Abstract

The purpose of this pilot study was to establish whether a novel freeze-dried curdlan/whey protein isolate-based biomaterial may be taken into consideration as a potential scaffold for matrix-associated autologous chondrocyte transplantation. For this reason, this biomaterial was initially characterized by the visualization of its micro- and macrostructures as well as evaluation of its mechanical stability, and its ability to undergo enzymatic degradation in vitro. Subsequently, the cytocompatibility of the biomaterial towards human chondrocytes (isolated from an orthopaedic patient) was assessed. It was demonstrated that the novel freeze-dried curdlan/whey protein isolate-based biomaterial possessed a porous structure and a Young’s modulus close to those of the superficial and middle zones of cartilage. It also exhibited controllable degradability in collagenase II solution over nine weeks. Most importantly, this biomaterial supported the viability and proliferation of human chondrocytes, which maintained their characteristic phenotype. Moreover, quantitative reverse transcription PCR analysis and confocal microscope observations revealed that the biomaterial may protect chondrocytes from dedifferentiation towards fibroblast-like cells during 12-day culture. Thus, in conclusion, this pilot study demonstrated that novel freeze-dried curdlan/whey protein isolate-based biomaterial may be considered as a potential scaffold for matrix-associated autologous chondrocyte transplantation.

Highlights

  • Cartilage damage is very common in orthopaedic patients, most often involving knees and other joints such as, hips, ankles, and elbows

  • Matrix-associated autologous chondrocyte implantation, i.e., MACI® (Genzyme, Boston, MA, USA) is a product that includes chondrocytes grown on membrane composed of collagen type I and III

  • The aim of this study was to determine whether a novel freeze-dried curdlan/whey protein isolate-based biomaterial may be considered as a promising scaffold for matrixassociated autologous chondrocyte transplantation

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Summary

Introduction

Cartilage damage is very common in orthopaedic patients, most often involving knees and other joints such as, hips, ankles, and elbows. Hyalograft® C (Fidia Advanced Biomaterials, Turin, Italy) is a hyaluronan-based scaffold seeded with chondrocytes Before implantation, this product is incubated for at least two weeks under 2D conditions [18]. Matrix-associated autologous chondrocyte implantation, i.e., MACI® (Genzyme, Boston, MA, USA) is a product that includes chondrocytes grown on membrane composed of collagen type I and III. Such a construct is maintained for one week in 3D culture. Many short- and long-term clinical follow-ups confirmed that application of MACT products significantly accelerates regeneration of cartilage defects in orthopaedic patients [12,16,19,20,21,22,23,24,25]

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