Department of Mechanical and Aerospace Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
Department of Biology, Case Western Reserve University, Cleveland, Ohio, USA.
Tissue Eng Part A. 2021 Nov;27(21-22):1434-1445. doi: 10.1089/ten.TEA.2020.0383. Epub 2021 Jun 14.
Osteoarthritic degeneration of cartilage is a major social health problem. Tissue engineering of cartilage using combinations of scaffold and mesenchymal stem cells (MSCs) is emerging as an alternative to existing treatment options such as microfracture, mosaicplasty, allograft, autologous chondrocyte implantation, or total joint replacement. Induction of chondrogenesis in high-density pellets of MSCs is generally attained by soluble exogenous TGF-β3 in culture media, which requires lengthy culture period during which pellets gain mechanical robustness. On the other hand, a growth factor delivering and a mechanically robust scaffold material that can accommodate chondroid pellets would enable rapid deployment of pellets after seeding. Delivery of the growth factor from the scaffold locally would drive the induction of chondrogenic differentiation in the postimplantation period. Therefore, we sought to develop a biomaterial formulation that will induce chondrogenesis and compared its performance to soluble delivery . In this vein, a heparin-conjugated mechanically robust collagen fabric was developed for sustained delivery of TGF-β3. The amount of conjugated heparin was varied to enhance the amount of TGF-β3 uptake and release from the scaffold. The results showed that the scaffold delivered TGF-β3 for up to 8 days of culture, which resulted in 15-fold increase in GAG production, and six-fold increase in collagen synthesis with respect to the No TGF-β3 group. The resulting matrix was cartilage like, in that type II collagen and aggrecan were positive in the spheroids. Enhanced chondrogenesis under TGF-β3 administration resulted in a Young's modulus of ∼600 kPa. In most metrics, there were no significant differences between the soluble delivery group and heparin-mediated delivery group. In conclusion, heparin-conjugated collagen scaffold developed in this study guides chondrogenic differentiation of hMSCs in a mechanically competent tissue construct, which showed potential to be used for cartilage tissue regeneration. Impact statement The most significant finding of this study was that sustained release of TGF-β3 from heparinized collagen scaffold had chondroinductive effect on pelleted human mesenchymal stem cells (hMSCs). The effect was comparable to that observed in hMSC pellets that were cultured in chondrogenic media supplemented with TGF-β3. The stiffness of scaffolds at the baseline was about 50% that of native cartilage and over 28 days the combined stiffness of pellet/scaffold complex converged to the stiffness of native cartilage. These data indicate that the scaffold system can generate a load-bearing cartilage-like tissue by using hMSCs pellets in a mechanically competent framework.
软骨骨关节炎的退变是一个主要的社会健康问题。使用支架和间充质干细胞(MSCs)组合的软骨组织工程作为现有治疗选择(如微骨折、马赛克plasty、同种异体移植物、自体软骨细胞植入或全关节置换)的替代方法正在出现。在 MSC 的高密度微球中诱导软骨生成通常通过培养介质中的可溶性外源性 TGF-β3 来实现,这需要较长的培养周期,在此期间微球获得机械强度。另一方面,一种能够容纳软骨样微球的生长因子输送和机械强度高的支架材料可以在播种后快速部署微球。支架局部输送生长因子将在植入后诱导诱导性软骨分化。因此,我们试图开发一种能够诱导软骨生成的生物材料配方,并将其性能与可溶性递送进行比较。为此,开发了一种肝素结合的机械强度高的胶原纤维织物,用于持续递送 TGF-β3。改变结合肝素的量以增加支架中 TGF-β3 的摄取和释放量。结果表明,支架在培养 8 天内递送 TGF-β3,导致 GAG 产量增加 15 倍,与无 TGF-β3 组相比,胶原合成增加 6 倍。所得基质类似于软骨,因为球体中的 II 型胶原和聚集蛋白聚糖呈阳性。TGF-β3 给药下增强的软骨生成导致约 600 kPa 的杨氏模量。在大多数指标中,可溶性递送组和肝素介导的递送组之间没有显著差异。总之,本研究中开发的肝素结合胶原支架在机械上可行的组织构建体中指导 hMSC 的软骨分化,具有用于软骨组织再生的潜力。影响声明本研究的最重要发现是肝素化胶原支架持续释放 TGF-β3 对微球化人间充质干细胞(hMSC)具有软骨诱导作用。这种作用与在补充 TGF-β3 的软骨形成培养基中培养的 hMSC 微球观察到的作用相当。支架在基线时的刚度约为天然软骨的 50%,超过 28 天,微球/支架复合物的组合刚度收敛到天然软骨的刚度。这些数据表明,该支架系统可以在机械上可行的框架中使用 hMSC 微球生成具有承载能力的软骨样组织。