Table 1.
Biologics delivered for in vitro and in vivo cartilage repair applications
Biologics | Biological Effect | Biologic Type | In vitro/In vivo Model | Comments | References |
---|---|---|---|---|---|
PTHrP | Anti-Hypertrophy | Growth Factor | In vitro cultures; In vivo OC defect model | Inhibited hypertrophy of chondrocytes and MSCs during differentiation in vitro; Reduced, but did not prevent, calcification in vivo | [137] |
S-(+)-ibuprofen | Anti-inflammatory | Small Molecule | Ex vivo OA model | Reduced prostaglandins synthesis at 50 μM. When released from PLGA-PEG microspheres, reduced cartilage degradation at 1 mM ex vivo | [82, 142] |
Sulforaphane | Anti-inflammatory | Small Molecule | In vitro cultures; In vivo OA model | Inhibited inflammatory markers including COX-2, ADAMTS-5, and MMP-2 in vitro; Delayed progression of OA in vivo | [86] |
IL-1Ra | Anti-inflammatory | Antigen | In vitro cultures; In vivo OA model | Bound to IL-1 surface receptors of synoviocytes in vitro; Retained in joint without inducing degenerative changes in vivo; Specific chondroprotective effects need to be evaluated | [108] |
3,4,6-O-Bu3GlcNAc | Anti-inflammatory/Chondroprotective | Small Molecule | In vitro cultures | Decreased the expression of IL-1β-stimulated NFkB target genes and increased GAG production and chondrogenic gene expression of IL-1β challenged chondrocytes | [173] |
SDF-1 | Cell Homing | Chemokine | In vitro cultures; In vivo OC model and intraperitoneal cell migration model | Did not influence proliferation/chondrogenesis of MSCs in OC defect but resulted in ectopic cartilage formation when delivered with TGF-β1 at 4 weeks in vivo | [61, 174] |
PRP | Chondrogenic/Anabolic/Anti-inflammatory | Growth Factor Cocktail | In vitro and ex vivo cultures; In vivo OA and OC defect models | Decreased the expression of inflammatory markers including TNF-α and MMP-13 and enhanced endogenous HA production ex vivo; OC graft pre-treatment with PRP enhanced graft-host integration in vivo | [157, 162] |
HA | Chondroprotective | Viscosupplement | In vitro cultures; In vivo OA models | High molecular weight HA resulted in improved histological scores and lower cartilage friction coefficients when compared to low molecular weight HA in vivo | [71] |
Proteoglycan 4 | Chondroprotective | Viscosupplement | In vitro cultures | Supplementation of OA synovial fluid with proteoglycan 4 restored lubricating ability by reducing friction coefficient in cartilage-on-cartilage tests | [175] |
Prostaglandins E2 | Inflammatory/Anabolic | Small Molecule | In vitro cultures | Low concentrations (10−9 M to 10−6 M) stimulated increased chondrogenic gene expression of articular chondrocytes in 3D | [83] |