A micro-architecturally biomimetic collagen template for mesenchymal condensation based cartilage regeneration.

UNLABELLED The unique arcade-like orientation of collagen fibers enables cartilage to bear mechanical loads. In this study continuous-length aligned collagen threads were woven to emulate the interdigitated arcade structure of the cartilage. The weaving pattern provided a macropore network within which micromass cell pellets were seeded to take advantage of mesenchymal condensation driven chondrogenesis. Compression tests showed that the baseline scaffold had a modulus of 0.83±0.39MPa at a porosity of 80%. The modulus of pellet seeded scaffolds increased by 60% to 1.33±0.37MPa after 28days of culture, converging to the modulus of the native cartilage. The scaffolds displayed duress under displacement controlled low-cycle fatigue at 15% strain amplitude such that load reduction stabilized at 8% after 4500 cycles of loading. The woven structure demonstrated a substantial elastic recoil where 40% mechanical strain was close to completely recovered following unloading. A robust chondrogenesis was observed as evidenced by positive staining for GAGs and type II collagen and aggrecan. Dimethyl methylene blue and sircol assays showed GAGs and collagen productions to increase from 3.36±1.24 and 31.46±3.22 at day 3 to 56.61±12.12 and 136.70±12.29μg/μg of DNA at day 28 of culture. This woven collagen scaffold holds a significant potential for cartilage regeneration with shorter in vitro culture periods due to functionally sufficient mechanical robustness at the baseline. In conclusion, the mimicry of cartilage's arcade architecture resulted in substantial improvement of mechanical function while enabling one of the first pellet delivery platforms enabled by a macroporous network. STATEMENT OF SIGNIFICANCE Mesenchymal condensation is critical for driving chondrogenesis, making high density cell seeding a standard in cartilage tissue engineering. Efforts to date have utilized scaffold free delivery of MSCs in pellet form. This study developed a macroporous scaffold that is fabricated by weaving highly aligned collagen threads. The scaffold can deliver high density cell condensates while providing mechanical stiffness comparable to that of cartilage. The scaffold also mimicked the arcade-like orientation of collagen fibers in cartilage. A highly robust chondrogenesis was observed in this mesenchymal cell pellet delivery system. Baseline mechanical robustness of this scaffold system will enable delivery of cell pellets as early as three days.

[1]  Gerard A. Ateshian,et al.  Large, stratified, and mechanically functional human cartilage grown in vitro by mesenchymal condensation , 2014, Proceedings of the National Academy of Sciences.

[2]  S. O’Driscoll Current Concepts Review - The Healing and Regeneration of Articular Cartilage* , 1998 .

[3]  K. von der Mark,et al.  Ca2+ binding properties of type X collagen , 1991, FEBS letters.

[4]  Jerry C. Hu,et al.  Articular Cartilage Tissue Engineering , 2009 .

[5]  Harry E Rubash,et al.  In vivo tibiofemoral cartilage deformation during the stance phase of gait. , 2010, Journal of biomechanics.

[6]  O. Akkus,et al.  Biomechanical evaluation of a novel suturing scheme for grafting load-bearing collagen scaffolds for rotator cuff repair. , 2015, Clinical biomechanics.

[7]  J. Elisseeff,et al.  The differential effect of scaffold composition and architecture on chondrocyte response to mechanical stimulation. , 2009, Biomaterials.

[8]  Katherine J. Chapin,et al.  Computer aided biomanufacturing of mechanically robust pure collagen meshes with controlled macroporosity , 2015, Biofabrication.

[9]  R. Wuthier,et al.  Stimulation of calcification of growth plate cartilage matrix vesicles by binding to type II and X collagens. , 1994, The Journal of biological chemistry.

[10]  Ozan Akkus,et al.  Fabrication of compositionally and topographically complex robust tissue forms by 3D-electrochemical compaction of collagen , 2015, Biofabrication.

[11]  Alfred Benninghoff,et al.  Form und Bau der Gelenkknorpel in ihren Beziehungen zur Funktion , 1925, Zeitschrift für Anatomie und Entwicklungsgeschichte.

[12]  T. Hardingham,et al.  Chondrogenic Differentiation of Human Bone Marrow Stem Cells in Transwell Cultures: Generation of Scaffold‐Free Cartilage , 2007, Stem cells.

[13]  John Rollo,et al.  Biomaterials and scaffold design: key to tissue‐engineering cartilage , 2007, Biotechnology and applied biochemistry.

[14]  W. Dunn,et al.  Treatment of Focal Articular Cartilage Defects in the Knee , 2008, Clinical orthopaedics and related research.

[15]  M. Shive,et al.  Structural characteristics of the collagen network in human normal, degraded and repair articular cartilages observed in polarized light and scanning electron microscopies. , 2011, Osteoarthritis and cartilage.

[16]  F. J. Dzida,et al.  Comparative study of the intrinsic mechanical properties of the human acetabular and femoral head cartilage , 1991, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[17]  M E Levenston,et al.  Characterization of proteoglycan production and processing by chondrocytes and BMSCs in tissue engineered constructs. , 2008, Osteoarthritis and cartilage.

[18]  A. Benninghoff,et al.  Form und Bau der Gelenkknorpel in ihren Beziehungen zur Funktion , 2004, Zeitschrift für Zellforschung und Mikroskopische Anatomie.

[19]  R. Tuan,et al.  Cellular interactions and signaling in cartilage development. , 2000, Osteoarthritis and cartilage.

[20]  K. von der Mark,et al.  Isolation of human type X collagen and immunolocalization in fetal human cartilage. , 1991, European journal of biochemistry.

[21]  Umut A. Gurkan,et al.  An electrochemical fabrication process for the assembly of anisotropically oriented collagen bundles. , 2008, Biomaterials.

[22]  Jason A. Burdick,et al.  Differential maturation and structure-function relationships in mesenchymal stem cell- and chondrocyte-seeded hydrogels. , 2009, Tissue engineering. Part A.

[23]  K. von der Mark,et al.  Changes in the patterns of collagens and fibronectin during limb-bud chondrogenesis. , 1980, Journal of embryology and experimental morphology.

[24]  L. Hangody,et al.  Arthroscopic autogenous osteochondral mosaicplasty for the treatment of femoral condylar articular defects A preliminary report , 1997, Knee Surgery, Sports Traumatology, Arthroscopy.

[25]  Ozan Akkus,et al.  Tenogenic Induction of Human MSCs by Anisotropically Aligned Collagen Biotextiles , 2014, Advanced functional materials.

[26]  J. Clark,et al.  The organization of collagen in cryofractured rabbit articular cartilage: A scanning electron microscopic study , 1985, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[27]  S. Jimenez,et al.  Assessment of the gene expression profile of differentiated and dedifferentiated human fetal chondrocytes by microarray analysis. , 2002, Arthritis and rheumatism.

[28]  Maurilio Marcacci,et al.  Matrix-Assisted Autologous Chondrocyte Transplantation for the Repair of Cartilage Defects of the Knee , 2009, The American journal of sports medicine.

[29]  A M Mackay,et al.  Chondrogenic differentiation of cultured human mesenchymal stem cells from marrow. , 1998, Tissue engineering.

[30]  R. Tuan,et al.  Chondrogenic differentiation and functional maturation of bovine mesenchymal stem cells in long-term agarose culture. , 2006, Osteoarthritis and cartilage.

[31]  Farshid Guilak,et al.  Composite Three‐Dimensional Woven Scaffolds with Interpenetrating Network Hydrogels to Create Functional Synthetic Articular Cartilage , 2013, Advanced functional materials.

[32]  Ozan Akkus,et al.  Genipin crosslinking elevates the strength of electrochemically aligned collagen to the level of tendons. , 2012, Journal of the mechanical behavior of biomedical materials.

[33]  Ozan Akkus,et al.  Modeling the Electromobility of Type-I Collagen Molecules in the Electrochemical Fabrication of Dense and Aligned Tissue Constructs , 2012, Annals of Biomedical Engineering.

[34]  Lars Engebretsen,et al.  Autologous chondrocyte implantation compared with microfracture in the knee. A randomized trial. , 2004, The Journal of bone and joint surgery. American volume.

[35]  Ta-Jen Huang,et al.  Effect of pore size on ECM secretion and cell growth in gelatin scaffold for articular cartilage tissue engineering. , 2009, Acta biomaterialia.

[36]  R. Stoop Smart biomaterials for tissue engineering of cartilage. , 2008, Injury.

[37]  F. Berenbaum,et al.  Culture and phenotyping of chondrocytes in primary culture. , 2004, Methods in molecular medicine.

[38]  B. Hall,et al.  All for one and one for all: condensations and the initiation of skeletal development. , 2000, BioEssays : news and reviews in molecular, cellular and developmental biology.

[39]  F. Mwale,et al.  Roles of the nucleational core complex and collagens (types II and X) in calcification of growth plate cartilage matrix vesicles. , 1994, The Journal of biological chemistry.

[40]  Farshid Guilak,et al.  A biomimetic three-dimensional woven composite scaffold for functional tissue engineering of cartilage. , 2007, Nature materials.

[41]  Thomas Brett Kirk,et al.  High-resolution measurements of the multilayer ultra-structure of articular cartilage and their translational potential , 2014, Arthritis Research & Therapy.

[42]  E B Hunziker,et al.  Articular cartilage repair: basic science and clinical progress. A review of the current status and prospects. , 2002, Osteoarthritis and cartilage.