Evidence map›Paper›PMID 39979971›Full record

ArticleJournal of orthopaedic surgery and research2025

Bio-3D printing of scaffold-free ADSC-derived cartilage constructs comparable to natural cartilage in vitro.

Toshihiro Nonaka, Daiki Murata, Hiromu Yoshizato, Shohei Kashimoto, Anna Nakamura, Tadatsugu Morimoto, Koichi Nakayama

Abstract readComparative Study
In one paragraph

Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Bioprinting for craniofacial reconstruction: A review of advancements, clinical use, and challenges.Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery · 2025
    Review
  7. Review
  8. Review
  9. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Toshihiro NonakaCenter for Regenerative Medicine Research, Faculty of Medicine, Saga University, Honjo-machi 1, Saga, Saga 840-8502, Japan.ORCID https://orcid.org/0009-0006-0261-5959
Daiki MurataCenter for Regenerative Medicine Research, Faculty of Medicine, Saga University, Honjo-machi 1, Saga, Saga 840-8502, Japan.ORCID http://orcid.org/0000-0003-0201-0205
Hiromu YoshizatoCenter for Regenerative Medicine Research, Faculty of Medicine, Saga University, Honjo-machi 1, Saga, Saga 840-8502, Japan.ORCID https://orcid.org/0009-0004-7933-3744
Shohei KashimotoCenter for Regenerative Medicine Research, Faculty of Medicine, Saga University, Honjo-machi 1, Saga, Saga 840-8502, Japan.ORCID https://orcid.org/0009-0000-2941-0116
Anna NakamuraCenter for Regenerative Medicine Research, Faculty of Medicine, Saga University, Honjo-machi 1, Saga, Saga 840-8502, Japan.ORCID https://orcid.org/0000-0003-3903-0306
Tadatsugu MorimotoDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, Nabeshima 5-1-1, Saga, Saga 849-8501, Japan.ORCID https://orcid.org/0000-0002-3359-9684
Koichi NakayamaCenter for Regenerative Medicine Research, Faculty of Medicine, Saga University, Honjo-machi 1, Saga, Saga 840-8502, Japan. nakayama@nakayama-labs.com.ORCID https://orcid.org/0000-0002-7324-8862

Funding

Japan Society for the Promotion of Science 22K09383
6 · The paper itself

Abstract

backgroundIn end-stage osteoarthritis (OA), osteochondral defects reach the subchondral bone and cartilage tissue of sufficient thickness is required to compensate for the defects. Adipose-derived mesenchymal stem/stromal cells (ADSCs), which are abundant in the body, have the potential to differentiate into cartilage and may be a useful cell source for cartilage regeneration. If it is possible to fabricate ADSC-derived cartilage constructs that can cover the damaged area, this could lead to the development of a new regenerative therapy for OA that could replace the currently available treatments. We therefore sought to produce cartilage constructs with suitable thickness and biological properties, similar to native cartilage, using the bio-three-dimensional (3D) printer. We also investigated the culture protocol to ensure that the constructs were fully mature even at the internal site.

methodsADSCs were isolated from three rats and expanded to create cartilage spheroids. The spheroids were arranged into patches using a Kenzan bio-3D printer to create scaffold-free, cell-only cartilage constructs. Basic fibroblast growth factor (bFGF) was added during expansion culture and varying concentrations of bone morphogenetic protein2 (BMP2) were supplemented during chondrogenic differentiation. The levels of glycosaminoglycans (GAG) in the spheroids and constructs were measured. The histology of the spheroids and constructs and the compressive strength of the constructs were evaluated.

resultsThe amount of GAG in the cartilage spheroids was higher in the bFGF and high-BMP2 concentration groups than in the non-supplemented and low-BMP2 concentration groups. Chondrocytes were abundant in the spheroids and constructs, and the extracellular matrix was homogeneously positive for safranin O staining and type II collagen immunostaining. The strength of cartilage constructs was consistent with that of the native cartilage (compressive strength 4.2 ± 1.5 MPa, n = 12).

conclusionBy optimizing the cell culture conditions, inducing chondrogenic differentiation, and bio-3D printing, we successfully fabricated fully mature cartilage constructs with mechanical and histological properties similar to those of articular cartilage.

Indexed as

Adipose TissueCartilageCartilage, ArticularMesenchymal Stem CellsPrinting, Three-DimensionalTissue EngineeringTissue ScaffoldsAnimalsCell DifferentiationCells, CulturedChondrogenesisGlycosaminoglycansRatsRats, Sprague-DawleyGlycosaminoglycansAdipose-derived stem/stromal cellsBio-3D printerCartilage regenerationScaffold-freeTissue engineering

Identifiers

PMID39979971
PMCPMC11844123

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.