PMID- 26416680 OWN - NLM STAT- MEDLINE DCOM- 20160712 LR - 20190130 IS - 1471-2970 (Electronic) IS - 0962-8436 (Print) IS - 0962-8436 (Linking) VI - 370 IP - 1680 DP - 2015 Oct 19 TI - From gristle to chondrocyte transplantation: treatment of cartilage injuries. PG - 20140369 LID - 10.1098/rstb.2014.0369 [doi] LID - 20140369 AB - This review addresses the progress in cartilage repair technology over the decades with an emphasis on cartilage regeneration with cell therapy. The most abundant cartilage is the hyaline cartilage that covers the surface of our joints and, due to avascularity, this tissue is unable to repair itself. The cartilage degeneration seen in osteoarthritis causes patient suffering and is a huge burden to society. The surgical approach to cartilage repair was non-existing until the 1950s when new surgical techniques emerged. The use of cultured cells for cell therapy started as experimental studies in the 1970s that developed over the years to a clinical application in 1994 with the introduction of the autologous chondrocyte transplantation technique (ACT). The technology is now spread worldwide and has been further refined by combining arthroscopic techniques with cells cultured on matrix (MACI technology). The non-regenerating hypothesis of cartilage has been revisited and we are now able to demonstrate cell divisions and presence of stem-cell niches in the joint. Furthermore, cartilage derived from human embryonic stem cells and induced pluripotent stem cells could be the base for new broader cell treatments for cartilage injuries and the future technology base for prevention and cure of osteoarthritis. CI - (c) 2015 The Author(s). FAU - Lindahl, Anders AU - Lindahl A AD - Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, and Institute of Biomedicine, Department of Clinical Chemistry and Transfusion Medicine, Sahlgrenska University Hospital, SE413 45 Gothenburg, Sweden anders.lindahl@clinchem.gu.se. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Philos Trans R Soc Lond B Biol Sci JT - Philosophical transactions of the Royal Society of London. Series B, Biological sciences JID - 7503623 SB - IM MH - Animals MH - Cartilage/*injuries/surgery MH - Cell- and Tissue-Based Therapy MH - Cells, Cultured MH - Chondrocytes/physiology/*transplantation MH - Embryonic Stem Cells/cytology/transplantation MH - Humans MH - Induced Pluripotent Stem Cells/cytology/transplantation MH - Osteoarthritis/therapy MH - Regeneration MH - Stem Cell Niche MH - Transplantation, Autologous PMC - PMC4633998 OTO - NOTNLM OT - cartilage OT - cell therapy OT - stem cells EDAT- 2015/09/30 06:00 MHDA- 2016/07/13 06:00 PMCR- 2016/10/19 CRDT- 2015/09/30 06:00 PHST- 2015/09/30 06:00 [entrez] PHST- 2015/09/30 06:00 [pubmed] PHST- 2016/07/13 06:00 [medline] PHST- 2016/10/19 00:00 [pmc-release] AID - rstb.2014.0369 [pii] AID - rstb20140369 [pii] AID - 10.1098/rstb.2014.0369 [doi] PST - ppublish SO - Philos Trans R Soc Lond B Biol Sci. 2015 Oct 19;370(1680):20140369. doi: 10.1098/rstb.2014.0369.