Rethinking articular cartilage regeneration based on a 250-year-old statement

Rethinking articular cartilage regeneration based on a 250-year-old statement

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Cartilage has a limited healing capacity; however, studies into the basic biological characteristics, formation and structural maintenance of the cartilage collagen network are providing explanations for the failure of current therapeutic approaches, urging us to rethink our approach to the regeneration of articular cartilage. Access through your institution Buy or subscribe This is a preview of subscription content, access via your institution ACCESS OPTIONS Access through your institution Access Nature and 54 other Nature Portfolio journals Get Nature+, our best-value online-access subscription $29.99 / 30 days cancel any time Learn more Subscribe to this journal Receive 12 print issues and online access $209.00 per year only $17.42 per issue Learn more Buy this article * Purchase on SpringerLink * Instant access to full article PDF Buy now Prices may be subject to local taxes which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support REFERENCES * Hunter, W. Of the structure and disease of the articulating cartilages. _Roy. Soc. Lond. Phil. Trans._ 9, 514-521 (1743). Google Scholar  * Benninghoff, A. Form und Bau der Gelenkknorpel in Ihren Beziehungen zur Funktion. _Z. Zellforsch_ 2, 783–862 (1925). Article  Google Scholar  * MacConaill, M. A. The movement of bones and joints; the mechanical structure of articulating cartilage. _J. Bone Joint Surg. Br._ 33, 251–257 (1951). Article  Google Scholar  * Armiento, A. R. et al. Biomaterials for articular cartilage tissue engineering: Learning from biology. _Acta Biomater._ 65, 1–20 (2018). Article  CAS  Google Scholar  * Vindas Bolanos, R. A. et al. The use of a cartilage decellularized matrix scaffold for the repair of osteochondral defects: the importance of long-term studies in a large animal model. _Osteoarthritis Cartilage_ 25, 413–420 (2017). Article  CAS  Google Scholar  * Maroudas, A., Palla, G. & Gilav, E. Racemization of aspartic acid in human articular cartilage. _Connect. Tissue Res._ 28, 161–169 (1992). Article  CAS  Google Scholar  * Heinemeier, K. M. et al. Radiocarbon dating reveals minimal collagen turnover in both healthy and osteoarthritic human cartilage. _Sci. Transl. Med._ 8, 346ra390 (2016). Article  Google Scholar  * Mao, A. S. & Mooney, D. J. Regenerative medicine: Current therapies and future directions. _Proc. Natl Acad. Sci. USA_ 112, 14452–14459 (2015). Article  CAS  Google Scholar  * Langer, R. & Vacanti, J. Tissue engineering. _Science_ 260, 920–926 (1993). Article  CAS  Google Scholar  * van Turnhout, M. C. et al. Quantitative description of collagen structure in the articular cartilage of the young and adult equine distal metacarpus. _Animal Biol._ 58, 353–370 (2008). Article  Google Scholar  Download references ACKNOWLEDGEMENTS The authors acknowledge the Dutch Arthritis Foundation (LLP-12 (to J.M.) and LLP-22 (to P.R.v.W.)), and the Netherlands Organization for Scientific Research (Materials Driven Regeneration, 024.003.013 (to J.M.)) for financial support. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Orthopaedics, University Medical Centre Utrecht, Utrecht, Netherlands Jos Malda * Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands Jos Malda & P. René van Weeren * Department of Functional Materials in Medicine and Dentistry and the Bavarian Polymer Institute, University of Würzburg, Würzburg, Germany Jürgen Groll Authors * Jos Malda View author publications You can also search for this author inPubMed Google Scholar * Jürgen Groll View author publications You can also search for this author inPubMed Google Scholar * P. René van Weeren View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to Jos Malda. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no competing interests. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Malda, J., Groll, J. & van Weeren, P.R. Rethinking articular cartilage regeneration based on a 250-year-old statement. _Nat Rev Rheumatol_ 15, 571–572 (2019). https://doi.org/10.1038/s41584-019-0278-7 Download citation * Published: 31 July 2019 * Issue Date: October 2019 * DOI: https://doi.org/10.1038/s41584-019-0278-7 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative

Cartilage has a limited healing capacity; however, studies into the basic biological characteristics, formation and structural maintenance of the cartilage collagen network are providing


explanations for the failure of current therapeutic approaches, urging us to rethink our approach to the regeneration of articular cartilage. Access through your institution Buy or subscribe


This is a preview of subscription content, access via your institution ACCESS OPTIONS Access through your institution Access Nature and 54 other Nature Portfolio journals Get Nature+, our


best-value online-access subscription $29.99 / 30 days cancel any time Learn more Subscribe to this journal Receive 12 print issues and online access $209.00 per year only $17.42 per issue


Learn more Buy this article * Purchase on SpringerLink * Instant access to full article PDF Buy now Prices may be subject to local taxes which are calculated during checkout ADDITIONAL


ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support REFERENCES * Hunter, W. Of the structure and disease of the articulating


cartilages. _Roy. Soc. Lond. Phil. Trans._ 9, 514-521 (1743). Google Scholar  * Benninghoff, A. Form und Bau der Gelenkknorpel in Ihren Beziehungen zur Funktion. _Z. Zellforsch_ 2, 783–862


(1925). Article  Google Scholar  * MacConaill, M. A. The movement of bones and joints; the mechanical structure of articulating cartilage. _J. Bone Joint Surg. Br._ 33, 251–257 (1951).


Article  Google Scholar  * Armiento, A. R. et al. Biomaterials for articular cartilage tissue engineering: Learning from biology. _Acta Biomater._ 65, 1–20 (2018). Article  CAS  Google


Scholar  * Vindas Bolanos, R. A. et al. The use of a cartilage decellularized matrix scaffold for the repair of osteochondral defects: the importance of long-term studies in a large animal


model. _Osteoarthritis Cartilage_ 25, 413–420 (2017). Article  CAS  Google Scholar  * Maroudas, A., Palla, G. & Gilav, E. Racemization of aspartic acid in human articular cartilage.


_Connect. Tissue Res._ 28, 161–169 (1992). Article  CAS  Google Scholar  * Heinemeier, K. M. et al. Radiocarbon dating reveals minimal collagen turnover in both healthy and osteoarthritic


human cartilage. _Sci. Transl. Med._ 8, 346ra390 (2016). Article  Google Scholar  * Mao, A. S. & Mooney, D. J. Regenerative medicine: Current therapies and future directions. _Proc. Natl


Acad. Sci. USA_ 112, 14452–14459 (2015). Article  CAS  Google Scholar  * Langer, R. & Vacanti, J. Tissue engineering. _Science_ 260, 920–926 (1993). Article  CAS  Google Scholar  * van


Turnhout, M. C. et al. Quantitative description of collagen structure in the articular cartilage of the young and adult equine distal metacarpus. _Animal Biol._ 58, 353–370 (2008). Article 


Google Scholar  Download references ACKNOWLEDGEMENTS The authors acknowledge the Dutch Arthritis Foundation (LLP-12 (to J.M.) and LLP-22 (to P.R.v.W.)), and the Netherlands Organization for


Scientific Research (Materials Driven Regeneration, 024.003.013 (to J.M.)) for financial support. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Orthopaedics, University Medical


Centre Utrecht, Utrecht, Netherlands Jos Malda * Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands Jos Malda & P. René van Weeren *


Department of Functional Materials in Medicine and Dentistry and the Bavarian Polymer Institute, University of Würzburg, Würzburg, Germany Jürgen Groll Authors * Jos Malda View author


publications You can also search for this author inPubMed Google Scholar * Jürgen Groll View author publications You can also search for this author inPubMed Google Scholar * P. René van


Weeren View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to Jos Malda. ETHICS DECLARATIONS COMPETING INTERESTS The


authors declare no competing interests. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Malda, J., Groll, J. & van Weeren, P.R. Rethinking articular


cartilage regeneration based on a 250-year-old statement. _Nat Rev Rheumatol_ 15, 571–572 (2019). https://doi.org/10.1038/s41584-019-0278-7 Download citation * Published: 31 July 2019 *


Issue Date: October 2019 * DOI: https://doi.org/10.1038/s41584-019-0278-7 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link


Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative