Thermoreversible hydrogel scaffolds for articular
cartilage engineering
John P. Fisher,
1
* Seongbong Jo,
2
Antonios G. Mikos,
2
A. Hari Reddi
1
1
Department of Orthopaedic Surgery, Center for Tissue Regeneration and Repair, School of Medicine, University of
California, Davis, Research Building I, Room 2000, 4635 Second Avenue, Sacramento, California 95817
2
Department of Bioengineering, Rice University, P.O. Box 1892, MS 142, Houston, Texas 77251
Received 18 December 2003; revised 18 June 2004; accepted 22 June 2004
Published online 14 September 2004 in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/jbm.a.30148
Abstract: Articular cartilage has limited potential for re-
pair. Current clinical treatments for articular cartilage dam-
age often result in fibrocartilage and are associated with joint
pain and stiffness. To address these concerns, researchers
have turned to the engineering of cartilage grafts. Tissue
engineering, an emerging field for the functional restoration
of articular cartilage and other tissues, is based on the utili-
zation of morphogens, scaffolds, and responding progeni-
tor/stem cells. Because articular cartilage is a water-laden
tissue and contains within its matrix hydrophilic proteogly-
cans, an engineered cartilage graft may be based on syn-
thetic hydrogels to mimic these properties. To this end, we
have developed a polymer system based on the hydrophilic
copolymer poly(propylene fumarate-co-ethylene glycol)
[P(PF-co-EG)]. Solutions of this polymer are liquid below
25°C and gel above 35°C, allowing an aqueous solution
containing cells at room temperature to form a hydrogel
with encapsulated cells at physiological body temperature.
The objective of this work was to determine the effects of the
hydrogel components on the phenotype of encapsulated
chondrocytes. Bovine articular chondrocytes were used as
an experimental model. Results demonstrated that the com-
ponents required for hydrogel fabrication did not signifi-
cantly reduce the proteoglycan synthesis of chondrocytes, a
phenotypic marker of chondrocyte function. In addition,
chondrocyte viability, proteoglycan synthesis, and type II
collagen synthesis within P(PF-co-EG) hydrogels were inves-
tigated. The addition of bone morphogenetic protein-7 in-
creased chondrocyte proliferation with the P(PF-co-EG) hy-
drogels, but did not increase proteoglycan synthesis by the
chondrocytes. These results indicate that the temperature-
responsive P(PF-co-EG) hydrogels are suitable for chondro-
cyte delivery for articular cartilage repair. © 2004 Wiley
Periodicals, Inc. J Biomed Mater Res 71A: 268 –274, 2004
Key words: cartilage; chondrocytes; morphogens; hydro-
gels; tissue engineering
INTRODUCTION
Native articular cartilage is a durable long-lasting
tissue, with an extracellular matrix consisting mostly
of proteoglycans and type II collagen. Cartilage matrix
proteoglycans, most notably aggrecan, are negatively
charged molecules that induce both a repelling force,
due to charged proteoglycans repulsion of negatively,
and an osmotic swelling force, as water moves into the
tissue to ensure electroneutrality.
1
The resulting stress
that is induced in articular cartilage allows the tissue
to withstand large loads by virtue of the matrix’s
tensile strength and the exudable water held within
the tissue. As a result, articular cartilage possesses
significant mechanical properties, with a compressive
modulus of 0.79 MPa, a shear modulus of 0.69 MPa,
and a tensile modulus varying between 0.3 and 10.2
MPa.
2
Nevertheless, mechanical loads may be applied
to articulating joints with such great magnitude and
swift rate, that cartilage is not able to accept the force
and thus fails by either surface or both surface and
subchondral bone disruption.
The surgical options for articular cartilage repair
typically include graft implantation and subchondral
bone microfractures. Grafting procedures entail the
implantation of autologous osteochondral plugs, allo-
grafts, periosteal grafts, and perichondrial grafts.
3
Subchondral bone penetration procedures include
subchondral drilling, microfracture, and spongializa-
tion. Thus, although both procedures rely on growth
factors, differentiated cells, and pluripotent mesen-
chymal cells to repair the damaged site, the grafting
*Present address: Department of Chemical Engineering,
University of Maryland, College Park, MD 20742
Correspondence to: A. H. Reddi; e-mail: ahreddi@ucdavis.
edu
Contract grant sponsor: Lawrence Ellison Chair Endow-
ment for Musculoskeletal Molecular Biology and Regenera-
tive Medicine
Contract grant sponsor: National Institutes of Health; con-
tract grant number: R01-AR48756
© 2004 Wiley Periodicals, Inc.