How to Heal Osteoarthritis in the Knee

Osteoarthritis (OA), the most common form of arthritis, affects over 32 million people in the U.S. each year. Characterized by a progressive degeneration of cartilage resulting in pain, stiffness, and swelling in the joints, and most frequently occurring in the hands, hips, and knees, OA has no pharmacological, biological, or surgical treatment to prevent progression of the condition. The authors of this case report focus specifically on potential treatment options for OA of the knee.

With the emergence of stem cell-based therapies for a multitude of health conditions, stem cells, and specifically mesenchymal stem cells (MSCs), have demonstrated immunosuppressive activities that could prove beneficial in supporting the regeneration of cartilage tissue in and around joints in the body.

Research has demonstrated that MSCs are effective in differentiating into essential connective tissues like fat, cartilage, and bone; MSCs have also demonstrated immunomodulatory and anti-inflammatory effects, the ability to self-renew, and plasticity, making MSCs a potentially powerful treatment of OA in the knee (and other parts of the body).

This specific case study details cartilage regeneration in the knee of a 47-year-old woman diagnosed with OA when treated with bone marrow-derived MSC cells. For the course of this treatment, autologous MSCs were collected from bone marrow harvested from the iliac crest. After processing and preparing the MSCs, the sample was confirmed to be free of microbial contamination and was prepared and transplanted into the patient’s knee joint.

Periodic follow-ups with the patient revealed no local or systemic adverse events associated with the MSC transplant procedure. The authors of this case report found that the patient’s functional status of her knee, the number of stairs she could climb, reported pain on a visual analog scale, and walking distance all improved in the two months following the MSC transplant procedure.

Source: https://stem-cells.in-the.news/

2-D nanoparticles boost Cartilage Regeneration

Researchers have developed a new way to deliver treatment for cartilage regeneration. The nanoclay-based platform for sustained and prolonged delivery of protein therapeutics could improve the treatment of osteoarthritis, a degenerative disease that affects nearly 27 million Americans, according to Akhilesh K. Gaharwar, assistant professor in the Department of Biomedical Engineering at the Texas University  A&MOsteoarthritis is caused by breakdown of cartilage that can lead to damage of the underlying bone. As America’s population ages, osteoarthritis incidences are likely to increase. One of the greatest challenges with treating osteoarthritis and subsequent joint damage is repairing the damaged tissue, especially as cartilage tissue is difficult to regenerate.

One method for repair or regeneration of damaged cartilage tissue is to deliver therapeutic growth factors, a special class of proteins that can aid in tissue repair and regeneration. However, current versions of growth factors break down quickly and require a high dose to achieve a therapeutic potential. Recent clinical studies have demonstrated significant adverse effects to this kind of treatment, including uncontrolled tissue formation and inflammation.

In the study, published in ACS Applied Materials and Interfaces, Gaharwar’s lab designed two-dimensional mineral nanoparticles to deliver growth factors for a prolonged duration to overcome this drawback. These nanoparticles provide a high surface area and dual charged characteristics that allow for easy electrostatic attachment of growth factors.

These nanoparticles could prolong delivery of growth factors to human mesenchymal stem cells, which are commonly utilized in cartilage regeneration,” Gaharwar said. “The sustained delivery of growth factors resulted in enhanced stem cell differentiation towards cartilage lineage and can be used for treatment of osteoarthritis.”

Source: https://research.tamu.edu/