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    O R I G I N A L R E S E A R C H P A P E R

    Analysis of collagen expression during chondrogenic

    induction of human bone marrow mesenchymal stem cellsEmeline Perrier Marie-Claire Ronziere

    Reine Bareille Astrid Pinzano

    Frederic Mallein-Gerin Anne-Marie Freyria

    Received: 26 February 2011 / Accepted: 23 May 2011 / Published online: 10 June 2011

    Springer Science+Business Media B.V. 2011

    Abstract Adult mesenchymal stem cells (MSCs)

    are currently being investigated as an alternative to

    chondrocytes for repairing cartilage defects. As

    several collagen types participate in the formation

    of cartilage-specific extracellular matrix, we have

    investigated their gene expression levels during MSC

    chondrogenic induction. Bone marrow MSCs were

    cultured in pellet in the presence of BMP-2 and TGF-

    b3 for 24 days. After addition of FGF-2, at the fourth

    passage during MSC expansion, there was an

    enhancing effect on specific cartilage gene expression

    when compared to that without FGF-2 at day 12 in

    pellet culture. A switch in expression from the pre-

    chondrogenic type IIA form to the cartilage-specific

    type IIB form of the collagen type II gene was

    observed at day 24. A short-term addition of FGF-2followed by a treatment with BMP-2/TGF-b3

    appears sufficient to accelerate chondrogenesis with

    a particular effect on the main cartilage collagens.

    Keywords Bone morphogenetic protein-2,

    chondrogenesis Collagen Fibroblast growth-factor-

    2 Mesenchymal stem cells Transforming growth

    factor-beta3

    Introduction

    Cartilage tissue engineering is currently exploring the

    potential of adult mesenchymal stem cells (MSCs),

    present in different tissues, as an alternative to the use

    of autologous chondrocyte transplantation for carti-

    lage repair (Khan et al. 2010; Freyria et al. 2008).

    Prior to their use for tissue repair, there have been

    extensive studies to develop methods to enhance

    MSC proliferation and subsequent chondrogenic

    Electronic supplementary material The online version ofthis article (doi:10.1007/s10529-011-0653-1) containssupplementary material, which is available to authorized users.

    E. Perrier

    M.-C. Ronziere

    F. Mallein-GerinA.-M. Freyria (&)

    Institut de Biologie et Chimie des Proteines, Universite

    Lyon 1, Univ Lyon, CNRS FRE 3310, IFR128

    BioSciences Gerland-Lyon Sud, 7 Passage du Vercors,

    69367 Lyon Cedex 7, France

    e-mail: [email protected]

    E. Perrier

    e-mail: [email protected]

    M.-C. Ronziere

    e-mail: [email protected]

    F. Mallein-Gerin

    e-mail: [email protected]

    R. Bareille

    Inserm Unite 577, Universite Victor Segalen ,

    Bordeaux 2, 33076 Bordeaux, France

    e-mail: [email protected]

    A. Pinzano

    Laboratoire de Physiopathologie, Pharmacologie et

    Ingenierie Articulaires, UMR 7561 CNRS-Nancy

    Universite, 9, avenue de la Foret de Haye,

    54505 Vanduvre-Les-Nancy, France

    e-mail: [email protected]

    123

    Biotechnol Lett (2011) 33:20912101

    DOI 10.1007/s10529-011-0653-1

    http://dx.doi.org/10.1007/s10529-011-0653-1http://dx.doi.org/10.1007/s10529-011-0653-1
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    differentiation, using both animal and human models.

    Some procedures have now been standardized but

    before obtaining a sufficient cell reservoir for labo-

    ratory and clinical purposes it is necessary to amplify

    MSCs in vitro. These cells represent a minor fraction

    of the total nucleated cell population in the bone

    marrow (BM), the most common and best-character-ized MSC source, with an approx. frequency of 1

    MSC per 5 9 103 mononuclear cells (Kastrinaki

    et al. 2008). Fibroblast growth factor-2 (FGF-2) has

    been most frequently used as it was known to

    maintain the differentiation potential of MSCs after

    several mitotic divisions (Karlsson et al. 2007;

    Murdoch et al. 2007; Solchaga et al. 2005, 2010;

    Varas et al. 2007). Interestingly, FGF-2 treatment of

    MSCs during expansion has the potential to delay the

    loss of chondrogenic potential (Solchaga et al. 2010).

    In addition, to promote chondrogenic differentiation,the expanded MSCs need to be subsequently cultured

    in a three-dimensional environment as micromasses

    or in scaffold materials and this differentiation also

    requires the presence of various compounds such as

    vitamins, dexamethasone and members of the TGF-b

    superfamily (Karlsson et al. 2007; Marsano et al.

    2007; Mehlhorn et al. 2006; Merceron et al. 2009;

    Miyanishi et al. 2006; Murdoch et al. 2007; Pelttari

    et al. 2006; Solchaga et al. 2005; Varas et al. 2007).

    Bone morphogenetic proteins (BMPs) have also been

    added to the culture medium of BM-MSCs alone,such as BMP-2 or in various combinations with TGF-

    b (Schmitt et al. 2003; Sekiya et al. 2005; Shen et al.

    2009). Interestingly, all BMPs enhance the chondro-

    genic effect of TGF-b.

    These studies have mainly investigated the essen-

    tial components of hyaline cartilage to assess and

    characterize the chondrogenic induction of MSCs

    such as type II collagen and sGAG (Tew et al. 2008).

    Regarding the collagens, those characteristic of car-

    tilaginous tissues include type II collagen [a1(II)3]

    representing about 9095%, as well as types IX[a1(IX) a2(IX) a3(IX)] and XI [a1(XI) a2(XI)

    a3(XI)], representing less than 10% of the total

    collagen content of the ECM in adult articular

    cartilage (Petit et al. 1992). Type II collagen is

    synthesized as a larger precursor procollagen mole-

    cule under two forms, IIA and IIB, resulting from

    alternative splicing of exon 2, which codes for a

    cysteine-rich (CR) domain located in the N-propep-

    tide region (Sandell et al. 1991). Type IIA procollagen

    contains the CR domain and is produced by chondro-

    progenitor cells, whereas type IIB procollagen does

    not contain this domain and is synthesized only when

    chondrocytes are fully differentiated (Aigner et al.

    1999; Zhu et al. 1999). Thus, the switch from type IIA

    to type IIB procollagen mRNA expression is a marker

    of the chondrocyte phenotype. Besides, the fibril-associated collagens present in cartilage and forming

    the primary core fibrillar network (types II, IX and XI

    collagens), other collagen molecules, such as types VI

    [a1(VI) a2(VI) a3(VI) a4(VI) a5(VI) a6(VI)], XII

    [a1(XII)3] and XXVII [a1(XXVII)3], have a structural

    role in cartilage organization or are temporally or

    qualitatively associated with cartilage development

    and thus their encoding genes represent potential

    reference markers to monitor chondrogenesis in MSC

    cultures (Alexopoulos et al. 2009; Gregory et al. 2001;

    Hjorten et al. 2007).The aim of the present study was to seek a concise

    system for analyzing the effects of the growth factors

    on the chondrogenic ability of human BM-MSCs,

    with special attention given to collagen expression.

    We sought conditions that would produce expression

    of the characteristic markers with the minimal and

    effective content of growth factors. In order to treat

    the cells similarly given by each donor, indepen-

    dently of the time of harvest, we chose to expand

    MSCs during three passages to obtain a sufficient cell

    reservoir for our experimental purposes and to addFGF-2 at the fourth passage. The subsequent level of

    cell differentiation in pellet cultures was investigated,

    and especially the mRNA expression of spliced forms

    of type II procollagen, as well as other collagens. The

    occurrence of chondrogenesis was characterized by

    the expression of marker genes for chondrocytes,

    hypertrophic chondrocytes and by the synthesis of

    extracellular matrix proteins.

    Materials and methods

    Isolation and cell culture of MSCs and human

    chondrocytes

    Adult bone marrows were obtained from iliac aspi-

    rations of three donors (age range: 3766 years)

    undergoing total hip replacement, after informed

    consent and according to local ethical guidelines. The

    BM-MSCs were separated from BM mononuclear

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    cells by adherence on plastic (Cournil-Henrionnet

    et al. 2008; Vilamitjana-Amedee et al. 1993). Cells

    (0.5 9 106/cm2) were then expanded in monolayer

    culture in Dubelccos modified Eagles Medium

    (DMEM) supplemented with 10% (v/v) fetal calf

    serum (FCS), 100 U penicillin/ml and 100 lg strep-

    tomycin/ml in humidified incubators at 37C with 5%CO2. As surface markers on MSCs showed little

    variation during the culture, the cell surface receptor

    profile of the BM-MSCs was not reported in this

    paper (Cournil-Henrionnet et al. 2008). Cells were

    cultured until 80% confluence and harvested with

    0.25% trypsin/1 mM EDTA for 34 min at 37C and

    seeded in new flasks for expansion. After the third

    subculture, cells were harvested and frozen in a

    cryopreservation medium containing 50% FCS, 40%

    DMEM and 10% dimethyl sulfoxide (DMSO).

    Before the formation of pellets, a fourth passagewas carried out in the presence or absence of 5 ng/ml

    of human recombinant FGF-2 (R&D Systems). After

    each trypsination, cells were counted with a Cello-

    meter Auto T4 (Nexcelom Bioscience) and the

    proliferation rate was calculated between the differ-

    ent culture conditions.

    Articular chondrocytes were isolated from the

    macroscopically healthy zone of cartilages obtained,

    according to the local ethical guidelines and after

    informed consent, from three donors undergoing total

    knee replacement. The rationale to compare theinduced MSCs with cultured articular chondrocytes is

    that both cells are in a nonmatrix environment, while

    with fresh tissue the gene expression represents in

    vivo levels. Cells were cultured in monolayer for

    36 h (Ach), as previously described (Hautier et al.

    2008). Total cell RNA obtained at this stage gave us a

    chondrocytic gene expression reference to compare

    with the induced MSCs.

    Pellet cultures

    Cells (0.25 9 106) were seeded in V-bottomed

    96-well plates and pelleted for 5 min at 250 g. The

    pellets were cultured in 250 ll high glucose DMEM

    supplemented with 1% (w/v) insulin/transferring/

    selenium/bovine serum albumin/linoleic acid

    (ITS ? Premix; BD), 100 U penicillin/ml, 100 lg

    streptomycin/ml, 40 lg L-proline/ml, 100 lg sodium

    pyruvate/ml, 100 nM dexamethasone, 50 lg ascor-

    bate-2-phosphate/ml (Asc-P) and BMP-2 (R&D Sys-

    tems) and TGF-b3 (R&D Systems) in combination

    [10 ng TGF-b3/ml ? 50 ng BMP-2/ml (BT)]. In a

    preliminary experiment, we verified that the combi-

    nation TGF-b3/BMP-2 was a better inducer of

    chondrogenesis than each growth factor alone. Mediain both groups was changed every 3 days. Pellet sizes

    were regularly measured on micrographs taken with a

    bright-field Nikon TE300 microscope equipped with

    a QICAM Fast 1394 camera (Qimaging).

    Gene expression analysis

    Four to six pellets for each culture condition and for

    each donor were homogenized with TissueLyser

    (Qiagen). Total RNA was isolated after 1, 12 and24 days of culture, using the RNeasy kit (Qiagen) and

    reverse transcription of 50500 ng total RNA was

    performed as previously described (Cortial et al.

    2006). Quantitative RT-PCR was performed with an

    iCycler iQ (BioRad). Each analysis was carried out in

    duplicate. PCR primers (Table 1) were obtained from

    Invitrogen. We focused our interest on genes coding

    for collagens (types I, II, VI, IX, X, XI, XII and

    XXVII), proteoglycan (aggrecan: ACG1), transcrip-

    tion factor (SOX9) and one MEC-degrading enzyme

    (MMP13). For each cDNA sample the Ct value of thereference gene ribosomal protein L30 (RPL30) was

    subtracted from the Ct value of the target gene to

    obtain the DCt. The level of expression was then

    calculated as 2-DCt and was expressed in relative

    quantity.

    In addition, the total amounts of type II collagen

    transcripts and of procollagen IIA and IIB isoform

    transcripts were assessed by conventional PCR after

    12 and 24 days of culture, using previously

    described parameters (Hautier et al. 2008). Glycer-

    aldehyde-3-phosphate dehydrogenase (GAPDH)was used as the housekeeping gene. Photographs

    of gels obtained using a Baby Imager (Appligene

    Oncor, Illkirch, France) were scanned using an

    Epson 1640 scanner (Epson France). The relative

    ratios of the bands corresponding to type IIA

    (475 bp) and type IIB (268 bp) procollagen tran-

    scripts were quantified using Image Quant software

    (GE Healthcare).

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    Immunohistological analysis

    Pellets collected after 12 and 24 days of culture were

    fixed for 24 h in 4% neutral buffered formalin,

    processed in paraffin wax, and then sectioned. Perox-

    idase staining was performed, according to the

    horseradish peroxidase conjugated Envision methodas previously described (Freyria et al. 2004). Before

    their application, polyclonal antibodies to type I, type

    II, or type VI collagen and aggrecan (Novotec) were

    diluted 1:1000, 1:500, 1:1000 and 1:1000, respec-

    tively, in PBS/3% BSA. Sections were lightly coun-

    terstained using Harriss haematoxylin stain, washing

    in PBS between each step of the procedure. Control

    sections without the addition of primary antibodies

    were processed in parallel to rule out nonspecific

    labeling. Sections were observed with a Leica DMLB

    microscope directly coupled to a JVC color camera

    (Leica Microsystemes SAS).

    For immunofluorescence staining of type II colla-

    gen, pellets were rapidly frozen at -20C in Tissue

    Tek OCT (Sakura Finetek Microm France). Frozen

    sections (5 lm thick) were fixed with acetone,permeabilized with PBS/3% BSA/1% Tween20 and

    incubated (45 min at 20C) with a polyclonal anti-

    serum recognizing the CR domain in the type IIA

    propeptide (Oganesian et al. 1997) and then diluted

    1:300 in PBS/3% BSA. Following washes in PBS,

    sections were incubated (45 min at 20C) with

    secondary antibodies [Alexa-Fluor 488 goat anti-

    rabbit IgG (H ? L): AF488, Invitrogen] diluted

    1:500. Fluorescent nuclear staining was obtained

    Table 1 Nucleotide sequences of primers used for real-time PCR

    Genes Primers References

    Extracellular matrix proteins

    a1 chain of collagen I (COL1A1) Forward CAGCCGCTTCACCTACAGC Hautier et al. (2008)

    Reverse TTTTGTATTCAATCACTGTCTTGCC

    a1 chain of collagen II (COL2A1) Forward GCCTGGTGTCATGGGTTT NM 001844.4

    Reverse GTCCCTTCTCACCAGCTTTG

    a1 chain of collagen VI (COL6A1) Forward GAAGAGAAGGCCCCGTTG NM 001848.2

    Reverse CGGTAGCCTTTAGGTCCGATA

    a1 chain of collagen IX (COL9A1) Forward ACGGTTTGCCTGGAGCTAT NM 001851.4

    Reverse ACCGTCTCGGCCATTTCT

    a1 chain of collagen X (COL10A1) Forward CAAGGCACCATCTCCAGGAA NM 000493

    Reverse AAAGGGTATTTGTGGCAGCATATT

    a1 chain of collagen XI (COL11A1) Forward TCCTCTTCCAAGCTAGAGAGGTC NM 080629.2

    Reverse GGAGAATTGTGAAAATCTAGTGCT

    a2 chain of collagen XI (COL11A2) Forward CCTGAGCCACTGAGTATGTTCATT Khan et al. (2008)

    Reverse TTGCAGGATCAGGGAAAGTGA

    a1 chain of collagen XII (COL12A1) Forward TGGTCATCCAGCAGTCAGG NM 004370.5

    Reverse TGGCAAGCTCATTGTAGTCG

    a1 chain of collagen XVII (COL27A1) Forward GGTCTCCTGCAACTTCACTCAT Hjorten et al. (2007)

    Reverse GCTTAGCAGGTGCAGGAAATTC

    Aggrecan (AGC1) Forward TCGAGGACAGCGAGGCC Hautier et al. (2008)

    Reverse TCGAGGGTGTAGCGTGTAGAGA

    Transcription factor

    SOX9 Forward ACGCCGAGCTCAGCAAGA Hautier et al. (2008)

    Reverse CACGAACGGCCGCTTCT

    Housekeeping geneRibosomal protein L30 (RPL30) Forward CCTAAGGCAGGAAGATGGTG NM 000989.2

    Reverse AGTCTGCTTGTACCCCAGGA

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    after incubation with propidium iodide diluted 1:100

    in PBS, for 30 min at 20C. In some experiments, a

    sequential double immunostaining was carried out

    with, first, immunolabeling of type II collagen

    (Novotec; antibodies diluted 1:300) detected with

    AF488, then with immunolabeling of the type IIA

    propeptide (Oganesian; antibodies diluted 1:300)detected by Cy3 conjugated sheep anti-rabbit IgG

    (Sigma), diluted 1:100. Sections were observed with

    a Zeiss Axioplan 2 Imaging or a Nikon E600 micro-

    scope, equipped for epifluorescence.

    Statistical analysis

    Changes in gene expression were given as fold

    change of FGF-2 treated compared with untreated

    MSCs. To determine the statistical significance of

    induced gene expression (BT) compared with con-trols (CTL), the t-test was used. A value of P\ 0.05

    was considered significant.

    Results

    Increases in cell proliferation and changes in BM-

    MSC pellet morphology

    BM-MSCs expanded during the fourth passage in the

    presence of FGF-2 exhibited a shorter populationdoubling time than those expanded in the absence of

    FGF-2 (2.1 vs. 11 days). Moreover in the presence of

    the inducers, pellets from FGF-2-treated cells exhib-

    ited a larger diameter at day 24 (1.6 mm) in compar-

    ison to the pellets from untreated cells (1 mm).

    Expansion with FGF-2 accelerates chondrogenic

    induction and favors expression of the cartilage-

    specific collagens

    Since FGF-2 increases not only the growth rate butalso maintains the multidifferentiation potential of

    human MSCs, we investigated whether the short-term

    addition of FGF-2 during the expansion step, could

    influence the effects of BMP-2/TGF-b3 observed in

    our preliminary experiment, when cells were subse-

    quently cultured in pellets. BM-MSCs were first

    expanded in the presence or absence of 5 ng FGF-2/

    ml during the fourth passage and then cultured in

    pellets in the presence of the BT combination.

    In order to evaluate the effect of this culture

    condition on gene expression levels, the data are

    presented as a ratio (FGF-2?/FGF-2-) for each gene

    in Fig. 1. The data were pooled and presented as

    means SEM as the gene expression profiles under

    all the culture conditions were similar for the three

    donors examined. First, we measured the expressionlevel variations for several collagen genes. With

    FGF-2?/FGF-2- ratios close to 1, the same expres-

    sion levels for COL6A1 and for COL27A1 mRNA

    were recorded throughout the study under all culture

    conditions (Fig. 1a). A similar pattern of expression

    was observed for COL1A1 and COL12A1 mRNA

    with an increase in the presence of FGF-2 only on

    day 12 under both culture conditions (CTL and BT).

    For the other collagen genes, their expression levels

    were maximal on day 12 in those (?FGF-2) pellets

    that received the inducers and levels decreasedslightly over time in culture. Statistically significant

    increases were recorded only on day 12 for COL9A1

    (885-fold; P = 0.07), COL11A2 (540-fold; P =

    0.009). For COL2A1 (311-fold; P = 0.01 and

    23-fold; P = 0.06), COL10A1 (575-fold; P\ 0.001

    and 75-fold; P\0.001) and for COL11A1 (33-fold;

    P = 0.02 and 12-fold; P = 0.006) increases were

    significant both on day 12 and day 24. Second, we

    investigated the variations in expression levels for

    other components playing a role in ECM production

    during chondrogenesis (Fig. 1b). For a gene such asMMP13 the presence of FGF-2 during expansion was

    followed by a slight increase in the expression levels

    under all the culture conditions. A similar expression

    pattern was recorded for SOX9 and AGC1 mRNA

    levels, with the highest levels on day 12 in (?FGF-2)

    pellets receiving the inducers. When compared to the

    control conditions, the largest increases (56-fold;

    P\ 0.001) were recorded for the AGC1 mRNA

    level. Finally, higher expression levels were observed

    for all the genes in the pellets on day 24 compared to

    human articular chondrocytes, whatever the cultureconditions (Electronic Supplementary Figs. 1 and 2).

    The cartilage-characteristic gene expression levels

    measured on day 24 in inducer-treated-pellets were

    higher than those in articular chondrocytes (Ach),

    strongly suggesting a chondrogenic conversion of

    MSCs. Furthermore, the greatest difference was

    noted for COL10A1 mRNA, certainly due to the

    non-hypertrophic and non-osteoarthritic characteris-

    tics of articular chondrocytes.

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    Expansion with FGF-2 favors the expression

    of the cartilage-specific collagen isoform of type

    II procollagen

    To examine the extent of this chondrogenic conver-

    sion more closely, we analyzed the expression of the

    pre-cartilaginous isoform (IIA) and cartilaginous

    isoform (IIB) of type II procollagen. First, total type

    II procollagen expression was detected, for the three

    donors, in the presence of BT at high levels in

    (?FGF-2) pellets, on days 12 and 24 (Fig. 2a, Elec-

    tronic Supplementary Fig. 3), whereas in (-FGF-2)

    pellets it could only be detected on day 24. Second,

    both IIA and IIB transcriptswere expressed and a sharp

    decrease in IIA expression occurred between days 12

    and 24 (Fig. 2a). Indeed, quantitative analysis of the

    A

    B

    0

    1

    10

    100

    1000

    10000

    CTL BT CTL BT CTL BT CTL BT CTL BT CTL BT CTL BT CTL BT CTL BT

    COL1A1 COL2A1 COL6A1 COL9A1 COL10A1 COL11A1 COL11A2 COL12A1 COL27A1

    0

    1

    10

    100

    CTL BT CTL BT CTL BT

    AGC1 SOX9 MMP13

    Fig. 1 a Effect of FGF-2 during MSC expansion on geneexpression during subsequent culture in pellet. The levels of

    collagen genes associated with the chondrogenic phenotype

    (COL1A1, COL2A1, COL6A1, COL9A1, COL10A1, COL11A1,

    COL11A2, COL12A1, COL27A1) were analyzed by real-time

    PCR on total RNA isolated on days 1, 12 and 24 from the

    MSCs of three donors, amplified in the absence or presence of

    FGF-2 (?) during the fourth passage and further induced

    towards chondrogenesis in pellets in the absence (CTL) or

    presence of BMP-2 and TGF-b3 (BT). The results are

    presented as the ratio of the relative quantities corresponding

    to expansion (?FGF-2/-FGF-2), obtained under each condi-

    tion for each donor. Data are presented as means SE and

    P values are given. b Effect of FGF-2 during expansion ofMSCs on gene expression during subsequent pellet culture.

    The levels of genes associated with the formation of

    chondrogenic extracellular matrix components (AGC1, SOX9

    and MMP13) were analyzed by real-time PCR on total RNA

    isolated on days 1, 12 and 24 from MSCs of three donors,

    amplified in the absence or presence of FGF-2 (?) during the

    fourth passage and further induced towards chondrogenesis in

    pellet culture in the absence (CTL) or presence of BMP-2 and

    TGF-b3 (BT). The results are presented as the ratio of the

    relative quantities corresponding to expansion (?FGF-2/-

    FGF-2), obtained under each condition for each donor. Data are

    presented as means SE and P values are given

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    IIA and IIB amplicons showed that their relative values

    switched from 36:64 on day 12 to 5:95 on day 24,

    supporting the view that BM-MSCs had entered a

    chondrogenic differentiation pathway. Furthermore,

    these latter data differed from that measured (25:75)

    for human Ach which rapidly and partially dediffer-

    entiate in monolayer culture.Finally, immunohistological analysis was carried

    out to visualize accumulation and localization of

    cartilage matrix components synthesized by the cells

    during the course of chondrogenic induction. As

    shown on Fig. 2b, type II collagen, including the type

    IIA isoform, was progressively synthesized and

    deposited in the extracellular matrix of the pellets,

    in a time and culture condition-dependent manner.

    There was more intense immunofluorescent staining

    at the periphery of the (?FGF-2) pellets induced with

    BT (Fig. 2b). Immunostaining of type IIA procolla-gen was observed at the periphery of the pellets on

    day 12, showing the early presence of chondropro-

    genitor-like cells in the pellets, and this staining was

    still observed on day 24 (Fig. 2b). When peroxidase

    staining was used, both extracellular and intracellular

    labeling of type II collagen could be clearly seen on

    day 24 although with a non-homogenous deposition

    (Electronic Supplementary Fig. 4), suggesting that

    the cells were still metabolically active towards

    chondrogenic differentiation. It is also interesting to

    report that labeling for type VI collagen was presentin the (-FGF-2) pellet more at the periphery on day

    24. In the BT-treated pellet this collagen was

    deposited at similar locations than type II collagen

    and aggrecan (Electronic Supplementary Fig. 4).

    Altogether these immunohistological findings also

    upheld the results from real-time PCR.

    Discussion

    BM-MSCs are capable of chondrogenic differentiationin vitro in the presence of various growth factors

    provided during the expansion and induction steps. In

    this study, we found that expanding the MSCs in the

    presence of FGF-2 for a short-term addition during the

    fourth passage stimulated the cell chondrogenic con-

    version induced by the combination of BMP-2 and

    TGF-b3. The switch in expression from the pre-

    cartilaginous IIA isoform to the cartilaginous IIB

    isoform of the type II procollagen gene and an increase

    in gene expression of the main collagen types forming

    the primary core fibrillar network of cartilage sup-

    ported this conversion.

    When we performed cell expansion with growth

    medium supplemented with FGF-2, we obtained data

    consistent with the findings of other groups concern-

    ing the stimulatory effects of this growth factor onBM-MSC proliferation and differentiation (Solchaga

    et al. 2005, 2010; Varas et al. 2007). Our data are of

    interest as they report the effect of adding FGF-2 for

    a short time, at the fourth passage, in comparison to

    its presence during all passages in the other studies.

    The cell proliferation that we observed, assessed by

    the shortening of the population doubling time, is the

    mark that the cells after 3 passages in culture were

    still responsive to the mitogenic factor FGF-2. As in

    many studies the chondrogenic differentiation was

    induced in cells expanded with or without a cocktailof growth factors and at different passages (15) our

    data are not surprising and they correspond to another

    cell amplification condition (Ronziere et al. 2010). In

    the presence of the inducers (BMP-2/TGF-b3) the

    cells in pellets exhibited a higher chondrogenic

    potential with larger pellet derived from FGF-2-

    treated cells than those made from control cells

    corresponding to a higher matrix synthesis as previ-

    ously reported (Solchaga et al. 2005). There was an

    enhancing effect of FGF-2-treatment on the gene

    expressed in pellet cultures between days 1 and 12mainly for the genes coding for cartilage components.

    Changes were about one hundred-fold for the major

    cartilage collagens (COL2A1, COL9A1, COL11A2

    and COL10A1 mRNA) and about ten-fold for the

    genes coding for other cartilage specific components

    (AGC1 and COL11A1 mRNA). Only the levels of

    expression of 2 chondrogenic-specific genes COL2A1

    and COL11A2 increased between days 12 and 24

    attesting that it was sufficient to add FGF-2 at the

    passage preceding the induction to observe its chon-

    drogenic capacity.It is still not clear how FGF-2 plays a role in

    chondrogenesis as several signal transduction path-

    ways might be activated in addition to the MEK/ERK

    (mitogen-activated protein kinase kinase/extracellu-

    lar-signal regulated kinase) cascade and the Wnt

    signaling by FGFs stimulation described in these cells

    (Bobick et al. 2007; Solchaga et al. 2010). As FGFs

    and their receptors play fundamental roles regulating

    growth morphogenesis and cartilage formation in

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    embryonic limbs further studies have to be conducted

    to describe and understand the precise role of FGFs

    on in vitro MSC chondrogenesis. The chondrogene-

    sis, in our culture conditions, was not totally efficient

    in the pellets as the ECM was not homogeneously

    deposited around the cells in FGF-2 treated samples

    contrary to previously reported data with FGF-2

    present at all passages (Solchaga et al. 2005). Beside

    the differences in cell harvesting, donor variability

    and culture conditions in different laboratories these

    data likely correspond to the heterogeneity of the cell

    population after the expansion steps (Kastrinaki et al.

    2008).

    Chondrogenic conversion was also clearly shown

    on day 12 by the expression of both the IIA and IIB

    forms of procollagen type II and on day 24 by the

    Fig. 2 a Expression of the type II procollagen gene, COL2A1

    (total) and isoforms IIA and IIB in pellet culture. MSCs were

    first expanded in the absence or presence of FGF-2 (?) and

    further induced towards chondrogenesis in pellet culture in the

    absence or presence of BMP-2 and TGF-b3 (BT). Total RNA

    were extracted from the pellets after 12 and 24 days of culture

    and measured by conventional PCR, using specific primers.

    GAPDHwas used as the housekeeping gene. Data are obtained

    from one donor representative of all three. b Collagen type II

    deposition by MSCs in pellet culture. The pellets were obtained

    as described in Fig. 2a. The pellets were fixed and immuno-

    stained for type II collagen using a polyclonal antibody against

    the triple helical domain (total type II collagen) and a

    polyclonal antibody against the CR domain (propeptide of

    type IIA collagen) (green collagen, red nucleus). Bar 250 lm.

    Inset double-stained immunofluorescence for type II collagen

    (triple helix staining, Alexa Fluor 488) and type IIA collagen

    (propeptide IIA staining, Cy3 labeled antibodies) under 24-day

    culture (green collagen). Bar 500 lm. Results are obtained

    from one representative of three independent experiments

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    switch in expression from type IIA to type IIB. In

    addition, type II collagen synthesis (including the

    type IIA form) was only detected in (?FGF-2) pellets

    treated with BT. Importantly, the switch was

    observed under these culture conditions with cells

    obtained from three donors. Indeed, this combination

    overtook donor-to-donor phenotypic differences thatwere observed in the other culture conditions (Elec-

    tronic Fig. 3). Thus, our data show that measuring the

    procollagen IIA: procollagen IIB ratio gives a useful

    index of chondrogenic induction during the culture of

    MSCs. Moreover, Murdoch demonstrated that only

    4 days were necessary for a complete switch of

    phenotype in Transwell culture, while more than

    12 days were required in pellet culture, implying that

    the microenvironment of the MSCs played a role

    together with the addition of growth factors (Mur-

    doch et al. 2007). Our data also showed that theincrease in gene expression was correlated with an

    increase in ECM synthesis, as attested by immuno-

    staining of type II collagen and aggrecan in the

    pellets. The fact that type IIA procollagen, the non-

    chondrogenic form of type II collagen, was still

    present at day 24 in the pellet is likely an indicator of

    an incomplete or slow chondrogenesis in our culture

    model in comparison with, for example, the Trans-

    well culture. However, our model may be used to

    study the mechanisms involved in the synthesis of

    type II collagen and it organization in the ECMduring MSC chondrogenesis.

    We also paid particular attention to the expression

    of collagens rarely studied in the context of MSCs

    and not investigated in an in vitro model of

    chondrogenesis. We found that BM-MSC cultures

    expressed COL6A1, COL12A1 and COL27A1, three

    genes coding for proteins previously described as

    playing a structural role in the perichondrocytic

    matrix and at the bone cartilage interface (Alexopo-

    ulos et al. 2009; Gregory et al. 2001; Hjorten et al.

    2007). Interestingly, these three genes appeared not toresponse, contrary to the other collagen genes, to the

    addition of FGF-2 during cell expansion. Further-

    more, COL12A1 and COL27A1 genes appeared to be

    up-regulated by the combination of inducers but not

    COL6A1 gene, which was unresponsive to the culture

    conditions of the study. Along this study we were

    able to visualize type VI collagen which, in normal

    articular cartilage, has an exclusive location in the

    pericellular matrix together with proteoglycan,

    fibronectin and type II and IX collagens (Poole

    et al. 1997). Type VI was recently reported as an

    integrating molecule in a Col6a1-knockout mice as

    its deficiency led to an alteration in the biologic and

    mechanical environment of the chondrocyte (Alexo-

    poulos et al. 2009). Thus our finding of the presence

    of type VI collagen together with type II collagen andaggrecan in the pellets indicates that the cells

    accumulate a cartilage-like matrix with an organiza-

    tion of the molecules not yet characteristic of native

    articular chondrocytes. Chondrogenesis is a dynamic

    process where ECM production is constantly chang-

    ing. Thus the presence of different type of collagens

    described to play a role in the alignment of the fibrils

    (type XII collagen) or in the later stages of the

    cartilage to bone formation to likely offer a transient

    scaffold for cartilage mineralization (type XXVII

    collagen) may be required to produce different cellmatrix interactions corresponding to a specific stage

    of the chondrogenic program (Gregory et al. 2001;

    Hjorten et al. 2007; Plumb et al. 2007). Additional

    studies will be required to more completely describe

    and understand the role of these collagens in

    chondrogenesis.

    Conclusion

    The competency of MSCs for chondrogenesis, under

    treatment with BMP-2 and TGF-b3, is accelerated

    and enhanced by the presence of FGF-2, during cell

    amplification at the passage preceding the induction.

    This was particularly demonstrated by the induction

    of a subset of genes coding for collagens forming the

    primary core of the fibrillar cartilage network.

    However, the persistent expression of COL1A1, a

    marker gene for mesenchymal cells, and the induc-

    tion of COL10A1 expression observed in our cell

    model and in other studies indicate that turning offthese expressions, and thus the deposition of non

    cartilage-characteristic proteins, should be one of the

    main future aims in cartilage therapy strategies that

    use MSCs as a cell source. For instance, the use of

    decoy or siRNA strategies targeting transactivators of

    the genes could be considered in further studies.

    Acknowledgments This work was supported by Cluster

    Handicap Vieillissement NeuroSciences (HVN) (Decryp-

    tage des interactions des cellules souches avec la matrice

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    extracellulaire necessaires a leur conversion en chondrocytes)

    from the Region Rhone-Alpes. The authors would like to thank

    Dr L J Sandell (Washington University School of Medicine,

    St Louis, MO, USA) for rabbit antiserum against recombinant

    human type IIA and Sylviane Guerret (Novotec, Lyon, France) for

    her expertise in histological analysis. The Analyse Genetique and

    Platim platforms of IFR 128 are gratefully acknowledged for the

    use of the iCycler iQ (BioRad) and the Nikon E600 microscope.

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