PMID- 36066333 OWN - NLM STAT- MEDLINE DCOM- 20230418 LR - 20230627 IS - 1937-3376 (Electronic) IS - 1937-3368 (Linking) VI - 29 IP - 2 DP - 2023 Apr TI - A Systematic Review of Bone Marrow Stromal Cells and Periosteum-Derived Cells for Bone Regeneration. PG - 103-122 LID - 10.1089/ten.TEB.2022.0115 [doi] AB - Bone marrow stromal cells (BMSCs) and periosteum-derived cells (PDCs) represent promising skeletal stem cell sources to treat critical-size bone defects. However, the large number of preclinical tests with a variety of in vivo data complicates the selection of cells for further clinical translation. This systematic review aims to analyze the in vivo bone-forming efficacy of BMSCs- and PDCs-based approaches in all published preclinical experiments until November 2020. For this purpose, four databases (PubMed, Embase, Cochrane Central Register of Controlled Trial, and Web of Science) were searched for eligible literature, which yielded a total of 94 full-text articles for systematic review. This review generated an evidence-based list of BMSC- or PDC-based approaches, which have been evaluated for bone formation in different animal models. Among them, 74 studies were included for pairwise and network meta-analysis. The results revealed that both PDC and BMSC had beneficial bone-forming efficacy compared to bare scaffold. In addition, BMSC- and PDC-based approaches had no significant difference regarding in vivo bone-forming efficacy. However, BMSC-based approach had a higher probability to be ranked better than PDC-based approach. Furthermore, the review discusses (i) the possible risk of bias of the in vivo evaluation of cell-based approaches, (ii) the difficulty in replication of such experiments due to frequent poor reporting of the methods and results, and (iii) the clinical relevance of the currently utilized BMSC- and PDC-based approaches. Systematic review registration: The study was prospectively registered in PROSPERO, Registration No. CRD42021270922. FAU - Zhu, Jingxian AU - Zhu J AUID- ORCID: 0000-0003-0095-654X AD - The State Key Laboratory Breeding Base of Basic Sciences of Stomatology, Key Laboratory of Oral Biomedicine, Ministry of Education (Hubei-MOST KLOS and KLOBM), School and Hospital of Stomatology, Wuhan University, Wuhan, China. FAU - Xiong, Jiabi AU - Xiong J AUID- ORCID: 0000-0003-0874-1738 AD - The State Key Laboratory Breeding Base of Basic Sciences of Stomatology, Key Laboratory of Oral Biomedicine, Ministry of Education (Hubei-MOST KLOS and KLOBM), School and Hospital of Stomatology, Wuhan University, Wuhan, China. FAU - Ji, Wei AU - Ji W AUID- ORCID: 0000-0002-1473-5222 AD - The State Key Laboratory Breeding Base of Basic Sciences of Stomatology, Key Laboratory of Oral Biomedicine, Ministry of Education (Hubei-MOST KLOS and KLOBM), School and Hospital of Stomatology, Wuhan University, Wuhan, China. AD - Department of Implantology, School and Hospital of Stomatology, Wuhan University, Wuhan, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Systematic Review DEP - 20221011 PL - United States TA - Tissue Eng Part B Rev JT - Tissue engineering. Part B, Reviews JID - 101466660 SB - IM MH - Animals MH - Bone Marrow Cells MH - Bone Regeneration MH - *Mesenchymal Stem Cells MH - Models, Animal MH - Osteogenesis MH - *Periosteum OTO - NOTNLM OT - bone marrow stromal cell OT - bone regeneration OT - cell-based approach OT - network meta-analysis OT - periosteum-derived cell OT - systematic review EDAT- 2022/09/07 06:00 MHDA- 2023/04/12 06:42 CRDT- 2022/09/06 09:42 PHST- 2023/04/12 06:42 [medline] PHST- 2022/09/07 06:00 [pubmed] PHST- 2022/09/06 09:42 [entrez] AID - 10.1089/ten.TEB.2022.0115 [doi] PST - ppublish SO - Tissue Eng Part B Rev. 2023 Apr;29(2):103-122. doi: 10.1089/ten.TEB.2022.0115. Epub 2022 Oct 11.