Effect of type 2 diabetes mellitus microenvironment on osteogenic capacity of bone marrow mesenchymal stem cells

Int Immunopharmacol. 2025 Jun 5:157:114724. doi: 10.1016/j.intimp.2025.114724. Epub 2025 Apr 28.

Abstract

Type 2 diabetes mellitus (T2DM) often leads to delayed bone regeneration such as slow healing of fractures and bone defects. The number, status and osteogenic differentiation capacity of bone marrow mesenchymal stem cells (BMSCs) are extremely important in bone healing and bone regeneration. The T2DM microenvironment can have irreversible negative effects on BMSCs. In this paper, we review the molecular expression and altered proliferation, migration, and osteogenic differentiation capacity of BMSCs in the microenvironment of T2DM, it provides a new perspective to restore the normal function of T2DM-BMSCs, so as to save the damaged bone regeneration capacity.

Keywords: Bone mesenchymal stem cells; Bone regeneration; Fractures; Type 2 diabetes mellitus.

Publication types

  • Review

MeSH terms

  • Animals
  • Bone Marrow Cells* / physiology
  • Bone Regeneration
  • Cell Differentiation
  • Cell Movement
  • Cell Proliferation
  • Cellular Microenvironment
  • Diabetes Mellitus, Type 2* / metabolism
  • Diabetes Mellitus, Type 2* / pathology
  • Humans
  • Mesenchymal Stem Cells* / physiology
  • Osteogenesis*