The use of mesenchymal stem cells for cartilage repair and regeneration: a systematic review.

BACKGROUND: The management of articular cartilage defects presents many clinical challenges due to its avascular, aneural and alymphatic nature. Bone marrow stimulation techniques, such as microfracture, are the most frequently used method in clinical practice however the resulting mixed fibrocartilage tissue which is inferior to native hyaline cartilage. Other methods have shown promise but are far from perfect. There is an unmet need and growing interest in regenerative medicine and tissue engineering to improve the outcome for patients requiring cartilage repair. Many published reviews on cartilage repair only list human clinical trials, underestimating the wealth of basic sciences and animal studies that are precursors to future research. We therefore set out to perform a systematic review of the literature to assess the translation of stem cell therapy to explore what research had been carried out at each of the stages of translation from bench-top (in vitro), animal (pre-clinical) and human studies (clinical) and assemble an evidence-based cascade for the responsible introduction of stem cell therapy for cartilage defects. This review was conducted in accordance to PRISMA guidelines using CINHAL, MEDLINE, EMBASE, Scopus and Web of Knowledge databases from 1st January 1900 to 30th June 2015. In total, there were 2880 studies identified of which 252 studies were included for analysis (100 articles for in vitro studies, 111 studies for animal studies; and 31 studies for human studies). There was a huge variance in cell source in pre-clinical studies both of terms of animal used, location of harvest (fat, marrow, blood or synovium) and allogeneicity. The use of scaffolds, growth factors, number of cell passages and number of cells used was hugely heterogeneous. SHORT CONCLUSIONS: This review offers a comprehensive assessment of the evidence behind the translation of basic science to the clinical practice of cartilage repair. It has revealed a lack of connectivity between the in vitro, pre-clinical and human data and a patchwork quilt of synergistic evidence. Drivers for progress in this space are largely driven by patient demand, surgeon inquisition and a regulatory framework that is learning at the same pace as new developments take place

Exclusive gamma gamma -> mu(+)mu(-) production in proton-proton collisions at root s=7TeV

A measurement of the exclusive two-photon production of muon pairs in proton-proton collisions at √s = 7TeV, pp → pμ +μ -p, is reported using data corresponding to an integrated luminosity of 40 pb -1. For muon pairs with invariant mass greater than 11:5 GeV, transverse momentum p (μ) > 4 GeV and pseudorapidity σ(μ) < 2:1, a t to the dimuon pT(μ +μ -) distribution results in a measured cross section of η(p → pμ +μ -p) = 3:38 +0:58 0:55 (stat:)±0:16 (syst:)±0:14 (lumi:) pb, consistent with the theoretical prediction evaluated with the event generator Lpair. The ratio to the predicted cross section is 0:83 +0:14 - 0:13 (stat:) ± 0:04 (syst:) ± 0:03 (lumi:). The characteristic distributions of the muon pairs produced via fusion, such as the muon acoplanarity, the muon pair invariant mass and transverse momentum agree with those from the theory. Copyright © CERN

Observation and studies of jet quenching in PbPb collisions at root s(NN)=2.76 TeV

Jet production in PbPb collisions at a nucleon-nucleon center-of-mass energy of 2.76 TeV was studied with the Compact Muon Solenoid (CMS) detector at the LHC, using a data sample corresponding to an integrated luminosity of 6.7μb-1. Jets are reconstructed using the energy deposited in the CMS calorimeters and studied as a function of collision centrality. With increasing collision centrality, a striking imbalance in dijet transverse momentum is observed, consistent with jet quenching. The observed effect extends from the lower cutoff used in this study (jet pT=120 GeV/c) up to the statistical limit of the available data sample (jet pT≈210 GeV/c). Correlations of charged particle tracks with jets indicate that the momentum imbalance is accompanied by a softening of the fragmentation pattern of the second most energetic, away-side jet. The dijet momentum balance is recovered when integrating low transverse momentum particles distributed over a wide angular range relative to the direction of the away-side jet. © 2011 American Physical Society