Cell-Based Therapies for Rotator Cuff Injuries: An Updated Review of the Literature

This review focuses on non-surgical treatment options for rotator cuff injuries and highlights the potential of mesenchymal stem cells (MSCs) as a potential regenerative approach. MSCs, sourced from various tissues like bone marrow and adipose tissue, exhibit promising mechanisms in vitro, influenci...

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Main Authors: Nicholas Hooper, Anuj Marathe, Nitin B. Jain, Prathap Jayaram
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/25/6/3139
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author Nicholas Hooper
Anuj Marathe
Nitin B. Jain
Prathap Jayaram
author_facet Nicholas Hooper
Anuj Marathe
Nitin B. Jain
Prathap Jayaram
author_sort Nicholas Hooper
collection DOAJ
description This review focuses on non-surgical treatment options for rotator cuff injuries and highlights the potential of mesenchymal stem cells (MSCs) as a potential regenerative approach. MSCs, sourced from various tissues like bone marrow and adipose tissue, exhibit promising mechanisms in vitro, influencing tendon-related gene expression and microenvironment modulation. Animal studies support this, showcasing MSCs’ ability to reduce inflammation, improve tissue remodeling, and enhance repaired tendon strength. Human trials, while varied and limited, suggest that MSCs might lower retear rates and enhance post-repair outcomes, but randomized controlled trials yield mixed results, emphasizing the necessity for standardized investigations. Ultimately, while cell-based therapies demonstrate an excellent safety profile, more rigorous clinical trials are necessary to determine their efficacy in improving patient outcomes and achieving lasting structural changes in rotator cuff injuries.
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spelling doaj.art-c00f5b30d6d84ed2b9be27ce1f8741682024-03-27T13:45:08ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672024-03-01256313910.3390/ijms25063139Cell-Based Therapies for Rotator Cuff Injuries: An Updated Review of the LiteratureNicholas Hooper0Anuj Marathe1Nitin B. Jain2Prathap Jayaram3Department of Physical Medicine and Rehabilitation, Emory University, Atlanta, GA 30322, USADepartment of Physical Medicine and Rehabilitation, Emory University, Atlanta, GA 30322, USADepartment of Physical Medicine Rehab and Orthopedics, University of Michigan at Ann Arbor, Ann Arbor, MI 48109, USADepartment of Orthopedics, Physical Medicine and Rehabilitation, Emory University, Atlanta, GA 30322, USAThis review focuses on non-surgical treatment options for rotator cuff injuries and highlights the potential of mesenchymal stem cells (MSCs) as a potential regenerative approach. MSCs, sourced from various tissues like bone marrow and adipose tissue, exhibit promising mechanisms in vitro, influencing tendon-related gene expression and microenvironment modulation. Animal studies support this, showcasing MSCs’ ability to reduce inflammation, improve tissue remodeling, and enhance repaired tendon strength. Human trials, while varied and limited, suggest that MSCs might lower retear rates and enhance post-repair outcomes, but randomized controlled trials yield mixed results, emphasizing the necessity for standardized investigations. Ultimately, while cell-based therapies demonstrate an excellent safety profile, more rigorous clinical trials are necessary to determine their efficacy in improving patient outcomes and achieving lasting structural changes in rotator cuff injuries.https://www.mdpi.com/1422-0067/25/6/3139orthobiologicsrotator cuff tearsmesenchymal stem cells
spellingShingle Nicholas Hooper
Anuj Marathe
Nitin B. Jain
Prathap Jayaram
Cell-Based Therapies for Rotator Cuff Injuries: An Updated Review of the Literature
International Journal of Molecular Sciences
orthobiologics
rotator cuff tears
mesenchymal stem cells
title Cell-Based Therapies for Rotator Cuff Injuries: An Updated Review of the Literature
title_full Cell-Based Therapies for Rotator Cuff Injuries: An Updated Review of the Literature
title_fullStr Cell-Based Therapies for Rotator Cuff Injuries: An Updated Review of the Literature
title_full_unstemmed Cell-Based Therapies for Rotator Cuff Injuries: An Updated Review of the Literature
title_short Cell-Based Therapies for Rotator Cuff Injuries: An Updated Review of the Literature
title_sort cell based therapies for rotator cuff injuries an updated review of the literature
topic orthobiologics
rotator cuff tears
mesenchymal stem cells
url https://www.mdpi.com/1422-0067/25/6/3139
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