Sun Aaron X, Lin Hang, Fritch Madalyn R, Shen He, Alexander Pete G, DeHart Michael, Tuan Rocky S
Center for Cellular and Molecular Engineering, Department of Orthopaedic Surgery, USA; Medical Scientist Training Program, University of Pittsburgh School of Medicine, USA; Department of Bioengineering, University of Pittsburgh Swanson School of Engineering, USA.
Center for Cellular and Molecular Engineering, Department of Orthopaedic Surgery, USA.
Acta Biomater. 2017 Aug;58:302-311. doi: 10.1016/j.actbio.2017.06.016. Epub 2017 Jun 10.
Three-dimensional hydrogel constructs incorporated with live stem cells that support chondrogenic differentiation and maintenance offer a promising regenerative route towards addressing the limited self-repair capabilities of articular cartilage. In particular, hydrogel scaffolds that augment chondrogenesis and recapitulate the native physical properties of cartilage, such as compressive strength, can potentially be applied in point-of-care procedures. We report here the synthesis of two new materials, [poly-l-lactic acid/polyethylene glycol/poly-l-lactic acid] (PLLA-PEG 1000) and [poly-d,l-lactic acid/polyethylene glycol/poly-d,l-lactic acid] (PDLLA-PEG 1000), that are biodegradable, biocompatible (>80% viability post fabrication), and possess high, physiologically relevant mechanical strength (∼1500 to 1800kPa). This study examined the effects of physiologically relevant cell densities (4, 8, 20, and 50×10/mL) and hydrogel stiffnesses (∼150kPa to∼1500kPa Young's moduli) on chondrogenesis of human bone marrow stem cells incorporated in hydrogel constructs fabricated with these materials and a previously characterized PDLLA-PEG 4000. Results showed that 20×10cells/mL, under a static culture condition, was the most efficient cell seeding density for extracellular matrix (ECM) production on the basis of hydroxyproline and glycosaminoglycan content. Interestingly, material stiffness did not significantly affect chondrogenesis, but rather material concentration was correlated to chondrogenesis with increasing levels at lower concentrations based on ECM production, chondrogenic gene expression, and histological analysis. These findings establish optimal cell densities for chondrogenesis within three-dimensional cell-incorporated hydrogels, inform hydrogel material development for cartilage tissue engineering, and demonstrate the efficacy and potential utility of PDLLA-PEG 1000 for point-of-care treatment of cartilage defects.
Engineering cartilage with physiologically relevant mechanical properties for point-of-care applications represents a major challenge in orthopedics, given the generally low mechanical strengths of traditional hydrogels used in cartilage tissue engineering. In this study, we characterized a new material that possesses high mechanical strength similar to native cartilage, and determined the optimal cell density and scaffold stiffness to achieve the most efficient chondrogenic response from seeded human bone marrow stem cells. Results show robust chondrogenesis and strongly suggest the potential of this material to be applied clinically for point-of-care repair of cartilage defects.
包含支持软骨形成分化和维持的活干细胞的三维水凝胶构建体为解决关节软骨有限的自我修复能力提供了一条有前景的再生途径。特别是,增强软骨形成并重现软骨天然物理特性(如抗压强度)的水凝胶支架有可能应用于即时护理程序。我们在此报告两种新材料的合成,即[聚左旋乳酸/聚乙二醇/聚左旋乳酸](PLLA - PEG 1000)和[聚消旋乳酸/聚乙二醇/聚消旋乳酸](PDLLA - PEG 1000),它们具有生物可降解性、生物相容性(制造后活力>80%),并具有高的、与生理相关的机械强度(约1500至1800kPa)。本研究考察了生理相关细胞密度(4、8、20和50×10⁶/mL)和水凝胶硬度(约150kPa至约1500kPa杨氏模量)对掺入用这些材料以及先前表征的PDLLA - PEG 4000制造的水凝胶构建体中的人骨髓干细胞软骨形成的影响。结果表明,在静态培养条件下,基于羟脯氨酸和糖胺聚糖含量,20×10⁶细胞/mL是细胞外基质(ECM)产生的最有效细胞接种密度。有趣的是,材料硬度对软骨形成没有显著影响,而基于ECM产生、软骨形成基因表达和组织学分析,材料浓度与软骨形成相关,在较低浓度下随着浓度增加而增加。这些发现确定了三维细胞掺入水凝胶中软骨形成的最佳细胞密度,为软骨组织工程的水凝胶材料开发提供了信息,并证明了PDLLA - PEG 1000在即时护理治疗软骨缺损方面的功效和潜在实用性。
鉴于软骨组织工程中使用的传统水凝胶通常机械强度较低,为即时护理应用设计具有生理相关机械性能的软骨是骨科的一项重大挑战。在本研究中,我们表征了一种具有与天然软骨相似的高机械强度的新材料,并确定了最佳细胞密度和支架硬度,以实现接种的人骨髓干细胞最有效的软骨形成反应。结果显示出强大的软骨形成能力,并强烈表明这种材料在临床上用于即时护理修复软骨缺损的潜力。