Volume 112, Issue 7 pp. 973-987
RESEARCH ARTICLE

Wharton's jelly-derived multifunctional hydrogels: New tools to promote intervertebral disc regeneration in vitro and ex vivo

Letizia Penolazzi

Corresponding Author

Letizia Penolazzi

Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy

Correspondence

Letizia Penolazzi, Department of Neuroscience and Rehabilitation, University of Ferrara, 44121 Ferrara, Italy.

Email: [email protected]

Claudio Nastruzzi, Department of Chemical, Pharmaceutical and Agricultural Sciences, University of Ferrara, 44121 Ferrara, Italy.

Email: [email protected]

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Anna Chierici

Anna Chierici

Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy

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Maria Pina Notarangelo

Maria Pina Notarangelo

Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy

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Beatrice Dallan

Beatrice Dallan

Department of Chemical, Pharmaceutical and Agricultural Sciences, University of Ferrara, Ferrara, Italy

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Gina Lisignoli

Gina Lisignoli

Laboratorio di Immunoreumatologia e Rigenerazione Tissutale, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Elisabetta Lambertini

Elisabetta Lambertini

Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy

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Pantaleo Greco

Pantaleo Greco

Obstetrics and Gynecology Unit, Department of Medical Sciences, University of Ferrara, Ferrara, Italy

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Roberta Piva

Roberta Piva

Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy

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Claudio Nastruzzi

Corresponding Author

Claudio Nastruzzi

Department of Chemical, Pharmaceutical and Agricultural Sciences, University of Ferrara, Ferrara, Italy

Correspondence

Letizia Penolazzi, Department of Neuroscience and Rehabilitation, University of Ferrara, 44121 Ferrara, Italy.

Email: [email protected]

Claudio Nastruzzi, Department of Chemical, Pharmaceutical and Agricultural Sciences, University of Ferrara, 44121 Ferrara, Italy.

Email: [email protected]

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First published: 03 February 2024

Abstract

The degeneration of intervertebral disc (IVD) is a disease of the entire joint between two vertebrae in the spine caused by loss of extracellular matrix (ECM) integrity, to date with no cure. The various regenerative approaches proposed so far have led to very limited successes. An emerging opportunity arises from the use of decellularized ECM as a scaffolding material that, directly or in combination with other materials, has greatly facilitated the advancement of tissue engineering. Here we focused on the decellularized matrix obtained from human umbilical cord Wharton's jelly (DWJ) which retains several structural and bioactive molecules very similar to those of the IVD ECM. However, being a viscous gel, DWJ has limited ability to retain ordered structural features when considered as architecture scaffold. To overcome this limitation, we produced DWJ-based multifunctional hydrogels, in the form of 3D millicylinders containing different percentages of alginate, a seaweed-derived polysaccharide, and gelatin, denatured collagen, which may impart mechanical integrity to the biologically active DWJ. The developed protocol, based on a freezing step, leads to the consolidation of the entire polymeric dispersion mixture, followed by an ionic gelation step and a freeze-drying process. Finally, a porous, stable, easily storable, and suitable matrix for ex vivo experiments was obtained. The properties of the millicylinders (Wharton's jelly millicylinders [WJMs]) were then tested in culture of degenerated IVD cells isolated from disc tissues of patients undergoing surgical discectomy. We found that WJMs with the highest percentage of DWJ were effective in supporting cell migration, restoration of the IVD phenotype (increased expression of Collagen type 2, aggrecan, Sox9 and FOXO3a), anti-inflammatory action, and stem cell activity of resident progenitor/notochordal cells (increased number of CD24 positive cells). We are confident that the DWJ-based formulations proposed here can provide adequate stimuli to the cells present in the degenerated IVD to restart the anabolic machinery.

CONFLICT OF INTEREST STATEMENT

The authors declare that there are no conflicts of interest.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.

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