2019
DOI: 10.1007/s10439-019-02348-4
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Scaffold Free Microtissue Formation for Enhanced Cartilage Repair

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Cited by 51 publications
(46 citation statements)
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“…However, this procedure often results in the creation of reparative tissue, with inferior quality and lacking durability when compared to the native tissue. This can be attributed to chondrocytes having the tendency to dedifferentiate during expansion in 2D culture (Dewan et al, 2014;Deng et al, 2016;Onofrillo et al, 2018;De Moor et al, 2019). Moreover, the application of individual cells fails to mimic the complex cellcell and cell-matrix interactions present within a 3D tissue, which hinders the accurate imitation of the early events in tissue development (Gionet-Gonzales and Leach, 2018).…”
Section: Discussionmentioning
confidence: 99%
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“…However, this procedure often results in the creation of reparative tissue, with inferior quality and lacking durability when compared to the native tissue. This can be attributed to chondrocytes having the tendency to dedifferentiate during expansion in 2D culture (Dewan et al, 2014;Deng et al, 2016;Onofrillo et al, 2018;De Moor et al, 2019). Moreover, the application of individual cells fails to mimic the complex cellcell and cell-matrix interactions present within a 3D tissue, which hinders the accurate imitation of the early events in tissue development (Gionet-Gonzales and Leach, 2018).…”
Section: Discussionmentioning
confidence: 99%
“…Another commonly used approach is Matrixassisted ACI (MACI) which is an ex vivo engineered hybrid construct, where isolated autologous chondrocytes are seeded onto a biomaterial, a bovine-derived type I/III collagen scaffold, before implantation in the defect (Foldager et al, 2012;Basad et al, 2015). However, the harvesting procedure to obtain chondrocytes can induce donor-site morbidity and the 2D expansion of articular chondrocytes is characterized by long in vitro culture periods and chondrocyte dedifferentiation to a more fibroblast-like phenotype featuring a decrease in collagen II, aggrecan, and glycosaminoglycans (GAG) (Caron et al, 2012;De Moor et al, 2019). This results in the generation of repair tissue which is biochemically and hence biomechanically inferior compared to the native cartilage (Knutsen et al, 2007).…”
Section: Introductionmentioning
confidence: 99%
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“…Musculoskeletal research of the joint classically relies on distinct in-vitro and in-vivo approaches. In vitro models are based on cell lines (6) monolayer cultures (7) and cultures providing a three-dimensional (3D) cell surrounding (8) (9). While being the most economic and ethically supportable choice for investigation, all these models do not su ciently represent the native situation.…”
mentioning
confidence: 99%