# Steric Interference of Adhesion Supports In-Vitro Chondrogenesis of Mesenchymal Stem Cells on Hydrogels for Cartilage Repair

## TL;DR

This study shows that modifying fibrinogen with PEG improves cartilage formation by human stem cells in lab conditions, offering a better material for cartilage repair.

## Contribution

The study introduces a PEG-modified fibrinogen hydrogel that enhances chondrogenesis while minimizing hypertrophy in BM-MSCs.

## Key findings

- PEG-fibrinogen substrates supported chondrogenic markers like collagen II and aggrecan, unlike natural fibrin.
- Steric interference and increased stiffness of PEG-fibrinogen likely promote a chondrogenic phenotype in BM-MSCs.
- GelrinC™, a PF composition, was optimal for chondrogenic differentiation while reducing collagen X expression.

## Abstract

Recent studies suggest the presence of cell adhesion motifs found in structural proteins can inhibit chondrogenesis. In this context, the current study aims to determine if a polyethylene glycol (PEG)-modified fibrinogen matrix could support better chondrogenesis of human bone marrow mesenchymal stem cells (BM-MSC) based on steric interference of adhesion, when compared to a natural fibrin matrix. Hydrogels used as substrates for two-dimensional (2D) BM-MSC cultures under chondrogenic conditions were made from cross-linked PEG-fibrinogen (PF) and compared to thrombin-activated fibrin. Cell morphology, protein expression, DNA and sulfated proteoglycan (GAG) content were correlated to substrate properties such as stiffness and adhesiveness. Cell aggregation and chondrogenic markers, including collagen II and aggrecan, were observed on all PF substrates but not on fibrin. Shielding fibrinogen’s adhesion domains and increasing stiffness of the material are likely contributing factors that cause the BM-MSCs to display a more chondrogenic phenotype. One composition of PF corresponding to GelrinC™—a product cleared in the EU for cartilage repair—was found to be optimal for supporting chondrogenic differentiation of BM-MSC while minimizing hypertrophy (collagen X). These findings suggest that semi-synthetic biomaterials based on ECM proteins can be designed to favourably affect BM-MSC towards repair processes involving chondrogenesis.