Abstract

Meniscus tissue engineering (MTE) aims to fabricate ideal scaffolds to stimulate the microenvironment for recreating the damaged meniscal tissue. Indeed, favorable mechanical properties, suitable biocompatibility, and inherent chondrogenic capability are crucial in MTE. In this study, we present a composite scaffold by 3D printing a poly(ε-caprolactone) (PCL) scaffold as backbone, followed by injection with the meniscus extracellular matrix (MECM), and modification with kartogenin (KGN)-loaded poly(lactic-co-glycolic) acid (PLGA) microsphere (μS), which serves as a drug delivery system. Therefore, we propose a plan to improve meniscus regeneration via KGN released from the 3D porous PCL/MECM scaffold. The final results showed that the hydrophilicity and bioactivity of the resulting PCL/MECM scaffold were remarkably enhanced. In vitro synovium-derived mesenchymal stem cells (SMSCs) experiments suggested that introducing MECM components helped cell adhesion and proliferation and maintained promising ability to induce cell migration. Moreover, KGN-incorporating PLGA microspheres, which were loaded on scaffolds, showed a prolonged release profile and improved the chondrogenic differentiation of SMSCs during the 14-day culture. Particularly, the PCL/MECM-KGN μS seeded by SMSCs showed the highest secretion of total collagen and aggrecan. More importantly, the synergistic effect of the MECM and sustained release of KGN can endow the PCL/MECM-KGN μS scaffolds with not only excellent cell affinity and cell vitality preservation but also chondrogenic activity. Thus, the PCL/MECM-KGN μS scaffolds are expected to have good application prospects in the field of MTE.

Highlights

  • The meniscus plays a crucial role in protecting articular cartilage and maintaining joint congruence (Fox et al, 2012, 2015)

  • The COL1Al expression was not significantly different within these scaffolds. These results demonstrated that PCL/ECMKGN μS could provide an ideal platform for chondrogenic differentiation of synovium-derived mesenchymal stem cells (SMSCs)

  • We found that meniscus extracellular matrix (MECM) enhanced the adhesion, proliferation, and migration of SMSCs, and the sustained release of KGN from poly(lactic-co-glycolic) acid (PLGA) microspheres significantly enhanced the chondrogenesis of SMSCs

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Summary

Introduction

The meniscus plays a crucial role in protecting articular cartilage and maintaining joint congruence (Fox et al, 2012, 2015). The meniscus damage caused by sports injuries, trauma, and aging may eventually lead to articular cartilage loss and symptomatic osteoarthritis (OA) (Englund et al, 2012; Bilgen et al, 2018). Tissue-engineered scaffolding strategies have become one of the mainstream choices in meniscus therapeutic field (Kwon et al, 2019). A wide range of biomaterials, such as synthetic polymers, natural polymers, and tissue-derived materials, have been utilized to fabricate tissue-engineered meniscal scaffold (Makris et al, 2011). The construction of a structurally and functionally optimized scaffold with biomimetic microenvironmental characteristics of native meniscus is of great significance for meniscus regeneration

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