Author and year | Outcome | MSC-CM (n) | Comparison(n) | Control (n) | Time | Conclusions |
---|---|---|---|---|---|---|
(Ando et al.,2014) | % of new bone callus in the distraction gap | MSC-CM 62% (10) | FB-CM: 37%(10) | DMEM: 32% (10) | 15 days | MSC-CM accelerates the formation of new bone callus, shortening the period required for DO treatment |
(Chang et al.,2015) | % of new bone formation over the total area of the defect | HCM:NC | NCM: NC | __ | 56 days | Bone repair is significantly increased with hypoxic MSC-CM by enhancement of endogenous MSCs migration and adhesion and gene regulation by miRNA |
(Furuta et al.,2016) | Bone union presence of bridging callus on two cortices | MSC-CM (9): NC | Exosomes (9): NC | PBS (15): NC | 6 weeks | MSC-derived exosomes rescued the retardation of fracture healing in CD9 −/− mice |
(Inukai et al.,2013) | Bone regeneration area | MSC-CM /Scaffold: 4.89 ± 1.08 mm2 (6) | PBS/ Scaffold: 2,4 mm2 (6) | No implant/Scaffold: 1,8 mm2 (6) | 4 weeks | Large amount of bone and cement formation was observed in the MSC-CM group. There was minimal inflammatory cell infiltration in the MSC-CM |
(Katagiri et al.,2013) | % area of newly regenerated bone over the total area of the defect | MSC-CM (81.50% + −2.7%), (93.07% + − 6.6%) (4) | PBS (60.63% + − 5.8%) (84.04% + − 4.9%) (4) | Defect (unfilled) (8.63% + − 1.78%) (4) | 2 y 4 weeks | MSC-CM group showed higher new bone regeneration compared with control groups, at 4 weeks the defect was completely replaced by mature bone tissue |
(Katagiri et al.,2015) | % of newly formed bone area in the elevated sinus floor | MSC-CM/ B-TCP Aprox. 15%, 22%, 37% (NC) | PBS/B-TCP Aprox. 9%,17%, 35% (NC) | __ | 2, 4 y 8 weeks | Sinus floor elevation with MSC-CM/B-TCP enhanced early bone regeneration compared to B-TCP alone |
(Katagiri et al.,2016) | New formed bone in augmented area | MSC-CM/B-TCP: NR | B-TCP: NR | __ | 8–9 months | MSC-CM promoted early bone formation and mineralization compared to B-TCP without MSC-CM, No bone resorption was observed |
(Katagiri et al.,2017b) | % area of newly formed bone over the total area of the defect | MSC-CM (72.3 ± 17.1%) (24) | PBS: (30.9 ± 6.2%) (24) | Defect (unfilled)(22.2 ± 8.0%) (24) | 2 weeks | MSC-CM enhanced the migration of endogenous cells, which enabled the formation of more blood vessels and bone tissue in the bone defect |
(Katagiri et al.,2017a) | New formed bone area in maxillary sinus floor elevation. | MSC-CM/B-TCP (4) NR | B-TCP (2) NR | __ | 6 months | MSC-CM was used safely and enhanced vascularization and early bone formation in maxillary SFE |
(Katagiri et al.,2017c) | % of the area of newly formed bone over the total area of the defect | MSC-CM (74.94 ± 19.11%) (8) | PBS: (31.61 ± 5.23%) (8) | Defect (unfilled)(15.27 ± 8.21%) (8) | 2 weeks | A higher percentage of bone formation was observed in CM and CC groups, in comparison with the other groups. MSC-CM elicit osteogenesis and angiogenesis |
(Kawai et al.,2015) | Qualitative description of histological findings | MSC-CM: NR | PBS: NR | Defect (unfilled) NR | 2 y 4 weeks | MSC-CM promoted periodontal tissue regeneration through mobilization of endogenous MSCs, angiogenesis and differentiation |
(Linero & Chaparro,2014) | % of regenerated bone tissue, compared to the initial defect. | AdMSC-CM: 75% (3) | Ad-MSC/HBPH: 62% (4) | Blood plasma hydrogel: 32% (4) | 45 days | Ad-MSC improves bone regeneration, and the quantity and quality of regenerated bone is similar with paracrine factors collected and applied as CM instead of Ad-MSCs |
(Ogata et al.,2015) | Volume of bone sequestra (mm3) | MSC-CM Aprox (0.4 mm3) (8) | DMEM: Aprox (2.6 mm3) (8) | Non treatment: Aprox (2.8 mm3) (8) | 2 weeks | Open alveolar sockets in 63% of the rats with BRONJ healed with complete soft tissue coverage, whereas the exposed necrotic bone remained in the other groups |
(Osugi et al.,2012) | % area of newly formed bone over the total area of the defect | MSC-CM (49.5% + − 2.7%), (64.4% + − 19.7%)(4) | PBS:(24.9% + − 2.2%) (36.1% + −2.9%) (4) | Defect (unfilled) (23.4% + − 4.5%) (28.6% + − 5.3%) (4) | 4 y 8 weeks | The area of new regenerated bone was significantly higher in the MSC-CM group compared to the other groups. |
(Qin et al.,2016) | Volume of regenerated bone (mm3) | Evs-MSC: 4.0 ± 1.9 mm3 (6) | Hydrogel 1.3 ± 0.7 mm3 (6) | __ | 8 weeks | The Evs derived from human BMSCs contained in gel, accelerated bone regeneration and showed a clear increase in the repair of the defect. |
(Sanchooli et al.,2017) | New bone volume (mm3) | MSC-CM (2.126 + − 0.064) (6), (3.113 + − 0.021 mm3) (6) | Collagen gel (1.433 + − 0.266), (2.536 + − 0.085 mm3) (6) | Empty defect (0.173 + − 0.060), (0.626 + − 0.104 mm3) (6) | 4 y 8 weeks | Significantly greater bone volume was observed in the AdMSC-CM group compared with the other groups |
(Tsuchiya et al.,2013) | % direct implant- bone contact / peri-implant length. | MSC-CM (74.3 + − 2.8)(5), (84.7 + − 5.4) (5) | PBS: (63.7 + − 5.8) (5) (82.3 + − 2.4) (5) | DMEM: (62.3 + − 5) (5), (81.6 + − 4) (5) | 7 y 28 days | The removal torque increased gradually over time in the CM group. CM promoted integration into bone during an early stage. |
(Tsuchiya et al.,2015) | % newly formed bone area | CM 14.5% (3), 24.1% (3) | CM-HM 22.7%, 26.9% (3) | PBS: 8.1%, 15.8% (3) | 4 y 8 weeks | Bone formation was increased in the CM and CM-HM groups, compared with the other groups. |
(Wang et al.,2012b) | Bone volume, healing rate of the fracture. | MSC-CM (6,6 mm3) 36,8% (19) | DM- MEM: (1,7 mm3), 0% (10) | Unfilled: (2,5 mm3) 0% (10) | 8 weeks | MSC-CM promoted angiogenesis and fracture healing in a diabetic model. Enhanced bone ingrowth and fracture healing rates compared to the other groups. |
(Wang et al.,2015) | Ratio of bone volume / total volume | MSC-CM: Aprox 0.04 (4), 0.07 (4) | PBS: 0.02 (4), 0.04 (4) | __ | 4 y 8 weeks | Bone generatioserum was increased in the group of factors secreted by hUCMSCs than in the control group |
(Xu et al.,2016) | Bone volume / total tissue volume | Secretome: NC | PBS: NC | Serum-free medium: NC | 6 weeks | The secretome increased the osteogenic differentiation potential of the rBMSCs and accelerated bone healing and bone consolidation during distraction osteogenesis. |