An alternative strategy to the use of in vitro expanded cells in regenerative medicine is the use of freshly isolated stromal cells, where a bioactive scaffold is used to provide an environment conductive to proliferation and tissue-specific differentiation in vivo.The objective of this study was to develop a cartilage extracellular matrix (ECM) derived scaffold that could facilitate the rapid proliferation and chondrogenic differentiation of freshly isolated stromal cells. By freeze-drying cryomilled cartilage ECM of differing concentrations, it was possible to produce scaffolds with a range of pore sizes. The migration, proliferation and chondrogenic differentiation of infrapatellar fat pad derived stem cells (FPSCs) depended on the concentration/porosity of these scaffolds, with greater sGAG accumulation observed in scaffolds with larger sized pores. We then sought to determine if freshly isolated fat pad derived stromal cells, seeded onto a TGF-β3 eluting ECM-derived scaffold, could promote chondrogenesis in vivo. While a more cartilage-like tissue could be generated using culture expanded FPSCs compared to non-enriched freshly isolated cells, fresh CD44 + stromal cells were capable of producing a tissue in vivo that stained strongly for sGAGs and type II collagen. These findings open up new possibilities for in-theatre cell based therapies for joint regeneration.3
An alternative to the use of in vitro expanded cells in regenerative medicine is the use of freshly isolated stromal cells, where a bioactive scaffold or hydrogel is used to provide an environment that enhances their proliferation and tissue-specific differentiation in vivo. The objective of this study was to develop an injectable fibrin hydrogel functionalized with cartilage ECM micro-particles and the growth factor TGF-β3 as a therapeutic for articular cartilage regeneration. This study demonstrates that freshly isolated stromal cells generate cartilage tissue in vivo when incorporated into such a fibrin hydrogels functionalized with cartilage ECM particles. These findings open up new possibilities for in-theatre, single-stage, cell-based therapies for joint regeneration.
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