Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, 639 ZhiZaoJu Road, Shanghai, 200011, People's Republic of China.
Department of Oral and Maxillofacial-Head and Neck Oncology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, 639 ZhiZaoJu Road, Shanghai, 200011, People's Republic of China.
Stem Cell Res Ther. 2018 Nov 21;9(1):318. doi: 10.1186/s13287-018-1047-2.
BACKGROUND: Developing cartilage constructed with the appropriate matrix composition and persistent chondrogenesis remains an enduring challenge in cartilage defects. Cartilage progenitor cell (CPC)-based tissue engineering has attracted recent attention because of its strong chondrogenic differentiation capacity. However, due to the lack of a suitable chondrogenic niche, the clinical application of CPC-regenerated cartilage in the subcutaneous environment remains a challenge. In this study, exosomes derived from chondrocytes (CC-Exos) were used to provide the CPC constructs with a cartilage signal in subcutaneous environments for efficient ectopic cartilage regeneration. METHODS: Rabbit CPC-alginate constructs were prepared and implanted subcutaneously in nude mice. CC-Exos were injected into the constructs at the same dose (30 μg exosomes per 100 μL injection) after surgery and thereafter weekly for a period of 12 weeks. Exosomes derived from bone mesenchymal stem cells (BMSC-Exos) were used as the positive control. The mice in the negative control were administered with the same volume of PBS. At 4 and 12 weeks after implantation, the potential of CC-Exos and BMSC-Exos to promote chondrogenesis and stability of cartilage tissue in a subcutaneous environment were analyzed by histology, immunostaining, and protein analysis. The influences of BMSC-Exos and CC-Exos on chondrogenesis and angiogenic characteristics in vitro were assessed via coculturing with CPCs and human umbilical vein endothelial cells. RESULTS: The CC-Exos injection increased collagen deposition and minimized vascular ingrowth in engineered constructs, which efficiently and reproducibly developed into cartilage. The generated cartilage was phenotypically stable with minimal hypertrophy and vessel ingrowth up to 12 weeks, while the cartilage formed with BMSC-Exos was characterized by hypertrophic differentiation accompanied by vascular ingrowth. In vitro experiments indicated that CC-Exos stimulated CPCs proliferation and increased expression of chondrogenesis markers while inhibiting angiogenesis. CONCLUSIONS: These findings suggest that the novel CC-Exos provides the preferable niche in directing stable ectopic chondrogenesis of CPCs. The use of CC-Exos may represent an off-the-shelf and cell-free therapeutic approach for promoting cartilage regeneration in the subcutaneous environment.
背景:在软骨缺损中,构建具有适当基质组成和持续软骨生成的软骨仍然是一个持久的挑战。基于软骨祖细胞(CPC)的组织工程学由于其强大的软骨分化能力而受到最近的关注。然而,由于缺乏合适的软骨巢,CPC 再生的软骨在皮下环境中的临床应用仍然是一个挑战。在这项研究中,使用软骨细胞衍生的外泌体(CC-Exos)为 CPC 构建物提供软骨信号,使其在皮下环境中有效地进行异位软骨再生。
方法:制备兔 CPC-海藻酸盐构建物,并在裸鼠皮下植入。手术后,以相同剂量(每次 100 μL 注射 30 μg 外泌体)向构建物中注射 CC-Exos,并在此后每周注射一次,持续 12 周。使用源自骨髓间充质干细胞的外泌体(BMSC-Exos)作为阳性对照。阴性对照中的小鼠给予相同体积的 PBS。在植入后 4 和 12 周时,通过组织学、免疫染色和蛋白质分析分析 CC-Exos 和 BMSC-Exos 在皮下环境中促进软骨生成和软骨组织稳定性的潜力。通过与 CPC 和人脐静脉内皮细胞共培养,评估 BMSC-Exos 和 CC-Exos 对体外软骨生成和血管生成特性的影响。
结果:CC-Exos 注射增加了胶原蛋白的沉积,并最大限度地减少了工程构建物中的血管内生长,从而高效且可重复地形成软骨。生成的软骨表型稳定,无肥大和血管内生长,直至 12 周,而用 BMSC-Exos 形成的软骨则表现为伴有血管内生长的肥大分化。体外实验表明,CC-Exos 刺激 CPC 增殖,增加软骨生成标志物的表达,同时抑制血管生成。
结论:这些发现表明,新型 CC-Exos 为 CPC 的稳定异位软骨生成提供了更好的微环境。CC-Exos 的使用可能代表一种现成的、无细胞的治疗方法,可促进皮下环境中的软骨再生。
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