Ex vivo model unravelling cell distribution effect in hydrogels for cartilage repair.
Abstract: The implantation of chondrocyte-laden hydrogels is a promising cartilage repair strategy. Chondrocytes can be spatially positioned in hydrogels and thus in defects, while current clinical cell therapies introduce chondrocytes in the defect depth. The main aim of this study was to evaluate the effect of spatial chondrocyte distribution on the reparative process. To reduce animal experiments, an ex vivo osteochondral plug model was used and evaluated. The role of the delivered and endogenous cells in the repair process was investigated. Full thickness cartilage defects were created in equine osteochondral plugs. Defects were filled with (A) chondrocytes at the bottom of the defect, covered with a cell-free hydrogel, (B) chondrocytes homogeneously encapsulated in a hydrogel, and (C, D) combinations of A and B with different cell densities. Plugs were cultured for up to 57 days, after which the cartilage and repair tissues were characterized and compared to baseline samples. Additionally, at day 21, the origin of cells in the repair tissue was evaluated. Best outcomes were obtained with conditions C and D, which resulted in well-integrated cartilage-like tissue that completely filled the defect, regardless of the initial cell density. A critical role of the spatial chondrocyte distribution in the repair process was observed. Moreover, the osteochondral plugs stimulated cartilage formation in the hydrogels when cultured in the defects. The resulting repair tissue originated from the delivered cells. These findings confirm the potential of the osteochondral plug model for the optimization of the composition of cartilage implants and for studying repair mechanisms.
Publication Date: 2017-09-08 PubMed ID: 28884783PubMed Central: PMC7116182DOI: 10.14573/altex.1704171Google Scholar: Lookup
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Summary
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This research article discusses the use of hydrogels with strategically placed chondrocytes (cartilage cells) to enhance cartilage repair. Using an ex vivo (outside of a living organism) model, the study explores how the distribution of these cells affects the repair process and informs the development of cartilage implants.
Overview of the Study
- The research aimed to understand the role of spatially-distributed chondrocytes in a hydrogel medium towards the cartilage healing process.
- This has been explored using an ex vivo model, to reduce the dependency on live animal testing. The model used was an equine osteochondral plug (a piece of bone and cartilage surgically removed).
- Different distribution strategies of chondrocytes in the hydrogel were tested – one with chondrocytes at the defect’s base, another with equal cell distribution across the gel and two mixed methods with varying cell densities.
Process and Findings
- Cartilage defects were artificially created in the osteochondral plugs and then filled using the different hydrogel-cell composition strategies.
- The plugs were then cultured for up to 57 days during which the repair tissue was observed, evaluated and compared to initial samples.
- The mixed methods (combination of base placed cells and evenly distributed cells) showed the best results in terms of well integrated, complete fill of the defect.
- Furthermore, it was also observed that the cells in the repair tissue originated from the chondrocytes originally delivered in the hydrogel, pertinently confirming their role in the wound healing process.
Implications of the Study
- Crucially, the research highlighted the importance of the spatial distribution of chondrocytes in cartilage repair, underlining that where these cells are specifically placed in the hydrogel plays a role in optimizing how well the resulting tissue integrates and fills the defect.
- The osteochondral plug model confirmed its potential utility in studying and refining cartilage implant compositions and understanding associated repair mechanisms. This could have future application in the clinical development of cartilage repair therapies or implant devices.
Cite This Article
APA
Mouser VHM, Dautzenberg NMM, Levato R, van Rijen MHP, Dhert WJA, Malda J, Gawlitta D.
(2017).
Ex vivo model unravelling cell distribution effect in hydrogels for cartilage repair.
ALTEX, 35(1), 65-76.
https://doi.org/10.14573/altex.1704171 Publication
Researcher Affiliations
- Department of Orthopaedics, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
- Department of Orthopaedics, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
- Department of Orthopaedics, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
- Department of Orthopaedics, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
- Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.
- Department of Orthopaedics, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
- Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.
- Department of Oral and Maxillofacial Surgery & Special Dental Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
MeSH Terms
- Animal Testing Alternatives
- Animals
- Cartilage / physiology
- Cells, Cultured
- Chondrocytes / physiology
- Horses
- Hydrogels
- Tissue Engineering / methods
Grant Funding
- 647426 / European Research Council
Conflict of Interest Statement
Conflict of interest. The authors have no conflicts of interest to declare.
References
This article includes 53 references
- Abbadessa A, Mouser VHM, Blokzijl MM. A synthetic thermosensitive hydrogel for cartilage bioprinting and its biofunctionalization with polysaccharides.. Biomacromolecules 2016;17:2137–2147.
- Abbott J, Holtzer H. The loss of phenotypic traits by differentiated cells: III. The reversible behavior of chondrocytes in primary cultures.. J Cell Biol 1966;28:473–487.
- Almarza AJ, Athanasiou KA. Design characteristics for the tissue engineering of cartilaginous tissues.. Ann Biomed Eng 2004;32:2–17.
- Benninghoff A. Form und Bau der Gelenkknorpel in ihren Beziehungen zur Funktion.. Z Anat Entwicklungsgesch 1925;76:43–63.
- Bian L, Fong JV, Lima EG. Dynamic mechanical loading enhances functional properties of tissue-engineered cartilage using mature canine chondrocytes.. Tissue Eng Part A 2010;16:1781–1790.
- Boere KWM, Blokzijl MM, Visser J. Biofabrication of reinforced 3D-scaffolds using two-component hydrogels.. J Mater Chem B 2015;3:9067–9078.
- Brittberg M, Tallheden T, Sjögren-Jansson B. Autologous chondrocytes used for articular cartilage repair: An update.. Clin Orthop Rel Res 2001;391:S337–348.
- Brittberg M. Cell carriers as the next generation of cell therapy for cartilage repair: A review of the matrix-induced autologous chondrocyte implantation procedure.. Am J Sports Med 2010;38:1259–1271.
- Browne JE, Branch TP. Surgical alternatives for treatment of articular cartilage lesions.. J Am Acad Orthop Surg 2000;8:180–189.
- Chen AC, Nagrampa JP, Schinagl RM. Chondrocyte transplantation to articular cartilage explants in vitro.. J Orthop Res 1997;15:791–802.
- Chu CR, Szczodry M, Bruno S. Animal models for cartilage regeneration and repair.. Tissue Eng Part B 2010;16:105–115.
- de Vries-van Melle ML, Mandl EW, Kops N. An osteochondral culture model to study mechanisms involved in articular cartilage repair.. Tissue Eng Part C 2012;18:45–53.
- de Vries-van Melle ML, Narcisi R, Kops N. Chondrogenesis of mesenchymal stem cells in an osteochondral environment is mediated by the subchondral bone.. Tissue Eng Part A 2014a;20:23–33.
- de Vries-van Melle ML, Tihaya MS, Kops N. Chondrogenic differentiation of human bone marrow-derived mesenchymal stem cells in a simulated osteochondral environment is hydrogel dependent.. Eur Cell Mater 2014b;27:112–23.
- Dell’Accio F, De Bari C, Eltawil NM. Identification of the molecular response of articular cartilage to injury, by microarray screening: Wnt-16 expression and signaling after injury and in osteoarthritis.. Arthritis Rheum 2008;58:1410–1421.
- Ebert JR, Fallon M, Wood DJ, Janes GC. A prospective clinical and radiological evaluation at 5 years after arthroscopic matrix-induced autologous chondrocyte implantation.. Am J Sports Med 2017;40:59–69.
- Ellsworth JL, Berry J, Bukowski T. Fibroblast growth factor-18 is a trophic factor for mature chondrocytes and their progenitors.. Osteoarthritis Cartilage 2002;10:308–320.
- Elson KM, Fox N, Tipper JL. Non-destructive monitoring of viability in an ex vivo organ culture model of osteochondral tissue.. Eur Cells Mater 2015;29:356–369.
- Farndale RW, Sayers CA, Barrett AJ. A direct spectrophotometric microassay for sulfated glycosaminoglycans in cartilage cultures.. Connect Tissue Res 1982;9:247–248.
- Fujie H, Nansai R, Ando W. Zone-specific integrated cartilage repair using a scaffold-free tissue engineered construct derived from allogenic synovial mesenchymal stem cells: Biomechanical and histological assessments.. J Biomech 2015;48:4101–4108.
- Gavenis K, Schmidt-Rohlfing B, Andereya S. A cell-free collagen type I device for the treatment of focal cartilage defects.. Artif Organs 2010;34:79–83.
- Griffith CK, Miller C, Sainson RCA. Diffusion limits of an in vitro thick prevascularized tissue.. Tissue Eng 2005;11:257–266.
- Hansen OM, Foldager CB, Christensen BB. Increased chondrocyte seeding density has no positive effect on cartilage repair in an MPEG-PLGA scaffold.. Knee Surg Sports Traumatol Arthrosc 2013;21:485–493.
- Huang BJ, Hu JC, Athanasiou KA. Cellbased tissue engineering strategies used in the clinical repair of articular cartilage.. Biomaterials 2016;98:1–22.
- Jones CW, Willers C, Keogh A. Matrix-induced autologous chondrocyte implantation in sheep: Objective assessments including confocal arthroscopy.. J Orthop Res 2008;26:292–303.
- Judet T, Marmorat J-L, Mullins MM. Effective treatment of fracture-dislocations of the olecranon requires a stable trochlear notch.. Clin Orthop Relat Res 2005;435:276–277.
- Kirilak Y, Pavlos NJ, Willers CR. Fibrin sealant promotes migration and proliferation of human articular chondrocytes: Possible involvement of thrombin and protease-activated receptors.. Int J Mol Med 2006;17:551–558.
- Klein TJ, Rizzi SC, Reichert JC. Strategies for zonal cartilage repair using hydrogels.. Macromol Biosci 2009;9:1049–1058.
- Kock LM, Ito K, van Donkelaar CC. Sliding indentation enhances collagen content and depth-dependent matrix distribution in tissue-engineered cartilage constructs.. Tissue Eng Part A 2013;19:1949–1959.
- Kon E, Delcogliano M, Filardo G. Orderly osteochondral regeneration in a sheep model using a novel nano-composite multilayered biomaterial.. J Orthop Res 2010;28:116–124.
- Kreuz PC, Muller S, Freymann U. Repair of focal cartilage defects with scaffold-assisted autologous chondrocyte grafts: Clinical and biomechanical results 48 months after transplantation.. Am J Sports Med 2011;39:1697–1705.
- Malda J, Benders KEM, Klein TJ. Comparative study of depth-dependent characteristics of equine and human osteochondral tissue from the medial and lateral femoral condyles.. Osteoarthritis Cartilage 2012;20:1147–1151.
- Mandelbaum B, Browne JE, Fu F. Treatment outcomes of autologous chondrocyte implantation for full-thickness articular cartilage defects of the trochlea.. Am J Sports Med 2007;35:915–921.
- Marlovits S, Zeller P, Singer P. Cartilage repair: Generations of autologous chondrocyte transplantation.. Eur J Radiol 2006;57:24–31.
- Mauck RL, Seyhan SL, Ateshian GA, Hung CT. Influence of seeding density and dynamic deformational loading on the developing structure/function relationships of chondrocyte-seeded agarose hydrogels.. Ann Biomed Eng 2002;30:1046–1056.
- Melchels FPW, Dhert WJA, Hutmacher DW, Malda J. Development and characterisation of a new bioink for additive tissue manufacturing.. J Mater Chem B 2014;2:2282–2289.
- Meyerkort D, Ebert JR, Ackland TR. Matrix-induced autologous chondrocyte implantation (MACI) for chondral defects in the patellofemoral joint.. Knee Surg Sports Traumatol Arthrosc 2014;22:2522–2530.
- Mouser VHM, Levato R, Bonassar LJ. Three-dimensional bioprinting and its potential in the field of articular cartilage regeneration.. Cartilage 2016a;8:327–340.
- Mouser VHM, Melchels FPW, Visser J. Yield stress determines bioprintability of hydrogels based on gelatin-methacryloyl and gellan gum for cartilage bioprinting.. Biofabrication 2016b;8.
- Niethammer TR, Pietschmann MF, Ficklscherer A. Incomplete defect filling after third generation autologous chondrocyte implantation.. Arch Med Sci 2016;4:785–192.
- Nixon AJ, Rickey E, Butler TJ. A chondrocyte infiltrated collagen type I/III membrane (MACI® implant) improves cartilage healing in the equine patellofemoral joint model.. Osteoarthritis Cartilage 2015;23:648–660.
- Pei M, Solchaga LA, Seidel J. Bioreactors mediate the effectiveness of tissue engineering scaffolds.. FASEB J 2002;16:1691–1694.
- Prakash D, Learmonth D. Natural progression of osteo-chondral defect in the femoral condyle.. Knee 2002;9:7–10.
- Puelacher WC, Kim SW, Vacanti JP. Tissue-engineered growth of cartilage: The effect of varying the concentration of chondrocytes seeded onto synthetic polymer matrices.. Int J Oral Maxillofac Surg 1994;23:49–53.
- Russlies M, Behrens P, Wünsch L. A cell-seeded biocomposite for cartilage repair.. Ann Anat 2002;184:317–323.
- Schuurman W, Klein TJ, Dhert WJA. Cartilage regeneration using zonal chondrocyte subpopulations: A promising approach or an overcomplicated strategy?. J Tissue Eng Regen Med 2015;9:669–678.
- Schwab A, Meeuwsen A, Ehlicke F. Ex vivo culture platform for assessment of cartilage repair treatment strategies.. ALTEX 2016;34:267–277.
- Sherwood JC, Bertrand J, Eldridge SE, Dell’Accio F. Cellular and molecular mechanisms of cartilage damage and repair.. Drug Discov Today 2014;19:1172–1177.
- Stewart MC, Saunders KM, Burton-Wurster N, Macleod JN. Phenotypic stability of articular chondrocytes in vitro: The effects of culture models, bone morphogenetic protein 2, and serum supplementation.. J Bone Miner Res 2000;15:166–174.
- Talukdar S, Nguyen QT, Chen AC. Effect of initial cell seeding density on 3D-engineered silk fibroin scaffolds for articular cartilage tissue engineering.. Biomaterials 2011;32:8927–8937.
- Vincent T, Hermansson M, Bolton M. Basic FGF mediates an immediate response of articular cartilage to mechanical injury.. Proc Natl Acad Sci U S A 2002;99:8259–8264.
- Wall A, Board T. Chemical basis for the histological use of safranin O in the study of articular cartilage.. In: Banaszkiewicz P, Kader D, editors. Classic Papers in Orthopaedics. London, UK: Springer London; 2014. pp. 433–435.
- Zhang Z. Chondrons and the pericellular matrix of chondrocytes.. Tissue Eng Part B 2015;21:267–277.
Citations
This article has been cited 15 times.- Chapman JH, Ghosh D, Attari S, Ude CC, Laurencin CT. Animal Models of Osteoarthritis: Updated Models and Outcome Measures 2016-2023. Regen Eng Transl Med 2024 Jun;10(2):127-146.
- Schwab A, Buss A, Pullig O, Ehlicke F. Ex vivo osteochondral test system with control over cartilage defect depth - A pilot study to investigate the effect of oxygen tension and chondrocyte based treatments in chondral and full thickness defects in an organ model. Osteoarthr Cartil Open 2021 Jun;3(2):100173.
- Korpershoek JV, Rikkers M, Vonk LA. Isolation of Chondrons from Hyaline Cartilage. Methods Mol Biol 2023;2598:21-27.
- Hölzl K, Fürsatz M, Göcerler H, Schädl B, Žigon-Branc S, Markovic M, Gahleitner C, Hoorick JV, Van Vlierberghe S, Kleiner A, Baudis S, Pauschitz A, Redl H, Ovsianikov A, Nürnberger S. Gelatin methacryloyl as environment for chondrocytes and cell delivery to superficial cartilage defects. J Tissue Eng Regen Med 2022 Feb;16(2):207-222.
- Doyle SE, Snow F, Duchi S, O'Connell CD, Onofrillo C, Di Bella C, Pirogova E. 3D Printed Multiphasic Scaffolds for Osteochondral Repair: Challenges and Opportunities. Int J Mol Sci 2021 Nov 17;22(22).
- Zhao X, Hu DA, Wu D, He F, Wang H, Huang L, Shi D, Liu Q, Ni N, Pakvasa M, Zhang Y, Fu K, Qin KH, Li AJ, Hagag O, Wang EJ, Sabharwal M, Wagstaff W, Reid RR, Lee MJ, Wolf JM, El Dafrawy M, Hynes K, Strelzow J, Ho SH, He TC, Athiviraham A. Applications of Biocompatible Scaffold Materials in Stem Cell-Based Cartilage Tissue Engineering. Front Bioeng Biotechnol 2021;9:603444.
- Tsanaktsidou E, Kammona O, Labude N, Neuss S, Krüger M, Kock L, Kiparissides C. Biomimetic Cell-Laden MeHA Hydrogels for the Regeneration of Cartilage Tissue. Polymers (Basel) 2020 Jul 18;12(7).
- Kleuskens MWA, van Donkelaar CC, Kock LM, Janssen RPA, Ito K. An ex vivo human osteochondral culture model. J Orthop Res 2021 Apr;39(4):871-879.
- Lim KS, Abinzano F, Bernal PN, Albillos Sanchez A, Atienza-Roca P, Otto IA, Peiffer QC, Matsusaki M, Woodfield TBF, Malda J, Levato R. One-Step Photoactivation of a Dual-Functionalized Bioink as Cell Carrier and Cartilage-Binding Glue for Chondral Regeneration. Adv Healthc Mater 2020 Aug;9(15):e1901792.
- Zahan OM, Serban O, Gherman C, Fodor D. The evaluation of oxidative stress in osteoarthritis. Med Pharm Rep 2020 Jan;93(1):12-22.
- Galarraga JH, Kwon MY, Burdick JA. 3D bioprinting via an in situ crosslinking technique towards engineering cartilage tissue. Sci Rep 2019 Dec 27;9(1):19987.
- Sun M, Sun X, Wang Z, Guo S, Yu G, Yang H. Synthesis and Properties of Gelatin Methacryloyl (GelMA) Hydrogels and Their Recent Applications in Load-Bearing Tissue. Polymers (Basel) 2018 Nov 21;10(11).
- Duchi S, Doyle S, Eekel T, D O'Connell C, Augustine C, Choong P, Onofrillo C, Di Bella C. Protocols for Culturing and Imaging a Human Ex Vivo Osteochondral Model for Cartilage Biomanufacturing Applications. Materials (Basel) 2019 Feb 20;12(4).
- Cope PJ, Ourradi K, Li Y, Sharif M. Models of osteoarthritis: the good, the bad and the promising. Osteoarthritis Cartilage 2019 Feb;27(2):230-239.
- van Schaik TJA, Gaul F, Dorthé EW, Lee EE, Grogan SP, D'Lima DD. Development of an Ex Vivo Murine Osteochondral Repair Model. Cartilage 2021 Jan;12(1):112-120.
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