Orthotopic equine study confirms the pivotal importance of structural reinforcement over the pre‐culture of cartilage implants

Abstract In articular cartilage (AC), the collagen arcades provide the tissue with its extraordinary mechanical properties. As these structures cannot be restored once damaged, functional restoration of AC defects remains a major challenge. We report that the use of a converged bioprinted, osteochon...

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Main Authors: Mylène deRuijter, Paweena Diloksumpan, Inge Dokter, Harold Brommer, Ineke H. Smit, Riccardo Levato, P. René vanWeeren, Miguel Castilho, Jos Malda
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Bioengineering & Translational Medicine
Subjects:
Online Access:https://doi.org/10.1002/btm2.10614
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author Mylène deRuijter
Paweena Diloksumpan
Inge Dokter
Harold Brommer
Ineke H. Smit
Riccardo Levato
P. René vanWeeren
Miguel Castilho
Jos Malda
author_facet Mylène deRuijter
Paweena Diloksumpan
Inge Dokter
Harold Brommer
Ineke H. Smit
Riccardo Levato
P. René vanWeeren
Miguel Castilho
Jos Malda
author_sort Mylène deRuijter
collection DOAJ
description Abstract In articular cartilage (AC), the collagen arcades provide the tissue with its extraordinary mechanical properties. As these structures cannot be restored once damaged, functional restoration of AC defects remains a major challenge. We report that the use of a converged bioprinted, osteochondral implant, based on a gelatin methacryloyl cartilage phase, reinforced with precisely patterned melt electrowritten polycaprolactone micrometer‐scale fibers in a zonal fashion, inspired by native collagen architecture, can provide long‐term mechanically stable neo‐tissue in an orthotopic large animal model. The design of this novel implant was achieved via state‐of‐the‐art converging of extrusion‐based ceramic printing, melt electrowriting, and extrusion‐based bioprinting. Interestingly, the cell‐free implants, used as a control in this study, showed abundant cell ingrowth and similar favorable results as the cell‐containing implants. Our findings underscore the hypothesis that mechanical stability is more determining for the successful survival of the implant than the presence of cells and pre‐cultured extracellular matrix. This observation is of great translational importance and highlights the aptness of advanced 3D (bio)fabrication technologies for functional tissue restoration in the harsh articular joint mechanical environment.
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spelling doaj.art-22fdee18e315492d9a202834e639025a2024-01-07T04:15:59ZengWileyBioengineering & Translational Medicine2380-67612024-01-0191n/an/a10.1002/btm2.10614Orthotopic equine study confirms the pivotal importance of structural reinforcement over the pre‐culture of cartilage implantsMylène deRuijter0Paweena Diloksumpan1Inge Dokter2Harold Brommer3Ineke H. Smit4Riccardo Levato5P. René vanWeeren6Miguel Castilho7Jos Malda8Department of Orthopaedics, RMCU Utrecht, UMC Utrecht University of Utrecht Utrecht The NetherlandsDepartment of Clinical Sciences, Faculty of Veterinary Medicine Utrecht University Utrecht The NetherlandsDepartment of Orthopaedics, RMCU Utrecht, UMC Utrecht University of Utrecht Utrecht The NetherlandsDepartment of Clinical Sciences, Faculty of Veterinary Medicine Utrecht University Utrecht The NetherlandsDepartment of Clinical Sciences, Faculty of Veterinary Medicine Utrecht University Utrecht The NetherlandsDepartment of Orthopaedics, RMCU Utrecht, UMC Utrecht University of Utrecht Utrecht The NetherlandsDepartment of Clinical Sciences, Faculty of Veterinary Medicine Utrecht University Utrecht The NetherlandsDepartment of Orthopaedics, RMCU Utrecht, UMC Utrecht University of Utrecht Utrecht The NetherlandsDepartment of Orthopaedics, RMCU Utrecht, UMC Utrecht University of Utrecht Utrecht The NetherlandsAbstract In articular cartilage (AC), the collagen arcades provide the tissue with its extraordinary mechanical properties. As these structures cannot be restored once damaged, functional restoration of AC defects remains a major challenge. We report that the use of a converged bioprinted, osteochondral implant, based on a gelatin methacryloyl cartilage phase, reinforced with precisely patterned melt electrowritten polycaprolactone micrometer‐scale fibers in a zonal fashion, inspired by native collagen architecture, can provide long‐term mechanically stable neo‐tissue in an orthotopic large animal model. The design of this novel implant was achieved via state‐of‐the‐art converging of extrusion‐based ceramic printing, melt electrowriting, and extrusion‐based bioprinting. Interestingly, the cell‐free implants, used as a control in this study, showed abundant cell ingrowth and similar favorable results as the cell‐containing implants. Our findings underscore the hypothesis that mechanical stability is more determining for the successful survival of the implant than the presence of cells and pre‐cultured extracellular matrix. This observation is of great translational importance and highlights the aptness of advanced 3D (bio)fabrication technologies for functional tissue restoration in the harsh articular joint mechanical environment.https://doi.org/10.1002/btm2.10614biofabricationin vivo evaluationmelt electrowritingmulti‐technologyosteochondral
spellingShingle Mylène deRuijter
Paweena Diloksumpan
Inge Dokter
Harold Brommer
Ineke H. Smit
Riccardo Levato
P. René vanWeeren
Miguel Castilho
Jos Malda
Orthotopic equine study confirms the pivotal importance of structural reinforcement over the pre‐culture of cartilage implants
Bioengineering & Translational Medicine
biofabrication
in vivo evaluation
melt electrowriting
multi‐technology
osteochondral
title Orthotopic equine study confirms the pivotal importance of structural reinforcement over the pre‐culture of cartilage implants
title_full Orthotopic equine study confirms the pivotal importance of structural reinforcement over the pre‐culture of cartilage implants
title_fullStr Orthotopic equine study confirms the pivotal importance of structural reinforcement over the pre‐culture of cartilage implants
title_full_unstemmed Orthotopic equine study confirms the pivotal importance of structural reinforcement over the pre‐culture of cartilage implants
title_short Orthotopic equine study confirms the pivotal importance of structural reinforcement over the pre‐culture of cartilage implants
title_sort orthotopic equine study confirms the pivotal importance of structural reinforcement over the pre culture of cartilage implants
topic biofabrication
in vivo evaluation
melt electrowriting
multi‐technology
osteochondral
url https://doi.org/10.1002/btm2.10614
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