Abstract
Articular cartilage is the specialized connective tissue that covers diarthrodial joints (e.g., hip, knee, and shoulder) and serves a load-bearing and lubrication function. As the tissue is avascular, it exhibits a poor healing capacity when injured. Joint arthroplasty, comprised of metal and plastic prostheses, has a limited lifespan after implantation and are ideally reserved for cases of significant traumatic injury and pervasive arthritis. As such, there have been significant efforts to develop cell-based strategies for cartilage repair. Accordingly, there is great anticipation regarding the role that stem cells can serve as a cell source for generating functional articular cartilage grafts. There is a need for both the use of animal cells and models as well as parallel development using human cells to successfully translate these strategies to the clinic.
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Abbreviations
- BMSC:
-
Bone marrow-derived stem cell
- CAD:
-
Computer-aided design
- CZ:
-
Calcified cartilage zone
- DZ:
-
Deep zone
- ECM:
-
Extracellular matrix
- FGF:
-
Fibroblast growth factor
- GAG:
-
Glycosaminoglycan
- hESC:
-
Human embryonic stem cell
- IGF:
-
Insulin-like growth factor
- MRI:
-
Magnetic resonance imaging
- MZ:
-
Middle zone
- OA:
-
Osteoarthritis
- PG:
-
Proteoglycan
- SZ:
-
Superficial zone
- TGF:
-
Transforming growth factor
References
Mow VC, Lai M (1990) Biorheology of swelling tissue. Biorheology 27(1):110–119
Eyre DR (1980) Collagen: molecular diversity in the body’s protein scaffold. Science 207(4437):1315–1322
Clarke IC (1971) Articular cartilage: a review and scanning electron microscope study. 1. The interterritorial fibrillar architecture. J Bone Joint Surg Br 53(4):732–750
Muir H, Bullough P, Maroudas A (1970) The distribution of collagen in human articular cartilage with some of its physiological implications. J Bone Joint Surg Br 52(3):554–563
Lipshitz H, Etheredge R 3rd, Glimcher MJ (1976) Changes in the hexosamine content and swelling ratio of articular cartilage as functions of depth from the surface. J Bone Joint Surg Am 58(8):1149–1153
Maroudas A (1979) Physicochemical properties of articular cartilage. In: Freeman MAR (ed) Adult articular cartilage. Pitman Medical, Kent, pp 215–290
Stockwell RA (1979) Biology of cartilage cells. Biological structure and function, vol 7. Cambridge University Press, Cambridge. pp viii, 329
Guilak F, Ratcliffe A, Mow VC (1995) Chondrocyte deformation and local tissue strain in articular cartilage: a confocal microscopy study. J Orthop Res 13(3):410–421
Buckwalter JA, Mankin HJ (1998) Articular cartilage: tissue design and chondrocyte-matrix interactions. Instr Course Lect 47:477–486
Donzelli PS et al (1999) Contact analysis of biphasic transversely isotropic cartilage layers and correlations with tissue failure. J Biomech 32(10):1037–1047
Mankin HJ (1982) Alterations in the structure, chemistry, and metabolism of the articular cartilage in osteoarthritis of the human hip. Hip 126–145
Felson DT et al (2000) Osteoarthritis: new insights. Part 1: the disease and its risk factors. Ann Intern Med 133(8):635–646
Tew SR et al (2000) The reactions of articular cartilage to experimental wounding: role of apoptosis. Arthritis Rheum 43(1):215–225
Quinn TM et al (2001) Matrix and cell injury due to sub-impact loading of adult bovine articular cartilage explants: effects of strain rate and peak stress. J Orthop Res 19(2):242–249
Chen CT et al (1999) Compositional and metabolic changes in damaged cartilage are peak-stress, stress-rate, and loading-duration dependent. J Orthop Res 17(6):870–879
Chen CT et al (2001) Chondrocyte necrosis and apoptosis in impact damaged articular cartilage. J Orthop Res 19(4):703–711
Mowery C, Botte M, Bradley G (1987) Fracture of polyethylene tibial component in a total knee replacement. A case report. Orthopedics 10(2):309–313
Bradley GW et al (1993) Evaluation of wear in an all-polymer total knee replacement. Part 2: clinical evaluation of wear in a polyethylene on polyacetal total knee. Clin Mater 14(2):127–132
Whiteside LA (1989) Clinical results of Whiteside Ortholoc total knee replacement. Orthop Clin North Am 20(1):113–124
Ayers DC (1997) Polyethylene wear and osteolysis following total knee replacement. Instr Course Lect 46:205–213
Ahsan T et al (1999) Integrative cartilage repair: inhibition by beta-aminopropionitrile. J Orthop Res 17(6):850–857
Harper MC (1988) Viscous isoamyl 2-cyanoacrylate as an osseous adhesive in the repair of osteochondral osteotomies in rabbits. J Orthop Res 6(2):287–292
Caplan AI et al (1997) Principles of cartilage repair and regeneration. Clin Orthop 342:254–269
Zuger BJ et al (2001) Laser solder welding of articular cartilage: tensile strength and chondrocyte viability. Lasers Surg Med 28(5):427–434
O’Driscoll SW, Keeley FW, Salter RB (1986) The chondrogenic potential of free autogenous periosteal grafts for biological resurfacing of major full-thickness defects in joint surfaces under the influence of continuous passive motion. An experimental investigation in the rabbit. J Bone Joint Surg Am 68(7):1017–1035
Hangody L et al (1997) Arthroscopic autogenous osteochondral mosaicplasty for the treatment of femoral condylar articular defects. A preliminary report. Knee Surg Sports Traumatol Arthrosc 5(4):262–267
Brittberg M et al (1996) Rabbit articular cartilage defects treated with autologous cultured chondrocytes. Clin Orthop 326:270–283
Ahmad CS et al (2001) Biomechanical and topographic considerations for autologous osteochondral grafting in the knee. Am J Sports Med 29(2):201–206
Lee CR et al (2000) Effects of harvest and selected cartilage repair procedures on the physical and biochemical properties of articular cartilage in the canine knee. J Orthop Res 18(5):790–799
Lee DA et al (2000) The influence of mechanical loading on isolated chondrocytes seeded in agarose constructs. Biorheology 37(1–2):149–161
Vunjak-Novakovic G et al (1999) Bioreactor cultivation conditions modulate the composition and mechanical properties of tissue-engineered cartilage. J Orthop Res 17:130–138
Pazzano D et al (2000) Comparison of chondrogensis in static and perfused bioreactor culture. Biotechnol Prog 16(5):893–896
Mauck RL et al (2000) Functional tissue engineering of articular cartilage through dynamic loading of chondrocyte-seeded agarose gels. J Biomech Eng 122(3):252–260
Lima EG et al (2004) Functional tissue engineering of chondral and osteochondral constructs. Biorheology 41(3–4):577–590
Smetana K (1993) Cell biology of hydrogels. Biomaterials 14(14):1046–1050
Rice MA et al (2008) Effects of directed gel degradation and collagenase digestion on the integration of neocartilage produced by chondrocytes encapsulated in hydrogel carriers. J Tissue Eng Regen Med 2(7):418–429
Burdick JA et al (2005) Controlled degradation and mechanical behavior of photopolymerized hyaluronic acid networks. Biomacromolecules 6(1):386–391
Chao PH et al (2010) Silk hydrogel for cartilage tissue engineering. J Biomed Mater Res B Appl Biomater 95(1):84–90
van Susante JL et al (1995) Culture of chondrocytes in alginate and collagen carrier gels. Acta Orthop Scand 66(6):549–556
Buschmann MD et al (1995) Mechanical compression modulates matrix biosynthesis in chondrocyte/agarose culture. J Cell Sci 108(Pt 4):1497–1508
Benya PD, Shaffer JD (1982) Dedifferentiated chondrocytes reexpress the differentiated collagen phenotype when cultured in agarose gels. Cell 30(1):215–224
Buschmann MD et al (1992) Chondrocytes in agarose culture synthesize a mechanically functional extracellular matrix. J Orthop Res 10(6):745–758
Lee DA, Bader DL (1995) The development and characterization of an in vitro system to study strain-induced cell deformation in isolated chondrocytes. In Vitro Cell Dev Biol Anim 31(11):828–835
Lee DA, Bader DL (1997) Compressive strains at physiological frequencies influence the metabolism of chondrocytes seeded in agarose. J Orthop Res 15(2):181–188
Mauck RL et al (2002) Influence of seeding density and dynamic deformational loading on the developing structure/function relationships of chondrocyte-seeded agarose hydrogels. Ann Biomed Eng 30(8):1046–1056
Rahfoth B et al (1998) Transplantation of allograft chondrocytes embedded in agarose gel into cartilage defects of rabbits. Osteoarthritis Cartilage 6(1):50–65
Cook JL et al (2003) Biocompatibility of three-dimensional chondrocyte grafts in large tibial defects of rabbits. Am J Vet Res 64(1):12–20
Lima EG et al (2007) The beneficial effect of delayed compressive loading on tissue-engineered cartilage constructs cultured with TGF-beta3. Osteoarthritis Cartilage 15(9):1025–1033
Selmi TA et al (2007) Autologous chondrocyte transplantation in combination with an alginate-agarose based hydrogel (Cartipatch). Tech Knee Surg 6(4):253–258
Selmi TA et al (2008) Autologous chondrocyte implantation in a novel alginate-agarose hydrogel: outcome at two years. J Bone Joint Surg Br 90(5):597–604
Guilak F, Hung CT (2005) Physical regulation of cartilage metabolism. In: Mow VC, Hayes WC (eds) Basic orthopaedic biomechanics. Lippincott-Raven, Philadelphia, pp 179–207
Hung CT et al (2004) A paradigm for functional tissue engineering of articular cartilage via applied physiologic deformational loading. Ann Biomed Eng 32(1):35–49
Gooch KJ et al (2001) Effects of mixing intensity on tissue-engineered cartilage. Biotechnol Bioeng 72(4):402–407
Kaysen JH et al (1999) Select de novo gene and protein expression during renal epithelial cell culture in rotating wall vessels is shear stress dependent. J Membr Biol 168(1):77–89
Freed LE et al (1997) Tissue engineering of cartilage in space. Proc Natl Acad Sci USA 94(25):13885–13890
Obradovic B et al (1999) Gas exchange is essential for bioreactor cultivation of tissue engineered cartilage. Biotechnol Bioeng 63(2):197–205
Ateshian GA, Hung CT (2003) Functional properties of native articular cartilage. In: Guilak F et al (eds) Functional tissue engineering. Springer-Verlag, New York, pp 46–66
Carver SE, Heath CA (1999) Increasing extracellular matrix production in regenerating cartilage with intermittent physiological pressure. Biotechnol Bioeng 62(2):166–174
Mauck RL et al (2003) The role of cell seeding density and nutrient supply for articular cartilage tissue engineering with deformational loading. Osteoarthritis Cartilage 11(12):879–890
Mauck RL, Hung CT, Ateshian GA (2003) Modeling of neutral solute transport in a dynamically loaded porous permeable gel: implications for articular cartilage biosynthesis and tissue. J Biomech Eng 125(5):602–614
Albro MB et al (2008) Dynamic loading of deformable porous media can induce active solute transport. J Biomech 41(15):3152–3157
Elder SH et al (2001) Chondrocyte differentiation is modulated by frequency and duration of cyclic compressive loading. Ann Biomed Eng 29(6):476–482
Huang CY et al (2004) Effects of cyclic compressive loading on chondrogenesis of rabbit bone-marrow derived mesenchymal stem cells. Stem Cells 22(3):313–323
Miyanishi K et al (2006) Effects of hydrostatic pressure and transforming growth factor-beta 3 on adult human mesenchymal stem cell chondrogenesis in vitro. Tissue Eng 12(6):1419–1428
Kisiday JD et al (2009) Dynamic compression stimulates PG synthesis by mesenchymal stem cells in the absence of chondrogenic cytokines. Tissue Eng Part A 15(10):2817–2824
Huang AH, Farrell MJ, Mauck RL (2010) Mechanics and mechanobiology of mesenchymal stem cell-based engineered cartilage. J Biomech 43(1):128–136
Byers BA et al (2006) Temporal exposure of TGF-B3 under serum-free conditions enhances biomechanical and biochemical maturation of tissue-engineered cartilage. Trans Orthop Res Soc 31:43
Mauck RL et al (2003) Synergistic action of growth factors and dynamic loading for articular cartilage tissue engineering. Tissue Eng 9(4):597–611
Mauck RL et al (2001) Transforming growth factor B1 increases the mechanical properties and matrix development of chondrocyte-seeded agarose hydrogels. Adv Bioeng 50:691–692
Thorp BH, Anderson I, Jakowlew SB (1992) Transforming growth factor-beta1, -beta2 and -beta3 in cartilage and bone cells during endochondral ossification in the chick. Development 114(4):907–911
Bian L et al (2009) Effects of dexamethasone on the functional properties of cartilage explants during long term culture. Trans Orthop Res Soc 34:329
Awad H et al (2003) Effects of transforming growth factor beta1 and dexamethasone on the growth and chondrogenic differentiation of adipose-derived stromal cells. Tissue Eng 9(6):1301–1312
Ratcliffe A, Tyler JA, Hardingham TE (1986) Articular cartilage cultured with interleukin 1. Increased release of link protein, hyaluronate-binding region and other PG fragments. Biochem J 238(2):571–580
Aydelotte MB et al (1992) Influence of interleukin-1 on the morphology and PG metabolism of cultured bovine articular chondrocytes. Connect Tissue Res 28(1–2):143–159
Lima EG et al (2008) Differences in Interleukin-1 Response between Engineered and Native Cartilage. Tissue Eng Part A 14(10):1721–1730
Martin I et al (2000) Modulation of the mechanical properties of tissue engineered cartilage. Biorheology 37(1–2):141–147
Tran-Khanh N et al (2005) Aged bovine chondrocytes display a diminished capacity to produce a collagen-rich, mechanically functional cartilage extracellular matrix. J Orthop Res 23:1354–1362
Adkisson HDt et al (2010) The potential of human allogeneic juvenile chondrocytes for restoration of articular cartilage. Am J Sports Med 38(7):1324–1333
Gilbert JE (1998) Current treatment options for the restoration of articular cartilage. Am J Knee Surg 11(1):42–46
Wang J et al (2003) Homeostasis of the extracellular matrix of normal and osteoarthritic human articular cartilage chondrocytes in vitro. Osteoarthritis Cartilage 11(11):801–809
Bulstra SK et al (1989) Metabolic characteristics of in vitro cultured human chondrocytes in relation to the histopathologic grade of osteoarthritis. Clin Orthop Relat Res 242: 294–302
Glenn RE Jr et al (2006) Comparison of fresh osteochondral autografts and allografts: a canine model. Am J Sports Med 34(7):1084–1093
Garrett JC (1998) Osteochondral allografts for reconstruction of articular defects of the knee. AAOS Instr Course Lect 47:517–522
Tew SR et al (2008) Cellular methods in cartilage research: primary human chondrocytes in culture and chondrogenesis in human bone marrow stem cells. Methods 45(1):2–9
Zuk PA et al (2001) Multilineage cells from human adipose tissue: implications for cell-based therapies. Tissue Eng 7(2):211–228
Zuk PA et al (2002) Human adipose tissue is a source of multipotent stem cells. Mol Biol Cell 13(12):4279–4295
Xu Y et al (2007) In vitro expansion of adipose-derived adult stromal cells in hypoxia enhances early chondrogenesis. Tissue Eng 13(12):2981–2993
Xu Y et al (2007) Analysis of the material properties of early chondrogenic differentiated adipose-derived stromal cells (ASC) using an in vitro three-dimensional micromass culture system. Biochem Biophys Res Commun 359(2):311–316
Kim JH et al (2011) Enhanced proliferation and chondrogenic differentiation of human synovium-derived stem cells expanded with basic fibroblast growth factor. Tissue Eng 17(7–8):991–1002
Arufe MC et al (2010) Chondrogenic potential of subpopulations of cells expressing mesenchymal stem cell markers derived from human synovial membranes. J Cell Biochem 111(4):834–845
Li J, Pei M (2010) Optimization of an in vitro three-dimensional microenvironment to reprogram synovium-derived stem cells for cartilage tissue engineering. Tissue Eng Part A 17(5–6):703–712
Hwang NS, Varghese S, Elisseeff J (2008) Derivation of chondrogenically-committed cells from human embryonic cells for cartilage tissue regeneration. PLoS One 3(6):e2498
Hoben GM, Willard VP, Athanasiou KA (2009) Fibrochondrogenesis of hESCs: growth factor combinations and cocultures. Stem Cells Dev 18(2):283–292
Huang AH et al (2009) Transient exposure to transforming growth factor beta 3 improves the mechanical properties of mesenchymal stem cell-laden cartilage constructs in a density-dependent manner. Tissue Eng Part A 15(11):3461–3472
Koay EJ, Athanasiou KA (2008) Hypoxic chondrogenic differentiation of human embryonic stem cells enhances cartilage protein synthesis and biomechanical functionality. Osteoarthritis Cartilage 16(12):1450–1456
Koay EJ, Hoben GM, Athanasiou KA (2007) Tissue engineering with chondrogenically differentiated human embryonic stem cells. Stem Cells 25(9):2183–2190
Takahashi K, Yamanaka S (2006) Induction of pluripotent stem cells from mouse embryonic and adult fibroblast cultures by defined factors. Cell 126(4):663–676
Kim K et al (2010) Epigenetic memory in induced pluripotent stem cells. Nature 467(7313):285–290
Ng KW et al (2010) Passaged adult chondrocytes can form engineered cartilage with functional mechanical properties: a canine model. Tissue Eng Part A 16(3):1041–1051
Francioli SE et al (2007) Growth factors for clinical-scale expansion of human articular chondrocytes: relevance for automated bioreactor systems. Tissue Eng 13(6):1227–1234
Hwang NS et al (2006) Enhanced chondrogenic differentiation of murine embryonic stem cells in hydrogels with glucosamine. Biomaterials 27(36):6015–6023
Williams CG et al (2003) In vitro chondrogenesis of bone marrow-derived mesenchymal stem cells in a photopolymerizing hydrogel. Tissue Eng 9(4):679–688
Guilak F et al (2004) Adipose-derived adult stem cells for cartilage tissue engineering. Biorheology 41(3–4):389–399
Brighton CT et al (1979) Articular cartilage preservation and storage I. Application of tissue culture techiques to the storage of viable articular cartilage. Arthritis Rheum 1979:1093–1101
Bian L et al (2008) Mechanical and biochemical characterization of cartilage explants in serum-free culture. J Biomech 41(6):1153–1159
Mauck RL, Yuan X, Tuan RS (2006) Chondrogenic differentiation and functional maturation of bovine mesenchymal stem cells in long term agarose culture. Osteoarthritis Cartilage 14(2):179–189
Cooney WP, Chao EYS (1977) Biomechanical analysis of static forces in the thumb during hand functions. J Bone Joint Surg 59-A:27–36
Ateshian GA et al (1992) A biphasic model for contact in diarthrodial joints. Adv Bioeng ASME BED 22:191–194
Ateshian GA, Rosenwasser MP, Mow VC (1992) Curvature characteristics and congruence of the thumb carpometacarpal joint: differences between female and male joints. J Biomech 25(6):591–607
Ateshian GA et al (1995) Contact areas in the thumb carpometacarpal joint. J Orthop Res 13(3):450–458
Brown TD, Shaw DT (1983) In vitro contact stress distributions in the natural human hip. J Biomech 16(6):373–384
Eberhardt AW et al (1990) An analytical model of joint contact. J Biomech Eng 112(4):407–413
Huberti HH, Hayes WC (1984) Patellofemoral contact pressures. The influence of q-angle and tendofemoral contact. J Bone Joint Surg Am 66(5):715–724
Undt G et al (2000) MRI-based stereolithographic models of the temporomandibular joint: technical innovation. J Craniomaxillofac Surg 28(5):258–263
Koo S et al (2010) Fabrication of custom-shaped grafts for cartilage regeneration. Int J Artif Organs 33(10):731–737
Hung CT et al (2003) Anatomically shaped osteochondral constructs for articular cartilage repair. J Biomech 36(12):1853–1864
Ateshian GA, Hung CT (2005) Patellofemoral joint biomechanics and tissue engineering. Clin Orthop Relat Res 436:81–90
Cook JL et al (2005) In vitro and in vivo evaluation of tissue-engineered constructs for articular cartilage regeneration. Trans Orthop Res Soc 30:1767
Albro MB et al (2010) Validation of theoretical framework explaining active solute uptake in dynamically loaded porous media. J Biomech 43(12):2267–2273
Bian L et al (2009) Influence of decreasing nutrient path length on the development of engineered cartilage. Osteoarthritis Cartilage 17(5):677–685
Ahsan T, Sah RL (1999) Biomechanics of integrative cartilage repair. Osteoarthritis Cartilage 7(1):29–40
Bobic V (1999) The utilization of osteochondral autografts in the treatment of articular cartilage lesions (part 1 of 3). Int Soc Arthrosc Knee Surg Orthop Sports Med 1–2
Hunziker EB (1999) Articular cartilage repair: are the intrinsic biological constraints undermining this process insuperable? Osteoarthritis Cartilage 7:15–28
Obradovic B et al (2001) Integration of engineered cartilage. J Orthop Res 19:1089–1097
Williams C et al (2002). Musculoskeletal tissue engineering and photopolymerizing hydrogels. In: Tissue engineering. Cold Spring Harbor Laboratory, New York
Kreklau B et al (1999) Tissue engineering of biphasic joint cartilage transplants. Biomaterials 20:1743–1749
Schaefer D et al (2000) In vitro generation of osteochondral composites. Biomaterials 21(24):2599–2606
Sherwood JK et al (2002) A three-dimensional osteochondral composite scaffold for articular cartilage repair. Biomaterials 23(24):4739–4751
van Susante JL et al (1998) Chondrocyte-seeded hydroxyapatite for repair of large articular cartilage defects. A pilot study in the goat. Biomaterials 19(24):2367–2374
Lima EG et al (2008) The effect of devitalized trabecular bone on the formation of osteochondral tissue-engineered constructs. Biomaterials 29(32):4292–4299
Acknowledgment
The authors gratefully acknowledge research support of the work described in this chapter (NIH grants AR46568, AR52871, and AR060361).
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Tan, A.R., Hung, C.T. (2011). Engineering Functional Cartilage Grafts. In: Bernstein, H. (eds) Tissue Engineering in Regenerative Medicine. Stem Cell Biology and Regenerative Medicine. Humana Press. https://doi.org/10.1007/978-1-61779-322-6_13
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