Mesenchymal Stem Cell Morphology – Structure, Growth Pattern, and Identification

Mesenchymal stem cells (MSCs) are multipotent adult stem cells capable of differentiating into various cell types, including osteoblasts, adipocytes, and chondrocytes. They are widely studied for their potential in regenerative medicine, tissue engineering, and immune modulation therapies.

One of the earliest and most accessible ways to evaluate MSCs in culture is through their morphology—the visual appearance of the cells under a microscope. In vitro, mesenchymal stem cells display a characteristic spindle-shaped, fibroblast-like morphology that helps distinguish them from other cell types.

Understanding MSC morphology is crucial for identifying healthy cultures, detecting contamination or senescence, and monitoring the effects of media, passage number, or stress. While morphology alone does not confirm MSC identity, it serves as a valuable first-line tool for stem cell researchers to assess the overall health and quality of their cultures.

Initial assessment of MSC morphology under the microscope often includes noting cell shape, adherence, cytoplasmic granularity, and colony formation. These indicators can quickly inform whether the culture conditions are optimal or require adjustment.

Typical Morphology of MSCs in Culture

When cultured in vitro, mesenchymal stem cells (MSCs) display a well-defined and recognizable morphology. They are typically described as spindle-shaped or fibroblast-like, with elongated cytoplasm and tapered ends. This distinctive appearance makes them relatively easy to identify during early culture observation.
Under standard culture conditions, MSC size ranges between 15–30 µm, though this can vary depending on passage number and confluence. Each cell generally features an oval or elongated nucleus, centrally located and often clearly visible under phase-contrast microscopy.

One of the defining features of MSCs is their ability to adhere to plastic surfaces—a hallmark used during isolation. Within 24–48 hours of plating, MSCs begin to spread and align, forming swirled or whorled growth patterns, especially as cultures approach 70–80% confluence.

At low density, early MSC colonies may appear as discrete clusters of spindle-shaped cells—this is known as CFU-F morphology (Colony-Forming Unit–Fibroblast). These colonies indicate the clonogenic potential of the MSC population and are commonly used to evaluate stem cell proliferation capacity.

Consistent MSC appearance in culture, including shape, growth behavior, and colony formation, reflects the health and integrity of the cell population. Any deviation—such as increased size, loss of shape, or irregular alignment—may suggest culture stress or cellular aging.

Typical Morphology of MSCs in Culture

Changes in MSC Morphology by Passage

As mesenchymal stem cells (MSCs) are expanded through serial subculturing (passaging), their morphology evolves, reflecting changes in proliferative capacity, cellular health, and differentiation potential. Monitoring these changes is critical for determining the optimal passage window for experimental use or therapeutic application.

Early-Passage MSCs (P2–P4)

At early passages, MSCs exhibit their classic spindle-shaped, fibroblast-like appearance.

They are:

  • Homogeneous in size and shape
  • Rapidly proliferating with high viability
  • Clearly aligned in uniform, swirling growth patterns

These elongated cells typically show high differentiation potential and are ideal for downstream applications, including in vitro assays and clinical preps. Early-passage morphology reflects a healthy and functionally potent MSC population.

Late-Passage MSCs (>P5)

With increasing passages, especially beyond P5–P6, MSCs begin to show morphological changes associated with senescence:

  • Flattened, broader, and more irregular shapes
  • Increased cytoplasmic granularity or vacuoles
  • Slower proliferation and decreased confluency rate

These MSC senescence indicators often correlate with reduced stemness, compromised differentiation ability, and altered surface marker expression. Late-passage MSCs are less desirable for experiments or therapeutic use due to diminished potency.

Morphology and Differentiation Potential

There is a clear connection between MSC morphology and their differentiation capacity:
They are:

  • Elongated, uniform cells (early passage) → High osteogenic, adipogenic, and chondrogenic potential
  • Flattened, senescent cells (late passage) → Reduced lineage commitment, lower regenerative efficacy

Thus, morphological assessment by passage number can help predict whether MSCs are still suitable for research or clinical protocols.

Observing MSC Morphology

Accurate observation of mesenchymal stem cell (MSC) morphology is essential for routine monitoring, quality control, and early detection of culture abnormalities. While morphology is not a definitive diagnostic tool, it provides valuable visual cues about the cell population’s health, proliferative state, and environmental response.

Using Phase Contrast Microscopy and Live-Cell Imaging

Phase contrast microscopy is the standard, non-invasive method for examining MSC morphology under the microscope. It allows researchers to visualize live, unstained cells with clear contrast—ideal for observing:

  • Cell shape and size
  • Adherence to plastic
  • Colony formation
  • Confluency and alignment

For more dynamic monitoring, live-cell imaging systems can track MSC appearance in culture over time, offering insights into behavior such as migration, division, and stress responses in real-time.

Observing MSC Morphology

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To explore the internal structure of MSCs, researchers commonly use immunofluorescence staining to highlight components of the cytoskeleton, including:

Visualizing the MSC cytoskeleton helps evaluate structural integrity, especially during differentiation or when exposed to mechanical or chemical stress.

Monitoring Morphological Changes Due to Stress

Changes in morphology can signal problems in the culture, such as:

Visual Cue
Potential Cause

Rounded or floating cells

Apoptosis, enzyme overexposure, pH shift

Granularity or vacuolization

Oxidative stress, late passage

Loss of adherence

Contamination, media issues

Heterogeneous shapes

Mixed population or early differentiation

Factors Influencing MSC Morphology

While mesenchymal stem cells (MSCs) generally follow a typical fibroblast-like growth pattern, their morphology is highly sensitive to changes in the culture environment. Variations in medium composition, oxygen levels, and substrate stiffness can significantly affect MSC shape, size, and behavior.

Culture Medium Composition and Supplements

The formulation of the culture medium—whether it includes fetal bovine serum (FBS), human platelet lysate, or is fully xeno-free—can influence MSC morphology in different media.

Additives such as growth factors or cytokines can also impact cytoskeletal tension and cellular shape.

Confluency Levels and Passaging Techniques

MSC culture confluency plays a major role in morphology:

Delayed passaging can lead to stress-induced morphological changes, including flattening or granulation.

Oxygen Levels and Incubation Environment

MSC growth pattern can shift under different oxygen tensions.

Temperature fluctuations, CO₂ imbalance, or poor humidity can also influence cell shape and health.

Substrate Stiffness and Coating

MSCs respond to the physical properties of their environment:

Together, these factors determine how MSCs grow, organize, and interact with their environment.

Morphology as an Indicator of Cell Health

The morphology of MSCs offers quick, visual clues about the viability and functional status of a culture. Trained researchers can often detect early warning signs of decline or transformation just by looking at the cells under a microscope.

Signs of a Healthy MSC Culture

  • Spindle-shaped, fibroblast-like stem cells
  • Consistent size and alignment
  • Good adherence with no floating cells
  • Clear colony formation in early passages

These features indicate high viability, robust proliferation, and preservation of multipotency.

Morphological Signs of Stress or Senescence

  • Flattened, irregular cells
  • Cytoplasmic granularity or vacuoles
  • Reduced spreading or detachment
  • Mixed shapes or non-homogeneous populations

Such changes are typical MSC senescence indicators and may signal reduced differentiation capacity.

When to Discard or Recover a Culture

  • Discard: If cells show >20% detachment, excessive granulation, or slow doubling times over multiple passages
  • Recover: If only mild changes are observed, try refreshing media, adjusting confluency, or switching back to an earlier frozen stock

Healthy MSC morphology is a cornerstone of reproducible research and therapeutic success. Regular assessment allows early intervention and ensures only potent, functional cells are used.

FAQs

A healthy MSC appears spindle-shaped, elongated, and fibroblast-like. It adheres well to plastic and forms uniform colonies with minimal granularity.

Early-passage MSCs (P2–P4) are thin, elongated, and proliferative. With continued passaging (>P5), they become flattened, enlarged, and exhibit signs of senescence, including slower growth and morphological irregularity.

No. While morphology provides useful visual cues, MSC identity must be confirmed using surface marker analysis (via flow cytometry) and functional assays (e.g., differentiation into adipocytes, osteoblasts, and chondrocytes).

Changes may result from:

  • High passage number (senescence)
  • Nutrient depletion or poor media composition
  • Over-confluency
  • Enzyme overexposure during passaging
  • Environmental stress (e.g., oxidative conditions, contamination)

Colony-forming unit–fibroblast (CFU-F) morphology refers to the formation of small, compact colonies of MSCs at low seeding density. It indicates clonogenic potential and is often used to measure the quality and stemness of an MSC population.