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Therapeutic effects of mesenchymal stem cells and their secretomes (extracellular vesicles) with bone-implant scaffolds for bone regeneration: A systematic review and network meta-analysis of preclini

17 days ago
  • #bone regeneration
  • #mesenchymal stem cells
  • #extracellular vesicles
  • Mesenchymal stem cells (MSCs) and extracellular vesicles (EVs) combined with bone-regenerative scaffolds enhance healing of critical-size bone defects.
  • Bone marrow MSCs (BMSCs) outperform adipose-derived MSCs (ADSCs) in bone regeneration, with BMSC-derived EVs further improving outcomes.
  • Multi-component composite scaffolds show the highest potential for new bone formation among cell-free designs.
  • Calvarial defect models demonstrate greater bone regeneration gains compared to long-bone models.
  • The study highlights the need for standardized protocols and core outcome sets due to heterogeneity in models, biomaterials, and dosing.