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Tendon Injury: Role of Differentiation of Adult and Embryonic Derived Stem Cells

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Stem Cells and Cancer Stem Cells, Volume 4

Part of the book series: Stem Cells and Cancer Stem Cells ((STEM,volume 4))

Abstract

Injuries to tendon are particularly common in sports activities, but there is poor self-repair capability of this unique connective tissue. As understanding of tendon biology is critical for the development of innovative therapy for successful tendon regeneration, the various cell sub-populations in tendon as well as their niche in tendon metabolism and pathology are described. Embryonic and adult stem cell-based tendon tissue engineering approaches have achieved encouraging results. This chapter focuses on introducing two promising strategies: (i) stepwise differentiation of embryonic stem cells for tendon tissue engineering, and (ii) incorporation of the matrix niche into tendon stem cell differentiation for complete tendon regeneration. Multifaceted technologies, such as incorporation of growth factors, bio-scaffolds, mechanical stimulation and genetic modification, are increasingly being utilized to control and direct stem cell differentiation, in the development of novel stem cell-based therapy for effective repair and regeneration of injured tendons.

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References

  • Beredjiklian PK, Favata M, Cartmell JS, Flanagan CL, Crombleholme TM, Soslowsky LJ (2003) Regenerative versus reparative healing in tendon: a study of biomechanical and histological properties in fetal sheep. Ann Biomed Eng 31:1143–1152

    Article  PubMed  Google Scholar 

  • Bi Y, Ehirchiou D, Kilts TM, Inkson CA, Embree MC, Sonoyama W, Li L, Leet AI, Seo BM, Zhang L, Shi S, Young MF (2007) Identification of tendon stem/progenitor cells and the role of the extracellular matrix in their niche. Nat Med 13:1219–1227

    Article  PubMed  CAS  Google Scholar 

  • Chen X, Song XH, Yin Z, Zou XH, Wang LL, Hu H, Cao T, Zheng M, Ouyang HW (2009) Stepwise differentiation of human embryonic stem cells promotes tendon regeneration by secreting fetal tendon matrix and differentiation factors. Stem Cells 27:1276–1287

    Article  PubMed  CAS  Google Scholar 

  • Crisan M, Yap S, Casteilla L, Chen CW, Corselli M, Park TS, Andriolo G, Sun B, Zheng B, Zhang L, Norotte C, Teng PN, Traas J, Schugar R, Deasy BM, Badylak S, Buhring HJ, Giacobino JP, Lazzari L, Huard J, Peault B (2008) A perivascular origin for mesenchymal stem cells in multiple human organs. Cell Stem Cell 3:301–313

    Article  PubMed  CAS  Google Scholar 

  • Engler AJ, Sen S, Sweeney HL, Discher DE (2006) Matrix elasticity directs stem cell lineage specification. Cell 126:677–689

    Article  PubMed  CAS  Google Scholar 

  • Graf T, Enver T (2009) Forcing cells to change lineages. Nature 462:587–594

    Article  PubMed  CAS  Google Scholar 

  • Hwang CM, Park Y, Park JY, Lee K, Sun K, Khademhosseini A, Lee SH (2009) Controlled cellular orientation on PLGA microfibers with defined diameters. Biomed Microdevices 11:739–746

    Article  PubMed  CAS  Google Scholar 

  • Kannus P (2000) Structure of the tendon connective tissue. Scand J Med Sci Sports 10:312–320

    Article  PubMed  CAS  Google Scholar 

  • Lutolf MP, Hubbell JA (2005) Synthetic biomaterials as instructive extracellular microenvironments for morphogenesis in tissue engineering. Nat Biotechnol 23:47–55

    Article  PubMed  CAS  Google Scholar 

  • Moore MJ, De Beaux A (1987) A quantitative ultrastructural study of rat tendon from birth to maturity. J Anat 153:163–169

    PubMed  CAS  Google Scholar 

  • Murchison ND, Price BA, Conner DA, Keene DR, Olson EN, Tabin CJ, Schweitzer R (2007) Regulation of tendon differentiation by scleraxis distinguishes force-transmitting tendons from muscle-anchoring tendons. Development 134:2697–2708

    Article  PubMed  CAS  Google Scholar 

  • Rui YF, Lui PP, Li G, Fu SC, Lee YW, Chan KM (2010) Isolation and characterization of multipotent rat tendon-derived stem cells. Tissue Eng Part A 16:1549–1558

    Article  PubMed  CAS  Google Scholar 

  • Sharma P, Maffulli N (2005a) Basic biology of tendon injury and healing. Surgeon 3:309–316

    Article  PubMed  CAS  Google Scholar 

  • Sharma P, Maffulli N (2005b) Tendon injury and tendinopathy: healing and repair. J Bone Joint Surg Am 87:187–202

    Article  PubMed  Google Scholar 

  • Sharma RI, Snedeker JG (2010) Biochemical and biomechanical gradients for directed bone marrow stromal cell differentiation toward tendon and bone. Biomaterials 31:7695–7704

    Article  PubMed  CAS  Google Scholar 

  • Stoll C, John T, Conrad C, Lohan A, Hondke S, Ertel W, Kaps C, Endres M, Sittinger M, Ringe J, Schulze-Tanzil G (2011) Healing parameters in a rabbit partial tendon defect following tenocyte/biomaterial implantation. Biomaterials 32:4806–4815

    Article  PubMed  CAS  Google Scholar 

  • Tempfer H, Wagner A, Gehwolf R, Lehner C, Tauber M, Resch H, Bauer HC (2009) Perivascular cells of the supraspinatus tendon express both tendon- and stem cell-related markers. Histochem Cell Biol 131:733–741

    Article  PubMed  CAS  Google Scholar 

  • Voog J, Jones DL (2010) Stem cells and the niche: a dynamic duo. Cell Stem Cell 6:103–115

    Article  PubMed  CAS  Google Scholar 

  • Yin Z, Chen X, Chen JL, Shen WL, Hieu NTM, Gao L, Ouyang HW (2010) The regulation of tendon stem cell differentiation by the alignment of nanofibers. Biomaterials 31:2163–2175

    Article  PubMed  CAS  Google Scholar 

  • Zhang J, Wang JH (2010a) Characterization of differential properties of rabbit tendon stem cells and tenocytes. BMC Musculoskelet Disord 11:10

    Article  PubMed  Google Scholar 

  • Zhang J, Wang JH (2010b) Mechanobiological response of tendon stem cells: implications of tendon homeostasis and pathogenesis of tendinopathy. J Orthop Res 28:639–643

    Article  PubMed  Google Scholar 

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Correspondence to Hong Wei Ouyang .

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Zi, Y., Xiao, C., Heng, B.C., Ouyang, H.W. (2012). Tendon Injury: Role of Differentiation of Adult and Embryonic Derived Stem Cells. In: Hayat, M. (eds) Stem Cells and Cancer Stem Cells, Volume 4. Stem Cells and Cancer Stem Cells, vol 4. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-2828-8_9

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