Bioreactor can provide a dynamic culture environment for the in vitro construction of osteochondral tissue engineering. They facilitate more efficient exchange of nutrients and provide mechanical and other beneficial stimulation. Previous findings demonstrated that rotary flask (RF) bioreactor, rotary cell culture system (RCCS), or electromagnetic field (EMF) mediated scaffold culture could create a favorable dynamic environment for osteochondral tissue engineering. However, it is still unclear whether there is an optimal bioreactor or if bioreactors under multi-parameter coupling conditions are conducive to osteochondral tissue engineering. Based on this, the application of static T-flask (TF), RF, RCCS, and coupling environment of RCCS and EMF for osteochondral tissue engineering were systematically compared. The results showed that the RCCS/EMF culture system achieved the highest level of cellular proliferation and directed differentiation. Compared with the static culture group, the expression levels of chondrogenic factors of Sox9, Col II, and ACAN and osteogenic factors of Runx2, OCN, and Col I in RCCS/EMF culture system were 2.90±0.10, 3.53±0.05, 3.15±0.08, 7.16±0.15, 5.01±0.21 and 3.99±0.17 folds, respectively. The 'Active osteochondral' constructs (The construct is composed of chitosan/gelatin/nano-hydroxyapatite and bone-derived scaffolds) were prepared under different culture modes in vitro and implanted into the femoral condylar defect of New Zealand rabbits. After 12weeks, all culture modes could effectively promote the repair of osteochondral defects, in which the RCCS/EMF intervention had the best effect on the in vivo in-situ repair of osteochondral tissues. Furthermore, the fabricated cartilage and subchondral bone in the RCCS/EMF treatment group were most similar to the surrounding natural tissues, providing a new therapeutic idea for osteochondral tissue engineering.
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