Review Article

Head to Knee: Cranial Neural Crest-Derived Cells as Promising Candidates for Human Cartilage Repair

Table 1

(a)

Nasal chondrocytes
AuthorCell typesExperiment typeCulture duration before implantationSite of transplantationScaffoldMain results

Vinatier et al. (2009) [67]Autologous nasal chondrocytes
Rabbit
In vitro
In vivo
4 weeks in vitro
6 weeks in vivo
Knee
Rabbit
Si-HPMC hydrogelNeocartilage: same histological aspect as healthy articular cartilage
Analysis of col type II: hyaline-like cartilage

Fulco et al. (2014) [70]Autologous nasal chondrocytes
Human
Clinical trial4 weeks
In vitro
6 months
Biopsy
Alar lobule
Human
Collagen type I/III scaffoldReconstructed tissues displayed fibromuscular fatty structures typical of the alar lobule stability and functionality of the grafts

Pelttari et al. (2014) [69]Autologous nasal chondrocytes and articular chondrocytes
Goat
In vitro
In vivo
In vitro: 2 weeks
In vivo: 5 weeks: cell plasticity; 3 and 6 months: preclinical effectiveness
Knee
Goat
Collagen type I/III scaffoldIn vitro: nasal chondrocytes: more efficient chondrogenic differentiation than articular chondrocytes (cloning and subcloning)
In vivo: nasal chondrocytes gave a higher cartilage repair tissue quality than articular chondrocytes
Nasal chondrocytes ()
Human
In vivoIn vitro: 1 week
In vivo: 5 weeks
Subcutaneous
Nude mice
Collagen type I/III scaffoldStability of Hox gene expression
Nasal chondrocytes (septum)
Human
Clinical trial
Phase 1
4 weeks before implantationTraumatic injury
Knee
Human
Collagen type I/III scaffold(1) No systemic or local adverse events for follow-up patients to 18 months after implantation
(2) Filling of the defect and no graft delamination, with strong reduction of subchondral bone edema 4 months after surgery

Mumme et al. (2016) [68]Autologous nasal chondrocytes
Autologous articular chondrocytes
Goat
In vivoIn vivo
4-5 weeks cast
3-6 months
Knee
Goat
Collagen type I and type III membrane (chondro-Gide)Typical structures of articular cartilage with nasal chondrocytes. Efficient integration of the grafted tissues with the adjacent native cartilage and underlying subchondral bone with nasal chondrocytes
No sign of osteoarthritis following the graft with nasal chondrocytes as compared to articular chondrocytes

Mumme et al. (2016) [71]Autologous nasal chondrocytes
Human
Clinical trial24-month follow-upKnee
Human
Collagen type I/III scaffoldNo adverse reactions
Self-assessed clinical scores for pain, knee function, and quality of life were significantly improved
Radiological assessments indicated variable degrees of defect filling and development of repair tissue approaching the composition of a native hyaline-like cartilage
Nude miceIn vivo (tumorigenic tests)8 weeksSubcutaneous pocketsCollagen type I/III scaffoldTumor-free tissues
All explanted organs appeared macroscopically normal and no evidence of tumor formation was observed histologically

(b)

NC-MSC
AuthorCell typesExperiment typeCulture durationSite of transplantationScaffoldMain results

Pierdormenico et al. (2006) [90]DPSC (human)
BM-MSC
In vitro3-4 weeks//Failure of chondrogenic differentiation

Iohara et al. (2006) [91]DPSC (SP) (porcin)In vitro45 days//Almost 30% of SP cells were converted into chondrocytes

Alge et al. (2010) [87]DPSC (rat)
BM-MSC (mouse)
In vitro3 weeks//Both DPSC and BM-MSC achieved successful chondrogenic differentiation

Dai et al. (2012) [93]DPSC+CC
(human)
In vitro
In vivo
/Nude mice
8 weeks
Subcutaneous
PGAFGF9 enhanced chondrogenesis of DPSCs
FGF9 inhibited hypertrophy and ossification in chondrodifferentiated DPSCs

Hsu et al. (2012) [95]GF
GSC (human)
In vitro//ChitosanGSC isolation and culture on chitosan membranes increase their chondrogenic potential

Choi et al. (2013) [106]PDLSC (human)In vitro14 days//TGF-β1 and BMP-6 stimulate chondrogenic differentiation of PDLSC
If used together they may induce mineralization and hypertrophy

Moshaverinia et al. (2013) [96]GSC
PDLSC vs. BM-MSC (human)
In vitro
In vivo
4 weeksNude mice
Dorsal surface
Subcutaneous
RGD-coupled alginate with high guluronic acid contentPDLSCs showed higher amounts of chondrogenesis and Sox9 and Coll II gene expression than BM-MSCs and GSCs in vitro and in vivo

Rizk et al. (2013) [92]DPSC (human)In vitro
In vivo
/Nude mice
12 weeks
Lateral side
PLLA/PEGTGF-β3 increases the chondrogenic potential of DPSC

Yang et al. (2013) [89]PDLSC GSC (human)In vitro8 weeks//PDLSC had more chondrogenic differentiation potential than GSC

Ferré et al. (2014) [94]GSCIn vitro5 weeks//GSC in chondrogenic differentiation medium showed SOX9-dependent differentiation to both chondrocyte and synoviocyte lineages GSC in 3-week old medium: synovial cells peripheral positive to CAD-11

Nemeth et al. (2014) [107]DPSC (mouse)In vitro/10-21 daysPEG-GelMA-HANanotopography and HA provide important cues for promoting chondrogenic differentiation of DPSCs

Yeh et al. (2014) [98]Porcine
Chondrocytes
Human MSC: BM-MSC, AD-MSC, GF, PL-MSC
In vitro
In vivo
3 weeksNODScid mice
Subcutaneous
CII-HA
SIS
SIS scaffold more suitable for chondrogenic differentiation for all cell types. GF gave the best rate of chondrogenic differentiation on SIS scaffold

Umeda et al. (2015) [104]IPSC (human)
CD271+PDGFRa+CD73+ from the PAX3/SOX10/FOXD3-
In vitro
In vivo
12 weeksDorsal skin
NODScid/NSG mice
GelfoamThe ectomesenchymal cells were expandable without loss of chondrogenic potential for at least 16 passages
TGF-β3 promotes efficiently of these cells to form translucent cartilage particles, which were completely mineralized in 12 weeks in NODScid/NSG mice

Chijimatsu et al. (2017) [105]Neural crest-derived mesenchymal stem cells from IPSC (iNCMSC)In vitro
In vivo
7 weeksOsteochondral defect in euthymic nude rats/TGF-β3 alone in chondrogenic medium is not enough to ensure chondrogenic differentiation. BMP2 is required
In vivo, chondrogenic particles failed to restore osteochondral defect contrary to BM-MSC