Potensi Sel Punca dalam Regenerasi Tulang: Perspektif Anatomi Mikroskopis Stem Cell Potential in Bone Regeneration: A Microscopic Anatomic Perspective

Main Article Content

Dian Rudy Yana
Indah Riwayati

Abstract

Bone is a dynamic tissue that undergoes constant remodeling to maintain structural strength, mineral homeostasis, and hematopoietic function. Disorders like complex fractures, osteoporosis, and bone defects resulting from trauma or surgery pose significant clinical challenges. Traditional treatments such as autografts, allografts, and synthetic biomaterials have limitations in terms of availability, efficacy, and potential complications.


This article aims to provide a comprehensive overview of the intricate relationship between bone microscopic anatomy, stem cell biology, and biomedical engineering technologies, while also outlining future opportunities and challenges in developing more effective, safe, and sustainable bone regenerative therapies.


This article was prepared through an integrative literature review of scientific publications from the 2020–2025 period to analyze the interactions between the bone microenvironment, stem cell differentiation mechanisms, and the development of biomaterial and bioprinting technologies in the context of bone regeneration.


 Recent advancements in cell biology and our understanding of microscopic anatomy have paved the way for stem cell-based regenerative therapies. Mesenchymal stem cells (MSCs) exhibit robust osteogenic capabilities through molecular regulation involving factors like Runx2, Osterix, BMP, and Wnt/β-catenin. Induced pluripotent stem cells (iPSCs) hold promise for personalized therapy, although safety concerns remain. The success of bone regeneration is heavily influenced by the bone microenvironment, including the vascular niche, extracellular matrix, and growth factors such as BMP-2, VEGF, PDGF, and TGF-β.


Supporting technologies like biomaterial scaffolds, growth factor delivery systems, exosomes, and 3D bioprinting further enhance the potential for translating these therapies into clinical applications.

Article Details

How to Cite
Yana, D. R., & Riwayati, I. (2026). Potensi Sel Punca dalam Regenerasi Tulang: Perspektif Anatomi Mikroskopis: Stem Cell Potential in Bone Regeneration: A Microscopic Anatomic Perspective. Jurnal Abdi Kesehatan Dan Kedokteran, 5(1), 537–551. https://doi.org/10.55018/jakk.v5i1.173
Section
Articles

References

Bolamperti, S., Villa, I., & Rubinacci, A. (2022). Bone remodeling: an operational process ensuring survival and bone mechanical competence. Bone Research, 10(1). https://doi.org/10.1038/s41413-022-00219-8

Brown, M. G., Brady, D. J., Healy, K. M., Henry, K. A., Ogunsola, A. S., & Ma, X. (2024). Stem Cells and Acellular Preparations in Bone Regeneration/Fracture Healing: Current Therapies and Future Directions. Cells, 13(12). https://doi.org/10.3390/cells13121045

Chang, B., & Liu, X. (2022). Osteon: Structure, Turnover, and Regeneration. Tissue Engineering - Part B: Reviews, 28(2), 261–278. https://doi.org/10.1089/ten.teb.2020.0322

Choi, J. U. A., Kijas, A. W., Lauko, J., & Rowan, A. E. (2022). The Mechanosensory Role of Osteocytes and Implications for Bone Health and Disease States. Frontiers in Cell and Developmental Biology, 9(February), 1–23. https://doi.org/10.3389/fcell.2021.770143

Dalle Carbonare, L., Cominacini, M., Trabetti, E., Bombieri, C., Pessoa, J., Romanelli, M. G., & Valenti, M. T. (2025). The bone microenvironment: new insights into the role of stem cells and cell communication in bone regeneration. Stem Cell Research and Therapy , 16(1). https://doi.org/10.1186/s13287-025-04288-4

De Pace, R., Molinari, S., Mazzoni, E., & Perale, G. (2025). Bone Regeneration: A Review of Current Treatment Strategies. Journal of Clinical Medicine, 14(6), 1–38. https://doi.org/10.3390/jcm14061838

Doherty-Boyd, W. S., Donnelly, H., Tsimbouri, M. P., & Dalby, M. J. (2024). Building bones for blood and beyond: the growing field of bone marrow niche model development. Experimental Hematology, 135, 1–11. https://doi.org/10.1016/j.exphem.2024.104232

Dutta, S. D., Ganguly, K., Patil, T. V., Randhawa, A., & Lim, K. T. (2023). Unraveling the potential of 3D bioprinted immunomodulatory materials for regulating macrophage polarization: State-of-the-art in bone and associated tissue regeneration. Bioactive Materials, 28(April), 284–310. https://doi.org/10.1016/j.bioactmat.2023.05.014

Giusti, A., Camellino, D., Saverino, D., Iervasi, E., Girasole, G., Bianchi, G., & Papapoulos, S. E. (2020). Zoledronate decreases CTLA-4 in vivo and in vitro independently of its action on bone resorption. Bone, 138(June), 115512. https://doi.org/10.1016/j.bone.2020.115512

Kwon, M., Kim, B. S., Yoon, S., Oh, S. O., & Lee, D. (2024). Hematopoietic Stem Cells and Their Niche in Bone Marrow. International Journal of Molecular Sciences, 25(13). https://doi.org/10.3390/ijms25136837

Lin, X., Patil, S., Gao, Y. G., & Qian, A. (2020). The Bone Extracellular Matrix in Bone Formation and Regeneration. Frontiers in Pharmacology, 11(May), 1–15. https://doi.org/10.3389/fphar.2020.00757

Lu, W., & Allickson, J. (2025). Mesenchymal stromal cell therapy: Progress to date and future outlook. Molecular Therapy, 33(6), 2679–2688. https://doi.org/https://doi.org/10.1016/j.ymthe.2025.02.003

Maciel, G. B. M., Maciel, R. M., & Danesi, C. C. (2023). Bone cells and their role in physiological remodeling. Molecular Biology Reports, 50(3), 2857–2863. https://doi.org/10.1007/s11033-022-08190-7

Marahleh, A., Ohori, F., Ma, J., Fan, Z., Lin, A., Narita, K., Murakami, K., & Kitaura, H. (2025). Recent Advances in the Role of Osteocytes in Orthodontic Tooth Movement. In International Journal of Molecular Sciences (Vol. 26, Issue 19, p. 9396). https://doi.org/10.3390/ijms26199396

Mirshafiei, M., Rashedi, H., Yazdian, F., Rahdar, A., & Baino, F. (2024). Advancements in tissue and organ 3D bioprinting: Current techniques, applications, and future perspectives. Materials and Design, 240(March), 112853. https://doi.org/10.1016/j.matdes.2024.112853

Murphy, M., Curtin, C., Duffy, G., Kavanagh, C., O’Brien, T., & Barry, F. (2012). Mesenchymal stem cells in regenerative medicine. Biomedical and Health Research, 51–61. https://doi.org/10.3233/978-1-61499-076-5-51

Re, F., Borsani, E., Rezzani, R., Sartore, L., & Russo, D. (2023). Bone Regeneration Using Mesenchymal Stromal Cells and Biocompatible Scaffolds: A Concise Review of the Current Clinical Trials. Gels, 9(5), 1–15. https://doi.org/10.3390/gels9050389

Sato, M., & Shah, F. A. (2023). Contributions of Resin Cast Etching to Visualising the Osteocyte Lacuno-Canalicular Network Architecture in Bone Biology and Tissue Engineering. Calcified Tissue International, 112(5), 525–542. https://doi.org/10.1007/s00223-022-01058-9

Šromová, V., Sobola, D., & Kaspar, P. (2023). A Brief Review of Bone Cell Function and Importance. Cells, 12(21). https://doi.org/10.3390/cells12212576

Stamnitz, S., & Klimczak, A. (2021). Bone Repair : From Research Perspectives to Clinical Practice. Cells, 10, 1925–1951.

Theodosaki, A. M., Tzemi, M., Galanis, N., Bakopoulou, A., Kotsiomiti, E., Aggelidou, E., & Kritis, A. (2024). Bone Regeneration with Mesenchymal Stem Cells in Scaffolds: Systematic Review of Human Clinical Trials. Stem Cell Reviews and Reports, 20(4), 938–966. https://doi.org/10.1007/s12015-024-10696-5

Wang, Z., Sun, Y., & Li, C. (2024). Advances in 3D printing technology for preparing bone tissue engineering scaffolds from biodegradable materials. Frontiers in Bioengineering and Biotechnology, 12(November), 1–13. https://doi.org/10.3389/fbioe.2024.1483547

Wu, Y., Gan, D., Liu, Z., Qiu, D., Tan, G., Xu, Z., & Xue, H. (2025). Osteocytes : master orchestrators of skeletal homeostasis , remodeling , and osteoporosis pathogenesis. September, 1–12. https://doi.org/10.3389/fcell.2025.1670716

Xing, Y., Qiu, L., Liu, D., Dai, S., & Sheu, C. L. (2023). The role of smart polymeric biomaterials in bone regeneration: a review. Frontiers in Bioengineering and Biotechnology, 11(August), 1–11. https://doi.org/10.3389/fbioe.2023.1240861

Zhang, Q., Zhou, J., Zhi, P., Liu, L., Liu, C., Fang, A., & Zhang, Q. (2023). 3D printing method for bone tissue engineering scaffold. Medicine in Novel Technology and Devices, 17(August 2022), 100205. https://doi.org/10.1016/j.medntd.2022.100205

Zhou, Z., Feng, W., Moghadas, B. K., Baneshi, N., Noshadi, B., Baghaei, S., & Dehkordi, D. A. (2024). Review of recent advances in bone scaffold fabrication methods for tissue engineering for treating bone diseases and sport injuries. Tissue and Cell, 88, 102390. https://doi.org/https://doi.org/10.1016/j.tice.2024.102390