Zhu Jing, Luo Qiuchen, Cao Tiefeng, Yang Guang, Xiao Lin
School of Biomedical Engineering, Shenzhen Campus of Sun Yat-Sen University, Shenzhen 518107, China.
Department of Gynaecology, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510070, China.
Regen Biomater. 2024 Jun 4;11:rbae064. doi: 10.1093/rb/rbae064. eCollection 2024.
Cartilage tissues possess an extremely limited capacity for self-repair, and current clinical surgical approaches for treating articular cartilage defects can only provide short-term relief. Despite significant advances in the field of cartilage tissue engineering, avoiding secondary damage caused by invasive surgical procedures remains a challenge. In this study, injectable cartilage microtissues were developed through 3D culture of rat bone marrow mesenchymal stem cells (BMSCs) within porous gelatin microcarriers (GMs) and induced differentiation. These microtissues were then injected for the purpose of treating cartilage defects , via a minimally invasive approach. GMs were found to be noncytotoxic and favorable for cell attachment, proliferation and migration evaluated with BMSCs. Moreover, cartilage microtissues with a considerable number of cells and abundant extracellular matrix components were obtained from BMSC-laden GMs after induction differentiation culture for 28 days. Notably, ATDC5 cells were complementally tested to verify that the GMs were conducive to cell attachment, proliferation, migration and chondrogenic differentiation. The microtissues obtained from BMSC-laden GMs were then injected into articular cartilage defect areas in rats and achieved superior performance in alleviating inflammation and repairing cartilage. These findings suggest that the use of injectable cartilage microtissues in this study may hold promise for enhancing the long-term outcomes of cartilage defect treatments while minimizing the risk of secondary damage associated with traditional surgical techniques.
软骨组织的自我修复能力极其有限,目前治疗关节软骨缺损的临床手术方法只能提供短期缓解。尽管软骨组织工程领域取得了重大进展,但避免侵入性手术造成的二次损伤仍然是一项挑战。在本研究中,通过大鼠骨髓间充质干细胞(BMSCs)在多孔明胶微载体(GMs)内的三维培养和诱导分化,开发了可注射软骨微组织。然后通过微创方法注射这些微组织以治疗软骨缺损。用BMSCs评估发现GMs无细胞毒性,有利于细胞附着、增殖和迁移。此外,诱导分化培养28天后,从负载BMSC的GMs中获得了含有大量细胞和丰富细胞外基质成分的软骨微组织。值得注意的是,对ATDC5细胞进行了补充测试,以验证GMs有利于细胞附着、增殖、迁移和软骨形成分化。然后将从负载BMSC的GMs中获得的微组织注射到大鼠的关节软骨缺损区域,在减轻炎症和修复软骨方面表现出优异的性能。这些发现表明,本研究中使用可注射软骨微组织可能有望提高软骨缺损治疗的长期效果,同时将与传统手术技术相关的二次损伤风险降至最低。
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