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  • articleNo Access

    THE EFFECT OF HYDROGEN PEROXIDE, POVIDONE-IODINE AND RUNNING LOADS ON RAT KNEE JOINT CARTILAGES

    This study was performed to assess the effect of intra-articularly-injected 3.0% povidone-iodine solution and 2% H2O2 on the joint cartilage. Ninety 12-week-old Spraque Dawley rats, weighing 250 g on average, were used; ten were used as controls without any treatment, and 80 were equally divided into four groups for the experiment. In group I, 0.05 ml of normal saline was injected twice into the right knee joints at intervals of one week each, and a running load over a treadmill was added until the animals were sacrificed. In group II, 0.05 ml of 2% H2O2 was injected twice into the right knees over the same interval. In group III, 0.05 ml of 2% H2O2 was injected twice into the right knees over the same weekly interval, and a running load was added until the knees were sacrificed. In group IV, 0.05 ml of 3.0% povidone-iodine was injected twice into the right knees at one week intervals and a running load was also added until their sacrifice. In each experimental group, five rats were sacrificed at two, four, six and eight weeks after the first intra-articular injection, respectively, and the medial femoral condyles of the joints were taken for histological study of the articular cartilage. After saline injection and running load were applied, stage-I cartilage degeneration was observed at eight weeks after the first saline injection. After H2O2 injection only, stage-I cartilage degeneration was observed at four and six weeks, and the changes progressed to Wagenhäuser stage-II degeneration at eight weeks. After H2O2 injection and running load were applied, there were no histologic changes by two weeks, but stage-II cartilage degeneration was induced as early as six weeks after the first H2O2 injection. After povidone-iodine injection and running load were applied, stage-I cartilage degeration was observed at two weeks, and was maintained up to six weeks. Stage-II degeneration was observed at eight weeks. The matriceal proteoglycan contents was relatively high in comparison with the other groups. Safranin-O stain reduction was observed in groups I, II, III and IV before the histological changes were being observed. From the results, it was found that 3.0% povidone-iodine and 2% H2O2 with running loads could induce cartilage damage, and that 3.0% povidone-iodine solution induced more damage to the cartilage than 2% H2O2.

  • articleNo Access

    PROPOSAL FOR THE EFFECT OF CHONDROCYTE VOLUME ON THE MINERALIZATION RATE

    Mineralization of the cartilage matrix in embryonic long bones and growth plates is preceded by hypertrophy of chondrocytes. We hypothesize that the swollen hypertrophic cells exert pressure on the matrix, and that this pressure plays a role in the cartilage mineralization process. For this study, we asked the following questions. First, does the ratio of cell volume to matrix volume (CV/MV) increase from the proliferation to the hypertrophic zone in embryonic long bones? Second, is there a correlation between cell-volume increase and the mineralization rate in embryonic and postnatal long bones? The CV/MV ratios in the proliferation and hypertrophic zones in embryonic mouse metatarsals at 17 days of gestational age were determined using morphometric analyses. Confocal laser scanning microscopy was used to determine chondrocyte volumes. Cell volumes in the proliferation and hypertrophic zones of embryonic mouse metatarsals at 17 days of gestational age were compared to the ones in the metatarsal growth plates of nine-day-old mice. The mineralization rate was determined using photographs at 24-hour intervals. The CV/MV increased significantly from the proliferation to the hypertrophic zone, from 1.30±0.15 (mean ± standard deviation) to 1.80±0.18. The relative increase in cell volume from the proliferation to the hypertrophic zone was 1.6 for embryonic cells, i.e. from 370±101 mm3 to 610±107 mm3, and 2.8 for postnatal cells, i.e. from 280±41 mm3 to 786±155 mm3(p<0.05). The mineralization rate was 295±47mm/24 hours and 382±149 mm/24 hours for embryonic and postnatal metatarsals, respectively (p<0.05). The finding that chondrocyte volume increase is accompanied by a higher mineralization rate supports the hypothesis that cell hypertrophy plays an important role during the mineralization process.

  • articleNo Access

    THE EFFECTS OF EARLY SYNOVECTOMY IN ACUTE SEPTIC ARTHRITIS: AN EXPERIMENTAL STUDY WITH STAPHYLOCOCCUS AUREUS IN THE RABBIT KNEE JOINT

    The objective of this study is to analyze the effects and benefits of subtotal synovectomy in the early stage of septic arthritis. seventy rabbits with septic arthritis of the left knee joint were treated at 24 or 72 hours after inoculation of Staphylococcus aureus, with different treatment modalities, including antibiotic therapy, arthrotomy, irrigation, and synovectomy. At the end of the 6th week, the knee joints were removed and examined both macroscopically and histologically. It was discovered that there was more significant degeneration at the articular surface of the femur than that of the tibia. antibiotic therapy alone was found to be insufficient to prevent the degeneration of articular cartilage. performing subtotal synovectomy had no statistically significant effect 24 hours after the inoculation of bacteria. However, adding subtotal synovectomy to the surgical drainage 72 hours after inoculation resulted in significantly lesser degeneration of the articular cartilage. Sufficient drainage and irrigation of the joint associated with antibiotic treatment seems to be an adequate choice of treatment at the very early stage of septic arthritis. However, in established septic arthritis, adding subtotal synovectomy to the surgical drainage resulted in significantly lesser degeneration of the articular cartilage.

  • articleNo Access

    HISTOLOGICAL ASSESSMENT OF THE CHONDRAL AND CONNECTIVE TISSUES OF THE KNEE BY CONFOCAL ARTHROSCOPE

    Conventional histological assessment of tissue requires the removal of tissue from its physiological environment for pathological processing. In this study we report on the development and application of a laser scanning confocal arthroscope (LSCA) capable of in situ histological assessment by confocal microscopy.

    The knee joints of three euthanasied adult Merino sheep were imaged using the LSCA and a combination of fluorescent contrasting agents. LSCA images of various tissues were examined for common histological characteristics.

    The confocal histology images from the ovine knee acquired during the course of our study illustrated some of the major histological features of chondral and connective tissues.

    Our study demonstrates the efficacy of the LSCA for the histological assessment of the chondral and connective tissues of the ovine knee. The LSCA provides an easy and rapid method for assessing the in situ structure of cartilage, muscle, tendon, ligament, meniscus and synovium in their native and unaltered physiological environment. By obviating the need for mechanical biopsy, the LSCA provides a method for the non-destructive assessment of the chondral and connective tissues of the knee, and may be of great benefit in the investigation of orthopedic diseases or in the assessment of newly emerging cartilage repair techniques.

  • articleNo Access

    ASSESSMENT OF THREE-DIMENSIONAL ARCHITECTURE OF COLLAGEN FIBERS IN THE SUPERFICIAL ZONE OF BOVINE ARTICULAR CARTILAGE

    The aim of this study is to investigate the structure and the collagen matrix of the superficial zone of articular cartilage using a 3D imaging technique. The split line thought to represent the orientation of the collagen fibres in the superficial zone was found using Hultkrantz's method. A semitransparent membrane was physically peeled off from the most superficial surface of bovine articular cartilage. Using fibre optic laser scanning confocal microscopy, the collagen matrix in normal cartilage, the membrane and the cartilage with the membrane peeled off were studied. The superficial zone was found to contain a more sophisticated 3D collagenous matrix than previously reported. The collagen matrix in the membrane consists of interwoven long collagen bundles, and the collagen fibres immediately subjacent to it align spatially in a predominantly oblique direction to the articular surface. The split line does not represent the orientation of the collagen in the membrane. This study presents a 3D visualization technique for a minimal-invasive examination of the 3D architecture of the collagen fibres in the superficial zone of articular cartilage, and offers a new insight into the 3D structure of the collagen matrix in the superficial zone of native cartilage.

  • articleNo Access

    SECRETION OF A BONE-INDUCING AGENT (BIA) BY CULTURED SAOS-2 HUMAN OSTEOSARCOMA CELLS

    An extractable bone-inducing agent has recently been identified in freeze-dried preparations of Saos-2 cultured human osteosarcoma cells. Although not all osteoinductive components of Saos-2 cell extracts have been identified, we have shown that Saos-2 cells express high levels of mRNA for bone morphogenetic proteins (BMPs)-1,2,3,4 and 6. Any or all of these BMPs (plus possible unknown factors) may be involved in ectopic bone induction, and may act as paracrine agents, conveying morphogenetic information to juxtaposed osteoprogenitor cells. Our objectives in this study were: 1) to determine whether Saos-2 cells secrete BIA into their culture medium; and 2) if secreted, to determine whether released bone-inducing agent is soluble and/or particulate and contains BMPs. Saos-2 cells were grown to confluence, and then overlaid with serum-free DMEM culture medium for 48 hours. The serum-free conditioned medium was then decanted and filtered through 0.45μ pore-size filters to retain any vesicles or other particulates released by the cells. Particulate protein retained on the 0.45μ filter (designated "retentate") was extracted into 6M urea and bioassayed for bone-inducing activity in Nu/Nu mice, along with soluble media protein that had passed through the 0.45μ filter (designated "filtrate") plus freeze-dried Saos-2 cells from which conditioned the culture medium was obtained. Results indicate that the bone-inducing agent of Saos-2 cells is not only retained by the cells, but is also secreted in both soluble and particulate forms into serum-free conditioned medium. Bone-inducing activity (per mg protein) is more concentrated in the particulate fraction, which is shown by electron microscopy to contain a mixture of vesicles (similar to matrix vesicles) plus electron dense granules (resembling ribosomes) and 10 mM microfilaments (of possible collagenous or cytoskeletal origin). BMP-1,2,3,4,6 and 7 were detected by western blots in both the soluble and particulate fractions of conditioned medium. Thus, it is indicated that Saos-2 cells secrete an osteoinductive factor which may function in vivo as a paracrine morphogenetic agent.

  • articleNo Access

    Tissue Engineering — A New Technology in China

    The article is about the tissue engineering research done in China. It discusses various aspects of tissue engineering in China including engineered bones, cartilage, skin, corneal stroma and blood vessels.

  • articleNo Access

    Tissue Engineering Laboratory in Malaysia

    The article is about the tissue engineering laboratory in Malaysia. It touches on six areas of bioengineering, namely: skin, cartilage, bone, respiratory epithelium, stem cells and biomaterials.

  • articleNo Access

    Bioboard

      AUSTRALIA – Australia's First Full Genome Project to be Conducted on Corals.

      AUSTRALIA – Scientists May have Discovered New Potential Cure for Cancer.

      AUSTRALIA – First Genetically-engineered Malaria Vaccine To Enter Human Trials.

      CHINA – Lead Poisoning Sickens 600 Kids in China.

      CHINA – Groundbreaking Treatment for Oxygen-deprived Newborns.

      CHINA – China Builds First Heavy Ion Therapy Center for Cancer Patients.

      CHINA – Creating Live Mice from Skin Cells.

      INDIA – Human Clinical Trial in 2010 for Needle-free Measles Vaccination.

      INDIA – Indian Wonder Herb can Treat Male Infertility.

      JAPAN – Flood Resistant High-yield Rice Developed.

      SINGAPORE – Minimally Invasive Option for Knee Cartilage Repair.

      SINGAPORE – Novel Immunization Method for Malaria Offers Insights into Human Anti-Malaria Immune Response.

      TAIWAN – Taiwan Researchers Identify Sites of Breast Cancer Genes.

      TAIWAN – Taiwanese Researchers Develop Cell Therapy For Immunodeficiency.

      TAIWAN – Remote Healthcare Services for High-risk Patients.

      TAIWAN – Marine-derived Compounds Holds New Treatment Premise for Neuropathic Pain.

      OTHER REGIONS — UNITED STATES – New No-needle Approach to Prevent Blood Clots.

    • articleNo Access

      Feature

        Dysport vs. Botox: Coke vs Pepsi?

        A New technique in Rhinoplasty: Diced Cartilage with Fascia.

        What is New in Aesthetic Plastic Surgery?

        The Role of Fractional Photothermolysis in Laser Skin Rejuvenation.

        Chinese Maxillary Protusion Correction with Rhinoplasty.

      • articleNo Access

        Feature

          The New Hip Thing: Flying halfway around the globe for a new hip.

          Diagnostics & Cardiovascular Disease - Helping to Curtail Rising Numbers.

          Frequent Monitoring of Atrial Fibrillation Patients and Anticoagulants.

          Eco-friendlily Yours: The Way Forward.

          TauRx enters collaborative R&D agreement with Bayer Schering Pharma.

          Major New Asean Health and Well-Being Study.

        • articleNo Access

          EYE ON CHINA

            The First Chinese Laboratory Recognized By International Olive Council (IOC).

            China Kicks off Precision Medicine Research.

            Chinese Researchers Find Flavonoids in Cotton Petals to Treat Alzheimer's Disease.

            China Recognizes Prominent Scientists and Stresses on Innovation.

            China Corporation Tencent in Kenya to Help Combat Illegal Wildlife Trade.

            Catalyst Helps Convert Waste CO2 into Fuel.

            Articular Cartilage Stem Cells Participate in Cartilage Self-Repair during Early Osteoarthritis.

            Chinese Scientists Develop Polygraph Based on AI Technology.

            Scientists Uncover Beneficiary Effects of Dietary Iron Oxide Nanoparticles.

            A New Water Robot “Born” to Detect Water Quality.

            Archaeologists Discover World's Oldest Tea Buried with Ancient Chinese Emperor.

            Scientists Find in situ KIT-expressing Cardiomyocytes.

            Integrin CD11b Regulates Obesity-Related Insulin Resistance.

          • articleNo Access

            INSIDE INDUSTRY

              Asia's Medical Technology Start-ups Get New Fast Track to Market via Partnership between Cambridge Consultants and Clearbridge Accelerator

              Mitsubishi Electric and Sembcorp Industries to Testbed Novel Ozone Backwashing Energy-Saving Membrane Bioreactor

              LEO Pharma Enters Biologics through Strategic Partnership with AstraZeneca

              Bayer and X-Chem Expand Drug Discovery Collaboration to Discover Novel Medicines

              New Gas Chromatography System Brings Power of Orbitrap GC-MS Technology to Routine Applications

              A*STAR and MSD Establish a New Research Collaboration to Advance Peptide Therapeutics

              Stem Cells Engineered to Grow Cartilage, Fight Inflammation

            • articleNo Access

              FINITE ELEMENT CONTACT ANALYSIS OF A HUMAN SAGITTAL KNEE JOINT

              Articular cartilage is a vital component of human knee joints by providing a low-friction and wear-resistant surface in knee joints and distributing stresses to tibia. The degeneration or damage of articular cartilage will incur acute pain on the human knee joints. Hence, to understand the mechanism of normal and pathological functions of articular cartilage, it is very important to investigate the contact mechanics of the human knee joints. Experimental research has difficulties in reproducing the physiological conditions of daily activities and measuring the key factors such as contact-stress distributions inside knee joint without violating the physiological environment. On the other hand, numerical approaches such as finite element (FE) analysis provide a powerful tool in the biomechanics study of the human knee joint. This article presents a two-dimensional (2D) FE model of the human knee joints that includes the femur, tibia, patella, quadriceps, patellar tendon, and cartilages. The model is analyzed with dynamic loadings to study stress distribution in the tibia and contact area during contact with or without articular cartilage. The results obtained in this article are very helpful to find the pathological mechanism of knee joint degeneration or damage, and thus guide the therapy of knee illness and artificial joint replacement.

            • articleNo Access

              BENEFICIAL EFFECTS OF EXOGENOUS CROSSLINKING AGENTS ON SELF-ASSEMBLED TISSUE ENGINEERED CARTILAGE CONSTRUCT BIOMECHANICAL PROPERTIES

              Background. As articular cartilage is unable to repair itself, there is a tremendous clinical need for a tissue engineered replacement tissue. Current tissue engineering efforts using the self-assembly process have demonstrated promising results, but the biomechanical properties remain at roughly 50% of native tissue. Methodology/Principal Findings. The objective of this study was to determine the feasibility of using exogenous crosslinking agents to enhance the biomechanical properties of a scaffoldless cartilage tissue engineering approach. Four crosslinking agents (glutaraldehyde, ribose, genipin, and methylglyoxal) were applied each at a single concentration and single application time. It was determined that ribose application resulted in a significant 69% increase in Young's modulus, a significant 47% increase in ultimate tensile strength, as well as a trend toward a significant increase in aggregate modulus. Additionally, methylglyoxal application resulted in a significant 58% increase in Young's modulus. No treatments altered the biochemical content of the tissue. Conclusions/Significance. To our knowledge, this is the first study to examine the use of exogenous crosslinking agents on any tissue formed using a scaffoldless tissue engineering approach. In particular, this study demonstrates that a one-time treatment with crosslinking agents can be employed effectively to enhance the biomechanical properties of tissue engineered articular cartilage. The results are exciting, as they demonstrate the feasibility of using exogenous crosslinking agents to enhance the biomechanical properties without the need for increased glycosaminoglycan (GAG) and collagen content.

            • articleNo Access

              EFFECTS OF GELATIN MODIFICATION ON RAPID PROTOTYPING PCL SCAFFOLDS FOR CARTILAGE ENGINEERING

              The purpose of this study was to investigate the attachment and proliferation of cells on selective laser-sintered (SLS) polycaprolactone (PCL) scaffolds coated with gelatin for cartilage tissue engineering using chondrocytes isolated from the articular cartilage of swine. Scaffolds without modification were used as control groups. Cell proliferation was measured by cell count 1, 3 and 5 days after cell seeding into the scaffolds. The biocompatibility of the scaffold was examined by scanning electron microscopy (SEM). The PCL scaffolds coated with gelatin had higher hydrophilicity. The results provided a useful strategy for modifying the microenvironments to increase cell attachment, growth and the formation of extracellular matrix on scaffolds for cartilage tissue engineering.

            • articleNo Access

              COMPUTATIONAL ANALYSIS OF THE REGENERATED KNEE STRUCTURE AFTER BONE MARROW STIMULATION TECHNIQUES

              Bone marrow stimulation techniques, such as abrasion arthroplasty or microfracture, have been widely used for repairing cartilage; however, the mechanical stress analysis of these surgical techniques has not been fully investigated. In this study, finite element analysis was used to investigate stresses produced in complex structures (e.g., cartilage, subchondral bone and trabecular bone) using 2D knee structural models. Abrasion arthroplasty creates global damages only in subchondral bone, but, microfracture technique creates local damages in both trabecular and subchondral regions. Although stresses do not significantly change in trabecular bones as 50% recovery occurs in both abrasion and microfacture samples, significant changes are observed in both subchondral bone and cartilage layer depending on the procedure. The maximum stress levels in the microfractured bone represent approximately a 10.48% increase in cartilage and a 38.25% increase in subchondral bones compared to normal conditions. After 150% recovery, however, all three layers increase their stress levels in microfractured samples. Therefore, the 2D computational analysis results suggest that the microfracture technique should be cautiously used.

            • articleNo Access

              LIFETIME MODEL OF KNEE WITH DAMAGED CARTILAGE USING BEARING LIFE THEORY

              The articular cartilage in the human knee plays an important role to ensure a lifetime knee function for an individual. Due to damage of the cartilage in the knee, the coefficient of friction (COF) increases even after treatments for the cartilage, due to the poor self-healing ability of the cartilage, resulting in decreased knee life. As the mechanism of the function of the knee joint is similar to a bearing, a model based on the regression model of cylindrical bearing life has been developed. The model is used to evaluate the effect of the COF on the lifetime of the knee. The results show the correlation between the life of the knee and the COF of the knee cartilage. The knee lifetime depends on the ratio of the COF of the healthy cartilage to the damaged cartilage. The results demonstrate the effect of the COF on the knee lifetime, which is an exponential decrease in the life of the knee for both males and females.

            • articleNo Access

              ARE MRIs NECESSARY TO DEVELOP SUBJECT-SPECIFIC CARTILAGE AND MENISCI GEOMETRIES FOR SUBJECT-SPECIFIC KNEE MODELS?

              Native subject-specific knee geometries are usually based on CT and MRI images reconstruction. Unfortunately, while the definition of bone geometries using CTs is quite consistent, MRIs are often hardly readable, due to the usual lower resolution, and the final shape of cartilage and menisci is not consequently detailed enough. Moreover, further smoothing techniques, necessary to efficiently use these structures for numerical modeling, could result in bad interfaces and/or geometry inaccuracies. In this study a CAD-based approach to generate 3D cartilages and menisci geometries, avoiding the use of MRIs, was proposed and tested versus the traditional methods that use MRIs segmentation. The femoral, tibial and patellar cartilage layers were generated as offset from the bone geometries, the menisci were obtained by an extrusion based on tibia borders. Such geometries were compared to the reconstructions obtained from MRIs of healthy knee specimens. Overlapping the resulting geometries with the ones traditionally reconstructed, volumes differ from 2% to 14%. By using the new methodology, the geometries are obtained in 75% less time. The CAD-based methods shown in this pilot study is able to generate faster and accurate subject-specific knee cartilage layers and menisci geometries and can be suitable to be applied for numerical modeling.

            • articleNo Access

              TRENDS AND CHALLENGES OF CARTILAGE TISSUE ENGINEERING

              Cartilage injuries may be caused by trauma, biomechanical imbalance, or degenerative changes of joint. Unfortunately, cartilage has limited capability to spontaneous repair once damaged and may lead to progressive damage and degeneration. Cartilage tissue-engineering techniques have emerged as the potential clinical strategies. An ideal tissue-engineering approach to cartilage repair should offer good integration into both the host cartilage and the subchondral bone. Cells, scaffolds, and growth factors make up the tissue engineering triad. One of the major challenges for cartilage tissue engineering is cell source and cell numbers. Due to the limitations of proliferation for mature chondrocytes, current studies have alternated to use stem cells as a potential source. In the recent years, a lot of novel biomaterials has been continuously developed and investigated in various in vitro and in vivo studies for cartilage tissue engineering. Moreover, stimulatory factors such as bioactive molecules have been explored to induce or enhance cartilage formation. Growth factors and other additives could be added into culture media in vitro, transferred into cells, or incorporated into scaffolds for in vivo delivery to promote cellular differentiation and tissue regeneration.

              Based on the current development of cartilage tissue engineering, there exist challenges to overcome. How to manipulate the interactions between cells, scaffold, and signals to achieve the moderation of implanted composite differentiate into moderate stem cells to differentiate into hyaline cartilage to perform the optimum physiological and biomechanical functions without negative side effects remains the target to pursue.