Main applications of bone marrow derivatives in regenerative medicine
Keywords:
Regenerative Medicine, Mesenchymal Stem Cells, Platelet-rich Plasma, Bone Marrow, Stromal CellsAbstract
Introduction: Aging, disease and injury can be thought of as the result of cells that are damaged or in a malfunctioning state. Regenerative medicine's premise is to restore tissue homeostasis by promoting repair or replacing damaged cells, tissues or organs, involving the linking and combination of different disciplines, including engineering, technology, medicine and biology.
Objective: To describe the composition and products derived from bone marrow; use, and application in regenerative medicine, and list the ways to obtain the derivatives; mention the types of procedures that are performed and describe the main indications.
Methodology: Literature review through research carried out in the LILACS and PUBMED databases from 2007 to 2022, searching to verify the effectiveness of regenerative medicine procedures described in published scientific articles using stem cells extracted from bone marrow, seeking to understand the pathophysiology of mechanisms involved. Studies reporting research on animals and stem cells from adipose tissue were excluded.
Conclusion: Most studies show that bone marrow-derived products are effective and capable of changing the course of the disease, provided that intervention is performed early. Furthermore, there are numerous researches in the field of regenerative medicine using adjuvant methods in association with genetic engineering in the development of biomaterials and orthobiologicals, and the expansion of stem cells in the laboratory. Some researchers question the financial cost of the method; therefore, they fear the difficulty of access by the majority of the population.
References
Chien KR. Regenerative medicine and human models of human disease. Nature. 2008; 453:302-5. doi: 10.1038/ nature07037
Inoue H, Yamanaka S. The use of induced pluripotent stem cells in drug development. Clin Pharmacol Ther. 2011;89(5):655-61. doi: 10.1038/clpt.2011.38
Fahey MC, Wallace EM. Stem cells: research tools and clinical treatments. J Paediatr Child Health. 2011;47(9):672-75. doi: 10.1111/j.1440-1754.2011. 02172.x
Purita J, Lana JFSD, Kolber M, Rodrigues BL, Mosaner T, Santos GS, et al. Bone marrow-derived products: a classification proposal–bone marrow aspirate, bone marrow aspirate concentrate or hybrid?. World J Stem Cells. 2020;12(4):241-50. doi: 10.4252/wjsc.v12.i4.241
Boulais PE, Frenette PS. Making sense of hematopoietic stem cell niches. Blood. 2015;125(17):2621-9. doi: 10.1182/blood-2014-09-570192
Sugaya H, Yoshioka T, Kato T, Taniguchi Y, Kumagai H, Hyodo K, et al. Comparative analysis of cellular and growth factor composition in bone marrow aspirate concentrate and platelet-rich plasma. Bone Marrow Res. 2018:1549526. doi: 10.1155/2018/1549826
Duncker DJ, Uitterdijk A, Van der Giessen WJ. Fat is not all bad: how to make good use of adipose tissue. European heart j. 2007;28(21):2565-7. doi: https://doi. org/10.1093 /eurheartj/ehm435
Salamanna F, Contartese D, Nicoli Aldini N, Barbanti Brodano G, Griffoni C, Gasbarrini A, et al. Bone marrow aspirate clot: A technical complication or a smart approach for musculoskeletal tissue regeneration? J Cell Physiol. 2018;233(4): 2723-32. doi: 10.1002/jcp.26065
Pierini M, Di Bella C, Dozza B, Frisoni T, Martella E, Bellotti C, et al. The posterior iliaccrest outperforms the anterior iliac crest when obtaining mesenchymal stem cells from bone marrow. J Bone Joint Surg Am. 2013;95(12):1101-07. doi: 10.2106/JBJS.L.00429
Hernigou P, Homma Y, Flouzat Lachaniette CH, Poignard A, Allain J, Chevallier N, et al. Benefits of small volume and small syringe for bone marrow aspirations of mesenchymal stem cells. Int Orthop. 2013;37(11): 2279- 87. doi: 10.1007/s00264-013-2017-z
Palta S, Saroa R, Palta A. “Overview of the coagulation system.” Indian J Anaesth. 2014;58(5):515-23. doi:10.4103/0019-5049.144643
Hernigou P, Daltro G, Hernigou J. Hip osteonecrosis: stem cells for life or behead and arthroplasty?. Int Orthop. 2018;42(7):1425-8. doi: 10.1007/s00264-018-4026-4
Andriolo L, Merli G, Tobar C, Altamura SA, Kon E, Filardo G. Regenerative therapies increase survivorship of avascular necrosis of the femoral head: a systematic review and meta-analysis. Int Orthop. 2018 Jul;42(7):1689- 704. doi: 10.1007/s00264-018-3787-0
Magga J, Savchenko E, Malm T, Rolova T, Pollari E, Valonen P, et al. Production of monocytic cells from bone marrow stem cells: therapeutic usage in Alzheimer’s disease. J Cell Mol Med. 2012;16(5):1060-73. doi: 10.1111/j.1582-4934.2011.01390.x
Perin EC, Silva GV, Zheng Y, Gahremanpour A, Canales J, Patel D, et al. Randomized, double-blind pilot study of transendocardial injection of autologous aldehyde dehydrogenase-bright stem cells in patients with ischemic heart failure. Am Heart J. 2012;163(3):415-21. doi: 10.1016/j.ahj.2011.11.020
Xi J, Zhang SC. Stem cells in development of therapeutics for Parkinson’s disease: a perspective. J Cell Biochem. 2008;105(5):1153-60. doi: 10.1002/jcb.21916
Tzouvelekis A, Koliakos G, Ntolios P, Baira I, Bouros E, Oikonomou A, et al. Stem cell therapy for idiopathic pulmonary fibrosis: a protocol proposal. J Transl Med. 2011;9(182). doi.org/10.1186/1479-5876-9-182
Weiss DJ, Bertoncello I, Borok Z, Kim C, Panoskaltsis-Mortari A, Reynolds S, et al. Stem cells and cell therapies in lung biology and lung diseases. Proc Am Thorac Soc 2011;8(3):223-72. doi: 10.1513/ pats.201012-071DW
Rashid ST, Corbineau S, Hannan N, Marciniak SJ, Miranda E, Alexander G, et al. Modeling inherited metabolic disorders of the liver using human induced pluripotent stem cells. J Clin Invest. 2010;120:3127-36. doi: 10.1172/ JCI43122
Cerletti M, Jurga S, Witczak CA, Hirshman MF, Shadrach JL, Goodyear LJ, et al. Highly efficient, functional engraftment of skeletal muscle stem cells in dystrophic muscles. Cell. 2008;134:37-47. doi: 10.1016/j. cell.2008.05.049
Lodi D, Iannitti T, Palmieri B. Stem cells in clinical practice: applications and warnings. J Exp Clin Cancer Res. 2011;30(1):9. doi: 10.1186/1756-9966-30-9
McCormick JB, Huso HA. Stem cells and ethics: current issues. J Cardiovasc Transl Res. 2010;3(2):122-7. doi: 10.1007/s12265-009-9155-0
Barczyk M, Carracedo S, Gullberg D. Integrins. Cell Tissue Res. 2010; 339(1):269-80. doi: 10.1007/s00441-009-0834-6
De Melo BAG, França CG, Dávila JL, Batista NA, Caliari- -Oliveira C, D'Ávila MA, et al. Hyaluronic acid and fibrin from L-PRP form semi-IPNs with tunable properties suitable for use in regenerative medicine. Mater Sci Eng. 2020;109:110547. doi: 10.1016/j.msec. 2019.110547
Mantripragada VP, Piuzzi NS, George J, Bova W, Ng M, Boehm C, et al. Reliable assessment of bone marrow and bone marrow concentrates using automated hematology analyzer. Regen Med. 2019;14(7):639-46. doi:10.2217/ rme-2018-0173
Cable J, Fuchs E, Weissman I, Jasper H, Glass D, Rando TA, et al. Adult stem cells and regenerative medicine-a symposium report. Ann N Y Acad Sci. 2020;1462(1):27- 36. doi:10.1111/nyas.14243
Watanabe TK. Uma revisão da terapia com células-tronco para lesões cerebrais adquiridas e doenças neurodegenerativas do sistema nervoso central. PM R. 2018;10(9 Supl 2):S151-6. doi:10.1016/j.pmrj.2018.07.008
Krenn V, Müller S, Krenn VT, Hempfling H. Pathophysiologie der aseptischen Hüftkopfnekrose: pathogenese und histopathologische differenzialdiagnostik [Patofisiologia da necrose da cabeça femoral asséptica: Patogênese e diagnóstico diferencial histopatológico]. Ortopédico. 2018;47(9):710-6. doi:10.1007/ s00132-018-3608-6
Balistreri CR, De Falco E, Bordin A, Maslova O, Koliada A, Vaiserman A. Stem cell therapy: old challenges and new solutions. Mol Biol Rep. 2020;47(4):3117-31. doi:10.1007/s11033-020-05353-2
Rodríguez-Fuentes DE, Fernández-Garza LE, Samia-Meza JA, Barrera-Barrera SA, Caplan AI, Barrera-Saldaña HA. Mesenchymal stem cells current clinical applications: a systematic review. Arch Med Res. 2021;52(1):93101. doi:10.1016/j. arcmed.2020.08.006
Gali RS, Chinnaswamy R, Devireddy SK, Shaik MV, Kumar RVK, Kanubaddy SR, et al. Concentrated bone marrow aspirate-coated hydroxyapatite for reconstruction of small-to-moderate-sized mandibular pathologies. Contemp Clin Dent.2018;9(4):535-40. doi:10.4103/ccd. ccd_745_18
Dhurat R, Sukesh M. Principles and methods of preparation of platelet-rich plasma: a review and author’s perspective. J Cutan Aesthet Surg. 2014;7(4):189- 97. doi:10.4103/0974-2077.150734
Galipeau J, Sensébé L. Mesenchymal stromal cells: clinical challenges and therapeutic opportunities. Cell Stem Cell 2018;22(6):824-33. doi:10.1016/j.stem.2018.05.004
Kim SW, Zhu GQ, Bae WJ. Mesenchymal stem cells treatment for erectile dysfunction in diabetic rats. Sex Med Rev. 2020;8(1):114-21. doi:10.1016/j.sxmr.2019.09.003
Wyles SP, Monie DD, Paradise CR, Meyer FB, Hayden RE, Terzic A. Emerging workforce readiness in regenerative healthcare. Regen Med. 2021;16(3):197-206. doi:10.2217/ rme-2020-0137
Ronfard V, Vertès AA, May MH, Dupraz A, van Dyke ME, Bayon Y. Evaluating the past, present, and future of regenerative medicine: a global view. Tissue Eng Part B Rev. 2017;23(2):199-210. doi:10.1089/ten.TEB.2016.0291
Wang Y, Jang YY. From cells to organs: the present and future of regenerative medicine. Adv Exp Med Biol. 2022;1376:135-49. doi:10.1007/5584_2021_657
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