Table 2.
Functional sites | Natural |
Synthesized polymer |
References | ||||
---|---|---|---|---|---|---|---|
Examples | Clinical comments | Modifications | Examples | Clinical comments | Modifications | ||
Hydrogels | Agarose | Support chondrogenesis, facilitate function of biomechanical stimuli | Not indicated yet | PEG | Biocompatible, suitable for chondrocytes and MSCs cultivation | Lactic acid, RGD residue, combinedly used with other natural materials | Kim et al. (2012) [42] Dewan et al. (2014) [32] Stevens and George (2005) [45] Wang et al. (2011) [47] |
Alginate | Low stability and degradation rate | RGD peptides (improve adhesion) | |||||
Hyaluronic acid | Facilitate chondrogenic differentiation | MMP-sensitive peptide (controllable degradation) | |||||
Collagen | Low biomechanical stability, easily contracted during expansion, great biocompatibility | Nanoscale detail addition via electrospinning | |||||
Fibrin | Support chondrogenesis, compromised biomechanical property | Not indicated yet | |||||
Membrane | Periosteum | Immune response Hypertrophy |
Not indicated yet | Aliphatic polyesters | Toxic degradation by-product | Matching degradation with local metabolic clearance | |
Collagen membrane | No hypertrophy Efficiently seal lesion site |
Coculture with chondrocytes during cell expansion |
PEG = polyethylene glycol; RGD peptide = repeated sequence of arginine, glycine, and aspartame.