Comparison of Minced Cartilage Implantation with Autologous Chondrocyte Transplantation in an In Vitro Inflammation Model

The current gold standard to treat large cartilage defects is autologous chondrocyte transplantation (ACT). As a new surgical method of cartilage regeneration, minced cartilage implantation (MCI) is increasingly coming into focus. The aim of this study is to investigate the influence of chondrogenes...

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Main Authors: Robert Ossendorff, Lisa Grede, Sebastian Scheidt, Andreas C. Strauss, Christof Burger, Dieter C. Wirtz, Gian M. Salzmann, Frank A. Schildberg
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/13/6/546
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author Robert Ossendorff
Lisa Grede
Sebastian Scheidt
Andreas C. Strauss
Christof Burger
Dieter C. Wirtz
Gian M. Salzmann
Frank A. Schildberg
author_facet Robert Ossendorff
Lisa Grede
Sebastian Scheidt
Andreas C. Strauss
Christof Burger
Dieter C. Wirtz
Gian M. Salzmann
Frank A. Schildberg
author_sort Robert Ossendorff
collection DOAJ
description The current gold standard to treat large cartilage defects is autologous chondrocyte transplantation (ACT). As a new surgical method of cartilage regeneration, minced cartilage implantation (MCI) is increasingly coming into focus. The aim of this study is to investigate the influence of chondrogenesis between isolated and cultured chondrocytes compared to cartilage chips in a standardized inflammation model with the proinflammatory cytokine TNFα. Articular chondrocytes from bovine cartilage were cultured according to the ACT method to passage 3 and transferred to spheroid culture. At the same time, cartilage was fragmented (<1 mm<sup>3</sup>) to produce cartilage chips. TNFα (20 ng/mL) was supplemented to simulate an inflammatory process. TNFα had a stronger influence on the passaged chondrocytes compared to the non-passaged ones, affecting gene expression profiles differently between isolated chondrocytes and cartilage chips. MCI showed less susceptibility to TNFα, with reduced IL-6 release and less impact on inflammation markers. Biochemical and histological analyses supported these findings, showing a greater negative influence of TNFα on the passaged pellet cultures compared to the unpassaged cells and MCI constructs. This study demonstrated the negative influence of TNFα on chondrogenesis in a chondrocyte spheroid culture and cartilage fragment model. Passaged chondrocytes are more sensitive to cytokine influences compared to non-passaged cells and chondrons. This suggests that MCI may have superior regeneration potential in osteoarthritic conditions compared to ACT. Further investigations are necessary for the translation of these findings into clinical practice.
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spelling doaj.art-51b9c90291f14584bcaa439e9cc759b42024-03-27T13:30:43ZengMDPI AGCells2073-44092024-03-0113654610.3390/cells13060546Comparison of Minced Cartilage Implantation with Autologous Chondrocyte Transplantation in an In Vitro Inflammation ModelRobert Ossendorff0Lisa Grede1Sebastian Scheidt2Andreas C. Strauss3Christof Burger4Dieter C. Wirtz5Gian M. Salzmann6Frank A. Schildberg7Department of Orthopedics and Trauma Surgery, University Hospital Bonn, 53127 Bonn, GermanyDepartment of Orthopedics and Trauma Surgery, University Hospital Bonn, 53127 Bonn, GermanyDepartment of Orthopedics and Trauma Surgery, University Hospital Bonn, 53127 Bonn, GermanyDepartment of Orthopedics and Trauma Surgery, University Hospital Bonn, 53127 Bonn, GermanyDepartment of Orthopedics and Trauma Surgery, University Hospital Bonn, 53127 Bonn, GermanyDepartment of Orthopedics and Trauma Surgery, University Hospital Bonn, 53127 Bonn, GermanyGelenkzentrum Rhein-Main, 65239 Hochheim, GermanyDepartment of Orthopedics and Trauma Surgery, University Hospital Bonn, 53127 Bonn, GermanyThe current gold standard to treat large cartilage defects is autologous chondrocyte transplantation (ACT). As a new surgical method of cartilage regeneration, minced cartilage implantation (MCI) is increasingly coming into focus. The aim of this study is to investigate the influence of chondrogenesis between isolated and cultured chondrocytes compared to cartilage chips in a standardized inflammation model with the proinflammatory cytokine TNFα. Articular chondrocytes from bovine cartilage were cultured according to the ACT method to passage 3 and transferred to spheroid culture. At the same time, cartilage was fragmented (<1 mm<sup>3</sup>) to produce cartilage chips. TNFα (20 ng/mL) was supplemented to simulate an inflammatory process. TNFα had a stronger influence on the passaged chondrocytes compared to the non-passaged ones, affecting gene expression profiles differently between isolated chondrocytes and cartilage chips. MCI showed less susceptibility to TNFα, with reduced IL-6 release and less impact on inflammation markers. Biochemical and histological analyses supported these findings, showing a greater negative influence of TNFα on the passaged pellet cultures compared to the unpassaged cells and MCI constructs. This study demonstrated the negative influence of TNFα on chondrogenesis in a chondrocyte spheroid culture and cartilage fragment model. Passaged chondrocytes are more sensitive to cytokine influences compared to non-passaged cells and chondrons. This suggests that MCI may have superior regeneration potential in osteoarthritic conditions compared to ACT. Further investigations are necessary for the translation of these findings into clinical practice.https://www.mdpi.com/2073-4409/13/6/546autologous chondrocyte transplantationminced cartilage implantationinflammation modeltumor necrosis factor αmusculoskeletal immunology
spellingShingle Robert Ossendorff
Lisa Grede
Sebastian Scheidt
Andreas C. Strauss
Christof Burger
Dieter C. Wirtz
Gian M. Salzmann
Frank A. Schildberg
Comparison of Minced Cartilage Implantation with Autologous Chondrocyte Transplantation in an In Vitro Inflammation Model
Cells
autologous chondrocyte transplantation
minced cartilage implantation
inflammation model
tumor necrosis factor α
musculoskeletal immunology
title Comparison of Minced Cartilage Implantation with Autologous Chondrocyte Transplantation in an In Vitro Inflammation Model
title_full Comparison of Minced Cartilage Implantation with Autologous Chondrocyte Transplantation in an In Vitro Inflammation Model
title_fullStr Comparison of Minced Cartilage Implantation with Autologous Chondrocyte Transplantation in an In Vitro Inflammation Model
title_full_unstemmed Comparison of Minced Cartilage Implantation with Autologous Chondrocyte Transplantation in an In Vitro Inflammation Model
title_short Comparison of Minced Cartilage Implantation with Autologous Chondrocyte Transplantation in an In Vitro Inflammation Model
title_sort comparison of minced cartilage implantation with autologous chondrocyte transplantation in an in vitro inflammation model
topic autologous chondrocyte transplantation
minced cartilage implantation
inflammation model
tumor necrosis factor α
musculoskeletal immunology
url https://www.mdpi.com/2073-4409/13/6/546
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