PŮVODNÍ PRÁCE * ORIGINAL PAPERTRANSPLANTATIONOF AUTOLOGOUS CHONDROCYTESINTO CARTILAGE DEFECTS OF MINIPIGS1) 2) 3) 1) 1)Pešáková V., Klézl Z., Čech O., Pohunková H., Adam M.1)Institute for Rheumatology, Prague2)Orthopaedic - Traumatology Dept., Central Military Hospital, Prague3)Orthopaedic Clinic, III. Med.Fac., Charles Univ., Prague, Czech RepublicSummaryDurcupan.Pešáková V, Klézl Z, Čech O, Results: the defects were almostP o h u n k o v á H , A d a m M . completely filled after nine weeks afterTransplantation of autologous surgery. Newly formed cartilage waschondrocytes into cartilage defects of thicker than the original one. Cellularity ofminipigs.the tissue was rather high and isogeneticRunning title: chondrocytesclusters of chondrocytes were present.transplantation Formation of ECM started on theObjective: to prepare a cartilage implant surface of subchondral bone andthe choice of a matrix for the <strong>pro</strong>ceeded upwards.chondrocytes embedding is very Key words: chondrocytes, cartilageimportant because chondrocytes have collagens, aggrecan, the tripeptide Glyextremelylabile phenotype. Our previous His-Lys.study (14) showed that aggrecan is criticalfor a scaffold formation. Collagen-graft- Introductionglycosaminoglycan copolymers (CGGC) The grafting of cells derived from adramatically modify the inflammatory cartilage into defect sites is currently veryresponse and lead to the synthesis of popular (9,5,20,3). Since the 1960´sphysiological tissue rather than to scar chondrocytes following enzymatic releasetissue formation.may be cultured in vitro (8,12,10). VeryDesign: 22 minipigs one year old were important determinant of the outcome isused to study the effect of construct the choice of matrix within which cells arecomposed from cartilage collagens, embedded. The main <strong>pro</strong>blem of theaggrecan, the tripeptide Gly-His-Lys, and cartilage replacement is namely extremeautologous chondrocytes.lability of chyndrocyte phenotype. TheseSurgery: cartilage explants from the cells very rapidly change their shape andlateral condyle were the source of phenotypic expression under inap<strong>pro</strong>priatechondrocytes. 2-3 weeks later an artificial conditions. They then <strong>pro</strong>duce collagendefect was performed with a trephine in types I and III instead of collagen type II,the intercondylic region of the left knee, that means that fibrillar instead of hyalinewhich was filled with the construct. cartilage is formed. However, fibrillarHistology: newly formed tissue was cartilage has some physiologicaleither fixed in formalin for cryostat disadvantages in the comparison to thesections or embedded into epoxy resin - hyaline one. When chondrocytes are34LOCOMOTOR SYSTEM VOL. 7, <strong>2000</strong>, No.1
implanted into the cartilage defect, it is Material and methods (2.)conceived that the microenviromental 2.1. Composition of the constructconditions will lead to cell expansion and 2.1.1. Collagen : after pepsinization ofnew cartilage tissue formation. Collagen calf articular cartilage, cartilagetype II and especially collagen - graft - collagens (types II, IX, XI) were isolated.glycosaminoglycan copolymers is an C o l l a g e n w a s p u r i f i e d b yexcellent biomaterial for chondrocytes chromatography on DEAE-celluloseembedding. They dramatically modify the (DE-52 Whatman, Clifton, NJ) (13).inflammatory response and lead to the Length of isolated collagen moleculessynthesis of physiological tissue was measured by means of SLS forms(regeneration) rather than to scar tissue using electron microscope (1).formation. In a previous paper we studied 2.1.2. Aggrecan: (hyaline cartilagethree dimensional chondrocyte cultures <strong>pro</strong>teoglycan) was extracted from calf(15). As we were able to culture articular cartilage with 4 M guanidiniumchondrocytes without any change in their hydrochloride and desalted on Biogelphenotype, we used those conditions in this P2, 200-400 mesh (Bio-Rad Laboratories,study to develop constructs consisting of California) (7). To characterise isolatedautologous three dimensional cultured aggrecan it was dissolved in 0.5 Mc h o n d r o c y t e s , c o l l a g e n t y p e I I sodium acetate (pH 7.0) and(cartilaginous), and <strong>pro</strong>teoglycan to chromatographed on 4B Sepharoseregenerate damaged articular cartilage. (Pharmacia Fine Chemicals, Sweden).Fig.1. Diagram of implant preparation and transplantation inthe femorale condyle.POHYBOVÉ ÚSTROJÍ, ročník 7, <strong>2000</strong>, č. 135
- Page 1 and 2: POHYBOVÉ ÚSTROJÍročník 7, 2000
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