Applied Materials Today 12 (2018) 309–321
Contents lists available at ScienceDirect
Applied Materials Today
j ourna l h o mepage: www.elsevier.com/locate/apmt
Injectable gellan-gum/hydroxyapatite-based bilayered hydrogel composites for
osteochondral tissue regeneration
D.R. Pereira
a,b
, R.F. Canadas
a,b
, J. Silva-Correia
a,b
, A. da Silva Morais
a,b
, M.B. Oliveira
a,b
, I.R. Dias
a,b,d
,
J.F. Mano
a,b
, A.P. Marques
a,b,c
, R.L. Reis
a,b,c
, J.M. Oliveira
a,b,c,∗
a
3B’s Research Group, I3Bs – Research Institute on Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue
Engineering and Regenerative Medicine, AvePark, Parque de Ciência e Tecnologia, Zona Industrial da Gandra, 4805-017 Barco, Guimarães, Portugal
b
ICVS/3B’s – PT Government Associate Laboratory, Braga/Guimarães, Portugal
c
The Discoveries Centre for Regenerative and Precision Medicine, Headquarters at University of Minho, Avepark, 4805-017 Barco, Guimarães, Portugal
d
Department of Veterinary Sciences, University of Trás-os-Montes e Alto Douro, Quinta de Prados, P.O. Box 1013, 5001-801 Vila Real, Portugal
a r t i c l e i n f o
Article history:
Received 31 March 2018
Received in revised form 13 June 2018
Accepted 17 June 2018
Keywords:
Injectable biomaterials
Bilayered hydrogel composites
Gellan-gum
Hydroxyapatite
Osteochondral regeneration
Orthotopic knee model
a b s t r a c t
Multilayer systems capable of simultaneous dual tissue formation are crucial for regeneration of the
osteochondral (OC) unit. Despite the tremendous effort in the field there is still no widely accepted
system that stands out in terms of superior OC regeneration. Herein, we developed bilayered hydrogel
composites (BHC) combining two structurally stratified layers fabricated from naturally derived and syn-
thetic polymers, gellan-gum (GG) and hydroxyapatite (HAp), respectively. Two formulations were made
from either low acyl GG (LAGG) alone or in combination with high acyl GG (HAGG) for the cartilage-like
layer. Four bone-like layers were made of LAGG incorporating different ratios of hydroxyapatite (HAp).
BHC were assembled in one single construct resulting in eight distinct bilayered constructs. Architectural
observations by stereomicroscope and micro-CT (-CT) demonstrated a connected stratified structure
with good ceramic dispersion within the bone-like layer. Swelling and degradation tests as well mechani-
cal analyse showed a stable viscoelastic construct under dynamic forces. In-vitro studies by encapsulating
rabbit’s chondrocytes and osteoblasts in the respective layers showed the cytocompatibility of the BHC.
Further studies comprising subcutaneous implantation in mice displayed a weak immune response after
four weeks. OC orthotopic defects in the rabbit’s knee were created and injected with the acellular BHC.
OC tissue was regenerated four weeks after implantation as confirmed by cartilaginous and bony tissue
formation assessed by histologic staining and -CT analysis. The successful fabrication of injectable BHC
and their in-vitro and in-vivo performance may be seen as advanced engineered platforms to treat the
challenging OC defects.
© 2018 Elsevier Ltd. All rights reserved.
1. Introduction
Osteochondral (OC) defects arise as a consequence of trauma,
bone tumors, tissue resection, and metabolic diseases. When these
affect the bone layer, a critical size lesion occurs and often leads
to joint non-union. The OC unit is a multiphasic tissue comprising
two distinct tissue types: the articular cartilage and the subchon-
dral bone. Articular cartilage is a thin layer of soft anisotropic
tissue responsible for protecting the surface of bones by reducing
∗
Corresponding author at: 3B’s Research Group, I3Bs – Research Institute on
Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters
of the European Institute of Excellence on Tissue Engineering and Regenerative
Medicine, AvePark, Parque de Ciência e Tecnologia, Zona Industrial da Gandra, 4805-
017 Barco, Guimarães, Portugal.
E-mail address: miguel.oliveira@i3bs.uminho.pt (J.M. Oliveira).
friction and facilitating joint movement and shock-absorbance,
while the subchondral bone fulfils a crucial role in mechanical
support [1]. The avascular nature, unique chemical and cellular
composition make hyaline cartilage difficult to regenerate in
lesions that exceed a critical size [2]. Although loose tissue forms
during cartilage healing [3], the degradation of the repaired tissue,
cartilage dehydration and tissue thinning contribute to the pro-
gression of the lesion into deeper regions of the subchondral bone
[4].
A wide range of clinical approaches has been exploited as pri-
mary/secondary treatments for managing a full-thickness chondral
defect. Autograft transplantation [5] and bone marrow stimu-
lation techniques such as microfracture [6], and subchondral
drilling [7] are the surgical procedures most often employed to
treat lesions classified from grade II to IV by the Outerbridge
classification [8–11]. Cell-based techniques such as autolo-
gous chondrocyte implantation (ACI) [12] and matrix-associated
https://doi.org/10.1016/j.apmt.2018.06.005
2352-9407/© 2018 Elsevier Ltd. All rights reserved.