journal article Open Access Feb 03, 2026

Application Strategies of Bone Marrow Mesenchymal Stromal Cells in Bone‐Related Diseases

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Abstract
ABSTRACT
Bone‐related diseases (e.g., osteoporosis, osteoarthritis and fractures) exhibit a rising global incidence, imposing significant burdens on both quality of life and healthcare systems. Conventional therapeutic approaches, including anti‐resorptive drugs and surgical interventions, face limitations such as long‐term medication requirements, adverse effects (e.g., bisphosphonate‐related osteonecrosis of the jaw) and suboptimal efficacy. Bone marrow mesenchymal stromal cells (BMSCs) have emerged as a promising therapeutic alternative due to their accessibility, multi‐lineage differentiation potential, immunomodulatory properties and homing capacity. However, challenges such as disease complexity, mechanistic heterogeneity and therapeutic inconsistency hinder their clinical translation. Recent advances in genetic engineering, preconditioning strategies, bone tissue engineering (e.g., three‐dimensional [3D] scaffolding), extracellular vesicle‐based therapies and epigenetic regulation (e.g., histone modification) have significantly enhanced the therapeutic effects of BMSCs. Furthermore, cutting‐edge technologies like organoids and 3D bioprinting, which stem from advances in tissue engineering, offer novel avenues for clinical applications. Given these rapid developments, this review systematically summarises BMSC‐based treatment strategies for bone‐related diseases, discusses current challenges and outlines future directions to advance translational research.
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References
291
[4]
Osteoporosis

Kristine E. Ensrud, Carolyn J. Crandall

Annals of Internal Medicine 10.7326/aitc201708010

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Details
Published
Feb 03, 2026
Vol/Issue
59(4)
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Funding
National Natural Science Foundation of China Award: 82370938
Science and Technology Department of Sichuan Province Award: 2024NSFSC2087
Cite This Article
Xuemei Long, Dan Tan, Qianke Tao, et al. (2026). Application Strategies of Bone Marrow Mesenchymal Stromal Cells in Bone‐Related Diseases. Cell Proliferation, 59(4). https://doi.org/10.1111/cpr.70178