Long-term pre-clinical evaluation of an injectable chitosan nanocellulose hydrogel with encapsulated adipose-derived stem cells in an ovine model for IVD regeneration.


Journal

Journal of tissue engineering and regenerative medicine
ISSN: 1932-7005
Titre abrégé: J Tissue Eng Regen Med
Pays: England
ID NLM: 101308490

Informations de publication

Date de publication:
07 2021
Historique:
revised: 29 04 2021
received: 21 01 2021
accepted: 05 05 2021
pubmed: 15 5 2021
medline: 29 1 2022
entrez: 14 5 2021
Statut: ppublish

Résumé

The potential therapeutic benefit of adipose-derived stem cells (ASCs) encapsulated in an injectable hydrogel for stimulating intervertebral disc (IVD) regeneration has been assessed by a number of translational and preclinical studies. However, previous work has been primarily limited to small animal models and short-term outcomes of only a few weeks. Long-term studies in representative large animal models are crucial for translation into clinical success, especially for permanent stabilization of major defects such as disc herniation. An injectable chitosan carboxymethyl cellulose hydrogel scaffold loaded with ASCs was evaluated regarding its intraoperative handling, crosslinking kinetics, cell viability, fully-crosslinked viscoelasticity, and long-term therapeutic effects in an ovine model. Three IVDs per animal were damaged in 10 sheep. Subcutaneous adipose tissue was the source for autologous ASCs. Six weeks after IVD damage, two of the damaged IVDs were treated via ASC-loaded hydrogel injection. After 12 months following the implantation, IVD disc height and histological and cellular changes were assessed. This system was reliable and easy to handle intraoperatively. Over 12 months, IVD height was stabilized and degeneration progression significantly mitigated compared to untreated, damaged IVDs. Here we show for the first time in a large animal model that an injectable chitosan carboxymethyl cellulose hydrogel system with encapsulated ASCs is able to affect long-term stabilization of an injured IVD and significantly decrease degeneration processes as compared to controls.

Identifiants

pubmed: 33989456
doi: 10.1002/term.3216
doi:

Substances chimiques

Hydrogels 0
Cellulose 9004-34-6
Chitosan 9012-76-4

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

660-673

Subventions

Organisme : German Federal Ministry of Education and Research
ID : BMBF, 1315883
Organisme : DAAD internship program RISE
Organisme : Whitaker Biomedical Engineering Research Fellowship

Informations de copyright

© 2021 The Authors. Journal of Tissue Engineering and Regenerative Medicine published by John Wiley & Sons Ltd.

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Auteurs

Christine Schmitt (C)

Halle Wittenberg, Department for Orthopaedics and Traumatology, Martin Luther University, Halle (Saale), Germany.
Department of Biological and Macromolecular Materials, Fraunhofer Institute for Microstructure of Materials and Systems IMWS, Halle (Saale), Germany.

Florian Radetzki (F)

Halle Wittenberg, Department for Orthopaedics and Traumatology, Martin Luther University, Halle (Saale), Germany.
Department of Orthopedic and Trauma Surgery, Dessau Municipal Hospital, Dessau-Roßlau, Germany.

Annika Stirnweiss (A)

Department of Biological and Macromolecular Materials, Fraunhofer Institute for Microstructure of Materials and Systems IMWS, Halle (Saale), Germany.

Thomas Mendel (T)

Department of Trauma, Hand and Reconstructive Surgery, Universitätsklinikum Jena, Jena, Germany.
Department of Trauma and Reconstructive Surgery, BG Klinikum Bergmannstrost Halle gGmbH, Halle (Saale), Germany.

Christopher Ludtka (C)

Department of Biomedical Engineering, University of Florida, Gainesville, Florida, USA.

Andrea Friedmann (A)

Translational Centre for Regenerative Medicine, University of Leipzig, Leipzig, Germany.
Department of Biological and Macromolecular Materials, Fraunhofer Institute for Microstructure of Materials and Systems IMWS, Halle (Saale), Germany.

Andre Baerthel (A)

Translational Centre for Regenerative Medicine, University of Leipzig, Leipzig, Germany.
Department of Veterinary Medicine, University of Leipzig, Leipzig, Germany.

Walther Brehm (W)

Department of Veterinary Medicine, University of Leipzig, Leipzig, Germany.

Javorina Milosevic (J)

Spinplant GmbH, Halle, Germany.

Hans Jörg Meisel (HJ)

Spinplant GmbH, Halle, Germany.
Department of Neurosurgery, BG Klinikum Bergmannstrost Halle gGmbH, Halle (Saale), Germany.

Felix Goehre (F)

Translational Centre for Regenerative Medicine, University of Leipzig, Leipzig, Germany.
Department of Neurosurgery, BG Klinikum Bergmannstrost Halle gGmbH, Halle (Saale), Germany.
Faculty of Medicine, University of Helsinki, Helsinki, Finland.

Stefan Schwan (S)

Translational Centre for Regenerative Medicine, University of Leipzig, Leipzig, Germany.
Department of Biological and Macromolecular Materials, Fraunhofer Institute for Microstructure of Materials and Systems IMWS, Halle (Saale), Germany.

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