Review Article

Advances and Prospects in Tissue-Engineered Meniscal Scaffolds for Meniscus Regeneration

Table 2

Summary of main studies concerning the absorbable scaffolds derived from biological components.

Biological componentsSourceCellular typeIn vitro or
in vivo
StimulationsTimeResultsReferences

Collagen spongePurified porcine skinsHuman meniscal cellsIn vitro TGF-β14 daysAttached well and expanded with culture time
Permissive for production of meniscus ECM and for growth factor responsiveness
Gruber et al. (2008) [68]

Collagen-GAGBovine tendon collagen type I and C6SHuman chondrocytes and meniscal cellsIn vitro PDGF-BB and TGF-β121 daysIncreased contraction of collagen-GAG matrix induced by TGF-β1
Decrease in contraction resulting from PDGF-BB treatment
Zaleskas et al. (2001) [69]

Hyaluronan (HYAFF-11)Bovine articular chondrocytesIn vitro Rotary cell culture system4 weeksOuter stained for versican and type I collagen; inner positively stained for GAGs and types I and II collagen
Outer stiffer in tension, inner stiffer in compression
Marsano et al. (2006) [70]

Collagen II/I, IIIPorcine collagenOvine meniscal cellsIn vitro None28 daysCells attached well to both biomaterials and produced GAGs and collagen type IChiari et al. (2008) [71]

Hyaluronan (HYAFF-11)Ovine meniscal cellsIn vitro None28 daysDifferences between the biomaterials were to cell distribution, morphology, and dynamics of GAGs synthesisChiari et al. (2008) [71]

C6S coated PLGA surfacesShark C6SHuman meniscus fibrochondrocytesIn vitro Hypoxia14 daysFibrochondrocytes redifferentiation were enhanced by hypoxia independent of hypoxia inducible factor (HIF) and potentially involve the transcriptional activation of Sox-9Tan et al. (2011) [72]

Collagen type I (CMI)Achilles tendon of bovineHuman BMSCIn vitro Biomechanical stimulation and perfusion14 daysCell proliferation can be enhanced using continuous perfusion
Differentiation is fostered by mechanical stimulation
Petri et al. (2012) [73]

Collagen type I (CMI)Achilles tendon of bovineNoneClinical cases
(25 patients)
None10 yearsSignificant pain relief and functional improvement
No development or progression of degenerative knee joint
disease was observed in most cases
Monllau et al. (2011) [74]

Collagen type I (CMI)Achilles tendon of bovineNoneClinical cases
(33 patients)
None10 yearsPain, activity level, and radiological outcomes are significantly improvedZaffagnini et al. (2011) [75]

Multilayered silk scaffoldsBombyx mori silkworm cocoonsHuman fibroblasts (outside) chondrocytes (inside)In vitro TGF-β328 daysMaintenance of chondrocytic phenotype with higher levels of
GAGs and collagens
Improved scaffold mechanical properties along with ECM alignment
Mandal et al. (2011) [76]

Multilayered silk scaffoldsBombyx mori silkworm cocoonsHuman bMSCIn vitro TGF-β328 daysHigher levels of collagens and GAGs
Enhanced biomechanics similar to native tissue
Mandal et al. (2011) [77]

Bacterial celluloseGluconacetobacter xylinus 3T6-swiss albino fibroblastsIn vitro Compression bioreactor28 daysMicrochannels facilitated the alignment of cells and collagen fibers
Collagen production was enhanced by mechanical stimulation
Martínez et al. (2012) [78]

Hyaluronan (HYAFF-11): (Fidia Advanced Biopolymers, Abano Terme, Italy).
Collagen II/I, III: Geistlich Biomaterials (Wolhusen, Switzerland). Two layers; the less porous layer consisted of collagen type I and type III; the porous layer consisted of collagen type II.
Collagen type I (CMI): distributed by Ivy Sports Medicine (ISM) (formerly known as ReGen Biologics).