2018
DOI: 10.3390/ijms19051314
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Novel Ex Vivo Human Osteochondral Explant Model of Knee and Spine Osteoarthritis Enables Assessment of Inflammatory and Drug Treatment Responses

Abstract: Osteoarthritis of the knee and spine is highly prevalent in modern society, yet a disease-modifying pharmacological treatment remains an unmet clinical need. A major challenge for drug development includes selection of appropriate preclinical models that accurately reflect clinical phenotypes of human disease. The aim of this study was to establish an ex vivo explant model of human knee and spine osteoarthritis that enables assessment of osteochondral tissue responses to inflammation and drug treatment. Equal-… Show more

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Cited by 36 publications
(37 citation statements)
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“…Typically, 2D monolayer models involve the culturing of either primary cells or immortalised cell lines Can induce cell de-differentiation, alters cell morphology, cells can become polarised altering their phenotype, has limited potential for investigation into cell-cell and cell-ECM interactions, and has restricted capacity for investigation of loading on tissues [12,25,26,29] Co-culture Facilitates investigation into cell-cell and cell-ECM interactions, allows investigation of the effects of specific compounds on cell phenotypes and interactions, and facilitates investigation into loading regimens on the OA phenotype Requires further refinement of culture conditions, can be costly, cells may de-differentiate depending on co-culture system (i.e. inclusion of a 2D component such as transwell plates) [31,32,36] Explant Considers tissues as a whole, facilitates investigation into cell-cell and cell-ECM interactions, and has potential for co-culture Tissue sources are finite, explants are more financially costly than monolayer models, and cells at surgical edge of tissues may die and influence analysis [33][34][35] Scaffold and scaffold-free systems Maintains cell-differentiated phenotype. Can be highly modifiable.…”
Section: D Cell Modelsmentioning
confidence: 99%
“…Typically, 2D monolayer models involve the culturing of either primary cells or immortalised cell lines Can induce cell de-differentiation, alters cell morphology, cells can become polarised altering their phenotype, has limited potential for investigation into cell-cell and cell-ECM interactions, and has restricted capacity for investigation of loading on tissues [12,25,26,29] Co-culture Facilitates investigation into cell-cell and cell-ECM interactions, allows investigation of the effects of specific compounds on cell phenotypes and interactions, and facilitates investigation into loading regimens on the OA phenotype Requires further refinement of culture conditions, can be costly, cells may de-differentiate depending on co-culture system (i.e. inclusion of a 2D component such as transwell plates) [31,32,36] Explant Considers tissues as a whole, facilitates investigation into cell-cell and cell-ECM interactions, and has potential for co-culture Tissue sources are finite, explants are more financially costly than monolayer models, and cells at surgical edge of tissues may die and influence analysis [33][34][35] Scaffold and scaffold-free systems Maintains cell-differentiated phenotype. Can be highly modifiable.…”
Section: D Cell Modelsmentioning
confidence: 99%
“…However, changes in the composition and physical properties of the ECM lead to the development of many diseases, including cancer and rheumatic diseases, such as OA and rheumatoid arthritis (RA), among others [5,6]. Moreover, cell stress and ECM degradation promote maladaptive healing reactions, including inflammatory pathways of innate and adaptive immunity [7]. The loss of the biomechanical properties of cartilage induced by prior injuries or increased loading is the most significant feature in the initiation and progression of OA.…”
Section: Introductionmentioning
confidence: 99%
“…Osteoarthritis is a disease that is characterized by cartilage degeneration as well as changes in the subchondral bone with a close interrelationship between osteoblasts, osteoclasts, and chondrocytes [94]. Therefore, a clinically relevant preclinical model for osteoarthritis would involve explant tissue consisting of articular cartilage and subchondral bone, the so-called osteochondral unit, which can be obtained from distal femoral condyles or femoral heads [95][96][97]. However, osteochondral cultures were primarily optimized to investigate cartilage regeneration without considering the optimal culture conditions for bone [95,97,98].…”
Section: Ex Vivo Models For Bone Diseasesmentioning
confidence: 99%