Abstract
Despite its regenerative ability, long and segmental bone defect repair remains a significant orthopedic challenge. Conventional tissue engineering efforts induce bone formation through intramembranous ossification (IO) which limits vascular formation and leads to poor bone regeneration. To overcome this challenge, a novel hybrid matrix comprised of a load-bearing polymer template and a gel phase is designed and assessed for bone regeneration. Our previous studies developed a synthetic ECM, hyaluronan (HA)–fibrin (FB), that is able to mimic cartilage-mediated bone formation in vitro. In this study, the well-characterized HA–FB hydrogel is combined with a biodegradable polymer template to form a hybrid matrix. In vitro evaluation of the matrix showed cartilage template formation, cell recruitment and recruited cell osteogenesis, essential stages in endochondral ossification. A transgenic reporter-mouse critical-defect model was used to evaluate the bone healing potential of the hybrid matrix in vivo. The results demonstrated host cell recruitment into the hybrid matrix that led to new bone formation and subsequent remodeling of the mineralization. Overall, the study developed and evaluated a novel load-bearing graft system for bone regeneration via endochondral ossification.
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References
Aghajanian, P., and S. Mohan. The art of building bone: emerging role of chondrocyte-to-osteoblast transdifferentiation in endochondral ossification. Bone Res. 6:19, 2018.
Almubarak, S., et al. Tissue engineering strategies for promoting vascularized bone regeneration. Bone 83:197–209, 2016.
Amini, A. R., D. J. Adams, C. T. Laurencin, and S. P. Nukavarapu. Optimally Porous and Biomechanically Compatible Scaffolds for Large-Area Bone regeneration. Tissue Eng. A 18(13–14):1376–1388, 2012.
Amini, A. R., C. T. Laurencin, and S. P. Nukavarapu. Bone tissue engineering: recent advances and challenges. Crit. Rev. Biomed. Eng. 40(5):363–408, 2012.
Amini, A. R., and S. P. Nukavarapu. Oxygen-tension controlled matrices for enhanced osteogenic cell survival and performance. Ann. Biomed. Eng. 42(6):1261–1270, 2014.
Amini, A. R., T. O. Xu, R. M. Chidambaram, and S. P. Nukavarapu. Oxygen tension-controlled matrices with osteogenic and vasculogenic cells for vascularized bone regeneration in vivo. Tissue Eng. A 22(7–8):610–620, 2016.
Anderson, J. M., and M. S. Shive. Biodegradation and biocompatibility of PLA and PLGA microspheres. Adv. Drug Deliv. Rev. 28(1):5–24, 1997.
Aravamudhan, A., D. M. Ramos, J. Nip, I. Kalajzic, and S. G. Kumbar. Micro-nanostructures of cellulose-collagen for critical sized bone defect healing. Macromol. Biosci. 18(2):1700263, 2018.
Bahney, C. S., et al. Stem cell-derived endochondral cartilage stimulates bone healing by tissue transformation. J. Bone Miner. Res. 29(5):1269–1282, 2014.
Behonick, D. J., et al. Role of matrix metalloproteinase 13 in both endochondral and intramembranous ossification during skeletal regeneration. PLoS ONE 2:11, 2007.
Deckers, M. M. L., M. Karperien, C. van der Bent, T. Yamashita, S. E. Papapoulos, and C. W. G. M. Löwik. Expression of vascular endothelial growth factors and their receptors during osteoblast differentiation. Endocrinology 141(5):1667–1674, 2000.
Dennis, S. C., C. J. Berkland, L. F. Bonewald, and M. S. Detamore. Endochondral ossification for enhancing bone regeneration: converging native extracellular matrix biomaterials and developmental engineering in vivo. Tissue Eng. B 21(3):247–266, 2015.
Douglas, T. E. L., et al. Enzymatic mineralization of gellan gum hydrogel for bone tissue-engineering applications and its enhancement by polydopamine. J. Tissue Eng. Regen. Med. 8(11):906–918, 2014.
Farrell, E., et al. In-vivo generation of bone via endochondral ossification by in vitro chondrogenic priming of adult human and rat mesenchymal stem cells. BMC Musculoskelet. Disord. 12(1):31, 2011.
Francois, E., D. Dorcemus, and S. Nukavarapu. 1 - Biomaterials and scaffolds for musculoskeletal tissue engineering. In: Regenerative Engineering of Musculoskeletal Tissues and Interfaces, edited by S. P. Nukavarapu, J. W. Freeman, and C. T. Laurencin. Sawston: Woodhead Publishing, 2015, pp. 3–23.
Freeman, F. E., M. G. Haugh, and L. M. McNamara. Investigation of the optimal timing for chondrogenic priming of MSCs to enhance osteogenic differentiation in vitro as a bone tissue engineering strategy. J. Tissue Eng. Regen. Med. 10(4):E250–E262, 2016.
Gabay, O., et al. Sirt1-deficient mice exhibit an altered cartilage phenotype. Jt. Bone Spine Rev. Rhum. 80(6):613–620, 2013.
Gohil, S. V., D. J. Adams, P. Maye, D. W. Rowe, and L. S. Nair. Evaluation of rhBMP-2 and bone marrow derived stromal cell mediated bone regeneration using transgenic fluorescent protein reporter mice. J. Biomed. Mater. Res. A 102(12):4568–4580, 2014.
Gohil, S. V., S. B. Brittain, H.-M. Kan, H. Drissi, D. W. Rowe, and L. S. Nair. Evaluation of enzymatically crosslinked injectable glycol chitosan hydrogel. J. Mater. Chem. B 3(27):5511–5522, 2015.
Goldberg, V. M., and S. Stevenson. Natural history of autografts and allografts. Clin. Orthop. 225:7–16, 1987.
Harada, N., et al. Bone regeneration in a massive rat femur defect through endochondral ossification achieved with chondrogenically differentiated MSCs in a degradable scaffold. Biomaterials 35(27):7800–7810, 2014.
Igwe, J. C., P. E. Mikael, and S. P. Nukavarapu. Design, fabrication and in vitro evaluation of a novel polymer-hydrogel hybrid scaffold for bone tissue engineering. J. Tissue Eng. Regen. Med. 8(2):131–142, 2014.
Jahangir, A., R. Nunley, S. Mehta, and A. Sharan. Bone-graft substitutes in orthopaedic surgery. AAOS 2:35–37, 2008.
Karande, T., and C. Agrawal. Function and Requirement of Synthetic Scaffolds in Tissue Engineering. Boca Raton: CRC Press, 2008.
Knuth, C., J. Witte-Bouma, Y. Ridwan, E. Wolvius, and E. Farrell. Mesnchymal stem cell-mediated enchodondral ossification utilising micropellets and brief chondrogenic priming. Eur. Cell. Mater. 34:142–161, 2017.
Lin, D., Y. Chai, Y. Ma, B. Duan, Y. Yuan, and C. Liu. Rapid initiation of guided bone regeneration driven by spatiotemporal delivery of IL-8 and BMP-2 from hierarchical MBG-based scaffold. Biomaterials 196:122–137, 2019.
Mikael, P. E., H. S. Kim, and S. P. Nukavarapu. Hybrid extracellular matrix design for cartilage-mediated bone regeneration. J. Biomed. Mater. Res. B 106(1):300–309, 2018.
Mikael, P. E., et al. Functionalized carbon nanotube reinforced scaffolds for bone regenerative engineering: fabrication, in vitro and in vivo evaluation. Biomed. Mater. 9(3):035001, 2014.
Mikael, P. E., et al. A potential translational approach for bone tissue engineering through endochondral ossification. In: 2014 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, 2014, pp. 3925–3928.
Mueller, M. B., and R. S. Tuan. Functional characterization of hypertrophy in chondrogenesis of human mesenchymal stem cells. Arthritis Rheum. 58(5):1377–1388, 2008.
Nukavarapu, S. P., et al. Polyphosphazene/nano-hydroxyapatite composite microsphere scaffolds for bone tissue engineering. Biomacromolecules 9(7):1818–1825, 2008.
Rezwan, K., Q. Z. Chen, J. J. Blaker, and A. R. Boccaccini. Biodegradable and bioactive porous polymer/inorganic composite scaffolds for bone tissue engineering. Biomaterials 27(18):3413–3431, 2006.
Roddy, E., M. R. DeBaun, A. Daoud-Gray, Y. P. Yang, and M. J. Gardner. Treatment of critical-sized bone defects: clinical and tissue engineering perspectives. Eur. J. Orthop. Surg. Traumatol. 28(3):351–362, 2018.
Sathi, G. A., et al. Early initiation of endochondral ossification of mouse femur cultured in hydrogel with different mechanical stiffness. Tissue Eng. C 21(6):567–575, 2015.
Scotti, C., et al. Recapitulation of endochondral bone formation using human adult mesenchymal stem cells as a paradigm for developmental engineering. Proc. Natl. Acad. Sci. USA. 107(16):7251–7256, 2010.
Scotti, C., et al. Engineering of a functional bone organ through endochondral ossification. Proc. Natl. Acad. Sci. USA 110(10):3997–4002, 2013.
Sheehy, E. J., T. Mesallati, L. Kelly, T. Vinardell, C. T. Buckley, and D. J. Kelly. Tissue engineering whole bones through endochondral ossification: regenerating the distal phalanx. BioResearch Open Access 4(1):229–241, 2015.
Sheehy, E. J., T. Vinardell, C. T. Buckley, and D. J. Kelly. Engineering osteochondral constructs through spatial regulation of endochondral ossification. Acta Biomater. 9(3):5484–5492, 2013.
Snyder, T. N., K. Madhavan, M. Intrator, R. C. Dregalla, and D. Park. A fibrin/hyaluronic acid hydrogel for the delivery of mesenchymal stem cells and potential for articular cartilage repair. J. Biol. Eng. 8:10, 2014.
Swetha, M., K. Sahithi, A. Moorthi, N. Srinivasan, K. Ramasamy, and N. Selvamurugan. Biocomposites containing natural polymers and hydroxyapatite for bone tissue engineering. Int. J. Biol. Macromol. 47(1):1–4, 2010.
Thompson, E. M., A. Matsiko, E. Farrell, D. J. Kelly, and F. J. O’Brien. Recapitulating endochondral ossification: a promising route to in vivo bone regeneration. J. Tissue Eng. Regen. Med. 9(8):889–902, 2015.
Vallet-Regí, M., and J. M. González-Calbet. Calcium phosphates as substitution of bone tissues. Prog. Solid State Chem. 32(1):1–31, 2004.
Villa, M. M., L. Wang, J. Huang, D. W. Rowe, and M. Wei. Visualizing osteogenesis in vivo within a cell-scaffold construct for bone tissue engineering using two-photon microscopy. Tissue Eng. C 19(11):839–849, 2013.
Vining, N. C., W. J. Warme, and V. S. Mosca. Comparison of structural bone autografts and allografts in pediatric foot surgery. J. Pediatr. Orthop. 32(7):714–718, 2012.
Visser, J., et al. Endochondral bone formation in gelatin methacrylamide hydrogel with embedded cartilage-derived matrix particles. Biomaterials 37:174–182, 2015.
Vo, T. N., et al. Injectable dual-gelling cell-laden composite hydrogels for bone tissue engineering. Biomaterials 83:1–11, 2016.
Xin, X., et al. A site-specific integrated Col2.3GFP reporter identifies osteoblasts within mineralized tissue formed in vivo by human embryonic stem cells. Stem Cells Transl. Med. 3(10):1125–1137, 2014.
Xin, X., et al. Histological criteria that distinguish human and mouse bone formed within a mouse skeletal repair defect. J. Histochem. Cytochem. 2019. https://doi.org/10.1369/0022155419836436.
Xu, T. O., H. S. Kim, T. Stahl, and S. P. Nukavarapu. Self-neutralizing PLGA/magnesium composites as novel biomaterials for tissue engineering. Biomed. Mater. 13(3):035013, 2018.
Yang, W., S. K. Both, G. J. V. M. van Osch, Y. Wang, J. A. Jansen, and F. Yang. Effects of in vitro chondrogenic priming time of bone-marrow-derived mesenchymal stromal cells on in vivo endochondral bone formation. Acta Biomater. 13:254–265, 2015.
Yang, W., F. Yang, Y. Wang, S. K. Both, and J. A. Jansen. In vivo bone generation via the endochondral pathway on three-dimensional electrospun fibers. Acta Biomater. 9(1):4505–4512, 2013.
Zhao, X., et al. Injectable stem cell-laden photocrosslinkable microspheres fabricated using microfluidics for rapid generation of osteogenic tissue constructs. Adv. Funct. Mater. 26(17):2809–2819, 2016.
Zhou, Y., F. Chen, S. T. Ho, M. A. Woodruff, T. M. Lim, and D. W. Hutmacher. Combined marrow stromal cell-sheet techniques and high-strength biodegradable composite scaffolds for engineered functional bone grafts. Biomaterials 28(5):814–824, 2007.
Zhou, H., and J. Lee. Nanoscale hydroxyapatite particles for bone tissue engineering. Acta Biomater. 7(7):2769–2781, 2011.
Acknowledgment
The authors acknowledge funding from NSF EFRI (#1332329) and NSF EFMA (#1640008). Dr. Nukavarapu also acknowledges support from the National Institute of Biomedical Imaging and Bioengineering of the National Institutes of Health (#R01EB020640).
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Mikael, P.E., Golebiowska, A.A., Xin, X. et al. Evaluation of an Engineered Hybrid Matrix for Bone Regeneration via Endochondral Ossification. Ann Biomed Eng 48, 992–1005 (2020). https://doi.org/10.1007/s10439-019-02279-0
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DOI: https://doi.org/10.1007/s10439-019-02279-0