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Treatment of Ligament Constructs with Exercise-conditioned Serum: A Translational Tissue Engineering Model
Published on: June 11, 2017
Increase in cell migration and angiogenesis in a composite silk scaffold for tissue-engineered ligaments
Young-Kwon Seo1, Hee-Hoon Yoon, Kye-Yong Song
1Department of Chemical and Biochemical Engineering, Dongguk University, Phil-Dong, Seoul, Korea.
Summary
This study shows that a composite silk and collagen-hyaluronan scaffold promotes anterior cruciate ligament cell growth and blood vessel formation for artificial ligaments. The scaffold is biocompatible and aids tissue repair after implantation.
Area of Science:
- Biomaterials Science
- Tissue Engineering
- Orthopedic Surgery
Background:
- Anterior cruciate ligament (ACL) reconstruction often requires grafts, with artificial ligaments offering an alternative.
- Biocompatible scaffolds are crucial for promoting cell integration and tissue regeneration in artificial ligaments.
- Silk and collagen-hyaluronic acid (HA) composites show potential for ACL repair applications.
Purpose of the Study:
- To evaluate the in vitro biocompatibility of silk and collagen-HA scaffolds using anterior cruciate ligament cells and T-lymphocytes.
- To assess the in vivo efficacy of composite scaffolds as artificial ligaments in ACL reconstruction, focusing on angiogenesis.
- To compare the performance of a pure silk scaffold with a composite silk-collagen-HA scaffold.
Main Methods:
- Fabrication of silk and composite silk-collagen-HA scaffolds.
- In vitro assessment of human ACL cell attachment and proliferation on scaffolds.
- In vitro T-lymphocyte culture to evaluate immune response.
- In vivo implantation of scaffolds as artificial ligaments in canine ACLs, followed by histological and immunohistochemical analysis (MT staining, CD31 staining) after 6 weeks.
Main Results:
- Composite silk-collagen-HA scaffolds demonstrated superior human ACL cell attachment and proliferation compared to silk scaffolds in vitro.
- Both scaffold types induced an increased immune response in vitro after 72 hours, with no significant difference between them.
- In vivo, composite scaffolds showed granulation tissue formation, cell migration (fibroblasts, lymphocytes, monocytes), and significant angiogenesis (new blood vessel formation).
- Pure silk scaffolds lacked reparative tissues, including blood vessels and cells, in the in vivo study.
Conclusions:
- The lyophilized collagen-HA substrate is biocompatible and supports cell attachment and proliferation in vitro.
- Composite silk-collagen-HA scaffolds enhance new blood vessel formation and cell migration in vivo, indicating potential for ACL reconstruction.
- The composite scaffold shows promise as an effective artificial ligament promoting a regenerative response.

