Articular cartilage damage associated with joint trauma seldom heals and often leads to osteoarthritis (OA). Current treatment often fails to regenerated functional cartilage close to native tissue. We previously identified a migratory chondrogenic progenitor cell (CPC) population that responded chemotactically to cell death and rapidly repopulated the injured cartilage matrix, which suggested their potential for cartilage repair. To test that potential we filled experimental full thickness chondral defects with an acellular hydrogel containing SDF-1α. We expect that SDF-1α can increase the recruitment of CPCs, and then promote the formation of a functional cartilage matrix with chondrogenic factors. Full-thickness bovine chondral defects were filled with hydrogel comprised of fibrin and hyaluronic acid and containing SDF-1α. Cell migration was monitored, followed by chondrogenic induction. Regenerated tissue was evaluated by histology, immunohistochemistry, and scanning electron microscopy. Push-out tests were performed to assess the strength of integration between regenerated tissue and host cartilage. Significant numbers of progenitor cells were recruited by SDF-1α within 12 days. By 5 weeks chondrogenesis, repair tissue cell morphology, proteoglycan density and surface ultrastructure were similar to native cartilage. SDF-1α treated defects had significantly greater interfacial strength than untreated controls. However, regenerated neocartilage had relatively inferior mechanical properties compared with native cartilage. In addition to that, we developed a 3D bioprinting platform, which can directly print chondrocytes as well as CPCs to fabricated articular cartilage tissue in vitro. We successfully implanted the printed tissue into an osteochondral defect, and observed tissue repair after implantation. The regerated tissue has biochemical and mechanical properties within the physiological range of native articular cartilage. This study showed that, when CPC chemotaxis and chondrogenesis are stimulated sequentially, in situ full thickness cartilage regeneration and bonding of repair tissue to surrounding cartilage could occur without the need for cell transplantation from exogenous sources. This study also demonstrated the potential of using 3D bioprinting to engineer articular cartilage implants for repairing cartilage defect.

Articular cartilage underwent serious joint injuries seldom repair spontaneously and might progress to post-traumatic osteoarthritis. This is majorly because articular cartilage’s unique properties that lack blood and nerve supply intrinsically. This peculiar structure, in addition, generates an unfavorable environment for certain phagocytes (macrophages, monocytes, neutrophils, etc) to infiltrate to cartilage to scavenge debris from cartilage matrix and cell caused from joint injuries. Therefore, physiological and functional regeneration of damaged cartilage is urgently needed and several clinical techniques have been developed, including microfracture, autograft transplantation, autologous chondrocytes implantation. We previously identified highly migratory cells emerged and repopulated in cartilage damaged surface after ~10 days of artificial cartilage injury. These cells were later named chondrogenic progenitor cells (CPCs) due to their enhanced potential of chondrogenic differentiation. However, this important finding contrasts the conventional theory that cartilage harbors only one cell type, chondrocytes. Here we hypothesize that CPCs are a distinct cell type in cartilage, and more importantly, one of CPCs’ crucial natures is to phagocytose debris more effectively than chondrocytes. To test these, we first harvested CPCs from cartilage surfaces, chondrocytes, synovial cells (synoviocytes and synovial fluid cells) for microarray assay to evaluate the closeness among these joint cells on whole gene expression level. Quantitative PCR were then conducted to verify gene expression of certain functional interests. Moreover, debris from cell and extracellular matrix were generated and incubated with CPCs and chondrocytes to compare their phagocytic capacity via multiple experimental assessments. In confocal microscopy examination, the emergence of CPCs could be clearly observed after cartilage injury. Aside from their distinguishable morphology compared to chondrocyte, CPCs possess several vital properties including highly migratory, chemotactic, clonogenic. Microarray data revealed that CPCs, from gene expression profile, are distinctively isolated from chondrocytes and are more akin to synovial cells. Additionally, the series of phagocytosis related experiments showed that CPCs are dramatically superior to chondrocytes in engulfing debris, along with enhanced lysosomal activities indicating the following debris degradation. Taken all these data together, CPCs, activated by cartilage injury, emerged and migrated to damaged sites. They are a distinct cell type residing in cartilage apart from chondrocytes. Their enhanced capacity to sustainably phagocytose and clear debris provides a novel insight for cartilage regeneration and prevention of osteoarthritis.

Articular cartilage is an avascular, aneural, and alymphatic tissue with a structure consisting of a superficial, a middle and a deep zone, overlie a calcified zone at the cartilage border between. Each zone has biological and mechanical properties. Self-repair of damaged cartilage seldom if ever occurs, and joint injuries that harm cartilage surfaces often result in osteoarthritis. This has prompted researchers to explore diverse approaches to cartilage regeneration. The superficial zone shows the highest cellularity and the lowest matrix density. Cartilage cells (chondrocytes) residing in the superficial zone had been thought to be a subpopulation of chondrocytes. However, our laboratory identified a second population of cells that were distinguishable from chondrocytes based on their clonogenicity, multipotency, migratory activity, higher proliferate rate and substantial morphological differences. These cells later proved to be chondrogenic progenitor cells (CPCs). Our continuing studies have shown that CPCs are less chondrogenic than normal chondrocytes and their function is to protect the cartilage surface rather than to regenerate cartilage matrix as previously supposed. In addition, we found evidence to suggest that CPCs act as pro-inflammatory cells in the context of cartilage injury. For these reasons, we undertook a more comprehensive comparison of the phenotypic differences between CPCs and normal chondrocytes and between CPCs and joint cells (tissue synoviocytes from the joint capsule and cells present in synovial fluid) which have been shown to be play roles in joint inflammation. Gene expression microarray analysis of >25,000 genes revealed that the overall pattern of gene expression in CPCs was distinct from normal chondrocytes, but closely related to synoviocytes and synovial fluid cells. Analysis of specific genes by quantitative PCR (qPCR) showed profound differences between CPCs and normal chondrocytes in terms of cartilage matrix gene expression (Collagen Type ІІ, Aggrecan, Link Protein and COMP) and pro-inflammatory gene expression (IL6, IL8, CCL2 and CXCL12). In contrast, the pattern of CPC gene expression closely resembled. Sulfated glycosaminoglycan assays revealed that cartilage matrix deposition by CPCs, as well as synoviocytes and synovial fluid cells, was significantly inferior to normal chondrocytes. However, chondrogenic and osteogenic differentiation assays, showed no significant differences among the four cell types. In addition to establishing that CPCs are distinct from chondrocytes, this work suggests significant revisions to our understanding of CPC function in cartilage. The weak chondrogenic ability and higher expression of inflammatory cytokines, suggests these cells don't play a regenerative role as previously thought. On the other, we found evidence that CPCs may form a protective layer on the top of the injured cartilage surfaces, preventing further cartilage injury. In vivo studies are needed to fully elucidate the significance of these roles in cartilage health and disease.

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Die rheumatoide Arthritis ist eine chronisch entzündliche Gelenkentzündung, deren Ursachen bis dato ungeklärt bleibt. Der Verlauf der Erkrankung führt zu irreversiblem Zerstörung von Knorpel, Knochen und umgebenden Geweben in den betroffenen Gelenken. Es scheint jedoch klar, dass Synovialzellen, Knorpelzellen und Zytokine eine entscheidende Rolle im Fortschreiten der Erkrankung spielen. IL17 ist ein kürzlich entdecktes Zytokine, welches im besonderen Maßen mit der rheumatoiden Arthritis in Verbindung gebracht wird. Es liegt in der Synovialflüssigkeit und im Serum von Patienten mit rheumatoider Arthritis in deutlich höherer Konzentration vor als in anderen Gelenks-zerstörenden Erkrankungen wie z.B. der Osteoarthritis. Eine kürzlich entdeckte Zellpopulation konnte als chondrogene Vorläuferzellen charakterisiert werden. Da sie einen IL17-Rezeptorkomplex exprimieren, ist anzunehmen, dass eine IL17 Stimulation der chondrogenen Vorläuferzellen zu Veränderungen in deren Synthesemustern führt. Methode: Chondrogenen Vorläuferzellen konnten aus menschlichem Knorpel von Patientin mit rheumatoider Arthritis gewonnen und in Kultur gehalten werden. Die Zellen wurden mit IL17 inkubiert und deren Reaktion durch Zellkulturstudien, real-time-PCR, Immunfluoreszenz und western blot untersucht. Ergebnisse: Die IL17 Stimulation der chondrogenen Vorläuferzellen führte zu einer Suppression des Zellwachstums in den ersten Tagen der Zellkultur. Folgende mRNA Moleküle konnten erstmals in den chondrogenen Vorläuferzellen nachgewiesen werden: IL6, IL1,MMP3, MMP14,MMP15, MMP17 NFkB, , MAPK1, IL1, Aggrecan, ADAMTS-5 und TIMP3. Die IL17 Stimulation führte zu einer Erhöhung der Expression von MMP3, MMP17, IL6 und NFkB in den chondrogenen Vorläuferzellen. MMP14 und MMP15 zeigten sich nicht beeinflusst in ihrem Expressionsmuster. Anschließend konnten die Proteine MMP3 und IL6 stellvertretend in den chondrogenen Vorläuferzellen nachgewiesen werden. Ein IL17 Antikörper konnte den zuvor gezeigten Effekt von IL17 auf die IL6 Expression erfolgreich blocken. Schlussvolgerung: chondrogenen Vorläuferzellen scheinen in einem bestimmten Expressionsmuster auf die IL17 Stimulation zu reagieren. Gerade diese Reaktion scheint zum weiteren Fortschreiten der rheumatoiden Arthritis zu führen. Aufgrund der vielen bereits gezeigten Effekte von IL17 auf Gewebe in der rheumatoiden Arthritis scheint IL17 ein vielversprechendes Ziel in der zukünftigen Therapie der Erkrankung darzustellen.

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