Experimental Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, 81675, Germany.
Biomaterials Center, University of Havana, Havana, 10 400, Cuba.
Adv Healthc Mater. 2021 Mar;10(6):e2001692. doi: 10.1002/adhm.202001692. Epub 2021 Jan 14.
Lesions involving the osteochondral unit are difficult to treat. Biomimetic scaffolds are previously shown as promising alternative. Such devices often lack multiple functional layers that mimic bone, cartilage, and the interface. In this study, multilayered scaffolds are developed based on the use of natural extracellular matrix (ECM)-like biopolymers. Particular attention is paid to obtain a complex matrix that mimics the native osteochondral transition. Porous, sponge-like chitosan-collagen-octacalcium phosphate (OCP) scaffolds are obtained. Collagen content increases while the amount of OCP particles decreases toward the cartilage layer. The scaffolds are bioactive as a mineral layer is deposited containing hydroxyapatite at the bony side. The scaffolds stimulate proliferation of human adipose-derived mesenchymal stem cells, but the degree of proliferation depends on the cell seeding density. The scaffolds give rise to a zone-specific gene expression. RUNX2, COL1A1, BGLAP, and SPP1 are upregulated in the bony layer of the scaffold. SOX9 is upregulated concomitant with COL2A1 expression in the cartilage zone. Mineralization in presence of the cells is prominent in the bone area with Ca and P steadily increasing over time. These results are encouraging for the fabrication of biomimetic scaffolds using ECM-like materials and featuring gradients that mimic native tissues and their interface.
涉及骨软骨单元的病变难以治疗。仿生支架以前被证明是一种很有前途的替代方法。此类装置通常缺乏模仿骨骼、软骨和界面的多个功能层。在这项研究中,基于使用天然细胞外基质(ECM)样生物聚合物开发了多层支架。特别注意获得一种复杂的基质,以模拟天然的骨软骨过渡。获得了多孔、海绵状的壳聚糖-胶原-八钙磷酸盐(OCP)支架。随着向软骨层的推进,胶原含量增加,而 OCP 颗粒的数量减少。支架具有生物活性,因为在骨侧沉积了包含羟基磷灰石的矿物质层。支架刺激人脂肪间充质干细胞的增殖,但增殖程度取决于细胞接种密度。支架引起特定区域的基因表达。RUNX2、COL1A1、BGLAP 和 SPP1 在支架的骨层中上调。SOX9 与 COL2A1 表达同时上调在软骨区。在存在细胞的情况下,矿化在骨区很明显,Ca 和 P 随时间稳定增加。这些结果令人鼓舞,因为使用 ECM 样材料制造仿生支架,并具有模仿天然组织及其界面的梯度。