Review Article

Stem Cell Therapy for Degenerative Disc Disease

Table 1

Review of stem cell intervertebral disc therapy reported in the literature, including the animal model, cell type, and treatment outcome.

Study yearAnimal modelCell typeCellular scaffoldResult

Nishimura and Mochida, 1998 [41]Rat (nucleus aspiration)Autologous NP tissueNANA
Okuma et al., 2000 [42]Rabbit (nucleus aspiration)NP cellsNoDelayed formation of clusters of chondrocyte-like cells, the destruction of disc architecture, and the elaboration of type-II collagen
Nomura et al., 2001 [43]Rabbit (nucleus aspiration)Allograft NP tissueNoDecreased IVD
Gruber et al. 2002 [77]Sand ratAutologous disc chondrocytes—AF cellsNoEngrafted cells integrated into the disc and normal ECM was synthetized
Ganey et al., 2003 [45]Canine (disc material removal)Autologous disc chondrocytes—NP and AF cellsNoViable proliferating chondrocytes that synthetized ECM (collagen I and II) were found and retention of disc height
Gorensek et al., 2004 [46]Rabbit (nucleus aspiration)Autologous cartilage chondrocytesNoOnly Hyaline-like cartilage was found
Sakai et al. 2003 [51], Sakai et al. 2005 [78]Rabbit (nucleus aspiration)Autologous BMSCs—genetic marking with LacZAtelocollagen gelImproved annular structure and proteoglycan preservation
Crevensten et al., 2004 [47]Rat (no injury)BMSCsHyaluronan gelIncreased disc height and matrix synthesis
Sakai et al. 2005 [78]Rabbit (nucleus aspiration)Autologous BMSCs—genetic marking with GFPAtelocollagen gelProliferation and site-dependent differentiation
Zhang et al., 2005 [55]Rabbit (no injury)Allogeneic BMSCs—genetic marking with LacZNoIncreased proteoglycan and collagen type II synthesis
Leung et al. 2006 [79]Rabbit (nucleus puncture)Allogeneic BMSCsNANA
Sobajima et al., 2008 [52]Rabbit (no injury)Allogeneic BMSCs—genetic marking with LacZNoTransplanted BMSCs migration and engraftment into the inner annulus fibrosus
Hiyama et al., 2008 [49]Canine (nucleotomy)Autologous BMSCsNoSuppression of disc degeneration and preservation of immune privilege
Hoogendoorn et al. 2008 [80]Goat (ABC chondroitinase)NoneMild slowly progressive degeneration
Yang et al., 2009 [54]Murine (annular puncture)BMSCs from EGFP transgenic miceNoIncreased matrix synthesis by both autonomous differentiation and stimulatory action on endogenous cells
Henriksson et al., 2009 [48]Porcine (nucleus aspiration)Human BMSCsHydrogelCells survival and disc-like differentiation
Wei et al., 2009 [53]Rat (no injury)Human BMSCs labeled with tracker orangeNoCells survival and chondrocytic differentiation
Acosta et al., 2011 [44]Porcine (nucleotomy)Juvenile Chondrocytes/Allogeneic BMSCsFibrinJC survival, proliferation, and synthesis of ECM. MSCs were not observed

NP: nucleus pulposus, AF: annulus fibrosus, ECM: extracellular matrix, MSCs: mesenchymal stem cells, BMSCs: bone marrow mesenchymal stem cells, and IVD: intervertebral disc.