Clinical Orthopaedics and Related Research · 2011 · 61 citations · 31 references
EngineeringBioengineeringBiomedical EngineeringBiomaterialsRegenerative MedicineTissue EngineeringCartilage BiologyCartilage BreakdownCartilage RegenerationCartilage Tissue EngineeringExtracellular MatrixHydrogel BiomaterialsCartilage Degradation MechanismsCartilage Extracellular MatrixHydrogel DegradationPericellular MatrixPolyethylene Glycol HydrogelsTissue-engineered CartilageTissue-engineered ConstructsType Ii Collagen Degradation
BACKGROUND: Photopolymerizable poly(ethylene glycol) (PEG) hydrogels offer a platform to deliver cells in vivo and support three-dimensional cell culture but should be designed to degrade in sync with neotissue development and endure the physiologic environment. QUESTIONS/PURPOSES: We asked whether (1) incorporation of degradation into PEG hydrogels facilitates tissue development comprised of essential cartilage macromolecules; (2) with early loading before pericellular matrix formation, the duration of load affects matrix production; and (3) dynamic loading in general influences macroscopic tissue development. METHODS: Primary bovine chondrocytes were encapsulated in hydrogels (n = 3 for each condition). The independent variables were hydrogel degradation (nondegrading PEG and degrading oligo(lactic acid)-b-PEG-b-oligo(lactic acid) [PEG-LA]), culture condition (free swelling, unconfined dynamic compressive loading applied intermittently for 1 or 4 weeks), and time (up to 28 days). The dependent variables were neotissue deposition through biochemical contents, immunohistochemistry, and compressive modulus. RESULTS: Degradation led to 2.3- and 2.9-fold greater glycosaminoglycan and collagen contents, respectively; macroscopic cartilage-like tissue formation comprised of aggrecan, collagen II and VI, link protein, and decorin; but decreased moduli. Loading, applied early or throughout culture, did not affect neotissue content in either hydrogel but affected neotissue spatial distribution in degrading hydrogels where 4 weeks of loading appeared to enhance hydrogel degradation resulting in tissue defects. CONCLUSIONS: PEG-LA hydrogels led to macroscopic tissue development comprised of key cartilage macromolecules under loading, but hydrogel degradation requires further tuning. CLINICAL RELEVANCE: PEG-LA hydrogels have potential for delivering chondrocytes in vivo to replace damaged cartilage with a tissue-engineered native equivalent, overcoming many limitations associated with current clinical treatments.
31
Biosynthetic response of cartilage explants to dynamic compression
Robert L. Sah, Young Jo Kim, Joe‐Yuan H. Doong et al. · Journal of Orthopaedic Research® · 1989 · 878 citations