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RAD51 promotes osteogenic differentiation and inhibits DNA damage in osteoporosis though regulating cGAS-STING signaling pathway RAD51通过调节cGAS-STING信号通路促进骨质疏松症成骨分化,抑制骨质疏松症DNA损伤
IF 3.5 3区 环境科学与生态学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-01-30 DOI: 10.1016/j.reth.2026.101070
Minli Qiu , Peili He , Zena Chen, Liuzhong Zhou, Xinyu Wu, Mingcan Yang, Yutong Jiang, Jieruo Gu

Introduction

Osteoporosis (OP) represents a metabolic bone disorder characterized by reduced bone density and increased fracture susceptibility, primarily caused by an imbalance between bone resorption and formation. Osteogenic differentiation plays a critical role in OP, as it promotes bone formation processes. RAD51, a crucial gene encoding a protein essential for homologous recombination repair of DNA double-strand breaks, is central to maintaining genomic stability and ensuring accurate DNA repair. Previous investigations conducted by our research team have suggested the involvement of RAD51 in the pathogenesis of OP. The objective of this study was to explore the signaling pathways associated with RAD51.

Methods

MC3T3-E1 cells were induced to undergo osteogenic differentiation and exposed to a microgravity environment to simulate OP-like conditions. Furthermore, an ovariectomized (OVX) mouse model was established to mimic OP. Osteogenic differentiation was evaluated through Alizarin Red S staining for calcium deposition and alkaline phosphatase (ALP) staining to assess ALP activity. DNA damage was quantified using the comet assay, while protein expression profiles were analyzed via Western blot.

Results

Experimental results showed a significant downregulation of RAD51 expression in OP models. Notably, RAD51 overexpression promoted osteoblast differentiation and mitigated DNA damage in these models. Mechanistic studies further revealed that RAD51 suppresses activation of the cGAS-STING signaling pathway, which has been shown to negatively regulate osteoblast differentiation. In OVX mice, RAD51 overexpression mitigated bone loss, promoted osteoblast differentiation, and reduced DNA damage.

Conclusion

RAD51 facilitated osteogenic differentiation and attenuated DNA damage in OP by modulating the cGAS-STING signaling pathway, offering a potential novel therapeutic target for OP treatment.
骨质疏松症(OP)是一种以骨密度降低和骨折易感性增加为特征的代谢性骨疾病,主要是由骨吸收和骨形成之间的不平衡引起的。成骨分化在OP中起关键作用,因为它促进骨形成过程。RAD51是一种编码同源重组修复DNA双链断裂所必需的蛋白质的关键基因,对维持基因组稳定性和确保准确的DNA修复至关重要。我们课组前期的研究表明RAD51参与了op的发病机制,本研究的目的是探讨RAD51相关的信号通路。方法将smc3t3 - e1细胞诱导成骨分化,并置于微重力环境下模拟op样条件。此外,我们建立了一个卵巢切除(OVX)小鼠模型来模拟op。通过茜素红S染色(钙沉积)和碱性磷酸酶(ALP)染色(ALP活性)来评估成骨分化。DNA损伤用彗星法定量,蛋白表达谱用Western blot分析。结果实验结果显示,OP模型中RAD51的表达明显下调。值得注意的是,RAD51过表达促进了这些模型中的成骨细胞分化并减轻了DNA损伤。机制研究进一步表明,RAD51抑制cGAS-STING信号通路的激活,该信号通路已被证明负向调节成骨细胞分化。在OVX小鼠中,RAD51过表达可减轻骨质流失,促进成骨细胞分化,并减少DNA损伤。结论rad51通过调节cGAS-STING信号通路促进OP成骨分化,减轻OP DNA损伤,为OP治疗提供了潜在的新靶点。
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引用次数: 0
Intra-articular injections of platelet-rich plasma suppress cartilage degeneration in a mouse model of knee osteoarthritis 膝关节骨关节炎小鼠模型关节内注射富血小板血浆抑制软骨退变
IF 3.5 3区 环境科学与生态学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-01-27 DOI: 10.1016/j.reth.2026.101072
Yasumasa Momoi , Yoshitomo Saita , Ryosuke Nakajima , Sayuri Uchino , Hirofumi Nishio , Shin Fukusato , Takanori Wakayama , Yohei Kobayashi , Atsushi Furuhata , Hiroshi Ikeda , Kazuo Kaneko , Muneaki Ishijima

Introduction

Pain-relieving drugs, such as nonsteroidal anti-inflammatory drugs and hyaluronic acid, are standard treatments for knee osteoarthritis (OA); however, no disease-modifying drugs exist for knee OA. Platelet-rich plasma (PRP) is a novel treatment with both symptom improvement and disease-modifying effects; however, the underlying mechanism remains unknown. In addition, the biologically active substances contained in PRP differ greatly depending on the purification method used. This controlled laboratory study aimed to investigate the therapeutic effects of two types of PRP with different white blood cell concentrations on knee OA using an animal model.

Methods

Leukocyte-rich PRP (LR-PRP) and leukocyte-poor PRP (LP-PRP) were prepared from 10-week-old female C57BL/6 mice. A mouse model of knee osteoarthritis was generated by the unilateral transection of the medial meniscus in the right hind limb. Mice were randomly assigned to three treatment groups that received 6 μL intra-articular injections of either phosphate-buffered saline (control), LR-PRP, or LP-PRP at 2-, 4-, and 6-weeks post-surgery. Mice were sacrificed 12 weeks post-surgery and histologic analysis, immunohistochemistry analysis for CD68 and three‐dimensional micro-computed tomography (3DμCT) of knee joints were analyzed. Hind limb weight-bearing distribution was measured preoperatively and at 4- and 12-weeks post-surgery. Statistical analyses were performed using GraphPad Prism 9.0.2. P-values of <5 % were considered statistically significant.

Results

Histological analysis of the femoral medial condyle (Osteoarthritis Research Society International (OARSI) score) showed that both the LP and LR groups had significantly suppressed cartilage destruction compared with the Phosphate Buffered Saline (PBS) group (P = 0.01). The percentage of CD68-positive synovial macrophages in the lateral joint was significantly lower in the LR group than in the PBS group (PBS: 2.0 ± 2.9 %, LR: 0.6 ± 1.3 %, LP: 0.9 ± 1.9 %; P = 0.02). The affected-side load rate (%) increased in the LR and LP groups, with a significant increase observed in the LR group from week four. PBS group, Pre/4w/12w = 36.0 ± 4.8/33.8 ± 6.8/36.2 ± 7.4 % (P = 0.60); LR group, Pre/4w/12w = 31.9 ± 2.2/34.3 ± 8.3/44.2 ± 4.8 % (P < 0.01); LP group, Pre/4w/12w = 33.5 ± 7.4/36.1 ± 7.4/42.0 ± 5.2 % (P = 0.02). Conversely, no significant difference in BMD was observed between groups.

Conclusions

Intra-articular injection of LR- and LP-PRP attenuated cartilage degeneration in the medial femoral condyle in a mouse model of knee osteoarthritis.
止痛药物,如非甾体抗炎药和透明质酸,是膝关节骨关节炎(OA)的标准治疗方法;然而,目前还没有治疗膝关节炎的药物。富血小板血浆(PRP)是一种既能改善症状又能改善疾病的新型治疗方法;然而,其潜在机制尚不清楚。此外,PRP中所含的生物活性物质因纯化方法的不同而差异很大。本实验室对照研究旨在通过动物模型探讨两种不同白细胞浓度的PRP对膝关节OA的治疗作用。方法从10周龄雌性C57BL/6小鼠制备富白细胞PRP (LR-PRP)和低白细胞PRP (LP-PRP)。采用右后肢内侧半月板单侧横断法建立小鼠膝关节骨性关节炎模型。小鼠被随机分为三个治疗组,分别在术后2、4和6周关节内注射6 μL磷酸盐缓冲盐水(对照)、LR-PRP或LP-PRP。术后12周处死小鼠,进行组织学分析、CD68免疫组化分析和膝关节三维微计算机断层扫描(3DμCT)。术前、术后4周、12周测量后肢负重分布。采用GraphPad Prism 9.0.2进行统计学分析。p值为<; 5%被认为具有统计学意义。结果股骨内侧髁组织学分析(Osteoarthritis Research Society International (OARSI)评分)显示,与磷酸盐缓冲盐水(PBS)组相比,LP组和LR组均能显著抑制软骨破坏(P = 0.01)。LR组外侧关节内cd68阳性滑膜巨噬细胞百分比明显低于PBS组(PBS: 2.0±2.9%,LR: 0.6±1.3%,LP: 0.9±1.9%,P = 0.02)。LR组和LP组的受累侧负荷率(%)增加,LR组从第四周开始观察到显著增加。PBS组,Pre / 4 w / 12 w = 36.0±4.8/33.8±4.8/33.8±7.4% (P = 0.60);LR组,Pre / 4 w / 12 w = 31.9±2.2/34.3±2.2/34.3±4.8% (P & lt; 0.01);LP集团Pre / 4 w / 12 w = 33.5±7.4/36.1±7.4/36.1±5.2% (P = 0.02)。相反,各组间骨密度无显著差异。结论关节内注射LR-和LP-PRP可减轻小鼠膝关节骨性关节炎模型股骨内侧髁软骨退变。
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引用次数: 0
A thermo-responsive sol–to–gel phase transition hydrogel for sustained delivery of mesenchymal stem cell-derived exosomes 一种热响应的溶胶-凝胶相变水凝胶,用于间充质干细胞衍生的外泌体的持续递送
IF 3.5 3区 环境科学与生态学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-01-25 DOI: 10.1016/j.reth.2026.101073
Lefeng Liu , Lijuan Yang , Zhiguo Xu , Zhilong Dong , Ze Xu , Shaorong Gao , Xiaoyu Liu , Yong Kong

Introduction

Mesenchymal stem cells-derived exosomes (MSC-Exo) have significant therapeutic potential in regenerative medicine but face challenges such as rapid systemic clearance and poor retention at target sites. In this study, a thermo-responsive sol–to–gel phase transition hydrogel based on sodium alginate (SA), cellulose nanofibrils (CNF) and poloxamer 407 (P407) was prepared for sustained delivery of MSC-Exo.

Methods

The MSC-Exo loaded CNF/SA hydrogel was prepared, which was freeze-dried and then dispersed in the P407 solution at room temperature. The mixture of CNF/SA/MSC-Exo and P407 could undergo thermo-responsive sol–to–gel phase transition due to the thermosensitive property of P407, and thus the CNF/SA/MSC-Exo was encapsulated in the P407 gel at physiological temperature (37 °C).

Results

Owing to the high degradation ratio of P404 gel and swelling ratio of CNF/SA hydrogel at physiological pH (∼7.4), sustained delivery of MSC-Exo from the gel was achieved with a high cumulative release of 80 % after 120 h. Cytotoxicity assay showed that the CNF/SA/P407 gel has excellent biocompatibility.

Conclusions

These findings provide a feasible strategy to achieve the sustained delivery of Exo for regeneration therapy, giving valuable references for future research.
间充质干细胞来源的外泌体(MSC-Exo)在再生医学中具有显著的治疗潜力,但面临着诸如快速全身清除和在靶点保留不良等挑战。在本研究中,制备了一种基于海藻酸钠(SA)、纤维素纳米纤维(CNF)和poloxam407 (P407)的热响应型溶胶-凝胶相变水凝胶,用于MSC-Exo的持续递送。方法制备装载CNF/SA的MSC-Exo水凝胶,冷冻干燥后,室温分散于P407溶液中。由于P407的热敏性,CNF/SA/MSC-Exo与P407的混合物可以发生热响应性的溶胶-凝胶相变,因此在生理温度(37℃)下将CNF/SA/MSC-Exo包封在P407凝胶中。结果由于P404凝胶的高降解率和CNF/SA水凝胶在生理pH(~ 7.4)下的溶胀率,在120 h后实现了MSC-Exo的持续递送,累积释放率高达80%。细胞毒性实验表明,CNF/SA/P407凝胶具有良好的生物相容性。结论本研究结果为实现Exo在再生治疗中的持续递送提供了可行的策略,为今后的研究提供了有价值的参考。
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引用次数: 0
Airway basal stem cell derived extracellular vesicles promote lung repair in chronic obstructive pulmonary disease 气道基底干细胞来源的细胞外囊泡促进慢性阻塞性肺疾病的肺修复
IF 3.5 3区 环境科学与生态学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-01-21 DOI: 10.1016/j.reth.2026.101068
Mengyu Zou , Ying Hua , Yu Zhao , Suleman Shah , Wei Zuo

Introduction

Chronic obstructive pulmonary disease (COPD) is a progressive respiratory disorder characterized by irreversible damage to the airways, alveoli, and pulmonary microvasculature. As the third leading cause of death worldwide, COPD remains without effective therapies to halt or reverse structural lung damage. Regenerative approaches utilizing lung-resident stem/progenitor cells present a promising therapeutic strategy; however, the underlying molecular mechanisms remain incompletely understood. This study aimed to investigate whether the reparative effects of airway basal stem cells (BCs) in COPD are mediated, at least in part, through paracrine mechanisms involving BC-derived extracellular vesicles (BC-EVs).

Methods

Lineage-tracing analysis was performed to determine the involvement of endogenous BCs in epithelial repair following COPD-related lung injury. Airway BCs were isolated, expanded ex vivo, and transplanted into elastase-induced COPD mouse models, followed by histological evaluation and RNA-seq–based transcriptomic analysis to assess regenerative efficacy. For mechanistic studies, BC-EVs were collected from cultured BCs and characterized using transmission electron microscopy, Nano-Flow Cytometry, and Western blotting. Their biological activity was assessed by CCK-8 and tube formation assays. BC-EVs were delivered to COPD mice via nebulization, with in vivo imaging tracking distribution. Therapeutic efficacy was evaluated by histology and arterial blood gas analysis. Proteomic profiling was conducted to elucidate the molecular mechanisms underlying BC-EV–mediated repair.

Results

Lineage tracing revealed active participation of endogenous BCs in epithelial repair. Transplantation of ex vivo–expanded BCs significantly restored alveolar architecture and alleviated pathological manifestations in COPD mice. Nebulized BC-EVs reproduced these benefits, promoting angiogenesis, enhancing epithelial repair, and improving lung function. Proteomic analyses revealed that BC-EVs were enriched in lung development–associated proteins and activated the PI3K–Akt signaling pathway, suggesting a mechanistic basis for their regenerative capacity.

Conclusions

Airway basal stem cells are essential for lung epithelial regeneration, and together with their extracellular vesicles, provide a promising therapeutic strategy for COPD. The reparative effects of BCs are partially mediated by BC-EVs, which promote alveolar structure remodeling. This study delineates how BCs ameliorate COPD-induced lung injury and highlights BC-EVs as a viable cell-free therapeutic candidate with strong translational potential.
慢性阻塞性肺疾病(COPD)是一种进行性呼吸系统疾病,其特征是气道、肺泡和肺微血管的不可逆损伤。作为全球第三大死亡原因,慢性阻塞性肺病仍然没有有效的治疗方法来阻止或逆转结构性肺损伤。利用肺驻留干细胞/祖细胞的再生方法是一种很有前途的治疗策略;然而,潜在的分子机制仍然不完全清楚。本研究旨在探讨气道基底干细胞(bc)在COPD中的修复作用是否至少部分通过涉及bc源性细胞外囊泡(bc - ev)的旁分泌机制介导。方法采用谱系追踪分析来确定内源性bc在copd相关肺损伤后上皮修复中的作用。分离气道bc,体外扩增,移植到弹性酶诱导的COPD小鼠模型中,随后进行组织学评估和基于rna -seq的转录组学分析,以评估再生效果。为了进行机制研究,从培养的bc细胞中收集bc - ev,并使用透射电子显微镜、纳米流式细胞术和Western blotting对其进行表征。采用CCK-8和试管形成法测定其生物活性。bc - ev通过雾化给药给COPD小鼠,体内成像跟踪分布。通过组织学和动脉血气分析评价治疗效果。蛋白质组学分析旨在阐明bc - ev介导修复的分子机制。结果谱系追踪显示内源性bc积极参与上皮细胞修复。体外扩张的BCs移植可明显恢复COPD小鼠的肺泡结构并减轻其病理表现。雾化bc - ev重现了这些益处,促进血管生成,增强上皮修复,改善肺功能。蛋白质组学分析显示bc - ev富含肺发育相关蛋白,并激活PI3K-Akt信号通路,提示其再生能力的机制基础。结论气道基底干细胞对肺上皮细胞再生至关重要,并与其细胞外囊泡一起,为COPD提供了一种有前景的治疗策略。BCs的修复作用部分由BCs - ev介导,其促进肺泡结构重塑。该研究描述了bc如何改善copd诱导的肺损伤,并强调bc - ev是一种具有强大转化潜力的可行的无细胞治疗候选药物。
{"title":"Airway basal stem cell derived extracellular vesicles promote lung repair in chronic obstructive pulmonary disease","authors":"Mengyu Zou ,&nbsp;Ying Hua ,&nbsp;Yu Zhao ,&nbsp;Suleman Shah ,&nbsp;Wei Zuo","doi":"10.1016/j.reth.2026.101068","DOIUrl":"10.1016/j.reth.2026.101068","url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic obstructive pulmonary disease (COPD) is a progressive respiratory disorder characterized by irreversible damage to the airways, alveoli, and pulmonary microvasculature. As the third leading cause of death worldwide, COPD remains without effective therapies to halt or reverse structural lung damage. Regenerative approaches utilizing lung-resident stem/progenitor cells present a promising therapeutic strategy; however, the underlying molecular mechanisms remain incompletely understood. This study aimed to investigate whether the reparative effects of airway basal stem cells (BCs) in COPD are mediated, at least in part, through paracrine mechanisms involving BC-derived extracellular vesicles (BC-EVs).</div></div><div><h3>Methods</h3><div>Lineage-tracing analysis was performed to determine the involvement of endogenous BCs in epithelial repair following COPD-related lung injury. Airway BCs were isolated, expanded <em>ex vivo</em>, and transplanted into elastase-induced COPD mouse models, followed by histological evaluation and RNA-seq–based transcriptomic analysis to assess regenerative efficacy. For mechanistic studies, BC-EVs were collected from cultured BCs and characterized using transmission electron microscopy, Nano-Flow Cytometry, and Western blotting. Their biological activity was assessed by CCK-8 and tube formation assays. BC-EVs were delivered to COPD mice via nebulization, with <em>in vivo</em> imaging tracking distribution. Therapeutic efficacy was evaluated by histology and arterial blood gas analysis. Proteomic profiling was conducted to elucidate the molecular mechanisms underlying BC-EV–mediated repair.</div></div><div><h3>Results</h3><div>Lineage tracing revealed active participation of endogenous BCs in epithelial repair. Transplantation of <em>ex vivo</em>–expanded BCs significantly restored alveolar architecture and alleviated pathological manifestations in COPD mice. Nebulized BC-EVs reproduced these benefits, promoting angiogenesis, enhancing epithelial repair, and improving lung function. Proteomic analyses revealed that BC-EVs were enriched in lung development–associated proteins and activated the PI3K–Akt signaling pathway, suggesting a mechanistic basis for their regenerative capacity.</div></div><div><h3>Conclusions</h3><div>Airway basal stem cells are essential for lung epithelial regeneration, and together with their extracellular vesicles, provide a promising therapeutic strategy for COPD. The reparative effects of BCs are partially mediated by BC-EVs, which promote alveolar structure remodeling. This study delineates how BCs ameliorate COPD-induced lung injury and highlights BC-EVs as a viable cell-free therapeutic candidate with strong translational potential.</div></div>","PeriodicalId":20895,"journal":{"name":"Regenerative Therapy","volume":"31 ","pages":"Article 101068"},"PeriodicalIF":3.5,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Monthly multiple injections of leukocyte-poor platelet-rich plasma (ACP®) for knee osteoarthritis: clinical effectiveness across KL grades, dose-response plateau at four, and 24-month durability 每月多次注射白细胞-贫血小板-富血浆(ACP®)治疗膝关节骨性关节炎:跨KL等级的临床疗效,4级时的剂量反应平台和24个月的耐久性
IF 3.5 3区 环境科学与生态学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-01-20 DOI: 10.1016/j.reth.2026.101067
Masahiko Kemmochi

Background

Monthly, ultrasound-guided intra-articular injections of leukocyte-poor platelet-rich plasma (ACP®) are widely used for knee osteoarthritis (KOA), but optimal dosing and cumulative exposure remain unclear.

Methods

We retrospectively analyzed prospectively planned ACP treatments at a single clinic. Knees with KL1-4 received fixed per-knee doses (3 mL [3A] or 6 mL [6A]) monthly up to six sessions. Primary outcome was VAS pain; secondary outcomes were KOOS (Pain/ADL/QoL), OMERACT-OARSI response, MOAKS-BML, and joint effusion (JF). ANCOVA for ΔVAS at 12 months adjusted for baseline VAS and prespecified covariates; longitudinal mixed-effects models and segmented regression assessed dose-response and breakpoint.

Results

Pain improved at 12 months (n = 115) and was maintained at 24 months (n = 67). Segmented regression identified a dose-response plateau around the 4th injection. The 6 mL regimen showed no robust adjusted advantage over 3 mL at 12 months. KOOS domains and OMERACT-OARSI responder rates improved at 12 months and persisted at 24 months. MOAKS-BML decreased from 12 to 24 months; JF tended to decline. No serious adverse events related to ACP injections were documented.

Conclusions

Under a fixed monthly protocol mirroring our LR-PRP schedule, ACP (LP-PRP) produced clinically meaningful improvements across KL1-4 with a practical evaluation horizon through the 4th injection and no clear per-session volume benefit of 6 mL over 3 mL. Prospective randomization of dose within a monthly-multiple framework is warranted.
背景:超声引导下每月进行一次的富含白细胞的富血小板血浆(ACP®)关节内注射被广泛用于治疗膝骨关节炎(KOA),但最佳剂量和累积暴露量仍不清楚。方法回顾性分析单个临床计划的ACP治疗方案。患有KL1-4的膝关节每月接受固定单膝剂量(3ml [3A]或6ml [6A]),最多6次。主要终点为VAS疼痛;次要终点为KOOS(疼痛/ADL/QoL)、OMERACT-OARSI反应、MOAKS-BML和关节积液(JF)。经基线VAS和预先指定协变量调整后的ΔVAS 12个月ANCOVA;纵向混合效应模型和分段回归评估了剂量-反应和断点。结果12个月时西班牙好转(n = 115), 24个月时西班牙维持(n = 67)。分段回归在第4次注射前后发现了一个剂量反应平台。在12个月时,6ml方案没有显示出比3ml方案更强的调整优势。kos域和OMERACT-OARSI应答率在12个月时有所改善,并在24个月时保持不变。MOAKS-BML从12个月下降到24个月;JF趋于下降。未发现与ACP注射相关的严重不良事件。在每月固定的方案中,ACP (LP-PRP)对KL1-4有临床意义的改善,通过第四次注射的实际评估范围,没有明显的每次6 mL比3 mL的剂量益处。在每月多次的框架内,剂量的前瞻性随机化是有保证的。
{"title":"Monthly multiple injections of leukocyte-poor platelet-rich plasma (ACP®) for knee osteoarthritis: clinical effectiveness across KL grades, dose-response plateau at four, and 24-month durability","authors":"Masahiko Kemmochi","doi":"10.1016/j.reth.2026.101067","DOIUrl":"10.1016/j.reth.2026.101067","url":null,"abstract":"<div><h3>Background</h3><div>Monthly, ultrasound-guided intra-articular injections of leukocyte-poor platelet-rich plasma (ACP®) are widely used for knee osteoarthritis (KOA), but optimal dosing and cumulative exposure remain unclear.</div></div><div><h3>Methods</h3><div>We retrospectively analyzed prospectively planned ACP treatments at a single clinic. Knees with KL1-4 received fixed per-knee doses (3 mL [3A] or 6 mL [6A]) monthly up to six sessions. Primary outcome was VAS pain; secondary outcomes were KOOS (Pain/ADL/QoL), OMERACT-OARSI response, MOAKS-BML, and joint effusion (JF). ANCOVA for ΔVAS at 12 months adjusted for baseline VAS and prespecified covariates; longitudinal mixed-effects models and segmented regression assessed dose-response and breakpoint.</div></div><div><h3>Results</h3><div>Pain improved at 12 months (n = 115) and was maintained at 24 months (n = 67). Segmented regression identified a dose-response plateau around the 4th injection. The 6 mL regimen showed no robust adjusted advantage over 3 mL at 12 months. KOOS domains and OMERACT-OARSI responder rates improved at 12 months and persisted at 24 months. MOAKS-BML decreased from 12 to 24 months; JF tended to decline. No serious adverse events related to ACP injections were documented.</div></div><div><h3>Conclusions</h3><div>Under a fixed monthly protocol mirroring our LR-PRP schedule, ACP (LP-PRP) produced clinically meaningful improvements across KL1-4 with a practical evaluation horizon through the 4th injection and no clear per-session volume benefit of 6 mL over 3 mL. Prospective randomization of dose within a monthly-multiple framework is warranted.</div></div>","PeriodicalId":20895,"journal":{"name":"Regenerative Therapy","volume":"31 ","pages":"Article 101067"},"PeriodicalIF":3.5,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy and safety of autologous adipose-derived stem cells combined with platelet-rich plasma for periodontal regeneration: a multicenter, randomized, open-label, parallel-group comparative trial 自体脂肪干细胞联合富血小板血浆用于牙周再生的有效性和安全性:一项多中心、随机、开放标签、平行组比较试验
IF 3.5 3区 环境科学与生态学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-01-16 DOI: 10.1016/j.reth.2026.101062
Morikuni Tobita , Yosuke Masubuchi , Yorimasa Ogata , Akio Mitani , Takeshi Kikuchi , Jun-Ichiro Hayashi , Taku Toriumi , Anna Arita , Jorge Luis Montenegro Raudales , Hiroshi Mizuno , Yuki Suzuki , Keiko Wakana , Hikari Yoneda , Masahiro Kino-oka , Tomohiro Morio , Kiyoshi Okada , Shinya Murakami , Masaki Honda

Introduction

Periodontitis is a chronic inflammatory disease caused by dental biofilm that destroys the periodontal tissues supporting the teeth. We aimed to evaluate the efficacy and safety of co-transplantation of autologous adipose-derived mesenchymal stem cells (ASCs) with platelet-rich plasma (PRP) compared to enamel matrix derivative (EMD) for regenerating periodontal tissue damaged by chronic periodontitis.

Methods

In this multicenter, randomized, open-label, parallel-group phase II therapeutic equivalence trial, we assessed the effects of ASCs with PRP versus EMD on alveolar bone height and width, as well as other periodontal indices. Measurements of primary and secondary endpoints and periodontal tissue indices were performed at baseline, the day of transplantation, and at 12, 24, and 36 weeks post-transplantation. Data were analyzed using Student's t-test.

Results

Of the 21 patients initially recruited, 9 in the ASCs + PRP group and 6 in the EMD group completed the study. The ASCs + PRP treatment demonstrated greater regenerative potential than that of EMD, with a significantly higher alveolar bone height at 36 weeks post-treatment. Patients receiving ASCs + PRP treatment showed a statistically higher mean height of new alveolar bone in the transplanted area than those in the EMD group. Clinical attachment levels improved significantly from baseline at 12, 24, and 36 weeks in the ASCs + PRP group; however, no significant difference in clinical attachment gain was observed between the two groups. Adverse events in the ASCs + PRP group were neither related to the implantation site nor to the treatment.

Conclusions

Co-transplantation of ASCs with PRP is a safe and effective approach for periodontal regeneration, offering a promising therapeutic strategy for the treatment of periodontitis.
牙周炎是一种慢性炎症性疾病,由牙齿生物膜破坏支撑牙齿的牙周组织引起。我们的目的是评估自体脂肪源性间充质干细胞(ASCs)与富血小板血浆(PRP)联合移植对慢性牙周炎损伤的牙周组织再生的疗效和安全性,并与牙釉质基质衍生物(EMD)进行比较。方法在这项多中心、随机、开放标签、平行组的II期治疗等效试验中,我们评估了ASCs联合PRP与EMD对牙槽骨高度和宽度以及其他牙周指标的影响。在基线、移植当天以及移植后12周、24周和36周测量主要终点和次要终点以及牙周组织指数。数据分析采用学生t检验。在最初招募的21例患者中,ASCs + PRP组有9例,EMD组有6例完成了研究。与EMD相比,ASCs + PRP治疗显示出更大的再生潜力,治疗后36周的牙槽骨高度显着提高。接受ASCs + PRP治疗的患者移植区新牙槽骨的平均高度高于EMD组。ASCs + PRP组的临床依恋水平在12、24和36周时较基线显著改善;然而,两组在临床依恋获得方面没有显著差异。ASCs + PRP组的不良事件与植入部位和治疗无关。结论人工牙周干细胞联合PRP移植是一种安全有效的牙周再生方法,为治疗牙周炎提供了一种有前景的治疗策略。
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引用次数: 0
Immune synapse molecules knockout in induced pluripotent stem cells enables broad NK cell resistance in T cell progeny 诱导多能干细胞的免疫突触分子敲除使T细胞后代具有广泛的NK细胞抗性
IF 3.5 3区 环境科学与生态学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-01-13 DOI: 10.1016/j.reth.2026.101060
Jing Zhang , Keisuke Sumide , Keitaro Kanie , Akihiro Ishikawa , Munehiro Yoshida , Tomoko Ishii , Bo Wang , Shin Kaneko

Introduction

Allogeneic iPSCs provide a potential source for regenerative T cell therapies, yet their clinical application remains limited by immune rejection driven by human leukocyte antigen (HLA) incompatibility. Knockout of β2-microglobulin (B2M) eliminates HLA class I expression and protects against CD8+ T cell-mediated killing, but paradoxically provokes natural killer (NK) cell activation via the “missing-self” response. Existing approaches seek to enhance inhibitory signaling or dampen activating signals, yet these approaches achieve only partial NK evasion due to the extraordinary heterogeneity of NK receptor repertoires.

Methods

We developed a broader and more universal immune evasion strategy by targeting immune synapse (IS) adhesion molecules that critical for NK–target cell engagement. Building on our previously reported hypoimmunogenic iPSC-derived T cell (iT cell) platform (B2MKOCIITAKOPVRKO with HLA-E overexpression), we engineered double-knockout (dKO) iT cells lacking CD54 (ICAM-1) and CD58 (LFA-3) using CRISPR/Cas9-mediated gene editing. These two ligands play key roles in stabilizing NK–target immunological synapses.

Results

Functionally, dKO iT cells exhibited marked resistance to NK cell–mediated cytotoxicity both in vitro and in vivo in human IL-15 transgenic mouse model, while maintaining iT cell cytotoxic effector functions. By disrupting the physical interface required for NK engagement, this approach provides broad protection against diverse NK cell subsets and complements existing HLA-focused immune evasion strategies.

Conclusions

Our findings establish a potentially versatile platform for generating universal, NK-resistant iT cells and advance the translational potential of iPSC-based immunotherapies.
同种异体iPSCs为再生T细胞治疗提供了一个潜在的来源,但其临床应用仍然受到人类白细胞抗原(HLA)不相容驱动的免疫排斥的限制。敲除β2-微球蛋白(B2M)可消除HLA I类表达并防止CD8+ T细胞介导的杀伤,但矛盾的是,它会通过“自我缺失”反应激活自然杀伤细胞(NK)。现有的方法寻求增强抑制信号或抑制激活信号,但由于NK受体的异常异质性,这些方法只能实现部分NK逃避。方法:我们开发了一种更广泛和更普遍的免疫逃避策略,通过靶向免疫突触(IS)粘附分子,这对nk靶细胞接合至关重要。基于我们之前报道的低免疫原性ipsc衍生的T细胞(iT细胞)平台(B2MKOCIITAKOPVRKO与HLA-E过表达),我们利用CRISPR/ cas9介导的基因编辑技术设计了缺乏CD54 (ICAM-1)和CD58 (LFA-3)的双敲除(dKO) iT细胞。这两种配体在稳定nk靶免疫突触中起关键作用。结果在人IL-15转基因小鼠模型中,dKO iT细胞在体外和体内均表现出对NK细胞介导的细胞毒性的显著抵抗,同时保持iT细胞的细胞毒效应功能。通过破坏NK参与所需的物理界面,这种方法提供了针对不同NK细胞亚群的广泛保护,并补充了现有的以hla为重点的免疫逃避策略。结论我们的发现为生成通用的nk耐药iT细胞建立了一个潜在的通用平台,并提高了基于ipsc的免疫疗法的转化潜力。
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引用次数: 0
Tissue and organ engineering: Investor sentiments and analysis 组织和器官工程:投资者情绪和分析
IF 3.5 3区 环境科学与生态学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-01-12 DOI: 10.1016/j.reth.2026.101066
Frida Velcani , Erica Keyes , José Luis Caraveo III , James Reohr , Craig D'Cruz , Andrew Osterman , Deirdre C. O'Donnell

Introduction

Regenerative medicine involves restoring natural function by replacing or regenerating human cells, tissues, or organs. Despite projections of significant market growth, venture capital (VC) investment in tissue and organ engineering has recently declined.

Methods

We conducted a mixed-methods study using structured surveys and qualitative interviews. VC investors with experience in healthcare sectors (biotechnology, tissue engineering, and medical technology) were invited to complete a survey and participate in interviews.

Results

We received 22 survey responses and conducted 9 interviews (April–May 2025). Prior exposure to regenerative medicine was significantly associated with future investment likelihood (p = 0.0464). Investment potential strongly correlated with assets under management (ρ = 0.67) and investment stage (ρ = 0.66). Among 20 respondents, clinical validation (n = 8) and adoption (n = 8) were most often cited as major investment drivers, followed by reimbursement and regulatory challenges. Interviews emphasized four factors shaping VC interest in tissue and organ engineering: prior investment experience, time horizon misalignment, clinical risk expectations, and market readiness.

Discussion

Startups can improve appeal by targeting long-horizon investors, outlining clinical and regulatory pathways, and generating robust, comparative evidence to support value-based reimbursement.
再生医学涉及通过替换或再生人体细胞、组织或器官来恢复自然功能。尽管预计市场将大幅增长,但组织和器官工程领域的风险资本(VC)投资最近有所下降。方法采用结构化调查和定性访谈相结合的研究方法。具有医疗保健行业(生物技术、组织工程和医疗技术)经验的风险投资者被邀请完成一项调查并参与访谈。结果共收到22份调查问卷,进行了9次访谈(2025年4 - 5月)。先前接触再生医学与未来投资可能性显著相关(p = 0.0464)。投资潜力与管理资产规模(ρ = 0.67)和投资阶段(ρ = 0.66)有很强的相关性。在20个受访者中,临床验证(n = 8)和采用(n = 8)最常被认为是主要的投资驱动因素,其次是报销和监管挑战。访谈强调了影响风险投资对组织和器官工程兴趣的四个因素:先前的投资经验、时间范围偏差、临床风险预期和市场准备情况。初创公司可以通过瞄准长线投资者,概述临床和监管途径,并产生强有力的比较证据来支持基于价值的报销,从而提高吸引力。
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引用次数: 0
Isolation of small extracellular vesicles by interacting with inorganic surface 通过与无机表面相互作用分离细胞外小泡
IF 3.5 3区 环境科学与生态学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-01-10 DOI: 10.1016/j.reth.2026.101063
Satoe Obuchi , Masamune Morita , Goshi Kuno , Toshifumi Mogami , Tomohiro Shuno , Yuto Ito , Makoto Miyagishi , Yoshio Ohba , Akiko Kuramochi , Yuji Teramura
Extracellular vesicles (EVs) have great potential as diagnostic and therapeutic tools because they are important mediators of intercellular communication. Although several EV isolation methods have been developed, efficient and selective isolation remains challenging owing to the presence of coexisting proteins and other EV subtypes. Herein, we report an EV purification method using inorganic materials composed of calcium phosphate and calcium carbonate combining with magnetic particles, wherein EVs are captured to phosphate and carbonate groups via surface calcium residues through metal coordinate bonds with their negatively charged phospholipids of EVs.

Methods

Cultured supernatants from three cell lines (HEK293T and cancer cells, MCF7 and PC3) were subjected to sequential centrifugation and filtration to remove cell debris and components smaller than 100 kDa, followed by purification using our inorganic material-based method. For comparison, conventional approaches, including polymer precipitation and phosphatidylserine (PS)-specific binding protein-based purification, were used. Purified EVs were characterized based on total protein content, surface marker expression (CD63 and CD81), and miRNA levels.

Results

The results revealed that our method enriched EVs with higher surface marker expression and miRNA content more efficiently than other approaches, while maintaining EV integrity and minimizing protein contamination. Although EVs were isolated from the same cell line, their compositions differed, indicating that the purification method should be carefully selected.

Conclusion

Thus, our inorganic material-mediated approach provides an effective platform for small extracellular vesicle (sEV) isolation, with potential applications in basic research and clinical diagnostics.
细胞外囊泡(EVs)作为细胞间通讯的重要媒介,在诊断和治疗方面具有很大的潜力。尽管已经开发了几种EV分离方法,但由于存在共存的蛋白质和其他EV亚型,高效和选择性分离仍然具有挑战性。本文报道了一种利用由磷酸钙和碳酸钙组成的无机材料结合磁性颗粒提纯电动汽车的方法,该方法通过电动汽车表面的钙残基与其带负电的磷脂的金属配位键将电动汽车捕获到磷酸和碳酸基团上。方法将HEK293T和癌细胞、MCF7和PC3细胞系培养的上清液进行顺序离心和过滤,去除细胞碎片和小于100 kDa的成分,然后用我们的无机材料为基础的方法纯化。为了进行比较,使用了传统的方法,包括聚合物沉淀和基于磷脂酰丝氨酸(PS)特异性结合蛋白的纯化。根据总蛋白含量、表面标记物表达(CD63和CD81)和miRNA水平对纯化的ev进行表征。结果与其他方法相比,我们的方法在保持EV完整性和减少蛋白质污染的同时,更有效地富集了具有更高表面标记表达和miRNA含量的EV。虽然来自同一细胞系,但其成分不同,需要谨慎选择纯化方法。结论该方法为小细胞外囊泡(sEV)的分离提供了有效的平台,在基础研究和临床诊断中具有潜在的应用前景。
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引用次数: 0
First-in-human study to investigate the safety and efficacy of effective-mononuclear cell therapy for radiogenic xerostomia 研究放射源性口干症的有效单核细胞治疗的安全性和有效性的首次人体研究
IF 3.5 3区 环境科学与生态学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-01-10 DOI: 10.1016/j.reth.2025.101059
Takashi I , Mayumi Iwatake , Takako Yoshida , Kazuhiro Nagai , Yuka Hotokezaka , Mika Nishihara , Ryo Honma , Hiroshi Harada , Munehiro Hayashida , Toshiki Nagano , Riho Kanai , Seigo Ohba , Atsutoshi Yoshimura , Haruchika Masuda , Takayuki Asahara , Yasushi Miyazaki , Atsushi Kawakami , Izumi Asahina , Makoto Seki , Yoshinori Sumita

Background

Salivary gland (SG) hypofunction is the most common complication following radiotherapy for head and neck cancer. Currently, there are no effective therapies for radiation-induced xerostomia. We recently developed a novel therapy for preclinical studies using effective-mononuclear cells (E-MNCs) induced from autologous peripheral blood mononuclear cells (PB-MNCs) via a new primary culture system for treatment of radiation-induced xerostomia. However, the safety and effectiveness of E-MNC therapy have not been assessed in humans. The objective of this first-in-human study was to evaluate the safety, tolerability, and in part the efficacy of E-MNC therapy for treating radiation-induced xerostomia.

Methods

This first-in-human study was an open-label, single-center, two-step dose escalation study. A total of 5 patients who had no recurrence of head and neck cancer over a 5-year period following radiation therapy and suffered from radiation-induced xerostomia received a transplantation of E-MNCs to one-sided submandibular gland (SMG). The primary endpoint was the safety of the protocol. The secondary endpoint was effectiveness evaluated based on change from baseline in whole-saliva secretion, MRI/CT-evaluated volume of the SMG and subjective/objective symptoms after intervention. The duration of the intervention was 1 year.

Results

During follow-up, no treatment-related adverse events were detected. The stimulated whole salivary flow rate increased from an average of 3.86 mL/10 min at baseline to 5.16 mL/10 min at 6 months post–investigational intervention. Additionally, subjective/objective symptoms improved in 4 of 5 treated patients. By contrast, imaging findings revealed no obvious changes in MRI/CT-evaluated volume of SMGs due to conspicuous progression of atrophy and fibrosis compared with baseline.

Conclusion

This is the first clinical study to evaluate the safety and efficacy of E-MNC treatment in patients with severe radiation-induced xerostomia. The results of our study indicate that E-MNC treatment is safe and effective, and provide valuable information that will aid in designing subsequent clinical studies.

Trial registration

This study was registered with the Japan Registry of Clinical Trials (http://jrct.niph.go.jp) as jRCTb070190057.
背景:涎腺功能减退是头颈部肿瘤放疗后最常见的并发症。目前,对于放射性口干症还没有有效的治疗方法。我们最近开发了一种新的临床前研究方法,通过一种新的原代培养系统,利用自体外周血单核细胞(PB-MNCs)诱导的有效单核细胞(E-MNCs)治疗辐射性口干症。然而,E-MNC治疗的安全性和有效性尚未在人类中进行评估。这项首次人体研究的目的是评估E-MNC治疗辐射性口干症的安全性、耐受性和部分疗效。方法这项首次人体研究是一项开放标签、单中心、两步剂量递增研究。5例放疗后5年内未复发的头颈癌患者,均因放射性口干而行单侧颌下腺移植。主要终点是方案的安全性。次要终点是根据干预后全唾液分泌、MRI/ ct评估的SMG体积和主观/客观症状的基线变化来评估有效性。干预时间为1年。结果随访期间未发现治疗相关不良事件。受刺激的全唾液流量从基线时的平均3.86 mL/10分钟增加到研究干预后6个月时的5.16 mL/10分钟。此外,5名接受治疗的患者中有4名主观/客观症状得到改善。相比之下,影像学结果显示,由于萎缩和纤维化的明显进展,MRI/ ct评估的smg体积与基线相比没有明显变化。结论本研究首次评价了E-MNC治疗严重放射性口干症的安全性和有效性。我们的研究结果表明,E-MNC治疗是安全有效的,并提供有价值的信息,将有助于设计后续的临床研究。本研究已在日本临床试验注册中心(http://jrct.niph.go.jp)注册,注册号为jRCTb070190057。
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引用次数: 0
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Regenerative Therapy
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