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Colbath G, Murray A, Siatkowski S, Pate T, Krussig M, Pill S, Hawkins R, Tokish J, Mercuri J. Autograft Long Head Biceps Tendon Can Be Used as a Scaffold for Biologically Augmenting Rotator Cuff Repairs. Arthroscopy 2022; 38:38-48. [PMID: 34126215 PMCID: PMC8665938 DOI: 10.1016/j.arthro.2021.05.064] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 05/23/2021] [Accepted: 05/31/2021] [Indexed: 02/02/2023]
Abstract
PURPOSE We create a viable, mechanically expanded autograft long head biceps tendon (LHBT) scaffold for biologically augmenting the repair of torn rotator cuffs. METHODS The proximal aspect of the tenotomized LHBTs was harvested from patients during rotator cuff repair surgery and was mechanically formed into porous scaffolds using a surgical graft expander. LHBT scaffolds were evaluated for change in area, tensile properties, and tenocyte viability before and after expansion. The ability of endogenous tenocytes derived from the LHBT scaffold to promote tenogenic differentiation of human adipose-derived mesenchymal stromal cells (ADMSCs) was also determined. RESULTS Autograft LHBTs were successfully expanded using a modified surgical graft expander to create a porous scaffold containing viable resident tenoctyes from patients undergoing rotator cuff repair. LHBT scaffolds had significantly increased area (length: 24.91 mm [13.91, 35.90] × width: 22.69 mm [1.87, 34.50]; P = .011) compared with the native LHBT tendon (length: 27.16 mm [2.70, 33.62] × width: 6.68 mm [5.62, 7.74]). The structural properties of the autograft were altered, including the ultimate tensile strength (LHBT scaffold: .56 MPa [.06, 1.06] vs. native LHBT: 2.35 MPa [1.36, 3.33]; P = .002) and tensile modulus (LHBT scaffold: 4.72 MPa [-.80, 1.24] versus native LHBT: 37.17 MPa [24.56, 49.78]; P = .001). There was also a reduction in resident tenocyte percent viability (LHBT scaffold: 38.52% [17.94, 59.09] vs. native LHBT: 68.87% [63.67, 74.37]; P =.004). Tenocytes derived from the LHBT scaffold produced soluble signals that initiated ADMSC differentiation into an immature tenocyte-like phenotype, as indicated by an 8.7× increase in scleraxis (P = .040) and a 3.6× increase in collagen type III mRNA expression (P = .050) compared with undifferentiated ADMSC controls. CONCLUSIONS The ability to produce a viable autologous scaffold from the proximal biceps tendon having dimensions, porosity, mechanical characteristics, native ECM components, and viable tenocytes that produce bioactive signals conducive to supporting the biologic augmentation of rotator cuff repair surgery has been demonstrated. CLINICAL RELEVANCE This biologically active construct may help to improve the quality of healing and regeneration at the repair site of rotator cuff tears, especially those at high risk for retear.
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Affiliation(s)
- Gregory Colbath
- Medical Group of the Carolinas, Department of Orthopaedic Surgery, Spartanburg Regional, Spartanburg, SC
| | - Alison Murray
- Laboratory of Orthopaedic Tissue Regeneration & Orthobiologics, Department of Bioengineering, Clemson University, Clemson, SC,Frank H. Stelling and C. Dayton Riddle Orthopaedic Education and Research Laboratory, Clemson University Biomedical Engineering Innovation Campus, Greenville, SC
| | - Sandra Siatkowski
- Laboratory of Orthopaedic Tissue Regeneration & Orthobiologics, Department of Bioengineering, Clemson University, Clemson, SC,Frank H. Stelling and C. Dayton Riddle Orthopaedic Education and Research Laboratory, Clemson University Biomedical Engineering Innovation Campus, Greenville, SC
| | - Taylor Pate
- Laboratory of Orthopaedic Tissue Regeneration & Orthobiologics, Department of Bioengineering, Clemson University, Clemson, SC,Frank H. Stelling and C. Dayton Riddle Orthopaedic Education and Research Laboratory, Clemson University Biomedical Engineering Innovation Campus, Greenville, SC
| | - Mario Krussig
- Laboratory of Orthopaedic Tissue Regeneration & Orthobiologics, Department of Bioengineering, Clemson University, Clemson, SC,Frank H. Stelling and C. Dayton Riddle Orthopaedic Education and Research Laboratory, Clemson University Biomedical Engineering Innovation Campus, Greenville, SC
| | - Stephan Pill
- Steadman Hawkins Clinic of the Carolinas, Department of Orthopaedic Surgery, Prisma Health, Greenville, SC
| | - Richard Hawkins
- Steadman Hawkins Clinic of the Carolinas, Department of Orthopaedic Surgery, Prisma Health, Greenville, SC
| | - John Tokish
- Mayo Clinic, Department of Orthopaedic Surgery, Phoenix, AZ
| | - Jeremy Mercuri
- Laboratory of Orthopaedic Tissue Regeneration & Orthobiologics, Department of Bioengineering, Clemson University, Clemson, SC,Frank H. Stelling and C. Dayton Riddle Orthopaedic Education and Research Laboratory, Clemson University Biomedical Engineering Innovation Campus, Greenville, SC
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Pawelec KM, Chakravarty S, Hix JML, Perry KL, van Holsbeeck L, Fajardo R, Shapiro EM. Design Considerations to Facilitate Clinical Radiological Evaluation of Implantable Biomedical Structures. ACS Biomater Sci Eng 2021; 7:718-726. [PMID: 33449622 PMCID: PMC8670580 DOI: 10.1021/acsbiomaterials.0c01439] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Clinical effectiveness of implantable medical devices would be improved with in situ monitoring to ensure device positioning, determine subsequent damage, measure biodegradation, and follow healing. While standard clinical imaging protocols are appropriate for diagnosing disease and injury, these protocols have not been vetted for imaging devices. This study investigated how radiologists use clinical imaging to detect the location and integrity of implanted devices and whether embedding nanoparticle contrast agents into devices can improve assessment. To mimic the variety of devices available, phantoms from hydrophobic polymer films and hydrophilic gels were constructed, with and without computed tomography (CT)-visible TaOx and magnetic resonance imaging (MRI)-visible Fe3O4 nanoparticles. Some phantoms were purposely damaged by nick or transection. Phantoms were implanted in vitro into tissue and imaged with clinical CT, MRI, and ultrasound. In a blinded study, radiologists independently evaluated whether phantoms were present, assessed the type, and diagnosed whether phantoms were damaged or intact. Radiologists identified the location of phantoms 80% of the time. However, without incorporated nanoparticles, radiologists correctly assessed damage in only 54% of cases. With an incorporated imaging agent, the percentage jumped to 86%. The imaging technique which was most useful to radiologists varied with the properties of phantoms. With benefits and drawbacks to all three imaging modalities, future implanted devices should be engineered for visibility in the modality which best fits the treated tissue, the implanted device's physical location, and the type of required information. Imaging protocols should also be tailored to best exploit the properties of the imaging agents.
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Affiliation(s)
- Kendell M Pawelec
- Department of Radiology, Michigan State University, East Lansing, Michigan 48824, United States
| | - Shatadru Chakravarty
- Department of Radiology, Michigan State University, East Lansing, Michigan 48824, United States
| | - Jeremy M L Hix
- Department of Radiology, Michigan State University, East Lansing, Michigan 48824, United States
| | - Karen L Perry
- College of Veterinary Medicine, Michigan State University, East Lansing, Michigan 48824, United States
| | - Lodewijk van Holsbeeck
- Department of Radiology, Michigan State University, East Lansing, Michigan 48824, United States
| | - Ryan Fajardo
- Department of Radiology, Michigan State University, East Lansing, Michigan 48824, United States
| | - Erik M Shapiro
- Department of Radiology, Michigan State University, East Lansing, Michigan 48824, United States
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Wang J, Du W, Zhang Z, Gao W, Li Z. Biomass/polyhedral oligomeric silsesquioxane nanocomposites: Advances in preparation strategies and performances. J Appl Polym Sci 2020. [DOI: 10.1002/app.49641] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Affiliation(s)
- Junchao Wang
- National Engineering Laboratory for Clean Technology of Leather Manufacture Sichuan University Chengdu China
- XING YE Leather Technology Co., Ltd Fujian Provincial Key Laboratory of Green Design and Manufacture of Leather Quanzhou Fujian Province China
| | - Weining Du
- National Engineering Laboratory for Clean Technology of Leather Manufacture Sichuan University Chengdu China
- Key Laboratory of Leather Chemistry and Engineering of Ministry of Education Sichuan University Chengdu China
| | - Zetian Zhang
- National Engineering Laboratory for Clean Technology of Leather Manufacture Sichuan University Chengdu China
- Key Laboratory of Leather Chemistry and Engineering of Ministry of Education Sichuan University Chengdu China
| | - Weiyao Gao
- National Engineering Laboratory for Clean Technology of Leather Manufacture Sichuan University Chengdu China
- Key Laboratory of Leather Chemistry and Engineering of Ministry of Education Sichuan University Chengdu China
| | - Zhengjun Li
- National Engineering Laboratory for Clean Technology of Leather Manufacture Sichuan University Chengdu China
- Key Laboratory of Leather Chemistry and Engineering of Ministry of Education Sichuan University Chengdu China
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Tuffin J, Burke M, Richardson T, Johnson T, Saleem MA, Satchell S, Welsh GI, Perriman A. A Composite Hydrogel Scaffold Permits Self-Organization and Matrix Deposition by Cocultured Human Glomerular Cells. Adv Healthc Mater 2019; 8:e1900698. [PMID: 31359632 DOI: 10.1002/adhm.201900698] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2019] [Revised: 07/12/2019] [Indexed: 12/26/2022]
Abstract
3D scaffolds provide cells with a spatial environment that more closely resembles that of in vivo tissue, when compared to 2D culture on a plastic substrate. However, many scaffolding materials commonly used in tissue engineering tend to exhibit anisotropic morphologies that exhibit a narrow range of fiber diameters and pore sizes, which do not recapitulate extracellular matrices. In this study, a fibrin hydrogel is formed within the interstitial spaces of an electrospun poly(glycolic) acid (PGA) monolith to generate a composite, bimodal scaffold for the coculture of kidney glomerular cell lines. This new scaffold exhibits multiple fiber morphologies, containing both PGA microfibers (14.5 ± 2 µm) and fibrin gel nanofibers (0.14 ± 0.09 µm), which increase the compressive Young's modulus beyond that of either of the constituents. The composite structure provides an enhanced 3D environment that increases proliferation and adhesion of immortalized human podocytes and glomerular endothelial cells. Moreover, the micro/nanoscale fibrous morphology promotes motility and reorganization of the glomerular cells into glomerulus-like structures, resulting in the deposition of organized collagen IV; the primary component of the glomerular basement membrane (GBM).
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Affiliation(s)
- Jack Tuffin
- Bristol RenalTranslational Health SciencesBristol Medical SchoolUniversity of Bristol Bristol BS13 NY UK
| | - Madeline Burke
- Bristol Centre for Functional NanomaterialsUniversity of Bristol Bristol BS8 1FD UK
| | - Thomas Richardson
- Bristol Centre for Functional NanomaterialsUniversity of Bristol Bristol BS8 1FD UK
| | | | - Moin A. Saleem
- Bristol RenalTranslational Health SciencesBristol Medical SchoolUniversity of Bristol Bristol BS13 NY UK
| | - Simon Satchell
- Bristol RenalTranslational Health SciencesBristol Medical SchoolUniversity of Bristol Bristol BS13 NY UK
| | - Gavin I. Welsh
- Bristol RenalTranslational Health SciencesBristol Medical SchoolUniversity of Bristol Bristol BS13 NY UK
| | - Adam Perriman
- School of Cellular and Molecular MedicineUniversity of Bristol Bristol BS8 1TD UK
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Rieu C, Parisi C, Mosser G, Haye B, Coradin T, Fernandes FM, Trichet L. Topotactic Fibrillogenesis of Freeze-Cast Microridged Collagen Scaffolds for 3D Cell Culture. ACS APPLIED MATERIALS & INTERFACES 2019; 11:14672-14683. [PMID: 30913387 DOI: 10.1021/acsami.9b03219] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Type I collagen is the main component of the extracellular matrix (ECM). In vitro, under a narrow window of physicochemical conditions, type I collagen self-assembles to form complex supramolecular architectures reminiscent of those found in native ECM. Presently, a major challenge in collagen-based biomaterials is to couple the delicate collagen fibrillogenesis events with a controlled shaping process in non-denaturating conditions. In this work, an ice-templating approach promoting the structuration of collagen into macroporous monoliths is used. Instead of common solvent removal procedures, a new topotactic conversion approach yielding self-assembled ordered fibrous materials is implemented. These collagen-only, non-cross-linked scaffolds exhibit uncommon mechanical properties in the wet state, with a Young's modulus of 33 ± 12 kPa, an ultimate tensile stress of 33 ± 6 kPa, and a strain at failure of 105 ± 28%. With the help of the ice-patterned microridge features, normal human dermal fibroblasts and C2C12 murine myoblasts successfully migrate and form highly aligned populations within the resulting three-dimensional (3D) collagen scaffolds. These results open a new pathway to the development of new tissue engineering scaffolds ordered across various organization levels from the molecule to the macropore and are of particular interest for biomedical applications where large-scale 3D cell alignment is needed such as for muscular or nerve reconstruction.
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Affiliation(s)
- Clément Rieu
- Sorbonne Université, CNRS, Laboratoire de Chimie de la Matière Condensée de Paris, Pierre and Marie Curie Campus , 4 place Jussieu , 75252 Paris Cedex 05 , France
| | - Cleo Parisi
- Sorbonne Université, CNRS, Laboratoire de Chimie de la Matière Condensée de Paris, Pierre and Marie Curie Campus , 4 place Jussieu , 75252 Paris Cedex 05 , France
| | - Gervaise Mosser
- Sorbonne Université, CNRS, Laboratoire de Chimie de la Matière Condensée de Paris, Pierre and Marie Curie Campus , 4 place Jussieu , 75252 Paris Cedex 05 , France
| | - Bernard Haye
- Sorbonne Université, CNRS, Laboratoire de Chimie de la Matière Condensée de Paris, Pierre and Marie Curie Campus , 4 place Jussieu , 75252 Paris Cedex 05 , France
| | - Thibaud Coradin
- Sorbonne Université, CNRS, Laboratoire de Chimie de la Matière Condensée de Paris, Pierre and Marie Curie Campus , 4 place Jussieu , 75252 Paris Cedex 05 , France
| | - Francisco M Fernandes
- Sorbonne Université, CNRS, Laboratoire de Chimie de la Matière Condensée de Paris, Pierre and Marie Curie Campus , 4 place Jussieu , 75252 Paris Cedex 05 , France
| | - Léa Trichet
- Sorbonne Université, CNRS, Laboratoire de Chimie de la Matière Condensée de Paris, Pierre and Marie Curie Campus , 4 place Jussieu , 75252 Paris Cedex 05 , France
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Pawelec KM, Best SM, Cameron RE. Collagen: a network for regenerative medicine. J Mater Chem B 2016; 4:6484-6496. [PMID: 27928505 PMCID: PMC5123637 DOI: 10.1039/c6tb00807k] [Citation(s) in RCA: 116] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2016] [Accepted: 08/20/2016] [Indexed: 12/28/2022]
Abstract
The basic building block of the extra-cellular matrix in native tissue is collagen. As a structural protein, collagen has an inherent biocompatibility making it an ideal material for regenerative medicine. Cellular response, mediated by integrins, is dictated by the structure and chemistry of the collagen fibers. Fiber formation, via fibrillogenesis, can be controlled in vitro by several factors: pH, ionic strength, and collagen structure. After formation, fibers are stabilized via cross-linking. The final bioactivity of collagen scaffolds is a result of both processes. By considering each step of fabrication, scaffolds can be tailored for the specific needs of each tissue, improving their therapeutic potential.
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Affiliation(s)
- K M Pawelec
- University of Michigan , 2350 Hayward Ave , Ann Arbor , MI 48109 , USA
| | - S M Best
- Cambridge Centre for Medical Materials , University of Cambridge , Cambridge , CB3 0FS , UK .
| | - R E Cameron
- Cambridge Centre for Medical Materials , University of Cambridge , Cambridge , CB3 0FS , UK .
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Dex S, Lin D, Shukunami C, Docheva D. Tenogenic modulating insider factor: Systematic assessment on the functions of tenomodulin gene. Gene 2016; 587:1-17. [PMID: 27129941 DOI: 10.1016/j.gene.2016.04.051] [Citation(s) in RCA: 59] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2016] [Revised: 04/20/2016] [Accepted: 04/25/2016] [Indexed: 02/08/2023]
Abstract
Tenomodulin (TNMD, Tnmd) is a gene highly expressed in tendon known to be important for tendon maturation with key implications for the residing tendon stem/progenitor cells as well as for the regulation of endothelial cell migration in chordae tendineae cordis in the heart and in experimental tumour models. This review aims at providing an encompassing overview of this gene and its protein. In addition, its known expression pattern as well as putative signalling pathways will be described. A chronological overview of the discovered functions of this gene in tendon and other tissues and cells is provided as well as its use as a tendon and ligament lineage marker is assessed in detail and discussed. Last, information about the possible connections between TNMD genomic mutations and mRNA expression to various diseases is delivered. Taken together this review offers a solid synopsis on the up-to-date information available about TNMD and aids at directing and focusing the future research to fully uncover the roles and implications of this interesting gene.
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Affiliation(s)
- Sarah Dex
- Experimental Surgery and Regenerative Medicine, Department of Surgery, Ludwig-Maximilians-University (LMU), Munich, Germany
| | - Dasheng Lin
- Experimental Surgery and Regenerative Medicine, Department of Surgery, Ludwig-Maximilians-University (LMU), Munich, Germany
| | - Chisa Shukunami
- Department of Molecular Biology and Biochemistry, Division of Basic Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Denitsa Docheva
- Experimental Surgery and Regenerative Medicine, Department of Surgery, Ludwig-Maximilians-University (LMU), Munich, Germany; Department of Medical Biology, Medical University-Plovdiv, Plovdiv, Bulgaria.
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Rubio-Azpeitia E, Sánchez P, Delgado D, Andia I. Three-Dimensional Platelet-Rich Plasma Hydrogel Model to Study Early Tendon Healing. Cells Tissues Organs 2015; 200:394-404. [PMID: 26562323 DOI: 10.1159/000441053] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/10/2015] [Indexed: 11/19/2022] Open
Abstract
Since the experimental conditions of cell cultures may bias results, it is critical to use suitable models. This is also true in the context of tendon cell biology and the study of platelet-rich plasma (PRP) therapies and PRP-augmented cell-based therapies. We compared the culture of human tendon cells in 2 dimensions (2D) with PRP-supplemented media to culture in matching 3-dimensional (3D) PRP hydrogels. Cell proliferation, cell shape, and the pattern of gene and protein expression were examined. Our data revealed modifications in cell shape and enhanced expression of tenomodulin and scleraxis in 3D hydrogels. Additionally, protein secretion analysis using glass-based arrays specific for angiogenesis revealed differences in interleukin (IL)-6 and IL-8 protein expression between 2D cultures and 3D hydrogels, while the secretion of other angiogenic or inflammatory cytokines was unaffected. Our study suggests that 3D hydrogels are physiologically more relevant than 2D cultures in the study of tendon cells, based on cell shape, support of tenocyte proliferation, phenotype, and the pattern of gene and protein expression.
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Affiliation(s)
- Eva Rubio-Azpeitia
- BioCruces Health Research Institute, Cruces University Hospital, Barakaldo, Spain
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Arora A, Kothari A, Katti DS. Pore orientation mediated control of mechanical behavior of scaffolds and its application in cartilage-mimetic scaffold design. J Mech Behav Biomed Mater 2015; 51:169-83. [DOI: 10.1016/j.jmbbm.2015.06.033] [Citation(s) in RCA: 58] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2015] [Revised: 06/25/2015] [Accepted: 06/27/2015] [Indexed: 01/30/2023]
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