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International Journal of Bioprinting                                     Biomimetic osteochondral scaffold




            and antibiotics) in the TCP group, the addition of BMP-  osteogenic/chondrogenic differentiation. 43,45  However,
            2 can induce osteogenic differentiation via the activation   these strategies solely utilized discrete MSCs as seed cells,
            of Smad, Wnt/β-catenin, and RhoA/ROCK2 signaling   overlooking the distinct organizational morphologies of
            pathways. 57–59  In contrast, the addition of FGF-18 can   cells in the subchondral and cartilage layers, leading to
            induce chondrogenic differentiation via the activation of   suboptimal compartmentalized osteogenic/chondrogenic
            MEK/ERK and FGFR3-mediated pathways. 60,61  Therefore,   differentiation. In this study, we seeded discrete rBMSCs
            the sustained release of BMP-2 and FGF-18 from the   and rBMSC microspheres in the subchondral and
            osteochondral scaffold can enhance the osteogenic and   cartilage layers, respectively. The discrete rBMSCs in
            chondrogenic differentiation of rBMSCs.            the subchondral layer displayed significantly enhanced
               The repair process of both the subchondral tissue and   osteogenic differentiation and exhibited a fusiform
            the hyaline cartilage involves inflammation infiltration,   cell shape, which is similar to the morphology of
            angiogenesis, tissue regeneration, and tissue remodeling. 62,63    osteocytes. Previous studies suggested that the initial
            BMP-2 can induce osteogenic differentiation of MSCs   organizational morphology of MSCs could significantly
            and regulate bone regeneration signaling pathways at the   affect  chondrogenic  differentiation. Discrete  MSCs
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            early phase of tissue regeneration.  Likewise, FGF-18   often differentiate into fibrochondrocytes, while MSCs
            plays a pivotal role in both the early and mid-late phases   from MSC aggregates tend to differentiate into hyaline
            of tissue regeneration by promoting the proliferation and   chondrocytes. 23,30  Furthermore, cell microspheres are
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            chondrogenic differentiation of MSCs, inhibiting the   structurally similar to chondrocytes in cartilage lacuna,
            apoptosis of chondrocytes, and regulating the synthesis   and such an environment is favorable for obtaining a
            of cartilage  ECM.  To  maximize the effect  of BMP-  hyaline chondrocyte phenotype. Specifically, the native
                           19
            2 and FGF-18 in inducing osteogenic/chondrogenic   cartilage lacunae comprise rounded hyaline chondrocytes
            differentiation  of  MSCs  at  different  layers  during  the   and exhibit a spherical morphology encapsulated by
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            osteochondral tissue regeneration process, the release   the ECM.  In this study, to mimic anatomical features,
            rates of BMP-2 and FGF-18 were tuned according to their   rBMSC  microspheres, consisting  of rounded  stem cells
            respective action time points. In this study, we verified   aggregated into a spherical morphology, are encapsulated
            that the effective concentration of BMP-2 was 150 ng/mL   within GelMA hydrogel, closely resembling the ECM. 67,68
            and the subchondral layer could maintain the effective   In our study, we seeded rBMSC microspheres instead
            concentration of BMP-2 for up to 14 days. Likewise, the   of discrete rBMSCs in the cartilage layer to improve
            effective concentration of FGF-18 was 50 ng/mL, and the   rBMSC chondrogenic differentiation and replicated
            cartilage layer could maintain the effective concentration   the  physiological structure of  native  cartilage.  The
            of FGF-18 for up to 21 days. These data indicated that the   chondrocytes derived from rBMSCs had a round shape,
            osteochondral scaffolds exhibited temporally controlled   which was similar to the morphology of native hyaline
            release of BMP-2 and FGF-18, probably attributed to   chondrocytes. In summary, we developed an engineered
            the different release rates of BMP-2 and FGF-18 in their   cell-laden osteochondral  scaffold that  was  capable  of
            respective  matrix.  The dense  interface  layer  between   spatiotemporally controlling the release of BMP-2/FGF-
            the subchondral and cartilage layers further reduced the   18 and promoting the compartmentalized osteogenic/
            crosstalk between BMP-2 and FGF-18. This could be due   chondrogenic differentiation of rBMSCs with varied
            to the significantly lower concentration of BMP-2 in the   organizational morphologies in the osteochondral
            cartilage layer (<20 ng/mL, per 3 days) than the effective   engineered  tissue,  thereby  facilitating  the  integrated
            concentration of 150 ng/mL, and the considerably lower   regeneration of osteochondral tissue.
            concentration of FGF-18 in the subchondral layer (<10 ng/
            mL, per 3 days) than the effective concentration of 50 ng/  5. Conclusion
            mL. These data indicated that the integrated osteochondral   In this study, we developed a tri-phasic osteochondral
            scaffold exhibited spatially controlled release of BMP-2   scaffold with a biomimetic structure and spatiotemporally
            and FGF-18 mainly due to the presence of a dense non-  controlled  delivery  of  BMP-2/FGF-18  via  multi-nozzle
            porous interface layer.                            cryogenic 3D printing, followed by the seeding of MSCs
               The compartmentalized osteogenic/chondrogenic   with varied organizational morphologies. Through the
            differentiation of MSCs is crucial for the development   spatially and temporally controlled release of BMP-2
            of engineered osteochondral tissue to improve      and FGF-18, enhanced osteogenic and chondrogenic
            osteochondral regeneration.  Previous studies developed   differentiation of MSCs in the subchondral layer and the
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            engineered osteochondral tissue by fabricating scaffolds   cartilage layer was achieved, respectively, and the desirable
            loaded with various biomolecules that are conducive to   cell phenotype could be obtained. Our findings provide

            Volume 10 Issue 5 (2024)                       212                                doi: 10.36922/ijb.3229
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