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. 2021 Nov 16;7(4):217. doi: 10.3390/gels7040217

Table 2.

Preclinical studies examining the use of MSC-laden hydrogels for cartilage engineering.

Author Year Animal; Defect Type Cell Source Hydrogel Study Setup Results
Kim et al. [23] 2011
  • Rabbits

  • osteochondral defects

BMSCs HA hydrogel
  • BMSCs + HA injection

  • BMSCs + 2 HA injections

  • BMSC injection

  • HA injections

  • No treatment

  • Macroscopic and histological examination with significantly improved healing of osteochondral defects compared to untreated groups

  • Superior histological results for BMSC + 2 HA injections

Lee et al. [75] 2007
  • Minipigs

  • femoral osteochondral defects

BMSCs HA hydrogel
  • BMSCs + hydrogels

  • Hydrogels

  • Saline

  • Superior histological and macroscopic results for cartilage repair when using BMSC-laden hydrogels compared to control groups

McIlwraith et al. [86] 2011
  • Horses

  • osteochondral defects femorotibial joint

BMSCs HA hydrogel
  • Microfracture + BMSC-laden HA hydrogels

  • Microfracture + HA hydrogels

  • No clinical or histological differences

  • Macroscopic and arthroscopic better tissue quality and higher aggrecan levels when adding BMSCs

Saw et al. [74] 2009
  • Goats

  • osteochondral defects

BMSCs HA hydrogel
  • Microfracture + BMSCs + 3 HA injections

  • Microfracture + 3 HA injections

  • No treatment

  • Successful cartilage repair with superior results in groups treated with HA injections and BMSCs

Chiang et al. [77] 2016
  • Rabbits

  • OA

BMSCs HA hydrogels
  • BMSCs + hydrogels

  • Hydrogels

  • No treatment

  • Improved histological cartilage scores and tissue content in BMSCs + hydrogels group

  • In addition, less cartilage loss and surface abrasion compared to other groups

Mokbel et al. [80] 2011
  • Donkeys

  • OA

BMSCs HA hydrogels
  • BMSCs + hydrogels

  • Hydrogels

  • Successful repair of cartilage defects in clinical and radiological evaluations in BMSC + hydrogel group compared with control groups

Sato et al. [79] 2012
  • Pigs

  • OA

BMSCs HA hydrogels
  • BMSCs + hydrogels

  • BMSCs

  • Hydrogels

  • Saline

  • Histological repair of cartilage defects only in group treated with the combination of BMSCs + hydrogels

  • Elevated collagen type II content in the group treated with BMSCs + hydrogels

Desando et al. [76] 2018
  • Rabbits

  • OA

BMSCs HA hydrogels
  • BMSCs

  • BMSCs + hydrogels

  • Bone marrow concentrate

  • Bone marrow concentrate + hydrogels

  • Successful joint repair evident in all groups

  • HA hydrogels enhance the migration of seeded cells to cartilage

  • BMSCs favor migration to meniscal tissue

  • Bone marrow concentrate favors migration to cartilage

Suhaeb et al. [78] 2012
  • Rats

  • OA

BMSCs HA hydrogels
  • BMSCs + hydrogels

  • BMSCs

  • Hydrogels

  • Better counteraction of OA progression when using Hydrogels and BMSCs alone compared to the combination of BMSCs + hydrogels

Pascual-Garrido et al. [83] 2019
  • Rabbits

  • Critical

  • chondral defect

  • in knee trochlea

BMSCs Novel photopoly-merizable hydrogel
  • BMSCs + hydrogels

  • Hydrogels

  • Untreated controls

  • Successful chondrogenesis of seeded BMSCs in vitro

  • Partial cartilage repair in rabbit models in vivo with

  • enhanced chondrogenic differentiation in BMSCs seeded in hydrogels

Critchley et al. [42] 2019
  • Rabbits

  • Osteochondral defects knee

BMSCs AL hydrogel
  • BMSCs + hydrogels

  • Untreated controls

  • Enhanced repair of cartilage defects with mechanically stable repair tissue in the group treated with BMSCs + hydrogels

Choi et al. [84] 2018
  • Rabbits

  • Femoral osteochondral defects

BMSCs GEL hydrogel
  • Hydrogels

  • BMSCs + hydrogels

  • BMSCS treated with resveratrol + hydrogels

  • Greater chondrogenic potential in BMSCs treated with resveratrol

  • Increased expression of chondrogenic marker genes and decreased expression of hypertrophic marker genes in BMSCs treated with resveratrol

Kim et al. [85] 2014
  • Rats

  • OA

BMSCs SAP hydrogels
  • BMSC + hydrogels

  • BMSCs

  • Hydrogels

  • Negative controls

  • Anti-inflammatory and chondroprotective effects, decrease in apoptosis markers in the group treated with BMSCs + hydrogels

  • Increased bone mineral density in the group treated with BMSCs + hydrogels

AL: alginate; BMSCs: bone marrow-derived MSCs; GEL: gelatin; HA: hyaluronic acid; OA: Osteoarthritis; SAP: self-assembled peptide.