2015
DOI: 10.2217/rme.15.31
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Critical Review on the Physical and Mechanical Factors Involved in Tissue Engineering of Cartilage

Abstract: Articular cartilage defects often progress to osteoarthritis, which negatively impacts quality of life for millions of people worldwide and leads to high healthcare expenditures. Tissue engineering approaches to osteoarthritis have concentrated on proliferation and differentiation of stem cells by activation and suppression of signaling pathways, and by using a variety of scaffolding techniques. Recent studies indicate a key role of environmental factors in the differentiation of mesenchymal stem cells to matu… Show more

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Cited by 48 publications
(43 citation statements)
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References 120 publications
(119 reference statements)
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“…For example, established clinical applications in cartilage repair make use of chondrocytes, which are encapsulated in fibrin within a polyglycol acid carrier fleece or are applied as spheroids, both posing only minimal initial mechanical stability. The load‐bearing features of the transplant develop in vivo promoted by environmental factors such as mechanical force, oxygen tension, and synovial fluid constituents . Mimicking those conditions during in vitro culture supports the generation of a mechanically robust cartilage models and is also mandatory for constructs composed of biodegradable materials to maintain stability, as the chondrocyte actively drive matrix turnover and tissue remodeling …”
Section: Discussionmentioning
confidence: 99%
“…For example, established clinical applications in cartilage repair make use of chondrocytes, which are encapsulated in fibrin within a polyglycol acid carrier fleece or are applied as spheroids, both posing only minimal initial mechanical stability. The load‐bearing features of the transplant develop in vivo promoted by environmental factors such as mechanical force, oxygen tension, and synovial fluid constituents . Mimicking those conditions during in vitro culture supports the generation of a mechanically robust cartilage models and is also mandatory for constructs composed of biodegradable materials to maintain stability, as the chondrocyte actively drive matrix turnover and tissue remodeling …”
Section: Discussionmentioning
confidence: 99%
“…Such signaling cues can be biochemical (e.g., growth factors, TGF‐β superfamily, fibroblast growth factor (FGF)‐2, or small molecules such as kartogenin), environmental (e.g., low oxygen concentrations compared to atmospheric air, hypoxia, to recapitulate the in vivo oxygen tensions of articular cartilage (1% O 2 in the deep zone to 6% O 2 in the superficial zone) as well as of most MSC niches (1–5% O 2 ) or physical factors (e.g., mechanical/electrical stimulation) . In fact, low oxygen tension culture conditions (generally between 3% and 5% O 2 ) have been employed to enhance MSC chondrogenesis in porous CTE scaffolds . Bioreactor technology has been successfully employed for the expansion of MSC and/or for chondrogenic priming, prior to tissue substitute fabrication.…”
Section: Introductionmentioning
confidence: 99%
“…The scaffolds prepared by the unidirectional freeze-thaw method have improved mechanical properties compared to those obtained by conventional freeze-thaw method. 45 Most importantly, no matter in the state of dry or swollen, the oriented scaffold could always possess anisotropic mechanical characteristics, which has been biomimetic the mechanical feature of cartilage in compression and will meet the demanding mechanical environment of the native tissue. As shown in Figure 3A, the weight losses of both scaffolds increased as the time goes on in PBS at 37 °C.…”
Section: Characterization Of Scaffoldsmentioning
confidence: 99%