Cellular therapy for disc degeneration

被引:36
作者
Anderson, DG [1 ]
Albert, TJ [1 ]
Fraser, JK [1 ]
Risbud, M [1 ]
Wuisman, P [1 ]
Meisel, HJ [1 ]
Tannoury, C [1 ]
Shapiro, I [1 ]
Vaccaro, AR [1 ]
机构
[1] Thomas Jefferson Univ, Dept Orthopaed, Philadelphia, PA 19107 USA
关键词
disc degeneration; cell; repair; scaffold;
D O I
10.1097/01.brs.0000175174.50235.ba
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study Design. Review article regarding the developing field of cellular therapies for symptomatic disc degeneration. Objective. To review the rationale and discuss the results of cellular strategies that have been proposed or investigated for disc degeneration. Summary of Background Data. Disc degeneration is a substantial clinical problem. Disc degeneration begins with a loss of disc cells and alterations in the extracellular matrix of the disc. One promising approach for this problem involves the use of cells transplanted to the degenerative disc to achieve functional tissue repair. Methods. The rationale for using cellular therapy for disc degeneration is discussed. The basic science studies involving cellular transplantation to the disc are reviewed and future directions of this line of research are discussed. Results. Although substantial work remains, the future of cellular therapies for symptomatic disc degeneration appears promising. Conclusion. Continued research is warranted to further define the optimal cell type, scaffolds, and adjuvants that will allow successful disc repair in human patients.
引用
收藏
页码:S14 / S19
页数:6
相关论文
共 60 条
[1]
AH HS, 2003, SPINE S15, V28, P86
[2]
The potential and limitations of a cell-seeded collagen/hyaluronan scaffold to engineer an intervertebral disc-like matrix [J].
Alini, M ;
Li, W ;
Markovic, P ;
Aebi, M ;
Spiro, RC ;
Roughley, PJ .
SPINE, 2003, 28 (05) :446-453
[3]
A biological approach to treating disc degeneration: not for today, but maybe for tomorrow [J].
Alini, M ;
Roughley, PJ ;
Antoniou, J ;
Stoll, T ;
Aebi, M .
EUROPEAN SPINE JOURNAL, 2002, 11 (Suppl 2) :S215-S220
[4]
Effect of nutrient deprivation on the viability of intervertebral disc cells [J].
Bibby, SRS ;
Urban, JPG .
EUROPEAN SPINE JOURNAL, 2004, 13 (08) :695-701
[5]
CHYMOPAPAIN, CHEMONUCLEOLYSIS, AND NUCLEUS PULPOSUS REGENERATION [J].
BRADFORD, DS ;
COOPER, KM ;
OEGEMA, TR .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1983, 65 (09) :1220-1231
[6]
CHYMOPAPAIN, CHEMONUCLEOLYSIS, AND NUCLEUS PULPOSUS REGENERATION - A BIOCHEMICAL AND BIOMECHANICAL STUDY [J].
BRADFORD, DS ;
OEGEMA, TR ;
COOPER, KM ;
WAKANO, K ;
CHAO, EY .
SPINE, 1984, 9 (02) :135-147
[7]
SPINE UPDATE - AGING AND DEGENERATION OF THE HUMAN INTERVERTEBRAL DISC [J].
BUCKWALTER, JA .
SPINE, 1995, 20 (11) :1307-1314
[8]
Buckwalter JA, 2000, ORTHOPAEDIC BASIC SC, P548
[9]
Caterson EJ, 2001, J BIOMED MATER RES, V57, P394, DOI 10.1002/1097-4636(20011205)57:3<394::AID-JBM1182>3.0.CO
[10]
2-9