Sequential Zonal Chondrogenic Differentiation Of Mesenchymal Stem Cells In Cartilage Matrices

Engineering approaches that mimic the process of fetal development have the potential to regenerate the zonal organization of articular cartilage. The objective of this study was to investigate the effect of sequential addition of zone-specific growth factors such as bone morphogenetic protein (BMP)-7, insulin-like growth factor (IGF)-1, and Indian hedgehog (IHH) to transforming growth factor (TGF)-beta 1-supplemented chondrogenic medium on zonal differentiation of human mesenchymal stem cells (hMSCs) encapsulated in an articular cartilage-derived matrix. First, fetal or adult bovine articular cartilage was decellularized, digested, and methacrylate functionalized to produce an injectable macromer (CarMa, f-CarMa for fetal, a-CarMa for adult) for encapsulation of hMSCs. Next, the optimum matrix source and initial cell density for chondrogenic differentiation of hMSCs to the superficial and calcified zone phenotypes were determined by encapsulation of the cells in CarMa hydrogel and incubated in chondrogenic medium/TGF-beta 1 supplemented with BMP-7 and IHH, respectively. Then, the encapsulated hMSCs were preexposed to BMP-7-supplemented chondrogenic medium/TGF-beta 1 and the effect of sequential addition of IGF-1 and IHH to the medium on the expression of zone-specific markers was investigated. According to the results, f-CarMa and high cell density enhanced differentiation of the encapsulated hMSCs to the superficial zone phenotype, whereas a-CarMa and low cell density enhanced differentiation to the calcified zone. The addition of IGF-1 to the chondrogenic medium/TGF-beta 1 stimulated differentiation of the encapsulated hMSCs, preexposed to BMP-7, to the middle zone phenotype. The addition of IHH to the chondrogenic medium/TGF-beta 1 stimulated maturation of the encapsulated hMSCs, preexposed to BMP-7 and IGF-1, to the calcified zone phenotype. The results are potentially useful for engineering injectable, cellular hydrogels for regeneration of full-thickness articular cartilage. Impact Statement The higher regenerative capacity of fetal articular cartilage compared with the adult is rooted in differences in cell density and matrix composition. We hypothesized that the zonal organization of articular cartilage can be engineered by encapsulation of mesenchymal stem cells in a single superficial zone-like matrix followed by sequential addition of zone-specific growth factors within the matrix, similar to the process of fetal cartilage development. The results demonstrate that the zonal organization of articular cartilage can potentially be regenerated using an injectable, monolayer cell-laden hydrogel with sequential release of growth factors.