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Abstract
Bone regeneration is a complex process and the clinical translation of tissue engineered constructs (TECs) remains a challenge. The combination of biomaterials and mesenchymal stem cells (MSCs) may enhance the healing process through paracrine effects. Here, we investigated the influence of cell format in combination with a collagen scaffold on key factors in bone healing process, such as mineralization, cell infiltration, vascularization, and ECM production. MSCs as single cells (2D-SCs), assembled into microtissues (3D-MTs) or their corresponding secretomes were combined with a collagen scaffold and incubated on the chicken embryo chorioallantoic membrane (CAM) for 7 days. A comprehensive quantitative analysis was performed on a cellular level by histology and by microcomputed tomography (microCT). In all experimental groups, accumulation of collagen and glycosaminoglycan within the scaffold was observed over time. A pronounced cell infiltration and vascularization from the interface to the surface region of the CAM was detected. The 3D-MT secretome showed a significant mineralization of the biomaterial using microCT compared to all other conditions. Furthermore, it revealed a homogeneous distribution pattern of mineralization deposits in contrast to the cell-based scaffolds, where mineralization was only at the surface. Therefore, the secretome of MSCs assembled into 3D-MTs may represent an interesting therapeutic strategy for a next-generation bone healing concept.
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1 University Hospital of Zurich, Division of Surgical Research, Zurich, Switzerland (GRID:grid.412004.3) (ISNI:0000 0004 0478 9977); University Hospital of Zurich, Plastic Surgery and Hand Surgery, Zurich, Switzerland (GRID:grid.412004.3) (ISNI:0000 0004 0478 9977)
2 Institute for Regenerative Medicine (IREM), Zurich, Switzerland (GRID:grid.412004.3); Hospital Limmattal, Schlieren, Switzerland (GRID:grid.412004.3)
3 Institute for Regenerative Medicine (IREM), Zurich, Switzerland (GRID:grid.412004.3); University of Texas Health Science Center San Antonio, Department of Orthopaedic Surgery, San Antonio, USA (GRID:grid.267309.9) (ISNI:0000 0001 0629 5880)
4 University Hospital of Zurich, Institute for Diagnostic and Interventional Radiology, Zurich, Switzerland (GRID:grid.412004.3) (ISNI:0000 0004 0478 9977)
5 White House Center for Liposuction, Zurich, Switzerland (GRID:grid.412004.3)
6 Institute for Regenerative Medicine (IREM), Zurich, Switzerland (GRID:grid.412004.3); University of Zurich & ETH Zurich, Wyss Translational Center Zurich, Zurich, Switzerland (GRID:grid.7400.3) (ISNI:0000 0004 1937 0650)
7 Institute for Regenerative Medicine (IREM), Zurich, Switzerland (GRID:grid.7400.3); University of Zurich & ETH Zurich, Wyss Translational Center Zurich, Zurich, Switzerland (GRID:grid.7400.3) (ISNI:0000 0004 1937 0650); Charité Universitätsmedizin Berlin, Department of Cardiovascular Surgery, Berlin, Germany (GRID:grid.6363.0) (ISNI:0000 0001 2218 4662); German Heart Center Berlin, Department of Cardiothoracic and Vascular Surgery, Berlin, Germany (GRID:grid.418209.6) (ISNI:0000 0001 0000 0404)