- Murphy, Matthew P;
- Koepke, Lauren S;
- Lopez, Michael T;
- Tong, Xinming;
- Ambrosi, Thomas H;
- Gulati, Gunsagar S;
- Marecic, Owen;
- Wang, Yuting;
- Ransom, Ryan C;
- Hoover, Malachia Y;
- Steininger, Holly;
- Zhao, Liming;
- Walkiewicz, Marcin P;
- Quarto, Natalina;
- Levi, Benjamin;
- Wan, Derrick C;
- Weissman, Irving L;
- Goodman, Stuart B;
- Yang, Fan;
- Longaker, Michael T;
- Chan, Charles KF
Osteoarthritis (OA) is a degenerative disease resulting in irreversible, progressive destruction of articular cartilage1. The etiology of OA is complex and involves a variety of factors, including genetic predisposition, acute injury and chronic inflammation2-4. Here we investigate the ability of resident skeletal stem-cell (SSC) populations to regenerate cartilage in relation to age, a possible contributor to the development of osteoarthritis5-7. We demonstrate that aging is associated with progressive loss of SSCs and diminished chondrogenesis in the joints of both mice and humans. However, a local expansion of SSCs could still be triggered in the chondral surface of adult limb joints in mice by stimulating a regenerative response using microfracture (MF) surgery. Although MF-activated SSCs tended to form fibrous tissues, localized co-delivery of BMP2 and soluble VEGFR1 (sVEGFR1), a VEGF receptor antagonist, in a hydrogel skewed differentiation of MF-activated SSCs toward articular cartilage. These data indicate that following MF, a resident stem-cell population can be induced to generate cartilage for treatment of localized chondral disease in OA.