间充质干细胞关节腔注射治疗膝骨关节炎的临床研究进展
Research Progress of Mesenchymal Stem Cell Intra-Articular Injection in the Treatment of Keen Osteoarthritis
DOI: 10.12677/ACM.2024.143705, PDF,   
作者: 马军涛:黑龙江中医药大学研究生院,黑龙江 哈尔滨;田 泽:广西中医药大学瑞康医院神经内科二区,广西 南宁;孟宪宇*:黑龙江中医药大学附属第一医院骨伤二科,黑龙江 哈尔滨
关键词: 间充质干细胞药注射治疗膝骨关节炎动物实验临床试验Mesenchymal Stem Cells Injection Therapy Knee Osteoarthritis Animal Experiment Clinical Trials
摘要: 随着人口老龄化不断加剧,膝骨关节炎(keen osteoarthritis, KOA)发病率逐步升高,目前中国大陆地区中老年患者KOA的发病率为8.1%,自体间充质干细胞(mesenchymal stem Cell, MSC)治疗KOA作为一种新兴的治疗手段,目前已有大量动物实验和临床试验,本综述通过检索“PubMed数据库”,“CNKI数据库”中近5年的动物实验、临床试验,通过归纳总结,对MSc治疗KOA的最新进展进行评述。
Abstract: With the aging of the population, the incidence of knee osteoarthritis is gradually increasing. At present, the incidence of KOA in middle-aged and elderly patients in mainland China is 8.1%. Au-tologous mesenchymal stem cells are used to treat KOA as a new treatment method. At present, there are a large number of animal experiments and clinical trials. With the aging of the population, the incidence of knee osteoarthritis (KOA) is gradually increasing. At present, the incidence of KOA in middle-aged and elderly patients in mainland China is 8.1%. Autologous mesenchymal stem cells (MSC) are used to treat KOA as a new treatment method. There are a large number of animal ex-periments and clinical trials. This review summarizes the animal experiments and clinical trials in the past 5 years by searching the “PubMed database” and “CNKI database”. By summarizing, the latest progress of MSc in the treatment of KOA is reviewed.
文章引用:马军涛, 田泽, 孟宪宇. 间充质干细胞关节腔注射治疗膝骨关节炎的临床研究进展[J]. 临床医学进展, 2024, 14(3): 332-337. https://doi.org/10.12677/ACM.2024.143705

参考文献

[1] Wei, P. and Bao, R. (2022) Intra-Articular Mesenchymal Stem Cell Injection for Knee Osteoarthritis: Mechanisms and Clinical Evidence. International Journal of Molecular Sciences, 24, Article No. 59. [Google Scholar] [CrossRef] [PubMed]
[2] 杨文华, 李娟红. 干细胞治疗骨关节炎的研究进展[J]. 中国疼痛医学杂志, 2023, 29(8): 565-571.
[3] 王宪峰, 王锟, 孙晗, 等. 脐带间充质干细胞外泌体LncRNA H19修复软骨损伤的机制[J]. 中国组织工程研究, 2024, 28(1): 20-25.
[4] 曹娟, 丁从珠, 陆邦超, 等. 脐带间质干细胞对骨关节炎的治疗作用及机制研究[J]. 中华老年医学杂志, 2018, 37(1): 79-83.
[5] Lubis, A.M.T., Aprianto, P., Pawitan, J.A., Priosoeryanto, B.P., Dewi, T.I.T. and Kamal, A.F. (2023) Intra-Articular Injection of Secretome, Derived from Umbilical Cord Mesenchymal Stem Cell, Enhances the Regeneration Process of Cartilage in Early-Stage Osteo-Arthritis: An Animal Study. Acta Orthopaedica, 94, 300-306. [Google Scholar] [CrossRef] [PubMed]
[6] 陈鹏, 石小田, 郭宇, 等. 骨髓间充质干细胞移植联合龙鳖胶囊修复膝骨关节炎[J]. 中国组织工程研究, 2019, 23(5): 797-802.
[7] 李巍, 冼呈, 赵劲民, 等. 骨髓间充质干细胞移植联合川芎嗪膝关节腔注射治疗兔膝关节骨关节炎[J]. 中国组织工程研究, 2019, 23(5): 668-672.
[8] 岑芊瑶, 刘江源, 曾庆贺, 等. 补肾活血方联合人脐带血间充质干细胞修复小鼠膝关节软骨缺损的实验研究[J]. 中医正骨, 2023, 35(12): 5-13+24.
[9] 廖晴, 李保建, 李洋, 等. 低强度脉冲超声介导骨髓间充质干细胞促进膝骨关节炎软骨修复[J]. 中国组织工程研究, 2021, 25(31): 4950-4955.
[10] 李伟, 李政楠, 王秀娟, 等. 人源脐带间充质干细胞对膝骨关节炎模型大鼠的治疗作用[J]. 药物评价研究, 2020, 43(12): 2380-2384.
[11] 闫文鑫, 张烨, 郭景玥, 等. 间充质干细胞注射液对大鼠膝骨关节炎的影响[J]. 药物评价研究, 2023, 46(10): 2179-2185.
[12] 李松林, 刘培来, 卢群山, 等. 胫骨高位截骨术联合自体脂肪间充质干细胞注射在膝关节软骨修复中的应用[J]. 山东大学学报(医学版), 2020, 58(7): 82-88.
[13] 孙月, 刘欣伟, 向杜磊, 等. 人脐带血间充质干细胞治疗膝关节骨关节炎疗效研究[J]. 创伤与急危重病医学, 2022, 10(1): 7-10. [Google Scholar] [CrossRef
[14] 白朝奇, 封鹏, 张雪艳等. 关节镜清理联合自体骨髓间充质干细胞移植对膝骨关节炎患者疼痛程度、炎症介质及膝关节功能的影响[J]. 海南医学, 2020, 31(17): 2203-2206.
[15] Shapiro, S.A., Kazmerchak, S.E., Heckman, M.G., Zubair, A.C. and O’Connor, M.I. (2017) A Pro-spective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis. The American Journal of Sports Medicine, 45, 82-90. [Google Scholar] [CrossRef] [PubMed]
[16] Lee, W.S., Kim, H.J., Kim, K.I., Kim, G.B. and Jin, W. (2019) Intra-Articular Injection of Autologous Adipose Tissue-Derived Mesen-chymal Stem Cells for the Treatment of Knee Osteoarthritis: A Phase IIb, Randomized, Placebo-Controlled Clinical Trial. Stem Cells Translational Medicine, 8, 504-511. [Google Scholar] [CrossRef] [PubMed]
[17] Khalifeh, S.S., Forogh, B., Ahmadbeigi, N., Hadizadeh, K.H., Fallahzadeh, K., Kashani, L., Karami, M., Kheyrollah, Y. and Vasei, M. (2019) Safety and Efficacy of Allogenic Placental Mesenchymal Stem Cells for Treating Knee Osteoarthritis: A Pilot Study. Cy-totherapy, 21, 54-63. [Google Scholar] [CrossRef] [PubMed]
[18] Vega, A., Martín-Ferrero, M.A., Del Canto, F., Alberca, M., García, V., Munar, A., Orozco, L., Soler, R., Fuertes, J.J., Huguet, M., Sánchez, A. and García-Sancho, J. (2015) Treatment of Knee Osteoarthritis with Allogeneic Bone Marrow Mesenchymal Stem Cells: A Randomized Controlled Trial. Transplantation, 99, 1681-1690. [Google Scholar] [CrossRef
[19] Matas, J., Orrego, M., Amenabar, D., Infante, C., Tapia-Limonchi, R., Cadiz, M.I., Alcayaga-Miranda, F., González, PL., Muse, E., Khoury, M., Figueroa, F.E. and Espi-noza, F. (2019) Umbilical Cord-Derived Mesenchymal Stromal Cells (MSCs) for Knee Osteoarthritis: Repeated MSC Dosing Is Superior to a Single MSC Dose and to Hyaluronic Acid in a Controlled Randomized Phase I/II Trial. Stem Cells Translational Medicine, 8, 215-224. [Google Scholar] [CrossRef] [PubMed]
[20] Lu, L., Dai, C., Zhang, Z., Du, H., Li, S., Ye, P., Fu, Q., Zhang, L., Wu, X., Dong, Y., Song, Y., Zhao, D., Pang, Y. and Bao, C. (2019) Treatment of Knee Osteoarthritis with Intra-Articular In-jection of Autologous Adipose-Derived Mesenchymal Progenitor Cells: A Prospective, Randomized, Double-Blind, Ac-tive-Controlled, Phase IIb Clinical Trial. Stem Cell Research & Therapy, 10, Article No. 143. [Google Scholar] [CrossRef] [PubMed]
[21] Kim, Y.S., Suh, D.S., Tak, D.H., Chung, P.K., Kwon, Y.B., Kim, T.Y. and Koh, Y.G. (2020) Comparative Matched-Pair Cohort Analysis of the Short-Term Clinical Outcomes of Mes-enchymal Stem Cells versus Hyaluronic Acid Treatments through Intra-Articular Injections for Knee Osteoarthritis. Journal of Experimental Orthopaedics, 7, Article No. 90. [Google Scholar] [CrossRef] [PubMed]
[22] Lamo-Espinosa, J.M., Blanco, J.F., Sánchez, M., Moreno, V., Granero-Moltó, F., Sánchez-Guijo, F., Crespo-Cullel, Í., Mora, G., San Vicente, D.D., Pompei-Fernández, O., Aquerreta, J.D., Núñez-Córdoba, J.M., Vitoria Sola, M., Valentí-Azcárate, A., Andreu, E.J., Del Consuelo Del Cañizo, M., Valentí-Nin, J.R. and Prósper, F. (2020) Phase II Multicenter Randomized Controlled Clinical Trial on the Efficacy of Intra-Articular Injection of Autologous Bone Marrow Mesenchymal Stem Cells with Platelet Rich Plasma for the Treat-ment of Knee Osteoarthritis. Journal of Translational Medicine, 18, Article No. 356. [Google Scholar] [CrossRef] [PubMed]
[23] Woodell-May, J., Matuska, A., Oyster, M., Welch, Z., O’Shaughnessey, K. and Hoeppner, J. (2011) Autologous Protein Solution Inhibits MMP-13 Production by IL-1β and TNFα-Stimulated Human Articular Chondrocytes. Journal of Orthopaedic Research, 29, 1320-1326. [Google Scholar] [CrossRef] [PubMed]
[24] Tang, X.B., Dong, P.L., Wang, J., Zhou, H.Y., Zhang, H.X. and Wang, S.Z. (2015) Effect of Autologous Platelet-Rich Plasma on the Chondrogenic Differentiation of Rabbit Adipose-Derived Stem Cells in Vitro. Experimental and Therapeutic Medicine, 10, 477-483. [Google Scholar] [CrossRef] [PubMed]
[25] Elder, S. and Thomason, J. (2014) Effect of Platelet-Rich Plasma on Chondrogenic Differentiation in Three-Dimensional Culture. The Open Orthopaedics Journal, 8, 78-84. [Google Scholar] [CrossRef] [PubMed]
[26] 苏杭, 金龙浩, 梅皓, 等. PRP联合HA治疗膝骨性关节炎疗效及安全性的Meta分析[J]. 中国老年学杂志, 2024, 44(1): 48-53.
[27] Bastos, R., Mathias, M., Andrade, R., Bastos, R., Balduino, A., Schott, V., Rodeo, S. and Espregueira-Mendes, J. (2018) Intra-Articular Injections of Expand-ed Mesenchymal Stem Cells with and without Addition of Platelet-Rich Plasma Are Safe and Effective for Knee Osteo-arthritis. Knee Surgery, Sports Traumatology, Arthroscopy, 26, 3342-3350. [Google Scholar] [CrossRef] [PubMed]
[28] Bastos, R., Mathias, M., Andrade, R., Amaral, R.J.F.C., Schott, V., Balduino, A., Bastos, R., Miguel Oliveira, J., Reis, R.L., Rodeo, S. and Espregueira-Mendes, J. (2020) In-tra-Articular Injection of Culture-Expanded Mesenchymal Stem Cells with or without Addition of Platelet-Rich Plasma Is Effective in Decreasing Pain and Symptoms in Knee Osteoarthritis: A Controlled, Double-Blind Clinical Trial. Knee Sur-gery, Sports Traumatology, Arthroscopy, 28, 1989-1999. [Google Scholar] [CrossRef] [PubMed]
[29] 王晓东, 刘爱峰, 金鸿宾, 等. 间充质干细胞联合石墨烯支架培养治疗膝骨性关节炎的研究进展[J]. 天津医药, 2019, 47(2): 203-207.