PMID- 14964731 OWN - NLM STAT- MEDLINE DCOM- 20040521 LR - 20220331 IS - 0090-6964 (Print) IS - 0090-6964 (Linking) VI - 32 IP - 1 DP - 2004 Jan TI - Bone marrow stromal cells (BMSCs) in bone engineering: limitations and recent advances. PG - 160-5 AB - Bone marrow stromal cells (BMSCs) have been isolated for the first time by Friedenstein et al. and since then have been considered the progenitor cells for the skeletal tissues. Indeed BMSCs are clonogenic, fibroblastic in shape, and can differentiate along multiple lineages such as osteoblasts, chondrocytes, adipocytes, and hematopoiesis-supportive stroma. When implanted in vivo on a three-dimensional bioceramic scaffold into immunocompromised mice, BMSCs form bone and hematopoiesis-supportive stroma. The ease of harvest from a donor bone marrow together with the ability to form bone in vivo make BMSCs ideal for clinical applications. Thus, ex vivo expanded BMSCs have been employed, first in large animal models, then in human clinical trials, to repair large bone segmental defects. Further investigation of the expanded BMSC population led to the observation that in vitro expansion appears a limiting passage: cells tend to senesce and lose their multidifferentiation potential with time in culture. To overcome these limitations, two approaches have been proposed: (1) identification of the appropriate culture conditions to prevent senescence by possibly selecting a subpopulation with stem cell characteristics, and (2) engineering of the cells by transfection with the telomerase gene to prevent cells from telomere shortening and consequent aging. FAU - Derubeis, Anna R AU - Derubeis AR AD - Istituto Nazionale per la Ricerca sul Cancro, Genova, Italy. FAU - Cancedda, Ranieri AU - Cancedda R LA - eng PT - Journal Article PT - Review PL - United States TA - Ann Biomed Eng JT - Annals of biomedical engineering JID - 0361512 SB - IM MH - Animals MH - Bone Marrow Cells/cytology/*physiology MH - Bone Marrow Transplantation/*methods/trends MH - Bone and Bones/*cytology/*physiology MH - Cell Culture Techniques/methods MH - Cell Differentiation/*physiology MH - Humans MH - Osteogenesis/*physiology MH - Stromal Cells/cytology/physiology MH - Tissue Engineering/*methods/*trends RF - 47 EDAT- 2004/02/18 05:00 MHDA- 2004/05/22 05:00 CRDT- 2004/02/18 05:00 PHST- 2004/02/18 05:00 [pubmed] PHST- 2004/05/22 05:00 [medline] PHST- 2004/02/18 05:00 [entrez] AID - 10.1023/b:abme.0000007800.89194.95 [doi] PST - ppublish SO - Ann Biomed Eng. 2004 Jan;32(1):160-5. doi: 10.1023/b:abme.0000007800.89194.95.