Elsevier

Acta Biomaterialia

Volume 7, Issue 2, February 2011, Pages 463-477
Acta Biomaterialia

Review
Culture media for the differentiation of mesenchymal stromal cells

https://doi.org/10.1016/j.actbio.2010.07.037Get rights and content

Abstract

Mesenchymal stromal cells (MSCs) can be isolated from various tissues such as bone marrow aspirates, fat or umbilical cord blood. These cells have the ability to proliferate in vitro and differentiate into a series of mesoderm-type lineages, including osteoblasts, chondrocytes, adipocytes, myocytes and vascular cells. Due to this ability, MSCs provide an appealing source of progenitor cells which may be used in the field of tissue regeneration for both research and clinical purposes. The key factors for successful MSC proliferation and differentiation in vitro are the culture conditions. Hence, we here summarize the culture media and their compositions currently available for the differentiation of MSCs towards osteogenic, chondrogenic, adipogenic, endothelial and vascular smooth muscle phenotypes. However, optimal combination of growth factors, cytokines and serum supplements and their concentration within the media is essential for the in vitro culture and differentiation of MSCs and thereby for their application in advanced tissue engineering.

Introduction

Since Owen and Friedenstein’s work [1] it has been assumed that bone marrow contains special cells that can be expanded in vitro and differentiated into various mesoderm-type lineages, including bone, fat, cartilage, muscle, tendon, haematopoiesis-supporting stroma and vasculature [2], [3], [4], [5], [6]. We presently refer to these nonhematopoietic cells as mesenchymal stromal cell (MSC; Fig. 1) [7]. In addition, researchers have recently transdifferentiated MSCs into non-mesodermal cell types such as neuronal-like cells [8], [9], [10], [11] and pancreatic cell progenitors [12], [13], [14], [15].

To date, MSCs have been isolated not only from bone marrow but also from many other tissues and organs, including adipose tissue, umbilical cord blood, placental tissue, liver, spleen, testes, menstrual blood, amniotic fluid, pancreas and periosteum [16], [17], [18], [19], [20]. When cultured in vitro on polystyrene surfaces, MSCs reveal morphological heterogeneity. These cells can be narrow spindle-shaped, large polygonal or even cuboidal-shaped when growing into a confluent monolayer [21]. In adult human, MSCs lack the hematopoietic surface antigens, e.g. CD11, CD14, CD34 and CD45 [22]. Meanwhile numerous molecular markers have been found on MSC surface, but none of them is specific to MSCs. Despite this, molecules such as CD44, CD73, CD90, STRO-1 and CD105/SH2 [3], [23], [24], [25] are still currently used to identify MSCs.

MSCs are considered to be nonimmunogenic since these cells have been transplanted into allogeneic hosts even without using any immunosuppressive drugs [22], [26]. Furthermore, it has been reported that MSCs actually possess immunosuppressive properties by modulating the function of T-cells [27], [28], dendritic cells and B-cells [29], [30], [31], [32].

For the characterization of MSC plasticity, their ability to differentiate in vitro into osteoblasts, chondrocytes and adipocytes is currently treated as the gold standard. This, in combination with the advantages that MSCs have no immunogenicity and can be easily isolated from different tissues and expanded in vitro, enables MSCs to be a promising source of stem cells. Hence MSCs have been used in the therapy of diseases such as extended osseous defects [33], acute myocardial infarction [34], leukemia [35] and diabetes [36]. In addition, the homing capability endows MSCs with further potential applications. For example, MSCs may be used for supporting tissue regeneration [37], correcting congenital disorders (e.g. osteogenesis imperfecta [38]) and controlling chronic inflammatory diseases [39], [40], and have even employed as vehicles for the delivery of biological agents [22] and as probes in the biocompatibility test of new implant materials. A prerequisite for the therapeutic application of MSCs is to develop efficient and standardized protocols so that MSCs can be induced to differentiate along the way as required. Therefore, we here present an overview of the optimized protocols for MSC differentiation towards the osteogenic, chondrogenic, adipogenic, endothelial and vascular smooth muscle phenotypes.

Section snippets

Background

Bone diseases are major socioeconomic issues. The World Health Organization has acknowledged this fact by declaring the years 2000–2010 “The Bone and Joint Decade”. The development of innovative bone-healing strategies is a prerequisite for the successful treatment of a variety of patients suffering from local bone defects caused by trauma, tumour, infection, degenerative joint disease, congenital crippling disorders or periprosthetic bone loss. Furthermore, bone graft material is frequently

Background

Cartilage defects have only a limited intrinsic healing capacity. For instance, partial thickness defects that do not penetrate the subchondral bone usually do not repair spontaneously [97]. Small full-thickness defects can repair spontaneously, resulting in hyaline-like cartilage. However, larger defects only regenerate by production of fibrous tissue or fibrocartilage, which as biomechanically inferior compared with physiological hyaline cartilage. The cell-based regeneration of

Background

The formation of adipocytes and their aggregation in order to form adipose tissue denotes an important step in the evolution of vertebrates, as it guarantees independence from food intake over longer periods of time [150]. In plastic and reconstructive surgical procedures, adipose tissue is frequently needed to repair soft tissue defects that result from traumatic injury (i.e. significant burns), tumour resections (i.e. mastectomy and carcinoma removal), and congenital defects [151]. The

Background

A major aim in tissue engineering is to ensure adequate vascularization of artificial tissue-like constructs. Previous studies have showed that vascularization within in vitro engineered tissues using mature endothelial cells (ECs) improved blood perfusion and cell viability during and after transplantation [197], [198]. Blood vessels primarily consist of three cell types. While ECs can be found in the innermost layer of a vessel, vascular smooth muscle cells (VSMCs) are typically located in

Background

VSMCs play an important role in angiogenesis, mechanical support of vessels and blood pressure control [224]. Thus, generating a functional VSMC layer is a prerequisite for successful construction of tissue-engineered blood vessels. The replicative ability of autologous VSMCs derived from older donors, representing the majority of potential recipients of vascular grafts for treatment of cardiovascular diseases, is limited [225], [226]. Thus, MSCs represent an appealing source of smooth muscle

Cell source

MSCs can be isolated from various tissues, including bone marrow, adipose tissue, umbilical cord blood, placental tissue [251], liver, spleen [20], testes [19], menstrual blood, amniotic fluid [17], pancreas [16], dermis [252], dental pulp [253], periosteum [254] and even lung [255]. Within these, bone marrow is believed to be the enriched reservoir of MSCs and the major source for these precursor cells, which populate other adult tissues and organs [256]. Because of their abundant availability

Summary

MSCs are a promising source of precursor cells which may be applied in various tissue-engineering strategies. By using differentiation-specific protocols, MSCs can be induced to differentiate towards a variety of mature target cells. In this context, the composition of the cell culture media used is crucial. Currently, different commercial culture media with or without FCS are available for MSC differentiation. More importantly, however, particular supplementary agents need to be added to the

Disclosure of interests

The authors indicate no potential conflict of interests.

Acknowledgements

We thank Peter Bernstein, MD, Juliane Rauh, PhD, Angela Jacobi, PhD, and Mike Tipsword for proof-reading of this manuscript. Thanks a lot to Cornelia Liebers and Suzanne Manthey for assisting with cell culture and histology. M.S. and C.V. are financially supported by the German Academic Exchange Service/German Federal Ministry of Education and Research (Grant No. D/09/04774) and by the Center for Regenerative Therapies Dresden, Germany (Seed Grant No. 09-08).

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