期刊
BONE
卷 151, 期 -, 页码 -出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.bone.2021.116035
关键词
Perichondrium; Articular cartilage; Injury healing; Transplantation; Chondrocyte differentiation
资金
- Uppsala County Council
- Dalarna County Council
- China Scholarship Council (CSC) [201507040026]
- Swedish Research Council [K2015-54X22 736-01-4, 201502227]
- Swedish Governmental Agency for Innovation Systems (Vinnova) [201401438]
- Marianne and Marcus Wallenberg Foundation
- Stockholm County Council
- Byggmadstare Olle Engkvist Stiftelse
- Swedish Society of Medicine
- Novo Nordisk Foundation
- Erik och Edith Fernstrodm Foundation for Medical Research
- HKH Kronprinsessan Lovisas fodrening fodr barnasjukvard
- Sadllskapet Barnavard
- Stiftelsen Frimurare Barnhuset i Stockholm
- Promobilia
- Nyckelfonden
- Karolinska Institutet, Stockholm, Sweden
- Odrebro University, Odrebro, Sweden
The study found that perichondrium and periosteum transplanted into articular cartilage defects can be transformed into cartilaginous articular surfaces. Perichondrium transplants developed into an articular-like, hyaline cartilage, while periosteum transplants produced a less resilient fibro-cartilage.
Objective: Perichondrium autotransplants have been used to reconstruct articular surfaces destroyed by infection or trauma. However, the role of the transplanted perichondrium in the healing of resurfaced joints has not been investigated. Design: Perichondrial and periosteal tissues were harvested from rats hemizygous for a ubiquitously expressed enhanced green fluorescent protein (EGFP) transgene and transplanted into full-thickness articular cartilage defects at the trochlear groove of distal femur in wild-type littermates. As an additional control, cartilage defects were left without a transplant (no transplant control). Distal femurs were collected 3, 14, 56, 112 days after surgery. Results: Tracing of transplanted cells showed that both perichondrium and periosteum transplant-derived cells made up the large majority of the cells in the regenerated joint surfaces. Perichondrium transplants contained SOX9 positive cells and with time differentiated into a hyaline cartilage that expanded and filled out the defects with Col2a1-positive and Col1a1-negative chondrocytes and a matrix rich in proteoglycans. At later timepoints the cartilaginous perichondrium transplants were actively remodeled into bone at the transplant-bone interface and at post-surgery day 112 EGFP-positive perichondrium cells at the articular surface were positive for Prg4. Periosteum transplants initially lacked SOX9 expression and despite a transient increase in SOX9 expression and chondrogenic differentiation, remained Col1a1 positive, and were continuously thinning as periosteum-derived cells were incorporated into the subchondral compartment. Conclusions: Perichondrium and periosteum transplanted to articular cartilage defects did not just stimulate regeneration but were themselves transformed into cartilaginous articular surfaces. Perichondrium transplants developed into an articular-like, hyaline cartilage, whereas periosteum transplants appeared to produce a less resilient fibro-cartilage.
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