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. 2021 Mar 30;12:20417314211004211. doi: 10.1177/20417314211004211

Table 1.

Cartilaginous constructs engineered by chondrogenic priming alone for bone defect reconstruction.

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.