Abstract

Microtia is a congenital aplasia of the auricular cartilage. Conventionally, autologous costal cartilage grafts are collected and shaped for transplantation. However, in this method, excessive invasion occurs due to limitations in the costal cartilage collection. Due to deformation over time after transplantation of the shaped graft, problems with long-term morphological maintenance exist. Additionally, the lack of elasticity with costal cartilage grafts is worth mentioning, as costal cartilage is a type of hyaline cartilage. Medical plastic materials have been transplanted as alternatives to costal cartilage, but transplant rejection and deformation over time are inevitable. It is imperative to create tissues for transplantation using cells of biological origin. Hence, cartilage tissues were developed using a biodegradable scaffold material. However, such materials suffer from transplant rejection and biodegradation, causing the transplanted cartilage tissue to deform due to a lack of elasticity. To address this problem, we established a method for creating elastic cartilage tissue for transplantation with autologous cells without using scaffold materials. Chondrocyte progenitor cells were collected from perichondrial tissue of the ear cartilage. By using a multilayer culture and a three-dimensional rotating suspension culture vessel system, we succeeded in creating scaffold-free elastic cartilage from cartilage progenitor cells.

Highlights

  • Microtia is a congenital aplasia of the auricular cartilage

  • This study aims to establish a method for the creation of scaffold-free elastic cartilage tissue with hardness and thickness levels comparable with auricular cartilage

  • The auricular cartilage tissue of a living body can be confirmed by Alcian blue (AB) and elastica–van Gieson (EVG) staining

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Summary

Introduction

Autologous costal cartilage grafts are collected and shaped for transplantation for microtia treatment. A method needs to be established for scaffold-free elastic cartilage tissue creation for transplantation using autologous cells. The implant used in a previous study on tissue thickness did not reach the auricle It did not mention the shear stress, rather it only stated that protocol modification is necessary because elastin and the elastic fibers are not synthesized in vitro [12]. This study aims to establish a method for the creation of scaffold-free elastic cartilage tissue with hardness and thickness levels comparable with auricular cartilage

Isolation of Cartilage Progenitor Cells
Study Approval
Isolation of Chondrocyte Progenitor Cells and Culture Method
Multilayer Culture
RWV Culture
Measurement of Transplanted Elastic Cartilage Tissue and Harvest Method
Histochemistry and Immunohistochemistry
MIA ELISA
4.10. Glycosaminoglycan Assay
4.11. Measurement of Shear Stress
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