Park Jinsung, Soh Hyunsoo, Jo Sungsin, Weon Subin, Lee Seung Hoon, Park Jeong-Ah, Lee Myung-Kyu, Kim Tae-Hwan, Sung Il-Hoon, Lee Jin Kyu
Hanyang University Institute for Rheumatology Research, Seoul, Republic of Korea.
Department of Orthopaedic Surgery, Hanyang University Hospital, Seoul, Republic of Korea.
iScience. 2023 Nov 23;26(12):108521. doi: 10.1016/j.isci.2023.108521. eCollection 2023 Dec 15.
Anterior cruciate ligament (ACL) reconstruction is often performed using a tendon graft. However, the predominant synthesis of fibrotic scar tissue (type III collagen) occurs during the healing process of the tendon graft, resulting in a significantly lower mechanical strength than that of normal ACL tissue. In this study, ACL-derived cells were reseeded to the tendon graft, and scaffold-induced compression was applied to test whether the compressive force results in superior cell survival and integration. Given nanofiber polycaprolactone (PCL) scaffold-induced compression, ACL-derived cells reseeded to a tendon graft demonstrated superior cell survival and integration and resulted in higher gene expression levels of type I collagen compared to non-compressed cell-allograft composites . Translocation of Yes-associated protein (YAP) into the nucleus was correlated with higher expression of type I collagen in the compression group. These data support the hypothesis of a potential role of mechanotransduction in the ligamentization process.
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