Abstract

Articular cartilage is an avascular tissue with limited regenerative property. Therefore, a defect or trauma in articular cartilage due to disease or accident can lead to progressive tissue deterioration. Cartilage tissue engineering, by replacing defective cartilage tissue, is a method for repairing such a problem. In this research, three main aspects—cell, biomaterial scaffold, and bioactive factors—that support tissue engineering study were optimized. Adipose-derived mesenchymal stem cells (ADSC) that become cartilage were grown in an optimized growth medium supplemented with either platelet rich plasma (PRP) or L-ascorbic acid (LAA). As the characterization result, the ADSC used in this experiment could be classified as Mesenchymal Stem Cell (MSC) based on multipotency analysis and cell surface marker analysis. The biomaterial scaffold was fabricated from the Bombyx morii cocoon using silk fibroin by salt leaching method and was engineered to form different sizes of pores to provide optimized support for cell adhesion and growth. Biocompatibility and cytotoxicity evaluation was done using MTT assay to optimize silk fibroin concentration and pore size. Characterized ADSC were grown on the optimized scaffold. LAA and PRP were chosen as bioactive factors to induce ADSC differentiation to become chondrocytes. The concentration optimization of LAA and PRP was analyzed by cell proliferation using MTT assay and chondrogenic differentiation by measuring glycosaminoglycan (GAG) using Alcian Blue at 605 nm wavelength. The optimum silk fibroin concentration, pore size, LAA concentration, and PRP concentration were used to grow and differentiate characterized ADSC for 7, 14, and 21 days. The cell morphology on the scaffold was analyzed using a scanning electron microscope (SEM). The result showed that the ADSC could adhere on plastic, express specific cell surface markers (CD73, CD90, and CD105), and could be differentiated into three types of mature cells. The silk fibroin scaffold made from 12% w/v concentration formed a 500 µm pore diameter (SEM analysis), and was shown by MTT assay to be biocompatible and to facilitate cell growth. The optimum concentrations of the bioactive factors LAA and PRP were 50 µg/mL and 10%, respectively. GAG analysis with Alcian Blue staining suggested that PRP induction medium and LAA induction medium on 12% w/v scaffold could effectively promote not only cell adhesion and cell proliferation but also chondrogenic differentiation of ADSC within 21 days of culture. Therefore, this study provides a new approach to articular tissue engineering with a combination of ADSC as cell source, LAA and PRP as bioactive factors, and silk fibroin as a biocompatible and biodegradable scaffold.

Highlights

  • Unlike other connective tissues, articular cartilage is an avascular tissue which lacks a nervous and lymphatic system (Zhang, Hu & Athanasiou, 2009)

  • Our result showed that Adipose-derived mesenchymal stem cells (ADSC) expressed cluster of differentiation 90 (CD90) (91.38%), CD73 (96.25%), and CD105 (61.33%), and the negative markers were expressed only in a small percentage (0.38%) (Fig. 1)

  • We examined the best concentration of L-ascorbic acid (LAA) and the platelet rich plasma (PRP) effect on ADSC differentiation grown on optimized scaffold

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Summary

Introduction

Articular cartilage is an avascular tissue which lacks a nervous and lymphatic system (Zhang, Hu & Athanasiou, 2009). This unique property make it difficult for the cartilage to regenerate tissue after being damaged. Some methods have been established to treat patients with cartilage tissue defects, such as microfracture, autologus implantation, autograft, allograft, and joint replacement (Zhang, Hu & Athanasiou, 2009); these methods have some disadvantages and cause side effects. Tissue engineering is promising for creating new cartilage tissue that is expected to become functional and ready to be implanted to replace damaged cartilage tissue. Four main parameters support the success of articular cartilage tissue engineering: cell type, growth factors or bioactive factors, mechanical stimuli, and scaffold material (Kock, Donkelaar & Ito, 2012)

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