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. 2020 Jan 31;28(12):3827–3842. doi: 10.1007/s00167-020-05859-z

Table 3.

Overview of successful and fundamental pre-clinical studies that outline the safety and efficacy of BM-MSCs intra-articular injections (organised by animal model)

References Animal model Cell donor Sample size Severity of knee OA BM-MSC dosage Outcomes
Al Faqeh et al. [29] Sheep Autologous (chondrogenic-induced) n = 51

Surgically induced (monitored for 24 h)

3-weeks post: Sheep ran 100 m on hard surface daily for 3 weeks

1 Injection: 2 × 106 suspended in 10% foetal bovine serum Meniscal regeneration and retardation of the progression of OA
Diekman et al. [28] Mouse Autologous (purified) n = 11 Surgically induced: closed tibial plateau fracture

1 Injection: Experimental group: 1 × 105 cells in 6 µl saline

Control group: sterile saline solution

Efficacy in preventing OA
Murphy et al. [32] Goat Autologous n = 24 Surgically induced: 3-weeks post: Sheep ran on 90 m hard surface daily for 3 weeks

1 Injection: Experimental group: 10 × 106 suspended in 10% foetal bovine serum

Control group: injection of hyaluronan acid (HA)

Meniscal regeneration and retardation of progressive destruction
Lee et al. [31] Pig Autologous n = 27 Surgically induced

1 Injection: Group 1: MSCs with HA

Group 2: HA

Group 3: Saline solution

Cartilage repair
Gupta et al. [30] Rat Xenogeneic (human) n = 74 Monoiodoacetate (MIA)-induced model of OA

1 Injection: Group 1: sham control received 60 μl of Plasmalyte A

Group 2: vehicle control received 60 μl of Plasmalyte A

Group 3: 30 μl of HA and 30 μl of vehicle

2 Injections: Group 4: 6 × 105 of Stempeucel® and 30 μl of HA

Group 5: 1.3 × 106 of Stempeucel® and 30 μl of HA

Elicited pain reduction and cartilage regeneration
Suhaeb et al. [33] Rat Allogenic n = 36 MIA injection

1 Injection: Control: No treatment

Experimental group 1: 25 μl of HA

Experimental group 2: 3–5 × 106 cells

Experimental group 3: 3–5 × 106 cells + 25 μl of HA

Effective reduction of OA progression alone, compared with combined use of HA and BM-MSCs
Chiang et al. [27] Rabbit Allogenic n = 2 ACLT

1 Injection: Group 1: OA induction without treatment

Group 2: Sham operation

Group 3: 0.4 mL of HA

Group 4: 1 × 106 and 0.4 mL of HA

Reduced OA progression