Published online Feb 26, 2024. doi: 10.4252/wjsc.v16.i2.176
Peer-review started: October 20, 2023
First decision: December 5, 2023
Revised: December 15, 2023
Accepted: January 19, 2024
Article in press: January 19, 2024
Published online: February 26, 2024
Processing time: 128 Days and 14.7 Hours
To properly repair articular cartilage defects is still a big challenge in the clinical field. Notably, cell-free xenogeneic extracellular matrix (ECM) of mesenchymal stromal cells (MSCs) has been found to be effective on the restoration of articular defects. Identification of more potent xenogeneic ECM for cartilage defect repair has been being conducted. Deer antlers are the only mammalian organ that once lost can fully regenerate. During the rapid growing period, antlers can elongate at unprecedented rate (2 cm/d). Research finds that the ability of this full regeneration and extremely rapid growth of antlers is underpinned by its ECM and soluble factors, besides the presence of antler stem cells. Consequently, we decided to apply ECM from the antler mesenchymal cells located at its growth centre [antler reserve mesenchymal cells (RMCs)] to the rat articular cartilage defects to evaluate the effects of RMC-ECM.
After 4 decades of research on deer antler biology in our research group, we found that deer antlers, fastest growing bony organ (2 cm/d), would be superior for the reparation of bone defects if being applied to the clinical situation.
To identify potent cell-free xenogeneic ECM for high quality repair of articular cartilage defects.
RMCs were isolated from a 60-d-growth (most rapid growth period) antler, and RMCs were stimulated to produce ECM (RMC-ECM) using ascorbic acid. Holes (1.5 mm in diameter and 2.0 mm in depth) were drilled on the rat articular cartilage and filled with RMC-ECM sheet before closure. The repaired tissue was collected at three different times: 4, 8 and 12 wk after surgery and treatment for histological and immunohistochemistry analyses.
In vitro trials demonstrated that RMC-ECM was superior for attracting mesenchymal cells to attach and proliferate. In vivo, RMC-ECM was used to fill the drilled holes on the rat articular cartilage surface and successfully repaired these defects. The repaired quality (hyaline cartilage-like) of RMC-ECM was superior to the controls of both adipocyte-derived MSCs-CM and antlerogenic periosteal cell-ECM.
Decellularized RMC-ECM, a novel type of xenogeneic ECM that derived from the active type of antler stem cell, achieved high quality repair/reconstruction of rat articular osteochondral defects.
Eventual solve the problem of articular cartilage defects, thus arthritis, would be cell-free allogenic/xenogeneic ECM. Based on its attributes, RMC-ECM is considered as one of the most potent natural ECM for the repair of cartilage defects.