Mesenchymal Stem Cells Derived Exosomes in Osteoarthritis Patients

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age45-75
SponsorIsfahan University of Medical Sciences

About this trial

Present research focuses on the potential of exosomes, which are small vesicles secreted by mesenchymal stem cells (MSCs), as a therapeutic approach for osteoarthritis (OA).

OA is a degenerative joint disorder characterized by the destruction of cartilage and loss of extracellular matrix. It's associated with pro-inflammatory cytokines and increased expression of matrix metalloproteinase (MMP) and "a disintegrin and metalloproteinase with thrombospondin motifs" (ADAMTS).

MSCs have been explored as a new treatment for OA over the last decade1. It's suggested that the paracrine secretion of trophic factors, in which exosomes play a crucial role, contributes to the mechanism of MSC-based treatment of OA.

Exosomes derived from MSCs may suppress OA development. They carry bioactive molecules of the parental cells, including non-coding RNAs (ncRNAs) and proteins and anti-inflammatory factors. These exosomes have shown a significant impact on the modulation of various physiological behaviors of cells in the joint cavity.

This research provides hope for developing more effective and predictable methods of using MSC-derived exosomes for OA treatment.

Eligibility criteria

Qualifiers

Chronic history (for at least 3 months) of knee joint pain

Body mass index (BMI) between 21.5 and 29.5

Radiographically documented knee osteoarthritis of grades 1 to 3 (Kellgren-Lawrence (K-L) radiographic classification scale)

Disqualifiers

Rheumatoid arthritis and other rheumatic diseases

Varus or valgus more than 10 degrees; lateral subluxation of the patella

Deformity at the joint levels or adjacent to the knee due to fracture or any other injury

Complete rupture of the ligament and meniscus leading to laxity or locking

Trial design

Treatments tested in this trial

  • Exosome

Treatment groups

20 Participants
are divided into 1 treatment group