IN VIVO AND IN VITRO CHONDROGENESIS OF ADULT BONE MARROW-DERIVED MESENCHYMAL STEM CELLS IN A GELATIN SCAFFOLD +Gao, J; Dennis, JE; *Goldberg, VM; Caplan, AI Skeletal Research Center, Department of Biology and *Orthopaedics, Case Western Reserve University, Cleveland, Ohio Introduction Purified and culture-expanded adult bone marrow-derived mesenchymal stem cells (MSCs) have the potential to differentiate into multiple mesenchymal lineages including bone, cartilage, and tendon. A commonly used methodology to evaluate in vitro chondrogenesis of MSCs is a micro-mass culture, in which the culture-expanded MSCs are centrifuged into a pellet that is then incubated in a chemically defined medium supplemented with growth factors (1). Using tissue engineering principles, these MSCs were combined with different cell-carriers to repair cartilage defects. However, the events MSC progression to cartilage in a scaffold have not been thoroughly investigated. This information is useful to improve the approaches for engineering a cartilage tissue. The purpose of this study was to characterize the temporal and sequential cellular and molecular events of in vitro chondrogenesis of hMSCs in a collagen matrix, and the in vivo chondrogenesis of this tissue engineered construct was also observed. Materials and Methods Cell culture: Human bone marrow harvesting, MSC isolation, and culture expansion were accomplished following a standard protocol previously published [2]. Cells at the first passage were used for all experiments. In total, 8 individual MSC preparations were used in this study. Cell loading into the scaffold: Discs of gelatin sponge (Gelfoam , Pharmacia-Upjohn, Kalamazoo, MI), 4 mm in diameter and 4 mm thick, were prehydrated with Tyrode salt solution. Immediately before the cellloading, Gelfoam disc was briefly blotted onto a sterile gauze and then was transferred into a tube containing a cell suspension at a concentration of 1.0 x 107/ml. A vacuum was applied to enhance the loading efficiency (3). Influence of transforming growth factor beta (TGF- ) on the temporal chondrogenic process: MSC-loaded Gelfoam discs were cultured in a chondrogenic medium (1) supplemented with TGF- 1 at 0, 2, 4, 8, and 10ng/ml. Gelfoam cartilage discs were separately collected at 1, 3, 5, 7, and 14 days after culture for histologic and immunohistochemical analysis. Morphological studies: Histology: Specimens were fixed in 10% formalin and embedded in paraffin. Serial sections of 5 m were cut perpendicular to the surface of the disc and stained with Toluidine blue. Immunohistochemistry: Indirect immunoenzymatic assay was employed to analyze type II and X collagens in the extracellular matrix (ECM) of the cartilage disc, using monoclonal antibody to type II collagen and polyclonal antibody to type X collagen. Morphological observation indicated that the 5ng/ml of TGF- 1 was the optimal dose for in vitro chondrogenesis. This dose of TGF- 1 was, therefore, used for following experiments unless otherwise stated. Subcutaneous implantation: After one week in vitro incubation, Gelfoam discs were implanted subcutaneously on the dorsal side of the nude mice in pockets formed by blunt dissection. After 3 weeks, specimens were recovered for morphological studies. RNA isolation and RT-PCR analysis of gene expression: Cell-loaded Gelfoam discs were collected at different time points as stated above. Total cellular RNA was extracted with a RNeasy Mini Kit (GIAGEN, Valencia, CA). The isolated RNA samples were reverse-transcripted to cDNA using random hexamers and Superscript RNase H-Reverse Transcriptase (SuperScript First-Strand Synthesis system, Life Technologies, Grand Island, NY), and then amplified by PCR using gene-specific primers for type II, X collagen, and aggrecan. The housekeeping gene GAPDH was used as the internal control to monitor the RNA loading. The RT-PCR products were analyzed by electrophoresis in a 2% agarose gel. Results After cell-loading, MSCs attached onto the fibers of the sponge. The scaffold began to contract at 48 hours after cell-loading. By 1 week, the disc contracted to about 55% of its original diameter and about 40 % of its thickness. No further significant contraction was noted after 1 week. metachromatic stained ECM was first identified after 7 days in vitro culture with toluidine blue staining. By 2 weeks, cartilage tissue formed homogenously in the construct (Fig. 1). Without TGF- , no cartilage tissue was observed. The dosage of 4 or 6ng/ml of TGF- resulted in more pores being filled by cartilage through the observation period than higher (8 or 10 ng/ml) or lower (2 ng/ml) doses. After 3 weeks of subcutaneous implantation in nude mice, cartilage tissue was observed to be evenly distributed in the material. The material was mostly resorbed by this time. 3d 7d 14d Fig. 1. Histologic pictures of cartilage tissue in the material loaded with MSCs after 3, 7, and 14 days in vitro culture. Expression of Type II collagen gene was identified after 3 days of culture, type X collagen after 6 days, and aggrecan all through the culture period (Fig. 2) Fig. 2. Expression of type X, II collagen and aggrecan gene at different time points of in vitro culture. Discussion Chondrogenesis was consistently observed in all 8 tested MSC preparations when loaded into a gelatin sponge. Our current results are comparable with the previously reported in which the pellet culture was used. This tissue engineering approach provides a reliable way to investigate the cellular and molecular events, such as cell to cell and cell to matrix interactions, during the MSC chondrogenic process in a tissue engineering application. We have observed that the optional dose of TGF- 1 to promote chondrogenesis in this gelatin sponge was 4 to 6 ng/ml, which is different from that reported in a pellet culture condition that was reported as 10ng/ml (1). This discrepancy in TGF- 1 dose may be due to the contraction of the material after cell-loading. The cell-loaded Gelfoam disc began to contract at 48 hours after the cell seeding, this contraction caused 55% reduction in diameter and 40% in thickness by one week. The contraction reduced the volume of the material and, at the same time, increased the cell density, which may facilitate cell to cell and cell to matrix interactions. In vitro and in vivo experiments have indicated that adequate cell density and cell to cell interactions are important for chondrogenesis (4). References 1. Johnstone et al. (1998) Exp. Cell Res. 238:265. 2. Pittenger et al. (1999) Science, 284:143. 3. Dennis et al. (1992) Cell Transplant. 1:23. 4. Hall & Miyake: (2000) BioEssays 22:138. Acknowledgment: This study was supported by grants from NIH. 50th Annual Meeting of the Orthopaedic Research Society Poster No: 0715
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