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Biomaterials 24 (2003) 4273–4281 Poly(hydroxybutyrate-co-hydroxyhexanoate) promoted production of extracellular matrix of articular cartilage chondrocytes in vitro Ying Deng a , Xing-Sun Lin b , Zhong Zheng a , Jin-Guang Deng a , Jin-Chun Chen a , Hui Ma b , Guo-Qiang Chen a, * a Department of Biological Sciences and Biotechnology, Tsinghua University, Beijing 100084, China b Department of Physics, Tsinghua University, Beijing 100084, China Received 25 November 2002; accepted 13 May 2003 Abstract The present investigation describes the production of extracellular matrix of rabbit articular cartilage chondrocytes grown on scaffolds of polyhydroxybutyrate (PHB) blended with poly(hydroxybutyrate-co-hydroxyhexanoate) (PHBHHx) for up to 7 days. The mRNA level of type II collagen of chondrocytes seeded on all scaffolds consisting of PHBHHx were obviously higher than that of PHB-only scaffold throughout the culture period, suggesting the positive effect of PHBHHx on extracellular matrix production. Second-harmonic generation (SHG) imaging technique, combined with confocal fluorescence microscopy (CFM) revealed that PHBHHx in PHB scaffold provided better surface properties for anchoring type II collagen filaments and their penetration into internal layers of the scaffolds. Glycosaminoglycan (GAG), a major composition of extracellular matrix, showed a sharp increase in construct of 1:2 PHB/PHBHHx scaffold after 7 day cultivation, while only a small increase was observed in all other tested scaffolds. At the same time, total collagen contents in all scaffolds containing PHBHHx increased with time, with the maximum collagen production of 742.1799.2 mg/g dry weight observed in construct of 1:2 PHB/PHBHHx scaffold inoculated for 7 days, this was almost 4-fold higher than that in scaffold of PHB only. It appears that the presence of right proportion of PHBHHx in the composite system of PHB/PHBHHx highly favored the production of extracellular matrix of articular cartilage chondrocytes. r 2003 Elsevier Ltd. All rights reserved. Keywords: Polyhydroxyalkanoates; PHB; Type II Collagen; SHG; Chondrocytes 1. Introduction Tissue engineering of articular cartilage represents an exciting direction in the efforts to solve the complex problem of cartilage regeneration. To promote healing of cartilage defects, many researchers are turning toward a tissue engineering approach involving ex vivo fabrica- tion of cartilage constructs by culturing cells on porous, resorbable scaffolds. Several candidate materials are available including glass [1,2], porous calcium ceramics [3,4], and biodegradable polymers. Biodegradable poly- mers are attractive for several reasons. They may be used to support cell growth in vitro [5–7], to conduct tissue growth in vivo [8–10]. In terms of bone regenera- tion, especially cartilage regeneration, numerous biode- gradable polymers have been investigated for these purposes [11–13]. Polyhydroxybutyrate (PHB) is finding some interest- ing potential applications as an implant material due to its biocompatibility and resorbability [14,15]. PHB appears suitable for use as temporary stents, bone plates, patches, nails and screws [16,17]. In some cases, its brittle mechanical properties limit its use. For that reason, materials such as triethylcitrate have been used as a typical plasticizer [18]. Blend copolymer of PHA consisting of 3-hydroxybutyrate and 3-hydroxyvalerate (P(HB-co-HV)) were reported to be widely used with its improved mechanical properties over that of PHB [19]. Therefore, PHA with better elastomeric properties, such as poly(hydroxybutyrate-co-hydroxyhexanoate) (PHBHHx), is expected to meet special application as scaffolds for cartilage engineering [20]. Our previous studies have shown better biocompatibility of PHBHHx containing materials for fibroblasts cell line: L929 cells ARTICLE IN PRESS *Corresponding author. Tel: +86-10-62783844; fax: +86-10- 62788784. E-mail address: [email protected] (G.-Q. Chen). 0142-9612/03/$ - see front matter r 2003 Elsevier Ltd. All rights reserved. doi:10.1016/S0142-9612(03)00367-3

Poly(hydroxybutyrate-co-hydroxyhexanoate) promoted production of extracellular matrix of articular cartilage chondrocytes in vitro

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Biomaterials 24 (2003) 4273–4281

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*Correspondin

62788784.

E-mail addres

0142-9612/03/$ -

doi:10.1016/S014

Poly(hydroxybutyrate-co-hydroxyhexanoate) promoted productionof extracellular matrix of articular cartilage chondrocytes in vitro

Ying Denga, Xing-Sun Linb, Zhong Zhenga, Jin-Guang Denga, Jin-Chun Chena, Hui Mab,Guo-Qiang Chena,*

aDepartment of Biological Sciences and Biotechnology, Tsinghua University, Beijing 100084, Chinab Department of Physics, Tsinghua University, Beijing 100084, China

Received 25 November 2002; accepted 13 May 2003

Abstract

The present investigation describes the production of extracellular matrix of rabbit articular cartilage chondrocytes grown on

scaffolds of polyhydroxybutyrate (PHB) blended with poly(hydroxybutyrate-co-hydroxyhexanoate) (PHBHHx) for up to 7 days.

The mRNA level of type II collagen of chondrocytes seeded on all scaffolds consisting of PHBHHx were obviously higher than that

of PHB-only scaffold throughout the culture period, suggesting the positive effect of PHBHHx on extracellular matrix production.

Second-harmonic generation (SHG) imaging technique, combined with confocal fluorescence microscopy (CFM) revealed that

PHBHHx in PHB scaffold provided better surface properties for anchoring type II collagen filaments and their penetration into

internal layers of the scaffolds. Glycosaminoglycan (GAG), a major composition of extracellular matrix, showed a sharp increase in

construct of 1:2 PHB/PHBHHx scaffold after 7 day cultivation, while only a small increase was observed in all other tested

scaffolds. At the same time, total collagen contents in all scaffolds containing PHBHHx increased with time, with the maximum

collagen production of 742.1799.2mg/g dry weight observed in construct of 1:2 PHB/PHBHHx scaffold inoculated for 7 days, this

was almost 4-fold higher than that in scaffold of PHB only. It appears that the presence of right proportion of PHBHHx in the

composite system of PHB/PHBHHx highly favored the production of extracellular matrix of articular cartilage chondrocytes.

r 2003 Elsevier Ltd. All rights reserved.

Keywords: Polyhydroxyalkanoates; PHB; Type II Collagen; SHG; Chondrocytes

1. Introduction

Tissue engineering of articular cartilage represents anexciting direction in the efforts to solve the complexproblem of cartilage regeneration. To promote healingof cartilage defects, many researchers are turning towarda tissue engineering approach involving ex vivo fabrica-tion of cartilage constructs by culturing cells on porous,resorbable scaffolds. Several candidate materials areavailable including glass [1,2], porous calcium ceramics[3,4], and biodegradable polymers. Biodegradable poly-mers are attractive for several reasons. They may beused to support cell growth in vitro [5–7], to conducttissue growth in vivo [8–10]. In terms of bone regenera-tion, especially cartilage regeneration, numerous biode-

g author. Tel: +86-10-62783844; fax: +86-10-

s: [email protected] (G.-Q. Chen).

see front matter r 2003 Elsevier Ltd. All rights reserved.

2-9612(03)00367-3

gradable polymers have been investigated for thesepurposes [11–13].

Polyhydroxybutyrate (PHB) is finding some interest-ing potential applications as an implant material due toits biocompatibility and resorbability [14,15]. PHBappears suitable for use as temporary stents, boneplates, patches, nails and screws [16,17]. In some cases,its brittle mechanical properties limit its use. For thatreason, materials such as triethylcitrate have been usedas a typical plasticizer [18]. Blend copolymer of PHAconsisting of 3-hydroxybutyrate and 3-hydroxyvalerate(P(HB-co-HV)) were reported to be widely used with itsimproved mechanical properties over that of PHB [19].Therefore, PHA with better elastomeric properties,such as poly(hydroxybutyrate-co-hydroxyhexanoate)(PHBHHx), is expected to meet special application asscaffolds for cartilage engineering [20]. Our previousstudies have shown better biocompatibility of PHBHHxcontaining materials for fibroblasts cell line: L929 cells

ARTICLE IN PRESSY. Deng et al. / Biomaterials 24 (2003) 4273–42814274

and rabbit articular cartilage-derived chondrocytes[21,22].

Second-harmonic generation (SHG) imaging techni-que is beginning to emerge as a powerful contrastmechanism in nonlinear optical microscopy [23]. It hasbeen commonly used to obtain shorter wavelengths andhas become a standard spectroscopic tool for character-izing material surfaces and probing dynamics at inter-faces [23]. This is the first report describing the use ofSHG and confocal fluorescence microscopy (CFM) toobtain high-resolution three-dimensional (3D) images oftype II collagen distribution on PHB/PHBHHx polymerscaffolds.

This study expanded previous work utilizing homo-and blend polymer scaffolds of PHB/PHBHHx for cellgrowth [21,22] to observe the effect of PHBHHxcontaining blends on chondrocyte growth at theproteins synthesis and gene transcription levels.

2. Materials and methods

2.1. Polymer scaffold preparation

PHB/PHBHHx scaffolds were manufactured using acombination of published salt leaching techniques [24].Briefly, 2 g PHBHHx (Mw=750,000+10%) and PHB(Mw=1,000,000+10%) (supplied by Jiangmen Centerfor Biotech Development, Guangdong, China) in aseries of weight ratios (1:0, 2:1, 1:1, 1:2, 0:1), respec-tively, were dissolved in 16 ml chloroform and refluxedat 60�C for 0.5 h. The PHA solution was then pouredonto a bed of sieved sodium chloride particles witha size of 200 mm. The scaffolds were placed undervacuum in a desiccator for 24 h, followed by repeatedlywashing with large amounts of distilled water forleaching the salt. After the salt-leaching process, themicroporous polymer scaffolds were obtained andvacuum dried.

2.2. Cell isolation and in vitro cultivation

The articular cartilages were removed from the kneesand hip joints of young (3–5 days old) New Zealandwhite rabbits. They were cut into small pieces asdescribed [25]. Chondrocytes were released from carti-lage slices by using (0.2% w/v) collagenase II digestion.The isolated cells were then cultured in DMEMsupplemented with 10% fetal calf serum (FCS), 100 U/ml penicillin, and 100 mg/ml streptomycin. Cells wereincubated at 37�C in a 5% CO2 incubator and themedium was changed every 4 days. When the cellsreached the plateau phase of growth, they wereharvested by trypsinization followed by addition offresh culture medium to create a new single cellsuspension with desired seeding cell number per

100 mg. Inoculation was performed in polystyrene 24-well flat-bottom culture plates. Scaffolds were placed inthe center of the wells added with 1ml cell suspension toallow full attachment of cells to scaffolds. Cultivationwas conducted for 3 and 7 days. Culture media werechanged every 4 days.

2.3. Biochemical analysis

Constructs of cells/(PHB/PHBHHx scaffold) wereremoved at 3 and 7 days from the tissue culture plates,frozen (�20�C) and lyophilized for at least 36 h afterwhich dry weights (dw) were determined. The sampleswere then digested in 1ml papain (125 mg/ml in 100 mm

phosphate-10 mm EDTA(PBE) buffer with 10 mm cy-steine, pH 6.5) overnight at 60�C. Glycosaminoglycan(GAG) content was estimated by chondroitin sulfateusing dimethylmethylene blue dye and a spectrophot-ometer (525 nm wavelength) [26,27]. Total collagencontent was determined based on hydroxyprolineconcentration released after acid hydrolysis of collagen(6n HCl at 115�C for 18 h) using a spectrophotometer(550 nm wavelength) [26,27].

2.4. Type II collagen mRNA expression studies

After 3 and 7 days inoculation, the scaffolds wereremoved from culture, and RNA was harvested asdescribed [28]. First of all, total RNA harvested wasquantitated using an UV/Vis spectrophotometer (Ultra-spec 3300, Biochrom, Cambridge, England) at 260 nm.Then, reverse transcription (RT) was performed using acommercially available kit (Invitrogen, California,USA). Briefly, 1 mg of extracted RNA was reversetranscribed to generate full-length first strand cDNAfor use as template for PCR (polymerase chain reaction)amplification. After RT reaction, 3 ml RT product wasamplified using 25 pmol each of primers described belowand 0.5 U Ex Taq DNA polymerase (TaKaRa, Dalian,China) in a Mastercycler Gradient Autorisierter Ther-mocycler (Eppendorf, Hamburg, Germany) for both thetarget molecule pro alpha1 type II collagen and thereference molecule beta-actin. The codon sequence ofpro alphal type II collagen and beta–actin for theprimers, given with their respective PCR conditions (30cycles for all conditions): pro alphal collagen II(Genbank S83370) was as follows: sense primer: 50-GCACCCATGGACATTGGAGG-30, antisense pri-mer: 50-AGCCCCGCACGGTCTTGCTT (323 bp;94�C, 45 s, 55�C, 45 s, 72�C, 60 s); beta-actin: senseprimer: 50-TGGACTTCGAGCAAGAGA-30, antisenseprimer: 50-CTGCTTGCTCATCCACAT-30 (450 bp;94�C, 45 s, 58�C, 45 s, 72�C, 60 s). The marker usedwas 100 bp ladder (Bebco, MBI, UK).

ARTICLE IN PRESS

250

200

150

100

50

01:0 2:1 1:1 1:2 0:1

GA

G C

onte

nt (

mg/

g)

3d

7d

PHB/PHBHHx

Fig. 1. GAG content in various constructs of cell/(PHB/PHBHHx

scaffold) after various culture times. Values given represent the mean,

and the error bars indicate the standard deviation estimated.

600

800

900

700

onte

nt (

mg/

g)

3d

7d

Y. Deng et al. / Biomaterials 24 (2003) 4273–4281 4275

2.5. Studies of 3D distribution of type II collagen in

PHB/PHBHHx scaffolds

Samples were dissected from constructs of cell/PHAat 3 and 7 days, followed by fixation in ethanol andacetic acid (99:1, v/v) for 2 h at room temperature.Subsequently, they were washed three times with PBSand inoculated with mouse monoclonal antibodiesagainst human type II collagen (Neomarker, USA)diluted 1:200 with PBS for 1 h at 37�C. After washingwith PBS, the second immunoreaction was performedfor 1 h at 37�C with fluorescein isothiocyanate (FITC)-conjugated antibodies raised in goat against mouse IgG(Dake, USA) diluted 1:100 with PBS for 1 h at 37�C.After rinsing with PBS, samples were placed on glassmicroscope slides to form uniform 1 cm� 1 cm squaresample surfaces of less than 1 mm thickness [29]. TheSHG imaging experiments were performed on modifiedBiorad MRC1024 confocal scan head mounted on aNikon inverted microscope (PE300, Nikon, Tokyo,Japan). The laser system is a Spectra-Physics argonion (Millennia, Spectra-Physics, USA) pumped femto-second titanium sapphire oscillator (Tsunami, SpectraPhysics, USA), characterized by pulse width of approxi-mately 120 fs at 82 MHz repetition rate at 811 nm. Two20� 0.4 N.A. lens were used for excitation and signalcollection, respectively. Data acquisition times was 1 sper 512� 512 frame [30]. The distance between twoadjacent layers was 5 mm. By switching the imagingchannels, the confocal fluorescence signals in situ werecollected by the same lens and went through a pinhole tothe photomultiplier tube (PMT) inside the scan head.3D image stacks acquired were processed and analyzedin Biorad Confocul Assistant v2.0 and Adobe Photo-shop v6.0.

2.6. Statistical analysis

Data are presented as means7standard error ofmean. Statistical comparisons were performed usingStudents t-test. P-values o0.01 were considered statis-tically significant.

200

100

400

300

500

01:0 2:1 1:1 1:2 0:1

Tot

al C

olla

gen

C

PHB/PHBHHx

Fig. 2. Total collagen content in various constructs of cell/(PHB/

PHBHHx scaffold) after various culture times. Values given represent

the mean, and the error bars indicate the standard deviation estimated.

3. Results

3.1. Biochemical characterization of chondrocyte-

composite scaffolds

Chondrocytes seeded on the polymer scaffolds ad-hered to the matrix and continued to grow duringincubation period.

To determine the effect of polymer scaffolds on GAGproduction by chondrocytes seeded on each scaffold, theconstructs of cells/(PHB/PHBHHx scaffold) were col-lected, digested and analyzed using dimethylmethylene

blue dying method. As shown in Fig. 1, on day 3, totalGAG content in the constructs of blend polymer (PHB/PHBHHx) scaffolds was significantly different from thatof the PHBHHx or PHB-only cell construct groups(Po0:05). The total GAG content was then examinedon day 7. Slight increase of total GAG content could beobserved in each scaffold compared with that of thecorresponding scaffold analyzed on day 3.

For the same purpose, total collagen content of theconstructs of cells/(PHB/PHBHHx scaffold) was deter-mined by chloramines-T assay. Between days 3 to day 7,the total collagen content increased significantly inPHBHHx containing constructs, while it decreased

ARTICLE IN PRESSY. Deng et al. / Biomaterials 24 (2003) 4273–42814276

significantly in PHB-only constructs (cells/PHB)(Fig. 2). On day 7, total collagen content in PHB/PHBHHx constructs was significantly higher than thaton PHB or PHBHHx-only constructs.

3.2. 3D distribution of type II collagen in PHB/

PHBHHx scaffolds

SHG signals were observed in scaffolds made of PHB,PHBHHx and their blends. The SHG intensity is strongwhere the image is bright. Fig. 3 shows that microporeswith sizes ranging from 5 to 10 mm were observable oneach scaffold. The porosity of each scaffold wasobviously dependent on the amount of PHBHHxcontents in the blend polymer scaffolds. With theincrease of PHBHHx component in the scaffolds, moremicropores appeared.

In order to reveal type II collagen produced bychondrocytes seeded on various PHB/PHBHHx scaf-folds, the constructs of cells/(PHB/PHBHHx scaffold)cultured for 3 and 7 days were studied by SHG imagingtechnique to view the scaffold in depth, CFM was also

(a)

(b) (c)

(d) (e)

Fig. 3. SHG image of PHB/PHBHHx scaffolds in various weight

ratios. (a) PHB; (b) 2:1 PHB/PHBHHx; (c) 1:1 PHB/PHBHHx; (d) 1:2

PHB/PHBHHx; (e) PHBHHx. Scale bar=50mm.

employed in situ to detect type II collagen. Fig. 4 showsgreen fluorescence images (FI) and SHG imagesobtained simultaneously on precisely the same areaand at the same depth for each construct of cells/(PHB/PHBHHx scaffold) on day 3. Mechanically dissectedsamples of each construct was optically sectionedthrough its full thickness of B500 mm. Stacks of thefull thickness optical sections were recorded as SHGimages (Fig. 4: A1, B1, C1, D1, E1) and thecorresponding FI (Fig. 4: a1, b1, c1, d1, e1). The imagesshowed that there was a correlation between thefluorescence intensities and their positions on eachtested construct, better distribution of fluorescencesignal could be observed in porous areas (white arrow)than in non-porous area. Although some similarfluorescence signal distribution appeared among variousconstructs, obvious differences were also described. Fig.4 (a2 and a3) show the region at a depth of 160 mm insidethe cells/PHB construct, corresponding to SHG image(Fig. 4 A2) where a bright fluorescence signal (A region)became detectable. This fluorescence signal vanished inB region corresponding to a depth of 210 mm (Fig. 4A3). The penetration depth of the fluorescence signalwas approximately 50 mm, signifying that collagenextended 50 mm into the cells/PHB construct. Thepenetration depths of the fluorescence signal into otherPHB/PHBHHx scaffolds of 2:1, 1:1, 1:2, and 0:1 were50, 75, 110 and 145 mm, respectively (Fig. 4: b2, b3, c2,c3, d2, d3, e2 and e3).

After cultivation for 7 days, type II collagen (green)was widely detected in PHB/PHBHHx scaffolds of 1:0,2:1, 1:1, 1:2 and 0:1 (Figs. 5a–e). The position wheretype II collagen distributed could be observed insimultaneous SHG imaging for each correspondingconstructs of cells/(PHB/PHBHHx scaffold) as type IIcollagen was invisible in SHG (Fig. 5A–E). More type IIcollagen was detected in PHB/PHBHHx (1:2) scaffoldthan that in other tested scaffolds (Fig. 5d).

3.3. Regulation of type II collagen mRNA expression

during the early culture period of chondrocytes

Total mRNA from each construct of cells/PHAcultured for 3 day and 7 day, respectively, was analyzedby RT-PCR using rabbit-specific primers for type IIcollagen mRNA with beta-actin mRNA as control.Type II collagen gene expression in chondrocytes seededon 1:1 and 1:2 PHB/PHBHHx scaffolds, respectively,was stronger than on the other tested scaffolds on day 3(Fig. 6). The strongest gene expression for type IIcollagen was observed on 1:2 PHB/PHBHHx scaffoldafter 7 days of cultivation (Fig. 7), while on PHB controlscaffold on day 7, the expression level was the lowest,even lower than the expression on day 3.

ARTICLE IN PRESS

A1 A2 A3

a1 a2 a3

B1 B2 B3

b1 b2 b3

C1 C2 C3

D1 D2 D3 E1 E2 E3

d1 d2 d3 e1 e2 e3

c1 c2 c3

Fig. 4. Simultaneous CFM images and SHG images of various constructs of cells/(PHB/PHBHHx scaffold) sampled on day 3. (A1) SHG image

stacks of 500mm thickness of a cells/PHB construct, (A2) SHG image of the region at a depth of 160 mm inside the cells/PHB construct, (A3) SHG

image of the region at a depth of 210mm inside the cells/PHB construct, (a1, a2, a3) The corresponding CFM image of (A1, A2, A3); (B1) SHG image

stacks of 500mm thickness of a cells/(2:1 PHB/PHBHHx) construct, (B2) SHG image of the region at a depth of 160 mm inside the cells/(2:1 PHB/

PHBHHx) construct, (B3) SHG image of the region at a depth of 210mm inside the cells/(2:1 PHB/PHBHHx) construct, (b1, b2, b3) The

corresponding CFM image of (B1, B2, B3); (C1) SHG image stacks of 500mm thickness of a cells/(1:1 PHB/PHBHHx) construct, (C2) SHG image of

the region at a depth of 160mm inside the cells/(1:1 PHB/PHBHHx) construct, (C3) SHG image of the region at a depth of 235 mm inside the cells/(1:1

PHB/PHBHHx) construct, (c1, c2, c3) The corresponding CFM image of (c1, c2, c3); (D1) SHG image stacks of 500 mm thickness of a cells/(1:2

PHB/PHBHHx) construct, (D2) SHG image of the region at a depth of 160 mm inside the cells/(1:2 PHB/PHBHHx) construct, (D3) SHG image of

the region at a depth of 270mm inside the cells/(1:2 PHB/PHBHHx) construct, (d1, d2, d3) The corresponding CFM image of (D1, D2, D3); (E1)

SHG image stacks of 500mm thickness of a cells/PHBHHx construct, (E2) SHG image of the region at a depth of 160mm inside the cells/PHBHHx

construct, (E3) SHG image of the region at a depth of 305mm inside the cells/PHBHHx construct, (e1, e2, e3) The corresponding CFM image of (E1,

E2, E3); White arrows show the same region of SHG images (white and black) and FI (green). Regions enclosed by rectangles show a bright

fluorescence signal became detectable in area (A) and vanished in area (B) at different depths inside each tested construct. Scale bar=50mm.

Y. Deng et al. / Biomaterials 24 (2003) 4273–4281 4277

ARTICLE IN PRESSY. Deng et al. / Biomaterials 24 (2003) 4273–42814278

4. Discussion

In the present study, analysis showed that chondro-cytes in all tested scaffolds synthesized GAG (Fig. 1),GAG appeared to be more actively produced byculturing the cells in blend polymer scaffolds of PHB/

(A) (a)

(B) (b)

(C) (c)

(D) (d)

(E) (e)

PHBHHx than that in PHB or PHBHHx only,especially in scaffolds of 1:2 PHB/PHBHHx. Theseresults also showed that the overall GAG syntheticactivity was not much different in-between day 3 andday 7 although GAG was detectable in all the samplesevaluated, suggesting that GAG should not be selectedas a marker for further studies on extracellular matrixproduction by chondrocytes seeded on various testedscaffolds under the condition of this study. The effect ofscaffold materials on collagen synthesis was mostevident in all PHBHHx containing scaffolds in whichtremendous increase of total collagen contents wasobserved on day 7 of cultivation; in comparison, totalcollagen content decreased in PHB-only scaffold after 7day cultivation (Fig. 2). It appeared that PHBHHx inblend scaffolds of PHB/PHBHHx could help trap moreextracellular matrix and/or promote the synthesis ofcertain extracellular matrix, such as collagen (Fig. 2).

Although it was reported that regeneration ofarticular cartilage defects with tissue-engineered carti-lage implant could be achieved when the involvedbiodegradable scaffold, such as polylactic acid (PLA)[31], polyglycolic acid (PGA) [32] and collagen [33],could accommodate production of a cartilage-specificnew extracellular matrix, together with stimulation ofcell proliferation [34]. However, few of these materialspresented an ability permission to synthesize hyalinecartilage-specific type II collagen, which is a well-documented marker of hyaline articular cartilage alwaysfound in freshly isolated chondrocytes, and which alsoexplains for 50–70% of the solid matrix in articularcartilage [35]. Present results confirmed that blendpolymer of PHB/PHBHHx is capable of activating aredifferentiation process which allows chondrocytes toexpress and produce type II collagen. This was furthersupported by an increase in type II collagen mRNAexpression (Figs. 6 and 7), which was followed by theproduction of the secreted type II collagen, as detectedby immunofluorescence analysis (Figs. 4 and 5). Theseresults, along with other evidences [22], strongly suggestthat the cells underwent chondrogenic differentiation onPHBHHx containing scaffolds. RT-PCR data (Figs. 6and 7) indicated that increased PHBHHx contentresulted in increased mRNA level of type II collagenin cells/(PHB/PHBHHx scaffold) constructs, except for

Fig. 5. Simultaneous CFM images and SHG images of various

constructs of cells/(PHB/PHBHHx scaffold) sampled on day 7. (A)

SHG image stacks of 500mm thickness of cells/PHB construct, (a) the

corresponding CFM image of (A); (B) SHG image stacks of 500mm

thickness of cells/(2:1 PHB/PHBHHx) construct, (b) the corresponding

CFM image of (B); (C) SHG image stacks of 500mm thickness of cells/

(1:1 PHB/PHBHHx) construct, (c) the corresponding CFM image of

(C); (D) SHG image stacks of 500mm thickness of cells/(1:2 PHB/

PHBHHx) construct, (d) the corresponding CFM image of (D); (E)

SHG image stacks of 500mm thickness of cells/PHBHHx construct, (e)

The corresponding CFM image of (E). Scale bar=50mm.

ARTICLE IN PRESS

450bp323bp

Fig. 6. Collagen II mRNA expression as detected by RT-PCR in chondrocytes cultured on various PHB/PHBHHx scaffolds for 3 days. Lane M,

100bp ladder; lane 1, PHB; lane 2, PHB/PHBHHx=2:1; lane 3, PHB/PHBHHx=1:1; lane 4, PHB/PHBHHx=1:2; lane 5, PHBHHx. b-actin gene

was used as the reference molecule.

323bp450bp

Fig. 7. Collagen II mRNA expression as detected by RT-PCR in chondrocytes cultured on various PHB/PHBHHx scaffolds for 7 days. Lane M,

100bp ladder; lane 1, PHB; lane 2, PHB/PHBHHx=2:1; lane 3, PHB/PHBHHx=1:1; lane 4, PHB/PHBHHx=1:2; lane 5, PHBHHx. b-actin gene

was used as the reference molecule.

Y. Deng et al. / Biomaterials 24 (2003) 4273–4281 4279

cells/PHBHHx constructs. By comparing data on day 3with data on day 7, the stimulatory effect of PHBHHxon type II collagen mRNA was demonstrated. Theresults were consistent with a previous report, whichdescribed the effect of collagen I and agarose on mRNAexpression of type II collagen [33,36].

Biodegradable scaffolds are used to provide asynthetic matrix in which chondrocytes are retainedand host cells are recruited into the defect [35]. Manystudies have demonstrated that the metabolism of cells isinfluenced by the surface properties of the scaffold [32],such as hydrophilicity and hydrophobicity [37], surfaceenergy [38] and charge [39,40]. The notable differencesof extracellular matrix distribution among PHBHHxcontaining scaffolds and PHB-only scaffold could beattributed to their different surface properties. SHGimaging technique is useful for surfaces analysis becauseof its high sensitivity to the symmetry and the change ofelectronic states on surfaces [23]. Fig. 3 shows an opticalsection of SHG image of PHB/PHBHHx scaffolds invarious weight ratios, the ‘‘black-and-white’’ appear-ance of SHG image is considered to be the regions ofhigh harmonic intensity produced where the directionand polarization of the incident laser beam is suitablyoriented with respect to the local anisotropic, orienta-tional and short-range phase matching properties of thematerials [41]. Although all tested scaffolds possess alarge second-order nonlinear susceptibility, which wasreflected by strong SHG signals, significant difference

could be observed among samples (Fig. 3). IncreasingPHBHHx content in blend scaffolds resulted in increas-ing number of micropores with similar size of 5–10 mm(white arrow) in SHG images of each scaffold. Thedifferences among scaffolds are supposed to affect cellaffinity to their surface, which could be illuminated bythe interaction of extracellular matrix proteins, such asfibronectin, vitronectin and collagen, with the materialsurface [42].

In order to observe the distribution of type II collagenon different scaffolds, simultaneous CFM/SHG imagingstudies were performed. Fig. 4 shows that filaments oftype II collagen, which were observable by fluorescencestaining, were mainly located near the micropores of alltested scaffolds at the early culture stage. When thesamples were observed optically section by section in aninterval of 5 mm in depth, the filaments of type IIcollagen were shown to penetrate into deeper layers ofthe scaffolds through the micropores (Fig. 4: A2, A3 anda2, a3; B2, B3, b2, b3; C2, C3, c2, c3; D2, D3, d2, d3;E2, e3, e2, e3). The penetration depths of the filamentsof type II collagen were obtained as 50, 50, 75, 110 and145 mm, corresponding to the scaffolds of PHB (Fig. 4A2, A3 and a2, a3), 2:1 PHB/PHBHHx (Fig. 4 B2, B3and b2, b3), 1:1 PHB/PHBHHx (Fig. 4 C2, C3 and c2,c3), 1:2 PHB/PHBHHx (Fig. 4 D2, D3 and d2, d3), andPHBHHx-only (Fig. 4 E2, e3 and e2, e3), respectively.The results suggested that the micropores, formed byblending PHBHHx into PHB scaffolds, helped filaments

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of type II collagen anchoring and extending into deeperlayers of the scaffolds. This suggestion may furtherdemonstrate by the different co-localization of filamentsof type II collagen on PHBHHx containing scaffoldsand the control scaffold of PHB only on day 7 (Fig. 5).Noting that the co-localization of type II collagenfilaments, which extended into internal layers ofPHBHHx containing scaffolds, formed dot-like plaques(Fig. 5b–e), whereas on PHB scaffold the type IIcollagen filaments extended more on the external surface(Fig. 5a). The above results suggested that the rediffer-entiation of the chondrocytes was induced by theirstronger interaction with PHBHHx-containing scaffoldscompared with PHB-only scaffold.

In addition, several methods have been proposed toevaluate engineered tissues including mechanical tests toassess tensile strength, elongation to break and impactstrength, biochemical tests to assess the proteoglycanand collagen content, and histomorphometry study toexamine the microscopic appearance of the tissue.Although these techniques are valuable in establishingthe cartilage-like qualities of the neo-tissue, they havenot been useful in examining the interaction of the newlyengineered tissue with the native cartilage tissue in vivo.Fig. 4 shows that the tested PHA scaffolds possess alarge second-order nonlinear susceptibility. This obser-vation suggested the possibility of using SHG toexamine the 3D structure of the newly engineered tissuefabricated by PHB/PHBHHx scaffold in vivo.

In conclusion, present results of biochemical analysisand RT-PCR confirmed that blend polymer of PHB/PHBHHx was capable of initiating a redifferentiationprocess, which allowed chondrocytes to express andproduce type II collagen. This was further supported bydata of SHG and CFM analyses. These results, alongwith other evidences [22], strongly suggested that thecells underwent chondrogenic differentiation onPHBHHx containing scaffolds. It also suggested thatthe presence of right proportion of PHBHHx in thecomposite system of PHB/PHBHHx highly favored theproduction of extracellular matrix of articular cartilagechondrocytes.

Acknowledgements

This research was supported by Natural SciencesFoundation of China Grant No. 30170017 and Tsin-ghua University 985 fund. Y Deng was financed by State863 Fund.

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