Published online Oct 26, 2022. doi: 10.4252/wjsc.v14.i10.744
Peer-review started: April 6, 2022
First decision: June 22, 2022
Revised: July 8, 2022
Accepted: September 12, 2022
Article in press: September 12, 2022
Published online: October 26, 2022
Processing time: 201 Days and 20.6 Hours
Osteoarthritis (OA) is considered to be a highly heterogeneous disease with progressive cartilage loss, subchondral bone remodeling, and low-grade inflammation. It is one of the world's leading causes of disability. Most conventional clinical treatments for OA are palliative drugs, which cannot fundamentally cure this disease. The stromal vascular fraction (SVF) from adipose tissues is a heterogeneous cell population. According to previous studies, it contains a large number of mesenchymal stem cells, which have been used to treat OA with good therapeutic results. This safe, simple, and effective therapy is expected to be applied and promoted in the future. In this paper, the detailed pathogenesis, diagnosis, and current clinical treatments for OA are introduced. Then, clinical studies and the therapeutic mechanism of SVF for the treatment of OA are summarized.
Core Tip: Osteoarthritis (OA) is one of the world's leading causes of disability. Clinically, palliative drugs cannot fundamentally cure this disease. The stromal vascular fraction (SVF) from adipose tissues is a heterogeneous cell population. According to studies, it contains a large number of mesenchymal stem cells, which have been used to treat OA with good therapeutic effects. In this review, we present an updated status of the comprehensive and systematic review of pathogenesis, diagnosis, and current clinical treatments for OA, especially focusing on therapeutic applications of adipose-derived SVF.
