Review Article

Biochemical Stimulus-Based Strategies for Meniscus Tissue Engineering and Regeneration

Table 1

Commonly used growth factors for cartilage and meniscus tissue engineering and regeneration.

Growth factorCell typesCulture conditionsFindingsAuthors and reference

TGF-β1Meniscal fibrochondrocytesMonolayer cultureIncrease collagen and GAG synthesisTanaka et al. [12]
Pangborn and Athanasiou [13]

TGF-βMeniscal fibrochondrocytesMonolayer/alginate beads/explant cultureIncrease proteoglycan synthesisCollier and Ghosh [14]

TGF-β1Meniscal fibrochondrocytesPGA scaffold cultureIncrease collagen and GAG synthesisPangborn and Athanasiou [15]

TGF-β1Meniscal fibrochondrocytesMeniscus explant cultureIncrease collagen and GAG synthesisImler et al. [16]

TGF-β1 and C-ABCCocultures of meniscal fibrochondrocytes and articular chondrocytesAgarose scaffold cultureIncrease collagen synthesis and the Young’s modulus and ultimate tensile strengthMacBarb et al. [17]

TGF-β1 and C-ABCMeniscal fibrochondrocytes and articular chondrocytesAgarose scaffold cultureEnhance compressive and tensile propertiesHuey and Athanasiou [18]

TGF-β1 and HPMeniscal fibrochondrocytesPLLA scaffold cultureIncrease collagen and GAG deposition and compressive propertiesGunja et al. [19]

TGF-β1Meniscal fibrochondrocytes and articular chondrocyteMonolayer cultureIncrease SMA contentZaleskas et al. [20]

TGF-β1Articular chondrocytesExplant cultureReduce MMP-1, MMP-3, MMP-8, and MMP-13 expression and induced TIMP-2 and TIMP-3 productionHui et al. [21]

TGF-β1Articular chondrocytesMonolayer cultureSuppress MMP-13, MMP-14 expressionTakahashi et al. [22]

TGF-β1Human synovium-derived stem cellsMonolayer cultureEnhance chondrogenic differentiation and proliferationKim et al. [23]

TGF-β1BMSCsMonolayer cultureEnhances chondrogenic differentiation and proliferationJian et al. [24]

TGF-βMSCsMonolayer cultureInduce chondrogenic differentiationAugustyniak et al. [25]—
Tang et al. [26]

TGF-β1, TGF-β2, IGF-IDedifferentiated adult human articular chondrocytesMonolayer cultureReexpress aggrecan and type II collagen genesYaeger et al. [27]

TGF-β1BMSCsChitosan/gelatin scaffolds culturePromoted chondrogenic differentiation of MSCs, cartilage matrix synthesis, repair of rabbit cartilage defectsDiao et al. [28]

TGF-β3BMSCsPLGA-gelatin/chondroitin sulfate/hyaluronic acid hybrid scaffold in rabbitEnhance MSCs proliferation and abundant ECM production, cartilage regenerationFan et al. [29]

TGFβ3NonePCL-HA scaffold in rabbitRegenerate articular cartilage by homing of endogenous cellsBochyńska et al. [30]

TGFβ3 and CTGFNonePCL scaffold in sheepLead to heterogeneous meniscus regenerationLee et al. [31]

BMP-2Dedifferentiated articular chondrocytesMonolayer cultureReverse chondrocyte dedifferentiationGouttenoire et al. [32]

BMP-2NoneIntra-articular injection in miceEnhance matrix turnover in native and IL-damaged cartilageDavidson et al. [33]

BMP-2Articular chondrocytesSolvent preserved human meniscus explant cultureStimulate chondrocytes migration and proliferation and enhance meniscus repairMinehara et al. [34]

BMP-7Articular chondrocytesMonolayer cultureCounteract chondrocyte catabolism induced by proinflammatory cytokinesElshaier et al. [35]
Huch et al. [36]

BMP-7NoneIntra-articular injection in sheepFill meniscal defect with cellular fibrous tissueForriol et al. [37]

BMP-7NoneInjection into Achilles tendon in ratsRegenerate meniscus-like tissueOzeki et al. [38]

BMP-2/-4/-6hBMSCMonolayer cultureEnhance chondrogenic differentiationSekiya et al. [39]

BMP-2/-4/-6/ -7 and CDMP-1/-2Articular chondrocytesAlginate beads cultureBMP-7 are most potent in upregulating proteoglycan production and counteract catabolic activity mediated by IL-1Chubinskaya et al. [40]

BMP-7 and TGF-β1Synovial mesenchymal stem cellsPellet cultureEnhance chondrogenesis from synovium-derived MSCsMiyamoto et al. [41]

BMP-2/BMP-7, TGF-β1Synovial tissueAgarose scaffold cultureEnhance chondrogenic differentiation of synovial explantsShintani and Hunziker [42]

bFGFMeniscal fibrochondrocytesMonolayer cultureEnhance proliferationHiraide et al. [43]
Kasemkijwattana et al. [44]

bFGFMeniscal fibrochondrocytesPGA scaffold cultureEnhance proliferationStewart et al. [45]

bFGFMeniscal fibrochondrocytesAlginate scaffold cultureEnhance proliferation and SMA expressionCucchiarini et al. [46]

bFGFBMSCsMonolayer cultureEnhance proliferationSotiropoulou et al. [47]

bFGFMSCsMonolayer cultureMaintain the multilineage differentiation potential of MSCsBuckley and Kelly [48]—
Martin et al. [49]

bFGF and hypoxiaMeniscal fibrochondrocytesThree-dimensional pellet cultureReexpress collagen type II and PGs geneAdesida et al. [50]

bFGFIntervertebral disc cellsMonolayer and alginate beads cultureSuppress proteoglycan productionLi et al. [51]

bFGFArticular chondrocytesMonolayer cultureSuppress collagen type II and decorin synthesisSonal [52]

bFGFArticular chondrocytesMonolayer cultureUpregulate MMPs, aggrecanases, nitric oxide and superoxide anion expressionMuddasani et al. [53]

bFGFArticular chondrocytesAlginate cultureAntagonizes proteoglycan synthesisLoeser et al. [54]

bFGFArticular chondrocytesGelatin-chondroitin-hyaluronan hybrid scaffold cultureRepair with hyaline-like cartilageDeng et al. [55]

bFGF and hypoxiaMeniscal fibrochondrocytesPLLA scaffold cultureEnhance GAGs production and compressive properties of constructsGunja and Athanasiou [56]

bFGF and TGF-β3NoneElectrospun PCL scaffolds cultureImprove meniscus repair and scaffold integrationIonescu et al. [57]

IGF–1Meniscal fibrochondrocytesAlginate scaffold cultureIncrease collagen and GAG synthesis as well as mechanical propertiesPuetzer et al. [58]

IGF-1Meniscal fibrochondrocytesMonolayer cultureEnhanced proliferation and ECM formationTumia and Johnstone [59]

IGF-1BMSCsMonolayer cultureModulate chondrogenic differentiationLongobardi et al. [60]

IGF-1Meniscal fibrochondrocytesExplant cultureStimulated cell migrationBhargava et al. [61]

IGF-1BMSC (transfection of hIGF-1 gene)Intra-articular injection in goatPromote the repair of full-thickness meniscal defectsZhang et al. [62]

IGF-1Articular chondrocytes
(transfection of hIGF-1 gene)
Polymerized fibrinogen in equine modelEnhance cartilage healingGoodrich et al. [63]

IGF-1 and TGF-β1BMSCsThree-dimensional fibrin disk cultureEnhance chondrogenic differentiationWorster et al. [64]

IGF-1 and TGF-β1NoneExplant cultureImprove repair of meniscus avascular zoneIzal et al. [65]

IGF–1, TGF-β1, bFGFFibroblast-like synoviocytesPGA/PLLA scaffold cultureEnhance collagen type II and aggrecans expressionFox et al. [66]

IGF and BMP-7Articular chondrocytesMonolayer cultureSuppress MMP-13 expressionIm et al. [67]

VEGFNoneVEGF-coated sutures in a sheepFail to promote meniscus healingPetersen et al. [68]

HGFMeniscal fibrochondrocytes
(transfection of HGF-1 gene)
PGA scaffold in miceInduce blood vessel formation in engineered constructsHidaka et al. [69]

CTGFMeniscal fibrochondrocytesFibrin glue in rabbits modelPromote healing of meniscal defect in the avascular zoneHe et al. [70]

CTGFNoneHydrogel collagen scaffold in rats modelEnhance articular cartilage regenerationNishida et al. [71]

PDGF-ABMeniscal fibrochondrocytesMonolayer cultureIncrease proliferation and matrix formationTumia and Johnstone [72]

PRPMeniscal fibrochondrocytesGelatin hydrogel in a rabbit modelPromote meniscus repairIshida et al. [73]