Review Article

The Crosstalk between Mesenchymal Stem Cells and Macrophages in Bone Regeneration: A Systematic Review

Table 2

Involvement of M1 macrophages in MSC osteogenic differentiation and bone regeneration.

AuthorCell sourceStudy typeCell managementInvolvement of Mφ polarization in MSC osteogenic inductionProposed mechanisms

Tu B 2015Human—BMSCs; THP-1—MφsIn vitroMφ CM collected for treating BMSCs under osteogenic induction conditionsIL-23 secretion from proinflammatory Mφs promotes the osteogenesis of BMSCsMφ-secreted IL-23 activates the STAT3 and β-catenin signaling and thus promotes the osteogenic differentiation of BMSCs
Hirata E 2016Human—BMSCs; human—MφsIn vitroCoculture of BMSCs and Mφs in the presence of CNHsALP activity is increased under the coculture of Mφs and MSCs in the presence of CNHsOSM from activated Mφs induces osteoblast differentiation and matrix mineralization through STAT3
Shi M 2016Human—BMSCs; RAW 264.7—MφsIn vitroBMSCs cultured in Cu-MSN/Mφ CM under osteogenic differentiationMφs phagocytize Cu-MSNs and produce proinflammatory cytokines leading to better osteogenic differentiation of BMSCsCu-MSN/Mφ CM enhances the osteogenic differentiation of BMSCs through the activation of the OSM pathway
Lu LY 2017C57BL/6 mice—BMSCs; C57BL/6 mice—MφsIn vitroCoculture of BMSCs and polarized Mφs (M1 induced by LPS and M2 induced by IL-4)Polarized Mφs enhance bone mineralization, especially proinflammatory M1 MφsM1 Mφs enhance BMSC osteogenesis and bone formation via the COX2-PGE2 pathway
Tang H 2017Human—ADSCs; THP-1—MφsIn vitro3D spheroid cocultures of M1 Mφs and ADSCs are conducted under osteogenic differentiation conditionsThe osteogenic differentiation of ADSCs is inhibited by M1 MφsN-cadherin-mediated cell-cell interactions between M1 Mφs and ADMSCs result in inhibited osteogenesis
Xue D 2018Human—BMSCs; RAW 264.7—MφsIn vitroBMSCs undergo osteogenic differentiation added with the CM from GO/MφsCoculture of GO and Mφs induced M1 Mφ transition and produced proinflammatory cytokines in the CM, further enhancing BMSC osteogenesisThe proinflammatory environment induced by GO promote osteogenic differentiation of BMSCs through OSM and NF-κB pathways
Wasnik S 2018C57BL/6 mice—BMSCs; C57BL/6 mice—MφsIn vivoMice with the fracture at the midshaft receive a daily s.c. dose of 1,25(OH)2DThe suppression of fracture healing induced by 1,25(OH)2D is mediated by the inhibition of M1 Mφs during the proinflammatory stage/
Nathan K 2019C57BL/6 mice—BMSCs; C57BL/6 mice—MφsIn vitroCoculture of BMSCs and M1 Mφs in the presence of IL-4 under the osteogenic induction mediumTemporal modulation of M1-to-M2 polarization maximizes MSC matrix mineralization/
Tang H 2019Human—ADSCs; THP-1—MφsIn vitroM1 Mφs and ADSC coculture on PLGA/PCL scaffolds with osteogenic induction componentsM1 Mφs inhibit the osteogenic differentiation of ADMSCs on 3D PLGA/PCL scaffoldsM1 Mφs inhibit osteogenic-related pathways (BMP & OSM signaling) during ADSC differentiation
Y He 2019SD rats—BMSCs; RAW 264.7—MφsIn vitro & in vivoIn vitro: CM from Mφs seeded on Ti-SF/LL-37 is applied on BMSC culturing
In vivo: LL-37-loaded SFNPs of Ti rods are inserted into the bone defect
In vitro: osteogenic differentiation of BMSCs was enhanced by additional CM from Mφs incubated on Ti-SF/LL-37
In vivo: The Ti-SF/LL-37 group effectively induced both proinflammatory factors and exhibited improved osteogenesis ability
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BMSCs: bone marrow stem cells; Mφs: macrophages; CNHs: carbon nanohorns; ALP: alkaline phosphatase; OSM: oncostatin M; STAT3: signal transducer and activator of transcription 3; Cu-MSNs: Cu-containing mesoporous silica nanospheres; CM: conditioned medium; COX2: cyclooxygenase 2; PGE2: prostaglandin E2; GO: graphene oxide; NF-κB: nuclear factor-kappa B.