Department of Orthopedics, Center for Regeneration and Aging Medicine, the Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, Zhejiang 322000, China.
Department of Automation, Tsinghua University, Beijing 100084, China.
Acta Biomater. 2024 Oct 1;187:82-97. doi: 10.1016/j.actbio.2024.08.018. Epub 2024 Aug 22.
Superficial cartilage defects represent the most prevalent type of cartilage injury encountered in clinical settings, posing significant treatment challenges. Here, we fabricated a cartilage extracellular matrix mimic hydrogel (GHC, consisting of Gelatin, Hyaluronic acid, and Chondroitin sulfate) to avoid the exacerbation of cartilage deterioration, which is often driven by the accumulation of reactive oxygen species (ROS) and a pro-inflammatory microenvironment. The GHC hydrogel exhibited multifunctional properties, including in situ formation, tissue adhesiveness, anti-ROS capabilities, and the promotion of chondrogenesis. The enhancement of tissue adhesion was achieved by chemically modifying hyaluronic acid and chondroitin sulfate with o-nitrobenzene, enabling a covalent connection to the cartilage surface upon light irradiation. In vitro characterization revealed that GHC hydrogel facilitated chondrocyte adhesion, migration, and differentiation into cartilage. Additionally, GHC hydrogels demonstrated the ability to scavenge ROS in vitro and inhibit the production of inflammatory factors by chondrocytes. In the animal model of superficial cartilage injury, the hydrogel effectively promoted cartilage ECM regeneration and facilitated the interface integration between the host tissue and the material. These findings suggest that the multifunctional GHC hydrogels hold considerable promise as a strategy for cartilage defect repair. STATEMENT OF SIGNIFICANCE: Superficial cartilage defects represent the most prevalent type of cartilage injury encountered in the clinic. Previous cartilage tissue engineering materials are only suitable for full-thickness cartilage defects or osteochondral defects. Here, we developed a multifunctional GHC hydrogel composed of gelatin, hyaluronic acid, and chondroitin sulfate, which are natural cartilage extracellular matrix components. The drug-free and cell-free hydrogel not only avoids immune rejection and drug toxicity, but also shows good mechanical properties and biocompatibility. More importantly, the GHC hydrogel could adhere tightly to the superficial cartilage defects and promote cartilage regeneration while protecting against oxidation. This natural ingredients and multifunctional hydrogel is a potential material for repairing superficial cartilage defects.
软骨表面缺损是临床中最常见的软骨损伤类型,给治疗带来了巨大的挑战。在此,我们构建了一种软骨细胞外基质模拟水凝胶(GHC,由明胶、透明质酸和硫酸软骨素组成),以避免由活性氧(ROS)积累和促炎微环境引起的软骨恶化。GHC 水凝胶具有多功能特性,包括原位形成、组织黏附性、抗 ROS 能力和促进软骨生成。通过用邻硝基苯对透明质酸和硫酸软骨素进行化学修饰,使水凝胶能够在光照下与软骨表面发生共价连接,从而实现组织黏附性的增强。体外特性表明,GHC 水凝胶有利于软骨细胞的黏附、迁移和向软骨分化。此外,GHC 水凝胶具有体外清除 ROS 和抑制软骨细胞产生炎症因子的能力。在软骨表面缺损的动物模型中,水凝胶能够有效地促进软骨细胞外基质的再生,并促进宿主组织与材料之间的界面整合。这些发现表明,多功能 GHC 水凝胶有望成为软骨缺损修复的一种策略。