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New Biomaterial Regrows Damaged Cartilage in Joints

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New Biomaterial Regrows Damaged Cartilage in Joints

Context:

Recently, Northwestern University scientists have developed a new bioactive material that successfully regenerated high-quality cartilage in the knee joints of a large-animal model.

 

Study Details:

  • The material was tested in sheep with cartilage defects in the stifle joint, similar to the human knee.
  • Researchers applied the material to damaged cartilage in the animals‘ knee joints.
  • They observed enhanced repair, including the growth of new cartilage containing natural biopolymers (collagen II and proteoglycans) which enable pain-free mechanical resilience in joints.

 

What’s in the Material?

  • It appears as a rubbery goo, the material is a complex network of molecular components mimicking cartilage’s natural environment.
  •  Components include Bioactive peptide that binds to transforming growth factor beta-1 (TGFb-1), essential for cartilage growth and maintenance and Modified hyaluronic acid, a natural polysaccharide present in cartilage and synovial fluid.
  • The material integrates these components to form nanoscale fibres.
  • It creates an attractive scaffold for the body’s cells to regenerate cartilage tissue, using bioactive signals to encourage repair.

 

Bioactive material:

  • It is defined as a material that elicits a specific response at its interface, resulting in the formation of a bond between the tissue and the material. 
  • These materials are capable of inducing specific and predictable responses from cells and tissues.

 

Clinical Relevance:

  • The new material could potentially prevent full knee replacement surgeries, treat degenerative diseases like osteoarthritis, and repair sports-related injuries such as ACL tears.
  • Material could be applied during open-joint or arthroscopic surgeries in the future.
  • Current Standard: Microfracture surgery, which often results in fibrocartilage rather than the desired hyaline cartilage.
  • The new material aims to regenerate hyaline cartilage, which should be more resistant to wear and tear, improving long-term mobility and reducing joint pain.

 

Osteoarthritis

  • Historically, osteoarthritis was regarded as a “wear and tear” condition primarily associated with ageing. 
  • Today, we recognise it as a disease impacting the entire joint, including the cartilage, bone, ligaments, fat, and the synovium (the lining of the joint).
  •  It can deteriorate cartilage, alter bone structure, and cause inflammation, leading to symptoms such as pain, stiffness, and reduced mobility.

 

 

Cartilage:

  • It is a strong, flexible connective tissue that acts as a cushion between bones, reducing friction and absorbing shock in joints, preventing bones from rubbing together.
  • It provides structure and shape to certain body parts, such as the nose, ears, and parts of the rib cage.
  • Cartilage damage can occur suddenly due to injuries, such as sports-related trauma, or gradually over time, leading to conditions like osteoarthritis.
  • Damage or degeneration of cartilage can impair joint function, making it difficult or impossible to use the affected joints normally.

 

Degenerative diseases: 

  • Degenerative diseases are characterised by the progressive deterioration of the structure and function of specific organs or tissues over time. 
  • They are influenced by a combination of genetic and external factors and often worsen with age.
  • Diseases involve ongoing degenerative cell changes that affect tissues or organs.
  • There is a gradual worsening of the affected tissues or organs.
  • Neurodegenerative Diseases: In diseases affecting the central nervous system, such as Alzheimer’s or Parkinson’s, nerve cells either stop functioning or die through neurodegeneration.
  • Examples: Alzheimer’s Disease, Parkinson’s Disease, Huntington’s Disease, Amyotrophic Lateral Sclerosis (ALS), Atherosclerosis, Osteoarthritis, Macular Degeneration.

 

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