes as well as other invading and resident immune cells. It remains of critical importance whether the context-sensitive interplay between MSC and tissue- and disease-specific targets results in an overall promotion or inhibition of the desired therapeutic effects. This review presents the authors' viewpoint on disease-related targets of MSC therapeutically applied in tendon and joint diseases, focusing on the equine patient as valid animal model.
Publication Date: 2022-04-04 PubMed ID: 35445006PubMed Central: PMC9015188DOI: 10.3389/fbioe.2022.855095Google Scholar: Lookup
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Summary

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The research article discusses the potential of using Mesenchymal stromal cells (MSCs) for treating tendon disorders and joint diseases like osteoarthritis, focusing on how the therapeutic efficiency of these cells is influenced by their disease-specific microenvironment and the mechanisms of action these cells could have in disease treatment.

Understanding Mesenchymal Stromal Cells (MSCs)

  • Mesenchymal stromal cells (MSCs) are cells that have the potential to develop into different types of cells, providing them with the ability to repair and regenerate various tissues. This forms the basis of their prospective use in disease treatment.
  • The paper states that MSCs are highly sensitive to their microenvironment, the context they are in, which means their operation, including therapeutic effects, are influenced by the specific environment they are presented with – in this case, disease-altered tissues.

Targets of MSCs in Tendon and Joint Diseases

  • The therapeutic efficacy of MSC is influenced by their tissue-specific pathologically altered targets. These include cellular components such as resident cells and invading immune cells, but also components of the tissue-characteristic extracellular matrix.
  • The paper presents that MSCs’ effectiveness in treating diseases isn’t just about their innate abilities, rather it is also greatly dependent on the altered state of the disease-ridden tissues they are being administered to.

MSC Mechanisms of Action in Tendon and Joint Diseases

  • The document discusses the fact that previous models have shown potential MSC-related mechanisms of action in diseases, though these do not always capture the disease-specific microenvironment which is critical for treatment success.
  • Specifically, in injured tendon and joint tissues, inflammatory processes play a significant role. From this perspective, the modulation of macrophages (a type of white blood cell) by MSCs is considered to be a pivotal mode of action.

Importance of Context-Sensitive Interplay

  • Ultimately, the article highlights the vital exploration of the context-sensitive relationship between MSCs and the specific targets in disease-ridden tissues. Understanding this would illuminate whether therapies would result in the promotion or inhibition of the desired therapeutic effects.
  • The researchers argue for more precise investigation to ascertain how this interplay works for specific diseases, particularly for tendon and joint disorders.

Incorporating an Animal Model

  • Given the complexity of this subject matter, the researchers suggest using the equine (horse) patient as a valid animal model. Such model usage is often critical in establishing a deeper understanding of biological processes, which cannot be readily ascertained from in vitro (test tube) studies or extrapolated from existing models using other animals.

Cite This Article

APA
Roth SP, Burk J, Brehm W, Troillet A. (2022). MSC in Tendon and Joint Disease: The Context-Sensitive Link Between Targets and Therapeutic Mechanisms. Front Bioeng Biotechnol, 10, 855095. https://doi.org/10.3389/fbioe.2022.855095

Publication

ISSN: 2296-4185
NlmUniqueID: 101632513
Country: Switzerland
Language: English
Volume: 10
Pages: 855095
PII: 855095

Researcher Affiliations

Roth, Susanne Pauline
  • Veterinary Teaching Hospital, Department for Horses, Veterinary Faculty, University of Leipzig, Leipzig, Germany.
Burk, Janina
  • Equine Clinic (Surgery, Orthopedics), Justus-Liebig-University Giessen, Giessen, Germany.
Brehm, Walter
  • Veterinary Teaching Hospital, Department for Horses, Veterinary Faculty, University of Leipzig, Leipzig, Germany.
Troillet, Antonia
  • Clinic for Horses, Ludwig-Maximilians-University of Munich, Munich, Germany.

Conflict of Interest Statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Citations

This article has been cited 1 times.
  1. Mayet A, Zablotski Y, Roth SP, Brehm W, Troillet A. Systematic review and meta-analysis of positive long-term effects after intra-articular administration of orthobiologic therapeutics in horses with naturally occurring osteoarthritis.. Front Vet Sci 2023;10:1125695.
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