Chinese Journal of Tissue Engineering Research ›› 2017, Vol. 21 ›› Issue (18): 2881-2889.doi: 10.3969/j.issn.2095-4344.2017.18.016

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Repair of articular cartilage defects with polyvinyl alcohol/chitosan porous hydrogel combined with bone marrow mesenchymal stem cells

Zhou Yong1, 2, Jia Zhao-feng1, 2, Liu Wei2, Zhu Wei-min2, 3, Cui Jia-ming1, 2, He Yong2, Chen Jie-lin2, Wang Da-ming2, Peng Liang-quan2, 3, Wang Da-ping1, 2, 3 
  

  1. 1Guangzhou Medical University, Guangzhou 510182, Guangdong Province, China; 2Shenzhen Key Laboratory of Tissue Engineering, Shenzhen 518035, Guangdong Province, China; 3Department of Sports Medicine, the Second People’s Hospital of Shenzhen, Shenzhen
     
    518035, Guangdong Province, China)
  • Received:2017-04-30 Online:2017-06-28 Published:2017-07-07
  • Contact: Wang Da-ping, Chief physician, Doctoral supervisor, Guangzhou Medical University, Guangzhou 510182, Guangdong Province, China; Shenzhen Key Laboratory of Tissue Engineering, Shenzhen 518035, Guangdong Province, China; Department of Sports Medicine, the Second People’s Hospital of Shenzhen, Shenzhen 518035, Guangdong Province, China
  • About author:Zhou Yong, Studying for master’s degree, Guangzhou Medical University, Guangzhou 510182, Guangdong Province, China; Shenzhen Key Laboratory of Tissue Engineering, Shenzhen 518035, Guangdong Province, China
  • Supported by:
    the Scientific Plan Project of Shenzhen City, No. JCYJ2015033010240109

Abstract:

BACKGROUND: By mixing technology, various materials are mixed and complemented each other to enhance heat sensitivity, mechanical properties, viscoelasticity of the materials and improve their biocompatibility, biodegradability and other biomedical properties.
OBJECTIVE: To prepare polyvinyl alcohol (PVA)/chitosan (CS) porous hydrogel and to observe its effects on the repair of articular cartilage defects.
METHODS: PVA, CS and polysorbate-80 were used as raw materials to prepare the hydrogels at the PVA/CS ratio of 5:5, 6:4, 7:3, 8:2 and 9:1 by freezing-thawing cycle and emulsification-frost-ice phase separation, and the physical and chemical properties, mechanical properties, and biocompatibility of the hydrogels were detected to find out the best PVA/CS ratio. Eighteen New Zealand rabbits were enrolled to make models of bilateral articular cartilage defects, and then randomized into three groups: blank control group; control group; experimental group. The prepared hydrogel was compounded with rabbit bone marrow mesenchymal stem cells (BMSCs) and then implanted into the rabbit articular cartilage defect in the experimental group, the PVA/CS hydrogel was implanted in the control group, and nothing was implanted in the blank control group. After 12 weeks, the animals were killed and the repairing effect was observed by gross observation and histological examination.  
RESULTS AND CONCLUSION: The PVA/CS porous composite hydrogel was successfully prepared, and PVA:CS=6:4 was the best in the presence of good mechanical properties, stable physical and chemical properties, and water content ≥ 90%. In additional, scanning electron microscopy showed a porous network structure, with the porosity ≥ 90%. The results of cell counting kit-8 assay and the results of cell death and survival showed that the hydrogel was non-cytotoxic and beneficial to the cell proliferation. In the blank control group, knee articular cartilage defects were not repaired within 12 weeks after surgery, showing significant granulation tissue filling. In the control group, knee articular cartilage defects were full of cartilage-like tissues with no smooth surface, but there were a great amount of chondrocyte-like cells. In the experimental group, knee articular cartilage defects were well repaired and full of a great amount of chondrocytes with the smooth surface. To conclude, the PVA/CS porous composite hydrogel could repair articular cartilage defects as an ideal tissue-engineered cartilage material.

Key words: Chitosan, Hydrogel, Mesenchymal Stem Cells, Tissue Engineering

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