Artificial Cartilage Research Articles

A novel, self-assembled artificial cartilage-hydroxyapatite conjugate for combined articular cartilage and subchondral bone repair: histopathological analysis of cartilage tissue engineering in rat knee joints.

PurposeWe previously created a self-assembled cartilage-like complex in vitro from only three cartilage components, hyaluronic acid (HA), aggrecan (AG) and type II collagen, without other materials such as cross-linking agents. Based on this self-organized AG/HA/collagen complex, we have created three novel types of biphasic cartilage and bone-like scaffolds combined with hydroxyapatite (HAP) for osteochondral tissue engineering. These scaffolds have been developed from self-assembled cartilage component molecules and HAP at the nanometer scale by manipulating the intermolecular relations.Patients and methodsThe surface structure of each self-organized biphasic cartilage and bone-like scaffold was evaluated by scanning electron microscopy, whereas the viscoelasticity was also analyzed in vitro. Three types of artificial cartilage–HAP conjugates were implanted into an osteochondral defect in rat knee joints, and bone and cartilage tissues of the implanted site were examined 4 and 8 weeks after implantation. The tissues were examined histopathologically to evaluate the effects of the implantation on the articular cartilage and subchondral bone tissues.ResultsOur in vitro and in vivo data reveal that the self-organized biphasic cartilage and bone-like scaffold conjugated with HAP are superior to the scaffold with no HAP in both cartilage regeneration and subchondral bone regeneration.ConclusionOur present study indicates that the self-organized biphasic cartilage and bone-like scaffold, which is conjugated with an HAP layer, may have potential not only to repair articular cartilage defects but also to ameliorate the degeneration of subchondral bone in the diseases with osteochondral defect.

Evaluating the Effects of Nanosilica on Mechanical and Tribological Properties of Polyvinyl Alcohol/Polyacrylamide Polymer Composites for Artificial Cartilage from an Atomic Level.

Due to the superior performances of nanosilica particles, this research has been designed to study their effects on the mechanical and trigological properties of a PVA/PAM polymer composite by a molecular dynamics simulation method. To realize the research objectives mentioned above, the molecular models of amorphous cells and sandwiched friction models for pure polyvinyl alcohol (PVA)/polyacrylamide (PAM) (component weight ratio is 1:1) and PVA/PAM/nanosilica (component weight ratio is 5.75:5.75:1) polymer composites were constructed and simulated, respectively. The simulation results of the mechanical properties show increases about 31.6% in the bulk modulus, 53.1% in the shear modulus, and 50.1% in the Young’s modulus by incorporating a nanosilica particle into a pure PVA/PAM polymer composite. Meanwhile, the changes in Cauchy pressure, B/G ratio, and Poisson’s ratio values indicate that incorporating a nanosilica particle into pure PVA/PAM weakened the ductility of the composite. Incorporating a nanosilica particle into a pure PVA/PAM composite also showed a decrease about 28.2% in the abrasion rates and relative concentration distributions of polymer molecules in the final friction models. Additionally, the binding energy and the pair correlation functions between a nanosilica particle and the polymer chains in a cubic cell demonstrate that incorporating nanosilica into PVA/PAM polymer composites improves the internal binding strength between different components through the forming hydrogen bonds. As a result, the mechanical and tribological properties of PVA/PAM polymer composites can be enhanced by incorporating nanosilica particles.

γ-Irradiated gelatin and polyvinyl alcohol films as artificial articular cartilage

Both gelatin and polyvinyl alcohol polymers have good biocompatibility to be used in biomedical applications. Cell adhesion and growth activity of gelatin have made it unique in artificial cartilage preparation. Two separate solutions of them are prepared by mixing 10% (w/v) of each one in water. These two solutions are then mixed at a temperature range of 70–90°C, and a pH value of 2 is maintained and finally it is cast into films. The dried films are gamma irradiated (using 60Co) at different doses. Fourier transform infrared analysis of the films shows the presence of amide linkages formed in them. It is observed from thermogravimetric analysis that 2.6% of non-irradiated and 20% of irradiated samples retain after heating them up to 600°C. Mechanical properties of the irradiated films show better properties than that of non-irradiated one. The irradiated films show a decrease in water uptake than that of the non-irradiated films. Scanning electron microscopy does not show any significant difference in morphology of the films with increasing radiation doses.

Mechanically robust, ultrastretchable and thermal conducting composite hydrogel and its biomedical applications

While hydrogels with both high mechanical properties and thermal conductivity hold great promise for applications in artificial cartilages, actuators, antipyretic pastes and so on, it is still challenging to fabricate such hydrogels. Here, we report a class of mechanically robust, ultrastretchable and thermal-conducting composite hydrogels by in situ polymerizing acrylamide monomers in the presence of vinyl-functionalized boron nitride nanosheets (v-BNNS). The v-BNNS bear many vinyl groups, thereby chemically crosslinking the polyacrylamide chains during the polymerization process, which not only leads to a more impact network, but also promotes the load transfer between the nanoparticles and polymer chains. As a result, the composite hydrogels with 4 wt‰ v-BNNS show about 700% and 680% increases in compressive stress and tensile strength, respectively, and simultaneously possess ultrastretchability of 2000%. Meanwhile, the composite hydrogels are highly anti-fatigue, as dynamic loading-unloading tests show that they have outstanding load-bearing and shape recovery properties even after 820 cycles. Moreover, due to the high thermal conductivity of v-BNNS and the covalent interaction facilitating phonon transfer between v-BNNS and matrix, a 63% improvement in thermal conductivity of the composite hydrogels can be achieved by adding only 4 wt‰ of v-BNNS. We further demonstrate that the composite hydrogels have good biocompatibility, and thus can be applied as antipyretic pastes with excellent ability to relieve fever and potentially as artificial cartilages due to their anti-fatigue performance.

Multiscale modelling and homogenisation of fibre-reinforced hydrogels for tissue engineering.

Tissue engineering aims to grow artificial tissues in vitro to replace those in the body that have been damaged through age, trauma or disease. A recent approach to engineer artificial cartilage involves seeding cells within a scaffold consisting of an interconnected 3D-printed lattice of polymer fibres combined with a cast or printed hydrogel, and subjecting the construct (cell-seeded scaffold) to an applied load in a bioreactor. A key question is to understand how the applied load is distributed throughout the construct. To address this, we employ homogenisation theory to derive equations governing the effective macroscale material properties of a periodic, elastic-poroelastic composite. We treat the fibres as a linear elastic material and the hydrogel as a poroelastic material, and exploit the disparate length scales (small inter-fibre spacing compared with construct dimensions) to derive macroscale equations governing the response of the composite to an applied load. This homogenised description reflects the orthotropic nature of the composite. To validate the model, solutions from finite element simulations of the macroscale, homogenised equations are compared to experimental data describing the unconfined compression of the fibre-reinforced hydrogels. The model is used to derive the bulk mechanical properties of a cylindrical construct of the composite material for a range of fibre spacings and to determine the local mechanical environment experienced by cells embedded within the construct.

Development and Characterization of a Poly (Vinyl Alcohol)/Graphene Oxide Composite Hydrogel as An Artificial Cartilage Material

Poly (vinyl alcohol) hydrogel (PVA-H) is expected to be a suitable artificial articular cartilage material because of its high biocompatibility. However, it is difficult to affix to the surface of a living joint because it is bioinert and its mechanical strength needs to be improved. In this study, graphene oxide (GO) subjected to two oxidation rounds was used to form a nanocomposite material and the composite hydrogel PVA-GO-H was prepared by low-temperature crystallization. Scanning electron microscope (SEM) images showed that the addition of GO can increase roughness of the hydrogel surface. Contact angle measurements showed that the surface of PVA-GO-H exhibited hydrophobicity that increased with GO concentration and not with that of PVA-H, indicating that the hydrophilic parts of PVA and GO form hydrogen bonds and the hydrophobic part of GO was exposed on the surface. Tensile tests demonstrated that Young’s modulus was enhanced on the addition of GO. Osteoblast cells showed more affinity for PVA-GO-H than PVA-H, which much more cells adhere to than to PVA-GO-H after a certain period of culturing, suggesting GO can improve the cell attachment of PVA-H. Further studies on the influence of the oxidation time of GO are still required.

Bentonite Reinforced Tough Composite Hydrogels as Potential Artificial Articular Cartilage

Novel tough composite hydrogels were prepared from inorganic bentonite(IB), polyvinyl alcohol(PVA) and polyethylene glycol(PEG) by means of a freeze-thaw technique, during which IB acted as multifunctional physically crosslinking junction and a filler to bridge the 3D network hydrogel; while the physical adsorption between IB and the polymer chains served as sacrificial bonds and increased the energy dissipation efficiency. The effects of different content of IB(wIB) on the morphological, thermal, swelling, and mechanical properties of the hydrogels were investigated. It was found that the added IB promoted the material crosslinking and stability, and the mechanical properties of the hydrogels were significantly improved with increasing wIB. The highest tensile stress of the hydrogel was achieved(1.1 MPa) when wIB was 5%. The synthesized hydrogels with high mechanical strength and low friction coefficient are potential candidate materials for artificial cartilage.

An Experimental Study on the Mechanical and Biological Properties of Bio-Printed Alginate/Halloysite Nanotube/Methylcellulose/Russian Olive-Based Scaffolds.

Purpose: Cartilage shows neither repairs nor regenerative properties after trauma or gradual wear and causes severe pain due to bones rubbing. Bioprinting of tissue-engineered artificial cartilage is one of the most fast-growing sciences in this area that can help millions of people against this disease.Methods: Bioprinting of proper bioscaffolds for cartilage repair was the main goal of this study. The bioprinting process was achieved by a novel composition consisting of alginate (AL), Halloysite nanotube (HNT), and methylcellulose (MC) prepared in bio-ink. Also, the effect of Russian olive (RO) in chondrocytes growth on bioscaffolds was also investigated in this work. Compressive, hardness and viscosity tests, Energy-Dispersive X-Ray Spectroscopy (EDX), Fourier-Transform Infrared Spectroscopy (FT-IR), Differential Scanning Calorimetry (DSC), water-soluble Tetrazolium (WST) assay, and also transmission electron microscopy (TEM) and scanning electron microscopy (SEM) were carried out.Results: The results show that in constant concentrations of AL, MC, and RO (20 mg/ml AL, 20 mg/ml MC, and 10 mg/ml RO) when concentration of HNT increased from 10 mg/ml (T-7) to 20 mg/ml (T-8) compressive stiffness increased from 241±45 kPa to 500.66±19.50 kPa. Also, 20 mg/ml of AL in composition saved proper water content for chondrocyte growth and produced good viscosity properties for a higher printing resolution.Conclusion: RO increased chondrocytes living cell efficiency by 11% on bioprinted scaffolds in comparison with the control group without RO. Results obtained through in-vivo studies were similar to those of in-vitro studies. According to the results, T-7 bio-ink has good potential in bioprinting of scaffolds in cartilage repairs.

Dual Physically Cross-Linked κ-Carrageenan-Based Double Network Hydrogels with Superior Self-Healing Performance for Biomedical Application.

Chemically linked double network (DN) hydrogels display extraordinary mechanical attributes but mostly suffer from poor self-healing property and unsatisfactory biocompatibility due to the irreversible breaks in their chemical-linked networks and the use of toxic chemical cross-linking agents. To address these limitations, we developed a novel κ-carrageenan/polyacrylamide (KC/PAM) DN hydrogel through a dual physical-cross-linking strategy, with the ductile, hydrophobically associated PAM being the first network, and the rigid potassium ion (K+) cross-linked KC being the second network. The dual physically cross-linked DN (DPC-DN) hydrogels with optimized KC concentration exhibit excellent fracture tensile stress (1320 ± 46 kPa) and toughness (fracture energy: 6900 ± 280 kJ/m3), comparable to those fully chemically linked DN hydrogels and physically chemically cross-linked hybrid DN hydrogels. Moreover, because of their unique dual physical-cross-linking structures, the KC/PAM hydrogels also demonstrated rapid self-recovery, remarkable notch-insensitivity, self-healing capability, as well as excellent cytocompatibility toward stem cells. Accordingly, this work presents a new strategy toward fabricating self-repairing DPC-DN hydrogels with outstanding mechanical behaviors and biocompatibility. The new type of DN hydrogels demonstrates strong potentiality in many challenging biomedical applications such as artificial diaphragm, tendon, and cartilage.

Micro patterning of hydroxyapatite by soft lithography on hydrogels for selective osteoconduction

Mechanically robust hydrogels are promising biomaterials as artificial supportive tissue. These applications require selective and robust bonding of the hydrogels to living tissue. Recently, we achieved strong in vivo bone bonding of a tough double network (DN) hydrogel, a potential material for use as artificial cartilage and tendon, by hybridizing osteoconductive hydroxyapatite (HAp) in the gel surface layer. In this work, we report micro patterning of HAp at the surface of the DN hydrogel for selective osteoconduction. Utilizing the dissolution of HAp in an acidic environment, the soft lithography technique using an acid gel stamp was adopted to form a high-resolution HAp pattern on the gel. The HAp-patterned gel showed well-regulated migration and adhesion of cells in vitro. Moreover, the HAp-patterned gel showed selective and robust bonding to the rabbit bone tissue in vivo. This HAp soft lithography technique allows for simple and quick preparation of tailor-made osteoconductive hydrogels and can be applied to other hydrogels for selective bone bonding. Statement of SignificanceHydrogels, preserving large amount of water, have been studied for next-generation artificial soft tissues. However, fixation of hydrogels to living tissue was unsolved issue for clinical application. Recently, we achieved robust bonding of a tough double network gel to bone in vivo by coating of osteoconductive hydroxyapatite in the gel surface layer. For further progress for practical use, we report the micro patterning of HAp at the surface of the DN hydrogel by using soft lithography technique, to perform selective bonding to only objective area without unnecessary coalescence. The HAp lithography technique is simple, quick and non-toxic method to prepare tailor-made osteoconductive hydrogels and has universality of species of hydrogels.

Silicon dioxide/poly(vinyl alcohol) composite hydrogels with high mechanical properties and low swellability

ABSTRACTPoly(vinyl alcohol) (PVA) hydrogels with tissue‐like viscoelasticity, excellent biocompatibility, and hydrophilicity have been considered as promising cartilage replacement materials. However, the low mechanical properties of pure PVA hydrogels limit their applications for bearing complicated loads. Herein, we report silicon dioxide (SiO2)/PVA composite hydrogels fabricated by fabricated cyclically freezing/thawing the aqueous mixture of PVA and methyltrimethoxysilane (MTMS). MTMS hydrolyzes and forms SiO2 particles in situ to reinforce PVA hydrogel. Meanwhile, silanol group condenses with hydroxyl groups of PVA and chemically bonds with PVA. The resulting SiO2/PVA hydrogels exhibit much better mechanical properties than bare PVA hydrogel. In addition, the composite hydrogels keep very low swellable property. This prepared composite hydrogels are promising in a variety of biomedical applications such as artificial articular cartilage, drug delivery, and biosensors. © 2018 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2019, 136, 46895.

Biomimetic Lubrication and Surface Interactions of Dopamine-Assisted Zwitterionic Polyelectrolyte Coatings.

A bioinspired zwitterionic polyelectrolyte coating with excellent hydration ability has been regarded as a promising lubricating candidate for modifying artificial joint cartilage surface. In physiological fluids, the ubiquitous proteins play an important role in achieving outstanding boundary lubrication; however, a comprehensive understanding of the hydration lubrication between polyelectrolyte coatings and proteins still remains unclear. In this work, a facile fabrication of ultrasmooth polyelectrolyte coatings was developed via codeposition of synthesized poly(dopamine methacrylamide- co-2-methacryloyloxyethyl phosphorylcholine) (P(DMA- co-MPC)) and dopamine (DA) in a mild condition. Upon optimization of the feeding ratio of P(DMA- co-MPC) and DA, the as-fabricated PDA/P(DMA- co-MPC) coatings exhibit excellent lubricating properties when sliding with each other (friction coefficient μ = 0.036 ± 0.002, ∼2.8 MPa), as well as sliding with a model protein (bovine serum albumin (BSA)) layer (μ = 0.041 ± 0.005, ∼4.8 MPa) in phosphate-buffered saline (PBS, pH 7.4). Intriguingly, the lubrication in both systems shows Amontons-like behaviors: the friction is directly proportional to the applied load but independent of the shear velocity. Moreover, the PDA/P(DMA- co-MPC) coatings could resist the protein fouling (i.e., BSA) in PBS, which is crucial to prevent the surfaces from being contaminated when applied in biological media, thus maintaining their lubricating properties. Our results provide a versatile approach for facilely fabricating polyelectrolyte coatings with superior lubrication properties to both polyelectrolyte coatings and protein surfaces, with useful implications into the development of novel lubricating coatings for bioengineering applications (e.g., artificial joints).

Mechanical and biological performance of printed alginate/methylcellulose/halloysite nanotube/polyvinylidene fluoride bio-scaffolds

Use of artificial cartilage due to its poor regenerative characteristics is a challenging issue in the field of tissue engineering. In this regard, three-dimensional printing (3D) technique because of its perfect structural control is one of the best methods for producing biological scaffolds. Proper biomaterials for cartilage repairs with good mechanical and biological properties and the high ability for 3D printing are limited. In this paper, a novel biomaterial consisting of Alginate (AL), Methylcellulose (MC), Halloysite Nanotube (HNT), and Polyvinylidene Fluoride (PVDF) was printed and characterized for cartilage scaffold applications. Calcium chloride (CaCl2) was used as a crosslinker for biomaterial after printing. Scanning Electron Microscopy (SEM), Energy-Dispersive X-Ray Spectroscopy (EDX), X-Ray Diffraction (XRD), Fourier-Transform Infrared Spectroscopy (FT-IR), Differential Scanning Calorimetry (DSC), tensile and compressive tests, chondrocytes seeding, cells staining, and MTT assay were carried out in the present work. The results show that in constant concentrations of AL, MC, and PVDF (40 mg/ml AL, 30 mg/ml MC, and 1% PVDF) when concentration of HNT increased from 20 mg/ml (S2) to 40 mg/ml (S14) tensile strength increased from 164 up to 381 kPa and compressive stress increased from 426 up to 648 kPa. According to spectroscopy and calorimetry results, Biomaterial shows an amorphous structure with good miscibility and a high percentage of water in its structure. PVDF reduces mechanical properties by 7% while increases cell viability by 8.75%. Histological studies and MTT assay results showed a high improvement in the percentage of living cells at the first 4 days of cell cultivation.

Nondestructive Assessment of Glycosaminoglycans in Engineered Cartilages Using Hexabrix-Enhanced Micro-Computed Tomography.

It is very useful to evaluate the content and 3D distribution of extracellular matrix non-destructively in tissue engineering. This study evaluated the feasibility of using micro-computed tomography (µCT) with Hexabrix to measure quantitatively sulfated glycosaminoglycans (GAGs) of engineered cartilage. Rabbit chondrocytes at passage 2 were used to produce artificial cartilages in polyglycolic acid scaffolds in vitro. Engineered cartilages were incubated with Hexabrix 320 for 20min and analyzed via µCT scanning. The number of voxels in the 2D and 3D scanning images were counted to estimate the amount of sulfated GAGs. The optimal threshold value for quantification was determined by regression analysis. The 2D µCT images of an engineered cartilage showed positive correlation with the histological image of Safranin-O staining. Quantitative data obtained with the 3D µCT images of 14 engineered cartilages showed strong correlation with sulfated GAGs contents obtained by biochemical analysis (R2 = 0.883, p < 0.001). Repeated exposure of engineered cartilages to Hexabrix 320 and µCT scanning did not significantly affect cell viability, total DNA content, or the total content of sulfated GAGs. We conclude that µCT imaging using Hexabrix 320 provides high spatial resolution and sensitivity to assess the content and 3D distribution of sulfated GAGs in engineered cartilages. It is expected to be a valuable tool to evaluate the quality of engineered cartilage for commercial development in the future.

Effect of Gamma Ray Irradiation on Friction Property of Poly(vinyl alcohol) Cast-Drying on Freeze-Thawed Hybrid Gel.

Poly(vinyl alcohol) (PVA) is a biocompatible polymer with low toxicity. It is possible to prepare physically cross-linked PVA gels having hydrogen bonds without using a cross-linking agent. The newly reported physically cross-linked PVA cast-drying (CD) on freeze-thawed (FT) hybrid gel has an excellent friction property, which is expected to be applied as a candidate material for artificial cartilage. Gamma ray sterilization for clinical applications usually causes additional chemical cross-linking and changes physical properties of gels. In this study, CD on FT hybrid gels were irradiated using gamma rays at a different dose rate and irradiance. The results showed the optimized irradiation conditions for gamma irradiated gels to retain excellent friction characteristics.

Transitional behaviour between biphasic lubrication and soft elastohydrodynamic lubrication of poly(vinyl alcohol) hydrogel using microelectromechanical system pressure sensor

The soft hydrogel material is expected for a candidate material as biomimetic artificial cartilage with synergistic functionalities of adaptive multimode lubrication. In boundary lubrication mode of hydrogel material, the biphasic lubrication mechanism cooperatively exerts its functionality. In hydrodynamic lubrication mode, it is preferable that the lubricating surfaces be impermeable to trap the fluid pressure in contact surfaces, whereas the actual biphasic material like a hydrogel is a permeable material with surface porosity. It is indicated that the interstitial fluid pressurisation in the permeable biphasic material can contribute to significant fluid load support under lower sliding speed condition. So, the authors examined how the contrary fluid pressure effect appears in the transition from the boundary lubrication mode to soft elastohydrodynamic lubrication mode. In the experiment, a small pressure sensor was utilised to measure the in-situ fluid pressure in sliding condition. Although the experimental condition of this study was selective, the result showed a possibility of the negative effect of the biphasic surface, in which the permeable surface diminished the hydrodynamic fluid pressure. This means that one should manage and enhance the biphasic lubrication abilities in wide operation range when the hydrogel material was used as a load bearing material.

Photo-crosslinkable, injectable sericin hydrogel as 3D biomimetic extracellular matrix for minimally invasive repairing cartilage

Millions of patients worldwide suffer from cartilage injury and age/disease-related cartilage degeneration. However, cartilage, such as articular cartilage, is poor at self-regeneration. Current treatments are often invasive with limited efficacy. Developing minimal invasive strategies for effective cartilage repair is highly desired. Here, we report an injectable, photo-crosslinkable sericin hydrogel as a biomimetic extracellular matrix for minimal invasively repairing cartilage. Sericin was functionalized to be sericin methacryloyl (SerMA), which formed an in situ hydrogel upon UV light irradiation via photo-crosslinking. Possessing excellent biocompatibility, SerMA hydrogels were adhesive to chondrocytes, and promoted the proliferation of attached chondrocytes even in a nutrition-lacking condition. SerMA hydrogels exhibited photoluminescent property allowing real-time monitoring hydrogels' status. The mechanical properties and degradation rates (73% for SMH-1, 47% for SMH-2 and 37% for SMH-3 after 45 days) of SerMA hydrogels were readily tunable by varying methacryloyl modification degrees to meet various repair requirements. Notably, the in vivo implantation of chondrocyte-laden SerMA hydrogels effectively formed artificial cartilages after 8 weeks. Most importantly, the artificial cartilages molecularly resembled native cartilage as evidenced by high accumulation of cartilage-specific ECM components and upregulated expression of cartilage-critical genes. Together, this sericin hydrogel is a promising tissue engineering scaffold for generating artificial cartilage in vivo towards effective, minimal invasive cartilage repair.

Synergistic toughening of nanocomposite hydrogel based on ultrasmall aluminum hydroxide nanoparticles and hydroxyapatite nanoparticles

The development of hydrogels combining superior mechanical property attracts researchers' attention in recent years. Here, a novel nanocomposite hydrogel is prepared by one‐step photo‐polymerization of acrylic acid (AA) and N,N‐dimethylacrylamide (DMAA) in the presence of hydroxyapatite nanoparticles (HAp NPs) and aluminum hydroxide nanoparticles (Al(OH)3 NPs). The resulting transparent hydrogel exhibits ultrahigh toughness of 28.3 MJ m−3, high strength of 2.8 MPa, large elongation of 1300%, excellent self‐recovery and good biocompatibility. The crosslinking mechanism is contributed to the ionic coordination interaction between cations absorbing on the surface of nanoparticles and carboxyl groups of the polymer chain, and the synergistic toughening effect between HAp NPs and Al(OH)3 NPs is responsible for improving the strength and toughness simultaneously. Furthermore, this synergistic toughening strategy may provide a universal method for designing and constructing high strength nanocomposite hydrogels in many applications, especially for artificial cartilages. POLYM. COMPOS., 40:942–951, 2019. © 2018 Society of Plastics Engineers

Strain distribution of repaired articular cartilage defects by tissue engineering under compression loading

BackgroundIt is difficult to repair cartilage damage when cartilage undergoes trauma or degeneration. Cartilage tissue engineering is an ideal treatment method to repair cartilage defects, but at present, there are still some uncertainties to be researched in cartilage tissue engineering including the mechanical properties of the repaired region.MethodsIn this study, using an agarose gel as artificial cartilage implanted into the cartilage defect and gluing the agarose gel to cartilage by using the medical bio-adhesive, the full-thickness and half-thickness defects models of articular cartilage in vitro repaired by tissue engineering were constructed. Strain behaviors of the repaired region were analyzed by the digital correlation technology under 5, 10, 15, and 20% compressive load.ResultsThe axial normal strain (Ex) perpendicular to the surface of the cartilage and lateral normal strain (Ey) as well as shear strain (Exy) appeared obviously heterogeneous in the repaired region. In the full-defect model, Ex showed depth-dependent strain profiles where maximum Ex occurs at the low middle zone while in the half-defect mode, Ex showed heterogeneous strain profiles where maximum Ex occurs at the near deep zone. Ey and Exy at the interface site of both models present significantly differed from the host cartilage site. Ey and Exy exhibited region-specific change at the host, interface, and artificial cartilage sites in the superficial, middle, and deep zones due to the artificial cartilage implantation.ConclusionBoth defect models of cartilage exhibited a heterogeneous strain field due to the engineered cartilage tissue implant. The abnormal strain field can cause the cells within the repaired area to enter complex mechanical states which will affect the restoration of cartilage defects.

In Situ Cross-Linking of Poly(vinyl alcohol)/Graphene Oxide–Polyethylene Glycol Nanocomposite Hydrogels as Artificial Cartilage Replacement: Intercalation Structure, Unconfined Compressive Behavior, and Biotribological Behaviors

Poly(vinyl alcohol) (PVA)/graphene oxide (GO) nanocomposite hydrogel as artificial cartilage replacement was prepared via freezing/thawing method by introducing polyethylene glycol (PEG). Efficient grafting of PVA molecules onto GO surface was realized by formation of hydrogen bonding, resulting in exfoliation and uniform distribution of GO in PVA matrix. By introduction of appropriate content of GO, the increased crystalline regions of PVA and the formation of GO centered second network structure led to the increase of the storage modulus and effective cross-linking density. And therefore the mechanical strength and toughness of the composite hydrogel were improved simultaneously: the tensile strength, elongation at break, and compressive modulus showed approximately 200%, 40%, and 100% increase of the neat PVA hydrogel. Besides, for the sample with 1.5 wt % GO content, the maximum force retention and dynamic stiffness were improved remarkably in the process of sinusoidal cyclic compression, and the comp...