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Chen CM, Chen YC, Wang JY, Chen CF, Chao KY, Wu PK, Chen WM. A Cryoprotectant-Gel Composite Designed to Preserve Articular Cartilage during Frozen Osteoarticular Autograft Reconstruction for Malignant Bone Tumors: An Animal-Based Study. Cartilage 2022; 13:19476035221109228. [PMID: 35979907 PMCID: PMC9393690 DOI: 10.1177/19476035221109228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE We designed a highly adhesive cryoprotectant-gel composite (CGC), based on regular liquid-form cryoprotectant base (CB), aiming to protect cartilage tissue during frozen osteoarticular autograft reconstruction for high-grade sarcoma around the joint. This study aimed to evaluate its effectiveness in rat and porcine distal femur models. DESIGN Fresh articular cartilage samples harvested from distal rat and porcine femurs were divided into 4 test groups: untreated control group, liquid nitrogen (LN) freezing group, LN freezing group pretreated with CB (CB group), and LN freezing group pretreated with CGC (CGC group). Microscopic and macroscopic evaluation of cartilage condition, TUNEL (terminal deoxynucleotidyl transferase dUTP nick end labeling) assay, and apoptotic protein analysis of chondrocytes were performed to confirm our results. RESULTS In the rat model, CGC could prevent articular cartilage from roughness and preserve more proteoglycans when compared with the LN freezing and CB groups. Western blot analysis showed CGC could prevent cartilage from LN-induced apoptosis supported by caspase-3/8 apoptotic signaling cascade. Macroscopically, we observed CGC could reduce both articular clefting and loss of articular luminance after freezing in the porcine model. In both models, CGC could reduce articular chondrocytes from degeneration. Fewer TUNEL-positive apoptotic and more viable chondrocytes in cartilage tissue were observed in the CGC group in our animal models. CONCLUSION Our study proved that CGC could effectively prevent cartilage surface and chondrocytes from cryoinjury after LN freezing. Freezing articular cartilage surrounded with high concentration of CGC can be a better alternative to preserve articular cartilage during limb salvage surgery for malignant bone tumor.
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Affiliation(s)
- Chao-Ming Chen
- Department of Orthopaedic &
Traumatology, Taipei Veterans General Hospital, Taipei City, Taiwan,Therapeutical and Research Center of
Musculoskeletal Tumor, Taipei Veterans General Hospital, Taipei City, Taiwan,Institute of Clinical Medicine, School
of Medicine, National Yang Ming Chiao Tung University, Hsinchu, Taiwan,Department of Orthopaedic, School of
Medicine, National Yang Ming Chiao Tung University, Hsinchu, Taiwan
| | - Yi-Chun Chen
- Department of Orthopaedic &
Traumatology, Taipei Veterans General Hospital, Taipei City, Taiwan,Therapeutical and Research Center of
Musculoskeletal Tumor, Taipei Veterans General Hospital, Taipei City, Taiwan
| | - Jir-You Wang
- Department of Orthopaedic &
Traumatology, Taipei Veterans General Hospital, Taipei City, Taiwan,Therapeutical and Research Center of
Musculoskeletal Tumor, Taipei Veterans General Hospital, Taipei City, Taiwan,Institute of Traditional Medicine,
School of Medicine, National Yang Ming Chiao Tung University, Hsinchu, Taiwan
| | - Cheng-Fong Chen
- Department of Orthopaedic &
Traumatology, Taipei Veterans General Hospital, Taipei City, Taiwan,Therapeutical and Research Center of
Musculoskeletal Tumor, Taipei Veterans General Hospital, Taipei City, Taiwan,Department of Orthopaedic, School of
Medicine, National Yang Ming Chiao Tung University, Hsinchu, Taiwan
| | - Kuang-Yu Chao
- Department of Orthopaedic &
Traumatology, Taipei Veterans General Hospital, Taipei City, Taiwan,Therapeutical and Research Center of
Musculoskeletal Tumor, Taipei Veterans General Hospital, Taipei City, Taiwan
| | - Po-Kuei Wu
- Department of Orthopaedic &
Traumatology, Taipei Veterans General Hospital, Taipei City, Taiwan,Therapeutical and Research Center of
Musculoskeletal Tumor, Taipei Veterans General Hospital, Taipei City, Taiwan,Department of Orthopaedic, School of
Medicine, National Yang Ming Chiao Tung University, Hsinchu, Taiwan,Po-Kuei Wu, Department of Orthopaedic &
Traumatology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road,
Taipei City 112, Taiwan.
| | - Wei-Ming Chen
- Department of Orthopaedic &
Traumatology, Taipei Veterans General Hospital, Taipei City, Taiwan,Therapeutical and Research Center of
Musculoskeletal Tumor, Taipei Veterans General Hospital, Taipei City, Taiwan,Department of Orthopaedic, School of
Medicine, National Yang Ming Chiao Tung University, Hsinchu, Taiwan
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