Mesenchymal Stem Cells for Cartilage Diseases
The Center for Musculoskeletal Regeneration is a multidisciplinary translational research laboratory that recognizes that the body has incredible healing capabilities and works to harness these to their fullest potential for cell therapy and tissue engineering applications. Under the leadership of Francesca Taraballi, PhD, the team combines expertise in many different, synergistic backgrounds including nanomedicine, engineering, chemistry, biology and materials science to develop cutting-edge research to facilitate technology translation to the clinic.
In orthopedics, inflammation comes before repair. Right after an injury or during surgery, the joint’s lining can become irritated and swollen. That early inflammation can delay healing, increase pain and complicate results. In this context, mesenchymal stem cells (MSCs) can help by calming the immune response, acting as a physiological reservoir to quiet inflammation. Rather than “turning into new tissue,” their key role here is to reduce irritation and create a healthier window for recovery.
Because MSCs live in many parts of the body, the source matters. Although bone marrow is the most familiar source, taking cells from there is invasive and often far from the surgical site. Our translational approach is straightforward: using closer, gentler sources without losing effectiveness.
Working side‑by‑side for years, Dr. Taraballi’s team and orthopedic surgeon Dr. McCulloch have mapped out less‑invasive, surgery‑friendly sources of MSCs that fit the routine arthroscopic workflow. This led to two complementary paths: infrapatellar fat‑pad MSCs for knee procedures and subacromial bursa MSCs for shoulder procedures. Both aim to settle perioperative inflammation around the time of surgery and support tissue integration, with GMP‑oriented protocols and an ongoing clinical pathway.
Translational Technology: Infrapatellar fat pad-derived MSC to support knee recovery
In the operating room, during anterior cruciate ligament reconstruction, the knee is ready to heal but inflammation holds it back. Our idea starts here: use MSCs derived from a fatty cushion resident in the joint as a surgical adjuvant to modulate early inflammation and support tissue integration. The source is minimally invasive, abundant, and the pathway is designed to fit seamlessly into the arthroscopic workflow. In Dr. Taraballi’s lab, we successfully confirmed feasibility, comparing FP‑MSCs against the gold-standard bone marrow‑MSCs. We subsequently translated the protocol to the KJCCT team, defining quality controls and release criteria, and we are now initiating the first-of-its-kind clinical study to assess safety of our product. We are measuring what matters to patients — pain and function — as well as imaging signs of repair and inflammation. Next steps include extending the approach to other critical points in the orthopedic scenarios.
Translational Technology: Subacromial bursa-derived MSC to protect the rotator cuff
Rotator‑cuff tendinopathy and impingement often trap patients in a loop of pain, inflammation, and reduced motion. During surgery, the surgeon encounters the subacromial bursa, rich in resident MSCs: a therapeutic reservoir that can be leveraged without changing the operative gesture. As per knee MSC, we apply a low‑risk bursal harvest during the surgical procedure, essential preparation, and local injection as a surgical adjuvant to repair or decompress the rotator cuff. We will then assess outcomes with functional scales, imaging, and local markers, while developing a clear procedural kit to support feasibility studies and a careful extension to other bursae and upper‑limb joints.
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