Abstract

The replacement of damaged or degenerated articular cartilage tissue remains a challenge, as this non-vascularized tissue has a very limited self-healing capacity. Therefore, tissue engineering (TE) of cartilage is a promising treatment option. Although significant progress has been made in recent years, there is still a lack of scaffolds that ensure the formation of functional cartilage tissue while meeting the mechanical requirements for chondrogenic TE. In this article, we report the application of flock technology, a common process in the modern textile industry, to produce flock scaffolds made of chitosan (a biodegradable and biocompatible biopolymer) for chondrogenic TE. By combining an alginate hydrogel with a chitosan flock scaffold (CFS+ALG), a fiber-reinforced hydrogel with anisotropic properties was developed to support chondrogenic differentiation of embedded human chondrocytes. Pure alginate hydrogels (ALG) and pure chitosan flock scaffolds (CFS) were studied as controls. Morphology of primary human chondrocytes analyzed by cLSM and SEM showed a round, chondrogenic phenotype in CFS+ALG and ALG after 21 days of differentiation, whereas chondrocytes on CFS formed spheroids. The compressive strength of CFS+ALG was higher than the compressive strength of ALG and CFS alone. Chondrocytes embedded in CFS+ALG showed gene expression of chondrogenic markers (COL II, COMP, ACAN), the highest collagen II/I ratio, and production of the typical extracellular matrix such as sGAG and collagen II. The combination of alginate hydrogel with chitosan flock scaffolds resulted in a scaffold with anisotropic structure, good mechanical properties, elasticity, and porosity that supported chondrogenic differentiation of inserted human chondrocytes and expression of chondrogenic markers and typical extracellular matrix.

Highlights

  • The treatment of damaged or degenerated articular cartilage tissue has great scientific and medical and economic relevance since non-vascularized articular cartilage has a very limited self-healing capacity

  • Three different types of scaffolds were included in the study: alginate hydrogels (ALG), chitosan flock scaffolds (CFS), and alginate-filled chitosan flock scaffolds (CFS+ALG; Figure 2)

  • Chitosan flock scaffolds combined with alginate hydrogel synergistically enhance the differentiation of human chondrocytes

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Summary

Introduction

The treatment of damaged or degenerated articular cartilage tissue has great scientific and medical and economic relevance since (unlike other tissues) non-vascularized articular cartilage has a very limited self-healing capacity. In common cartilage tissue engineering (TE) approaches, human chondrocytes are obtained from unloaded and undamaged cartilage tissue of the patient, proliferated in vitro, cultivated, and redifferentiated in the three-dimensional environment of a scaffold to support the extracellular matrix formation of the embedded chondrocytes. These constructs are used to replace the defect [1,2,3]. To optimally enable the diffusion of nutrients and metabolic products, the constructs need to provide high permeability in addition to strength

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