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Topic:Cartilage

Cartilage in horses is a specialized connective tissue found in joints, providing a smooth, lubricated surface for articulation and facilitating the transmission of loads with low friction. It is composed of chondrocytes embedded within an extracellular matrix rich in collagen fibers, proteoglycans, and water. Cartilage does not contain blood vessels or nerves, relying on diffusion for nutrient delivery and waste removal. This avascularity contributes to its limited capacity for repair and regeneration. Research on equine cartilage focuses on understanding its structure, function, and the biological processes involved in cartilage development, maintenance, and degeneration. Studies also explore the impact of various conditions, such as osteoarthritis, on cartilage integrity and investigate potential therapeutic approaches for cartilage repair and preservation. This page gathers peer-reviewed research and scholarly articles that delve into the biology, pathology, and treatment of cartilage-related conditions in horses.
MRI-based inverse finite element approach for the mechanical assessment of patellar articular cartilage from static compression test.
Biomedizinische Technik. Biomedical engineering    November 29, 2008   Volume 53, Issue 6 285-291 doi: 10.1515/BMT.2008.045
Knecht S, Luechinger R, Boesiger P, Stüssi E.The mechanical property of articular cartilage determines to a great extent the functionality of diarthrodial joints. Consequently, the early detection of mechanical and, thus, functional changes of cartilage is crucial for preventive measures to maintain the mobility and the quality of life of individuals. An alternative to conventional mechanical testing is the inverse finite element approach, enabling non-destructive testing of the tissue. We evaluated a method for the assessment of the equilibrium material properties of the patellar cartilage based on magnetic resonance imaging during pate...
Preclinical animal models in single site cartilage defect testing: a systematic review.
Osteoarthritis and cartilage    November 21, 2008   Volume 17, Issue 6 705-713 doi: 10.1016/j.joca.2008.11.008
Ahern BJ, Parvizi J, Boston R, Schaer TP.Review the literature for single site cartilage defect research and evaluate the respective strengths and weaknesses of different preclinical animal models. Methods: A literature search for animal models evaluating single site cartilage defects was performed. Variables tabulated and analyzed included animal species, age and number, defect depth and diameter and study duration. Cluster analyses were then used to separate animals with only distal femoral defects into similar groups based on defect dimensions. Representative human studies were included allowing comparison of common clinical lesio...
Differential gene expression associated with postnatal equine articular cartilage maturation.
BMC musculoskeletal disorders    November 5, 2008   Volume 9 149 doi: 10.1186/1471-2474-9-149
Mienaltowski MJ, Huang L, Stromberg AJ, MacLeod JN.Articular cartilage undergoes an important maturation process from neonate to adult that is reflected by alterations in matrix protein organization and increased heterogeneity of chondrocyte morphology. In the horse, these changes are influenced by exercise during the first five months of postnatal life. Transcriptional profiling was used to evaluate changes in articular chondrocyte gene expression during postnatal growth and development. Methods: Total RNA was isolated from the articular cartilage of neonatal (0-10 days) and adult (4-5 years) horses, subjected to one round of linear RNA ampli...
Altered gene expression in early osteochondrosis lesions.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    October 22, 2008   Volume 27, Issue 4 452-457 doi: 10.1002/jor.20761
Mirams M, Tatarczuch L, Ahmed YA, Pagel CN, Jeffcott LB, Davies HM, Mackie EJ.Osteochondrosis is a condition involving defective endochondral ossification and retention of cartilage in subchondral bone. The pathophysiology of this condition is poorly characterized, but it has been proposed that the fundamental defect is failure of chondrocyte hypertrophy. The aim of the current study was to characterize phenotypic changes in chondrocytes associated with the initiation of osteochondrosis. Early lesions were induced in an equine model of osteochondrosis by feeding foals a high energy diet for 8 or 15 weeks. Lesions in articular-epiphyseal growth cartilage were examined hi...
Evidence to suggest that cathepsin K degrades articular cartilage in naturally occurring equine osteoarthritis.
Osteoarthritis and cartilage    September 21, 2008   Volume 17, Issue 3 375-383 doi: 10.1016/j.joca.2008.07.017
Vinardell T, Dejica V, Poole AR, Mort JS, Richard H, Laverty S.The mechanisms leading to degeneration of articular cartilage in osteoarthritis (OA) are complex and not yet fully understood. Cathepsin K (CK) is a cysteine protease which can also cleave the triple helix of type II collagen. This exposes a neoepitope that can now be identified by specific antibodies. The aim of this study was to obtain evidence suggesting a role for CK in naturally occurring equine OA in both lesional and peri-lesional regions. Methods: Articular cartilages (n=12 horses; 5 healthy, 7 OA) were harvested from animals postmortem. A gross macroscopic examination, histologic (Saf...
Effect of dexamethasone supplementation on chondrogenesis of equine mesenchymal stem cells.
American journal of veterinary research    August 5, 2008   Volume 69, Issue 8 1013-1021 doi: 10.2460/ajvr.69.8.1013
Stewart AA, Byron CR, Pondenis HC, Stewart MC.To determine whether expansion of equine mesenchymal stem cells (MSCs) by use of fibroblast growth factor-2 (FGF-2) prior to supplementation with dexamethasone during the chondrogenic pellet culture phase would increase chondrocytic matrix markers without stimulating a hypertrophic chondrocytic phenotype. Methods: MSCs obtained from 5 young horses. Methods: First-passage equine monolayer MSCs were supplemented with medium containing FGF-2 (0 or 100 ng/mL). Confluent MSCs were transferred to pellet cultures and maintained in chondrogenic medium containing 0 or 10(7)M dexamethasone. Pellets were...
Novel optical imaging technique to determine the 3-D orientation of collagen fibers in cartilage: variable-incidence angle polarization-sensitive optical coherence tomography.
Osteoarthritis and cartilage    July 14, 2008   Volume 17, Issue 1 33-42 doi: 10.1016/j.joca.2008.05.005
Ugryumova N, Jacobs J, Bonesi M, Matcher SJ.To investigate a novel optical method to determine the three dimensional (3-D) structure of articular cartilage collagen non-destructively. Methods: Polarization-sensitive optical coherence tomography was used to determine the apparent optical birefringence of articular cartilage for a number of different illumination directions. A quantitative method based on the theory of light propagation in uniaxial crystalline materials was validated on equine flexor tendon. Qualitative maps of fiber polar and azimuthal orientation at sites on the posterior and anterior segments of the equine third metaca...
Effects of triamcinolone acetonide, sodium hyaluronate, amikacin sulfate, and mepivacaine hydrochloride, alone and in combination, on morphology and matrix composition of lipopolysaccharide-challenged and unchallenged equine articular cartilage explants.
American journal of veterinary research    July 3, 2008   Volume 69, Issue 7 861-867 doi: 10.2460/ajvr.69.7.861
Bolt DM, Ishihara A, Weisbrode SE, Bertone AL.To evaluate the effects of triamcinolone acetonide (TA), sodium hyaluronate (HA), amikacin sulfate (AS), and mepivacaine hydrochloride (MC) on articular cartilage morphology and matrix composition in lipopolysaccharide (LPS)-challenged and unchallenged equine articular cartilage explants. Methods: 96 articular cartilage explants from 4 femoropatellar joints of 2 adult horses. Methods: Articular cartilage explants were challenged with LPS (100 ng/mL) or unchallenged for 48 hours, then treated with TA, HA, AS, and MC alone or in combination for 96 hours or left untreated. Cartilage extracts were...
A novel application of quantile regression for identification of biomarkers exemplified by equine cartilage microarray data.
BMC bioinformatics    July 2, 2008   Volume 9 300 doi: 10.1186/1471-2105-9-300
Huang L, Zhu W, Saunders CP, Macleod JN, Zhou M, Stromberg AJ, Bathke AC.Identification of biomarkers among thousands of genes arrayed for disease classification has been the subject of considerable research in recent years. These studies have focused on disease classification, comparing experimental groups of effected to normal patients. Related experiments can be done to identify tissue-restricted biomarkers, genes with a high level of expression in one tissue compared to other tissue types in the body. Results: In this study, cartilage was compared with ten other body tissues using a two color array experimental design. Thirty-seven probe sets were identified as...
Epiphyseal cartilage canal blood supply to the distal femur of foals.
Equine veterinary journal    May 20, 2008   Volume 40, Issue 5 433-439 doi: 10.2746/042516408X300269
Olstad K, Ytrehus B, Ekman S, Carlson CS, Dolvik NI.The developmental pattern of the cartilage canal blood supply to epiphyseal growth cartilage has been linked to osteochondrosis (OC) in the tarsus of foals. This pattern has not yet been described in the distal femur, another site frequently affected by OC. Objective: To describe the developmental pattern of the blood supply to the distal femoral epiphyseal growth cartilage in 8 Standardbred foals age 0-7 weeks. Methods: One foal was sacrificed weekly from birth to age 7 weeks (n=8) to undergo a barium perfusion procedure to demonstrate vessels within cartilage canals of one hindlimb. The dist...
Cartilage matrix changes in the developing epiphysis: early events on the pathway to equine osteochondrosis?
Equine veterinary journal    May 20, 2008   Volume 40, Issue 5 442-454 doi: 10.2746/042516408X297453
Lecocq M, Girard CA, Fogarty U, Beauchamp G, Richard H, Laverty S.The earliest osteochondrosis (OC) microscopic lesion reported in the literature was present in the femorotibial joint of a 2-day-old foal suggesting that OC lesions and factors initiating them may arise prior to birth. Objective: To examine the developing equine epiphysis to detect histological changes that could be precursors to OC lesions. Methods: Osteochondral samples from 21 equine fetuses and 13 foals were harvested from selected sites in the scapulohumeral, humeroradial, metacarpophalangeal, femoropatellar, femorotibial, tarsocrural and metatarsophalangeal joints. Sections were stained ...
Micro-computed tomography of early lesions of osteochondrosis in the tarsus of foals.
Bone    May 15, 2008   Volume 43, Issue 3 574-583 doi: 10.1016/j.bone.2008.04.024
Olstad K, Cnudde V, Masschaele B, Thomassen R, Dolvik NI.Osteochondrosis (OC) is an important developmental orthopedic disease of human and equine patients. The disease is defined as a focal disturbance in enchondral ossification. In horses, the disturbance can occur secondary to failure of the blood supply to growth cartilage. Diagnosis of the early, subclinical stages that can clarify the etiology is currently confined to cross-sectional histological examination. The potential for micro-computed tomography (micro-CT) with angiography to detect early lesions of OC has not yet been investigated. Methods: Nine Standardbred foals bred from parents wit...
Simulated digest of a glucosamine-based equine nutraceutical modifies effect of IL-1 in a cartilage explant model of inflammation.
Journal of veterinary pharmacology and therapeutics    May 13, 2008   Volume 31, Issue 3 268-271 doi: 10.1111/j.1365-2885.2008.00946.x
Pearson W, Lindinger MI.No abstract available
Changes in synovial fluid and serum biomarkers with exercise and early osteoarthritis in horses.
Osteoarthritis and cartilage    April 28, 2008   Volume 16, Issue 10 1196-1204 doi: 10.1016/j.joca.2008.03.008
Frisbie DD, Al-Sobayil F, Billinghurst RC, Kawcak CE, McIlwraith CW.To discriminate between changes in biomarkers with exercise compared to changes in biomarkers with osteoarthritis (OA) in exercising horses. Methods: Sixteen, 2-year-old horses were randomly assigned either to an exercise-alone (n=8) or OA-affected (also exercised) (n=8) group. All horses had both mid-carpal joints arthroscoped and OA induced in one mid-carpal joint in the OA-affected joints of OA-affected horses. Two weeks after surgery all horses commenced a strenuous exercise program on a high-speed treadmill. Clinical outcomes and synovial fluid and serum biomarkers, were evaluated weekly....
MT3-MMP (MMP-16) is downregulated by in vitro cytokine stimulation of cartilage, but unaltered in naturally occurring equine osteoarthritis and osteochondrosis.
Connective tissue research    April 3, 2008   Volume 49, Issue 2 62-67 doi: 10.1080/03008200801913338
Garvican ER, Vaughan-Thomas A, Redmond C, Clegg PD.Matrix degradation by metalloproteinases is considered a key feature in the loss of articular cartilage seen in many joint diseases. Membrane-type matrix metalloproteinase-3 (MT3-MMP) expression is elevated in human cartilage in end-stage osteoarthritis. We investigated whether MT3-MMP is similarly regulated in cartilage in two naturally occurring arthropathies in vivo and whether proinflammatory cytokines regulate its expression in vitro. MT3-MMP expression was evaluated in cartilage from horses with osteoarthritis and osteochondrosis and compared with age- and site-matched normal cartilage. ...
Chondrocytes harvested from osteochondritis dissecans cartilage are able to undergo limited in vitro chondrogenesis despite having perturbations of cell phenotype in vivo.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    March 11, 2008   Volume 26, Issue 8 1133-1140 doi: 10.1002/jor.20602
Garvican ER, Vaughan-Thomas A, Redmond C, Clegg PD.Our objective was to characterize the variation in gene expression for key genes associated with chondrogenic phenotype of osteochondrosis (OC)-affected and normal chondrocytes, and to identify whether OC chondrocytes can redifferentiate and regain a phenotype similar to normal chondrocytes if appropriate chondrogenic signals are given. Equine articular cartilage removed at surgery to treat clinically significant OC lesions was collected (n = 10), and the gene expression evaluated and compared to aged-matched normal samples (n = 10). Cartilage was harvested from normal (n = 4) and OC (n = 3) j...
Articular fetlock injuries in exercising horses.
The Veterinary clinics of North America. Equine practice    March 4, 2008   Volume 24, Issue 1 117-132 doi: 10.1016/j.cveq.2007.11.011
Santschi EM.Articular injuries to the fetlock joint can be categorized as injuries to the soft tissues (synovium, ligaments, cartilage) or bone (third metacarpus/metatarsus, first phalanx, proximal sesamoids). This article focuses on the traumatic injuries to the cartilage and bone from anatomic, functional, and pathophysiological perspectives. An understanding of fetlock motion and loading will assist clinicians in the diagnosis, treatment, and, most importantly, prevention of fetlock injury in working horses.
Comparison of radiofrequency treatment and mechanical debridement of fibrillated cartilage in an equine model.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    February 22, 2008   Volume 21, Issue 1 41-48 doi: 10.3415/VCOT-07-01-0004
Edwards RB, Lu Y, Cole BJ, Muir P, Markel MD.To compare a radiofrequency energy (RFE) prototype probe to mechanical debridement (MD) and a commercially available RFE system used for chondroplasty in the treatment of an experimentally created partial thickness cartilage lesion in horses. The study design was experimental, randomized complete block, n=8, using fifteen mature ponies. Methods: Grade 2 to 3 cartilage lesions were prepared in both patellae. After 10 months duration, the injuries were used to study the effects of MD, a commercially available bipolar RFE device (CoVac 50; ArthroCare Corporation) and a prototype monopolar RFE dev...
Cartilage-derived retinoic acid-sensitive protein in equine synovial fluid from healthy and diseased joints.
Equine veterinary journal    February 13, 2008   Volume 40, Issue 6 553-557 doi: 10.2746/042516408X271208
Berg LC, Lenz J, Kjelgaard-Hansen M, Thomsen PD, Jacobsen S.More sensitive and specific diagnostic methods for early detection of changes in the joint cartilage are needed. Cartilage-derived retinoic acid-sensitive protein (CD-RAP) is a potential marker of cartilage synthesis and regeneration. This is the first study on equine CD-RAP. Objective: To evaluate the ability of a commercially available human sandwich ELISA assay to detect equine CD-RAP in synovial fluid from healthy and diseased joints. Methods: Synovial fluid was collected from 28 horses with no signs of joint disease and from 5 with induced inflammatory arthritis. CD-RAP concentrations wer...
Epiphyseal cartilage canal blood supply to the tarsus of foals and relationship to osteochondrosis.
Equine veterinary journal    December 18, 2007   Volume 40, Issue 1 30-39 doi: 10.2746/042516407X239836
Olstad K, Ytrehus B, Ekman S, Carlson CS, Dolvik NI.Pathological changes in the blood supply to growth cartilage have been implicated in the pathogenesis of osteochondrosis (OC) in horses, but have not been reported using vascular perfusion techniques. Objective: To describe the developmental pattern of cartilage canal vessels in the distal tibial epiphysis and talar growth cartilage of foals. Methods: Nine foals bred from parents with OC were sacrificed between the ages of 0 and 7 weeks to undergo a barium perfusion procedure. The distal end of the tibia and the entire talus were cleared in methyl salicylate and perfused vessels studied in the...
Hypertrophy and physiological death of equine chondrocytes in vitro.
Equine veterinary journal    December 11, 2007   Volume 39, Issue 6 546-552 doi: 10.2746/042516407X223699
Ahmed YA, Tatarczuch L, Pagel CN, Davies HM, Mirams M, Mackie EJ.Equine osteochondrosis results from a failure of endochondral ossification during skeletal growth. Endochondral ossification involves chondrocyte proliferation, hypertrophy and death. Until recently no culture system was available to study these processes in equine chondrocytes. Objective: To optimise an in vitro model in which equine chondrocytes can be induced to undergo hypertrophy and physiological death as seen in vivo. Methods: Chondrocytes isolated from fetal or older (neonatal, growing and mature) horses were cultured as pellets in 10% fetal calf serum (FCS) or 10% horse serum (HS). Th...
Tissue engineering: chondrocyte culture on type 1 collagen support. Cytohistological and immunohistochemical study.
Journal of tissue engineering and regenerative medicine    November 27, 2007   Volume 1, Issue 2 158-159 doi: 10.1002/term.15
Negri S, Fila C, Farinato S, Bellomi A, Pagliaro PP.The scope of our study is to evaluate the possibility of cultivating and expanding human chondrocytes and seeding them on pure equine type I collagen support. Our results show that human articular cartilaginous cells can multiply and grow on type I collagen substrate with production of extracellular matrix. This type of chondrocyte culture on a support can be used for repairing cartilaginous lesions since they show a correct morphology (evaluated by cytological and histological methods) and a suitable differentiation and phenotype as shown by Alcian PAS staining to indicate the presence of muc...
Evaluation of autologous chondrocyte transplantation via a collagen membrane in equine articular defects: results at 12 and 18 months.
Osteoarthritis and cartilage    November 26, 2007   Volume 16, Issue 6 667-679 doi: 10.1016/j.joca.2007.09.013
Frisbie DD, Bowman SM, Colhoun HA, DiCarlo EF, Kawcak CE, McIlwraith CW.To evaluate a technique of autologous chondrocyte implantation (ACI) similar to the other techniques using cell-seeded resorbable collagen membranes in large articular defects. Methods: Autologous cartilage was harvested arthroscopically from the lateral trochlear ridge of the femur in fifteen 3-year-old horses. After culture and expansion of chondrocytes the newly created ACI construct (autologous chondrocytes cultured expanded, seeded on a collagen membrane, porcine small intestine submucosa) was implanted into 15mm defects on the medial trochlear ridge of the femur in the opposite femoropat...
Solute transport in the deep and calcified zones of articular cartilage.
Osteoarthritis and cartilage    November 19, 2007   Volume 16, Issue 6 708-714 doi: 10.1016/j.joca.2007.10.001
Arkill KP, Winlove CP.(1) To establish whether the tidemark and calcified cartilage are permeable to low molecular weight solutes, thereby providing a potential pathway for nutrition of cells in the deep cartilage. (2) To investigate transport from the subchondral microcirculation into calcified cartilage in an intact perfused joint and the effects on transport of static loading. Methods: The permeability of the tidemark and calcified cartilage was investigated in plugs of cartilage and subchondral bone which formed the membrane of a diffusion cell. Transport from the subchondral microcirculation and the effects of...
Differential anti-inflammatory and chondroprotective effects of simulated digests of indomethacin and an herbal composite (Mobility) in a cartilage explant model of articular inflammation.
Journal of veterinary pharmacology and therapeutics    November 10, 2007   Volume 30, Issue 6 523-533 doi: 10.1111/j.1365-2885.2007.00905.x
Pearson W, Orth MW, Lindinger MI.Herbs are an increasingly popular treatment option for horses with cartilage inflammation, despite a relative paucity of research demonstrating efficacy. The research objective was to evaluate the differential anti-inflammatory and chondroprotective efficacy of a simulated digest of indomethacin and a commercially available herbal product in a cartilage model of osteoarthritis. Cartilage explant was integrated with simulated digestion of indomethacin and the herbal product in order to account, at least in part, for the actions of major digestive enzymes and pH. The resulting digests were ultra...
The contribution of the synovium, synovial derived inflammatory cytokines and neuropeptides to the pathogenesis of osteoarthritis.
Veterinary journal (London, England : 1997)    October 29, 2007   Volume 179, Issue 1 10-24 doi: 10.1016/j.tvjl.2007.08.013
Sutton S, Clutterbuck A, Harris P, Gent T, Freeman S, Foster N, Barrett-Jolley R, Mobasheri A.Osteoarthritis (OA) is one of the most common and disabling chronic joint disorders affecting horses, dogs and humans. Synovial inflammation or synovitis is a frequently observed phenomenon in osteoarthritic joints and contributes to the pathogenesis of OA through formation of various catabolic and pro-inflammatory mediators altering the balance of cartilage matrix degradation and repair. Catabolic mediators produced by the inflamed synovium include pro-inflammatory cytokines, nitric oxide, prostaglandin E(2) and several neuropeptides, which further contribute to the pathogenesis of OA by incr...
Evaluation of adult equine bone marrow- and adipose-derived progenitor cell chondrogenesis in hydrogel cultures.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    October 26, 2007   Volume 26, Issue 3 322-331 doi: 10.1002/jor.20508
Kisiday JD, Kopesky PW, Evans CH, Grodzinsky AJ, McIlwraith CW, Frisbie DD.Bone marrow mesenchymal stem cells (BM-MSCs) and adipose-derived progenitor cells (ADPCs) are potential alternatives to autologous chondrocytes for cartilage resurfacing strategies. In this study, the chondrogenic potentials of these cell types were compared by quantifying neo-tissue synthesis and assaying gene expression and accumulation of extracellular matrix (ECM) components of cartilage. Adult equine progenitor cells encapsulated in agarose or self-assembling peptide hydrogels were cultured in the presence or absence of TGFbeta1 for 3 weeks. In BM-MSCs-seeded hydrogels, TGFbeta1 stimulate...
Molecular characterization and chromosomal assignment of equine cartilage derived retinoic acid sensitive protein (CD-RAP)/melanoma inhibitory activity (MIA).
Gene    October 5, 2007   Volume 407, Issue 1-2 98-104 doi: 10.1016/j.gene.2007.09.022
Berg LC, Mata X, Thomsen PD.Cartilage-derived retinoic acid sensitive protein (CD-RAP) also known as melanoma inhibitory activity (MIA) has already been established as a marker for chondrocyte differentiation and a number of cancerous conditions in humans. Studies have also shown that CD-RAP/MIA is a potential marker of joint disease. The objective of this study was to characterize the equine CD-RAP/MIA gene and thus make it available as a marker in cartilage research and clinical studies. Gene analysis revealed that the equine gene (GenBank accession no. EF679787) consists of four exons and three introns, and the homolo...
Effect of ultrasound beam angle on equine articular cartilage thickness measurement. Barthez PY, Bais RJ, Vernooij JC.The purpose of this study was to determine if variation in the ultrasound beam angle would affect cartilage thickness measurement performed with B-mode ultrasonography. Transverse sections of six fresh equine middle phalanges were obtained from necropsy. Ultrasonographic images of the proximal articular cartilage were obtained in a water bath, in a plane parallel and adjacent to the section plane using a 5-10 MHz linear transducer. Static images were acquired for all six bone specimens with an ultrasound beam angle of 0 degree, 30 degrees, 45 degrees, and 60 degrees. Proximal articular cartila...
Effect of fibroblast growth factor-2 on equine mesenchymal stem cell monolayer expansion and chondrogenesis.
American journal of veterinary research    September 4, 2007   Volume 68, Issue 9 941-945 doi: 10.2460/ajvr.68.9.941
Stewart AA, Byron CR, Pondenis H, Stewart MC.To determine whether fibroblast growth factor-2 (FGF-2) treatment of equine mesenchymal stem cells (MSCs) during monolayer expansion enhances subsequent chondrogenesis in a 3-dimensional culture system. Methods: 6 healthy horses, 6 months to 5 years of age. Methods: Bone marrow-derived MSCs were obtained from 6 horses. First-passage MSCs were seeded as monolayers at 10,000 cells/cm(2) and in medium containing 0, 1, 10, or 100 ng of FGF-2/mL. After 6 days, MSCs were transferred to pellet cultures (200,000 cells/pellet) and maintained in chondrogenic medium. Pellets were collected after 15 days....
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