phenotypic stability of articular chondrocytes in vitro
TRANSCRIPT
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Phenotypic Stability of Articular Chondrocytes In Vitro: The
Effects of Culture Models, Bone Morphogenetic Protein 2,and Serum Supplementation
MATTHEW C. STEWART,* KATHRYN M. SAUNDERS,
NANCY BURTON-WURSTER, and JAMES N. MACLEOD
ABSTRACT
Numerous in vitro culture models have been developed for the investigation of chondrocyte and cartilage
biology. In this study, we investigated the stability of the chondrocytic phenotype in monolayer, aggregate,
pellet, and explant culture models and assessed the effects of recombinant human bone morphogenetic protein 2
(rhBMP-2) and serum supplementation on the phenotype in each model. Phenotypic effects were assessed by
analyses of procollagen type II, aggrecan, (VC) fibronectin, and procollagen type I messenger RNA
expression. In monolayer cultures, we noted a characteristic loss of procollagen type II and induction of
procollagen type I expression. The aggregate and pellet culture models supported matrix protein gene
expression profiles more reflective of in vivo levels. In explant cultures, expression of matrix protein genes was
consistently depressed. Treatment with rhBMP-2 significantly increased the expression of procollagen type II
and aggrecan in monolayer cultures; however, other models showed comparatively little response. Similarly,
serum supplementation significantly down-regulated procollagen type II and aggrecan expression in monolayer
cultures but had less effect on gene expression in the other models. Serum supplementation increased
procollagen type I expression in monolayer and aggregate cultures. These results suggest that the influence of
exogenous BMP-2 and serum on expression of chondrocyte-specific matrix protein genes is influenced byaspects of substrate attachments, cellular morphology, and/or cytoskeletal organization. Finally, the analyses of
fibronectin expression suggest that V and C region alternative splicing in chondrocytes is linked to the
establishment of a three-dimensional multicellular complex. (J Bone Miner Res 2000;15:166174)
Key words: articular chondrocyte, cartilage, BMP-2, matrix protein, phenotype
INTRODUCTION
ARTICULAR CARTILAGEis an avascular, aneural tissue thatcovers the articulating surfaces of bones. It distributesload and minimizes friction associated with joint movement.
Articular cartilage is a relatively acellular tissue. Chondro-
cytes comprise only 12% of the biomass but are respon-
sible for the synthesis and maintenance of the extracellular
matrix, which constitutes the bulk of the tissue.(1) The
load-bearing properties of articular cartilage result from the
unique components and organization of the extracellular
matrix. The high water content of cartilage (7080% of total
weight) is maintained by electrostatic interactions betweenwater molecules and the sulfated glycosaminoglycan moi-
eties of aggrecan complexes.(2) This proteoglycan gel,
anchored to hyaluronan polymers, provides the compressive
strength of the tissue. The arcuate arrangement of collagen
type II fibrils constrains the proteoglycan gel and contributes
to shear force resistance at the articular surface.(3) The
extracellular matrix is also active in regulating chondrocyte*Current affiliation: Department of Orthopaedics, Case Western
Reserve University, Cleveland, Ohio, U.S.A.
James A. Baker Institute for Animal Health, College of Veterinary Medicine, Cornell University, Ithaca, New York, U.S.A.
JOURNAL OF BONE AND MINERAL RESEARCHVolume 15, Number 1, 2000
2000 American Society for Bone and Mineral Research
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activity, through transmission of biomechanical stimuli via
integrin-mediated (46) and other receptor-mediated(7,8) signal-
ing pathways and by influencing the distribution and bioavail-
ability of growth factors such as fibroblast growth factor,
transforming growth factor 1, and bone morphogenetic
proteins.(9,10)
Fibronectin is an extracellular matrix protein that is
ubiquitously expressed in connective tissues. Fibronectin isencoded by a single gene, but substantial protein heterogene-
ity is introduced by alternative splicing of the primary
transcript. A cartilage-specific splice variant of fibronectin
that lacks the nucleotides encoding both the V and C regions
of the protein has been described.(11) In mammals,
this (VC) fibronectin isoform constitutes 3080% of
total fibronectin in articular cartilage, with the percen-
tage increasing with age.(12) The relative expression of
this isoform drops significantly during chondrocyte isolation
and remains low in monolayer culture.(11,12) Unlike the
collagen and proteoglycan components of the matrix, the
functional roles of (VC) fibronectin have not been
defined.Many in vitro culture models have been developed for the
investigation of chondrocyte and cartilage biology, includ-
ing explant models, several forms of three-dimensional
culture systems, and monolayer cultures.(13) There is also
considerable variation in aspects of media composition and
supplementation that affect the expression of the chondro-
cytic phenotype. Chondrocytes grown in monolayer culture
undergo a characteristic process of dedifferentiation, marked
by a loss of collagen type II and aggrecan core protein
expression and the induction of collagen type I expres-
sion.(14,15) This phenomenon is influenced to some extent by
seeding density(16) and is accelerated by growth in medium
supplemented with serum and by passage.(14) Conversely,
members of the bone morphogenetic protein (BMP) familyprevent dedifferentiation of monolayer chondrocyte cul-
tures.(1720) Growth of chondrocytes under conditions that
support a rounded morphology also facilitates maintenance
of the differentiated chondrocytic phenotype(2123); however,
the phenotypic effects of serum supplementation and BMP-2
treatment in nonadherent or suspension cultures have been
less well characterized.
The present study was conducted to investigate three
related issues: the phenotypic stability of articular chondro-
cytes in differing in vitro models, the phenotypic effects of
recombinant human bone morphogenetic protein 2 (rh-
BMP-2) and serum supplementation in these models, and
the relationship between fibronectin V and C region RNAsplicing and the expression of recognized markers of the
chondrocytic phenotype. Equine articular chondrocytes were
maintained as monolayers, nonadherent aggregates, pellets,
or explants. The three-dimensional models used in these
experiments support a rounded cellular morphology but
differ in aspects of cell-to-cell and cell-to-matrix interac-
tions. Messenger RNA (mRNA) levels of procollagen type
II, aggrecan core protein, the (VC) fibronectin splice
variant, and procollagen type I were assayed to monitor the
effects of the culture models on the chondrocytic phenotype.
MATERIALS AND METHODS
Materials
Dulbeccos modified Eagle medium (DMEM), Hams F12
medium, Opti-MEM, Geys balanced salt solution (GBSS),
Hanks balanced salt solution (HBSS), fetal bovine serum
(FBS), penicillin/streptomycin and amphotericin B were
purchased from GIBCO BRL/Life Technologies (GrandIsland, NY, U.S.A.). Cell culture flasks and Ultra Low
Attachment, hydrogel-coated plates were purchased from
Corning Inc. (Corning, NY, U.S.A.). L-Ascorbic acid phos-
phate was purchased from Wako Pure Chemicals (Rich-
mond, VA, U.S.A.). [32P]Deoxycytidine triphosphate
([32P]dCTP) and [32P]uridine triphosphate ([32P]UTP) were
purchased from Amersham (Arlington Heights, IL, U.S.A.).
Collagenase type CLS1 from Clostridium histolyticum was
purchased from Worthington Biochemicals (Freehold, NJ,
U.S.A.). Erythrosin B and dimethyl sulfoxide were pur-
chased from Sigma Chemical Company (St. Louis, MO,
U.S.A.).
Isolation of chondrocytes
The protocols for isolation and cryopreservation of equine
articular chondrocytes were adapted from the techniques
described by Nixon et al.(24) Articular cartilage shavings
were collected from the limb joints of six skeletally imma-
ture horses ranging from 1 week to 14 months of age. The
shavings were stored on ice in GBSS that contained 200 U of
penicillin/200 g of streptomycin (2% v/v) and 2.5 g of
amphotericin B/ml. Partial thickness sections were collected
to avoid including chondrocytes from the underlying epiphy-
seal ossification center. Procollagen type X mRNA, a marker
of the hypertrophic chondrocyte phenotype, was undetect-
able in subsequent Northern blot analyses (data not shown).
The articular cartilage pieces were cut into approximately1-mm-thick slices and either used directly for explant
cultures or digested overnight in 0.1% collagenase type
CLS1 (1:1) in DMEM/Hams F12, 10% FBS, 2% penicillin/
streptomycin, and 2.5 g/ml amphotericin B at 37C.
Isolated chondrocytes were recovered by filtration through
40-m nylon mesh, counted using a hematocytometer, and
assessed for viability by erythrosin B exclusion. Chondro-
cytes that were not used immediately were resuspended at a
concentration of 1.5 107 cells in 1.5 ml of DMEM, 10%
FBS, and 10% dimethyl sulfoxide and then stored in liquid
nitrogen. The viability of cryopreserved cells was reassessed
by erythrosin B exclusion after thawing; viability was
routinely90%.
Culture conditions
A schematic diagram of the establishment sequence for
the in vitro models is shown in Fig. 1. Each experiment was
carried out with cells isolated from an individual donor.
Chondrocytes from each donor were cultured in at least two
of the in vitro models assessed in this study. Cartilage used
in explant cultures was diced into thin sections, as described
earlier (1025 mg wet weight), and maintained in six-well
plates. Each well contained 300350 mg of cartilage in 7 ml
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of medium. Chondrocyte pellets were established in micro-
centrifuge tubes by suspension of 2 105 cells in 500 l of
medium. The tubes were centrifuged at 300 relative
centrifugal force (rcf) for 5 minutes in a benchtop centrifuge.
The tops of the tubes were perforated with an 18-gauge
needle after centrifugation to permit gaseous exchange.
After 72 h, corresponding to the first time the medium was
changed, the pellets were gently aspirated from the microcen-
trifuge tubes and transferred to six-well hydrogel-coated
plates. Groups of 1520 pellets/well were maintained in 6 ml
of medium. Nonadherent aggregate cultures also were
maintained in hydrogel-coated six-well plates. Three million
cells were placed in each well in 5 ml of medium. During the
first 72 h of culture, the floating cells formed clearly visibleaggregates. At each medium change, spent medium was
aspirated and centrifuged at 300 rcf for 5 minutes. Any
aspirated cells were returned to the appropriate wells, along
with fresh medium. Monolayer cultures were established by
seeding 5 106 cells in T25 flasks at an initial seeding
density of 2 105 cells/cm2. The monolayers were 70%
confluent 24 h after seeding and had reached confluence by
72 h.
In preliminary experiments that confirmed changes in
gene expression in monolayer culture, dedifferentiation of
equine articular chondrocytes was evident within 710 days
and was accelerated by culture in serum-containing medium,
consistent with data from other studies.(14,15) Subsequent
experiments were conducted within this time frame. Articu-lar chondrocytes or cartilage explants were cultured for the
first 72 h under serum-free conditions in Opti-MEM, a
defined culture medium that contains insulin, transferrin,
and selenous acid and is specifically designed for use under
low-serum conditions. This initial period allowed attach-
ment and expansion of monolayer cultures to confluence, the
formation of the nonadherent aggregates, and the consolida-
tion of pellets after centrifugation.
The culture medium was changed after 72 h (Time 0), at
which point cultures were left in Opti-MEM, were treated
with 100 ng/ml rhBMP-2 (a generous gift from the Genetics
Institute, Cambridge, MA, U.S.A.), or were transferred to
DMEM/Hams F12 medium (1:1) that contained 10% FBS.
DMEM/Hams F12 medium was selected for use in these
experiments because it is commonly used for serum-
supplemented chondrocyte cultures. Samples were collected
for analyses on days 1, 4, and 7 after commencement of
treatments. All media were supplemented with 50 g/mlL-ascorbic acid phosphate, 1% (v/v) penicillin/streptomycin,
and 1.0 g/ml amphotericin B and were replaced every 48 h
after the initial medium change. The cultures were main-
tained at 37C, 95% air/5% CO2in a humidified incubator.
Histology
Histomorphological characteristics of monolayer cultures
were assessed directly by phase-light microscopy. Pellets
and aggregates were collected on day 7; fixed in 4%
paraformaldehyde in phosphate-buffered saline (PBS), pH
7.4, for 23 h at 4C; and suspended in low-melting-
temperature agar to facilitate sectioning. After fixation, the
samples were dehydrated in serial ethanol solutions andembedded in paraffin. Sections 5 m thick were stained with
hematoxylin and eosin to enhance cellular detail or with
Alcian blue/periodic acidSchiff (PAS)(25) to identify the
extracellular matrix.
RNA isolation and Northern blot analyses
On days 1, 4, and 7 of culture, samples were collected
from control and rhBMP-2 treated cultures and snap frozen
in liquid nitrogen. Additional experiments were conducted
that were sampled only on day 7, to increase sample size and
statistical power of analyses at this time point. Samples from
serum-supplemented cultures were collected only on day 7.
Total RNA was isolated from cartilage samples and fromexplants using a protocol described previously.(11) Total
RNA was isolated from pellets by using a commercial kit
(RNeasy; Qiagen, Inc., Chatsworth, CA, U.S.A.) operated
according to the manufacturers instructions. Total RNA was
isolated from aggregate and monolayer chondrocyte cultures
by using a commercially available single-step phenol/
guanidine thiocyanate protocol (Tri Reagent; Molecular
Research Center Inc., Cincinnati, OH, U.S.A.), based on the
method of Chomczynski and Sacchi.(26)
Northern analyses of total RNA samples were carried out
according to standard protocols.(27) Sample loading and
transfer efficiency of each blot were normalized by densito-
metric comparison of ethidium bromidestained 28S and
18S ribosomal bands on the nylon membranes immediatelyafter transfer, using Scion Image version 1.60 gel documen-
tation software (Scion Corporation, Frederick, MD, U.S.A.).
Radiolabeled probes were prepared from gel-purified cDNA
insert preps by using [32P]dCTP and random hexanucleotide
primers (Promega, Madison, WI, U.S.A.) and purified with
Sephadex G-50 spin columns (Boehringer-Mannheim, India-
napolis, IN, U.S.A.). Prehybridization, hybridization, and
wash conditions followed protocols recommended by the
manufacturer of the nylon membranes (MSI, Westboro, MA,
U.S.A.). After exposure to radiographic film, the Northern
FIG. 1. Establishment of the in vitro chondrocyte culture
models. Articular cartilage shavings were harvested from the
limb joints of 6 skeletally immature horses, 1 week to 14
months old. Cartilage was either cultured directly as ex-
plants or digested with collagenase to isolate chondrocytes
for culture as pellets, aggregates, or monolayers as described
in Materials and Methods. Chondrocytes isolated from each
animal were cultured in at least two of the models described.
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blot data were quantified by using the Fujix bio-imaging
analyzer system (BAS1000 MacBAS; Fuji Medical Systems
USA, Stamford, CT, U.S.A.).
Ribonuclease protection assays
Relative amounts of alternatively spliced mRNAs that
encoded different isoforms of fibronectin were determinedby ribonuclease protection assays (RPAs) as described
previously.(12) An equine-specific version of the I-10/I-11
cDNA fragment used as a template for riboprobe synthesis
to measure the cartilage-specific (VC) fibronectin iso-
form was generated by polymerase chain reaction (PCR)
using 5-TCCTCTAGAGCCAGTGCTTAGGGTTTG (sense)
and 5-TCCTCTAGAAGACACG-TGCAGCTCATC (anti-
sense) primers that included Xba 1 linkers. The amplified
fragment was then cloned into pGEM-3Zf() (Promega).
Antisense riboprobe was synthesized in the presence of
[32P]UTP by in vitro transcription using SP6 RNA polymer-
ase (MAXISCRIPT; Ambion, Austin, TX, U.S.A.). The RPA
was performed by using a commercial kit (RPA II; Ambion)
and following the manufacturers recommended protocol.Protected fragments were separated on a 6% polyacrylamide
gel that contained 8 M urea and were quantitated directly
from the dried gel using the Fujix bio-imaging analyzer.
Resulting numerical data were then corrected for sizes of the
protected fragments to determine the ratio of (VC)
fibronectin mRNA to other fibronectin splice variants.
cDNA probes
A 3000-bp equine procollagen type II cDNA(28) was
generously provided by Dr. Dean Richardson (The Univer-
sity of Pennsylvania). A 1950-bp Xho 1 fragment of this
cDNA was used for probe synthesis. Equine-specific cDNA
probes for aggrecan core protein (306 bp) and fibronectin(840 bp) were generated by reverse-transcription (RT) PCR,
as described previously.(29) A 516-bp equine type I (2)
procollagen cDNA fragment was generated by RT-PCR
using total bone RNA and 5-TCGCCCTGGAGAGCCT
(sense) and 5-GGACCTCGGCTTCCAATAGG (antisense)
primers. The amplified region corresponds to bases 1454
1969 and 13931908 in the published canine(30) (accession
no. AF035120) and human(31) (accession no. Y00724)
sequences, respectively.
Statistical analyses
Variation in articular cartilage matrix gene expression was
present between animals. As reported in previous stud-ies,(18,28,32) chondrocytes isolated from younger animals
exhibited greater biosynthetic activity than cells isolated
from the older donors in the study. To account for this
individual variation, experimental data were normalized
against representative tissue values obtained from articular
cartilage samples collected from each donor and analyzed in
parallel. Thus, the in vitro data were expressed as a ratio of
the measured in vivo expression. Procollagen type I mRNA
values were normalized against total RNA isolated from a
single equine ligament sample. Means and standard devia-
tions of the normalized data were computed from replicate
experiments in each model. Mean normalized expression of
procollagen type II, aggrecan, and total and (VC) fibro-
nectin were compared with in vivo expression (value of
1.00) in each model under serum-free conditions by using a
one-sample Studentst-test. Mean procollagen type I expres-
sion was analyzed in the same manner by comparison with
0.00, because type I procollagen mRNA is undetectable inarticular cartilage by Northern blot analysis. The effects of
rhBMP-2 and serum supplementation were analyzed by
comparing mean treated and control values at each time
point. Fibronectin data from matched control and rhBMP-2
treated samples were pooled for culture model analysis,
because treatment with rhBMP-2 had no detectable effect on
total fibronectin expression nor on relative expression of the
(VC) fibronectin isoform in any model. The effects of
treatment with rhBMP-2 or with FBS were analyzed by the
Wilcoxon rank-sum test to account for differences in sample
sizes and variances; p values 0.05 were considered to be
significant.
RESULTS
Histomorphology
After reaching confluence, chondrocytes in monolayer
cultures exhibited a polygonal morphology, and developed a
characteristic cobblestone appearance. The cell layer
became increasingly refractile with time in culture, indica-
tive of pericellular matrix production.(15) Histologic analysis
of aggregates showed rounded cells surrounded by extracel-
lular matrix (Fig. 2A) that stained strongly with Alcian
blue/PAS. A zone of flattened cells, distinctly different from
the rounded cells in the center of the structures, covered the
surface of the aggregates (Fig. 2B). Alcian blue staining of
the matrix immediately below this peripheral zone of cellswas less than in the center of the aggregates. Pellets were
more cellular than aggregates with less intercellular matrix
(Fig. 2C). Flattened cells were evident on the surface of
pellets, similar to those seen with aggregates but limited to
the most peripheral layer (Fig. 2D).
Effects of in vitro models on matrix protein
gene expression
Representative Northern analyses of procollagen type II,
aggrecan, and procollagen type I expression under serum-
free conditions from single experiments are shown in Fig. 3
along with representative tissue blots. The mean steady-state
mRNA levels in each model normalized against in vivoexpression are shown in Fig. 4.
Procollagen type II
In monolayer cultures, procollagen type II mRNA levels
were 30% of in vivo levels throughout the experiments,
significantly below in vivo expression at all three time
points. Procollagen type II expression in aggregate cultures
was stable throughout the time course of the experiments at
50% of tissue levels. Expression in pellets was low
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initially but approached in vivo levels by day 4. Procollagen
type II mRNA levels in explants were substantially lower
than tissue levels at all time points; however, the differences
at days 1 and 4 were not statistically significant because ofthe small sample size.
Aggrecan
In vitro patterns of aggrecan mRNA expression were
similar to those of procollagen type II. Steady-state mRNA
levels of aggrecan in monolayer cultures were lower than
tissue levels initially but approached in vivo levels by day 7.
In contrast, expression in aggregate and pellet cultures
equaled or exceeded tissue levels throughout the culture
period, with a more than 2-fold increase in expression in
pellets at day 4. As with procollagen type II, aggrecan
expression in explants was reduced, averaging 50% of tissue
levels by day 7.
Procollagen type I
Induction of procollagen type I expression was evident by
day 1 in monolayer cultures and peaked on day 4. Low levels
of procollagen type I expression also were detected in some
aggregate and pellet experiments. No procollagen type I
mRNA was detected in explant cultures, despite the substan-
tial reduction in the expression of chondrocyte-specific
markers.
(VC) fibronectin
Steady-state levels of (VC) fibronectin transcripts in
articular cartilage from animals used in this study ranged
from 26% to 65% of total fibronectin mRNA, increasing
with age. The relative expression of (VC) fibronectin in
each culture model, normalized against tissue levels, is
shown in Fig. 5A. Relative levels of the (VC) isoform in
monolayer cultures were significantly lower than in vivo
values throughout the culture period, consistent with previ-
ous results.(11,12) In contrast, relative amounts increased with
time in aggregate and pellet cultures and were not signifi-
cantly different from tissue levels by day 4 in these models.
In explants, the relative expression of (VC) transcriptsexceeded tissue levels at all three time points.
Changes in relative expression of (VC) fibronectin did
not follow the same patterns as that of procollagen type II
and aggrecan. However, changes in isoform ratios were
caused in part by changes in total fibronectin expression
(Fig. 5B). Total fibronectin expression, primarily C iso-
forms, was markedly increased in the early stages of
monolayer (8-fold), aggregate (8-fold), and pellet (4-fold)
cultures. In aggregate and pellet models, the re-establish-
ment of relative (VC) isoform expression consistent with
FIG. 2. Histomorphological appearance of equine articu-
lar chondrocytes cultured as aggregates or pellets in serum-
free Opti-MEM for 10 days. This interval included a 72-h
consolidation period. Aggregates and pellets were fixed in
4% paraformaldehyde in PBS, pH 7.4, and processed for
histologic analysis. Sections (5 m thick) were stained with
Alcian blue/PAS. (A) Central regions of aggregates con-
tained rounded cells separated by matrix. (B) Peripherally, a
zone of more flattened cells was evident (arrowheads). (C)
Central regions of pellets were substantially more cellular
than aggregates. (D) A peripheral layer of flattened cells also
was evident (arrowheads) on the surface of pellets. (Magni-
fication100.)
FIG. 3. Representative Northern analyses of matrix gene
expression in equine articular chondrocytes. Chondrocytes
were cultured as monolayers (M), aggregates (A), pellets
(P), or explants (E) in serum-free Opti-MEM. After 72 h,
cultures remained under control conditions or were treated
with 100 ng/ml rhBMP-2. Total RNA was isolated at days 1,
4, and 7. Total RNA from representative cartilage tissue (T)
was included in each analysis. Variability in signal intensity
in the tissue samples is reflective of individual variation in in
vivo expression, differing probe specific activities, and
lengths of autoradiographic exposure in each experiment.
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in vivo values was associated with a return of total fibronec-
tin expression toward tissue levels. This was not the case in
monolayer cultures. In explants, the increase in relative
(VC) levels was associated with a significant reduction in
total fibronectin expression.
Effects of rhBMP-2 on matrix protein gene expression
Representative Northern analyses of matrix gene expres-
sion in cultures treated with 100 ng/ml rhBMP-2 for 1, 4,
and 7 days are shown alongside serum-free control culturesin Fig. 3. Quantitative comparisons of control and rhBMP-2
treated cultures are given in Fig. 4. The addition of rhBMP-2
to serum-free monolayer cultures increased the expression
of procollagen type II and aggrecan mRNAs approximately
2- and 3-fold, respectively. The increase in matrix protein
synthesis was associated with increased refractility of mono-
layer cultures treated with rhBMP-2 (data not shown).
Aggregate, pellet, and explant cultures were comparably less
responsive to rhBMP-2 supplementation. In aggregate cul-
tures, both procollagen type II and aggrecan expression
FIG. 4. Effects of culture models, rhBMP-2, and FBS on
matrix protein gene expression in equine articular chondro-
cytes. Chondrocytes were cultured as monolayers (days 1
and 4,n 4 replicates; day 7,n 6), aggregates (days 1 and
4,n 4; day 7,n 5), pellets (days 1 and 4,n 3; day 7,
n 5), or explants (days 1 and 4, n 2; day 7, n 3) in
serum-free Opti-MEM without (Control) or with 100 ng/mlof rhBMP-2, or in DMEM/Hams F12 medium (1:1) that
contained 10% FBS. Steady-state mRNA levels of procolla-
gen type II and aggrecan from culture samples were
measured by Northern blot analyses (as described in Materi-
als and Methods) and normalized against in vivo levels
obtained from samples of articular cartilage collected from
each animal. Procollagen type I expression was normalized
against values obtained from equine ligament. Means and
standard deviations were calculated from the results of
replicate experiments. Single-sample Students t-test was
used to compare expression under serum-free conditions
with cartilage expression, which was assigned a value of
1.00 for collagen type II and aggrecan and 0.00 for type I
collagen. a, significantly different from tissue values. (p 0.05). b, significant effects of rhBMP-2 and FBS supplemen-
tation on matrix protein gene expression compared with
expression in serum-free control samples at the same time
points (p 0.05). Bars SD.
FIG. 5. Expression of (VC) fibronectin in equine
articular chondrocytes. Chondrocytes were cultured as mono-
layers (n 8 replicates), aggregates (n 6), pellets (n 6),
or explants (n 6) in serum-free Opti-MEM (Control) or in
DMEM/Hams F12 medium (1:1) that contained 10% FBS.
Total RNA was collected from serum-free cultures on days
1, 4, and 7; samples were collected from serum-supple-
mented cultures only on day 7. (A) Relative levels of
(VC) fibronectin were determined by RPAs. (B) Total
steady-state fibronectin expression was determined by North-
ern analyses. RPA and Northern data were normalized
against levels obtained from representative cartilage samples.
a, experimental samples that differ significantly from tissue
expression, assigned a value of 1.00. (p 0.05). b, signifi-
cant effects of FBS supplementation at day 7 compared
with expression under serum-free conditions (p 0.05).
Bars SD.
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increased by 50%. The responses in pellet and explant
cultures were not statistically significant at any time point.
Treatment with rhBMP-2 did not significantly affect
expression of procollagen type I mRNA, nor was there any
detectable effect on the pattern of total fibronectin expres-
sion or of the relative expression of the (VC) splice
variant in any culture model (Fig. 3).
Effects of FBS on matrix protein gene expression
The effects of serum supplementation on matrix protein
gene expression were assessed after 7 days (Fig. 4). A
profound down-regulation of procollagen type II and aggre-
can expression occurred under monolayer conditions. In
contrast, significant FBS-induced changes in the expression
of these genes were not observed in the three-dimensional
models. Serum supplementation did increase procollagen
type I expression in aggregates, as was observed in monolay-
ers. The relative expression of the (VC) fibronectin
isoform in aggregates was significantly reduced by serum
supplementation (Fig. 5A); however, total fibronectin expres-
sion was increased in both monolayer and aggregate cul-tures. Serum supplementation did not alter the down-
regulation of fibronectin expression in explants.
DISCUSSION
In vitro culture systems are, in all instances, simplified
models of an in vivo milieu. Such models allow experimen-
tal manipulation of specific factors under highly controlled
conditions, circumstances often unattainable in an in vivo
context. However, the value of in vitro data is predicated on
the model being representative of and consistent with the in
vivo situation under investigation. All four in vitro models
evaluated in this study excluded biomechanical forcesexperienced by articular chondrocytes in vivo. With the
exception of explants, the models also utilized cells isolated
from cartilage matrix, although resynthesis of extracellular
matrix components has been documented in these sys-
tems.(28,33,34)
The documented alterations in cellular morphology and
matrix gene expression that occur in monolayer culture,
particularly when grown in the presence of serum, are
important parameters to consider when this model is used to
address issues of chondrocyte biology. Significant changes
in expression of all four matrix genes were noted in this
study. The proliferative capacity of chondrocytes is substan-
tially higher under monolayer conditions compared with
nonadherent systems. This capacity has been exploited forpurposes of population expansion, followed by re-establish-
ment of a chondrocytic phenotype by transfer to a three-
dimensional culture system.(21,22)
Both the aggregate and pellet culture models supported
the chondrocytic phenotype throughout the time course of
these experiments and were relatively resistant to FBS-
induced phenotypic changes. The differences between the
patterns and levels of matrix gene expression in these
models during the early stages of culture may reflect the
methods of their establishment. Aggregates developed spon-
taneously through cell-to-cell interactions during the initial
stages of culture, as previously documented.(35) In contrast,
pellets were effectively established as ultrahigh-density
cultures, initially lacking pericellular and intercellular ma-
trix domains. The difference in cellularity remains apparent
at day 7 of culture in the histologic sections shown in Fig. 2.
Relating these data to those of other studies,(5,6,36) the
establishment of a pericellular matrix and intercellularseparation may be requisite for stable expression of the
articular chondrocyte phenotype, in agreement with the
chondron model proposed by Poole and co-workers.(3739)
Expression of type II procollagen, aggrecan, and fibronec-
tin was markedly reduced in explant cultures, consistent
with previous findings.(40) The dimensions and weights of
the explants used in these experiments were comparable to
those in other published studies.(4043) The total RNA/g of
explant tissue did not change appreciably during the course
of the experiments, suggesting that cell viability in the
explants was not compromised. Down-regulation of matrix
protein gene expression in explants may represent a physi-
ological response, following removal of biomechanical
stimuli and the impetus for matrix turnover. Reducedchondrocyte biosynthetic activity has been observed in vivo
after joint immobilization or protection from weight-bearing
activity.(44,45) Although no significant changes were detected
in explants in response to rhBMP-2 or serum, explants in
parallel experiments increased fibronectin expression by 8-
to 10-fold after treatment with 5.0 ng/ml of transforming
growth factor 1 (TGF-1; data not shown), indicating that
the cells remained responsive to specific exogenous stimuli.
These findings are of direct relevance to investigations of
matrix protein synthesis in explant models, because these
data indicate that basal levels of expression are significantly
lower than in vivo.
Variable induction of procollagen type I expression in the
aggregate and pellet models was observed despite retentionof chondrocyte marker expression and levels of expression
comparable to those in vivo. Inclusion of collagen type
Iexpressing cells in the initial isolation procedure was
unlikely, because equine articular cartilage is a well-defined
and homogeneous tissue for collection purposes. Procolla-
gen type I mRNA was undetectable by Northern analyses of
samples of cartilage and freshly isolated chondrocytes.
Furthermore, few cell types are able to survive under
nonadherent conditions used for establishing aggregate
cultures. It has been suggested that the in vitro expression of
collagen type I by chondrocytes is indicative of transdiffer-
entiation of terminally differentiated chondrocytes into an
osteoblastic lineage.(4648) This explanation may be rele-
vant to chondrocytes isolated from cartilage undergoingendochondral ossification but does not seem to be applicable
to articular chondrocytes, which do not undergo hypertro-
phic nor osteoblastic differentiation under normal condi-
tions.
A peripheral zone of spindle-shaped cells was apparent in
histologic analyses of aggregates and pellets (Fig. 2B and
D). These flattened cells have been noted in other three-
dimensional chondrocyte culture systems(23,35) and have
been distinguished from underlying, collagen type II
expressing cells on the basis of cell adhesion molecule
172 STEWART ET AL.
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(N-CAM) expression.(36) These surface cells are analogous
in some respects to collagen type Iexpressing perichondrial
cells that cover the surfaces of cartilage anlaga in vivo. (49)
Their development in cultures initiated with articular chon-
drocytes implies a considerable degree of plasticity in what is
generally considered to be a fully differentiated phenotype.
Treatment of monolayer cultures with rhBMP-2 signifi-
cantly increased the expression of procollagen type II andaggrecan core protein, consistent with the results of other
studies.(20) In contrast to its effect under monolayer condi-
tions, rhBMP-2 caused relatively little biosynthetic response
in the aggregate, pellet, and explant cultures. This difference
may reflect limitations in the ability of rhBMP-2 to diffuse
into and through the extracellular matrices of aggregates,
pellets, and explants; however, consistent induction of
procollagen type X in response to rhBMP-2 has been noted
in growth plate chondrocytes cultured under analogous
culture conditions.(50) The administration of rhBMP-2 to
monolayer cultures may compensate for the loss of endog-
enous BMP-2 or other biosynthetic and/or morphogenic
stimuli that are sustained in three-dimensional models.Relative expression of (VC) fibronectin drops quickly
when articular chondrocytes are enzymatically isolated from
cartilage and grown as monolayer cultures(11,12) (Fig. 5).
This phenomenon is also evident in the early stages of
aggregate and pellet cultures. The current data indicate that
two processes are occurring simultaneously. First, total
fibronectin expression is rapidly up-regulated. Second, alter-
native splicing patterns of fibronectin transcripts shift,
decreasing relative levels of the (VC) isoform. In abso-
lute terms, the amount of the (VC) splice variant is
increased by the processes of chondrocyte isolation and
culture but substantially less so than the increase in C
isoforms.
As was seen in monolayer cultures, relative expression of
(VC) fibronectin is lost when chondrocytes are seeded
and remain isolated in a three-dimensional alginate bead
matrix.(12) By contrast, in the aggregate and pellet culture
models that allow at least transient intercellular contact,
multicellular organization, and the development of a three-
dimensional matrix, the relative expression of the (VC)
transcript returns to in vivo levels by day 4 of culture. These
data with equine articular chondrocytes suggest that the
expression of specific V and C region fibronectin splice
variants in cartilage is linked to the establishment of a three-
dimensional, multicellular structureand may reflect the establish-
ment of a structurally mature cartilaginous tissue in vitro.
ACKNOWLEDGMENTS
This study was supported by National Institutes of Health
Grant AR44340 and funding from the Arthritis Foundation.
The authors thank Marlene Crissey for assistance with
preparation of samples for histologic analyses and the
Genetics Institute for providing the rhBMP-2 used in these
experiments.
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Address reprint requests to:
Matthew Stewart
Department of Orthopaedics
Case Western Reserve University
11100 Euclid Ave
Cleveland, OH 44106
Received in original form March 5, 1999; in revised form May 28,1999; accepted July 7, 1999.
174 STEWART ET AL.