Abstract
Acute anterior cruciate ligament (ACL) injuries lead to poor joint function, instability, and eventually osteoarthritis if left untreated. Current surgical treatment options are not ideal; however, tissue engineering may provide mechanically sound, biocompatible reconstructions. Collagen fiber scaffolds were combined with fibroblast-seeded collagen gels and maintained in culture for up to 20 days. The tensile and viscoelastic behavior of the constructs closely mimicked that of natural ligament. Constructs’ mechanical and viscoelastic properties did not degrade over time in culture, and peak stress was significantly higher for constructs with embedded fibroblasts. Immunocytochemical and histological analyses demonstrated cell proliferation and ligament-like organization. We have created an engineered tissue that closely approaches key mechanical and viscoelastic properties of the ACL, does not degrade after 20 days in culture, and is histologically similar to the native tissue. This study should aid in developing effective treatments for ACL injury.
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REFERENCES
Altman, G. H., R. L. Horan, H. H. Lu, J. Moreau, I. Martin, et al. Silk matrix for tissue engineered anterior cruciate ligaments. Biomaterials 23:4131–4141, 2002.
Altman, G. H., R. L. Horan, I. Martin, J. Farhadi, P. R. Stark, et al. Cell differentiation by mechanical stress. Faseb J. 16:270–272, 2002.
Arnold, J. A., T. P. Coker, L. M. Heaton, J. P. Park, and W. D. Harris. Natural history of anterior cruciate tears. Am. J. Sports Med. 7:305–313, 1979.
Asano, H., T. Muneta, H. Ikeda, K. Yagishita, Y. Kurihara, and I. Sekiya. Arthroscopic evaluation of the articular cartilage after anterior cruciate ligament reconstruction: A short-term prospective study of 105 patients. Arthroscopy 20:474–481, 2004.
Bellincampi, L. D., R. F. Closkey, R. Prasad, J. P. Zawadsky, and M. G. Dunn. Viability of fibroblast-seeded ligament analogs after autogenous implantation. J. Orthop. Res. 16:414–420, 1998.
Bennett, M., R. Ker, N. Dimery, and R. Alexander. Mechanical properties of various mammalian tendons. J. Zool., Lond. 209:537–548, 1986.
Berry, C. C., J. C. Shelton, D. L. Bader, and D. A. Lee. Influence of external uniaxial cyclic strain on oriented fibroblast-seeded collagen gels. Tissue Eng. 9:613–624, 2003.
Bourke, S. L., J. Kohn, and M. G. Dunn. Preliminary development of a novel resorbable synthetic polymer fiber scaffold for anterior cruciate ligament reconstruction. Tissue Eng. 10:43–52, 2004.
Butler, D., E. S. Grood, F. R. Noyes, and R. Zernicke. Biomechanics of ligaments and tendons. In: Exercise and Sport Science Reviews, Vol. 2, edited by R. Hutton. Philadelphia: The Franklin Institute, 1978.
Cartmell, J. S., and M. G. Dunn. Development of cell-seeded patellar tendon allografts for anterior cruciate ligament reconstruction. Tissue Eng. 10:1065–1075, 2004.
Caruso, A. B., and M. G. Dunn. Functional evaluation of collagen fiber scaffolds for ACL reconstruction: Cyclic loading in proteolytic enzyme solutions. J. Biomed. Mater. Res. A. 69:164–171, 2004.
Caruso, A. B., and M. G. Dunn. Changes in mechanical properties and cellularity during long-term culture of collagen fiber ACL reconstruction scaffolds. J. Biomed. Mater. Res. A. 73:388–397, 2005.
Cooper, J. A., H. H. Lu, F. K. Ko, J. W. Freeman, and C. T. Laurencin. Fiber-based tissue-engineered scaffold for ligament replacement: Design considerations and in vitro evaluation. Biomaterials 26:1523–1532, 2005.
Dahlstedt, L. J., P. Netz, and N. Dalen. Poor results of bovine xenograft for knee cruciate ligament repair. Acta Orthop. Scand. 60:3–7, 1989.
Dunn, M. G., J. B. Liesch, M. L. Tiku, and J. P. Zawadsky. Development of fibroblast-seeded ligament analogs for ACL reconstruction. J. Biomed. Mater. Res. 29:1363–1371, 1995.
Dunn, M. G., A. J. Tria, Y. P. Kato, J. R. Bechler, R. S. Ochner, et al. Anterior cruciate ligament reconstruction using a composite collagenous prosthesis. A biomechanical and histologic study in rabbits. Am. J. Sports Med. 20:507–515, 1992.
Fetto, J. F., and J. L. Marshall. The natural history and diagnosis of anterior cruciate ligament insufficiency. Clin. Orthop. Relat. Res. 29–38, 1980.
Garvey, W. Modified elastic tissue-Masson trichrome stain. Stain Technol. 59:213–216, 1984.
Gentleman, E., A. N. Lay, D. A. Dickerson, E. A. Nauman, G. A. Livesay, and K. C. Dee. Mechanical characterization of collagen fibers and scaffolds for tissue engineering. Biomaterials 24:3805–3813, 2003.
Gentleman, E., E. A. Nauman, K. C. Dee, and G. A. Livesay. Short collagen fibers provide control of contraction and permeability in fibroblast-seeded collagen gels. Tissue Eng. 10:421–427, 2004.
Good, L., M. Odensten, L. Pettersson, and J. Gillquist. Failure of a bovine xenograft for reconstruction of the anterior cruciate ligament. Acta Orthop. Scand. 60:8–12, 1989.
Goulet, F., L. Germain, D. Rancourt, C. Caron, A. Normand, and F. A. Auger. Tendons and Ligaments. In: Principles of Tissue Engineering, edited by R. P. Lanza, R. Langer, and W. L. Chick. San Diego, CA: Academic, 1997, pp. 633–644.
Goulet, F., D. Rancourt, R. Cloutier, L. Germain, A. R. Poole, and F. A. Auger. Tendons and Ligaments. In: Principles of Tissue Engineering, 2nd edn., edited by R. P. Lanza, R. Langer, and J. Vacanti. San Diego, CA: Academic, 2000, pp. 711–722.
Hafemann, B., K. Ghofrani, H. G. Gattner, H. Stieve, and N. Pallua. Cross-linking by 1-ethyl-3- (3-dimethylaminopropyl)-carbodiimide (EDC) of a collagen/elastin membrane meant to be used as a dermal substitute: Effects on physical, biochemical and biological features in vitro. J. Mater. Sci Mater. Med. 12:437–446, 2001.
Huang, D., T. R. Chang, A. Aggarwal, R. C. Lee, and H. P. Ehrlich. Mechanisms and dynamics of mechanical strengthening in ligament- equivalent fibroblast-populated collagen matrices. Ann. Biomed. Eng. 21:289–305, 1993.
Jackson, D. W., G. E. Windler, and T. M. Simon. Intraarticular reaction associated with the use of freeze-dried, ethylene oxide-sterilized bone-patella tendon-bone allografts in the reconstruction of the anterior cruciate ligament. Am. J. Sports Med. 18:1–10, 1990, discussion –1.
Johnson, G. A., and F. H. Fu. Anterior cruciate ligament reconstruction: Why do failures occur? In: Instructional Course Lectures. Rosemont, IL: The American Academy of Orthopaedic Surgeons, 1995, pp. 391–406.
Johnson, G. A., D. M. Tramaglini, R. E. Levine, K. Ohno, N. Y. Choi, and S. L. Woo. Tensile and viscoelastic properties of human patellar tendon. J. Orthop. Res. 12:796–803, 1994.
Kannus, P., and M. Jarvinen. Conservatively treated tears of the anterior cruciate ligament. Long-term results. J. Bone Joint Surg. Am. 69:1007–1012, 1987.
Kasperczyk, W. J., S. Rosocha, U. Bosch, H. J. Oestern, and H. Tscherne. Age, activity and strength of knee ligaments. Unfallchirurg 94:372–375, 1991.
Laitinen, O., P. Tormala, R. Taurio, K. Skutnabb, K. Saarelainen,et al. Mechanical properties of biodegradable ligament augmentation device of poly(l-lactide) in vitro and in vivo. Biomaterials 13:1012–1016, 1992.
Lin, V. S., M. C. Lee, S. O’Neal, J. McKean, and K. L. Sung. Ligament tissue engineering using synthetic biodegradable fiber scaffolds. Tissue Eng. 5:443–452, 1999.
Lu, H. H., J. A. Cooper Jr., S. Manuel, J. W. Freeman, M. A. Attawia, et al. Anterior cruciate ligament regeneration using braided biodegradable scaffolds: In vitro optimization studies. Biomaterials 26:4805–4816, 2005.
Luka, T. L., D. A. Dickerson, and G. A. Livesay. Viscoelastic analysis of collagenous tissue engineered analogues. Faseb. J. 16: Abstract # 396.5, 2002.
Lynch, H. A., W. Johannessen, J. P. Wu, A. Jawa, and D. M. Elliott. Effect of fiber orientation and strain rate on the nonlinear uniaxial tensile material properties of tendon. J. Biomech. Eng. 125:726–731, 2003.
Marx, R. G., E. C. Jones, M. Angel, T. L. Wickiewicz, and R. F. Warren. Beliefs and attitudes of members of the American Academy of Orthopaedic Surgeons regarding the treatment of anterior cruciate ligament injury. Arthroscopy 19:762–770, 2003.
Meaney Murray, M., K. Rice, R. J. Wright, and M. Spector. The effect of selected growth factors on human anterior cruciate ligament cell interactions with a three-dimensional collagen-GAG scaffold. J. Orthop. Res. 21:238–244, 2003.
Miyasaka, K., D. Daniel, M. Stone, and P. Hirshman. The incidence of knee ligament injuries in the general population. Am. J. Knee Surg. 4:3–8, 1991.
Murray, M. M., and M. Spector. The migration of cells from the ruptured human anterior cruciate ligament into collagen-glycosaminoglycan regeneration templates in vitro. Biomaterials 22:2393–2402, 2001.
Noyes, F. R., and E. S. Grood. The strength of the anterior cruciate ligament in humans and Rhesus monkeys. J. Bone Joint Surg. Am. 58:1074–1082, 1976.
O’Connor, W. N., and S. Valle. A combination Verhoeff's elastic and Masson's trichrome stain for routine histology. Stain Technol. 57:207–210, 1982.
Pinkowski, J. L., P. R. Reiman, and S. L. Chen. Human lymphocyte reaction to freeze-dried allograft and xenograft ligamentous tissue. Am. J. Sports Med. 17:595–600, 1989.
Viidik, A. Functional properties of collagenous tissues. Int. Rev. Connect. Tissue Res. 6:127–215, 1973.
von Porat, A., E. M. Roos, and H. Roos. High prevalence of osteoarthritis 14 years after an anterior cruciate ligament tear in male soccer players: A study of radiographic and patient relevant outcomes. Ann. Rheum. Dis. 63:269–273, 2004.
Woo, S. L., M. A. Gomez, Y. Seguchi, C. M. Endo, and W. H. Akeson. Measurement of mechanical properties of ligament substance from a bone–ligament–bone preparation. J. Orthop. Res. 1:22–29, 1983.
Yamamoto, E., K. Hayashi, and N. Yamamoto. Mechanical properties of collagen fascicles from the rabbit patellar tendon. J. Biomech. Eng. 121:124–131, 1999.
Yamamoto, E., W. Iwanaga, H. Miyazaki, and K. Hayashi. Effects of static stress on the mechanical properties of cultured collagen fascicles from the rabbit patellar tendon. J. Biomech. Eng. 124:85–93, 2002.
ACKNOWLEDGMENTS
The authors wish to thank Russell Auger for invaluable assistance with histology and Ms. Lorraine McGinley for administrative support. The financial support of the National Science Foundation and the Louisiana Board of Regents is gratefully acknowledged.
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Gentleman, E., Livesay, G.A., Dee, K.C. et al. Development of Ligament-Like Structural Organization and Properties in Cell-Seeded Collagen Scaffolds in vitro . Ann Biomed Eng 34, 726–736 (2006). https://doi.org/10.1007/s10439-005-9058-4
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DOI: https://doi.org/10.1007/s10439-005-9058-4