In Vitro Preparation of Actively Maturing Bovine Articular Cartilage Explants for X-Ray Phase Contrast Imaging

Résumé

This protocol describes the preparation of in vitro bovine articular cartilage for imaging in high resolution with X-rays. These explants actively undergo postnatal maturation. We describe here the necessary steps from the biopsy to data analysis of 3D X-ray phase contrast imaging, passing through explant culture, tissue fixation and synchrotron preparation.

Résumé

Understanding the mechanisms that underpin post-natal maturation of articular cartilage is of crucial importance for designing the next generation of tissue engineering strategies and potentially repairing diseased or damaged cartilage. In general, postnatal maturation of the articular cartilage, which is a wholesale change in collagen structure and function of the tissue to accommodate growth of the organism, occurs over a timescale ranging from months to years. Conversely dissolution of the structural organization of the cartilage that also occurs over long timescales is the hallmark of tissue degeneration. Our ability to study these biological processes in detail have been enhanced by the findings that growth factors can induce precocious in vitro maturation of immature articular cartilage. The developmental and disease related changes that occur in the joint involve bone and cartilage and an ability to co-image these tissues would significantly increase our understanding of their intertwined roles.

The simultaneous visualization of soft tissue, cartilage and bone changes is nowadays a challenge to overcome for conventional preclinical imaging modalities used for the joint disease follow-up. Three-dimensional X-ray Phase-Contrast Imaging methods (PCI) have been under perpetual developments for 20 years due to high performance for imaging low density objects and their ability to provide additional information compared to conventional X-ray imaging.

In this protocol we detail the procedure used in our experiments from biopsy of the cartilage, generation of in vitro matured cartilage to data analysis of image collected using X-ray phase contrast imaging.

Introduction

Immature articular cartilage is an adequate support to initiate morphological, structural and biomolecular changes¹ in order to obtain an adult joint-specific function. The principal change is reorganization of collagen fibrils from one displaying a parallel orientation with respect to the surface in immature cartilage to one where fibrils deeper in the tissue are perpendicular in mature cartilage. Pseudo-stratification of adult cartilage is evident through the reorganization of resident chondrocytes along the direction of collagen fibril orientation with cells at the surface disc-like and parallel to the surface and in the deeper zones cells becoming progressively larger and organized in columns. Post-natal maturation is known to occur over many months and is essentially completed at the end of puberty, the long timescale was thought to make studying this important developmental transition at best difficult or technically impossible to study in detail². Some advances into the solution to this problem have been made through the finding that fibroblast growth factor-2 and transforming growth factor-β1 together are able to induce important physiological and morphological changes that replicate articular cartilage maturation^2,3 (Figure 1). Growth factor-induced in vitro maturation occurs within three weeks and does not require any biomechanical input. After culture, collagen type II expression is significantly reduced and the ratio of mature trivalent to immature divalent collagen crosslinks increases as is seen in maturing cartilage. Also, the organization of the extracellular matrix and collagen fibrils is closer to that seen in mature cartilage though this facet of transition is not complete. Biochemically, the composition of growth factor-treated cartilage is mimicking an adult articular cartilage³.

The model used in the article is based on an in vitro culture of 4- or 6-mm diameter explants that were excised under sterile conditions from the lateral aspect of the metacarpophalangeal joint medial condyle from immature male (7 days-old) bovine steers. A thin layer of calcified cartilage and subchondral bone was kept on the basal aspect of each explant. The articular cartilage were cultured in a classical serum-free medium Dulbecco's modified Eagles medium (high glucose 4.5 g/L) in which insulin-transferrin-selenium (ITS), 10 mM HEPES buffer pH 7.4, ascorbic acid and 50 µg/mL gentamicin were added. This culture medium is supplemented with 100 ng/mL fibroblast growth factor 2 (FGF-2) and 10 ng/mL transforming growth factor β1 (TGF-β1) that are replenished every third day with media changes². Highly accelerated cartilage maturation is induced by combining growth factors. These changes occur within 21 days. Growth factor stimulation additionally induces apoptosis and resorption from the basal aspect and cellular proliferation in surface chondrocytes³. The culture medium composition is described in Table 1. Following the model developed by Khan et al. 2011², articular cartilage explants are cultured with TGF-β1 at a concentration of 10 ng/µL and FGF2 at 100 ng/µL concentration (stock concentrations 10 μg/mL and 100 μg/mL dissolved in phosphate buffered saline/0.1% BSA). 1 µL of each growth factor is used per 1 mL of the medium. DMEM-F12 with L- glutamine and high glucose is an artificial medium which, once supplemented with insulin, transferrin and selenium (ITS), ascorbic acid, gentamicin and HEPES provides a complete medium supplementation with all the physiological growth requirements specific to the different cell lines and explants cultures. DMEM-F12 is composed of several diverse inorganic salts (i.e., NaCl, KCl, CaCl₂, MgCl₂, NaH₂PO₄), glucose, amino acids (nitrogen sources), vitamins, co-factors and water. Those salts provide adequate energetic inputs to sustain the cellular survival and normal growth in culture. The mineral ions contribute to maintaining the osmolarity close to the natural physiological environment. The higher concentration of glucose (4.5 g/L) is used as chondrocytes respire primarily through glycolysis. F12 medium supplementation is used because it offers number of sources of sulfate, CuSO₄, FeSO₄, ZnSO₄ and MgSO₄ required for sulfated glycosaminoglycan synthesis. As checked by colored indicators (here phenol red) and CO₂/HCO^-₃ buffer combined with phosphates, the pH remains constant at a value close to 7.4. The major respiratory pathway used by chondrocytes is glycolysis where lactic acid is the end product which causes an increase in pH, therefore, in the absence of biomechanical forces that would help to remove locally produced lactic acid, HEPES acts to maintain a buffered environment for physiological processes. Gentamicin is an aminoglycoside antibiotic controls external bacterial contamination through inhibition of growth. Ascorbic acid is used as medium complement for its anti-oxidant action⁴. Ascorbic acid is a co-factor for enzymes, prolyl hydroxylases, that function to hydroxylate proline residues in collagen stabilizing its triple helical structure. The transferrin usually serves as extracellular antioxidant (toxicity and ROS reductions)^5,6. It is also added to the culture medium for its ability to provide and facilitate extracellular iron storage and transport in cell culture. Transferrin binds iron so tightly under physiological conditions that virtually no free iron exists to catalyze the production of free radicals⁷. The insulin hormone signaling from its bound receptor increases the absorption of several elements such as glucose, amino acids. It is also involved in several processes such as intracellular transport, lipogenesis, protein, and nucleic acid syntheses. Insulin has a growth-promoting effect. Selenium is present additionally in the composite solution “insulin-transferrin-selenium”, as sodium selenite. It is mainly used as a cofactor for (seleno-) proteins such gluthatione peroxidase (GPX), as supplementary antioxidant agent in the culture. In in vitro articular chondrocytes, ITS seems to enhance cellular proliferation and phenotype preservation by inhibiting the gene expression related to cellular dedifferentiation and hypertrophic differentiation⁸. Growth factors like fibroblast growth factor-2 and transforming growth factor-β1 are added to the culture medium. They are used to induce and regulate cell differentiation, growth, healing, and development^2,3. FGF-2 and TGF-β1 in combination also potently promote cellular proliferation in cultured cells and tissues⁹.

This in vitro maturation model of articular cartilage is useful for three main reasons. First, the accelerated developmental phase transition in this model allows us to study imperceptible changes that occur over many months in in vivo models such as the elevated expression of lysl oxidase-L1 during maturation¹⁰. Secondly, tissue engineering of articular cartilage suffers from the fact that cartilage with an isotropic morphology and structure is produced which is functionally deficient when transplanted into joints to repair focal defects. Understanding how to induce maturational changes will accelerate the development of fully functional implantable devices. Thirdly and pertinent to this study, there are degenerative joint conditions such as Kashin-Beck disease occurring during childhood that lead to severe joint deformities in adulthood. This particular disease is strongly associated to geographic areas (China) with endemic deficiencies in selenium and iodine potentially affecting tens of millions of inhabitants^11,12,13. Examination of skeletal defects in Kashin-Beck disease show that it occurs peri-pubertally, implicating perturbation of skeletal maturational processes. Therefore, to further understand the role of selenium in articular cartilage (AC) a robust model for cartilage growth and development is required. An in vitro growth factor-induced model of maturation provides a useful starting point for studies on the growth and metabolism of articular cartilage during maturation in presence or absence of selenium ions^14,15,16. Our knowledge of the effects of selenium (Se) deficiency on complex and inter-related biological processes remains very poor. The main problem lies in the fact that selenium remains an element to study due to its restrictive action range (required concentration between 40 and 400 µg/kg¹⁷) and the very low concentration involved. The accelerated maturation model using immature bovine cartilage offers an unprecedented ability to look at biological changes that occur during an important phase of development. The Se-concentration in organisms is tightly controlled, and this model is a starting point to develop imaging techniques allowing its precise tracking during maturation. These techniques could then be a powerful tool to study strategies to prevent AC degradation and potentially to develop the basis of novel regenerative medicine-based therapies.

Simultaneous visualization of soft tissue, cartilage and bone changes is a major challenge in conventional preclinical imaging modalities. This would be indeed an important help for joint disease follow-up^18,19 . As an example, conventional X-ray micro Computed Tomography (µCT) presents poor performances for soft tissue that limit its use to the depiction of bone defects, osteophytes, and indirect visualization of cartilage. Magnetic Resonance Imaging (MRI), on the other hand, is conventionally employed for soft tissue imaging despite its poor ability to precisely render changes in the bone (e.g., micro-calcifications) during initial stages of diseases. The ability to be sensitive to bones and cartilages, and to distinguish the constitutive cells of cartilage, chondrocytes is of tremendous importance. Phase Contrast Imaging (PCI) relies on the property that the X-rays refraction index of materials can be a thousand times greater than the absorption index for light elements. This generates a higher contrast for soft tissues in comparison to the conventional methods based on the sole absorption. Therefore, PCI is able to image all the tissues that constitute the joint having concurrent representation of both high absorbing (e.g., bones) and less absorbing tissues (e.g., fibrous cartilage, ligaments, tendons, meniscus and associated soft tissues (synovial membranes and muscle))^18,19,20,21.

As demonstrated in ref.²⁰, X-ray PCI outperforms the other preclinical imaging modalities for cartilage. The purpose of this protocol is to detail the procedure and to show some representative results. Scheme of the effect of growth factors on immature cartilage explant is shown in Figure 1.

Protocole

All methods described here have been approved by the Ethical Research Committee of Swansea University and biopsy materials were acquired under license from the Department for Environment, Food & Rural Affairs (DEFRA), UK. This protocol follows the animal care guidelines of our institutions.

1. Explant Cultures

1. Preparation of the explants from bovine legs scalp
   1. Prepare absorbent protector and a scalpel, standard surgical scalpel with #10 scalpel blade.
   2. Spray all the materials with 70% ethanol solution.
   3. Soak the bovine leg (7 days-old male bovine steers obtained from the slaughterhouse with veterinary approval) with water to remove all blood and mud.
   4. Clean the leg with soap and scrub with a brush.
   5. When adequately clean, spray the leg with 70% ethanol.
   6. Put it on an absorbent paper.
   7. Cut around the feet with a scalpel.
   8. Trace a delicate line along the length of the leg.
   9. Take extra care in the joint zone.
   10. Remove the skin of the leg carefully along the lengthwise scalpel line.
   11. Put the waste (skin, used tissue, paper and gloves) in a clinical waste bag.
   12. Clean/brush the leg with soap and sterilize with ethanol again when the skin has been removed.
   13. Do not damage the region close to the joint cavity. If the cavity is opened or damaged with blood infiltration, it is not sterile anymore and the leg cannot be used.
   14. Place the leg in an Al-foil that have been sprayed with 70% ethanol.
   15. Place the appropriately sized latex gloves over the ends of the leg to prevent blood egress from the proximal end or possible contamination from the hoof.
   16. Dispose of the waste materials in the appropriate manner following institutional rules.
2. Explant extraction and culture
   NOTE: The explants must be obtained from the internal part of the joint (Figure 2, two first stages). To be of comparable conditions, four (or six) explants must be punched from the same zone in order to apply the four (or six) different treatments on samples possessing almost the same shape and characteristics.
   1. Open the laminar flow hood 25 min before use, clean with alcohol 70%.
   2. Put the culture medium to warm in a water bath.
   3. Prepare a 24 well plate with 1.5 mL of basic medium, DMEM-F12 only (washing medium) in each well.
   4. Prepare another well plate with 1.5 mL of complete culture medium. Store in culture incubator at 37 °C until use
   5. Prepare the material on a rack: one universal tube with 70% ethanol and another universal tube with washing medium.
   6. Prepare a scalpel and a 4 or 6-mm biopsy punch (placed in the alcohol universal tube).
   7. Put the tubes and the materials under the hood.
   8. Put an absorbent protector sprayed with 70% ethanol under the hood.
   9. Prepare some tissues sprayed with 70% ethanol.
   10. Take a dissection plate, cover it with Al-foil.
   11. Take the same, previously prepared, feet out of the fridge (4 °C) and spray them with 70% ethanol.
   12. Dispose hazardous and clinical bags near the hood to autoclave the waste later.
   13. Spray the foot with 70% ethanol.
   14. Move the joint to find the midline of the joint where the incision should be made. Do this under the hood.
   15. Take the sterile scalpel.
   16. Cut carefully along the midline following the contour of the joint edges. Do not touch the metacarpophalangeal joint medial condyle cartilage.
   17. Carefully cut the ligament when the joint is opened.
   18. Throw away the lower part of the feet in an autoclave bag.
   19. Remove all the other tissues in order to expose all the cartilage of the joint (Figure 2).
       NOTE: Be careful not to touch anything with the feet.
   20. Place the scalpel and biopsy punch in alcohol and then in the washing medium.
   21. Make some circles with this punch (4-5 per face) with some force along the internal faces of the bones.
   22. Place the bio-punch in alcohol when finished to clean it.
   23. Take a scalpel and cut (trace a line) between each circle and along the central line of the bone.
   24. To take out the cartilage explant cut vertically on one of the borders of the circle biopsy, then cut horizontally on the subchondral bone very carefully.
   25. To remove the cartilage explant cut horizontally below the punch line along the subchondral bone and calcified cartilage, the explants will pop out.
       NOTE: Explants should have a uniform thickness, if possible.
   26. Place the explant in the well plate filled with 1.5 mL of washing medium.
       NOTE: Always perform experimental control and treatment of explants coming from the same location in the joint.
   27. Check that the explant is well orientated correctly. The surface of the explant should be facing up and the subchondral bone part of the explant should face the bottom of the well plate.
   28. Keep the well plate closed in between each biopsy.
   29. Remove the washing medium.
   30. Wash again with wash medium. Leave in wash medium for 2-3 h. Bone residues, blood will have time to flux out in the medium.
   31. Transfer the explants in a new well plate containing the complete culture medium. Be careful: don't touch anything with the pipette.
   32. Check that explants are still in the right position (bone facing the bottom part of the well-plate).
   33. Clean everything and throw away the clinical waste in adequate place.
   34. Once the explants are placed in culture in an incubator at 37 ˚C with 5% CO₂, change the explant culture medium every two days with warm fresh medium to sustain to the diverse needs of the cells/tissues. Check that explants are still in the right position (bone facing the bottom part of the well-plate).
3. Sample fixation (optional)
   NOTE: Perform this step after only at the end of the cell culture which means after 3 weeks of culture. The explants have then reached at maturated stage.
   1. Wash the explants with DMEM-F12 with a pipette under the tissue culture hood.
   2. Wash the explants twice with PBS with a pipette under the tissue culture hood.
   3. Fix them overnight at 4 °C by soaking in 10% NBFS (Neutral Buffer Formalin Saline).
   4. Place the fixed explants in PBS in a microcentrifuge tube
   5. Store the explants at 4 °C. Fixed explants can stay in these conditions up to 6 months.

2. Sample preparation for the imaging session

1. Use conical plastic tips of an appropriate size (usually 1 mL tip) with the respect to the sample and the camera field of view.
2. Seal the cone tip (by heating it with a flame) in order to have a water-proof sample container.
3. Fill the tip with PBS. Hold the sample with tweezers and insert it into the tube. Remove air bubble by slow shakes.
4. Mount the tube on the tomography stage and align it by taking simple radiographs.

3. X-ray Phase Contrast imaging session

1. Place the detector at 2.5 m from the sample
2. Set the X-ray photon energy to 17 keV using a double Silicon crystal system within a Bragg-Bragg geometry.
3. Mount Imaging detector consisted of a scientific CMOS camera²² on an optic with a resulting isotropic voxel size of 3.5 µm in the 3D image.
4. Use a 60 µm thick Gadolinium Oxysulfide scintillator screen to convert the X-ray to visible light
5. Data collection: Acquire 2000 projections during a 360˚ scan of the sample with an exposure time of 2 s for each projection.
6. Use a the phase retrieval algorithm to extract the phase signal as described in ref.²³. The algorithm uses an a priori knowledge of the complex refractive index distribution within the sample. The main hypothesis, not verified here, is that there is one material to reconstruct. In this particular case, the ratio between the refraction and the absorption index set to 1,200 which was experimentally observed to the best compromise for bone and cartilage visualization.
7. Use the standard filtered back projection CT reconstruction algorithm using an open-source, Graphics Processing Unit (GPU)-based implementation of the PyHST2 code²⁴.

Résultats

A simple propagation based imaging set-up was used²⁵ as sketched in Figure 3. In synchrotron propagation-based imaging, a coherent X-ray beam illuminates the object, giving rise to spatially varying phase shifts¹⁹. As the X-ray beam propagates after the sample, the distorted wave front generates characteristics pattern. By analyzing these characteristic patterns with dedicated algorithms²³, the phase shifts caused by the...

Discussion

We presented a complete study from the sample preparation to the image visualization, including the data acquisition protocols, for the study of in vitro fast maturating articular cartilage. Results of a synchrotron imaging session showed the goodness of the model.

In the model presented here, some observations and limits must be mentioned. This “accelerated maturation” occurs within 21 days of culture. For longer culture periods, explant plugs begin to degrade with change...

matériels

Name	Company	Catalog Number	Comments
Material : Biological products
DMEM/F-12 (1:1) (1X) + GlutaMAX Dulbecco's Modified Eagle Medium F-12 Nutriment Mixture (Ham) 500mL	Gibco by life technologies	31331-028
Gentamicin Reagent Solution, 50 mg/mL	Gibco by life technologies	15750-060
HEPES, special preparation, 1M, pH 7.5 filtered	Sigma	H-3375
ITS, Insulin-Transferrin-Selenium	Gibco by life technologies	51500-057
L-Ascorbic Acid-2-Phosphate, sesquimagnesium salf hydrate, 95%	Sigma	A8960-5G
Neutral Buffer Formalin (NBF)	Sigma Aldrich	HT501128
phosphate buffered saline (PBS) pH 7.4	Gibco by life technologies	10010023
Culture equipments:
Absordent Protector,Benchkote	WhatmanTM	Cat No. 2300731,	Polysterene Backed, 460cm*50m
Accurpette VWR
Autoclavable Disposal Bag			For disposal of contamined plastic laboratory ware neck should be left open to allow penetration of steam, Hazardous Waste, STERILIN (white bag)
biopsy punches	MILTEX by KAI	ref 33-36	4 & 6 mm diameter
Clinical waste for alternative treatment Medium Duty			(UN-approved weight 5kg, Un-closure methods, UN- SH4/Y5/S/II/GB/4/06 (orange bag)
Eppendorf tubes			0.5mL and 1.5 mL
Falcon tubes			15mL and 50 mL
free of detectable RNase, DNase, DNA&Pyrogens 1000ul Bevelled Graduated, filter tip	Starlab, TipOne (sterile)	S1122-1830
free of detectable RNase, DNase, DNA&Pyrogens 20µl Bevelled Graduated, filter tip	Starlab, TipOne (sterile)	S1120-1810
free of detectable RNase, DNase, DNA&Pyrogens 200ul Bevelled Graduated, filter tip	Starlab, TipOne (sterile)	S1110-1810
Incubator			Incubator at 37°C, humidified atmosphere with 5% CO2
Optical microscope
Pipette-boy			25mL-, 10mL-, and 5mL sterile plastic-pipettes
Pipettes (25-10-5 ml)	CellStar, Greiner Bio-one
Plastic tweezers	Oxford Instrument	AGT 5230
Scalpel
Tips			P1000, P200 and P10 with P1000, P200 and P10 tips (sterile)
Tissue culture hood
Vacuum pump
Water bath 37°C
well plates			12 & 24 well plates
Protection equipment:
face shield
gloves
lab coat
safety goggles
Data acquisition equipment:
Fiji software			open source Software
PyHST reconstruction toolkit			open source Software