Development of Tissue-Engineered Ligaments: Elastin Promotes Regeneration of the Rabbit Medial Collateral Ligament

Artif Organs. 2018 Jun;42(6):E102-E113. doi: 10.1111/aor.13066. Epub 2017 Dec 21.

Abstract

When ligaments are injured, reconstructive surgery is sometimes required to restore function. Methods of reconstructive surgery include transplantation of an artificial ligament and autotransplantation of a tendon. However, these methods have limitations related to the strength of the bone-ligament insertion and biocompatibility of the transplanted tissue after surgery. Therefore, it is necessary to develop new reconstruction methods and pursue the development of artificial ligaments. Elastin is a major component of elastic fibers and ligaments. However, the role of elastin in ligament regeneration has not been described. Here, we developed a rabbit model of a medial collateral ligament (MCL) rupture and treated animal knees with exogenous elastin [100 µg/(0.5 mL·week)] for 6 or 12 weeks. Elastin treatment increased gene expression and protein content of collagen and elastin (gene expression, 6-fold and 42-fold, respectively; protein content, 1.6-fold and 1.9-fold, respectively), and also increased the elastic modulus of MCL increased with elastin treatment (2-fold) compared with the controls. Our data suggest that elastin is involved in the regeneration of damaged ligaments.

Keywords: -Exogenous elastin injection; -Ligament injury; -Rabbit model; Elastin.

MeSH terms

  • Animals
  • Collateral Ligaments / drug effects
  • Collateral Ligaments / injuries*
  • Collateral Ligaments / pathology
  • Collateral Ligaments / physiology
  • Elastic Modulus / drug effects
  • Elastin / administration & dosage
  • Elastin / therapeutic use*
  • Female
  • Fibrillar Collagens / analysis
  • Fibrillar Collagens / genetics
  • Gene Expression Regulation / drug effects
  • Knee Injuries / genetics
  • Knee Injuries / pathology
  • Knee Injuries / therapy*
  • Rabbits
  • Regeneration* / drug effects
  • Tissue Engineering

Substances

  • Fibrillar Collagens
  • Elastin