Purpose: To evaluate the proliferation and chondrogenic potential of human Bone Marrow Mesenchymal Stem Cells (hBM-MSCs) grown on type I Collagen (Col I) and different concentrations of Heparan Sulfate (HS) scaffolds. We also studied the quality of the neo-synthesized cartilaginous tissue. Methods: hBM-MSCs were cultured over the scaffolds in chondrogenic differentiation medium (Lonza, Biowhittaker, Belgium) or DMEM with 20% FBS (Fetal Bovine Serum) for 15 and 30 days, in both cases plus 100 nM PTHrP (Parathyroid hormone-related protein). Scaffolds without cells were cultured in chondrogenic medium as negative controls. Chondrogenic differentiation and neosythesized cartilage quality were evaluated by histochemical and immunohistochemical analysis, molecular biology techniques and electron microscopy. Culture supernatants were collected every 3-4 days to determine collagen presence by Elisa assays. Results: Hematoxylin-eosin (HE) (fig.1A) and Masson's trichrome (MT) (fig.1B) staining showed that stimulated hBM-MSCs spread throughout the biomaterials in high percentage, showing a good morphology at both times of study as well as a wide distribution of Extracellular Matrix (ECM). These constructs showed positivity for safranin O (SO) (fig.1C), Toluidine Blue (TB), aggrecan (Agg) (fig.1D) and type II collagen (Col II) (fig.1E). Isolated cells were able to proliferate on Col I and various concentrations of HS scaffolds, as they showed high percentages of positivity for Proliferating Cell Nuclear Antigen (PCNA) proliferation marker (fig.1F). hBM-MSCs proliferated better when cultured in chondrogenic medium than in the usual growth medium (DMEM 20% FBS).Degradation of biomaterials was gradual, as fibers were replaced with ECM. Molecular analysis indicated the expression of cartilage-characteristic genes, such as Sox9 [SRY (sex determining region Y)-box 9], Agg and Col II (fig.2) and absence of Col I, a marker of hypertrophic cells. Scanning and transmission electron microscopy confirmed the presence of cells and ECM after 15 and 30 days of culture. Cells attached to the scaffolds and exhibited a rounded morphology (fig.3A-3D). They showed a high number of distended Rough Endoplasmic Reticulum (R.E.R) cisternae (fig.3E), electrodense and bright vesicles (fig.3F, 3G), and great amount of mitochondria, suggesting great cell activity. New fibrils were differentiated surrounding cell surfaces at both times of study, conforming neosynthesized cartilage (fig.3H). Finally, culture supernatants analyses showed the release of collagen in most of the time periods studied (fig.4), confirming the chondrogenic differentiation of the hBM-MSCs. Conclusions: Col I and HS scaffolds were optimal for hBM-MSCs growth and also contributed to their phenotype maintenance. Our supports favour differentiation towards chondrocytes-like cells after both 15 and 30 days in chondrogenic medium. Detection of extracellular matrix characteristic compounds in the constructs confirms chondrogenic differentiation and synthesis of cartilaginous tissue, proving their possible use to regenerate cartilage damages. Acknowledgements: B. Parma (OPOCRIN S.P.A.); P. Esbrit (Fundación Jiménez Díaz), CAM(S2009/MAT-1472); CIBER BBN CB06-01-0040; REDICENT.
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