Sarcopenia is a condition in which muscle mass and strength are decreased and muscle function is impaired. It is an indicator of frailty and loss of independence in older adults. It is also associated with increased physical disability, which increases the risk of falls. As a multifactorial disease, sarcopenia is caused by a combination of factors including aging, hormonal changes, nutritional deficiencies, and physical inactivity. Understanding the underlying pathophysiology of sarcopenia and identifying its different causes is critical to developing effective prevention and treatment strategies. This review summarizes the pathophysiology, consequences, diagnostic methods, and multidisciplinary approaches to sarcopenia.
Citations
Citations to this article as recorded by
Underlying Mechanisms of Osteoporosis in the Context of Multimorbidity: Clinical Challenges and Management Strategies Alberto Castagna, Carmelo Pujia, Elisa Mazza, Samantha Maurotti, Yvelise Ferro, Valeria Rizzo, Martina Formica, Rosy Conforto, Caterina Mercuri, Angela Sciacqua, Carmine Gazzaruso, Arturo Pujia, Tiziana Montalcini Nutrients.2026; 18(2): 262. CrossRef
The Clinical Impact of Sarcopenia and Delirium in Hospitalized Elderly Patients: An Analysis Using Muscle Ultrasound Thomas Fraccalini, Laura Santos Ribeiro, Andrea Trogolo, Beatrice Tarozzo, Valerio Piras, Julia Michelin Vecchini, Rouslan Senkeev, Oksana Sukhova, Luciano Cardinale, Giuseppe Maina, Salvatore Di Gioia, Davide Minniti, Truce Massimiliano, Binello Elisa, F Journal of Cachexia, Sarcopenia and Muscle.2026;[Epub] CrossRef
Prevalence of, and factors associated with, sarcopenia in Iran: a systematic review and meta-analysis Mobin Marzban Abbas Abadi, Danial Hosseinzade, Majid Khalilizad Frontiers in Nutrition.2025;[Epub] CrossRef
A scoring system and seven factors associated with certification for Japanese long-term care insurance in older people Keisuke Takahashi, Katsumasa Ideo, Masaru Uragami, Yuko Fukuma, Takehiro Koga, Kazuhiro Yoshiura, Shuken Boku, Naoto Kajitani, Minoru Takebayashi, Takeshi Miyamoto Journal of Bone and Mineral Metabolism.2025; 43(4): 419. CrossRef
Frailty in COPD: Clinical Impact, Diagnosis, Biomarkers, and Management Strategies Rakhima Azhimamatova, Rana Salieva, Tazagul Zalova, Kunduzkhan Karimova, Dilshat Karimova, Shekerbubu Dyikanova, Roman Kalmatov, Urmatbek Tynaliev International Journal of Chronic Obstructive Pulmonary Disease.2025; Volume 20: 2445. CrossRef
Sarcopenia in chronic obstructive pulmonary disease: mechanisms, diagnosis, and management strategies Muhammad Hamza Khan, Maham Fatima, Ahmad Adnan, Alishba Jawaid, Syed Muhammad Hassan, Muhammad Talal, Shazia Rahim, Zaib Un Nisa Mughal, Aly Omer Patel, Achit Kumar Singh Annals of Medicine & Surgery.2025; 87(8): 5106. CrossRef
Impact of resistance exercise variants on sarcopenia: a scoping review Stuti Sharma, Mahak Sharma, Divya Tripathi, Gulshan Lal Khanna Discover Public Health.2025;[Epub] CrossRef
Amino acid (Leu, Gln, Cys)–EGCG mixture mitigates dexamethasone-induced muscle atrophy via PI3K-Akt-mTOR and SIRT1-PGC1α pathway regulation Sang Min Kim, Hyung Joo Suh, Won Chel Lee, Yain Choi, Yeok Boo Chang Food Bioscience.2025; 73: 107665. CrossRef
Muscle Fiber Recruitment Characteristics in Trained Older Adults: An EMG Frequency Analysis During Voluntary Contraction Tatsuhiko Matsumoto, Yutaka Takamaru, Chikao Nakayama, Shuji Sawada, Shuichi Machida Journal of Functional Morphology and Kinesiology.2025; 10(3): 355. CrossRef
Mediation of fasting blood glucose between relative muscle strength and hypertension: insights from two cohorts Pengyu Wang, Li Huang, Zhou Zhu, Xinyue Hu, Bingxin Wu, Xiaofang Yang Diabetology & Metabolic Syndrome.2025;[Epub] CrossRef
Associations Between Vitamin D Deficiency and Sarcopenia in South Korean Adults: Based on the 2022 Korea National Health and Nutrition Examination Survey Sunhye Shin, Mi Joung Kim Nutrients.2025; 17(20): 3292. CrossRef
Retrospective Analysis of the Association Between Sarcopenia and Fall Risk in Older Breast Cancer Patients Using Real World Data (TriNetX) Asmaa Namoos, Rana Ramadan, Dina Ramadan, Annie Liang, Nicholas Thomson Cancer Medicine.2025;[Epub] CrossRef
Sarcopenia in rheumatic and musculoskeletal diseases: pathophysiology, diagnosis, and management Yuliya Fedorchenko, Nurzhamal Imanbayeva, Umida Khojakulova, Meirgul I. Assylbek, Olena Zimba Rheumatology International.2025;[Epub] CrossRef
Optimising Patient Care: Cutting-Edge Nutritional Strategies in Oncology Helen Boreham EMJ Oncology.2025;[Epub] CrossRef
Head and Neck Cancer and Sarcopenia: An Integrative Clinical and Functional Review Kazuhira Endo, Mariko Ichinose, Eiji Kobayashi, Takayoshi Ueno, Nobuyuki Hirai, Yosuke Nakanishi, Satoru Kondo, Tomokazu Yoshizaki Cancers.2024; 16(20): 3460. CrossRef
Economic burden of sarcopenia-related disability in the elderly population: a study in Iran Ali Darvishi, Adeleh Nikkhah, Gita Shafiee, Rajabali Daroudi, Ramin Heshmat BMC Research Notes.2024;[Epub] CrossRef
Mesenchymal stem cells (MSCs) are emerging as an attractive option for osteoarthritis (OA) of the knee joint, due to their marked disease-modifying ability and chondrogenic potential. MSCs can be isolated from various organ tissues, such as bone marrow, adipose tissue, synovium, umbilical cord blood, and articular cartilage with similar phenotypic characteristics but different proliferation and differentiation potentials. They can be differentiated into a variety of connective tissues such as bone, adipose tissue, cartilage, intervertebral discs, ligaments, and muscles. Although several studies have reported on the clinical efficacy of MSCs in knee OA, the results lack consistency. Furthermore, there is no consensus regarding the proper cell dosage and application method to achieve the optimal effect of stem cells. Therefore, the purpose of this study is to review the characteristics of various type of stem cells in knee OA, especially MSCs. Moreover, we summarize the clinical issues faced during the application of MSCs.
Citations
Citations to this article as recorded by
Stem Cell Therapy for Diseases of Livestock Animals: An In-Depth Review Raghavendra B. Narasimha, Singireddy Shreya, Vijay Anand Jayabal, Vikas Yadav, Prasana Kumar Rath, Bidyut Prava Mishra, Sudhakar Kancharla, Prachetha Kolli, Gowtham Mandadapu, Sudarshan Kumar, Ashok Kumar Mohanty, Manoj Kumar Jena Veterinary Sciences.2025; 12(1): 67. CrossRef
Growth Plate Injuries: Advances and Future Directions in Regenerative Medicine Mehdi Rasouli, Joseph C. Wenke Annals of Biomedical Engineering.2025;[Epub] CrossRef
Clinical Evaluation of Safety and Efficacy of a Central Current Good Manufacturing Practices Laboratory Produced Autologous Adipose-Derived Stromal Vascular Fraction Cell Therapy Product for the Treatment of Knee Osteoarthritis Christopher J. Rogers, Robert Harman, Mitchell B. Sheinkop, Peter Hanson, Mary A. Ambach, Tal David, Rahul Desai, Steven Sampson, Danielle Aufierro, Jay Bowen, Gerard Malanga Stem Cells and Development.2024; 33(7-8): 168. CrossRef
Safety and efficacy of an allogeneic adipose-derived mesenchymal stem cell preparation in the treatment of knee osteoarthritis: A Phase I/IIa randomised controlled trial Julien Freitag, Matthew Chamberlain, James Wickham, Kiran Shah, Flavia Cicuttini, Yuanyuan Wang, Ann Solterbeck, Lucinda Kenihan, Lesley-Anne Kelly, Renee Castelluccio, Ellee Picken, Melissa Grogan, Michael Kenihan, Abi Tenen, Nirali Shah, Carla Lutz, Tee Osteoarthritis and Cartilage Open.2024; 6(3): 100500. CrossRef
Innovative Approaches in Knee Osteoarthritis Treatment: A Comprehensive Review of Bone Marrow-Derived Products José Fábio Lana, Joseph Purita, Madhan Jeyaraman, Bianca Freitas de Souza, Bruno Lima Rodrigues, Stephany Cares Huber, Carolina Caliari, Gabriel Silva Santos, Lucas Furtado da Fonseca, Ignacio Dallo, Annu Navani, Marco Antônio Percope De Andrade, Peter Al Biomedicines.2024; 12(12): 2812. CrossRef
Human umbilical cord mesenchymal stem cells promoting knee joint chondrogenesis for the treatment of knee osteoarthritis: a systematic review Pengwei Zhang, Bo Dong, Puwei Yuan, Xun Li Journal of Orthopaedic Surgery and Research.2023;[Epub] CrossRef
New Horizons in Treatment of Knee Osteoarthritis: A Brief Look-up at Emerging Approaches Afsaneh Zare, Aida Iraji, Shahrokh Zare, Omid Koohi-Hosseinabadi, Fateme Bagheri, Romina Tanideh, Nader Tanideh West Kazakhstan Medical Journal.2023; 65(4): 4. CrossRef
Scaffold-Free Cartilage Construct from Infrapatellar Fat Pad Stem Cells for Cartilage Restoration Orada Sriwatananukulkit, Tulyapruek Tawonsawatruk, Kasem Rattanapinyopituk, Ticomporn Luangwattanawilai, Narongrit Srikaew, Ruedee Hemstapat Tissue Engineering Part A.2022; 28(5-6): 199. CrossRef
Autologous Protein Solution Effect on Chondrogenic Differentiation of Mesenchymal Stem Cells from Adipose Tissue and Bone Marrow in an Osteoarthritic Environment Stefania Pagani, Francesca Veronesi, Gianluca Giavaresi, Giuseppe Filardo, Tiziana Papio, Iacopo Romandini, Milena Fini CARTILAGE.2021; 13(2_suppl): 225S. CrossRef
Mesenchymal Stem Cell-Derived Exosomes and Their Therapeutic Potential for Osteoarthritis Gi Beom Kim, Oog-Jin Shon, Min-Soo Seo, Young Choi, Wook Tae Park, Gun Woo Lee Biology.2021; 10(4): 285. CrossRef
Molecular basis for new approaches to therapy of osteoarthritis (part I) E. V. Chetina, G. A. Markova, A. M. Lila Modern Rheumatology Journal.2021; 15(4): 7. CrossRef
The therapeutic potential of mesenchymal stem cells in treating osteoporosis Tianning Chen, Tieyi Yang, Weiwei Zhang, Jin Shao Biological Research.2021;[Epub] CrossRef
The Role of Chronic Inflammatory Bone and Joint Disorders in the Pathogenesis and Progression of Alzheimer's Disease Robert A. Culibrk, Mariah S. Hahn Frontiers in Aging Neuroscience.2020;[Epub] CrossRef
PURPOSE: Bone morphogenetic proteins (BMPs) play an important role in the formation of cartilage and bone, as well as regulating the growth of chondroblasts and osteoblasts. In this study, we investigated whether recombinant human BMP adenoviruses are available for ex vivo gene therapy, using human fibroblasts and human bone marrow stromal cells in an animal spinal fusion model. MATERIALS AND METHODS: Human fibroblasts and human bone marrow stromal cells were transduced with recombinant BMP-2 adenovirus (AdBMP-2) or recombinant BMP-7 adenovirus (AdBMP-7), referred to as AdBMP-7/BMSC, AdBMP-2/BMSC, AdBMP-7/HuFb, and AdBMP-2/HuFb. We showed that each cell secreted active BMPs by alkaline phosphatase staining. Since AdBMP-2 or AdBMP-7 tranducing cells were injected into the paravertebral muscle of athymic nude mice, at 4 weeks and 7 weeks, we confirmed that new bone formation occurred by induction of spinal fusion on radiographs and histochemical staining. RESULTS: In the region where the AdBMP-7/BMSC was injected, new bone formation was observed in all cases and spinal fusion was induced in two of these. AdBMP-2/BMSC induced bone formation and spinal fusion occurred among one of five. However, in the region where AdBMP/HuFb was injected, neither bone formation nor spinal fusion was observed. CONCLUSION: The osteoinductivity of AdBMP-7 was superior to that of AdBMP-2. In addition, the human bone marrow stromal cells were more efficient than the human fibroblasts for bone formation and spinal fusion. Therefore, the results of this study suggest that AdBMP-7/ BMSC would be the most useful approach to ex vivo gene therapy for an animal spinal fusion model.