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Berni M, Marchiori G, Baleani M, Giavaresi G, Lopomo NF. Biomechanics of the Human Osteochondral Unit: A Systematic Review. MATERIALS (BASEL, SWITZERLAND) 2024; 17:1698. [PMID: 38612211 PMCID: PMC11012636 DOI: 10.3390/ma17071698] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/28/2023] [Revised: 03/17/2024] [Accepted: 03/26/2024] [Indexed: 04/14/2024]
Abstract
The damping system ensured by the osteochondral (OC) unit is essential to deploy the forces generated within load-bearing joints during locomotion, allowing furthermore low-friction sliding motion between bone segments. The OC unit is a multi-layer structure including articular cartilage, as well as subchondral and trabecular bone. The interplay between the OC tissues is essential in maintaining the joint functionality; altered loading patterns can trigger biological processes that could lead to degenerative joint diseases like osteoarthritis. Currently, no effective treatments are available to avoid degeneration beyond tissues' recovery capabilities. A thorough comprehension on the mechanical behaviour of the OC unit is essential to (i) soundly elucidate its overall response to intra-articular loads for developing diagnostic tools capable of detecting non-physiological strain levels, (ii) properly evaluate the efficacy of innovative treatments in restoring physiological strain levels, and (iii) optimize regenerative medicine approaches as potential and less-invasive alternatives to arthroplasty when irreversible damage has occurred. Therefore, the leading aim of this review was to provide an overview of the state-of-the-art-up to 2022-about the mechanical behaviour of the OC unit. A systematic search is performed, according to PRISMA standards, by focusing on studies that experimentally assess the human lower-limb joints' OC tissues. A multi-criteria decision-making method is proposed to quantitatively evaluate eligible studies, in order to highlight only the insights retrieved through sound and robust approaches. This review revealed that studies on human lower limbs are focusing on the knee and articular cartilage, while hip and trabecular bone studies are declining, and the ankle and subchondral bone are poorly investigated. Compression and indentation are the most common experimental techniques studying the mechanical behaviour of the OC tissues, with indentation also being able to provide information at the micro- and nanoscales. While a certain comparability among studies was highlighted, none of the identified testing protocols are currently recognised as standard for any of the OC tissues. The fibril-network-reinforced poro-viscoelastic constitutive model has become common for describing the response of the articular cartilage, while the models describing the mechanical behaviour of mineralised tissues are usually simpler (i.e., linear elastic, elasto-plastic). Most advanced studies have tested and modelled multiple tissues of the same OC unit but have done so individually rather than through integrated approaches. Therefore, efforts should be made in simultaneously evaluating the comprehensive response of the OC unit to intra-articular loads and the interplay between the OC tissues. In this regard, a multidisciplinary approach combining complementary techniques, e.g., full-field imaging, mechanical testing, and computational approaches, should be implemented and validated. Furthermore, the next challenge entails transferring this assessment to a non-invasive approach, allowing its application in vivo, in order to increase its diagnostic and prognostic potential.
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Affiliation(s)
- Matteo Berni
- Laboratorio di Tecnologia Medica, IRCCS Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, 40136 Bologna, Italy; (M.B.); (M.B.)
| | - Gregorio Marchiori
- Scienze e Tecnologie Chirurgiche, IRCCS Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, 40136 Bologna, Italy;
| | - Massimiliano Baleani
- Laboratorio di Tecnologia Medica, IRCCS Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, 40136 Bologna, Italy; (M.B.); (M.B.)
| | - Gianluca Giavaresi
- Scienze e Tecnologie Chirurgiche, IRCCS Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, 40136 Bologna, Italy;
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Blom RP, Rahim D, Paardekam E, Kerkhoffs GMMJ, Iannuzzi D, Smit TH. A Traumatic Impact Immediately Changes the Mechanical Properties of Articular Cartilage. Cartilage 2024:19476035241235633. [PMID: 38501455 DOI: 10.1177/19476035241235633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/20/2024] Open
Abstract
OBJECTIVE To investigate whether and how a single traumatic impact changes the mechanical properties of talar articular cartilage. DESIGN A marble was placed on the joint surface and a weight was dropped on both medial and lateral caprine talus to create a well-defined single focal impact. The mechanical properties of intact and impacted talar cartilage were measured with a micro-indenter. Elastic (storage) and viscous (loss) moduli were determined by oscillatory ramp and dynamic mechanical analysis protocols. RESULTS We found significant differences between ankles and within the same ankle joint, with the medial talus having significantly higher storage- and loss moduli than the lateral talus. The storage- and loss moduli of intact articular cartilage increased with greater indentation depths. However, postimpact the storage- and loss moduli were significantly and consistently lower in all specimens indicating immediate posttraumatic damage. The deeper regions of talar cartilage were less affected by the impact than the more superficial regions. CONCLUSIONS A single traumatic impact results in an immediate and significant decrease of storage- and loss moduli. Further research must focus on the development of non- or minimally invasive diagnostic tools to address the exact microdamage caused by the impact. We speculate that the traumatic impact damaged the collagen fibers that confine the water-binding proteoglycans and thereby decreasing the hydrostatic pressure of cartilage. As part of the treatment directly after a trauma, one could imagine a reduction or restriction of peak loads to prevent the progression of the cascade towards PTOA of the ankle joint.
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Affiliation(s)
- Robin P Blom
- Department of Orthopedic Surgery and Sports Medicine, Amsterdam University Medical Centers, Amsterdam UMC location AMC, University of Amsterdam, Amsterdam, The Netherlands
- Amsterdam Movement Sciences, Sports, Amsterdam, The Netherlands
- Academic Center for Evidence-based Sports Medicine (ACES), Amsterdam, The Netherlands
- IOC Research Center, Amsterdam Collaboration on Health and Safety in Sports (ACHSS), Amsterdam, The Netherlands
| | - Danka Rahim
- Department of Orthopedic Surgery and Sports Medicine, Amsterdam University Medical Centers, Amsterdam UMC location AMC, University of Amsterdam, Amsterdam, The Netherlands
| | - Erik Paardekam
- Department of Physics and Astronomy and LaserLaB, VU, Amsterdam, The Netherlands
| | - Gino M M J Kerkhoffs
- Department of Orthopedic Surgery and Sports Medicine, Amsterdam University Medical Centers, Amsterdam UMC location AMC, University of Amsterdam, Amsterdam, The Netherlands
- Amsterdam Movement Sciences, Sports, Amsterdam, The Netherlands
- Academic Center for Evidence-based Sports Medicine (ACES), Amsterdam, The Netherlands
- IOC Research Center, Amsterdam Collaboration on Health and Safety in Sports (ACHSS), Amsterdam, The Netherlands
| | - Davide Iannuzzi
- Department of Physics and Astronomy and LaserLaB, VU, Amsterdam, The Netherlands
| | - Theodoor H Smit
- Department of Orthopedic Surgery and Sports Medicine, Amsterdam University Medical Centers, Amsterdam UMC location AMC, University of Amsterdam, Amsterdam, The Netherlands
- Amsterdam Movement Sciences, Sports, Amsterdam, The Netherlands
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Rydén M, Lindblom K, Yifter-Lindgren A, Turkiewicz A, Aspberg A, Tillgren V, Englund M, Önnerfjord P. A human meniscus explant model for studying early events in osteoarthritis development by proteomics. J Orthop Res 2023; 41:2765-2778. [PMID: 37218349 DOI: 10.1002/jor.25633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 05/05/2023] [Accepted: 05/18/2023] [Indexed: 05/24/2023]
Abstract
Degenerative meniscus lesions have been associated with both osteoarthritis etiology and its progression. We, therefore, sought to establish a human meniscus ex vivo model to study the meniscal response to cytokine treatment using a proteomics approach. Lateral menisci were obtained from five knee-healthy donors. The meniscal body was cut into vertical slices and further divided into an inner (avascular) and outer region. Explants were either left untreated (controls) or stimulated with cytokines. Medium changes were conducted every 3 days up to Day 21 and liquid chromatography-mass spectrometry was performed at all the time points for the identification and quantification of proteins. Mixed-effect linear regression models were used for statistical analysis to estimate the effect of treatments versus control on protein abundance. Treatment by IL1ß increased release of cytokines such as interleukins, chemokines, and matrix metalloproteinases but a limited catabolic effect in healthy human menisci explants. Further, we observed an increased release of matrix proteins (collagens, integrins, prolargin, tenascin) in response to oncostatin M (OSM) + tumor necrosis factor (TNF) and TNF+interleukin-6 (IL6) + sIL6R treatments, and analysis of semitryptic peptides provided additional evidence of increased catabolic effects in response to these treatments. The induced activation of catabolic processes may play a role in osteoarthritis development.
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Affiliation(s)
- Martin Rydén
- Department of Clinical Sciences Lund, Orthopaedics, Clinical Epidemiology Unit, Faculty of Medicine, Lund University, Lund, Sweden
| | - Karin Lindblom
- Department of Clinical Sciences Lund, Section for Rheumatology and Molecular Skeletal Biology, Faculty of Medicine, Lund University, Lund, Sweden
| | - Aida Yifter-Lindgren
- Department of Clinical Sciences Lund, Section for Rheumatology and Molecular Skeletal Biology, Faculty of Medicine, Lund University, Lund, Sweden
| | - Aleksandra Turkiewicz
- Department of Clinical Sciences Lund, Orthopaedics, Clinical Epidemiology Unit, Faculty of Medicine, Lund University, Lund, Sweden
| | - Anders Aspberg
- Department of Clinical Sciences Lund, Section for Rheumatology and Molecular Skeletal Biology, Faculty of Medicine, Lund University, Lund, Sweden
| | - Viveka Tillgren
- Department of Clinical Sciences Lund, Section for Rheumatology and Molecular Skeletal Biology, Faculty of Medicine, Lund University, Lund, Sweden
| | - Martin Englund
- Department of Clinical Sciences Lund, Orthopaedics, Clinical Epidemiology Unit, Faculty of Medicine, Lund University, Lund, Sweden
| | - Patrik Önnerfjord
- Department of Clinical Sciences Lund, Section for Rheumatology and Molecular Skeletal Biology, Faculty of Medicine, Lund University, Lund, Sweden
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Saranya M, da Silva AM, Karjalainen H, Klinkenberg G, Schmid R, McDonagh B, Molesworth PP, Sigfúsdóttir MS, Wågbø AM, Santos SG, Couto C, Karjalainen VP, Gupta SD, Järvinen T, de Roy L, Seitz AM, Finnilä M, Saarakkala S, Haaparanta AM, Janssen L, Lorite GS. Magnetic-Responsive Carbon Nanotubes Composite Scaffolds for Chondrogenic Tissue Engineering. Adv Healthc Mater 2023; 12:e2301787. [PMID: 37660271 DOI: 10.1002/adhm.202301787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Revised: 08/10/2023] [Indexed: 09/04/2023]
Abstract
The demand for engineered scaffolds capable of delivering multiple cues to cells continues to grow as the interplay between cell fate with microenvironmental and external cues is revealed. Emphasis has been given to develop stimuli-responsive scaffolds. These scaffolds are designed to sense an external stimulus triggering a specific response (e.g., change in the microenvironment, release therapeutics, etc.) and then initiate/modulate a desired biofunction. Here, magnetic-responsive carboxylated multi-walled carbon nanotubes (cMWCNTs) are integrated into 3D collagen/polylactic acid (PLA) scaffold via a reproducible filtration-based method. The integrity and biomechanical performance of the collagen/PLA scaffolds are preserved after cMWCNT integration. In vitro safety assessment of cMWCNT/collagen/PLA scaffolds shows neither cytotoxicity effects nor macrophage pro-inflammatory response, supporting further in vitro studies. The cMWCNT/collagen/PLA scaffolds enhance chondrocytes metabolic activity while maintaining high cell viability and extracellular matrix (i.e., type II collagen and aggrecan) production. Comprehensive in vitro study applying static and pulsed magnetic field on seeded scaffolds shows no specific cell response in dependence with the applied field. This result is independent of the presence or absence of cMWCNT into the collagen/PLA scaffolds. Taken together, these findings provide additional evidence of the benefits to exploit the CNTs outstanding properties in the design of stimuli-responsive scaffolds.
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Affiliation(s)
- Muthusamy Saranya
- Microelectronic Research Unit, University of Oulu, Oulu, 90570, Finland
| | | | - Hanna Karjalainen
- Research Unit of Health Science and Technology, University of Oulu, Oulu, 90220, Finland
| | - Geir Klinkenberg
- Department of Biotechnology and Nanomedicine SINTEF Industry, Trondheim, 7030, Norway
| | - Ruth Schmid
- Department of Biotechnology and Nanomedicine SINTEF Industry, Trondheim, 7030, Norway
| | - Birgitte McDonagh
- Department of Biotechnology and Nanomedicine SINTEF Industry, Trondheim, 7030, Norway
| | - Peter P Molesworth
- Department of Biotechnology and Nanomedicine SINTEF Industry, Trondheim, 7030, Norway
| | | | - Ane Marit Wågbø
- Department of Biotechnology and Nanomedicine SINTEF Industry, Trondheim, 7030, Norway
| | - Susana G Santos
- Instituto Nacional de Engenharia Biomédica, Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, 4200-135, Portugal
| | - Cristiana Couto
- Instituto Nacional de Engenharia Biomédica, Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, 4200-135, Portugal
| | | | - Shuvashis Das Gupta
- Research Unit of Health Science and Technology, University of Oulu, Oulu, 90220, Finland
| | - Topias Järvinen
- Microelectronic Research Unit, University of Oulu, Oulu, 90570, Finland
| | - Luisa de Roy
- Institute of Orthopedic Research and Biomechanics, Center for Trauma Research, Ulm University Medical Center Ulm, 89081, Ulm, Germany
| | - Andreas M Seitz
- Institute of Orthopedic Research and Biomechanics, Center for Trauma Research, Ulm University Medical Center Ulm, 89081, Ulm, Germany
| | - Mikko Finnilä
- Research Unit of Health Science and Technology, University of Oulu, Oulu, 90220, Finland
| | - Simo Saarakkala
- Research Unit of Health Science and Technology, University of Oulu, Oulu, 90220, Finland
| | | | - Lauriane Janssen
- Microelectronic Research Unit, University of Oulu, Oulu, 90570, Finland
| | - Gabriela S Lorite
- Microelectronic Research Unit, University of Oulu, Oulu, 90570, Finland
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Fackler NP, Yareli-Salinas E, Callan KT, Athanasiou KA, Wang D. In Vitro Effects of Triamcinolone and Methylprednisolone on the Viability and Mechanics of Native Articular Cartilage. Am J Sports Med 2023; 51:2465-2471. [PMID: 37183987 PMCID: PMC10353030 DOI: 10.1177/03635465231162644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Accepted: 02/01/2023] [Indexed: 05/16/2023]
Abstract
BACKGROUND The chondrotoxic effects of methylprednisolone acetate (MP) and triamcinolone acetonide (TA) have been well described. However, the mechanical effects of these commonly used steroids on native cartilage are largely unknown. PURPOSE To investigate the in vitro effects of a single 1-hour MP or TA exposure on the viability, mechanics, and biochemical content of native articular cartilage explants. STUDY DESIGN Controlled laboratory study. METHODS Articular cartilage explants (n = 6 per group) were harvested from the femoral condyles of bovine stifles. Explants were exposed to chondrogenic medium containing a clinical dose of MP or TA for 1 hour, followed by fresh medium wash and exchange. Explants in the control group underwent the same treatment with chondrogenic medium alone. At 24 hours after treatment, samples were assessed for viability (live/dead), mechanical properties (creep indentation and Instron tensile testing), biochemical (collagen and glycosaminoglycan) content, and pyridinoline crosslinking via mass spectrometry. RESULTS Mean cell viability was significantly decreased in native explants exposed to MP (35.5%) compared with the control (49.8%; P < .001) and TA (45.7%; P = .01) specimens. Significant decreases were seen in the mechanical properties of steroid-treated native explants when compared with controls, with decreases in aggregate modulus (646.3 vs 312.8 kPa [MP] and 257.0 kPa [TA]; P < .001), shear modulus (370.1 vs 191.2 kPa [MP] and 157.4 kPa [TA]; P < .001), and ultimate tensile strength (9.650 vs 5.648 MPa [MP; P = .021] and 6.065 MPa [TA; P = .0403]). No significant differences in collagen and glycosaminoglycan content were found in the steroid-treated groups. Pyridinoline crosslinking was significantly decreased in explants exposed to TA compared with controls (P = .027). CONCLUSION Exposure of MP to articular cartilage explants was chondrotoxic, and exposure of articular cartilage explants to MP or TA resulted in significant decreases in mechanical properties of articular cartilage explants compared with controls. Clinicians should be judicious regarding use of intra-articular steroids, particularly in patients with intact healthy articular cartilage.
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Affiliation(s)
- Nathan P. Fackler
- Department of Orthopaedic Surgery, University of California, Irvine, Orange, California, USA
| | - Evelia Yareli-Salinas
- Department of Biomedical Engineering, University of California, Irvine, Irvine, California, USA
| | - Kylie T. Callan
- Department of Orthopaedic Surgery, University of California, Irvine, Orange, California, USA
| | - Kyriacos A. Athanasiou
- Department of Biomedical Engineering, University of California, Irvine, Irvine, California, USA
| | - Dean Wang
- Department of Orthopaedic Surgery, University of California, Irvine, Orange, California, USA
- Department of Biomedical Engineering, University of California, Irvine, Irvine, California, USA
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Fu L, Li L, Bian Q, Xue B, Jin J, Li J, Cao Y, Jiang Q, Li H. Cartilage-like protein hydrogels engineered via entanglement. Nature 2023; 618:740-747. [PMID: 37344650 DOI: 10.1038/s41586-023-06037-0] [Citation(s) in RCA: 39] [Impact Index Per Article: 39.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Accepted: 03/31/2023] [Indexed: 06/23/2023]
Abstract
Load-bearing tissues, such as muscle and cartilage, exhibit high elasticity, high toughness and fast recovery, but have different stiffness (with cartilage being significantly stiffer than muscle)1-8. Muscle achieves its toughness through finely controlled forced domain unfolding-refolding in the muscle protein titin, whereas articular cartilage achieves its high stiffness and toughness through an entangled network comprising collagen and proteoglycans. Advancements in protein mechanics and engineering have made it possible to engineer titin-mimetic elastomeric proteins and soft protein biomaterials thereof to mimic the passive elasticity of muscle9-11. However, it is more challenging to engineer highly stiff and tough protein biomaterials to mimic stiff tissues such as cartilage, or develop stiff synthetic matrices for cartilage stem and progenitor cell differentiation12. Here we report the use of chain entanglements to significantly stiffen protein-based hydrogels without compromising their toughness. By introducing chain entanglements13 into the hydrogel network made of folded elastomeric proteins, we are able to engineer highly stiff and tough protein hydrogels, which seamlessly combine mutually incompatible mechanical properties, including high stiffness, high toughness, fast recovery and ultrahigh compressive strength, effectively converting soft protein biomaterials into stiff and tough materials exhibiting mechanical properties close to those of cartilage. Our study provides a general route towards engineering protein-based, stiff and tough biomaterials, which will find applications in biomedical engineering, such as osteochondral defect repair, and material sciences and engineering.
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Affiliation(s)
- Linglan Fu
- Department of Chemistry, The University of British Columbia, Vancouver, British Columbia, Canada
| | - Lan Li
- State Key Laboratory of Pharmaceutical Biotechnology, Division of Sports Medicine and Adult Reconstructive Surgery, Department of Orthopedic Surgery, Branch of National Clinical Research Center for Orthopedics, Drum Tower Hospital affiliated to Medical School of Nanjing University, Nanjing, People's Republic of China
| | - Qingyuan Bian
- Department of Chemistry, The University of British Columbia, Vancouver, British Columbia, Canada
| | - Bin Xue
- National Laboratory of Solid State Microstructures, Department of Physics, Nanjing University, Nanjing, People's Republic of China
| | - Jing Jin
- State Key Laboratory of Pharmaceutical Biotechnology, Division of Sports Medicine and Adult Reconstructive Surgery, Department of Orthopedic Surgery, Branch of National Clinical Research Center for Orthopedics, Drum Tower Hospital affiliated to Medical School of Nanjing University, Nanjing, People's Republic of China
| | - Jiayu Li
- Department of Chemistry, The University of British Columbia, Vancouver, British Columbia, Canada
| | - Yi Cao
- National Laboratory of Solid State Microstructures, Department of Physics, Nanjing University, Nanjing, People's Republic of China
| | - Qing Jiang
- State Key Laboratory of Pharmaceutical Biotechnology, Division of Sports Medicine and Adult Reconstructive Surgery, Department of Orthopedic Surgery, Branch of National Clinical Research Center for Orthopedics, Drum Tower Hospital affiliated to Medical School of Nanjing University, Nanjing, People's Republic of China
| | - Hongbin Li
- Department of Chemistry, The University of British Columbia, Vancouver, British Columbia, Canada.
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Kleuskens MWA, Crispim JF, van Doeselaar M, van Donkelaar CC, Janssen RPA, Ito K. Neo-cartilage formation using human nondegenerate versus osteoarthritic chondrocyte-derived cartilage organoids in a viscoelastic hydrogel. J Orthop Res 2023. [PMID: 36866819 DOI: 10.1002/jor.25540] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Revised: 01/31/2023] [Accepted: 03/01/2023] [Indexed: 03/04/2023]
Abstract
Current regenerative cartilage therapies are associated with several drawbacks such as dedifferentiation of chondrocytes during expansion and the formation of fibrocartilage. Optimized chondrocyte expansion and tissue formation could lead to better clinical results of these therapies. In this study, a novel chondrocyte suspension expansion protocol that includes the addition of porcine notochordal cell-derived matrix was used to self-assemble human chondrocytes from osteoarthritic (OA) and nondegenerate (ND) origin into cartilage organoids containing collagen type II and proteoglycans. Proliferation rate and viability were similar for OA and ND chondrocytes and organoids formed had a similar histologic appearance and gene expression profile. Organoids were then encapsulated in viscoelastic alginate hydrogels to form larger tissues. Chondrocytes on the outer bounds of the organoids produced a proteoglycan-rich matrix to bridge the space between organoids. In hydrogels containing ND organoids some collagen type I was observed between the organoids. Surrounding the bulk of organoids in the center of the gels, in both OA and ND gels a continuous tissue containing cells, proteoglycans and collagen type II had been produced. No difference was observed in sulphated glycosaminoglycan and hydroxyproline content between gels containing organoids from OA or ND origin after 28 days. It was concluded that OA chondrocytes, which can be harvested from leftover surgery tissue, perform similar to ND chondrocytes in terms of human cartilage organoid formation and matrix production in alginate gels. This opens possibilities for their potential to serve as a platform for cartilage regeneration but also as an in vitro model to study pathways, pathology, or drug development.
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Affiliation(s)
- Meike W A Kleuskens
- Orthopaedic Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands
| | - João F Crispim
- Orthopaedic Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands
| | - Marina van Doeselaar
- Orthopaedic Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands
| | - Corrinus C van Donkelaar
- Orthopaedic Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands
| | - Rob P A Janssen
- Orthopaedic Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.,Department of Orthopaedic Surgery and Trauma, Máxima Medical Center, Eindhoven-Veldhoven, The Netherlands.,Department of Paramedical Sciences, Fontys University of Applied Sciences, Eindhoven, The Netherlands
| | - Keita Ito
- Orthopaedic Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands
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Szapary HJ, Flaman L, Frank E, Chubinskaya S, Dwivedi G, Grodzinsky AJ. Effects of dexamethasone and dynamic loading on cartilage of human osteochondral explants challenged with inflammatory cytokines. J Biomech 2023; 149:111480. [PMID: 36791513 DOI: 10.1016/j.jbiomech.2023.111480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2022] [Revised: 01/23/2023] [Accepted: 01/30/2023] [Indexed: 02/05/2023]
Abstract
Post-traumatic osteoarthritis (PTOA), characterized by articular cartilage degradation initiated in an inflammatory environment after traumatic joint injury, can lead to alterations in cartilage biomechanical properties. Low dose dexamethasone (Dex) shows chondroprotection in cartilage challenged with inflammatory cytokines, but little is known about the structural biomechanical response of human cartilage to Dex in such a diseased state. This study examined changes in the biomechanical properties and biochemical composition of the cartilage within human osteochondral explants in response to treatment with exogenous cytokines, Dex, and a regimen of cyclic loading at the start and end of culture. Osteochondral explants were harvested from five pairs of human ankle talocrural joints (Collins grade 0-1) and cultured for 10 days with/without exogenous cytokines (100 ng/mL TNFα, 50 ng/mL IL-6, 250 ng/mL sIL-6R) ± Dex (100 nM). Biomechanical testing on day-0 and day-10 enabled estimation of the unconfined compression equilibrium modulus (Ey), dynamic stiffness (Ed) and hydraulic permeability (kp) of cartilage excised from bone, accompanied by biochemical assessment of media and cartilage tissue. Dex preserved chondrocyte cell viability and decreased sulfated glycosaminoglycan (sGAG) loss and nitric oxide release, but did not alter Ey, Ed and kp (before or after loading) on day-10. In the cytokine/cytokine+Dex treated groups, sGAG content exhibited a weaker correlation with Ey and Ed than at baseline, suggesting an important role for structural rather than biochemical changes in producing biomechanical alterations in response to cytokines and Dex. These findings aid in forming a more complete profile of potential clinical effects of Dex for use in OA/PTOA treatment regimens.
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Affiliation(s)
- Hannah J Szapary
- Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA; Health Sciences and Technology, Harvard Medical School, Boston, MA 02115, USA.
| | - Lisa Flaman
- Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - Eliot Frank
- Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
| | - Susan Chubinskaya
- Departments of Pediatrics, Orthopedic Surgery and Medicine (Section of Rheumatology), Rush University Medical Center, Chicago, IL 60612, USA.
| | - Garima Dwivedi
- Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - Alan J Grodzinsky
- Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA; Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA; Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
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9
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Jalandhra GK, Molley TG, Hung TT, Roohani I, Kilian KA. In situ formation of osteochondral interfaces through "bone-ink" printing in tailored microgel suspensions. Acta Biomater 2023; 156:75-87. [PMID: 36055612 DOI: 10.1016/j.actbio.2022.08.052] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Revised: 07/21/2022] [Accepted: 08/23/2022] [Indexed: 01/18/2023]
Abstract
Osteochondral tissue has a complex hierarchical structure spanning subchondral bone to articular cartilage. Biomaterials approaches to mimic and repair these interfaces have had limited success, largely due to challenges in fabricating composite hard-soft interfaces with living cells. Biofabrication approaches have emerged as attractive methods to form osteochondral analogues through additive assembly of hard and soft components. We have developed a unique printing platform that is able to integrate soft and hard materials concurrently through freeform printing of mineralized constructs within tunable microgel suspensions containing living cells. A library of microgels based on gelatin were prepared, where the stiffness of the microgels and a liquid "filler" phase can be tuned for bioprinting while simultaneously directing differentiation. Tuning microgel stiffness and filler content differentially directs chondrogenesis and osteogenesis within the same construct, demonstrating how this technique can be used to fabricate osteochondral interfaces in a single step. Printing of a rapidly setting calcium phosphate cement, so called "bone-ink" within a cell laden suspension bath further guides differentiation, where the cells adjacent to the nucleated hydroxyapatite phase undergo osteogenesis with cells in the surrounding medium undergoing chondrogenesis. In this way, bone analogues with hierarchical structure can be formed within cell-laden gradient soft matrices to yield multiphasic osteochondral constructs. This technique provides a versatile one-pot biofabrication approach without harsh post-processing which will aid efforts in bone disease modelling and tissue engineering. STATEMENT OF SIGNIFICANCE: This paper demonstrates the first example of a biofabrication approach to rapidly form osteochondral constructs in a single step under physiological conditions. Key to this advance is a tunable suspension of extracellular matrix microgels that are packed together with stem cells, providing a unique and modular scaffolding for guiding the simultaneous formation of bone and cartilage tissue. The physical properties of the suspension allow direct writing of a ceramic "bone-ink", resulting in an ordered structure of microscale hydrogels, living cells, and bone mimics in a single step. This platform reveals a simple approach to making complex skeletal tissue for disease modelling, with the possibility of repairing and replacing bone-cartilage interfaces in the clinic using a patient's own cells.
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Affiliation(s)
- Gagan K Jalandhra
- School of Materials Science and Engineering, University of New South Wales, Sydney NSW 2052; Australian Centre for NanoMedicine, University of New South Wales, Sydney NSW 2052
| | - Thomas G Molley
- School of Materials Science and Engineering, University of New South Wales, Sydney NSW 2052; Australian Centre for NanoMedicine, University of New South Wales, Sydney NSW 2052
| | - Tzong-Tyng Hung
- Biological Resources Imaging Laboratory, Mark Wainwright Analytical Centre, University of New South Wales, Sydney NSW 2052
| | - Iman Roohani
- School of Chemistry, University of New South Wales, Sydney NSW 2052; Australian Centre for NanoMedicine, University of New South Wales, Sydney NSW 2052
| | - Kristopher A Kilian
- School of Materials Science and Engineering, University of New South Wales, Sydney NSW 2052; School of Chemistry, University of New South Wales, Sydney NSW 2052; Australian Centre for NanoMedicine, University of New South Wales, Sydney NSW 2052.
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10
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Maeztu Redin D, Caroux J, Rohan PY, Pillet H, Cermolacce A, Trnka J, Manassero M, Viateau V, Corté L. A wear model to predict damage of reconstructed ACL. J Mech Behav Biomed Mater 2022; 136:105426. [PMID: 36208581 DOI: 10.1016/j.jmbbm.2022.105426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 08/07/2022] [Accepted: 08/20/2022] [Indexed: 11/28/2022]
Abstract
Impingement with surrounding tissues is a major cause of failure of anterior cruciate ligament reconstruction. However, the complexity of the knee kinematics and anatomical variations make it difficult to predict the occurrence of contact and the extent of the resulting damage. Here we hypothesise that a description of wear between the reconstructed ligament and adjacent structures captures the in vivo damage produced with physiological loadings. To test this, we performed an in vivo study on a sheep model and investigated the role of different sources of damage: overstretching, excessive twist, excessive compression, and wear. Seven sheep underwent cranial cruciate ligament reconstruction using a tendon autograft. Necropsy observations and pull-out force measurements performed postoperatively at three months showed high variability across specimens of the extent and location of graft damage. Using 3D digital models of each stifle based on X-ray imaging and kinematics measurements, we determined the relative displacements between the graft and the surrounding bones and computed a wear index describing the work of friction forces underwent by the graft during a full flexion-extension movement. While tensile strain, angle of twist and impingement volume showed no correlation with pull-out force (ρ = -0.321, p = 0.498), the wear index showed a strong negative correlation (r = -0.902, p = 0.006). Moreover, contour maps showing the distribution of wear on the graft were consistent with the observations of damage during the necropsy. These results demonstrate that wear is a good proxy of graft damage. The proposed wear index could be used in implant design and surgery planning to minimise the risk of implant failure. Its application to sheep can provide a way to increase preclinical testing efficiency.
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Affiliation(s)
- Deyo Maeztu Redin
- Centre des Matériaux, Mines Paris, PSL University, Évry, France; Molecular, Macromolecular Chemistry and Materials, ESPCI Paris, PSL University, Paris, France.
| | - Julien Caroux
- Centre des Matériaux, Mines Paris, PSL University, Évry, France; Molecular, Macromolecular Chemistry and Materials, ESPCI Paris, PSL University, Paris, France
| | - Pierre-Yves Rohan
- Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers Institute of Technology, Paris, France
| | - Hélène Pillet
- Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers Institute of Technology, Paris, France
| | - Alexia Cermolacce
- Ecole Nationale Vétérinaire d'Alfort, Université Paris Est Sup, France
| | - Julien Trnka
- Ecole Nationale Vétérinaire d'Alfort, Université Paris Est Sup, France
| | - Mathieu Manassero
- Ecole Nationale Vétérinaire d'Alfort, Université Paris Est Sup, France; Laboratoire de Biologie, Bioingénierie et Bioimagerie Ostéo-Articulaire, UMR CNRS 7052, INSERM U1271, 75010, Paris, France
| | - Véronique Viateau
- Ecole Nationale Vétérinaire d'Alfort, Université Paris Est Sup, France; Laboratoire de Biologie, Bioingénierie et Bioimagerie Ostéo-Articulaire, UMR CNRS 7052, INSERM U1271, 75010, Paris, France
| | - Laurent Corté
- Centre des Matériaux, Mines Paris, PSL University, Évry, France; Molecular, Macromolecular Chemistry and Materials, ESPCI Paris, PSL University, Paris, France
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11
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Gunes OC, Kara A, Baysan G, Bugra Husemoglu R, Akokay P, Ziylan Albayrak A, Ergur BU, Havitcioglu H. Fabrication of 3D Printed poly(lactic acid) strut and wet-electrospun cellulose nano fiber reinforced chitosan-collagen hydrogel composite scaffolds for meniscus tissue engineering. J Biomater Appl 2022; 37:683-697. [PMID: 35722881 DOI: 10.1177/08853282221109339] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The main goal of the study was to produce chitosan-collagen hydrogel composite scaffolds consisting of 3D printed poly(lactic acid) (PLA) strut and nanofibrous cellulose for meniscus cartilage tissue engineering. For this purpose, first PLA strut containing microchannels was incorporated into cellulose nanofibers and then they were embedded into chitosan-collagen matrix to obtain micro- and nano-sized topographical features for better cellular activities as well as mechanical properties. All the hydrogel composite scaffolds produced by using three different concentrations of genipin (0.1, 0.3, and 0.5%) had an interconnected microporous structure with a swelling ratio of about 400% and water content values between 77 and 83% which is similar to native cartilage extracellular matrix. The compressive strength of all the hydrogel composite scaffolds was found to be similar (∼32 kPa) and suitable for cartilage tissue engineering applications. Besides, the hydrogel composite scaffold comprising 0.3% (w/v) genipin had the highest tan δ value (0.044) at a frequency of 1 Hz which is around the walking frequency of a person. According to the in vitro analysis, this hydrogel composite scaffold did not show any cytotoxic effect on the rabbit mesenchymal stem cells and enabled cells to attach, proliferate and also migrate through the inner area of the scaffold. In conclusion, the produced hydrogel composite scaffold holds great promise for meniscus tissue engineering.
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Affiliation(s)
- Oylum Colpankan Gunes
- Faculty of Engineering, Department of Metallurgical and Materials Engineering, 369678Dokuz Eylul University, Izmir, Turkey
| | - Aylin Kara
- Department of Bioengineering, 52972Izmir Institute of Technology, Izmir, Turkey
| | - Gizem Baysan
- Department of Biomechanics, Institute of Health Science, 37508Dokuz Eylul University, Izmir, Turkey
| | - Resit Bugra Husemoglu
- Department of Biomechanics, Institute of Health Science, 37508Dokuz Eylul University, Izmir, Turkey
| | - Pinar Akokay
- Department of Histology & Embryology, Faculty of Medicine, 64030Dokuz Eylul University, Izmir, Turkey
| | - Aylin Ziylan Albayrak
- Faculty of Engineering, Department of Metallurgical and Materials Engineering, 369678Dokuz Eylul University, Izmir, Turkey
| | - Bekir Ugur Ergur
- Department of Histology & Embryology, Faculty of Medicine, 64030Dokuz Eylul University, Izmir, Turkey
| | - Hasan Havitcioglu
- Department of Biomechanics, Institute of Health Science, 37508Dokuz Eylul University, Izmir, Turkey.,Department of Orthopedics and Traumatology, Faculty of Medicine, 64030DokuzEylul University, Izmir, Turkey
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12
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Petta D, D'Amora U, D'Arrigo D, Tomasini M, Candrian C, Ambrosio L, Moretti M. Musculoskeletal tissues-on-a-chip: role of natural polymers in reproducing tissue-specific microenvironments. Biofabrication 2022; 14. [PMID: 35931043 DOI: 10.1088/1758-5090/ac8767] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Accepted: 08/05/2022] [Indexed: 11/12/2022]
Abstract
Over the past years, 3D in vitro models have been widely employed in the regenerative medicine field. Among them, organ-on-a-chip technology has the potential to elucidate cellular mechanism exploiting multichannel microfluidic devices to establish 3D co-culture systems that offer control over the cellular, physico-chemical and biochemical microenvironments. To deliver the most relevant cues to cells, it is of paramount importance to select the most appropriate matrix for mimicking the extracellular matrix of the native tissue. Natural polymers-based hydrogels are the elected candidates for reproducing tissue-specific microenvironments in musculoskeletal tissue-on-a-chip models owning to their interesting and peculiar physico-chemical, mechanical and biological properties. Despite these advantages, there is still a gap between the biomaterials complexity in conventional tissue engineering and the application of these biomaterials in 3D in vitro microfluidic models. In this review, the aim is to suggest the adoption of more suitable biomaterials, alternative crosslinking strategies and tissue engineered-inspired approaches in organ-on-a-chip to better mimic the complexity of physiological musculoskeletal tissues. Accordingly, after giving an overview of the musculoskeletal tissue compositions, the properties of the main natural polymers employed in microfluidic systems are investigated, together with the main musculoskeletal tissues-on-a-chip devices.
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Affiliation(s)
- Dalila Petta
- Regenerative Medicine Technologis Lab, Repubblica e Cantone Ticino Ente Ospedaliero Cantonale, Via Francesco Chiesa 5, Bellinzona, Ticino, 6500, SWITZERLAND
| | - Ugo D'Amora
- Institute of Polymers, Composites and Biomaterials, National Research Council, V.le J.F. Kennedy 54 Mostra d'Oltremare Pad 20, Naples, 80125, ITALY
| | - Daniele D'Arrigo
- Repubblica e Cantone Ticino Ente Ospedaliero Cantonale, Via Francesco Chiesa 5, Bellinzona, Ticino, 6500, SWITZERLAND
| | - Marta Tomasini
- Repubblica e Cantone Ticino Ente Ospedaliero Cantonale, Via Francesco chies 5, Bellinzona, Ticino, 6500, SWITZERLAND
| | - Christian Candrian
- Unità di Traumatologia e Ortopedia, Ente Ospedaliero Cantonale, via Tesserete 46, Lugano, 6900, SWITZERLAND
| | - Luigi Ambrosio
- Institute of Polymers Composites and Biomaterials National Research Council, Viale Kennedy, Pozzuoli, Campania, 80078, ITALY
| | - Matteo Moretti
- Regenerative Medicine Technologies Laboratory, Repubblica e Cantone Ticino Ente Ospedaliero Cantonale, Via Francesco Chiesa 5, Bellinzona, Ticino, 6500, SWITZERLAND
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13
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Seitz AM, Schwer J, de Roy L, Warnecke D, Ignatius A, Dürselen L. Knee Joint Menisci Are Shock Absorbers: A Biomechanical In-Vitro Study on Porcine Stifle Joints. Front Bioeng Biotechnol 2022; 10:837554. [PMID: 35372324 PMCID: PMC8968420 DOI: 10.3389/fbioe.2022.837554] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 02/14/2022] [Indexed: 11/13/2022] Open
Abstract
The aim of this biomechanical in vitro study was to answer the question whether the meniscus acts as a shock absorber in the knee joint or not. The soft tissue of fourteen porcine knee joints was removed, leaving the capsuloligamentous structures intact. The joints were mounted in 45° neutral knee flexion in a previously validated droptower setup. Six joints were exposed to an impact load of 3.54 J, and the resultant loss factor (η) was calculated. Then, the setup was modified to allow sinusoidal loading under dynamic mechanical analysis (DMA) conditions. The remaining eight knee joints were exposed to 10 frequencies ranging from 0.1 to 5 Hz at a static load of 1210 N and a superimposed sinusoidal load of 910 N (2.12 times body weight). Forces (F) and deformation (l) were continuously recorded, and the loss factor (tan δ) was calculated. For both experiments, four meniscus states (intact, medial posterior root avulsion, medial meniscectomy, and total lateral and medial meniscectomy) were investigated. During the droptower experiments, the intact state indicated a loss factor of η = 0.1. Except for the root avulsion state (−15%, p = 0.12), the loss factor decreased (p < 0.046) up to 68% for the total meniscectomy state (p = 0.028) when compared to the intact state. Sinusoidal DMA testing revealed that knees with an intact meniscus had the highest loss factors, ranging from 0.10 to 0.15. Any surgical manipulation lowered the damping ability: Medial meniscectomy resulted in a reduction of 24%, while the resection of both menisci lowered tan δ by 18% compared to the intact state. This biomechanical in vitro study indicates that the shock-absorbing ability of a knee joint is lower when meniscal tissue is resected. In other words, the meniscus contributes to the shock absorption of the knee joint not only during impact loads, but also during sinusoidal loads. The findings may have an impact on the rehabilitation of young, meniscectomized patients who want to return to sports. Consequently, such patients are exposed to critical loads on the articular cartilage, especially when performing sports with recurring impact loads transmitted through the knee joint surfaces.
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14
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Crolla JP, Lawless BM, Cederlund AA, Aspden RM, Espino DM. Analysis of hydration and subchondral bone density on the viscoelastic properties of bovine articular cartilage. BMC Musculoskelet Disord 2022; 23:228. [PMID: 35260135 PMCID: PMC8905800 DOI: 10.1186/s12891-022-05169-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Accepted: 02/24/2022] [Indexed: 11/23/2022] Open
Abstract
Background Articular cartilage is known to be a viscoelastic material, however little research has explored the impact of cartilage water content and bone density on its viscoelasticity. This study aimed to isolate subchondral bone density and hydration of articular cartilage and analyse their effects on the viscoelastic properties of articular cartilage. Methods Dynamic mechanical analysis was used to test samples at frequencies of 1, 8, 12, 29, 49, 71, and 88 Hz. Synthetic bone material with densities of 663.7 kg/m3 and 156.8 kg/m3 were used to mimic the bone mineral density (BMD). Dehydration occurred in a stepwise manner at relative humidity (RH) levels of 100%, 30%, and 1%. These relative humidity levels led to water contents of approximately 76%, 8.5%, and ≈ 0% by mass, respectively. Results Samples from eight bovine femoral heads were tested under a sinusoidal load. Storage stiffness was lower on the lower substrate density. Storage stiffness, though, increased as cartilage samples were dehydrated from a water content of 76% to 8.5%; decreasing again as the water content was further reduced. Loss stiffness was lower on a lower density substrate and decreased as the water content decreased. Conclusions In conclusions, a decrease in hydration decreases the loss stiffness, but a non-linear relationship between hydration and storage stiffness may exist. Additionally, higher BMD values led to greater storage and loss stiffnesses. Supplementary Information The online version contains supplementary material available at 10.1186/s12891-022-05169-0.
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Affiliation(s)
- Joseph P Crolla
- Deptment of Mechanical Engineering, University of Birmingham, Birmingham, B15 2TT, UK.
| | - Bernard M Lawless
- Deptment of Mechanical Engineering, University of Birmingham, Birmingham, B15 2TT, UK
| | - Anna A Cederlund
- Centre for Arthritis and Musculoskeletal Health, University of Aberdeen, AB25 2ZD, Foresterhill Aberdeen, UK
| | - Richard M Aspden
- Centre for Arthritis and Musculoskeletal Health, University of Aberdeen, AB25 2ZD, Foresterhill Aberdeen, UK
| | - Daniel M Espino
- Deptment of Mechanical Engineering, University of Birmingham, Birmingham, B15 2TT, UK
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15
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Wyse Jackson T, Michel J, Lwin P, Fortier LA, Das M, Bonassar LJ, Cohen I. Structural origins of cartilage shear mechanics. SCIENCE ADVANCES 2022; 8:eabk2805. [PMID: 35148179 PMCID: PMC8836800 DOI: 10.1126/sciadv.abk2805] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
Articular cartilage is a remarkable material able to sustain millions of loading cycles over decades of use outperforming any synthetic substitute. Crucially, how extracellular matrix constituents alter mechanical performance, particularly in shear, remains poorly understood. Here, we present experiments and theory in support of a rigidity percolation framework that quantitatively describes the structural origins of cartilage's shear properties and how they arise from the mechanical interdependence of the collagen and aggrecan networks making up its extracellular matrix. This framework explains that near the cartilage surface, where the collagen network is sparse and close to the rigidity threshold, slight changes in either collagen or aggrecan concentrations, common in early stages of cartilage disease, create a marked weakening in modulus that can lead to tissue collapse. More broadly, this framework provides a map for understanding how changes in composition throughout the tissue alter its shear properties and ultimate in vivo function.
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Affiliation(s)
- Thomas Wyse Jackson
- Department of Physics, Cornell University, Ithaca, NY, USA
- Corresponding author. (T.W.J.); (I.C.)
| | - Jonathan Michel
- School of Mathematical Sciences, Rochester Institute of Technology, Rochester, NY, USA
| | - Pancy Lwin
- School of Mathematical Sciences, Rochester Institute of Technology, Rochester, NY, USA
| | - Lisa A. Fortier
- Department of Clinical Sciences, Cornell University, Ithaca, NY, USA
| | - Moumita Das
- School of Mathematical Sciences, Rochester Institute of Technology, Rochester, NY, USA
| | - Lawrence J. Bonassar
- Meinig School of Biomedical Engineering, Cornell University, Ithaca, NY, USA
- Sibley School of Mechanical and Aerospace Engineering, Cornell University, Ithaca, NY, USA
| | - Itai Cohen
- Department of Physics, Cornell University, Ithaca, NY, USA
- Corresponding author. (T.W.J.); (I.C.)
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16
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Huang Y, Meng X, Zhou Z, Zhu W, Chen X, He Y, He N, Han X, Zhou D, Duan X, Vadgama P, Liu H. A naringin-derived bioink enhances shape fidelity of 3D bioprinting and efficiency of cartilage defects repair. J Mater Chem B 2022; 10:7030-7044. [DOI: 10.1039/d2tb01247b] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
3D bioprinting is a major area of interest in health sciences for customized manufacturing, but lacks specific bioinks to enhance shape fidelity of 3D bioprinting and efficiency of tissue repair...
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17
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Espinosa MG, Otarola GA, Hu JC, Athanasiou KA. Vibrometry as a noncontact alternative to dynamic and viscoelastic mechanical testing in cartilage. J R Soc Interface 2021; 18:20210765. [PMID: 34932927 PMCID: PMC8692039 DOI: 10.1098/rsif.2021.0765] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2021] [Accepted: 11/22/2021] [Indexed: 12/24/2022] Open
Abstract
Physiological loading of knee cartilage is highly dynamic and may contribute to the progression of osteoarthritis. Thus, an understanding of cartilage's dynamic mechanical properties is crucial in cartilage research. In this study, vibrometry was used as a fast (2 h), noncontact and novel alternative to the slower (30 h), traditional mechanical and biochemical assays for characterization of cartilage from the condyle, patella, trochlear groove and meniscus. Finite-element models predicted tissue resonant frequencies and bending modes, which strongly correlated with experiments (R2 = 0.93). Vibrometry-based viscoelastic properties significantly correlated with moduli from stress relaxation and creep tests, with correlation strengths reaching up to 0.78. Loss modulus also strongly correlated with glycosoaminoglycan (GAG) content. Dynamic properties measured by vibrometry significantly differed among various knee cartilages, ranging between 6.1 and 56.4 MPa. Interestingly, meniscus viscoelastic properties suggest that contrary to common belief, it may lack shock absorption abilities; instead, condylar hyaline cartilage may be a better shock absorber. These data demonstrate for the first time that vibrometry is a noncontact approach to dynamic mechanical characterization of hyaline and fibrocartilage cartilage with concrete relationships to standard quasi-static mechanical testing and biochemical composition. Thus, with a single tool, vibrometry greatly facilitates meeting multiple regulatory recommendations for mechanical characterization of cartilage replacements.
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Affiliation(s)
- M. Gabriela Espinosa
- Department of Biomedical Engineering, University of California, 3131 Engineering Hall, Irvine, CA 92617, USA
- Department of Engineering, Concordia University Irvine, 1530 Concordia West, Irvine, CA 92612, USA
| | - Gaston A. Otarola
- Department of Biomedical Engineering, University of California, 3131 Engineering Hall, Irvine, CA 92617, USA
| | - Jerry C. Hu
- Department of Biomedical Engineering, University of California, 3131 Engineering Hall, Irvine, CA 92617, USA
| | - Kyriacos A. Athanasiou
- Department of Biomedical Engineering, University of California, 3131 Engineering Hall, Irvine, CA 92617, USA
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18
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Kabir W, Di Bella C, Choong PF, O’Connell CD. Assessment of Native Human Articular Cartilage: A Biomechanical Protocol. Cartilage 2021; 13:427S-437S. [PMID: 33218275 PMCID: PMC8804788 DOI: 10.1177/1947603520973240] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
OBJECTIVES Recapitulating the mechanical properties of articular cartilage (AC) is vital to facilitate the clinical translation of cartilage tissue engineering. Prior to evaluation of tissue-engineered constructs, it is fundamental to investigate the biomechanical properties of native AC under sudden, prolonged, and cyclic loads in a practical manner. However, previous studies have typically reported only the response of native AC to one or other of these loading regimes. We therefore developed a streamlined testing protocol to characterize the elastic and viscoelastic properties of human knee AC, generating values for several important parameters from the same sample. DESIGN Human AC was harvested from macroscopically normal regions of distal femoral condyles of patients (n = 3) undergoing total knee arthroplasty. Indentation and unconfined compression tests were conducted under physiological conditions (temperature 37 °C and pH 7.4) and testing parameters (strain rates and loading frequency) to assess elastic and viscoelastic parameters. RESULTS The biomechanical properties obtained were as follows: Poisson ratio (0.4 ± 0.1), instantaneous modulus (52.14 ± 9.47 MPa) at a loading rate of 1 mm/s, Young's modulus (1.03 ± 0.48 MPa), equilibrium modulus (7.48 ± 4.42 MPa), compressive modulus (10.60 ± 3.62 MPa), dynamic modulus (7.71 ± 4.62 MPa) at 1 Hz and loss factor (0.11 ± 0.02). CONCLUSIONS The measurements fell within the range of reported values for human knee AC biomechanics. To the authors' knowledge this study is the first to report such a range of biomechanical properties for human distal femoral AC. This protocol may facilitate the assessment of tissue-engineered composites for their functionality and biomechanical similarity to native AC prior to clinical trials.
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Affiliation(s)
- Wassif Kabir
- Faculty of Medicine, Dentistry and
Health Sciences, University of Melbourne, Parkville, Victoria, Australia,BioFab3D, Aikenhead Centre for Medical
Discovery, St. Vincent’s Hospital, Fitzroy, Victoria, Australia
| | - Claudia Di Bella
- BioFab3D, Aikenhead Centre for Medical
Discovery, St. Vincent’s Hospital, Fitzroy, Victoria, Australia,Department of Orthopaedics, St.
Vincent’s Hospital, Fitzroy, Victoria, Australia,Department of Surgery, University of
Melbourne, Parkville, Victoria, Australia
| | - Peter F.M. Choong
- BioFab3D, Aikenhead Centre for Medical
Discovery, St. Vincent’s Hospital, Fitzroy, Victoria, Australia,Department of Orthopaedics, St.
Vincent’s Hospital, Fitzroy, Victoria, Australia,Department of Surgery, University of
Melbourne, Parkville, Victoria, Australia
| | - Cathal D. O’Connell
- BioFab3D, Aikenhead Centre for Medical
Discovery, St. Vincent’s Hospital, Fitzroy, Victoria, Australia,Discipline of Electrical and Biomedical
Engineering, School of Engineering, RMIT University, Melbourne, Victoria,
Australia,Cathal D. O’Connell, BioFab3D, Aikenhead
Centre for Medical Discovery, St. Vincent’s Hospital, BioFab3D, 1st Floor,
Clinical Sciences Building, 29 Regent Street, Fitzroy, Victoria 3065, Australia.
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19
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Crispim JF, Ito K. De novo neo-hyaline-cartilage from bovine organoids in viscoelastic hydrogels. Acta Biomater 2021; 128:236-249. [PMID: 33894352 DOI: 10.1016/j.actbio.2021.04.008] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 03/31/2021] [Accepted: 04/01/2021] [Indexed: 12/22/2022]
Abstract
Regenerative therapies for articular cartilage are currently clinically available. However, they are associated with several drawbacks that require resolution. Optimizing chondrocyte expansion and their assembly, can reduce the time and costs of these therapies and more importantly increase their clinical success. In this study, cartilage organoids were quickly mass produced from bovine chondrocytes with a new suspension expansion protocol. This new approach led to massive cell proliferation, high viability and the self-assembly of organoids. These organoids were composed of collagen type II, type VI, glycosaminoglycans, with Sox9 positive cells, embedded in a pericellular and interterritorial matrix similarly to hyaline cartilage. With the goal of producing large scale tissues, we then encapsulated these organoids into alginate hydrogels with different viscoelastic properties. Elastic hydrogels constrained the growth and fusion of the organoids inhibiting the formation of a tissue. In contrast, viscoelastic hydrogels allowed the growth and fusion of the organoids into a homogenous tissue that was rich in collagen type II and glycosaminoglycans. The encapsulation of organoids to produce in vitro neocartilage also proved to be superior to the conventional method of encapsulating 2D expanded chondrocytes. This study describes a multimodal approach that involves chondrocyte expansion, organoid formation and their assembly into neohyaline-cartilage which proved to be superior to the current standard approaches used in cartilage tissue engineering. STATEMENT OF SIGNIFICANCE: In this manuscript, we describe a new and simple methodology to quickly mass produce self-assembling cartilage organoids. Due to their matrix content and structure similarities with native cartilage, these organoids on their own have the potential to revolutionize cartilage research and the manner in which we study signaling pathways, disease progression, tissue engineering, drug development, etc. Furthermore, these organoids and their fast mass production were combined with a key relatively ignored hydrogel characteristic, viscoelasticity, to demonstrate their fusion into a neo-tissue. This has the potential to open the door for large scale cartilage regeneration such as for entire joint surfaces.
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Affiliation(s)
- João F Crispim
- Orthopaedic Biomechanics group, Regenerative Engineering & Materials cluster, Dept. of Biomedical Engineering and the Institute for Complex Molecular Systems, Eindhoven University of Technology, The Netherlands.
| | - Keita Ito
- Orthopaedic Biomechanics group, Regenerative Engineering & Materials cluster, Dept. of Biomedical Engineering and the Institute for Complex Molecular Systems, Eindhoven University of Technology, The Netherlands.
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20
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Perni S, Prokopovich P. Rheometer enabled study of cartilage frequency-dependent properties. Sci Rep 2020; 10:20696. [PMID: 33244092 PMCID: PMC7693262 DOI: 10.1038/s41598-020-77758-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Accepted: 11/17/2020] [Indexed: 12/02/2022] Open
Abstract
Despite the well-established dependence of cartilage mechanical properties on the frequency of the applied load, most research in the field is carried out in either load-free or constant load conditions because of the complexity of the equipment required for the determination of time-dependent properties. These simpler analyses provide a limited representation of cartilage properties thus greatly reducing the impact of the information gathered hindering the understanding of the mechanisms involved in this tissue replacement, development and pathology. More complex techniques could represent better investigative methods, but their uptake in cartilage research is limited by the highly specialised training required and cost of the equipment. There is, therefore, a clear need for alternative experimental approaches to cartilage testing to be deployed in research and clinical settings using more user-friendly and financial accessible devices. Frequency dependent material properties can be determined through rheometry that is an easy to use requiring a relatively inexpensive device; we present how a commercial rheometer can be adapted to determine the viscoelastic properties of articular cartilage. Frequency-sweep tests were run at various applied normal loads on immature, mature and trypsinased (as model of osteoarthritis) cartilage samples to determine the dynamic shear moduli (G*, G′ G″) of the tissues. Moduli increased with increasing frequency and applied load; mature cartilage had generally the highest moduli and GAG depleted samples the lowest. Hydraulic permeability (KH) was estimated from the rheological data and decreased with applied load; GAG depleted cartilage exhibited higher hydraulic permeability than either immature or mature tissues. The rheometer-based methodology developed was validated by the close comparison of the rheometer-obtained cartilage characteristics (G*, G′, G″, KH) with results obtained with more complex testing techniques available in literature. Rheometry is relatively simpler and does not require highly capital intensive machinery and staff training is more accessible; thus the use of a rheometer would represent a cost-effective approach for the determination of frequency-dependent properties of cartilage for more comprehensive and impactful results for both healthcare professional and R&D.
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Affiliation(s)
- Stefano Perni
- School of Pharmacy and Pharmaceutical Sciences, Cardiff University, King Edward VII Avenue, Redwood BuildingCardiff, CF10 3NB, UK
| | - Polina Prokopovich
- School of Pharmacy and Pharmaceutical Sciences, Cardiff University, King Edward VII Avenue, Redwood BuildingCardiff, CF10 3NB, UK.
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Mahmood H, Shepherd DE, Espino DM. A technique for measuring the frictional torque of articular cartilage and replacement biomaterials. Med Eng Phys 2020; 83:1-6. [DOI: 10.1016/j.medengphy.2020.07.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2019] [Revised: 04/28/2020] [Accepted: 07/02/2020] [Indexed: 10/23/2022]
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22
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Wasser JG, Acasio JC, Hendershot BD, Miller RH. Single-leg forward hopping exposures adversely affect knee joint health among persons with unilateral lower limb loss: A predictive model. J Biomech 2020; 109:109941. [PMID: 32807307 DOI: 10.1016/j.jbiomech.2020.109941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Revised: 06/08/2020] [Accepted: 07/02/2020] [Indexed: 11/16/2022]
Abstract
Single-leg hopping is an atypical, yet convenient, method of ambulation for individuals who have sustained unilateral lower limb-loss. Hopping is generally discouraged by therapists but many patients report hopping, and the potential deleterious effects of frequent hopping on knee joint health remains unclear. Mechanical fatigue due to repeated exposures to increased or abnormal loading on the intact limb is thought to be a primary contributor to the high prevalence of knee osteoarthritis among individuals with unilateral lower limb amputation. We aimed to compare knee joint mechanics between single-leg hopping and walking at self-selected paces among individuals with unilateral lower limb-loss, and estimated the associated probability of knee cartilage failure. Thirty-two males with traumatic unilateral lower limb-loss (22 transtibial, 10 transfemoral) hopped and walked at a self-selected pace along a 15-m walkway. Peak knee moments were input to a phenomenological model of cartilage fatigue to estimate the damage and long-term failure probability of the medial knee cartilage when hopping vs. walking. We estimate that each hop accumulates as much damage as at least 8 strides of walking (p < 0.001), and each meter of hopping accumulates as much damage as at least 12 m of walking (p < 0.001). The 30-year failure probability of the medial knee cartilage exceeded a "coin-flip" chance (50%) when performing more than 197 hops per day. Although a convenient mode of ambulation for persons with unilateral lower limb-loss, to mitigate risk for knee osteoarthritis it is advisable to minimize exposure to single-leg forward hopping.
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Affiliation(s)
- Joseph G Wasser
- Research and Development Section, Department of Rehabilitation, Walter Reed National Military Medical Center, Bethesda, MD, USA; Henry M. Jackson Foundation, for the Advancement of Military Medicine, Bethesda, MD, USA
| | - Julian C Acasio
- Research and Development Section, Department of Rehabilitation, Walter Reed National Military Medical Center, Bethesda, MD, USA; Henry M. Jackson Foundation, for the Advancement of Military Medicine, Bethesda, MD, USA
| | - Brad D Hendershot
- Research and Development Section, Department of Rehabilitation, Walter Reed National Military Medical Center, Bethesda, MD, USA; DoD-VA Extremity Trauma & Amputation Center of Excellence, USA; Department of Rehabilitation Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA
| | - Ross H Miller
- Department of Kinesiology, University of Maryland, College Park, MD, USA; Neuroscience & Cognitive Science Program, University of Maryland, College Park, MD, USA.
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23
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Simitzi C, Vlahovic M, Georgiou A, Keskin-Erdogan Z, Miller J, Day RM. Modular Orthopaedic Tissue Engineering With Implantable Microcarriers and Canine Adipose-Derived Mesenchymal Stromal Cells. Front Bioeng Biotechnol 2020; 8:816. [PMID: 32775324 PMCID: PMC7388765 DOI: 10.3389/fbioe.2020.00816] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Accepted: 06/26/2020] [Indexed: 01/14/2023] Open
Abstract
Mesenchymal stromal cells (MSC) hold significant potential for tissue engineering applications. Modular tissue engineering involves the use of cellularized "building blocks" that can be assembled via a bottom-up approach into larger tissue-like constructs. This approach emulates more closely the complexity associated hierarchical tissues compared with conventional top-down tissue engineering strategies. The current study describes the combination of biodegradable porous poly(DL-lactide-co-glycolide) (PLGA) TIPS microcarriers with canine adipose-derived MSC (cAdMSC) for use as implantable conformable building blocks in modular tissue engineering applications. Optimal conditions were identified for the attachment and proliferation of cAdMSC on the surface of the microcarriers. Culture of the cellularized microcarriers for 21 days in transwell insert plates under conditions used to induce either chondrogenic or osteogenic differentiation resulted in self-assembly of solid 3D tissue constructs. The tissue constructs exhibited phenotypic characteristics indicative of successful osteogenic or chondrogenic differentiation, as well as viscoelastic mechanical properties. This strategy paves the way to create in situ tissue engineered constructs via modular tissue engineering for therapeutic applications.
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Affiliation(s)
- Chara Simitzi
- Centre for Precision Healthcare, Applied Biomedical Engineering Group, UCL Division of Medicine, University College London, London, United Kingdom
| | - Maja Vlahovic
- Centre for Precision Healthcare, Applied Biomedical Engineering Group, UCL Division of Medicine, University College London, London, United Kingdom
| | - Alex Georgiou
- Department of Biomolecular and Sports Sciences, Coventry University, Coventry, United Kingdom
- Cell Therapy Sciences Ltd., University of Warwick Science Park, Coventry, United Kingdom
| | | | - Joanna Miller
- Cell Therapy Sciences Ltd., University of Warwick Science Park, Coventry, United Kingdom
| | - Richard M. Day
- Centre for Precision Healthcare, Applied Biomedical Engineering Group, UCL Division of Medicine, University College London, London, United Kingdom
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24
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Wu B, Pu P, Zhao S, Izadikhah I, Shi H, Liu M, Lu R, Yan B, Ma S, Markert B. Frequency-related viscoelastic properties of the human incisor periodontal ligament under dynamic compressive loading. PLoS One 2020; 15:e0235822. [PMID: 32658896 PMCID: PMC7357742 DOI: 10.1371/journal.pone.0235822] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2019] [Accepted: 06/22/2020] [Indexed: 12/19/2022] Open
Abstract
Studies concerning the mechanical properties of the human periodontal ligament under dynamic compression are rare. This study aimed to determine the viscoelastic properties of the human periodontal ligament under dynamic compressive loading. Ten human incisor specimens containing 5 maxillary central incisors and 5 maxillary lateral incisors were used in a dynamic mechanical analysis. Frequency sweep tests were performed under the selected frequencies between 0.05 Hz and 5 Hz with a compression amplitude that was 2% of the PDL's initial width. The compressive strain varied over a range of 4%-8% of the PDL's initial width. The storage modulus, ranging from 28.61 MPa to 250.21 MPa, increased with the increase in frequency. The loss modulus (from 6.00 MPa to 49.28 MPa) also increased with frequency from 0.05 Hz- 0.5 Hz but remained constant when the frequency was higher than 0.5 Hz. The tanδ showed a negative logarithmic correlation with frequency. The dynamic moduli and the loss tangent of the central incisor were higher than those of the lateral incisor. This study concluded that the human PDL exhibits viscoelastic behavior under compressive loadings within the range of the used frequency, 0.05 Hz- 5 Hz. The tooth position and testing frequency may have effects on the viscoelastic properties of PDL.
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Affiliation(s)
- Bin Wu
- College of Mechanical and Electronic Engineering, Nanjing Forestry University, Nanjing, China
| | - Panjun Pu
- Jiangsu Key Laboratory of Oral Diseases, Department of Orthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Siyu Zhao
- Jiangsu Key Laboratory of Oral Diseases, Department of Orthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Iman Izadikhah
- Jiangsu Key Laboratory of Oral Diseases, Department of Orthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Haotian Shi
- Jiangsu Key Laboratory of Oral Diseases, Department of Orthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Mao Liu
- Jiangsu Key Laboratory of Oral Diseases, Department of Orthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Ruxin Lu
- College of Mechanical Engineering, Southeast University, Nanjing, China
| | - Bin Yan
- Jiangsu Key Laboratory of Oral Diseases, Department of Orthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
- * E-mail:
| | - Songyun Ma
- Institute of General Mechanics, RWTH-Aachen University, Aachen, Nordrhein-Westfalen, Germany
| | - Bernd Markert
- Institute of General Mechanics, RWTH-Aachen University, Aachen, Nordrhein-Westfalen, Germany
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25
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Gunes OC, Albayrak AZ, Tasdemir S, Sendemir A. Wet-electrospun PHBV nanofiber reinforced carboxymethyl chitosan-silk hydrogel composite scaffolds for articular cartilage repair. J Biomater Appl 2020; 35:515-531. [DOI: 10.1177/0885328220930714] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
The objective of the study was to produce three-dimensional and porous nanofiber reinforced hydrogel scaffolds that can mimic the hydrated composite structure of the cartilage extracellular matrix. In this regard, wet-electrospun poly(3-hydroxybutyrate-co-3-hydroxyvalerate) (PHBV) nanofiber reinforced carboxymethyl chitosan-silk fibroin (PNFs/CMCht-SF) hydrogel composite scaffolds that were chemically cross-linked by poly(ethylene glycol) diglycidyl ether (PEGDE) were produced. To the best of our knowledge, this is the first study in cartilage regeneration where a three dimensional porous spongy composite scaffold was obtained by the dispersion of wet-electrospun nanofibers within a polymer matrix. All of the produced hydrogel composite scaffolds had an interconnected microporous structure with well-integrated PHBV nanofibers on the pore walls. The scaffold comprising an equal amount of PEGDE and polymer (PNFs/CMCht-SF1:PEGDE1) demonstrated comparable water content (91.4 ± 0.7%), tan δ (0.183 at 1 Hz) and compressive strength (457 ± 85 kPa) values to that of articular cartilage. Besides, based on the histological analysis, this hydrogel composite scaffold supported the chondrogenic differentiation of bone marrow mesenchymal stem cells. Consequently, this hydrogel composite scaffold presented a great promise for cartilage tissue regeneration.
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Affiliation(s)
- Oylum Colpankan Gunes
- Metallurgical and Materials Engineering Department, Faculty of Engineering, Dokuz Eylul University, Buca-Izmir, Turkey
| | - Aylin Ziylan Albayrak
- Metallurgical and Materials Engineering Department, Faculty of Engineering, Dokuz Eylul University, Buca-Izmir, Turkey
| | - Seyma Tasdemir
- Bioengineering Department, Faculty of Engineering, Ege University, Bornova-Izmir, Turkey
| | - Aylin Sendemir
- Bioengineering Department, Faculty of Engineering, Ege University, Bornova-Izmir, Turkey
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26
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Dusfour G, Maumus M, Cañadas P, Ambard D, Jorgensen C, Noël D, Le Floc'h S. Mesenchymal stem cells-derived cartilage micropellets: A relevant in vitro model for biomechanical and mechanobiological studies of cartilage growth. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2020; 112:110808. [PMID: 32409025 DOI: 10.1016/j.msec.2020.110808] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2019] [Revised: 11/20/2019] [Accepted: 03/02/2020] [Indexed: 12/13/2022]
Abstract
The prevalence of diseases that affect the articular cartilage is increasing due to population ageing, but the current treatments are only palliative. One innovative approach to repair cartilage defects is tissue engineering and the use of mesenchymal stem/stromal cells (MSCs). Although the combination of MSCs with biocompatible scaffolds has been extensively investigated, no product is commercially available yet. This could be explained by the lack of mechanical stimulation during in vitro culture and the absence of proper and stable cartilage matrix formation, leading to poor integration after implantation. The objective of the present study was to investigate the biomechanical behaviour of MSC differentiation in micropellets, a well-defined 3D in vitro model of cartilage differentiation and growth, in view of tissue engineering applications. MSC micropellet chondrogenic differentiation was induced by exposure to TGFβ3. At different time points during differentiation (35 days of culture), their global mechanical properties were assessed using a very sensitive compression device coupled to an identification procedure based on a finite element parametric model. Micropellets displayed both a non-linear strain-induced stiffening behaviour and a dissipative behaviour that increased from day 14 to day 29, with a maximum instantaneous Young's modulus of 179.9 ± 18.8 kPa. Moreover, chondrocyte gene expression levels were strongly correlated with the observed mechanical properties. This study indicates that cartilage micropellets display the biochemical and biomechanical characteristics required for investigating and recapitulating the different stages of cartilage development.
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Affiliation(s)
- G Dusfour
- LMGC, Univ. Montpellier, CNRS, Montpellier, France
| | - M Maumus
- IRMB, Univ. Montpellier, INSERM, CHU Montpellier, Montpellier, France; Hopital Lapeyronie, Clinical Immunology and Osteoarticular Diseases Therapeutic Unit, Montpellier, France
| | - P Cañadas
- LMGC, Univ. Montpellier, CNRS, Montpellier, France
| | - D Ambard
- LMGC, Univ. Montpellier, CNRS, Montpellier, France
| | - C Jorgensen
- IRMB, Univ. Montpellier, INSERM, CHU Montpellier, Montpellier, France; Hopital Lapeyronie, Clinical Immunology and Osteoarticular Diseases Therapeutic Unit, Montpellier, France
| | - D Noël
- IRMB, Univ. Montpellier, INSERM, CHU Montpellier, Montpellier, France; Hopital Lapeyronie, Clinical Immunology and Osteoarticular Diseases Therapeutic Unit, Montpellier, France
| | - S Le Floc'h
- LMGC, Univ. Montpellier, CNRS, Montpellier, France.
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27
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A method for the assessment of the coefficient of friction of articular cartilage and a replacement biomaterial. J Mech Behav Biomed Mater 2020; 103:103580. [DOI: 10.1016/j.jmbbm.2019.103580] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2019] [Revised: 11/27/2019] [Accepted: 12/02/2019] [Indexed: 11/17/2022]
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28
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Mountcastle SE, Allen P, Mellors BOL, Lawless BM, Cooke ME, Lavecchia CE, Fell NLA, Espino DM, Jones SW, Cox SC. Dynamic viscoelastic characterisation of human osteochondral tissue: understanding the effect of the cartilage-bone interface. BMC Musculoskelet Disord 2019; 20:575. [PMID: 31785617 PMCID: PMC6885320 DOI: 10.1186/s12891-019-2959-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2019] [Accepted: 11/20/2019] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND Despite it being known that subchondral bone affects the viscoelasticity of cartilage, there has been little research into the mechanical properties of osteochondral tissue as a whole system. This study aims to unearth new knowledge concerning the dynamic behaviour of human subchondral bone and how energy is transferred through the cartilage-bone interface. METHODS Dynamic mechanical analysis was used to determine the frequency-dependent (1-90 Hz) viscoelastic properties of the osteochondral unit (cartilage-bone system) as well as isolated cartilage and bone specimens extracted from human femoral heads obtained from patients undergoing total hip replacement surgery, with a mean age of 78 years (N = 5, n = 22). Bone mineral density (BMD) was also determined for samples using micro-computed tomography as a marker of tissue health. RESULTS Cartilage storage and loss moduli along with bone storage modulus were found to increase logarithmically (p < 0.05) with frequency. The mean cartilage storage modulus was 34.4 ± 3.35 MPa and loss modulus was 6.17 ± 0.48 MPa (mean ± standard deviation). In contrast, bone loss modulus decreased logarithmically between 1 and 90 Hz (p < 0.05). The storage stiffness of the cartilage-bone-core was found to be frequency-dependent with a mean value of 1016 ± 54.0 N.mm- 1, while the loss stiffness was determined to be frequency-independent at 78.84 ± 2.48 N.mm- 1. Notably, a statistically significant (p < 0.05) linear correlation was found between the total energy dissipated from the isolated cartilage specimens, and the BMD of the isolated bone specimens at all frequencies except at 90 Hz (p = 0.09). CONCLUSIONS The viscoelastic properties of the cartilage-bone core were significantly different to the tissues in isolation (p < 0.05). Results from this study demonstrate that the functionality of these tissues arises because they operate as a unit. This is evidenced through the link between cartilage energy dissipated and bone BMD. The results may provide insights into the functionality of the osteochondral unit, which may offer further understanding of disease progression, such as osteoarthritis (OA). Furthermore, the results emphasise the importance of studying human tissue, as bovine models do not always display the same trends.
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Affiliation(s)
- Sophie E. Mountcastle
- 0000 0004 1936 7486grid.6572.6EPSRC Centre for Doctoral Training in Physical Sciences for Health, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK ,0000 0004 1936 7486grid.6572.6School of Chemical Engineering, College of Engineering and Physical Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK
| | - Piers Allen
- 0000 0004 1936 7486grid.6572.6EPSRC Centre for Doctoral Training in Physical Sciences for Health, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK
| | - Ben O. L. Mellors
- 0000 0004 1936 7486grid.6572.6EPSRC Centre for Doctoral Training in Physical Sciences for Health, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK
| | - Bernard M. Lawless
- 0000 0004 1936 7486grid.6572.6Department of Mechanical Engineering, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK
| | - Megan E. Cooke
- 0000 0004 1936 7486grid.6572.6EPSRC Centre for Doctoral Training in Physical Sciences for Health, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK ,0000 0004 1936 7486grid.6572.6School of Chemical Engineering, College of Engineering and Physical Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK ,0000 0004 1936 7486grid.6572.6Centre for Musculoskeletal Ageing Research, Queen Elizabeth Hospital, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK
| | - Carolina E. Lavecchia
- 0000 0004 1936 7486grid.6572.6Department of Mechanical Engineering, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK
| | - Natasha L. A. Fell
- 0000 0004 1936 7486grid.6572.6Department of Mechanical Engineering, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK
| | - Daniel M. Espino
- 0000 0004 1936 7486grid.6572.6Department of Mechanical Engineering, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK
| | - Simon W. Jones
- 0000 0004 1936 7486grid.6572.6Centre for Musculoskeletal Ageing Research, Queen Elizabeth Hospital, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK
| | - Sophie C. Cox
- 0000 0004 1936 7486grid.6572.6School of Chemical Engineering, College of Engineering and Physical Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK
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Marrese M, Lonardoni D, Boi F, van Hoorn H, Maccione A, Zordan S, Iannuzzi D, Berdondini L. Investigating the Effects of Mechanical Stimulation on Retinal Ganglion Cell Spontaneous Spiking Activity. Front Neurosci 2019; 13:1023. [PMID: 31611765 PMCID: PMC6776634 DOI: 10.3389/fnins.2019.01023] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Accepted: 09/09/2019] [Indexed: 01/03/2023] Open
Abstract
Mechanical forces are increasingly recognized as major regulators of several physiological processes at both the molecular and cellular level; therefore, a deep understanding of the sensing of these forces and their conversion into electrical signals are essential for studying the mechanosensitive properties of soft biological tissues. To contribute to this field, we present a dual-purpose device able to mechanically stimulate retinal tissue and to record the spiking activity of retinal ganglion cells (RGCs). This new instrument relies on combining ferrule-top micro-indentation, which provides local measurements of viscoelasticity, with high-density multi-electrode array (HD-MEAs) to simultaneously record the spontaneous activity of the retina. In this paper, we introduce this instrument, describe its technical characteristics, and present a proof-of-concept experiment that shows how RGC spiking activity of explanted mice retinas respond to mechanical micro-stimulations of their photoreceptor layer. The data suggest that, under specific conditions of indentation, the retina perceive the mechanical stimulation as modulation of the visual input, besides the longer time-scale of activation, and the increase in spiking activity is not only localized under the indentation probe, but it propagates across the retinal tissue.
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Affiliation(s)
- Marica Marrese
- LaserLab, Department of Physics and Astronomy, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Davide Lonardoni
- NetS3 Laboratory, Neuroscience and Brain Technologies Department, Fondazione Istituto Italiano di Tecnologia, Genova, Italy
| | - Fabio Boi
- NetS3 Laboratory, Neuroscience and Brain Technologies Department, Fondazione Istituto Italiano di Tecnologia, Genova, Italy
| | - Hedde van Hoorn
- LaserLab, Department of Physics and Astronomy, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Alessandro Maccione
- NetS3 Laboratory, Neuroscience and Brain Technologies Department, Fondazione Istituto Italiano di Tecnologia, Genova, Italy
| | - Stefano Zordan
- NetS3 Laboratory, Neuroscience and Brain Technologies Department, Fondazione Istituto Italiano di Tecnologia, Genova, Italy
| | - Davide Iannuzzi
- LaserLab, Department of Physics and Astronomy, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Luca Berdondini
- NetS3 Laboratory, Neuroscience and Brain Technologies Department, Fondazione Istituto Italiano di Tecnologia, Genova, Italy
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Patel JM, Wise BC, Bonnevie ED, Mauck RL. A Systematic Review and Guide to Mechanical Testing for Articular Cartilage Tissue Engineering. Tissue Eng Part C Methods 2019; 25:593-608. [PMID: 31288616 DOI: 10.1089/ten.tec.2019.0116] [Citation(s) in RCA: 60] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Articular cartilage is integral to the mechanical function of many joints in the body. When injured, cartilage lacks the capacity to self-heal, and thus, therapies and replacements have been developed in recent decades to treat damaged cartilage. Given that the primary function of articular cartilage is mechanical in nature, rigorous physical evaluation of cartilage tissues undergoing treatment and cartilage constructs intended for replacement is an absolute necessity. With the large number of groups developing cartilage tissue engineering strategies, however, a variety of mechanical testing protocols have been reported in the literature. This lack of consensus in testing methods makes comparison between studies difficult at times, and can lead to misinterpretation of data relative to native tissue. Therefore, the purpose of this study was to systematically review mechanical testing of articular cartilage and cartilage repair constructs over the past 10 years (January 2009-December 2018), to highlight the most common testing configurations, and to identify key testing parameters. For the most common tests, key parameters identified in this systematic review were validated by characterizing both cartilage tissue and hydrogels commonly used in cartilage tissue engineering. Our findings show that compression testing was the most common test performed (80.2%; 158/197), followed by evaluation of frictional properties (18.8%; 37/197). Upon further review of those studies performing compression testing, the various modes (ramp, stress relaxation, creep, dynamic) and testing configurations (unconfined, confined, in situ) are described and systematically reviewed for parameters, including strain rate, equilibrium time, and maximum strain. This systematic analysis revealed considerable variability in testing methods. Our validation testing studies showed that such variations in testing criteria could have large implications on reported outcome parameters (e.g., modulus) and the interpretation of findings from these studies. This analysis is carried out for all common testing methods, followed by a discussion of less common trends and directions in the mechanical evaluation of cartilage tissues and constructs. Overall, this work may serve as a guide for cartilage tissue engineers seeking to rigorously evaluate the physical properties of their novel treatment strategies. Impact Statement Articular cartilage tissue engineering has made significant strides with regard to treatments and replacements for injured tissue. The evaluation of these approaches typically involves mechanical testing, yet the plethora of testing techniques makes comparisons between studies difficult, and often leads to misinterpretation of data compared with native tissue. This study serves as a guide for the mechanical testing of cartilage tissues and constructs, highlighting recent trends in test conditions and validating these common procedures. Cartilage tissue engineers, especially those unfamiliar with mechanical testing protocols, will benefit from this study in their quest to physically evaluate novel treatment and regeneration approaches.
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Affiliation(s)
- Jay M Patel
- McKay Orthopedic Research Laboratory, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.,Translational Musculoskeletal Research Center, Corporal Michael J Crescenz VA Medical Center, Philadelphia, Pennsylvania
| | - Brian C Wise
- McKay Orthopedic Research Laboratory, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.,Department of Bioengineering, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Edward D Bonnevie
- McKay Orthopedic Research Laboratory, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.,Translational Musculoskeletal Research Center, Corporal Michael J Crescenz VA Medical Center, Philadelphia, Pennsylvania
| | - Robert L Mauck
- McKay Orthopedic Research Laboratory, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.,Translational Musculoskeletal Research Center, Corporal Michael J Crescenz VA Medical Center, Philadelphia, Pennsylvania.,Department of Bioengineering, University of Pennsylvania, Philadelphia, Pennsylvania
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31
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WANG SHILEI, GAO LILAN, ZHANG CHUNQIU, SONG YANG, ZHANG XIZHENG, GUO TONGTONG. STUDY ON MECHANICAL PROPERTIES OF TOTAL KNEE ARTICULAR CARTILAGE UNDER DIFFERENT LOADING RATES. J MECH MED BIOL 2019. [DOI: 10.1142/s0219519419500167] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Knee joint is the main weight bearing tissue of human body, also it is one of the prone parts of the clinical disease. Under different sports conditions, knee joint was loaded at different forms. In this study, the changes of average contact pressure, peak contact pressure, contact area and pressure-sharing regions were researched using the intact and defect pig knee joints under different loading rates and loads, including fast rates and large loads. These data were measured and recorded by usage of the sensor plate that placed between the unilateral meniscus and the femur cartilage during loading process. As for the intact cartilage samples, the average contact pressure and peak contact pressure of the femur cartilage increase with the loading rate, while the contact area is contrast to it. As for defect cartilage samples, it not only emerged stress concentration on the edge of the defect and pressure distribution in joint cavity was different with intact cartilage samples, but also the main bearing region was transferred from the femur cartilage-meniscus contact area to the femur cartilage-tibial cartilage contact area at different loading forms. In different loading stages, the pressure-sharing regions between the cartilage and the meniscus also changes. Different loading rates, different loads and defects will change the mechanical states of the knee joint. In loading forms, the mechanical condition may cause or aggravate damnification of the knee joint cartilage. Therefore, this study is beneficial for promoting and perfecting the research of mechanical properties of knee joint cartilage and provides a theoretical basis for the prevention and treatment of knee cartilage injury.
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Affiliation(s)
- SHILEI WANG
- Tianjin Key Laboratory for Advanced Mechatronic System Design and Intelligent Control, School of Mechanical Engineering, Tianjin University of Technology, Tianjin 300384, P. R. China
- National Demonstration Center for Experimental, Mechanical and Electrical Engineering Education, Tianjin University of Technology, P. R. China
| | - LILAN GAO
- Tianjin Key Laboratory for Advanced Mechatronic System Design and Intelligent Control, School of Mechanical Engineering, Tianjin University of Technology, Tianjin 300384, P. R. China
- National Demonstration Center for Experimental, Mechanical and Electrical Engineering Education, Tianjin University of Technology, P. R. China
| | - CHUNQIU ZHANG
- Tianjin Key Laboratory for Advanced Mechatronic System Design and Intelligent Control, School of Mechanical Engineering, Tianjin University of Technology, Tianjin 300384, P. R. China
- National Demonstration Center for Experimental, Mechanical and Electrical Engineering Education, Tianjin University of Technology, P. R. China
| | - YANG SONG
- Tianjin Key Laboratory for Advanced Mechatronic System Design and Intelligent Control, School of Mechanical Engineering, Tianjin University of Technology, Tianjin 300384, P. R. China
- National Demonstration Center for Experimental, Mechanical and Electrical Engineering Education, Tianjin University of Technology, P. R. China
| | - XIZHENG ZHANG
- Tianjin Key Laboratory for Advanced Mechatronic System Design and Intelligent Control, School of Mechanical Engineering, Tianjin University of Technology, Tianjin 300384, P. R. China
- National Demonstration Center for Experimental, Mechanical and Electrical Engineering Education, Tianjin University of Technology, P. R. China
| | - TONGTONG GUO
- Nature Science Department Harbin Institute of Technology, Shenzhen Campus, Shenzhen 518055, P. R. China
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Ansari S, Khorshidi S, Karkhaneh A. Engineering of gradient osteochondral tissue: From nature to lab. Acta Biomater 2019; 87:41-54. [PMID: 30721785 DOI: 10.1016/j.actbio.2019.01.071] [Citation(s) in RCA: 81] [Impact Index Per Article: 16.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2018] [Revised: 12/22/2018] [Accepted: 01/31/2019] [Indexed: 12/11/2022]
Abstract
The osteochondral tissue is an interface between two distinct tissues: articular cartilage and bone. These two tissues are significantly diverse with regard to their chemical compositions, mechanical properties, structure, electrical properties, and the amount of nutrient and oxygen consumption. Thus, transition from the surface of the articular cartilage to the subchondral bone needs to face several smooth gradients. These gradients are imperative to study to generate a scaffold suitable for the reconstruction of the cartilaginous and osseous layers of a defected osteochondral tissue, simultaneously. The aim of this review is to peruse the alternation of biochemical, biomechanical, structural, electrical, and metabolic properties of the osteochondral tissue moving from the surface of the articular cartilage to the subchondral bone. Moreover, this review also discusses currently developed approaches and ideal techniques with a focus on gradients present in the interface of the cartilage and bone. STATEMENT OF SIGNIFICANCE: The submitted review paper entitled as "Engineering of the gradient osteochondral tissue: from nature to lab" is a complete review with regard to the osteochondral tissue and transition of different properties between the cartilage and bone tissues. Moreover, previous studies on the osteochondral tissue engineering have been reviewed in this paper. This complete information can be a valuable and useful source for current and future researchers and scientists. Considering the scope of the submitted paper, Acta Biomaterialia would be a suitable journal for publishing this article.
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Fell NLA, Lawless BM, Cox SC, Cooke ME, Eisenstein NM, Shepherd DET, Espino DM. The role of subchondral bone, and its histomorphology, on the dynamic viscoelasticity of cartilage, bone and osteochondral cores. Osteoarthritis Cartilage 2019; 27:535-543. [PMID: 30576795 PMCID: PMC6414396 DOI: 10.1016/j.joca.2018.12.006] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2018] [Revised: 11/19/2018] [Accepted: 12/10/2018] [Indexed: 02/02/2023]
Abstract
OBJECTIVE Viscoelastic properties of articular cartilage have been characterised at physiological frequencies. However, studies investigating the interaction between cartilage and subchondral bone and the influence of underlying bone histomorphometry on the viscoelasticity of cartilage are lacking. METHOD Dynamic Mechanical Analysis (DMA) has been used to quantify the dynamic viscoelasticity of bovine tibial plateau osteochondral cores, over a frequency sweep from 1 to 88 Hz. Specimens (approximately aged between 18 and 30 months) were neither osteoarthritic nor otherwise compromised. A maximum nominal stress of 1.7 MPa was induced. Viscoelastic properties of cores have been compared with that of its components (cartilage and bone) in terms of the elastic and viscous components of both structural stiffness and material modulus. Micro-computed tomography scans were used to quantify the histomorphological properties of the subchondral bone. RESULTS Opposing frequency-dependent loss stiffness, and modulus, trends were witnessed for osteochondral tissues: for cartilage it increased logarithmically (P < 0.05); for bone it decreased logarithmically (P < 0.05). The storage stiffness of osteochondral cores was logarithmically frequency-dependent (P < 0.05), however, the loss stiffness was typically frequency-independent (P > 0.05). A linear relationship between the subchondral bone plate (SBP) thickness and cartilage thickness (P < 0.001) was identified. Cartilage loss modulus was linearly correlated to bone mineral density (BMD) (P < 0.05) and bone volume (P < 0.05). CONCLUSION The relationship between the subchondral bone histomorphometry and cartilage viscoelasticity (namely loss modulus) and thickness, have implications for the initiation and progression of osteoarthritis (OA) through an altered ability of cartilage to dissipate energy.
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Affiliation(s)
- N L A Fell
- Department of Mechanical Engineering, University of Birmingham, United Kingdom
| | - B M Lawless
- Department of Mechanical Engineering, University of Birmingham, United Kingdom
| | - S C Cox
- School of Chemical Engineering, University of Birmingham, United Kingdom
| | - M E Cooke
- School of Chemical Engineering, University of Birmingham, United Kingdom; Institute of Inflammation and Ageing, Queen Elizabeth Hospital Birmingham, United Kingdom
| | - N M Eisenstein
- Royal Centre for Defence Medicine, Birmingham Research Park, United Kingdom
| | - D E T Shepherd
- Department of Mechanical Engineering, University of Birmingham, United Kingdom
| | - D M Espino
- Department of Mechanical Engineering, University of Birmingham, United Kingdom.
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Towards viscoelastic characterisation of the human ulnar nerve: An early assessment using embalmed cadavers. Med Eng Phys 2019; 64:15-22. [DOI: 10.1016/j.medengphy.2018.12.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2018] [Revised: 11/22/2018] [Accepted: 12/04/2018] [Indexed: 11/18/2022]
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Mahmood H, Shepherd DET, Espino DM. Surface damage of bovine articular cartilage-off-bone: the effect of variations in underlying substrate and frequency. BMC Musculoskelet Disord 2018; 19:384. [PMID: 30355307 PMCID: PMC6201575 DOI: 10.1186/s12891-018-2305-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2018] [Accepted: 10/15/2018] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Changes in bone mineral density have been implicated with the onset of osteoarthritis, but its role in inducing failure of articular cartilage mechanically is unclear. This study aimed to determine the effect of substrate density, as the underlying bone, on the surface damage of cartilage-off-bone, at frequencies associated with gait, and above. METHODS Bovine articular cartilage samples were tested off-bone to assess induced damage with an indenter under a compressive sinusoidal load range of 5-50 N at frequencies of 1, 10 and 50 Hz, corresponding to normal and above normal gait respectively, for up to 10,000 cycles. Cartilage samples were tested on four underlying substrates with densities of 0.1556, 0.3222, 0.5667 and 0.6000 g/cm3. India ink was applied to identify damage as cracks, measured across their length using ImageJ software. Linear regression was performed to identify if statistical significance existed between substrate density, and surface damage of articular cartilage-off-bone, at all three frequencies investigated (p < 0.05). RESULTS Surface damage significantly increased (p < 0.05) with substrate density at 10 Hz of applied frequency. Crack length at this frequency reached the maximum of 10.95 ± 9.12 mm (mean ± standard deviation), across all four substrates tested. Frequencies applied at 1 and 50 Hz failed to show a significant increase (p > 0.05) in surface damage with an increase in substrate density, at which the maximum mean crack length were 3.01 ± 3.41 mm and 5.65 ± 6.54 mm, respectively. Crack formation at all frequencies tended to form at the periphery of the cartilage specimen, with multiple straight-line cracking observed at 10 Hz, in comparison to single straight-line configurations produced at 1 and 50 Hz. CONCLUSIONS The effect of substrate density on the surface damage of articular cartilage-off-bone is multi-factorial, with an above-normal gait frequency. At 1 Hz cartilage damage is not associated with substrate density, however at 10 Hz, it is. This study has implications on the effects of the factors that contribute to the onset of osteoarthritis.
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Affiliation(s)
- Humaira Mahmood
- Department of Mechanical Engineering, University of Birmingham, B15 2TT, Birmingham, UK
| | - Duncan E. T. Shepherd
- Department of Mechanical Engineering, University of Birmingham, B15 2TT, Birmingham, UK
| | - Daniel M. Espino
- Department of Mechanical Engineering, University of Birmingham, B15 2TT, Birmingham, UK
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D'Amora U, Ronca A, Raucci MG, Lin H, Soriente A, Fan Y, Zhang X, Ambrosio L. Bioactive composites based on double network approach with tailored mechanical, physico-chemical, and biological features. J Biomed Mater Res A 2018; 106:3079-3089. [DOI: 10.1002/jbm.a.36498] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2018] [Revised: 06/18/2018] [Accepted: 06/27/2018] [Indexed: 12/19/2022]
Affiliation(s)
- Ugo D'Amora
- Institute of Polymers; Composites and Biomaterials, National Research Council; Naples Italy
| | - Alfredo Ronca
- Institute of Polymers; Composites and Biomaterials, National Research Council; Naples Italy
| | - Maria Grazia Raucci
- Institute of Polymers; Composites and Biomaterials, National Research Council; Naples Italy
| | - Hai Lin
- National Engineering Research Center for Biomaterials; Sichuan University; Chengdu China
| | - Alessandra Soriente
- Institute of Polymers; Composites and Biomaterials, National Research Council; Naples Italy
| | - Yujiang Fan
- National Engineering Research Center for Biomaterials; Sichuan University; Chengdu China
| | - Xingdong Zhang
- National Engineering Research Center for Biomaterials; Sichuan University; Chengdu China
| | - Luigi Ambrosio
- Institute of Polymers; Composites and Biomaterials, National Research Council; Naples Italy
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Jeznach O, Kołbuk D, Sajkiewicz P. Injectable hydrogels and nanocomposite hydrogels for cartilage regeneration. J Biomed Mater Res A 2018; 106:2762-2776. [DOI: 10.1002/jbm.a.36449] [Citation(s) in RCA: 49] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2018] [Revised: 03/15/2018] [Accepted: 04/30/2018] [Indexed: 12/28/2022]
Affiliation(s)
- Oliwia Jeznach
- Institute of Fundamental Technological Research, Polish Academy of Sciences; Pawinskiego 5BWarsaw, 02‐106 Poland
| | - Dorota Kołbuk
- Institute of Fundamental Technological Research, Polish Academy of Sciences; Pawinskiego 5BWarsaw, 02‐106 Poland
| | - Pawe Sajkiewicz
- Institute of Fundamental Technological Research, Polish Academy of Sciences; Pawinskiego 5BWarsaw, 02‐106 Poland
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Ribeiro VP, da Silva Morais A, Maia FR, Canadas RF, Costa JB, Oliveira AL, Oliveira JM, Reis RL. Combinatory approach for developing silk fibroin scaffolds for cartilage regeneration. Acta Biomater 2018; 72:167-181. [PMID: 29626700 DOI: 10.1016/j.actbio.2018.03.047] [Citation(s) in RCA: 62] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2017] [Revised: 03/13/2018] [Accepted: 03/28/2018] [Indexed: 01/26/2023]
Abstract
Several processing technologies and engineering strategies have been combined to create scaffolds with superior performance for efficient tissue regeneration. Cartilage tissue is a good example of that, presenting limited self-healing capacity together with a high elasticity and load-bearing properties. In this work, novel porous silk fibroin (SF) scaffolds derived from horseradish peroxidase (HRP)-mediated crosslinking of highly concentrated aqueous SF solution (16 wt%) in combination with salt-leaching and freeze-drying methodologies were developed for articular cartilage tissue engineering (TE) applications. The HRP-crosslinked SF scaffolds presented high porosity (89.3 ± 0.6%), wide pore distribution and high interconnectivity (95.9 ± 0.8%). Moreover, a large swelling capacity and favorable degradation rate were observed up to 30 days, maintaining the porous-like structure and β-sheet conformational integrity obtained with salt-leaching and freeze-drying processing. The in vitro studies supported human adipose-derived stem cells (hASCs) adhesion, proliferation, and high glycosaminoglycans (GAGs) synthesis under chondrogenic culture conditions. Furthermore, the chondrogenic differentiation of hASCs was assessed by the expression of chondrogenic-related markers (collagen type II, Sox-9 and Aggrecan) and deposition of cartilage-specific extracellular matrix for up to 28 days. The cartilage engineered constructs also presented structural integrity as their mechanical properties were improved after chondrogenic culturing. Subcutaneous implantation of the scaffolds in CD-1 mice demonstrated no necrosis or calcification, and deeply tissue ingrowth. Collectively, the structural properties and biological performance of these porous HRP-crosslinked SF scaffolds make them promising candidates for cartilage regeneration. STATEMENT OF SIGNIFICANCE In cartilage tissue engineering (TE), several processing technologies have been combined to create scaffolds for efficient tissue repair. In our study, we propose novel silk fibroin (SF) scaffolds derived from enzymatically crosslinked SF hydrogels processed by salt-leaching and freeze-drying technologies, for articular cartilage applications. Though these scaffolds, we were able to combine the elastic properties of hydrogel-based systems, with the stability, resilience and controlled porosity of scaffolds processed via salt-leaching and freeze-drying technologies. SF protein has been extensively explored for TE applications, as a result of its mechanical strength, elasticity, biocompatibility, and biodegradability. Thus, the structural, mechanical and biological performance of the proposed scaffolds potentiates their use as three-dimensional matrices for cartilage regeneration.
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Kelly CN, Miller AT, Hollister SJ, Guldberg RE, Gall K. Design and Structure-Function Characterization of 3D Printed Synthetic Porous Biomaterials for Tissue Engineering. Adv Healthc Mater 2018; 7:e1701095. [PMID: 29280325 DOI: 10.1002/adhm.201701095] [Citation(s) in RCA: 70] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Revised: 10/19/2017] [Indexed: 12/18/2022]
Abstract
3D printing is now adopted for use in a variety of industries and functions. In biomedical engineering, 3D printing has prevailed over more traditional manufacturing methods in tissue engineering due to its high degree of control over both macro- and microarchitecture of porous tissue scaffolds. However, with the improved flexibility in design come new challenges in characterizing the structure-function relationships between various architectures and both mechanical and biological properties in an assortment of clinical applications. Presently, the field of tissue engineering lacks a comprehensive body of literature that is capable of drawing meaningful relationships between the designed structure and resulting function of 3D printed porous biomaterial scaffolds. This work first discusses the role of design on 3D printed porous scaffold function and then reviews characterization of these structure-function relationships for 3D printed synthetic metallic, polymeric, and ceramic biomaterials.
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Affiliation(s)
- Cambre N. Kelly
- Department of Mechanical Engineering and Materials Science; Duke University; Box 90300 Hudson Hall Durham NC 27708 USA
| | - Andrew T. Miller
- Department of Mechanical Engineering and Materials Science; Duke University; Box 90300 Hudson Hall Durham NC 27708 USA
| | - Scott J. Hollister
- Coulter Department of Biomedical Engineering; Georgia Institute of Technology; 313 Ferst Drive, Room 2127 Atlanta GA 30332 USA
| | - Robert E. Guldberg
- Parker H. Petit Institute for Bioengineering and Bioscience; Georgia Institute of Technology; 315 Ferst Drive Atlanta GA 30332 USA
| | - Ken Gall
- Department of Mechanical Engineering and Materials Science; Duke University; Box 90300 Hudson Hall Durham NC 27708 USA
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Majumdar T, Cooke ME, Lawless BM, Bellier F, Hughes EAB, Grover LM, Jones SW, Cox SC. Formulation and viscoelasticity of mineralised hydrogels for use in bone-cartilage interfacial reconstruction. J Mech Behav Biomed Mater 2018; 80:33-41. [PMID: 29414473 DOI: 10.1016/j.jmbbm.2018.01.016] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2017] [Revised: 01/14/2018] [Accepted: 01/16/2018] [Indexed: 12/14/2022]
Abstract
Articular cartilage is a viscoelastic tissue whose structural integrity is important in maintaining joint health. To restore the functionality of osteoarthritic joints it is vital that regenerative strategies mimic the dynamic loading response of cartilage and bone. Here, a rotating simplex model was employed to optimise the composition of agarose and gellan hydrogel constructs structured with hydroxyapatite (HA) with the aim of obtaining composites mechanically comparable to human cartilage in terms of their ability to dissipate energy. Addition of ceramic particles was found to reinforce both matrices up to a critical concentration (< 3w/v%). Beyond this, larger agglomerates were formed, as evidenced by micro computed tomography data, which acted as stress risers and reduced the ability of composites to dissipate energy demonstrated by a reduction in tan δ values. A maximum compressive modulus of 450.7±24.9 kPa was achieved with a composition of 5.8w/v% agarose and 0.5w/v% HA. Interestingly, when loaded dynamically (1-20Hz) this optimised formulation did not exhibit the highest complex modulus instead a sample with a higher concentration of mineral was identified (5.8w/v% agarose and 25w/v% HA). Thus, demonstrating the importance of examining the mechanical behaviour of biomaterials under conditions representative of physiological environments. While the complex moduli of the optimised gellan (1.0 ± 0.2MPa at 1Hz) and agarose (1.7 ± 0.2MPa at 1Hz) constructs did not match the complex moduli of healthy human cartilage samples (26.3 ± 6.5MPa at 1Hz), similar tan δ values were observed between 1 and 5Hz. This is promising since these frequencies represent the typical heel strike time of the general population. In summary, this study demonstrates the importance of considering more than just the strength of biomaterials since tissues like cartilage play a more complex role.
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Affiliation(s)
- Trina Majumdar
- Materials Science and Engineering Department, Monash University, Australia
| | - Megan E Cooke
- Institute of Inflammation and Ageing, MRC-ARUK Centre for Musculoskeletal Ageing Research, Queen Elizabeth Hospital, University of Birmingham, Birmingham B15 2WB, United Kingdom; School of Chemical Engineering, University of Birmingham, United Kingdom
| | - Bernard M Lawless
- Department of Mechanical Engineering, University of Birmingham, United Kingdom
| | - Francis Bellier
- Materials Engineering, Toulouse National Polytechnic Institute, France
| | - Erik A B Hughes
- School of Chemical Engineering, University of Birmingham, United Kingdom
| | - Liam M Grover
- School of Chemical Engineering, University of Birmingham, United Kingdom
| | - Simon W Jones
- Institute of Inflammation and Ageing, MRC-ARUK Centre for Musculoskeletal Ageing Research, Queen Elizabeth Hospital, University of Birmingham, Birmingham B15 2WB, United Kingdom
| | - Sophie C Cox
- School of Chemical Engineering, University of Birmingham, United Kingdom.
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Lawless BM, Sadeghi H, Temple DK, Dhaliwal H, Espino DM, Hukins DWL. Viscoelasticity of articular cartilage: Analysing the effect of induced stress and the restraint of bone in a dynamic environment. J Mech Behav Biomed Mater 2017; 75:293-301. [PMID: 28763685 PMCID: PMC5636614 DOI: 10.1016/j.jmbbm.2017.07.040] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2017] [Revised: 07/13/2017] [Accepted: 07/26/2017] [Indexed: 12/04/2022]
Abstract
The aim of this study was to determine the effect of the induced stress and restraint provided by the underlying bone on the frequency-dependent storage and loss stiffness (for bone restraint) or modulus (for induced stress) of articular cartilage, which characterise its viscoelasticity. Dynamic mechanical analysis has been used to determine the frequency-dependent viscoelastic properties of bovine femoral and humeral head articular cartilage. A sinusoidal load was applied to the specimens and out-of-phase displacement response was measured to determine the phase angle, the storage and loss stiffness or modulus. As induced stress increased, the storage modulus significantly increased (p < 0.05). The phase angle decreased significantly (p < 0.05) as the induced stress increased; reducing from 13.1° to 3.5°. The median storage stiffness ranged from 548N/mm to 707N/mm for cartilage tested on-bone and 544N/mm to 732N/mm for cartilage tested off-bone. On-bone articular cartilage loss stiffness was frequency independent (p > 0.05); however, off-bone, articular cartilage loss stiffness demonstrated a logarithmic frequency-dependency (p < 0.05). In conclusion, the frequency-dependent trends of storage and loss moduli of articular cartilage are dependent on the induced stress, while the restraint provided by the underlying bone removes the frequency-dependency of the loss stiffness.
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Affiliation(s)
- Bernard M Lawless
- Dept. of Mechanical Engineering, University of Birmingham, Birmingham B15 2TT, UK
| | - Hamid Sadeghi
- Dept. of Mechanical Engineering, University of Birmingham, Birmingham B15 2TT, UK
| | - Duncan K Temple
- Dept. of Mechanical Engineering, University of Birmingham, Birmingham B15 2TT, UK
| | - Hemeth Dhaliwal
- Dept. of Mechanical Engineering, University of Birmingham, Birmingham B15 2TT, UK
| | - Daniel M Espino
- Dept. of Mechanical Engineering, University of Birmingham, Birmingham B15 2TT, UK.
| | - David W L Hukins
- Dept. of Mechanical Engineering, University of Birmingham, Birmingham B15 2TT, UK
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Sadeghi H, Lawless BM, Espino DM, Shepherd DET. Effect of frequency on crack growth in articular cartilage. J Mech Behav Biomed Mater 2017; 77:40-46. [PMID: 28888932 PMCID: PMC5711256 DOI: 10.1016/j.jmbbm.2017.08.036] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2017] [Revised: 08/21/2017] [Accepted: 08/25/2017] [Indexed: 11/03/2022]
Abstract
Cracks can occur in the articular cartilage surface due to the mechanical loading of the synovial joint, trauma or wear and tear. However, the propagation of such cracks under different frequencies of loading is unknown. The objective of this study was to determine the effect of frequency of loading on the growth of a pre-existing crack in cartilage specimens subjected to cyclic tensile strain. A 2.26 mm crack was introduced into cartilage specimens and crack growth was achieved by applying a sinusoidally varying tensile strain at frequencies of 1, 10 and 100 Hz (i.e. corresponding to normal, above normal and up to rapid heel-strike rise times, respectively). These frequencies were applied with a strain of between 10–20% and the crack length was measured at 0, 20, 50, 100, 500, 1000, 5000 and 10,000 cycles of strain. Crack growth increased with increasing number of cycles. The maximum crack growth was 0.6 ± 0.3 (mean ± standard deviation), 0.8 ± 0.2 and 1.1 ± 0.4 mm at frequencies of 1, 10 and 100 Hz, respectively following 10,000 cycles. Mean crack growth were 0.3 ± 0.2 and 0.4 ± 0.2 at frequencies of 1 and 10 Hz, respectively. However, this value increased up to 0.6 ± 0.4 mm at a frequency of 100 Hz. This study demonstrates that crack growth was greater at higher frequencies. The findings of this study may have implications in the early onset of osteoarthritis. This is because rapid heel-strike rise times have been implicated in the early onset of osteoarthritis.
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Affiliation(s)
- H Sadeghi
- Department of Mechanical Engineering, University of Birmingham, B15 2TT, UK
| | - B M Lawless
- Department of Mechanical Engineering, University of Birmingham, B15 2TT, UK
| | - D M Espino
- Department of Mechanical Engineering, University of Birmingham, B15 2TT, UK.
| | - D E T Shepherd
- Department of Mechanical Engineering, University of Birmingham, B15 2TT, UK
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