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H. Tohyama, K. Yasuda, A. Minami, T. Majima, N. Iwasaki, T. Muneta, I. Sekiya, K. Yagishita, S. Takahashi, K. Kurokouchi, Y. Uchio, J. Iwasa, M. Deie, N. Adachi, K. Sugawara and M. Ochi, “Atelocollagen-Associated Autologous Chondrocyte Implantation for the Repair of Chondral Defects of the Knee: A Prospective Multicenter Clinical Trial in Japan,” Journal of Orthopedic Science, Vol. 14, No. 5, 2009, pp. 579-588. doi:10.1007/s00776-009-1384-1

has been cited by the following article:

• TITLE: Biological Evaluation of Tissue-Engineered Cartilage Using Thermoresponsive Poly(N-isopropylacrylamide)-Grafted Hyaluronan

  AUTHORS: Kazuaki Muramatsu, Mika Ide, Fujio Miyawaki

  KEYWORDS: Cartilage Tissue Engineering; Hyaluronan; Self-Assembly; Thermally Responsive Material

  JOURNAL NAME: Journal of Biomaterials and Nanobiotechnology, Vol.3 No.1, December 31, 2011

  ABSTRACT: In order to contribute to the development of minimally invasive surgery techniques for autologous chondrocyte implantation, a novel self-assembling biomaterial consisting of thermoresponsive poly(N-isopropylacrylamide)-grafted hyaluronan (PNIPAAm-g-HA) has been synthesized as an injectable scaffold for cartilage tissue engineering. The aim of this study was to investigate the efficacy and cytocompatibility of PNIPAAm-g-HA to normal chondrocytes by using reverse transcription-polymerase chain reaction (RT-PCR) analysis and histochemical staining in preliminary in vitro and in vitro experiments. Hematoxylin and eosin staining showed homogeneous distribution of cells in the PNIPAAm-g-HA hydrogel in 3-dimensional in vitro cultivation. Alcian blue staining also indicated that abundant extracellular matrix formation, including acidic glycosaminoglycans, occurred in tissue-engineered cartilage over time in vitro. Cartilage-related gene expression patterns, which were tested in rabbit normal chondrocytes embedded in the hydrogel, were almost maintained for 4 weeks. Transforming growth factor-β1 (TGF-β1) stimulation enhanced the expression of SRY-related HMG box-containing gene 9 (Sox9) and type X collagen genes suggesting promotion of chondrogenic differentiation. Histochemical evaluation showed neocartilage formation following subcutaneous implantation of the chondrocyte-gel mixture in nude mice. Furthermore, TGF-β1 stimulation promoted production and maturation of the extracellular matrix of the in situ tissue engineered hyaline cartilage. These data suggested that PNIPAAm-g-HA could be a promising biomaterial, i.e., a self-assembling and injectable scaffold for cartilage tissue engineering.