Icariin-conditioned serum combined with chitosan attenuates cartilage injury in rabbit knees with osteochondral defect

Abstract Background Knee osteoarthritis (KOA) is one of the most common degenerative diseases. Its development is closely related to cartilage injury and subchondral bone remodeling homeostasis. In the present study, we combined icariin-conditioned serum (ICS) with thiolated chitosan (CSSH), a mater...

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Main Authors: Juntao Zhang, Fangyang Fan, Chao Zhang, Aifeng Liu, Man Shang, Lin Meng
Format: Article
Language:English
Published: BMC 2023-02-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-023-03607-w
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author Juntao Zhang
Fangyang Fan
Chao Zhang
Aifeng Liu
Man Shang
Lin Meng
author_facet Juntao Zhang
Fangyang Fan
Chao Zhang
Aifeng Liu
Man Shang
Lin Meng
author_sort Juntao Zhang
collection DOAJ
description Abstract Background Knee osteoarthritis (KOA) is one of the most common degenerative diseases. Its development is closely related to cartilage injury and subchondral bone remodeling homeostasis. In the present study, we combined icariin-conditioned serum (ICS) with thiolated chitosan (CSSH), a material widely used in tissue engineering for cartilage repair, to demonstrate its effect on the repair of cartilage damage and abnormal subchondral remodeling. Methods New Zealand rabbits were undergoing surgery for cartilage defect, and joint cavity injection was performed in each group with 0.5 mL normal saline (NS), ICS, CSSH and ICS-CSSH in the right joint every week for five times. Positioning performance was observed using VICON motion capture system. Glycosaminoglycans (GAG) secretion of articular fluid was assessed. Osteoarthritis Research Society International (OARSI) score and immunohistochemical (IHC) analysis including H&E, Safranin O and collagen II staining were employed to evaluate the morphologic repair of cartilage and subchondral bone. mRNA expression of COL2A1, MMP13 and ADAMTS5 was detected in chondrocytes from injury area. Results ICS combined with CSSH attenuated cartilage injury and abnormal subchondral remodeling in rabbits with KOA. ICS and CSSH groups showed slight improvement in positioning performance, while ICS-CSSH group exhibited better positioning performance. ICS-CSSH group showed increased GAG secretion of articular fluid and expression of COL2A1 in articular chondrocytes. Furthermore, both macroscopic observation and IHC analysis showed femoral condyle in ICS-CSSH rabbits were repaired with more native cartilage and subchondral bone regeneration. Conclusions ICS combined with CSSH could promote the repair of osteochondral defect and stabilize subchondral bone remodeling in rabbit knees.
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spelling doaj.art-42995c7e4d2e4b318637c41e89db84bf2023-03-22T11:52:35ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-02-0118111010.1186/s13018-023-03607-wIcariin-conditioned serum combined with chitosan attenuates cartilage injury in rabbit knees with osteochondral defectJuntao Zhang0Fangyang Fan1Chao Zhang2Aifeng Liu3Man Shang4Lin Meng5Academy of Medical Engineering and Traditional Medicine, Tianjin UniversityOrthopedics Department, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, The First Teaching Hospital of Tianjin University of Traditional Chinese MedicineOrthopedics Department, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, The First Teaching Hospital of Tianjin University of Traditional Chinese MedicineOrthopedics Department, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, The First Teaching Hospital of Tianjin University of Traditional Chinese MedicineSchool of Basic Medical Sciences, Tianjin Medical UniversityAcademy of Medical Engineering and Traditional Medicine, Tianjin UniversityAbstract Background Knee osteoarthritis (KOA) is one of the most common degenerative diseases. Its development is closely related to cartilage injury and subchondral bone remodeling homeostasis. In the present study, we combined icariin-conditioned serum (ICS) with thiolated chitosan (CSSH), a material widely used in tissue engineering for cartilage repair, to demonstrate its effect on the repair of cartilage damage and abnormal subchondral remodeling. Methods New Zealand rabbits were undergoing surgery for cartilage defect, and joint cavity injection was performed in each group with 0.5 mL normal saline (NS), ICS, CSSH and ICS-CSSH in the right joint every week for five times. Positioning performance was observed using VICON motion capture system. Glycosaminoglycans (GAG) secretion of articular fluid was assessed. Osteoarthritis Research Society International (OARSI) score and immunohistochemical (IHC) analysis including H&E, Safranin O and collagen II staining were employed to evaluate the morphologic repair of cartilage and subchondral bone. mRNA expression of COL2A1, MMP13 and ADAMTS5 was detected in chondrocytes from injury area. Results ICS combined with CSSH attenuated cartilage injury and abnormal subchondral remodeling in rabbits with KOA. ICS and CSSH groups showed slight improvement in positioning performance, while ICS-CSSH group exhibited better positioning performance. ICS-CSSH group showed increased GAG secretion of articular fluid and expression of COL2A1 in articular chondrocytes. Furthermore, both macroscopic observation and IHC analysis showed femoral condyle in ICS-CSSH rabbits were repaired with more native cartilage and subchondral bone regeneration. Conclusions ICS combined with CSSH could promote the repair of osteochondral defect and stabilize subchondral bone remodeling in rabbit knees.https://doi.org/10.1186/s13018-023-03607-wOsteoarthritisIcariinChitosanCartilage repairSubchondral bone
spellingShingle Juntao Zhang
Fangyang Fan
Chao Zhang
Aifeng Liu
Man Shang
Lin Meng
Icariin-conditioned serum combined with chitosan attenuates cartilage injury in rabbit knees with osteochondral defect
Journal of Orthopaedic Surgery and Research
Osteoarthritis
Icariin
Chitosan
Cartilage repair
Subchondral bone
title Icariin-conditioned serum combined with chitosan attenuates cartilage injury in rabbit knees with osteochondral defect
title_full Icariin-conditioned serum combined with chitosan attenuates cartilage injury in rabbit knees with osteochondral defect
title_fullStr Icariin-conditioned serum combined with chitosan attenuates cartilage injury in rabbit knees with osteochondral defect
title_full_unstemmed Icariin-conditioned serum combined with chitosan attenuates cartilage injury in rabbit knees with osteochondral defect
title_short Icariin-conditioned serum combined with chitosan attenuates cartilage injury in rabbit knees with osteochondral defect
title_sort icariin conditioned serum combined with chitosan attenuates cartilage injury in rabbit knees with osteochondral defect
topic Osteoarthritis
Icariin
Chitosan
Cartilage repair
Subchondral bone
url https://doi.org/10.1186/s13018-023-03607-w
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