Connective Tissue Research, 51:216–223, 2010 c Informa UK Ltd. Copyright ISSN: 0300-8207 print / 1607-8438 online DOI: 10.3109/03008200903281683 Young Adult Chondrocytes Proliferate Rapidly and Produce a Cartilaginous Tissue at the Gel-Media Interface in Agarose Cultures Nicolas Tran-Khanh, Anik Chevrier, Viorica Lascau-Coman, Caroline D. Hoemann, and Michael D. Buschmann Connect Tissue Res Downloaded from informahealthcare.com by Ecole Polytechnique-Crea on 08/16/10 For personal use only. Institute of Biomedical Engineering and Department of Chemical Engineering, Ecole Polytechnique, Montreal, Quebec, Canada Primary chondrocytes cultured in agarose can escape the gel, accumulate at the interface between agarose and the culture medium, and form an outgrowing tissue. These outgrowths can appear as voluminous cartilage-like nodules that have never been previously investigated. In the present study, bovine articular chondrocytes from three age groups (fetal, young adult, aged) were seeded and cultured in agarose to test the hypothesis that hyaline-like cartilage outgrowths develop at the interface by appositional growth, in an age-dependant manner. Macroscopic appearance, cell content, cell division, cytoskeletal morphology, and extracellular matrix (ECM) composition were analyzed. Fetal chondrocytes produced a fibrous interfacial tissue while aged chondrocytes produced ECM-poor cell clusters. In contrast young adult chondrocytes produced large cartilaginous outgrowths, rich in proteoglycan and collagen II, where cells in the central region displayed a chondrocyte morphology. Cell proliferation was confined to the peripheral edge of these outgrowths, where elongated cell morphology, cell-cell contacts, and cell extensions toward the culture medium were seen. Thus these voluminous cartilaginous outgrowths formed in an appositional growth process and only for donor chondrocytes from young adult animals. This system offers an interesting ability to proliferate chondrocytes in a manner that results in a chondrocyte morphology and a cartilaginous ECM in central regions of the outgrowing tissue. It also provides an in vitro model system to study neocartilage appositional growth. Keywords Chondrocytes; Cartilage; Tissue Engineering; Agarose Culture; Phenotype Received 3 May 2009; Revised 3 August 2009; Accepted 21 August 2009. Address correspondence to Michael D. Buschmann, PhD, Chemical and Biomedical Engineering, Ecole Polytechnique, PO 6079 Station Centre-ville, Montreal Qc, Canada H3C 3A7. E-mail: [email protected] INTRODUCTION Culture in agarose gel preserves chondrocyte phenotype [1]. However, fibroblast-like cells are frequently observed at the surface of the hydrogel when chondrocytes from 1- to 2-week-old calves are cultured following their encapsulation [2–4]. The presence of these elongated outgrowing cells is usually considered undesirable since they produce a fibrous tissue and confound analyses of bulk properties of the constructs. In contrast to these fibrous outgrowths, cartilage-like outgrowths have been noted at the agarose-media interface in cultures of chondrocytes from older 4- to 6-month-old animals [5]. These cartilagenous nodules have never been characterized in terms of cell morphology, composition of the extracellular matrix (ECM), or nature of their growth processes. In addition, this interesting interfacial culture environment has not been fully appreciated for its practical importance, since it may provide an alternative to existing culture systems rather than just being viewed as a culture artifact. In the present study, based on the above observations, we initially examined the age-dependence of the interfacial outgrowths, using primary bovine articular chondrocytes seeded in agarose. Then, we tested the hypothesis that the large cartilagelike outgrowths contain cells with chondrocyte morphology and a cartilagenous ECM. Our final hypothesis was that chondrocyte growth at the agarose-media interface occurs in an appositional manner rather than interstitially, i.e., proliferation preferentially occurs at the outgrowth periphery rather than at more central locations. MATERIALS AND METHODS Reagents were obtained from Sigma-Aldrich (St. Louis, MO, USA) unless otherwise indicated. Chondrocytes Cultured in Agarose Articular cartilage was removed from humeral heads of Fetal (last trimester), Young (1 to 2-year-old), and Aged (5–7 year-old) 216 Connect Tissue Res Downloaded from informahealthcare.com by Ecole Polytechnique-Crea on 08/16/10 For personal use only. CHONDROCYTES IN AGAROSE CULTURES bovine shoulders (3–4 joints per age group) and finely chopped using a scalpel. As previously described [6], chondrocytes were released by sequential digestions with protease type XIV and collagenase CLS2 (Worthington Biochemical, Lakewood, NJ, USA), filtered, seeded at ∼1 × 107 cells/mL in 2% (w/v) low melting temperature agarose at 37◦ C, and poured into a 100-mm Petri dish. Agarose concentration was chosen in accordance with previous studies [2–5]. After gelling at room temperature for 5 min and at 4◦ C for 1 hr, disks (6 mm diameter, 1.8 to 2.0 mm thick) were cored from the solidified slab gel using a stainless steel biopsy punch and cultured in 48-well culture plates (Corning, Acton, MA, USA) for up to 1 month, on top of 1-mm thick nylon mesh (Spectrum, Rancho Dominguez, CA, USA). Each day, samples were transferred to a new plate filled with complete media: high glucose DMEM (Gibco), 3.7 g/L sodium bicarbonate, 1×penicillin-streptomycin solution, 10% fetal bovine serum, nonessential amino acids (1×NAA), 2 mM L-glutamine, and 0.4 mM L-proline. Media were supplemented with 30 µg/mL fresh sodium L-ascorbate beginning on day 2 of culture. Macroscopic Appearance of Outgrowths On day 26, samples were fixed in fresh 4% (w/v) paraformaldehyde in 0.1 M sodium cacodylate (Fisher, Ottawa, Canada), pH 7.3. For samples to be stained for proteoglycan (PG), 2.5% (w/v) cetylpyridinium chloride (CPC) was added to promote PG retention. Low-magnification images of the fixed disks were acquired with a Stemi 2000-C stereomicroscope (Zeiss Canada, Toronto, ON, Canada). ECM Staining Fixed samples were embedded in paraffin and sectioned (6 µm thick). Sections were stained for PGs with 0.2% (w/v) Safranin-O and counterstained with 0.04% (w/v) Fast Green FCF and Weigert iron hematoxylin. For collagen immunodetection, sections were subjected to antigen retrieval by heating at 60◦ C in 10 mM Tris pH 10. Enzymatic treatments were as follow: 0.1% (w/v) pronase (EC 3.4.24.31) in phosphatebuffered saline (PBS) for 12 min at RT (for collagen II) or 0.25% (w/v) trypsin (EC 3.4.21.4) in Tris-buffered saline (TBS) for 30 min at RT (for collagen I), then 2.5% (w/v) hyaluronidase from bovine testes (EC 3.2.1.35) in PBS for 30 min at 37◦ C. Sections were immersed for 1 h at RT in a blocking solution of 20% (v/v) goat serum (GS) and 0.1% (v/v) Triton-X100 (TX) in PBS. Immunodetection was performed as previously described [7]. Antibodies were diluted with 10% (v/v) GS/0.1% (v/v) TX in PBS: 10× for anticollagen II (II-II6B3; DSHB, University of Iowa, IA, USA), 50× for anticollagen I (I-8H5; VWR, Montreal, QC, Canada), and 200× for biotinylated goat antimouse IgG (Fab specific). Detection was performed with the Vectastain ABC-AP system and the Alkaline phosphatase red substrate kit added with Levamisole solution (Vector Laboratories, 217 Burlington, Ontario, Canada). Sections were counterstained with Weigert Iron Hematoxylin. Analysis of Cell Number Inside Agarose and in Outgrowths Cell number inside the agarose and in outgrowths was estimated via DNA content as previously described [8]. Disks were removed from culture on days 1, 13, and 26; weighed; and stored frozen (−80◦ C). Papain digestion was performed (125 µg/mL papain type III and 5 mM L-cysteine in 100 mM phosphate buffer with 10 mM EDTA, pH 6.5, at 60◦ C) during 16 hr, leading to a complete digestion of the outgrowths (which are exterior to the agarose disks) and release of DNA originating from the outgrowths and the digestion of the pericellular matrix, while leaving the DNA entrapped inside the undigested agarose disk, for the cells located in the gel. The agarose disks were transferred to an empty tube and crushed with a pestle. The agarose was then melted in phosphate buffer with EDTA (PBE) at 70◦ C for 10 min to free the DNA from digested cells that were entrapped inside agarose. Aliquots from each extract (the papain solution containing the DNA from the outgrowths, the melted agarose containing the DNA from the disks) were separately diluted in PBE buffer to quantify DNA content by the fluorometric Hoechst 33258 assay. Aliquots from identically processed acellular disks were added to standard curves to account for any interference from agarose. Cell number was extrapolated from DNA content assuming 7.7 pg of DNA per cell [9]. Cell Expansion Ratios Cell ratios (R) that approximate cell expansion ratio at day 26 were evaluated for the constructs seeded with young adult chondrocytes. We calculated the ratio, Rin , of cells inside agarose to the initial cell number at seeding (Rin = Cellsin (day 26)/Cellsseeded (day 0)) and the ratio, Rout , of cells in the outgrowth to the initial cell number at seeding (Rout = Cellsout (day 26)/Cellsseeded (day 0)). Rin would correspond to a cell expansion ratio if all seeded cells stayed in the agarose, while Rout would correspond to a cell expansion ratio if all seeded cells went to the outgrowth. Given that only a limited number of cells that are near the surface of agarose can actually reach the interface and contribute to the outgrowths, we also calculated a cell ratio representing an effective cell expansion ratio for the outgrowths: Reff = Cellsout /Cellsshell . Cellsshell were the number of seeded cells located in an outer shell of the agarose that has thickness δ (see Figure 4A), which was varied between 10 and 100 µm to represent a range of physically reasonable values; our histological observations showed cells accessing the peripheral surface from several tens of microns inside (as in Figure 2A). Cellsshell was calculated as Cellsshell = Cellsseeded × (Vshell /Vtot ) Vtot being the total volume of the disk, and Vshell 218 N. TRAN-KHANH ET AL Connect Tissue Res Downloaded from informahealthcare.com by Ecole Polytechnique-Crea on 08/16/10 For personal use only. the volume of the outer shell. With h and r the height and radius of the disk, Vtot = hπ r2 and Vshell = hπ r2 − (h-2δ)π (r-δ)2 . Cytoskeleton Imaging Triple labeling was used, based on a previously described method [10]. The buffer was a modified Hank’s balanced salt solution (mHBSS) [10], unless otherwise mentioned. After 30 days in culture, live samples were fixed for 40 min in 0.6% (v/v) glutaraldehyde and 5% (v/v) TX, at 37◦ C. To block autofluorescence, samples were immersed twice in 5 mg/mL NaBH4 for 10 min on ice. Outgrowths were transversally cut through the center to increase antibody accessibility to cells. Outgrowth halves were then digested at 37◦ C for 16 hr with 200 mU/mL chondroitinase ABC and 400 mU/mL keratanase (MJS Biolynx, Brockville, ON, Canada) in digestion buffer of 100 mM NaCl, 0.01% (m/v) BSA, and 100 mM Tris, pH 7.4. The following steps were then performed at RT. Samples were kept for 1 hr in blocking solution of 10% (v/v) GS/0.1% (v/v) Tween-20. Actin and vimentin were labeled for 4 hr with Alexa Fluor 488 phalloidin (Invitrogen) and Cy3-conjugated antivimentin monoclonal antibody (Clone V9), diluted 40× and 600×, respectively in 1% (w/v) BSA/0.05% (v/v) Tween-20. RNA was digested by 1 mg/mL RNase A (Qiagen, Mississauga, Ontario, Canada) solubilized in a solution of 1% (w/v) BSA in PBS. Nuclear DNA was then stained with 3 µM TOTO-3 (Invitrogen) in PBS for 2 hr. Samples were finally immersed for 30 min in glucose oxidase/catalase antifading reagent and mounted with Mowiol. Images were acquired with a LSM 510 META Axioplan 2 confocal laser scanning microscope (Carl Zeiss Canada). Cell Proliferation Analyses via Ki-67 Immunohistochemistry and BrdU Incorporation For Ki-67 immunohistochemistry, samples after 22 and 26 days in culture were rinsed with PBS, fixed in 4% w/v paraformaldehyde in 0.1 M sodium cacodylate pH 7.3, cryoprotected in graded sucrose followed by graded sucrose-OCT solutions, and cryosectioned to generate 6 to 8 µm sections. Sections were digested with 0.25 U/mL chondroitinase (C-2905, Sigma-Aldrich) in PBS for 1 hr at 37◦ C. Antigen retrieval was performed with a microwave oven by heating twice for 1 min, at a temperature below boiling, sections immersed in 10 mM citrate buffer, pH 6.1, followed by cooling for 20 min at RT. Sections were permeabilized with 0.4% (v/v) TX in PBS, for 20 min at RT, incubated for 20 min in 3% H2 O2 in PBS to block endogenous peroxidase, and blocked for 1 hr at RT with 5% (w/v) milk powder and 3% (w/v) BSA in PBS. Mouse anti-Ki-67 IgG1 (MAB4062, Chemicon, Temecula, CA, USA) was diluted 50× in 1% (w/v) BSA in PBS and applied to sections overnight at 4◦ C. Sections were incubated for 1 hr at RT in biotinylated goat antimouse IgG (Fab specific), diluted 200× in 1% (m/v) BSA in PBS, followed by detection with the Vectastain Elite ABC kit (Vector Laboratories) and the diaminobenzidine enhanced liquid substrate system. Finally, sections were rinsed with deionized water, dehydrated, and mounted with Permount mounting medium (Fisher). BrdU incorporation was performed by adding 10 µM to culture media and incubating for 48 hr on days 19 and 20 and then chased in fresh media on day 21 for 24 hr. On day 22, samples were fixed, cryosectioned, and stained for nuclear BrdU by immunohistochemistry as described above for Ki-67, except that antigen retrieval in citrate buffer was replaced by DNA denaturation in 2 N HCl, by immersion for 30 min at 37◦ C. Endogenous peroxidase was blocked with a solution of 4 parts of methanol to 1 part 3% H2 O2 solution. The primary mouse anti-BrdU antibody (clone BU-33) was diluted 2000×. FIG. 1. Macroscopic appearance of chondrocyte/agarose disks after 26 days in culture following initial seeding with bovine articular chondrocytes from aged (A and E), fetal (B and F), and young adult (D and H) animals. Young adult chondrocytes were also cultured without ascorbic acid as controls (C and G). Disks were fixed without CPC (A–D) or with CPC (E–H). Significant nodular tissue outgrowths (arrowheads) were observed with young adult chondrocytes only (D, H). Scale bars = 1 mm. Connect Tissue Res Downloaded from informahealthcare.com by Ecole Polytechnique-Crea on 08/16/10 For personal use only. CHONDROCYTES IN AGAROSE CULTURES 219 FIG. 2. Paraffin sections of agarose disks seeded with young adult (A, B) and fetal (C–G) bovine chondrocytes after 26 days in culture. (A) Safranin-O/Fast-Green staining and (B) collagen type II immunostaining show impressive cartilaginous outgrowths (OUT) developed outside the agarose gel (AG) by young adult chondrocytes. Cells in contact with both the agarose gel and the outgrowth (arrowheads in insets) were observed at the interface. Fetal chondrocytes were fibroblast-like at the disk surface as shown by the Safranin-O/Fast-Green staining (arrows in C and D) and could produce a fibrous tissue as shown by the collagen type I immunostaining (E). Fetal chondrocytes also produced sparsely distributed small outgrowths (stars), which (F) always stained positive for collagen type I and (G) sometimes for collagen type II. Scale bars = 100 µm. Negative controls had omission of the primary antibody or the complete omission of BrdU in culture media. Statistical Analysis Statistical analysis was performed with Statistica 6.1 (StatSoft, Tulsa, OK, USA) where significant differences were determined by the Tukey HSD post-hoc test, following ANOVA. RESULTS Outgrowths Characteristics Depend on Age of Donor Animal Outgrowths from aged cells were barely visible (Figure 1A, 1E) while fetal cells produced flattened fibrous outgrowths giving a slightly dimpled appearance to the disk surface (Figure 1B, 1F). The outgrowths produced by young adult cells were the most voluminous and had the appearance of dome-shaped cartilaginous nodules (Figure 1D, 1H, arrowheads). All outgrowths produced by young adult animals were GAG-rich (Figure 2A, OUT) and stained positive for collagen II (Figure 2B) while only in rare cases could a faint signal for collagen type I be detected (not shown). Cell clusters in contact with the agarose gel on one side and with the outgrowing tissue on the other side were observed at the interface in these cultures (arrowheads, insets of Figure 2A, 2B). At the interface, fetal cells mostly accumulated as layers of elongated cells (Figure 2C, 2D) sometimes accompanied by a fibrous tissue (Figure 2E), or produced outgrowths that showed a positive staining for collagen I (Figure 2F) with an occasional staining for collagen type II (Figure 2G). Collagen II and GAGs were detected pericellularly (Figure 2G, 2C, respectively) inside the agarose, while collagen type I was not (Figure 2E, 2F), indicating that the age-dependent phenotype modulation was specific to the outgrowth region. Aged cells produced microscopic aggregates that were poor in ECM (not shown). Cell number inside the agarose just after cell seeding (Figure 3A, day 1) showed no significant difference between age groups. At the end of the culture, cell number inside the agarose was the highest for fetal cells and the lowest for aged cells (Figure 3A, day 26). DNA was undetectable in the papain digest at the beginning of the culture (Figure 3B, day 1), confirming the absence of cells outside the agarose disk just after seeding. At the end of the culture, the number of cells in outgrowths external to agarose was highest for young adult cells, next highest for fetal cells, and lowest for aged cells (Figure 3B, day 26). Cell ratios that approximate expansion ratios inside agarose and in the outgrowths were evaluated as described in Material and Methods section. Rout was higher than Rin for young adult samples (Figure 4B), but not for the other age groups (not shown). Both Rout and Rin were relatively low for young adult chondrocytes (3.0 and 1.8, respectively). However, the effective expansion ratio for chondrocytes contributing to the outgrowth, Reff , was well above 10 (Figure 4B, Reff ) suggesting an impressive expansion capability for young adult chondrocytes at the interface of the agarose construct. This ratio is calculated by 220 N. TRAN-KHANH ET AL Connect Tissue Res Downloaded from informahealthcare.com by Ecole Polytechnique-Crea on 08/16/10 For personal use only. finding since it was mainly detected in this superficial layer (Figure 6D, arrowheads), although some cells in deeper more central zones displayed BrdU staining (Figure 6D, arrows). The higher number of positive cells for BrdU comes from the fact that it represents all the cells that divided during the incorporation period (48 hr), whereas Ki-67 is only present in dividing cells at the time of fixation. FIG. 3. Cell number (mean ± SD, n = 4) inside agarose (A) and in the outgrowth (B) for the three different age groups. † indicates significantly higher (p < 0.05) than the same age group on day 1. ‡ indicates significantly higher (p < 0.05) than the same age group on day 13. ∗ indicates a significant difference (p < 0.05) between two age groups, on the same day. ND: nondetectable. DISCUSSION As cells divide and accumulate ECM inside agarose, a portion of them that are close to the sample surface reach the interface in contact with culture media. Access to this interface is more likely facilitated by the disruption of the agarose structure provoked by cell and ECM growth rather than by cell migration through the agarose gel, since the pore size in 2% agarose is ∼100 nm [13]. Curiously, cell accumulation outside the agarose did not show the same age-dependence as within the gel, since cells from young adult donors had the greatest proliferation in the outgrowth (Figure 3B) while those from fetal donors had the greatest proliferation inside agarose (Figure 3A). This result concurred with macroscopic and histological observations of the outgrowths where chondrocytes from young adult animals (1–2 years old) produced the largest outgrowths (Figure 1), which were also rich in GAG and collagen II (Figure 2), and macroscopically resembled those seen previously [5] using assuming that only the cells within a distance δ from the interface could contribute to the cells in the outgrowth (Figure 4A, dark grey zone of thickness δ). We did not determined this distance exactly, but histological observations (Figure 2) suggest that δ is unlikely to be higher than several tens of micrometers. Spatial Patterns of Cell Morphology and Proliferation in Cartilaginous Outgrowths In central regions of large outgrowths, cells were polygonal or spherically shaped and separated from one another (Figure 5A). Actin in this central region did not form stress fibers but was dense, punctuate, and cortically located within cells (Figure 5A, 5B, in green) similar to its structure in chondrocytes of cartilage explants observed previously [11, 12]. Vimentin staining in this central region displayed a cytoplasmic mesh spanning from the plasma membrane to the nucleus (Figure 5A, 5B, in yellow). In contrast, cells in the superficial and most peripheral layer of large outgrowths were elongated and in contact with each other (Figure 5C). Vimentin (in yellow) was either distributed in the cytoplasm (Figure 5D) or concentrated around the nucleus (Figure 5F), and actin staining (in green) sometimes showed stress fibers along cell bodies (Figure 5D, arrowhead), as well as large processes reaching outside the tissue (Figure 5E, 5F, arrows). The proliferation marker Ki-67 was only detected in cells at the superficial and most peripheral surface, of both nascent (Figure 6A, arrowheads) and more developed (Figure 6B, C, arrowheads) outgrowths. Incorporated BrdU corroborated this FIG. 4. (A) Schematic representation of a vertical section from the center of the cylindrical construct with diameter 2r and height h. An outer shell of thickness δ from which encapsulated cells can escape to reach the interface is shown (B) Cell ratios show Rout > Rin , demonstrating greater cell proliferation at the interface than inside the gel. An effective cell ratio (Reff ) of the cell number in the outgrowth to the cell number at seeding in a shell of thickness δ of the agarose disk was calculated to approximate the cell expnsion ratio for cells that have contributed to the outgrowth. Connect Tissue Res Downloaded from informahealthcare.com by Ecole Polytechnique-Crea on 08/16/10 For personal use only. CHONDROCYTES IN AGAROSE CULTURES 221 FIG. 5. Confocal imaging of actin (green, color online), vimentin (yellow), and the nucleus (red) of an outgrowth exterior to an agarose gel seeded with chondrocytes from a young adult animal and cultured for 30 days. Chondrocytes from central regions of the outgrowth bear chondrocyte cytoskeletal characteristics (A and B) while those in more peripheral regions (C–F) of the outgrowth display cell-cell contacts, actin stress fibres (arrowhead), and actin-rich cell extensions (arrows). S = surface of the outgrowth. Scale bars = 15 µm. chondrocytes from 4- to 6-month-old steers. The superficial layer of proliferating cells in these large outgrowths bore similarity to the proliferating zone in epiphyseal growth plates, where chondrocytes divide at the highest rate in this tissue [14]. Such a structure is also present in the superficial zone of articular cartilage during development and furnishes the cellular pool of proliferating chondrocytes implicated in the appositional growth at the articular surface [15, 16]. Fetal chondrocytes produced more fibrous outgrowths, resembling observations made previously [2–4] when using chondrocytes from young 1- to 2-week-old calves. The exact mechanisms by which the age-related differences in outgrowth phenotype arise remain to be elucidated. Some possibilities include an age-dependence in the response to exogenous factors present in the culture medium, in the expression levels of endogenous factors from donor chondrocytes [17], and in the synthesis and accumulation of ECM molecules [18–20]. Chondrocytes from aged animals (5–7 years old) produced very small and ECM-poor outgrowths, reflecting low levels of proliferation and reduced ECM synthesis that agree with previous in vitro findings [6, 19, 21–25]. Preliminary results suggest that hypertrophy did not take place within the outgrowths (no collagen X was detected by immunohistochemistry, data not shown). However, it would be interesting to investigate chondrocyte maturation by culturing the outgrowths in presence of factors known to induce articular Connect Tissue Res Downloaded from informahealthcare.com by Ecole Polytechnique-Crea on 08/16/10 For personal use only. 222 N. TRAN-KHANH ET AL FIG. 6. Immunocytochemical detection of cell proliferation markers (Ki-67 and BrdU) in outgrowths (OUT) exterior to the agarose gel (AG), which was seeded with chondrocytes from young adult animals and cultured for 22 (A) or 26 (B) days. Ki-67 indicated proliferation in peripheral zones only, for both nascent (A) and more developed outgrowths (B). (C) Higher magnification of a Ki-67-positive cell located in the rectangle of (B). (D) BrdU (10 µM) incorporation over 48 hr indicates a greater number and region of proliferating cells, also primarily located at the periphery. Arrowheads indicate positive cells located at the periphery of outgrowths and arrows in deeper regions. Scale bars = 30 µm. chondrocytes hypertrophy in vitro, like thyroid hormones [26]. It also would be interesting to determine by detection of specific phenotypic markers whether the outgrowing fetal cells are dedifferentiated or more like prechondrogenic cells, and to verify if they can express a chondrocyte phenotype when reseeded in agarose or allowed to mature further in outgrowths. It is generally accepted that the culture of isolated primary chondrocytes in three dimensional environments promotes chondrocyte phenotype and accumulation of an ECM rich in GAGs and collagen II. However, cell expansion in these systems is very low and far below the level required for chondrocyte production in cell therapy [27] or to study growth processes, as discussed elsewhere [28, 29]. Multistep procedures are generally required to increase cell number more than 10-fold, often leading to the use of monolayer cultures which unfortunately induces dedifferentiation [1] and irreversible collagen type IX downregulation [30]. An alternative is successive cycles of encapsulation/culture/recovery using alginate beads [29]. In the present study, we observed a typical small degree of cell expansion inside agarose (Figure 4B, Rin ). However, when considering that only the chondrocytes seeded near the construct surface contribute cells to the outgrowth, we calculated a relatively high cell expansion ratio (Reff >10 for young adult samples, Figure 4B) at the agarose/media interface. Thus, a particular environment seems to exist at this surface, which activates cell division concomitantly with the production of a cartilaginous ECM (Figure 2A, 2B) at least for chondrocytes from young adult donors. Another study also suggests that interface culture may aid phenotypically stable cell expansion for chondrocytes [28]. In this latter study, primary porcine chondrocytes from 8- to 12-month-old donors, at low concentration, are brought into porous alginate sponges by capillary action, attach on the internal cavity walls, and grow in cell clusters able to accumulate PG and collagen II [28]. It thus appears that interface culture systems, in which the initial seeded chondrocytes are individually anchored in a stable phenotypic state and the daughter cells are free to proliferate with minimal space confinement, may provide an effective means to both multiply chondrocytes and grow neocartilaginous tissue constructs. Nonetheless, it is important to point out that the hyaline cartilaginous tissue observed at the agarose/media interface and in the alginate sponges [28] were produced by bovine or porcine chondrocytes from young adult animals. Equivalent results using chondrocytes from aged human patients have not been obtained to date, and thus the potential of interfacial systems to generate an engineered tissue for autologous transplantation in adult humans is yet to be demonstrated. Taken together, our results indicate that chondrocyte culture at a gel/media interface bears several interesting features, including high levels of cell proliferation combined with the generation of a hyaline cartilagenous extracellular matrix. This system can be further exploited to study biological, chemical, and physical factors that influence chondrocyte growth and CHONDROCYTES IN AGAROSE CULTURES neocartilage formation during development and tissue repair processes. Connect Tissue Res Downloaded from informahealthcare.com by Ecole Polytechnique-Crea on 08/16/10 For personal use only. ACKNOWLEDGMENTS This study was supported by the Canadian Institutes of Health Research (CIHR) and N. Tran-Khanh had fellowship support from the Fonds pour la formation de chercheurs et l’aide à la recherche du Québec and from the CIHR strategic training program in skeletal health research. Declaration of Interest The authors report no conflicts of interest. 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