Stromal-Vascular Fraction and Adipose-derived Stem Cell Therapies Improve Cartilage Regeneration in Osteoarthritis-induced Rats
Abstract BackgroundThis study evaluated the effects of the stromal vascular fraction (SVF) and adipose-derived stem cells (ADSCs) on cartilage injury in an osteoarthritis (OA) rat model. MethodsSodium iodoacetate (3 mg/50 μL) was used to induce OA in the left knee joint of rats. On day 14 after OA induction, 50 μL of SVF (5 × 106 cells), ADSCs (1 × 106 cells), or 0.9% normal saline (NS) was injected into the left knee-joint cavity of each group. ResultsA macroscopic view of the articular cartilage revealed a damaged, concave, and inflamed appearance in the NS group. Histological sections revealed that the cartilage in the NS group was uneven and thin and had hyperchromatic cell infiltration. Notably, the conditions of articular cartilages improved on day 7 after the SVF and ADSC treatments. Furthermore, the cartilage surface had recovered to nearly normal and appeared smooth and bright on day 14 in the SVF and ADSC groups, and a thick cartilage layer was observed on histology. Additionally, the white blood cell counts in the SVF and ADSC groups were higher than those in the NS group on day 14. Plasma IL-1β levels on days 7 and 14 were reduced in the SVF and ADSC groups. ConclusionThese results indicated that both SVF and ADSC treatments may assist in articular cartilage regeneration after cartilage injury. Cell therapy may benefit patients with OA. However, clinical trials with humans are required before the application of SVF and ADSC treatments in patients with OA.