Ozeki et al. [49] |
Investigated the effects of single or repetitive intra-articular injections of Sy-MSCs |
Rat osteoarthritis model |
Periodic injections of Sy-MSCs maintained viable cells without losing their MSC properties in knees and inhibited osteoarthritis progression by secretion of trophic factors |
Schmal et al. [86] |
Compared the regenerative tissue quality following matrix-associated cell implantation using amplified chondrocytes compared to Sy-MSCs for cartilage lesions |
Osteochondral lesions in rabbit femur |
Cartilage regeneration following matrix-associated implantation using allogenic undifferentiated synovium-derived stem cells in a defect model in rabbits showed similar macroscopic results and collagen composition compared to amplified chondrocytes; however, biomechanical characteristics and histological scoring were inferior |
Pei et al. [87] |
Investigated engineered Sy-MSCs to repair allogeneic full-thickness femoral condyle cartilage |
Osteochondral lesions in rabbit knees |
Confirmed smooth hyaline cartilage from the regenerate cartilage after following it up for 6 months and hence allogeneic Sy-MSC based premature tissue constructs are a promising stem cell-based approach for cartilage defects |
Li et al. [88] |
To analyze cartilage repair tissue quality following Sy-MSCs transplantation in osteochondral defect |
Osteochondral lesions in rabbit knees |
Qualified the cartilage quality of the osteochondral lesions repaired through Sy-MSCs in rabbit knees revealed greater tissue quality in the treated animals |
Lee et al. [89] |
To determine the in-vivo effectiveness of Sy-MSCs encapsulated injectable PRP gel in the repair of damaged articular cartilage |
Osteochondral lesions in rabbit knees |
Platelet-rich plasma to deliver the Sy-MSCs to regenerate full-thickness chondral lesions. The treated group showed significant microscopic and macroscopic scores at 6 months follow-up |
Shimomura et al. [90] |
Combination therapy of Sy-MSCs with HA |
Full-thickness cartilage lesions in rabbits |
Subjects with Sy-MSCs and HA showed faster integration and improved osteochondral appearance while the controls demonstrated osteoarthritis-like features at 6-month follow-up |
Li et al. [53] |
Utilized Sy-MSCs from arthroscopic washing fluid loaded on to cross-linking hyper-branched polyPEGDA/HA hydrogel |
Full-thickness cartilage defects generated in a murine model |
Superior results obtained in repairing the chondral lesions compared to the controls or untreated groups. Human arthroscopic flushing fluid-MSCs are a novel and abundant MSC source that have high therapeutic value for cartilage regeneration |
Shimomura et al. [55] |
To assess the safety and efficacy of using a scaffold-free tissue-engineered construct (TEC) derived from autologous Sy-MSCs for effective cartilage repair |
Osteochondral lesions of human knees |
Autologous scaffold-free TEC derived from synovial MSCs may be used for regenerative cartilage repair via a sutureless and simple implantation procedure in osteochondral lesions of knee |
Sekiya et al. [92] |
To investigate the efficacy of Sy-MSC transplantation in cartilage defects |
Femoral condyle chondral lesions of human knees |
Transplantation of Sy-MSCs may be less invasive than mosaicplasty and autologous chondrocyte implantation and found superior in treating femoral osteochondral lesions |