PMID- 30644305 OWN - NLM STAT- MEDLINE DCOM- 20190614 LR - 20190614 IS - 0393-974X (Print) IS - 0393-974X (Linking) VI - 32 IP - 6 Suppl. 1 DP - 2018 Nov-Dec TI - Targeting VEGF-A in cartilage repair and regeneration: state of the art and perspectives. PG - 217-224 AB - Osteoarthritis (OA) is the most common joint disorders in western populations, and is characterized by a progressive degradation of articular cartilage (AC) leading to loss of joint function. Methods to cure, delay or prevent the onset of OA and/or improve AC repair strategies have high clinical and socioeconomic impact. Possible innovative strategies envisioned for early OA treatments or cartilage repair include the implantation/injection of mesenchymal progenitors (MPs)-based constructs or cell-free bioactive scaffolds/hydrogel coupled with the controlled recruitment and instruction of resident MPs or AC. However, these tissue engineering-based strategies still suffer from unreliable outcomes with poor fibro-cartilaginous repair and blood vessel invasion. In such conditions Vascular Endothelial Growth Factor (VEGF) family has been shown to play a key role in controlling AC catabolism on one hand and angiogenesis on the other as a crucial step for endochondral ossification of MPs, ultimately leading to progressive breakdown of the neo-formed matrix. This review aims to provide a summary of relevant relationships between impaired angiogenesis, OA and cartilage regeneration highlighting how VEGF might play a paramount role in the pathophysiology of cartilage aging or degeneration as well as in cartilage repair. FAU - Vadala, G AU - Vadala G AD - Department of Orthopaedic and Trauma Surgery, University Campus Bio-Medico of Rome, Rome, Italy. FAU - Russo, F AU - Russo F AD - Department of Orthopaedic and Trauma Surgery, University Campus Bio-Medico of Rome, Rome, Italy. FAU - Musumeci, M AU - Musumeci M AD - Department of Orthopaedic and Trauma Surgery, University Campus Bio-Medico of Rome, Rome, Italy. FAU - Giacalone, A AU - Giacalone A AD - Department of Orthopaedic and Trauma Surgery, University Campus Bio-Medico of Rome, Rome, Italy. FAU - Papalia, R AU - Papalia R AD - Department of Orthopaedic and Trauma Surgery, University Campus Bio-Medico of Rome, Rome, Italy. FAU - Denaro, V AU - Denaro V AD - Department of Orthopaedic and Trauma Surgery, University Campus Bio-Medico of Rome, Rome, Italy. LA - eng PT - Journal Article PT - Review PL - Italy TA - J Biol Regul Homeost Agents JT - Journal of biological regulators and homeostatic agents JID - 8809253 RN - 0 (VEGFA protein, human) RN - 0 (Vascular Endothelial Growth Factor A) SB - IM MH - Cartilage, Articular/*physiopathology MH - Humans MH - Osteoarthritis/*physiopathology MH - Regeneration MH - Tissue Engineering MH - Vascular Endothelial Growth Factor A/*physiology EDAT- 2019/01/16 06:00 MHDA- 2019/06/15 06:00 CRDT- 2019/01/16 06:00 PHST- 2019/01/16 06:00 [entrez] PHST- 2019/01/16 06:00 [pubmed] PHST- 2019/06/15 06:00 [medline] AID - 32 [pii] PST - ppublish SO - J Biol Regul Homeost Agents. 2018 Nov-Dec;32(6 Suppl. 1):217-224.