Engineered Human Juvenile Chondrocyte Sheets Safely Repair Damaged Cartilage

Graphic: Engineered Human Juvenile Chondrocyte Sheets Safely Repair Damaged Cartilage
Cartilage regeneration with engineered human juvenile cartilage-derived chondrocyte sheets. Four weeks after treatment are shown. a) Macroscopic image of repaired cartilage. b) Safranin-O and fast green staining. Red safranin-O staining indicates native-like hyaline cartilage. Fast green was used as a counter staining for bone and connective tissues. Right bottom boxes show defect only control samples with no cartilage regeneration.

The body cannot heal damage to cartilage, and such defects eventually progress to joint osteoarthritis, impacting more than 5.6 million Americans. Current approaches to repairing cartilage have issues in the quality of the repaired tissue, potential treatment variability, costs, and long wait times for patients. University of Utah Health researcher Makoto Kondo, PhD, and colleagues combined two cutting-edge methods to address these issues: (1) cell sheet technology, which generates sheets of cells to replace or repair damaged tissue; and (2) human juvenile chondrocyte sourcing, which harvests juveniles’ cartilage-generating cells (more active than adults’) from otherwise-discarded surgical byproducts. Early research has demonstrated the safety and efficacy of the engineered juvenile chondrocyte sheets. The juvenile cells generated tissue quickly, permitting large-scale production of cell sheets. Transplanting the sheets into rats with cartilage damage led to cartilage regeneration and rapid functional recovery. This approach overcomes the issues of other therapeutic options, enabling reliable and sustainable regenerative treatment for cartilage injuries. Further research will examine the complicated regenerative mechanism behind this method’s success and pioneer its application in humans. 

References:

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Safety and efficacy of human juvenile chondrocyte-derived cell sheets for osteochondral defect treatment.  Kondo M, Kameishi S, Kim K, Metzler NF, Maak TG, Hutchinson DT, Wang AA, Maehara M, Sato M, Grainger DW, Okano T. npj Regenerative Medicine. 2021 Oct 15;6(1):65.

Novel therapies using cell sheets engineered from allogeneic mesenchymal stem/stromal cells. Kondo M, Kameishi S, Grainger DW, Okano T. Emerging Topics in Life Sciences. 2020 Dec 17;4(6):677-689. 

U of U Health Key Faculty Collaborators:

Travis Maak, MD, Department of Orthopaedics
Jeffrey Weiss, PhD, Department of Biomedical Engineering
David Grainger, PhD, Department of Biomedical Engineering and Molecular Pharmaceutics
Teruo Okano, PhD, Department of Molecular Pharmaceutics