Autologous stem cell-derived chondrocyte implantation with bio-targeted microspheres for the treatment of osteochondral defects


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Bozkurt M., Aşlk M. D. , GÜRSOY S., Türk M., Karahan S., Gümüşkaya B., ...More

Journal of Orthopaedic Surgery and Research, vol.14, no.1, 2019 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 14 Issue: 1
  • Publication Date: 2019
  • Doi Number: 10.1186/s13018-019-1434-0
  • Title of Journal : Journal of Orthopaedic Surgery and Research
  • Keywords: Cartilage, Microspheres, Bio-targeting, Tissue engineering, ARTICULAR-CARTILAGE, REPAIR, TISSUE, OSTEOARTHRITIS, REGENERATION, SCAFFOLDS, TECHNOLOGIES, GENERATION, LESIONS

Abstract

© 2019 The Author(s).Background: Chondral injury is a common problem around the world. Currently, there are several treatment strategies for these types of injuries. The possible complications and problems associated with conventional techniques lead us to investigate a minimally invasive and biotechnological alternative treatment. Combining tissue-engineering and microencapsulation technologies provide new direction for the development of biotechnological solutions. The aim of this study is to develop a minimal invasive tissue-engineering approach, using bio-targeted microspheres including autologous cells, for the treatment of the cartilage lesions. Method: In this study, a total of 28 sheeps of Akkaraman breed were randomly assigned to one of the following groups: control (group 1), microfracture (group 2), scaffold (group 3), and microsphere (group 4). Microspheres and scaffold group animals underwent adipose tissue collection prior to the treatment surgery. Mesenchymal cells collected from adipose tissue were differentiated into chondrocytes and encapsulated with scaffolds and microspheres. Osteochondral damage was conducted in the right knee joint of the sheep to create an animal model and all animals treated according to study groups. Results: Both macroscopic and radiologic examination showed that groups 3 and 4 have resulted better compared to the control and microfracture groups. Moreover, histologic assessments indicate hyaline-like cartilage formations in groups 3 and 4. Conclusion: In conclusion, we believe that the bio-targeted microspheres can be a more effective, easier, and safer approach for cartilage tissue engineering compared to previous alternatives.