Microstructural Factors in Neocartilage Function
Abstract Tissue engineering of cartilage and other connective tissues is a highly active area of research, motivated by the considerable medical need and commercial potential. Tissue with biological properties and biochemical composition similar to cartilage have been generated in laboratory cultures and animal models, and one method is being used in patients. Throughout the early development of regenerated cartilage, the focus has been on getting something to grow that is biochemically like cartilage and fills defects with tissue that visually looks like cartilage and holds up mechanically over the short term. The issues of cell source, culturing conditions, and scaffolds have also been addressed. However, all of the tissues generated have structure and microstructural organization that are not like natural cartilage. Although the clinical performance of the regenerated tissue appears promising, experience with prior regenerated tissue and the fact that the tissue is abnormal gives concern about the long term performance of the regenerated cartilage and the influence of activity level on this performance. Its long term mechanical properties are suspected to be inadequate. Future developments in this area will need to both enhance the mechanical characteristics of the regenerated tissue and develop methods and criteria for evaluating the tissue that is generated. Our work on matrix assembly by chondrocytes has been directed towards these ends. The goal has been to understand the microstructural basis for mechanical properties in tissue generated by chondrocytes in culture, develop methods to alter and control the microstructure, and build both experimental and theoretical models that allow evaluating the connection between microstructure and macroscopic properties. This is similar to a materials science approach which, we believe, will be one approach to the second generation of engineered tissues. The approach and results to date on tissue generated by chondrocytes will be described in this presentation. A specific question related to collagen network microstructure will be used to illustrate this approach.