In vivo cartilage regeneration in a multi-layered articular cartilage architecture mimicking scaffold

Aims: Extracellular matrix (ECM) and its architecture have a vital role in articular cartilage (AC) structure and function. We hypothesized that a multi-layered chitosan-gelatin (CG) scaffold that resembles ECM, as well as native collagen architecture of AC, will achieve superior chondrogenesis and...

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Main Authors: Karthikeyan Rajagopal, Sowmya Ramesh, Noel Malcolm Walter, Aditya Arora, Dhirendra S. Katti, Vrisha Madhuri
Format: Article
Language:English
Published: The British Editorial Society of Bone & Joint Surgery 2020-09-01
Series:Bone & Joint Research
Subjects:
Online Access:https://online.boneandjoint.org.uk/doi/epdf/10.1302/2046-3758.99.BJR-2019-0210.R2
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author Karthikeyan Rajagopal
Sowmya Ramesh
Noel Malcolm Walter
Aditya Arora
Dhirendra S. Katti
Vrisha Madhuri
author_facet Karthikeyan Rajagopal
Sowmya Ramesh
Noel Malcolm Walter
Aditya Arora
Dhirendra S. Katti
Vrisha Madhuri
author_sort Karthikeyan Rajagopal
collection DOAJ
description Aims: Extracellular matrix (ECM) and its architecture have a vital role in articular cartilage (AC) structure and function. We hypothesized that a multi-layered chitosan-gelatin (CG) scaffold that resembles ECM, as well as native collagen architecture of AC, will achieve superior chondrogenesis and AC regeneration. We also compared its in vitro and in vivo outcomes with randomly aligned CG scaffold. Methods: Rabbit bone marrow mesenchymal stem cells (MSCs) were differentiated into the chondrogenic lineage on scaffolds. Quality of in vitro regenerated cartilage was assessed by cell viability, growth, matrix synthesis, and differentiation. Bilateral osteochondral defects were created in 15 four-month-old male New Zealand white rabbits and segregated into three treatment groups with five in each. The groups were: 1) untreated and allogeneic chondrocytes; 2) multi-layered scaffold with and without cells; and 3) randomly aligned scaffold with and without cells. After four months of follow-up, the outcome was assessed using histology and immunostaining. Results: In vitro testing showed that the secreted ECM oriented itself along the fibre in multi-layered scaffolds. Both types of CG scaffolds supported cell viability, growth, and matrix synthesis. In vitro chondrogenesis on scaffold showed an around 400-fold increase in collagen type 2 (COL2A1) expression in both CG scaffolds, but the total glycosaminoglycan (GAG)/DNA deposition was 1.39-fold higher in the multi-layered scaffold than the randomly aligned scaffold. In vivo cartilage formation occurred in both multi-layered and randomly aligned scaffolds treated with and without cells, and was shown to be of hyaline phenotype on immunostaining. The defects treated with multi-layered + cells, however, showed significantly thicker cartilage formation than the randomly aligned scaffold. Conclusion: We demonstrated that MSCs loaded CG scaffold with multi-layered zonal architecture promoted superior hyaline AC regeneration.
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spelling doaj.art-10d67cf123924985b76a1071f53377612022-12-22T00:41:46ZengThe British Editorial Society of Bone & Joint SurgeryBone & Joint Research2046-37582020-09-019960161210.1302/2046-3758.99.BJR-2019-0210.R2In vivo cartilage regeneration in a multi-layered articular cartilage architecture mimicking scaffoldKarthikeyan Rajagopal0Sowmya Ramesh1Noel Malcolm Walter2Aditya Arora3Dhirendra S. Katti4Vrisha Madhuri5Department of Paediatric Orthopaedics, Christian Medical College, Vellore, IndiaDepartment of Paediatric Orthopaedics, Christian Medical College, Vellore, IndiaDepartment of Forensic Medicine, Christian Medical College, Vellore, IndiaDepartment of Biological Sciences & Bioengineering, Indian Institute of Technology Kanpur, Kanpur, IndiaDepartment of Biological Sciences & Bioengineering, Indian Institute of Technology Kanpur, Kanpur, IndiaDepartment of Paediatric Orthopaedics, Christian Medical College, Vellore, IndiaAims: Extracellular matrix (ECM) and its architecture have a vital role in articular cartilage (AC) structure and function. We hypothesized that a multi-layered chitosan-gelatin (CG) scaffold that resembles ECM, as well as native collagen architecture of AC, will achieve superior chondrogenesis and AC regeneration. We also compared its in vitro and in vivo outcomes with randomly aligned CG scaffold. Methods: Rabbit bone marrow mesenchymal stem cells (MSCs) were differentiated into the chondrogenic lineage on scaffolds. Quality of in vitro regenerated cartilage was assessed by cell viability, growth, matrix synthesis, and differentiation. Bilateral osteochondral defects were created in 15 four-month-old male New Zealand white rabbits and segregated into three treatment groups with five in each. The groups were: 1) untreated and allogeneic chondrocytes; 2) multi-layered scaffold with and without cells; and 3) randomly aligned scaffold with and without cells. After four months of follow-up, the outcome was assessed using histology and immunostaining. Results: In vitro testing showed that the secreted ECM oriented itself along the fibre in multi-layered scaffolds. Both types of CG scaffolds supported cell viability, growth, and matrix synthesis. In vitro chondrogenesis on scaffold showed an around 400-fold increase in collagen type 2 (COL2A1) expression in both CG scaffolds, but the total glycosaminoglycan (GAG)/DNA deposition was 1.39-fold higher in the multi-layered scaffold than the randomly aligned scaffold. In vivo cartilage formation occurred in both multi-layered and randomly aligned scaffolds treated with and without cells, and was shown to be of hyaline phenotype on immunostaining. The defects treated with multi-layered + cells, however, showed significantly thicker cartilage formation than the randomly aligned scaffold. Conclusion: We demonstrated that MSCs loaded CG scaffold with multi-layered zonal architecture promoted superior hyaline AC regeneration.https://online.boneandjoint.org.uk/doi/epdf/10.1302/2046-3758.99.BJR-2019-0210.R2articular cartilagemesenchymal stem cellmulti-layered scaffoldchondrogenic differentiationrabbit osteochondral model.
spellingShingle Karthikeyan Rajagopal
Sowmya Ramesh
Noel Malcolm Walter
Aditya Arora
Dhirendra S. Katti
Vrisha Madhuri
In vivo cartilage regeneration in a multi-layered articular cartilage architecture mimicking scaffold
Bone & Joint Research
articular cartilage
mesenchymal stem cell
multi-layered scaffold
chondrogenic differentiation
rabbit osteochondral model.
title In vivo cartilage regeneration in a multi-layered articular cartilage architecture mimicking scaffold
title_full In vivo cartilage regeneration in a multi-layered articular cartilage architecture mimicking scaffold
title_fullStr In vivo cartilage regeneration in a multi-layered articular cartilage architecture mimicking scaffold
title_full_unstemmed In vivo cartilage regeneration in a multi-layered articular cartilage architecture mimicking scaffold
title_short In vivo cartilage regeneration in a multi-layered articular cartilage architecture mimicking scaffold
title_sort in vivo cartilage regeneration in a multi layered articular cartilage architecture mimicking scaffold
topic articular cartilage
mesenchymal stem cell
multi-layered scaffold
chondrogenic differentiation
rabbit osteochondral model.
url https://online.boneandjoint.org.uk/doi/epdf/10.1302/2046-3758.99.BJR-2019-0210.R2
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