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  4. Prospect of Stem Cell Therapy and Regenerative Medicine in Osteoporosis

Prospect of Stem Cell Therapy and Regenerative Medicine in Osteoporosis

Frontiers in Endocrinology, 2020 · DOI: 10.3389/fendo.2020.00430 · Published: July 3, 2020

Regenerative MedicineEndocrinologyMusculoskeletal Medicine

Simple Explanation

Cell therapy and regenerative medicine offer promise in restoring tissue structure and function, especially for chronic diseases like osteoporosis, which causes bone loss and increases fracture risk. Current osteoporosis treatments mainly prevent bone loss, but stem cell therapy is a new approach for bone tissue regeneration. Mesenchymal stem cells (MSCs) are preferred due to their anti-inflammatory properties and fewer ethical concerns. MSCs' effectiveness largely depends on their ability to secrete substances that initiate molecular signaling pathways for normal bone remodeling. This review focuses on the effects of stem cell-based therapies in osteoporosis.

Study Duration
Not specified
Participants
Animal models and human participants in some studies
Evidence Level
Review

Key Findings

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    Mesenchymal stem cells (MSCs) are pivotal candidates for bone regeneration due to their anti-inflammatory and immune-privileged potential, making them ethically less concerning than other stem cell types.
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    MSCs can establish normal bone remodeling by initiating specific molecular signaling pathways, with their effectiveness largely dependent on their secretory function.
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    Cell-based regenerative medicine aids osteoporosis treatment by modulating bone resorption, reducing fracture susceptibility, and enhancing mineral density through improved stem cell function.

Research Summary

Osteoporosis, a chronic skeletal disorder common in older adults, leads to fractures due to decreased bone mass. Current treatments are insufficient, making stem cell therapies a promising regenerative medicine strategy. Mesenchymal stem cells (MSCs) are the most studied stem cells for osteoporosis treatment because of their accessibility, immunosuppressive properties and ability to differentiate into osteoblasts. Future osteoporosis management will integrate MSC therapy with small molecules that employ endogenous stem cells. Further research is needed to address gaps in stem cell differentiation fate and biodistribution, and to advance personalized medicine approaches.

Practical Implications

Therapeutic Potential

Stem cell therapies, especially those using MSCs, offer a new avenue for treating osteoporosis by regenerating bone tissue.

Personalized Medicine

Future research should focus on identifying individual bone loss signaling pathways to tailor stem cell treatments for optimal effectiveness.

Exosomal Treatments

Biomedical application of exosome-based treatments could provide novel clinical approaches for osteoporosis.

Study Limitations

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