Introduction: Osteoarthritis is one of the most common orthopedic diseases that gradually causes wear and damage to the articular Subchondral bone due to the destruction of articular cartilage. One of the basic challenges in cartilage tissue engineering is the choice of scaffold. In the design of the cartilage scaffold, it is useful to consider parameters such as porosity, water absorption, high mechanical resistance, biocompatibility, and biodegradability. Therefore, in this study, Demineralized Bone Matrix (DBM) which inherently has these characteristics to some extent, was chosen as the basic scaffold. Methods: The Gelatin/demineralized bone matrix (G/DBM) and the Chondroitin sulfate- Gelatin/demineralized bone matrix (GCS/DBM) scaffolds were prepared, respectively by incorporating gelatin or Chondroitin sulfate/gelatin solution inside DBM pores, freeze-drying and crosslinking with EDC/NHS. The physicochemical, biological characteristics, and chondrogenic potential of scaffolds were studied. Results: According to the SEM results, the size of the DBM pores in the G/DBM and GCS/DBM scaffolds decreased (from almost, 100-1500 µm to less than 200 µm) which reduced cell escape compared to the DBM scaffold. Also, crosslinking the scaffolds has greatly increased their compressive E-modulus (more than 8 times). The cytocompatibility and non-toxicity of all scaffolds were confirmed by acridine orange/ethidium bromide (AO/EB) staining. The evaluation results of chondrogenic differentiation of placenta-derived mesenchymal stem cells (PMSCs) on modified scaffolds, using the Real-time PCR method, showed that the presence of CS in the GCS/DBM scaffold improved the expression of chondrogenesis markers such as Aggrecan (AGC) (~4 times) and collagen 2 (COL-2) (~ 2.2 times) compared to the DBM scaffold. Also, Alcian blue staining and immunohistochemical analyses of the scaffolds, respectively, showed a denser and more coherent synthesis of GAGs and COL-2 protein on the GCS/DBM scaffold than on the G/DBM and DBM. Conclusion: According to the obtained results, it seems that the GCS/DBM scaffold can be a suitable scaffold in cartilage tissue engineering.
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