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. 2021 Nov 30;13(23):4199. doi: 10.3390/polym13234199

Table 2.

Summary of the last 10 years studies on cartilage regeneration via biopolymers.

Main Base Main Materials Advantages Highlighted
Achievements
Disadvantages Ref.
Chitosan Chitosan, kartogenin Increased mechanical
properties, excellent
biocompatibility,
biodegradability,
and cell adhesion
Significant statistical models to predict the properties Immunogenic [58]
Gellan gum (GG)/nanoparticles/graphene oxide/hydroxyethyl cellulose/dialdehyde starch/
poly (vinyl alcohol)/gelatin/
hyaluronic acid
Controllable properties, degradation rate,
and pore size
[43,59,60]
Chitosan, Pyrrole Good thermo-sensitive gelation High gelation time,
swelling, and degradation time
[61]
Chitosan, PLA, calcium
phosphate, hydroxyapatite
- Bioinert [62]
Collagen/gelatin hyaluronic acid/dialdehyde micro fibrillated cellulose (DAMFC)/transglutaminase
enzyme
Biosafe, excellent mechanical and biochemical properties, biocompatibility, and cell
viability, low cost,
biodegradable, ECM
production of cartilage
- Immunogenic [63,64,65,66,67,68]
Riboflavin, collagen,
hyaluronic acid
- Delayed enzyme-triggered degradation time [69]
Gelatin, graft-poly(N-isopropyl acrylamide) Low water/oil interfacial tensions,
thermo-responsive
[70]
Alginate, borax Reduced inflammatory
effect
[71]
Hyaluronic acid Alginate/cellulose nanocrystals, adipic acid dihydrazide/fibrin/
lysine methyl ester/divinyl
sulfone, functionalized inulin
Bioprintable, biocompatible, good proliferation, stable,
enhanced cell adhesion,
proliferation,
and differentiation
- Weak mechanical integrity, fast degradation in vivo [72,73,74,75,76,77,78]
Polydactyly chondrocytes,
heparin/fibrin
Cartilage-like matrix [79]
Trans glutaminase
crosslinked hyaluronan
Excellent mitogen
chondrification, superior adhesion
to native cartilage
[80]
PEG, chondrocytes Superior mechanical properties, improved metabolic viability Fast degradation [81]
Fibrin ECM microparticle, alginate
microbeads/PEG, human amniotic fluid-derived stem cells
Stable, biocompatible,
injectable
- [82,83]
Alginate Gelatin, Hydroxyapatite, protein (BSA),Alginate, Fibrinogen Tunable mechanical
properties similar to native cartilage, excellent
osteochondral regeneration and proliferation, 3D
printable, excellent cell adhesion and biocompatibility
Interconnected mesh structure, great flexibility and degradation Slow and unpredictable degradation in vivo [84]
Hydroxyapatite (HAP) complex - [85]
Bone marrow-derived
mesenchymal stem cells/polymethacrylate hybrid, collagen type I/hyaluronic acid, elastin-like protein (ELP)
- [86,87]
- Excellent viscoelasticity [88]
Gelatin High degradation [89]
Elastin Poly(N-isopropylacrylamide-
co-polylactide-2 hydroxyethyl methacrylate-co-oligo (ethylene glycol) monomethyl ether
methacrylate (PNPHO)
Biocompatible, proper
mechanical properties, good structural stable, cell proliferation, injectable
- Difficult to integrate with surrounding tissue,
Immunogenic
[90]
Silk Cell interactions [91]
Chondroitin
sulfate
Pullulan/poly
(N-isopropylacrylamide) (NIPAAm)
Biocompatible,
cytocompatible, increased cell proliferation, mechanically stable, improved cartilaginous ECM deposition,
good mechanical properties, injectable
Self-healing Immunogenic [92]
No cytotoxicity [93]