Background: Mesenchymal stem cells (MSCs) in synovial uid increase after traumatic meniscus injuries.However, MSC kinetics in synovial uid may differ for knees with degenerative meniscus injuries. Furthermore, the combination of surgical repair and synovial MSC transplantation has been found to improve clinical symptoms in patients with degenerative meniscus injury, and in this treatment, only the operation procedure without MSC transplantation might increase MSCs in synovial uid; if so, soluble factors in synovial uid will be involved. The purpose is this study was to examine whether MSCs exist in synovial uid of knees with degenerative meniscus injury, to investigate whether MSCs in synovial uid increase after harvest of synovium and meniscus repair, and to explore what soluble factors in synovial uids affect the number of MSCs in synovial uid.Methods: Subjects were 7 patients with degenerative meniscus injury who underwent meniscal repair and synovial MSC transplantation. Synovial uid (Pre) was aspirated from knees before harvest of synovium and meniscus repair. After 2 weeks, synovial uid (Post) was aspirated again before transplantation of synovial MSCs. A half volume of the synovial uid was plated and cultured for 2 weeks to count the colony formation. The other half was used for antibody array analysis, and the correlation coe cients between the signal intensity and colony number were measured in 503 factors. Factors with high correlation coe cients were veri ed by migration assay.Results: While cell colonies derived from synovial uid (Pre) were hardly observed, greater numbers of colonies from synovial uid (Post) were demonstrated. Of the 503 factors, calcitonin gene-related peptide (CGRP) and hepatocyte growth factor (HGF) had high correlation coe cients between colony number and expression level. Both CGRP and HGF promoted migration of synovial uid MSCs.Conclusions: MSCs in synovial uid were hardly seen in knees with degenerated meniscus injury. They signi cantly increased 2 weeks after harvest of synovium and meniscus repair. Both CGRP and HGF in synovial uid can possibly induce MSCs from synovium into synovial uid.