UCMSCs could preserve cartilage structure and attenuate OA progression induced by MIA injection. (A) Safranin O/Fast green staining of normal joints, vehicle, single injection of UCMSCs (UCMSCs × 1), three-time UCMSCs injection (UCMSCs × 3) and three-time CHO injection into MIA-induced rat knee OA. (Scale bars, 200 μm.) (B) and (C) Mankin and OARSI scores confirmed that both UCMSCs and CHO could significantly alleviate cartilage erosion triggered by MIA. Furthermore, repeated UCMSCs exhibited better effects compared with single dosing and three-time CHO injection. ∗∗p < 0.01, ∗∗∗p < 0.001 and ∗∗∗∗p < 0.0001. (D) Average thicknesses of articular cartilage in tibial plateau. ∗p < 0.05, ∗∗p < 0.01 and ∗∗∗∗p < 0.0001. (E) Percentages of uncalcified zone over the whole cartilage layer. ∗∗p < 0.01. Results are representative of at least three independent experiments and expressed as mean ± standard deviation. CHO = chondrocytes; MIA = monosodium iodoacetate; OA = osteoarthritis; UCMSCs = umbilical cord–derived mesenchymal stem cells; UCZ% = uncalcified cartilage zone thickness percentage, uncalcified cartilage thickness/total cartilage thickness × 100%.