Abstract

Articular cartilage (AC) is an avascular tissue composed of scattered chondrocytes embedded in a dense extracellular matrix, in which nourishment takes place via the synovial fluid at the surface. AC has a limited intrinsic healing capacity, and thus mainly surgical techniques have been used to relieve pain and improve function. Approaches to promote regeneration remain challenging. The microfracture (MF) approach targets the bone marrow (BM) as a source of factors and progenitor cells to heal chondral defects in situ by opening small holes in the subchondral bone. However, the original function of AC is not obtained yet. We hypothesize that mechanical stimulation can mobilize mesenchymal stromal cells (MSCs) from BM reservoirs upon MF of the subchondral bone. Thus, the aim of this study was to compare the counts of mobilized human BM-MSCs (hBM-MSCs) in alginate-laminin (alginate-Ln) or collagen-I (col-I) scaffolds upon intermittent mechanical loading. The mechanical set up within an established bioreactor consisted of 10% strain, 0.3 Hz, breaks of 10 s every 180 cycles for 24 h. Contrary to previous findings using porcine MSCs, no significant cell count was found for hBM-MSCs into alginate-Ln scaffolds upon mechanical stimulation (8 ± 5 viable cells/mm3 for loaded and 4 ± 2 viable cells/mm3 for unloaded alginate-Ln scaffolds). However, intermittent mechanical stimulation induced the mobilization of hBM-MSCs into col-I scaffolds 10-fold compared to the unloaded col-I controls (245 ± 42 viable cells/mm3 vs. 22 ± 6 viable cells/mm3, respectively; p-value < 0.0001). Cells that mobilized into the scaffolds by mechanical loading did not show morphological changes. This study confirmed that hBM-MSCs can be mobilized in vitro from a reservoir toward col-I but not alginate-Ln scaffolds upon intermittent mechanical loading, against gravity.

Highlights

  • Mechanical loading failed to induce mobilization of hBM-mesenchymal stromal cells (MSCs) into alginate-Ln scaffolds, probably because the pore size of alginate scaffolds is too small for larger cells as hBM-MSCs [34,35,36]

  • Given the fact that pBM-MSCs required Ln functionalization [18], we argue that the cells actively displace mainly by lamellipodial migration interacting with the substrate via focal adhesions and integrins [45]

  • In this study we showed that: (1) the compression bioreactor was able to provide mechanical stimulation on different types of scaffolds, (2) intermittent loading induced the mobilization of hBM-MSCs from a cell reservoir toward a scaffold located above, (3) more hBM-MSCs were found upon loading when using col-I scaffolds, and (4) the cells found in the scaffolds remained viable after mechanical stimulation

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Summary

Introduction

Articular cartilage (AC) is the hyaline tissue covering the diarthrodial joints and contributes to load distribution during locomotion [1]. It is formed by scattered chondrocytes embedded in an extracellular matrix (ECM). Chondral injuries require early and proper treatment to avoid a major degeneration of the joints [4]. The current therapeutic options for AC repair are invasive: for instance mosaicplasty, whereby several osteochondral plugs are taken from a non-degraded part of the joint and grafted in the injured region [5] or matrix-induced autologous chondrocytes implantation (MACI) that requires two surgeries, first for chondrocytes isolation and second for implantation [6]

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