Table 1.
Reference | Cell source | Biomaterial | In vitro priming condition | Bone defect model | Highlighted results |
---|---|---|---|---|---|
Iimori et al. (2021)172 | hiPSC line | / | Scaffoldless suspension culture; 10, 12, or 17 weeks in CHM containing TGF-β1, BMP-2, and GDF-5 | 3.5-mm femoral defect in SCID mice | The hiPSC-derived cartilage produced new bone via reminiscent of SOC-ECO process in the defects. |
Less time for chondrogenic differentiation of hiPSCs resulting in faster bone formation. | |||||
Longoni et al. (2020)44 | hBMSCs; rat BMSCs | COL I gel | Spheroid culture; 4 weeks in CHM containing TGF-β1 and BMP-2 | 6-mm femoral defect in Brown Norway rats | The amount of endochondral bone formation was proportional to the degree of host-donor relatedness. |
No full bridging of the defect was observed in the hBMSCs group, whereas 2/8 and 7/7 bridges formed in allogeneic and syngeneic group, respectively. | |||||
Nilsson Hall et al. (2020)60 | hPDCs | / | Microspheroid culture; 4 weeks in chemically defined CHM containing BMP-2, TGF-β1, GDF-5, BMP-6, and FGF-2 | 4-mm tibial defect in NMRInu/nu mice | Engineered callus organoids spontaneously bioassembled in vitro into large, engineered tissues able to heal murine critical-sized long bone defects via ECO. |
Freeman et al. (2020)36 | hBMSCs; hUVECs | PCL scaffold | Endochondral priming: 3 weeks in CHM containing TGF-β3; Osteogenic priming: 3 weeks in osteogenic medium |
4-mm calvarial defect in immunocompromised mice | The addition of hUVECs alone or a coculture of hUVECs and hBMSCs did not benefit for either the vascularization or mineralization potential of the scaffolds. |
Endochondral priming alone was sufficient to induce vascularization and subsequent mineralization. | |||||
Wang et al. (2018)119 | Rat BMSCs | HAp-coated porous Ti6Al4V scaffolds | 4 weeks in CHM | 5-mm full-thickness circular mandibular defect in SD rats | The HAp-coated Ti6Al4V scaffolds improved the chondrogenic differentiation of BMSCs in vitro and increased new bone formation via ECO in vivo. |
Daly et al. (2018)97 | Rat BMSCs | GelMA hydrogel with 3D printed microchannels | 4 weeks in CHM containing TGF-β3 and BMP-2 | 5-mm femoral defect in Fischer rats | 3D-printed hypertrophic cartilage grafts with microchannels promoted osteoclast/immune cell invasion, hydrogel degradation, and vascularization following implantation. |
Bolander et al. (2017)61 | hPDCs | COL I gel | Cell aggregate culture; 6 days of preconditioning in serum-free CDM or growth medium followed by 6 days of stimulation by BMP-2, BMP-4, BMP-6, BMP-7, BMP-9, and GDF-5 in CDM | 4-mm tibial defect in NMRInu/nu mice | Serum-free preconditioning in CDM enhanced BMP-2-induced osteochondrogenic differentiation of PDCs. |
Combined in vitro priming by BMP-2 treatment and aggregation led to endochondral bone formation and critical-size bone defect healing in vivo. | |||||
Bardsley et al. (2017)79 | Rat nasal chondrocytes | PGA scaffold | Constructs were cultured in basic medium containing insulin and ascorbic acid for 5 weeks | 4-mm full-thickness calvarial defect in Wistar rats | Constructs derived from nasal chondrocytes had the capacity to express features of hypertrophic chondrocytes. |
Nasal chondrocytes can be used to engineer hypertrophic cartilage and repair bone defects. | |||||
van der Stok et al. (2014)173 | hBMSCs | / | Pellet culture; undifferentiated pellets: 3 days in CHM containing TGF-β1; Chondrogenically differentiated pellets: 3 weeks in CHM containing TGF-β1 |
6-mm femoral defect in RUN rats | Chondrogenically differentiated pellets resulted in significantly more bone and vascularization in critical bone defects through ECO than undifferentiated pellets. |
Harada et al. (2014)108 | Rat BMSCs | PLGA scaffold | 3 weeks in CHM containing TGF-β3 and BMP-2 | 5-mm or 15-mm femoral defect in Fischer rats | The large 15-mm implants reached 75% of the strength of the normal rat femur, while there was no significant difference in the strength of the 5-mm implants. |
Mikael et al. (2014)174 | hBMSCs | Donut-shaped Healos scaffold disc | Pellet culture, 16 days in CHM containing TGF-β1 | 3.5-mm calvarial defect in NSG mice | Precartilage template formed in vitro induced mineralized tissue formation via a cartilage-mediated process. |
Bahney et al. (2014)70 | hBMSCs; hACs |
PEGDA scaffolds | Pellet culture, 3 weeks in CHM containing TGF-β1; | 2-mm segmental tibial defect in Nude mice | Cartilage grafts from fracture callus produced well-vascularized and integrated bone regeneration via ECO in bone defects. |
Scaffold culture, 6 weeks in CHM containing TGF-β1 | hBMSC-derived cartilage pellets promoted bone regeneration via ECO in bone defects. | ||||
Both hBMSC and hAC-encapsulated PEGDA scaffolds synthesized COL II and sulfated proteoglycans, but only hBMSC-encapsulated PEGDA scaffolds elaborated COL I and X proteins. | |||||
Jukes et al. (2008)62 | Mouse ESC line IB10 | Ceramic scaffolds | 3 weeks in serum-free CHM containing TGF-β3 | 8-mm calvarial defect in immunodeficient rats | Significantly more bone ingrowth was observed in the inner circle of the tissue-engineered cartilaginous constructs. |
Huang et al. (2006)175 | Rabbit BMSCs | Composite sponge of 70% esterified hyaluronan and 30% gelatin | 3 weeks in serum-free CHM containing TGF-β1 | Lunate excision in adult New Zealand white rabbits | Cartilaginous implants formed abundant bone tissue and blood vessels through ECO. |
BMSCs, bone marrow-derived mesenchymal stem cells; CDM, chemically defined medium; CHM, chondrogenic medium; ESCs, embryonic stem cells; GDF-5, growth/differentiation factor 5; GelMA, gelatin-methacrylamide; hACs, human articular chondrocytes; HAp; hydroxyapatite; hiPSCs, human induced pluripotent stem cells; hPDCs, human periosteum-derived cells; hUVECs, human umbilical vein endothelial cells; PCL, poly(ε-caprolactone); PEGDA, poly(ethylene glycol) diacrylate; PGA, polyglycolic acid; PLGA, poly(lactic-co-glycolic acid).
CHM is typically defined as DMEM supplemented with 100 U/mL penicillin/streptomycin, 100 μg/mL sodium pyruvate, 40 μg/mL L-proline, 50 μg/mL L-ascorbic acid 2-phosphate, 4.7 μg/mL linoleic acid, 1.5 mg/mL BSA, 1× ITS, 100 nM dexamethasone, and 10 ng/mL human TGF-β1 or TGF-β3.