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Frontiers of Materials Science

ISSN 2095-025X

ISSN 2095-0268(Online)

CN 11-5985/TB

Postal Subscription Code 80-974

2018 Impact Factor: 1.701

Front. Mater. Sci.    2014, Vol. 8 Issue (1) : 32-38    https://doi.org/10.1007/s11706-014-0236-x
MINI-REVIEW
Bone regeneration using coculture of mesenchymal stem cells and angiogenic cells
Jin-Ling MA1,2,*(),Jeroen J. J. P. van den BEUCKEN2,Ju-Li PAN1,3,Fu-Zhai CUI4,Su CHEN1,*()
1. Department of VIP Service, Beijing Stomatological Hospital, Capital Medical University, Beijing 100050, China
2. Department of Biomaterials, Radboudumc, Nijmegen, the Netherlands
3. Department of Oral and Maxillofacial Surgery, Beijing Stomatological Hospital, Capital Medical University, Beijing 100050, China
4. State Key Laboratory of New Ceramics and Fine Processing, School of Materials Science and Engineering, Tsinghua University, Beijing 100084, China
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Abstract

Cellular strategies remain a crucial component in bone tissue engineering (BTE). So far, the outcome of cell-based strategies from initial clinical trials is far behind compared to animal studies, which is suggested to be related to insufficient nutrient and oxygen supply inside the tissue-engineered constructs. Cocultures, by introducing angiogenic cells into osteogenic cell cultures, might provide a solution for improving vascularization and hence increasing bone formation for cell-based constructs. So far, pre-clinical studies demonstrated that cocultures enhance vascularization and bone formation compared to monocultures. However, there has been no report on the application of cocultures in clinics. Therefore, this mini-review aims to provide an overview regarding (i) critical parameters in cocultures and the outcomes of cocultures compared to monocultures in the currently available pre-clinical studies using human mesenchymal stem cells implanted in orthotopic animal models; and (ii) the usage of monocultures in clinical application in BTE.

Keywords mesenchymal stem cell (MSC)      endothelial cell (EC)      coculture      vasculari-zation      tissue regeneration     
Corresponding Author(s): Jin-Ling MA   
Issue Date: 24 June 2014
 Cite this article:   
Jin-Ling MA,Jeroen J. J. P. van den BEUCKEN,Ju-Li PAN, et al. Bone regeneration using coculture of mesenchymal stem cells and angiogenic cells[J]. Front. Mater. Sci., 2014, 8(1): 32-38.
 URL:  
https://academic.hep.com.cn/foms/EN/10.1007/s11706-014-0236-x
https://academic.hep.com.cn/foms/EN/Y2014/V8/I1/32
Cell sourcesScaffoldObservation timeRepair siteEfficacy of bone & vessel formation (percentage, coculture/monoculture)Ref.
BM-MSCs/ECsPLGA12 weeksRat calvariumBone percentage/%: 1.4 (vs. MSCs)Donor derived vessels percentage/%: 10.0 (vs. MSCs)[31]
BM-MSCs/EPCsβ-TCP8 weeksRat femurBone percentage/%: 1.2 (vs. MSCs)Vessel density/mm-2: 1.0 (vs. MSCs) or 2.7 (vs. EPCs)[32]
BM-MSCs/EPCsβ-TCP1 weekRat femurNew bone mass: 1.3 (vs. MSCs)Vessel density/mm-2: 7.1 (vs. MSCs) or 2.5 (vs. EPCs)[33]
BM-MSCs/ECsβ-TCP16 weeksRabbit ulnaBone percentage/%: 1.3 (vs. MSCs)Vessel percentage/%: 1.2 (vs. MSCs)[10]
AT-MSCs/ECsPCL/PLGA/β-TCP12 weeksRat calvariumBone percentage/%: 1.3 (vs. MSCs)[34]
AT-MSCs/ECsTi8 weeksRat calvariumBone percentage/%: 0.3 (vs. MSCs)[35]
Tab.1  Pre-clinical studies using human cell-based cocultures in BTE
Cell sourcesPatientsCurrent statusRepair sitesOutcome or purposeReference or ClinicalTrials.gov identifier
BM-MSCs1CompletedAlveolar boneRegenerated bone bridged the defect after 6 months.[39]
BM-MSCs2CompletedAlveolar boneThe integrity of the bone defects for the two patients are 34.5% and 25.6%.[40]
BM-MSCs54CompletedCraniofacial boneTo determine optimal culturing and transplantation conditions for the eventual transplantation of BM-MSCs into human recipients.NCT00001391
BM-MSCs6CompletedMandibleBone regeneration was observed in 50% (3/6) of the patients.[41]
BM-MSCs3CompletedMandibleBone healing was observed in 2 out of the 3 patients.[42]
BM-MSCs1CompletedMandibleSuccessful bone regeneration in the mandible.[43]
BM-MSCs7CompletedMaxillaThe mean percentage of the newly formed bone was 41%.[44]
BM-MSCs10Recruiting participants (from July 2011 on)MaxillaTo study the efficiency of BM-MSCs seeded in the autologous plasma matrix to repair the bone cysts in the maxillofacial region.NCT01389661
AT-MSCs1CompletedMaxillaThe new regenerated bone was mature 2 months after surgery.[45]
DP-MSCs17CompletedMandibleThe follow-up outcomes 1 year after surgery indicate that bone regeneration was complete.[46]
DP-MSCs5Recruiting participants (from May 2013 on)Alveolar boneTo analyze the bone forming capacity to reconstruct the alveolar bone defect in cleft lip and palate patients using DP-MSCs.NCT01932164
Tab.2  Clinical studies using human MSCs-based monocultures in BTE
ATadipose tissue
BMbone marrow
BTEbone tissue engineering
Cx43connexin 43
DPdental pulp
ECendothelial cell
EPCendothelial progenitor cell
HUVEChuman umbilical vein endothelial cell
MSCmesenchymal stem cell
OBosteoblast
PCLpolycaprolactone
PLGApoly lactic-co-glycolic acid
TCPβ-tricalcium phosphate
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