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The role of bFGF in down-regulating a-SMA expression of chondrogenically induced BMSCs and preventing the shrinkage of BMSC engineered cartilage Qiong Li a, b , Tianyi Liu a, b , Lu Zhang a, b , Yu Liu a, b , Wenjie Zhang a, b , Wei Liu a, b , Yilin Cao a, b, * , Guangdong Zhou a, b, * a Department of Plastic and Reconstructive Surgery, Shanghai 9th Peoples Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Tissue Engineering, Shanghai Stem Cell Institute, 639 Zhi Zao Ju Road, Shanghai 200011, PR China b National Tissue Engineering Center of China, Shanghai, PR China article info Article history: Received 20 February 2011 Accepted 6 March 2011 Available online 2 April 2011 Keywords: Bone marrow stromal cells (BMSCs) Chondrogenesis Shrinkage Smooth muscle actin-alpha (a-SMA) Basic broblast growth factor (bFGF) abstract Bone marrow stromal cells (BMSCs) have proved to be an ideal cell source for cartilage regeneration. Our previous studies demonstrated that a three-dimensional (3D) cartilage could be constructed successfully in vitro using BMSCs and biodegradable scaffolds. However, an obvious shrinkage and deformation was observed during in vitro chondrogenic induction. According to the literatures, it can be speculated that the up-regulation of smooth muscle actin-alpha (a-SMA) caused by transforming growth factor beta (TGFb) is one of the leading reasons and that basic broblast growth factor (bFGF) could antagonize the role of TGFb to down-regulate a-SMA expression and prevent the shrinkage of BMSC engineered carti- lage. This study testied these speculations by adding bFGF to chondrogenic media. According to the current results, chondrogenic induction signicantly up-regulated a-SMA expression of BMSCs at both cell and tissue levels, and the engineered tissue only retained 12.4% of original size after 6 weeks of chondrogenic induction. However, the supplement of bFGF in chondrogenic media efciently down- regulated a-SMA expression and the engineered tissue still retained over 60% of original size after 6 weeks of culture. Moreover, bFGF showed a benecial inuence on 3D cartilage formation of BMSCs in terms of gene expression and deposition of cartilage specic matrices. All these results suggested that bFGF could repress a-SMA expression caused by chondrogenic induction, efciently prevent shrinkage of BMSC engineered tissue, and have a positive inuence on cartilage formation, which provides a clue for both shape control and quality improvement of BMSC engineered 3D cartilage. Ó 2011 Elsevier Ltd. All rights reserved. 1. Introduction Because of strong proliferation ability, ne chondrogenic poten- tial, and easy to harvest with minimum injury, bone marrow stromal cells (BMSCs) have served as an ideal cell source for cartilage regen- eration [1e3]. Our previous studies have demonstrated that a three- dimensional (3D) cartilage could be constructed successfully using BMSCs and biodegradable scaffolds by in vitro chondrogenic induc- tion [4]. However, BMSC engineered tissue with a large size tends to shrink and deform during chondrogenic induction and fails to accurately maintain the original shape and size (See Supplemental Figure 1), which obviously limits its application in repairing carti- lage defects with specic shapes, such as auricular and nasal defects. Why BMSC engineered cartilage easily presents shrinkage and deformation is still unclear. Smooth muscle actin-alpha (a-SMA) has been known as one of the main proteins that cause cell contraction [5,6]. Some studies reported that the up-regulation of a-SMA expression in skin and cornea broblasts was correlated to scar contraction [7,8]. However, no studies show whether expres- sion of a-SMA is correlated with the shrinkage and deformation of BMSC engineered cartilage. It has been demonstrated that trans- forming growth factor beta (TGFb) could remarkably up-regulate a-SMA expression in both broblasts and BMSCs [9,10]. Unfortu- nately, TGFb is the essential growth factor for BMSC chondrogenesis in vitro [11]. Therefore, it can be speculated that the up-regulation of a-SMA expression caused by TGFb is probably one of the important reasons that cause the shrinkage of BMSC engineered cartilage in vitro. In this case, down-regulating the expression of * Corresponding authors. Department of Plastic and Reconstructive Surgery, Shanghai 9th Peoples Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Tissue Engineering, Shanghai Stem Cell Institute, 639 Zhi Zao Ju Road, Shanghai 200011, PR China. Tel.: þ86 21 23271699x5192; fax: þ86 21 53078128. E-mail addresses: [email protected] (Y. Cao), [email protected] (G. Zhou). Contents lists available at ScienceDirect Biomaterials journal homepage: www.elsevier.com/locate/biomaterials 0142-9612/$ e see front matter Ó 2011 Elsevier Ltd. All rights reserved. doi:10.1016/j.biomaterials.2011.03.020 Biomaterials 32 (2011) 4773e4781

The role of bFGF in down-regulating α-SMA expression of chondrogenically induced BMSCs and preventing the shrinkage of BMSC engineered cartilage

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Biomaterials 32 (2011) 4773e4781

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Biomaterials

journal homepage: www.elsevier .com/locate/biomater ia ls

The role of bFGF in down-regulating a-SMA expression of chondrogenicallyinduced BMSCs and preventing the shrinkage of BMSC engineered cartilage

Qiong Li a,b, Tianyi Liu a,b, Lu Zhang a,b, Yu Liu a,b, Wenjie Zhang a,b, Wei Liu a,b, Yilin Cao a,b,*,Guangdong Zhou a,b,*

aDepartment of Plastic and Reconstructive Surgery, Shanghai 9th People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Tissue Engineering,Shanghai Stem Cell Institute, 639 Zhi Zao Ju Road, Shanghai 200011, PR ChinabNational Tissue Engineering Center of China, Shanghai, PR China

a r t i c l e i n f o

Article history:Received 20 February 2011Accepted 6 March 2011Available online 2 April 2011

Keywords:Bone marrow stromal cells (BMSCs)ChondrogenesisShrinkageSmooth muscle actin-alpha (a-SMA)Basic fibroblast growth factor (bFGF)

* Corresponding authors. Department of PlasticShanghai 9th People’s Hospital, Shanghai Jiao Tong UShanghai Key Laboratory of Tissue Engineering, ShanZhi Zao Ju Road, Shanghai 200011, PR China. Tel.: þ8621 53078128.

E-mail addresses: [email protected] (Y. Cao)(G. Zhou).

0142-9612/$ e see front matter � 2011 Elsevier Ltd.doi:10.1016/j.biomaterials.2011.03.020

a b s t r a c t

Bone marrow stromal cells (BMSCs) have proved to be an ideal cell source for cartilage regeneration. Ourprevious studies demonstrated that a three-dimensional (3D) cartilage could be constructed successfullyin vitro using BMSCs and biodegradable scaffolds. However, an obvious shrinkage and deformation wasobserved during in vitro chondrogenic induction. According to the literatures, it can be speculated thatthe up-regulation of smooth muscle actin-alpha (a-SMA) caused by transforming growth factor beta(TGFb) is one of the leading reasons and that basic fibroblast growth factor (bFGF) could antagonize therole of TGFb to down-regulate a-SMA expression and prevent the shrinkage of BMSC engineered carti-lage. This study testified these speculations by adding bFGF to chondrogenic media. According to thecurrent results, chondrogenic induction significantly up-regulated a-SMA expression of BMSCs at bothcell and tissue levels, and the engineered tissue only retained 12.4% of original size after 6 weeks ofchondrogenic induction. However, the supplement of bFGF in chondrogenic media efficiently down-regulated a-SMA expression and the engineered tissue still retained over 60% of original size after 6weeks of culture. Moreover, bFGF showed a beneficial influence on 3D cartilage formation of BMSCs interms of gene expression and deposition of cartilage specific matrices. All these results suggested thatbFGF could repress a-SMA expression caused by chondrogenic induction, efficiently prevent shrinkage ofBMSC engineered tissue, and have a positive influence on cartilage formation, which provides a clue forboth shape control and quality improvement of BMSC engineered 3D cartilage.

� 2011 Elsevier Ltd. All rights reserved.

1. Introduction

Because of strong proliferation ability, fine chondrogenic poten-tial, and easy to harvest withminimum injury, bone marrow stromalcells (BMSCs) have served as an ideal cell source for cartilage regen-eration [1e3]. Our previous studies have demonstrated that a three-dimensional (3D) cartilage could be constructed successfully usingBMSCs and biodegradable scaffolds by in vitro chondrogenic induc-tion [4]. However, BMSC engineered tissue with a large size tends toshrink and deform during chondrogenic induction and fails to

and Reconstructive Surgery,niversity School of Medicine,ghai Stem Cell Institute, 63921 23271699x5192; fax: þ86

, [email protected]

All rights reserved.

accurately maintain the original shape and size (See SupplementalFigure 1), which obviously limits its application in repairing carti-lage defects with specific shapes, such as auricular and nasal defects.

Why BMSC engineered cartilage easily presents shrinkage anddeformation is still unclear. Smooth muscle actin-alpha (a-SMA)has been known as one of the main proteins that cause cellcontraction [5,6]. Some studies reported that the up-regulation ofa-SMA expression in skin and cornea fibroblasts was correlated toscar contraction [7,8]. However, no studies show whether expres-sion of a-SMA is correlated with the shrinkage and deformation ofBMSC engineered cartilage. It has been demonstrated that trans-forming growth factor beta (TGFb) could remarkably up-regulatea-SMA expression in both fibroblasts and BMSCs [9,10]. Unfortu-nately, TGFb is the essential growth factor for BMSC chondrogenesisin vitro [11]. Therefore, it can be speculated that the up-regulationof a-SMA expression caused by TGFb is probably one of theimportant reasons that cause the shrinkage of BMSC engineeredcartilage in vitro. In this case, down-regulating the expression of

Table 1Primer sequences of related genes.

Gene Size (bp) Primer sequences

SMA-a1 385 5-AGGAAGGACCTCTATGCTAACAAT�3,5-AACACATAGGTAACGAGTCAGAGC-3

Collagen II 293 5-GCGAGACTTGCGTCTACCC-3,5-ATTGGAGCCCTGGATGAGC-3

b-actin 208 5-CCACCGCAAATGCTTCTAG-35-GCTGTCACCTTCACCGTTCC-3

Q. Li et al. / Biomaterials 32 (2011) 4773e47814774

a-SMA would help to prevent the shrinkage of BMSC engineeredcartilage and thus maintain the original shape and size moreproperly.

Some studies showed that basic fibroblast growth factor (bFGF)could reduce the expression of a-SMA in cell level [12], but nostudies show whether bFGF can regulate a-SMA expression in 3Dtissue level. Especially, it is unclear whether bFGF can antagonizethe role of TGFb to down-regulate expression of a-SMA and preventthe shrinkage of BMSC engineered 3D cartilage. In the currentstudy, the chondrogenic media with or without bFGF were used forboth monolayer cell culture and 3D tissue construction. Expressionof a-SMA and size change of engineered tissue was analyzed toevaluate the feasibility of regulating a-SMA expression andshrinkage of engineered tissue by adding bFGF. In addition, carti-lage specific examinations were also performed to evaluate theeffect of bFGF on cartilage formation.

2. Materials and methods

2.1. BMSC culture and expansion

Bonemarrow aspirates were obtained from new born pigs provided by ShanghaiChuansha Breeding Factory (n ¼ 6). BMSCs were cultured and expanded in vitro inDulbecco’s modified Eagle medium (DMEM. Gibco BRL, Grand Island, NY) containing10% fetal bovine serum (FBS) according to previously established methods [13]. Cellsin passage two were used for the following experiments. An institutional reviewcommittee of Shanghai Jiao Tong University School of Medicine approved all animalstudy protocols.

2.2. Preparation of cell-scaffold constructs

Twenty five milligrams of unwoven polyglycolic acid (PGA) fibers (provided byDonghua University, Shanghai, China) were evenly pressed into a 13 � 13 � 2 mmrectangle. According to previously established methods [14], polylactic acid (PLA,Sigma, St. Louis, MO, USA) dissolved in dichloromethane was added to the scaffoldwith a final mass ratio of about 6% for maintaining the original shape.

BMSCs in passage two with a number of 1 � 107 cells in 200 mL were evenlyseeded onto each PLAePGA scaffold to form cell-scaffold constructs [15]. All theconstructs were cultured in DMEM plus 10% FBS for 2 days allowing sufficient cellattachment to PGA fibers and then used for grouping experiments.

2.3. Grouping design

In order to evaluate the role of bFGF in regulating a-SMA expression of chon-drogenically induced BMSCs and preventing shrinkage of BMSC engineered cartilagein vitro respectively, both BMSCs and the constructs were divided into four groupsand cultured in four different media: A. RM: Regular medium (DMEMþ10%FBS); B.CM: Chondrogenic medium (RMþ10 ng/ml TGFb1, 50 ng/ml insulin-like growthfactor I (IGF-I), 40 ng/ml dexamethasone) [16]; C. CMþ bFGF: CMþ50 ng/ml bFGF; D.bFGF: RMþ50 ng/ml bFGF. In monolayer culture system, cells were harvested at 12,24 and 48 h respectively for further analysis. In 3D culture system, the constructswere harvested at 2, 4 and 6 weeks respectively for further analysis.

2.4. Immunofluorescent staining

Cells at different time points (12, 24 or 48 h) in all groups were fixed in 10%formalin for 15 min and washed by PBS. Expression of a-SMA was detected usingmouse anti-human SMA monoclonal antibody (1:200 in PBS, Sigma), followed bygoat anti-mouse fluorescent second antibody (Invitrogen, A11029) [17]. Normalsmoothmuscle cells were used as positive control and articular cartilage as negativecontrol.

2.5. Quantitative PCR

Total RNA was extracted from both cell and tissue samples and cDNA wasobtained by reverse polymerase transcription (RT) according to previously describedmethods [18]. Quantitative polymerase chain reaction (QPCR) was performed toquantitatively analyze mRNA level of a-SMA and cartilage specific genes [18]. The b-actin mRNA level was quantified as an internal control. The forward and reverseprimer sequences were listed in Table 1.

2.6. Gross observation

The gross views of cell-scaffold constructs in different groups were recorded byphotos every week. The area ratio of each sample compared to 6-well culture plate

was calculated respectively according to the formula: the area of the constructs/thebottom area of 6-well culture plate in the same picture. The area change of eachspecimenwith culture timewas quantified using a percentage, whichwas calculatedaccording to the formula: the area ratio of the same specimen at different timepoint/its original area ratio � 100%. The curves of area change with culture timewere drawn according to the quantitative percentages in all groups.

2.7. ELISA

Enzyme linked immunosorbent assay (ELISA) was used to quantitatively analyzethe level of a-SMA expression in different groups. According to the literatures [19],specimens from both cells and engineered tissues were completely homogenized torelease total proteins. After centrifuging (to get rid of the residue of specimens), thesupernatant was harvested for ELISA.

2.8. Quantitative analysis of cartilage specific matrices

The contents of cartilage specific matrices in engineered tissues were quanti-tatively detected to evaluate the influence of bFGF on 3D chondrogenesis of BMSCs.After 6-week in vitro culture, wet weight of samples was measured by an electronicbalance. Total glycosaminoglycan (GAG) content was analyzed by spectrophoto-metric microdetermination with dimethylmethylene blue as previously described[19]. The quantitative amount of type II collagen was measured by ELISA asmentioned above.

2.9. Histological and immunohistochemical analysis

The specimens were fixed in 10% formalin for 24 h prior to processing andembedded in paraffin for sectioning. Specimens were sectioned to 6 mm, mountedon glass slides, and stained with hematoxylin and eosin (H&E) or Safranin-O usingstandard histological techniques.

Expression of type II collagen was detected using mouse anti-human type IIcollagen monoclonal antibody (1:200 in PBS, Santa Cruz, CA, USA), followed byhorseradish peroxidase (HRP)-conjugated anti-mouse antibody (1:200 in PBS, SantaCruz) and color development with diaminobenzidine tetrahydrochloride (DAB,Santa Cruz) [19].

2.10. Statistical analysis

The percentage of area change, wet weight, GAG content, collagen II content,ELISA as well as QPCR results were analyzed using Student’s t-test. A p-value lessthan 0.05 was considered as statistically significant.

3. Results

3.1. The role of bFGF in down-regulating a-SMA expression causedby chondrogenic induction

The role of bFGF in regulating a-SMA expression of BMSCs wasfirstly investigated in monolayer cell culture system. As shown inFig. 1, an obvious change in cell morphology was observed in CMand CM þ bFGF groups compared to RM and bFGF groups, sug-gesting a result of chondrogenic induction. According to the resultsof immunofluorescent staining (Fig. 1), no visible positive stainingof a-SMA was shown in RM and bFGF groups. However, strongpositive staining of a-SMA was observed in CM group at all timepoints, indicating that chondrogenic induction could obviously up-regulate a-SMA expression. Noticeably, a relatively weak positivestaining of a-SMA (compared to CM group) was observed inCM þ bFGF group, indicating that supplement of bFGF could

Fig. 1. Expression of a-SMA in monolayer cultured BMSCs. Compared to regular culture (RM), chondrogenic induction (CM and CM þ bFGF) but not bFGF results in obvious cellmorphology change. Immunofluorescent examination shows that strong positive staining of a-SMA (red fluorescence) is observed in CM group at 24 and 48 h. Relatively weakpositive staining (compared to CM group) is also observed in CM þ bFGF group. No visible positive staining is shown in RM and bFGF groups. Scale bars indicate 50 mm. [Forinterpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.]

Fig. 2. Quantitative analysis of a-SMA expression by QPCR and ELISA. AeC, QPCR analysis of a-SMA expression at 12 (A), 24 (B), and 48 (C) hours. DeF, ELISA analysis of a-SMAexpression at 12 (D), 24 (E), and 48 (F) hours. Expression of a-SMA is significantly up-regulated in CM group compared to RM group (p < 0.05). The supplement of bFGF significantlydown-regulates expression of a-SMA (CM þ bFGF group compared to CM group) (p < 0.05).

Q. Li et al. / Biomaterials 32 (2011) 4773e4781 4775

Fig. 3. Cell, scaffold, and cell-scaffold construct. Most BMSCs (A) present typical spindle-shaped morphology. After cell seeding for 48 h, microscopy (C) shows that BMSCs havecompletely attached to PGA fibers. The cell-scaffold construct (D) can maintain the original size and shape of the scaffold (B). Scale bars indicate 100 mm.

Q. Li et al. / Biomaterials 32 (2011) 4773e47814776

efficiently antagonize the role of chondrogenic induction to down-regulate the expression of a-SMA.

The results of QPCR and ELISA also showed that a-SMAexpression was significantly up-regulated in CM group at all time

Fig. 4. Gross view of the constructs during in vitro culture. At the early two weeks, all the conof the third week in all groups. The shrinkage of the constructs gradually aggravates with thRM, CM, and bFGF groups. The shrinkage of the constructs in CM þ bFGF group always ma

points while a significant down-regulation (compared to CMgroup) was observed in CMþ bFGF group (Fig. 2) (p< 0.05), furtherconfirming that bFGF could significantly down-regulate theexpression of a-SMA caused by chondrogenic induction.

structs can basically maintain the original size. A slight shrinkage is observed at the ende culture time and reaches the most serious shrinkage at the end of the sixth week inintains a relatively low level.

Fig. 5. Quantitative analysis in size change of the constructs. After 3 weeks of in vitroculture, the construct sizes in CM, RM, and bFGF groups shrink continually and only12.4% of original size is retained in CM group at the end of the sixth week. InCM þ bFGF group, however, a significantly slight shrinkage is observed at all timepoints and over 60% of original size is retained at the end of the sixth week.

Fig. 6. Quantitative analysis of DNA and a-SMA contents. DNA contents (A) in CM þ bFGF and(p < 0.05). Both QPCR (BeD) and ELISA (E) results show that a-SMA expression is significancontent of a-SMA in CM þ bFGF group is significantly lower than that in CM group (p < 0.

Q. Li et al. / Biomaterials 32 (2011) 4773e4781 4777

3.2. The role of bFGF in resisting shrinkage of chondrogenicallyinduced BMSC-scaffold constructs

As shown in Fig. 3, all the PLA-PGA scaffolds were compressedinto a uniform rectangle with the same size (13 � 13 � 2 mm)(Fig. 3B). After cell seeding, the cell-scaffold constructs (Fig. 3D)could basically maintain the original size of the scaffolds. After 2days’ culture in vitro, BMSCs produced abundant extracellularmatrices (ECM) and completely attached to PGA fibers (Fig. 3C),indicting a fine compatibility between the cells and the scaffolds.

During the early two weeks of culture, all the constructs couldbasicallymaintain their original sizes. At the end of thirdweek, a slightshrinkage started to be observed in all groups.Moreover, after 3weeksof in vitro culture, the shrinkage of constructs in RM, CM, and bFGFgroups gradually aggravated with the culture time and reached themost serious shrinkage at the end of the sixth week (Fig. 4). Quanti-tative analysis showed that only about 20% of original sizes wereretained in RM and bFGF groups at the end of the sixth week. In CMgroup,where themost serious shrinkagewas observed, the constructsonly retained 12.4% of the original size after 6 weeks of chondrogenic

bFGF groups are significantly higher than those in RM and CM groups at all time pointstly up-regulated in CM group at all time points (p < 0.05). The expression and relative05).

Q. Li et al. / Biomaterials 32 (2011) 4773e47814778

induction (Fig. 5). In CM þ bFGF group, however, an obviously slightshrinkagewas shownduring invitro culture (Fig. 4) andover60%of theoriginal sizewas retained at the end of the sixthweek, a percentage ofover four folds of that in CM group (Fig. 5) (p< 0.05). All these resultsindicated that bFGF could significantly resist the shrinkage of theconstructs caused by chondrogenic induction.

3.3. The role of bFGF in regulating cell proliferation and a-SMAexpression of chondrogenically induced BMSC-scaffold constructs

In consideration of the influence of cell amount on a-SMAcontent, total DNA contents in all groups were firstly detected so asto standardize relative content of a-SMA. As shown in Fig. 6, DNAcontents in all the bFGF-containing groups (CM þ bFGF and bFGFgroups) were significantly higher than those in bFGF-free groups(RM and CM groups) at all time points (Fig. 6A) (p < 0.05), indi-cating that bFGF could better retain cell viability on 3D scaffolds.

The QPCR results showed that a-SMA expressionwas significantlyhigher in CM group compared to RM group at all time points(Fig. 6BeD)(p < 0.05), indicating that chondrogenic induction up-regulated a-SMA expression of BMSCs on 3D scaffolds. Noticeably,a-SMA expression in CM þ bFGF group was significantly lower thanthat in CM group at all time points (Fig. 6BeD)(p < 0.05), indicatingthat supplement of bFGF could down-regulate a-SMA expressioncaused by chondrogenic induction. Consistent with the gene expres-sion level, the relative content of a-SMA (standardized by DNAcontent) in CM group was significantly higher than all other groups(Fig. 6E)(p < 0.05), further suggesting that chondrogenic inductioncould significantly enhance a-SMA content and this role could beantagonized by bFGF.

3.4. The influence of bFGF on 3D cartilage formation ofchondrogenically induced BMSC-scaffold constructs

The influence of bFGF on 3D cartilage formation was furtherevaluated by histology and quantitative analysis of cartilage specific

Fig. 7. Histological analysis of cartilage specific matrices. After 6 weeks of in vitro culture,lacunae structures, positive staining of Safranin-O, and positive staining of type II collagendeposition of cartilage-specific matrices. Scale bars indicate 100 mm.

matrices. As shown in Fig. 7, after 6 weeks of in vitro culture, all thespecimens in CM and CM þ bFGF groups formed cartilage-liketissue histologically with typical lacunae structures, GAG deposi-tion, and strong positive expression of type II collagen. In RM andbFGF groups, however, neither cartilage specific structures norcartilage specific matrices were observed. These results suggestedthat chondrogenic induction was required for BMSC 3D chondro-genesis and bFGF had no negative influence on cartilage formation,although bFGF alone was insufficient for BMSC chondrogenesis.

QPCR results showed that the expression of type II collagen in CMand CM þ bFGF groups was significantly up-regulated compared tothat in RM and bFGF groups at all time points (Fig. 8AeC) (p< 0.05).Noticeably, collagen II expression in CM þ bFGF group was signifi-cantly higher than that in CM group at all time points (Fig. 8AeC)(p < 0.05), indicating that the supplement of bFGF in chondrogenicmedia further up-regulated the expression of type II collagen.Consistentwith the results ofQPCR, collagen II content in CMþbFGFgroup was also significantly higher than that in CM group at both 4weeks and 6 weeks (Fig. 8D) (p < 0.05). Likewise, GAG content wassignificantly higher in CMþ bFGF group than that in CM group at alltimepoints (Fig. 8E) (p<0.05). In addition, the averagewetweight inCMþbFGFgroupwasalsohigher than that inCMgroup, althoughnosignificant difference was observed (Supplemental Figure 2). Allthese results indicated that bFGF significantly enhanced cartilagespecific matrix content of the constructs and thus had a beneficialinfluence on 3D cartilage formation of BMSCs.

4. Discussions

In recent years, in vitro 3D cartilage construction based onBMSCs has achieved great progress [20e22] and thus the shapecontrol of BMSC engineered cartilage has become one of majorproblems that limits its application in repairing cartilage defectswith specific shapes, such as auricular and nasal defects. Thecurrent study showed that bFGF could efficiently down-regulate a-SMA expression caused by chondrogenic induction and better

all the specimens in CM and CM þ bFGF groups form cartilage-like tissue with typical. In RM and bFGF groups, the specimens show mainly fibrous tissue with no obvious

Fig. 8. Quantitative analysis of in vitro cartilage formation. Expression (AeC) and content (D) of type II collagen is significantly higher in CM and CM þ bFGF groups than that in RMand bFGF groups at all time points (p < 0.05). A significantly higher collagen II level (AeC, D: 4 and 6 weeks) is observed in CM þ bFGF group than that in CM group (p < 0.05). GAGcontent (E) is also significantly higher in CM þ bFGF group than that in CM group at all time points.

Q. Li et al. / Biomaterials 32 (2011) 4773e4781 4779

retain the original size of in vitro chondrogenically induced BMSCengineered tissue. Moreover, bFGF showed a beneficial influence on3D cartilage formation of BMSCs in terms of gene expression anddeposition of cartilage specific matrices. These results providea clue for both shape control and quality improvement of BMSCengineered 3D cartilage.

Although the key techniques of 3D cartilage formation based onBMSCs has been established [4,20e23], few studies are involved inthe shape control of BMSC engineered cartilage, a very practicalproblem that limits its clinical application in future. In fact,shrinkage and deformation often occurred during in vitro chon-drogenic induction of BMSC-scaffold constructs with a large size(supplemental Figure 1). However, no studies show how to effi-ciently prevent the shrinkage of BMSC engineered cartilage, sincethe exactmechanism is still notwell investigated. The current studyshowed that chondrogenic induction significantly up-regulated theexpression of a-SMA (one of the main proteins that cause cellcontraction [5,6]) at both monolayer cell culture and 3D tissueculture and that the most serious shrinkage was also observed in

chondrogenically induced constructs, indicating that the up-regu-lation of a-SMA expression caused by chondrogenic inductionprobably was one of the important reasons that result in shrinkageand deformation of BMSC engineered cartilage in vitro. Mostimportantly, the consequent results showed that the supplement ofbFGF in chondrogenic media significantly down-regulated a-SMAexpression, efficiently prevented the shrinkage of engineered tissue,and thus better retained the original shape and size of engineeredtissue, which further confirmed above speculation and provided anefficient method for shape control of BMSC engineered cartilage.These results were also consistent with previous studies on regu-lating a-SMA expression by TGFb and bFGF in fibroblasts [12,24],brain pericytes [25], and corneal keratocytes [26].

The exact mechanism how bFGF regulates a-SMA expression andrepresses the contraction of BMSC engineered tissue is still unclear.TGFb is themost important growth factor in chondrogenic induction[2], but at the same time, TGFb is also the most important myogenicfactor [27]. It has been an accepted fact that BMSCs have multi-lineage potentials including chondrogenic and myogenic potentials

Q. Li et al. / Biomaterials 32 (2011) 4773e47814780

[28]. In general, TGFb initiating differentiation of BMSCs towardswhether chondrogenic or myogenic mainly depends on thecombined factors. TGFb combining with insulin-like growth factor I(IGF-I) and dexamethasone mainly promotes chondrogenic differ-entiation [29,30], whereas TGFb combining with platelet-derivedgrowth factor (PDGF)-BB mainly promotes myogenic differentiation[31]. Nevertheless, TGFb in the current chondrogenic media appar-ently partially initiated BMSCs’ myogenic differentiation, sincea-SMA, as one of relatively specific markers of smooth muscle cells(SMCs) [32], was significantly up-regulated during chondrogenicinduction. The latest studies reported that TGFb could up-regulatethe expression of SMC marker genes (including a-SMA) throughactivating Src family of tyrosine kinase [33], whereas bFGF couldrepress this role of TGFb by activating MEK1 pathway [34]. In addi-tion, studies also demonstrated that bFGF could enhance BMSCchondrogenesis by regulating MAPK and Wnt signaling [35], whichwas consistent with the current results. All these evidences impliedthat the role of bFGF in regulating a-SMA expression and repressingcontraction of BMSC engineered tissue was mainly mediatedby antagonizing TGFb-driven SMC differentiation and enhancingchondrogenic differentiation. Nevertheless, the exact mechanismstill needs to be further investigated.

It needs to be proposed that the final effect of bFGF resistingcontraction of BMSC engineered tissue was a result of multifactorparticipation but not a-SMA alone. Firstly, themechanical property ofthe scaffold was one of the important factors. The PGA fibers used inthe current study usually started to degrade after 2 weeks of in vitroculture and thus themechanical strength of the constructs decreasedgradually, which provided a reasonable explanation that no visiblecontraction was observed in all groups within two weeks. Secondly,the deposition ratio of extracellular matrices (ECM) was anotherimportant factor. In RM and bFGF groups, due to lack of chondrogenicinduction, the deposition ratio of ECMwas much slower than degra-dation ratio of the scaffolds.With the degradation of the scaffolds, theconstructs inevitably formed small size tissue due to insufficient ECM,which had no relationship with a-SMA level. In CM þ bFGF group,bFGF combining with chondrogenic induction significantly enhancedthe deposition ratio of ECM,whichfilledwith the space caused by thedegradation of the scaffold and thus helped to retain the original sizeand shape especially in the case of low level of a-SMA. In CM group,however, the high level of a-SMA had become dominating factor thatcaused contraction, although chondrogenic induction ensured a highdeposition ratio of ECM. Finally, bFGF antagonizing the role of TGFbprobably did not limit the regulation of a-SMA. The role of bFGF inregulating cell mitosis [36] and other contraction-related proteins(such as smooth muscle protein 22-a [34], fibronection [37] etc.) wasalso opposite to TGFb, which also probably helped to represscontraction caused by chondrogenic induction.

5. Conclusion

In summary, this study demonstrated that the up-regulation ofa-SMA expression was an important reason that resulted in theshrinkage of BMSC engineered cartilage and that bFGF couldsignificantly repress a-SMA expression, efficiently prevent theshrinkage, and have a positive influence on 3D cartilage formation.Although the exact mechanism still needs to be further investi-gated, this study provides a clue for both shape control and qualityimprovement of BMSC engineered 3D cartilage.

Acknowledgements

This research was supported by the National Basic ResearchProgram of China (2005CB522702)Hi-Tech Research and Develop-ment Program of China (2006AA02A126)National Natural Science

Foundation of China (30973131, 30973130, 50830105, and81000677)Shanghai Shu Guang Foundation (08SG19)andShanghaiRising-star Program (09QH1401600). The authors appreciate thetechnical supports from Juanjuan Wu, Demin Yin, and Lijuan Zongof our laboratory.

Appendix. Supplementary material

Supplementary data related to this article can be found online atdoi:10.1016/j.biomaterials.2011.03.020.

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