2020
DOI: 10.1002/dvdy.228
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Lessons from joint development for cartilage repair in the clinic

Abstract: More than 250 years ago, William Hunter stated that when cartilage is destroyed it never recovers. In the last 20 years, the understanding of the mechanisms that lead to joint formation and the knowledge that some of these mechanisms are reactivated in the homeostatic responses of cartilage to injury has offered an unprecedented therapeutic opportunity to achieve cartilage regeneration. Very large investments in ambitious clinical trials are finally revealing that, although we do not have perfect medicines yet… Show more

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Cited by 6 publications
(9 citation statements)
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References 171 publications
(422 reference statements)
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“…These intrinsic differences may not only influence embryonic patterning of skeletal elements but also postnatal growth and regeneration mechanisms. For example, developmental molecular programs are reactivated postnatally during repair of articular cartilage and calvarial bones 121,122 . Additionally, embryonic Hox gene expression patterns can be maintained within stem cell populations postnatally where they influence stem cell characteristics 69,123 .…”
Section: Introductionmentioning
confidence: 99%
“…These intrinsic differences may not only influence embryonic patterning of skeletal elements but also postnatal growth and regeneration mechanisms. For example, developmental molecular programs are reactivated postnatally during repair of articular cartilage and calvarial bones 121,122 . Additionally, embryonic Hox gene expression patterns can be maintained within stem cell populations postnatally where they influence stem cell characteristics 69,123 .…”
Section: Introductionmentioning
confidence: 99%
“…Consistent with the in vivo study, strategies to inhibit hypertrophic maturation of chondrocytes and enhance the synthesis of ECM represent potential new therapeutic modalities, an excellent chondro-protective effect had been approved in vitro studies. The chondrocytes are responsible for the maintenance of the articular cartilage [ 37 ], which would provide a valid strategy for the prevention and treatment of KOA [ 38 ]. Previous investigations implied that PTH (1–34) could enhance the proliferation of chondrocytes [ 39 ], which was replenished in our current study.…”
Section: Discussionmentioning
confidence: 99%
“…Subsequently, chondrocytes in the central part of the skeletal elements (diaphysis) become hypertrophic—expressing collagen type X and other markers—and are eventually replaced by bone. This process, called endochondral bone formation, spares the last few layers of cells proximal to the joint which are resistant to hypertrophic differentiation, vascular invasion, calcification and bone formation and give rise to the permanent articular cartilage (Thorup et al , 2020a ). During osteoarthritis, however, ectopic and pathological chondrocyte hypertrophy and calcification take place within the articular cartilage and drive its breakdown (Saito et al , 2010 ; Yang et al , 2010 ; Bertrand et al , 2011 , 2020 ).…”
Section: Introductionmentioning
confidence: 99%