Abstract

Tissue engineering strategies promote bone regeneration for large bone defects by stimulating the osteogenesis route via intramembranous ossification in engineered grafts, which upon implantation are frequently constrained by insufficient integration and functional anastomosis of vasculature from the host tissue. In this study, we developed a hybrid biomaterial incorporating decellularized cartilage extracellular matrix (CD-ECM) as a template and silk fibroin (SF) as a carrier to assess the bone regeneration capacity of bone marrow-derived mesenchymal stem cells (hBMSC’s) via the endochondral ossification (ECO) route. hBMSC’s were primed two weeks for chondrogenesis, followed by six weeks for hypertrophy onto hybrid CD-ECM/SF or SF alone scaffolds and evaluated for the mineralized matrix formation in vitro. Calcium deposition biochemically determined increased significantly from 4-8 weeks in both SF and CD-ECM/SF constructs, and retention of sGAG’s were observed only in CD-ECM/SF constructs. SEM/EDX revealed calcium and phosphate crystal localization by hBMSC’s under all conditions. Compressive modulus reached a maximum of 40 KPa after eight weeks of hypertrophic induction. μCT scanning at eight weeks indicated a cloud of denser minerals in groups after hypertrophic induction in CD-ECM/SF constructs than SF constructs. Gene expression by RT-qPCR revealed that hBMSC’s expressed hypertrophic markers VEGF, COL10, RUNX2, but the absence of early hypertrophic marker ChM1 and later hypertrophic marker TSBS1 and the presence of osteogenic markers ALPL, IBSP, OSX under all conditions. Our data indicate a new method to prime hBMSC’S into the late hypertrophic stage in vitro in mechanically stable constructs for ECO-mediated bone tissue regeneration.

Highlights

  • Orthopedic implants, such as prostheses, bone autografts, and allografts, are available in clinical settings to treat bone defects in non-union fractures, trauma, or osteoporosis, and have limitations due to their physical performance in healing the defects

  • The present study contemplated to develop an in vitro model of bone regeneration mimicking the endochondral ossification process by modulating the extracellular environment in tissue-engineered scaffolds. We investigated this approach by application of a decellularized cartilage-derived extracellular matrix (CD-ECM) onto silk fibroin (SF) as hybrid scaffolds (CD-ECM/SF), with appropriate mechanical properties to favor mineralization of human BMSCs

  • We found that incorporation of CD-ECM to SF scaffolds had a significant effect on early and late hypertrophy state of differentiation of human bone marrow-derived mesenchymal stem cells (hBMSCs)’s and expression of osteogenic markers compared to the same groups cultured without application of CD-ECM

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Summary

Introduction

Orthopedic implants, such as prostheses, bone autografts, and allografts, are available in clinical settings to treat bone defects in non-union fractures, trauma, or osteoporosis, and have limitations due to their physical performance in healing the defects. This is a major socioeconomic problem regarding insubstantiality and weak recovery and is associated with high health care costs. Standard approaches in BTE target the route of osteogenesis, utilizing osteoinductive and osteoconductive biomaterials at the site of implantation with osteoprogenitor cells [2] This strategy is primarily associated with inadequate vascularization and integration with the host tissue. This process of replacement is known as endochondral ossification [3]

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