Wharton's jelly-derived multifunctional hydrogels: New tools to promote intervertebral disc regeneration in vitro and ex vivo
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]
Search for more papers by this authorAnna Chierici
Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy
Search for more papers by this authorMaria Pina Notarangelo
Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy
Search for more papers by this authorBeatrice Dallan
Department of Chemical, Pharmaceutical and Agricultural Sciences, University of Ferrara, Ferrara, Italy
Search for more papers by this authorGina Lisignoli
Laboratorio di Immunoreumatologia e Rigenerazione Tissutale, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Search for more papers by this authorElisabetta Lambertini
Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy
Search for more papers by this authorPantaleo Greco
Obstetrics and Gynecology Unit, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
Search for more papers by this authorRoberta Piva
Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy
Search for more papers by this authorCorresponding 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]
Search for more papers by this authorCorresponding 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]
Search for more papers by this authorAnna Chierici
Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy
Search for more papers by this authorMaria Pina Notarangelo
Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy
Search for more papers by this authorBeatrice Dallan
Department of Chemical, Pharmaceutical and Agricultural Sciences, University of Ferrara, Ferrara, Italy
Search for more papers by this authorGina Lisignoli
Laboratorio di Immunoreumatologia e Rigenerazione Tissutale, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Search for more papers by this authorElisabetta Lambertini
Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy
Search for more papers by this authorPantaleo Greco
Obstetrics and Gynecology Unit, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
Search for more papers by this authorRoberta Piva
Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy
Search for more papers by this authorCorresponding 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]
Search for more papers by this authorAbstract
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.
Open Research
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.
Supporting Information
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jbma37683-sup-0001-Suppl_table_S1+figure_S1.docxWord 2007 document , 354.6 KB | Data S1. Supporting information. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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