Abstract

The chondrogenic potential of synovial fluid-derived mesenchymal stem cells (SF-MSCs) supports their use in cartilage regeneration strategies. However, their paucity in synovial fluid necessitates their proliferation in culture to generate clinically relevant quantities. Here it was determined that 125 mL stirred suspension bioreactors utilizing Cytodex-3 microcarrier beads represent a viable platform for the proliferation of these cells. During the inoculation phase, a bead loading of 2 g/L, an inoculation ratio of 4.5 cells/bead, and continuous agitation at 40 rpm in a medium with 5% serum resulted in high cell attachment efficiencies and a subsequent overall cell fold expansion of 5.7 over 8 days. During the subsequent growth phase, periodic addition of new microcarriers and fresh medium increased culture longevity, resulting in a 21.3 cell fold increase over 18 days in the same vessel without compromising the defining characteristics of the cells. Compared to static tissue culture flasks, a bioreactor-based bioprocess requires fewer handling steps, is more readily scalable, and for the same cell production level, has a lower operating cost as it uses approximately half the medium. Therefore, stirred suspension bioreactors incorporating microcarrier technology represent a viable and more efficient platform than tissue culture flasks for the generation of SF-MSCs in culture.

Highlights

  • Articular cartilage is a connective tissue that covers the ends of bones, providing load absorption and dissipation, and a near friction-free surface that enables bones to articulate within a joint

  • Total joint replacement (TJR), in which the damaged joint is replaced by a prosthetic joint, is necessary

  • Mesenchymal stem cells (MSCs) derived from the synovial fluid of two cadaveric male donors showing no signs of OA were acquired within four hours of death via the Southern Alberta Tissue Transplant Program with approved ethics and consent protocols

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Summary

Introduction

Articular cartilage is a connective tissue that covers the ends of bones, providing load absorption and dissipation, and a near friction-free surface that enables bones to articulate within a joint. Even slight damage to cartilage can initiate the development of osteoarthritis (OA) in which cartilage degeneration is significant and results in joint swelling, chronic pain, and reduced mobility [2]. Pharmaceuticals can lose their efficacy over time, result in significant undesirable side effects, and have not yet been shown to be able to maintain or regenerate cartilage [4,5,6,7]. TJR can improve patient quality of life, patients do not completely regain normal function, and issues related to infection and joint loosening over time suggest that alternative treatments are required [7]

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