Spauwen Lennard, Pueyo Moliner Alba, van Veenendaal Patrick, Custers Roel, Malda Jos, de Ruijter Mylène
Department of Orthopedics, University Medical Center Utrecht, Heidelberglaan 100, Utrecht, 3584 CX, The Netherlands.
Regenerative Medicine Center Utrecht, Uppsalalaan 8, Utrecht, 3584 CT, The Netherlands.
Adv Healthc Mater. 2025 Jul;14(19):e2501014. doi: 10.1002/adhm.202501014. Epub 2025 Jun 8.
Despite the growing prevalence of cartilage damage in the knee joint, effective regenerative treatments remain limited. One of the current challenges is the accurate matching of the local mechanical properties of the tissue, which vary throughout the articular joint surface. This study investigates the fabrication of cartilage constructs with anisotropic mechanical properties. Specifically, it aims to develop composite constructs by reinforcing gelatin-methacryloyl (gelMA) hydrogels with melt electrowritten (MEW) fibers arranged to mimic the surface anisotropic mechanical properties of the native articular cartilage. Large-size anisotropic MEW scaffolds are successfully generated, after which they are embedded in the hydrogel, yielding stable constructs. Local mechanical properties can be tailored by varying the fiber spacing while providing a suitable environment for Articular Cartilage Chondroprogenitor cells (ACPCs) to deposit a cartilage-like matrix. Importantly, unlike reinforcement with fibers generated with fused deposition modeling (FDM), reinforcement with MEW avoided stress shielding, thereby facilitating cell response. This highlights the potential of these reinforced constructs to further match local tissue characteristics and provide a durable solution for the restoration of larger cartilage defects.
尽管膝关节软骨损伤的患病率不断上升,但有效的再生治疗方法仍然有限。当前的挑战之一是精确匹配组织的局部力学性能,而这种性能在整个关节表面是变化的。本研究调查了具有各向异性力学性能的软骨构建体的制造。具体而言,其目的是通过用排列成模仿天然关节软骨表面各向异性力学性能的熔体静电纺丝(MEW)纤维增强甲基丙烯酰化明胶(gelMA)水凝胶来开发复合构建体。成功生成了大尺寸各向异性MEW支架,之后将它们嵌入水凝胶中,产生稳定的构建体。通过改变纤维间距可以调整局部力学性能,同时为关节软骨祖细胞(ACPCs)提供合适的环境以沉积类软骨基质。重要的是,与用熔融沉积建模(FDM)生成的纤维进行增强不同,用MEW进行增强避免了应力屏蔽,从而促进细胞反应。这突出了这些增强构建体在进一步匹配局部组织特征并为更大面积软骨缺损的修复提供持久解决方案方面的潜力。