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Here is a brief overview of what stem cell therapy entails and how it can help treat some rotator cuff tears: - How does stem cell therapy work for rotator cuff tears? Wu Y, Dong Y, Chen S, Li Y. In terms of chondrogenic genes, the genetically modified BMSCs with overexpressing BMP-13 showed no improvement in either biomechanical parameters or histological appearance in acute rotator cuff repair (Gulotta et al., 2011b). El Khatib, M., Mauro, A., Di Mattia, M., Wyrwa, R., Schweder, M., Ancora, M., et al.

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The Microstructure and Micromechanics of the Tendon-Bone Insertion. While the tendon-derived decellularized matrix promoted the tendinous phenotype in TSPCs and inhibited their osteogenesis, the dermal skin-derived collagen matrix had no apparent effect on TSPC differentiation (Yin et al., 2013). Schwab LM, Blanch P, Young M. Autologous tenocyte implantation into shoulder tendon pathology in an elite swimmer. When discussing stem cell therapy, it's important to understand that pure stem cells are not currently available to U. S. patients outside of a clinical research study. Correspondence: Guo-Xin Ni, † These authors have contributed equally to this work and share first authorship. Biomaterials 35 (21), 5627–5635. Galatz, L. M., Ball, C. M., Teefey, S. A., Middleton, W. D., and Yamaguchi, K. (2004). 1177/0363546507305015.

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No use, distribution or reproduction is permitted which does not comply with these terms. This form of regenerative medicine is considered a safe and effective treatment that does not involve the ethical concerns associated with fetal stem cells since adult stem cells are harvested directly from the patient's body. When a tear occurs in the rotator cuff, pain and weakness in the shoulder result. Keywords: rotator cuff, stem cell, extracellular vesicle, exosome, biologic, regenerative medicine.

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Story Source: Materials provided by Elsevier. Mesenchymal stem cells. Biomaterials are bioresorbable and gradually degraded so that tissues have sufficient space for regeneration as well as negligible immunogenicity and side effects locally and systematically (Garg et al., 2012). Once the three healing agents are separated, they are combined again, and the physician can inject the stem cells directly into the injured rotator cuff region to help regenerate tissue and accelerate healing. For patients with symptomatic partial-thickness rotator cuff tears (sPTRCT), surgery may not be the first-choice therapy; thus, many studies have used ADSC therapy as a regeneration strategy. 1 School of Sport Medicine and Rehabilitation, Beijing Sport University, Beijing, China. Yamada, T., Gotoh, M., Nakama, K., Mitsui, Y., Higuchi, F., and Nagata, K. Effects of Hyaluronan on Cell Proliferation and mRNA Expression of Procollagens α1 (I) and α1 (III) in Tendon-Derived Fibroblasts from Patients with Rotator Cuff Disease.

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Following a rotator cuff tear, the injured site undergoes a natural healing process involving three overlapping stages—inflammatory, proliferation, and remodeling (Docheva et al., 2015). Platelet-rich fibrin in arthroscopic repair of massive rotator cuff tears: a prospective randomized pilot clinical trial. Woo, C. H., Kim, H. K., Jung, G. Y., Jung, Y. J., Lee, K. S., Yun, Y. E., et al. Therefore, they have been used in various tissue repairs and regeneration procedures. The orthopedic specialist at Shoulder Clinic of Idaho can discuss the role of stem cell injections for patients with mild to moderate osteoarthritis, and for tendon injuries that have not responded to other conservative treatments. Multipotential Differentiation of Human Urine-Derived Stem Cells: Potential for Therapeutic Applications in Urology. 1615/critrevtherdrugcarriersyst.

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Conventional repair consists of operative surgical techniques or conservative treatments including physiotherapy; however, there is still a big issue in the increased risk of re-tearing of the tendons. 2009) explored using the insulin-like growth factor-I (IGF-1) gene enhanced BMSCs significantly improved tendon histological scores and reduced ECM degradation in collagenase-induced bilateral tendinitis lesions, but the benefit of IGF-1 gene enhancement was not obvious compared to untreated BMSCs. Previous studies have suggested that the subacromial bursa is an important source of pluripotent stem cell potency for tendon healing (Utsunomiya et al., 2013; Baldino et al., 2020). Notably, the most important impact of EVs on tissue regeneration is their immunomodulatory properties at both humoral and cellular levels. Results also demonstrated that PRP can reduce pain and increase functionality, strength, and vascularisation post-surgery. In addition, biomaterials containing magnetic elements have been developed to mechanically stimulate stem cells in tendon regeneration. Nevertheless, the detailed mechanism of TPSC-EVs is still poorly understood and needs further investigation. Various resident specialized cell types are found in this tissue, including osteoblasts, osteocytes, osteoclasts, fibrochondrocytes, and tenocytes.

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Stem cells have high proliferation, strong paracrine action, and multiple differentiation potential, which promote tendon remodeling and fibrocartilage formation and increase biomechanical strength. 1 Bone Marrow-Derived Mesenchymal Stem Cells. Picavet, H. S., and Schouten, J. The most well-established and widely used stem cell treatment is the transplantation of blood stem cells to treat diseases and conditions of the blood and immune system; or to restore the blood system after treatments for specific types of cancers. In some cases, patients with tendinopathy may have an increased risk of tendon rupture, especially among those in the older population (Yasui et al., 2017). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. The triple-helical collagen I molecules are assembled into fibrils that, in turn, form fibers, fascicles, and, ultimately, tendons. H., Bae, T. S., Kim, B. J., Cho, Y. W., and Jo, C. Regeneration of the Rotator Cuff Tendon-To-Bone Interface Using Umbilical Cord-Derived Mesenchymal Stem Cells and Gradient Extracellular Matrix Scaffolds from Adipose Tissue in a Rat Model.

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Lipner, J., Shen, H., Cavinatto, L., Liu, W., Havlioglu, N., Xia, Y., et al. The formation of scar tissue and the absence of fibrocartilage lead to the secretion of collagen III fibers rather than collagen I fibers. Mater 8 (15), e1900200. Several studies have investigated the utilization of TPSCs to treat tendon disorders in pre-clinical studies (Song et al., 2018). 2 Department of Ultrasound, West China Hospital, Sichuan University, Chengdu, China. Huang, Y., He, B., Wang, L., Yuan, B., Shu, H., Zhang, F., et al.

BMSC-derived EVs (BMSC-EVs) are widely used in the musculoskeletal regeneration field. A previous study reported BMSC-EVs can also suppress inflammation by increasing the expression of anti-inflammatory mediators IL-10 and IL-4 at an early phase of healing (Shi et al., 2019). 2022) demonstrated that the HUMSC-EVs laden injectable collagen could effectively promote bone-to-tendon healing via collagen maturation in the bone–tendon interface and prevent fatty degeneration of the rotator muscle at 4 weeks after rotator cuff repair. A variety of techniques have also been developed to achieve better specificity of separation, such as density gradients and size-exclusion chromatography (Théry et al., 2018). Liu, H., Zhang, M., Shi, M., Zhang, T., Lu, W., Yang, S., et al.

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