Review
Copyright ©2011 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Orthop. Jun 18, 2011; 2(6): 43-50
Published online Jun 18, 2011. doi: 10.5312/wjo.v2.i6.43
Umbilical cord as a mesenchymal stem cell source for treating joint pathologies
María Carmen Arufe, Alexandre De la Fuente, Isaac Fuentes, Francisco Javier De Toro, Francisco Javier Blanco
María Carmen Arufe, Alexandre De la Fuente, Department of Medicine, Area of Anatomy and Human Embryology, Campus Oza s/n, Fac. of Health Science, University of A Coruña, 15006 A Coruña, Spain
María Carmen Arufe, Alexandre De la Fuente, Isaac Fuentes, Francisco Javier De Toro, Osteoarticular and Aging Research Lab, Cellular Therapy Unit, INIBIC- CH Universitario A Coruña, 15006 A Coruña, Spain
Alexandre De la Fuente, Francisco Javier De Toro, Francisco Javier Blanco, Rheumatology Division, INIBIC-CH Universitario A Coruña, 15006 A Coruña, Spain
Alexandre De la Fuente, Francisco Javier Blanco, Cathedra Bioiberica, Universidad de A Coruña, 15006 A Coruña, Spain
Francisco Javier Blanco, CIBER-BBN-Instituto de Salud Carlos III, 15006 A Coruña, Spain
Francisco Javier Blanco, Centro de Investigación Biomédica, Hospital Universitario A Coruña, C/Xubias 84, 15006 A Coruña, Spain
Author contributions: De la Fuente A performed the experiments; Fuentes I and De Toro FJ analyzed and interpreted of data; Arufe MC wrote the paper; Blanco FJ designed the paper and gave the final approved.
Supported by Grants from the Servizo Galego de Saúde, Xunta de Galicia (PS07/86), Catedra Bioiberica de la Universidade da Coruña and Instituto de Salud Carlos III: CIBER BBN CB06-01-0040; Fondo de Investigación Sanitaria: PI-08/2028, MICINN: PLE2009-0144. M.C. Arufe is the beneficiary of an Isidro Parga Pondal contract from Xunta de Galicia, A Coruna, Spain. Alexandre de la Fuente is the beneficiary of a contract from Xunta de Galicia (2008), Spain
Correspondence to: Francisco Javier Blanco, MD, PhD, Centro de Investigación Biomédica, Hospital Universitario A Coruña, C/Xubias 84, 15006 A Coruña, Spain. fblagar@sergas.es
Telephone: +34-981-178272 Fax: +34-981-178273
Received: March 29, 2011
Revised: June 1, 2011
Accepted: June 8, 2011
Published online: June 18, 2011
Abstract

Articular cartilage disorders and injuries often result in life-long chronic pain and compromised quality of life. Regrettably, the regeneration of articular cartilage is a continuing challenge for biomedical research. One of the most promising therapeutic approaches is cell-based tissue engineering, which provides a healthy population of cells to the injured site but requires differentiated chondrocytes from an uninjured site. The use of healthy chondrocytes has been found to have limitations. A promising alternative cell population is mesenchymal stem cells (MSCs), known to possess excellent proliferation potential and proven capability for differentiation into chondrocytes. The “immunosuppressive” property of human MSCs makes them an important candidate for allogeneic cell therapy. The use of allogeneic MSCs to repair large defects may prove to be an alternative to current autologous and allogeneic tissue-grafting procedures. An allogeneic cell-based approach would enable MSCs to be isolated from any donor, expanded and cryopreserved in allogeneic MSC banks, providing a readily available source of progenitors for cell replacement therapy. These possibilities have spawned the current exponential growth in stem cell research in pharmaceutical and biotechnology communities. Our objective in this review is to summarize the knowledge about MSCs from umbilical cord stroma and focus mainly on their applications for joint pathologies.

Keywords: Human, Mesenchymal stem cell, Umbilical cord, Cartilage degeneration