Salvianolic acid B regulates gene expression and promotes cell viability in chondrocytes

Abstract Articular chondrocytes reside in lacunae distributed in cartilage responsible for the remodelling of the tissue with limited ability of damage repairing. The in vitro expanded chondrocytes enhanced by factors/agents to obtain large numbers of cells with strengthened phenotype are essential for successful repair of cartilage lesions by clinical cell implantation therapies. Because the salvianolic acid B (Sal B), a major hydrophilic therapeutic agent isolated from Salvia miltiorrhiza, has been widely used to treat diseases and able to stimulate activity of cells, this study examines the effects of Sal B on passaged chondrocytes. Chondrocytes were treated with various concentrations of Sal B in monolayer culture, their morphological properties and changes, and mitochondrial membrane potential were analysed using microscopic analyses, including cellular biochemical staining and confocal laser scanning microscopy. The proteins were quantified by BCA and Western blotting, and the transcription of genes was detected by qRT‐PCR. The passaged chondrocytes treated with Sal B showed strengthened cellular synthesis and stabilized mitochondrial membrane potential with upregulated expression of the marker genes for chondrocyte phenotype, Col2‐α1, Acan and Sox9, the key Wnt signalling molecule β‐catenin and paracrine cytokine Cytl‐1. The treatments using CYTL‐1 protein significantly increased expression of Col2‐α1 and Acan with no effect on Sox9, indicating the paracrine cytokine acts on chondrocytes independent of SOX9. Sal B has ultimately promoted cell growth and enhanced chondrocyte phenotype. The chondrocytes treated with pharmaceutical agent and cytokine in the formulated medium for generating large number of differentiated chondrocytes would facilitate the cell‐based therapies for cartilage repair.


Introduction
The physiological development and remodelling, and the repair of defects of the articular cartilage require viable chondrocytes with interactive activities, on which cartilage repair processes depend, particularly for cell-based therapeutic strategies, such as autologous chondrocyte implantation (ACI) [1,2]. The large enough numbers of chondrocytes have to be obtained by in vitro cultivation of cells isolated from cartilage of limited biopsy sampling [1,3,4] and retain their differentiation status [5][6][7]. Chondrocytes are the only type of residential cells in the avascular, aneural and alymphatic load-bearing cartilage [8,9], interacting with the extracellular matrix (ECM) to sense the mechanical and biological cellular functions can be promoted by signalling/growth factors [22,23] and medicinal additives [24,25], which usually act via regulating biofactors. The enhanced cells and their bioactivity would certainly be beneficial to the treatments for repair of damaged cartilage. Medicinal molecules acting on chondrocytes to regulate their activity are of great importance in modulating the process of cartilage regeneration.
The Salvia miltiorrhiza (SM), a traditional Chinese medicine herb, has been used either as extracts or as isolated individual components for treating a great range of diseases in traditional and modern medicine [26,27]. The SM components were applied in medical treatments for various diseases and revealed cellular and molecular pathways in which SM exerts its effects on cells and tissues [28,29]. SM extracts were also employed in treatments of skeletal diseases such as osteoporosis through targeting specific pathways in bone resorption and bone formation [30,31]. Salvianolic acid B (Sal B), a hydrophilic component of SM, was reported to act on variety of cell types to regulate cellular activities [32][33][34], including osteogenesis [35,36]. Little is known about actions of SM and its components on chondrocytes potentially applicable in therapeutic approaches for cartilage regeneration.
This study provided evidence showing the biological actions of Sal B on cultured chondrocytes. Sal B treatments demonstrated enhanced anabolic activity in the chondrocytes by elevating mitochondrial membrane potential and stimulated cell survival and synthetic activity exhibited as increased volumes of nucleic acids by specific labelling and quantitative analysis. Molecular analyses of chondrocyte-specific gene expression found upregulated transcription of genes encoding chondrocytic proteins for cartilage along with genes encoding key regulator and transcription factor for regulation of cell growth. The expression regulation of these genes seemed to be in a similar manner of dosage effect. The upregulation of some of those genes was also exhibited at protein level as analysed comparatively by total cellular proteins and specific proteins determined by Western blots. Further study demonstrated that CYTL-1 increased the expression of genes for chondrocyte phenotype but no effect on SOX9, which indicates that Sal B directly stimulated the expression of SOX9 rather through CYTL-1. The viability and the chondrocytic phenotype of treated cells were ultimately enhanced in a dosage effective manner within the testing period of cell proliferation. These promoted cellular activities and increased viable chondrocytes by Sal B would be essentially beneficial and applicable to treatments for osteochondral damage repairs.

Materials and methods
Isolation and culture of primary chondrocytes Rabbit cartilage obtained from articular surfaces was minced and sequentially digested by the following Sigma enzymes, 0.05% hyaluronidase, 0.25% trypsin and 0.4% collagenase to harvest primary chondrocytes for monolayer culture, as described in PROTOCOL 22.16 [37]. The isolated cells were washed and suspended in DMEM-F12 complemented with 15% FBS (GIBCO/Life Technology, NY, USA) and 1.0% penicillin-streptomycin solution. Prepared primary chondrocytes were seeded in 25-cm 2 flasks with 8 9 10 5 /ml cells and cultured in DMEM-F12 medium till 80% confluence followed by subculture for obtaining enough cells at about passage 3/4, termed Amplified Cells as starting material for experiments. About 1.7 9 10 4 cells of Amplified Cells were applied onto a 24 9 24 mm coverslip and cultured for 24 hrs in DMEM-F12 and then cultured in the medium containing Sal B (MW = 718.614, National Institute for Food and Drug Control, Beijing, China) for 24 hrs. The cells were harvested and fixed with 4.0% paraformaldehyde to make the Fixed Cells on Coverslip.

Immunohistochemical staining of COLs
Fixed Cells on Coverslip were washed with their endogenous peroxidases deactivated using 3% H 2 O 2 and then used for detection of collagen type I (COL I) and collagen type II (COL II) by the Immunohistochemical StreptAvidin-Biotin Complex (SABC SA1027; Boster, Wuhan, China) according to the manufacturer's instruction (SA1027; Boster, Wuhan, China). Cells were incubated overnight with 1:200 diluted antibodies of COL1A (COL-1) and COL2A1 (Santa Cruz, CA, USA) against COL I and COL II, respectively, and the binding proteins were visualized by colorimetric reaction between the bound biotinylated rabbit anti-goat IgG antibody and diaminobenzidine, which was fixed by dehydration, cleared with xylene and sealed using DPX Mountant (VWR BDH, Radnor, PA, USA) for microscopic analysis.

Toluidine blue staining of proteoglycan
Fixed Cells on Coverslip were washed in PBS and stained in toluidine blue solution (Sigma-Aldrich, St. Louis, MO, USA) for 20 min. The stained cells were quickly dehydrated through a 95% and two changes in 100% ethanol (10 dips in each step as the stain fades in ethanol), cleared with xylene and sealed using DPX Mountant for microscopic analysis.
Scanning electron microscopy (SEM) About 1.7 9 10 4 Amplified Cells were cultured for 24 hrs and then continued for 24 hrs in the established medium containing 14.0 lM Sal B for treatments with an equivalent amount of 19 phosphate-buffered saline (PBS) for controls. Then, the cells were fixed on coverslips for 24 hrs in 2.5% glutaraldehyde in 19 PBS and analysed by scanning electron microscopy (XL-30-based Environmental Scanning Electron Microscope, Philips, Hilversum, Netherlands). region of interest (ROI) for both experimental and control cells was observed for 5 min. to obtain a baseline of label intensity; then, 14.0 lM Sal B was applied to the experimental cells with equal volume of 19 PBS used for the control cells. Sequential images recording the dynamic changes of the cellular mitochondrial membrane potential shown as fluorescent intensities (indicated by pseudo-colour code) were acquired for 25 min. Selected images from the sequence in Sal B-treated cells were compared to their counterparts from the control cells.

Acridine orange labelling of nucleic acids
Fixed Cells on Coverslip were washed and stained for 10 min. using 0.01% acridine orange (Sigma-Aldrich) solution to specifically generate green emission for DNA and red for RNA. Images of stained cells were viewed and captured using confocal laser scanning microscopy (CLSM, Zeiss LSM 510 META System, Jena, Germany). The green and red labels in the cell content acquired by the dual channels were quantitatively analysed using the Zeiss Physiology/TimeSeries for Release 3.2.
Quantitative analysis of gene expression by qRT-PCR About 6.3 9 10 5 Amplified Cells were transferred to 25-cm 2 flasks (final total volume of 10 ml), treated with 28.0 lM Sal B in culture for 24 hrs. The total RNA was prepared using TRIzol reagent (Invitrogen, Carlsbad, CA, USA) from the chondrocytes and converted to cDNA using PrimeScript â RT Master Mix (TaKaRa, Shiga, Japan). The qRT-PCR was performed in triplicate using gene-specific primers (Table 1) and the All-in-One qPCR Mix (GeneCopoeia) with SYBR Green labels (Thermo Scientific, Rockville, MD, USA) according to the providers' protocols. The house-keeping gene Glyceraldehyde 3-phosphate dehydrogenase (GAPDH) was used as an internal control, to which the abundance of target gene expression was normalized.
Regulation of CYTL-1 on gene transcription in chondrocytes About 1.5 9 10 5 of Amplified Cells were allocated to make a final volume of 2.0 ml in wells of 12-well plate and cultured in the medium containing diluted CYTL-1 protein for 24 hrs at 37°C with 5.0% CO 2 supply in DMEM-F12 medium containing 4.0, 8.0, 16.0, 32.0 lM of purified recombinant protein of Homo sapiens cytokine-like 1 (rhCYTL-1, Cat#: TP306778; OriGene Technologies Inc., Rockville MD, USA) and equal volumes of 19 PBS for control cells. The cells were harvested for total RNA isolation, cDNA synthesis and qRT-PCR analysis as described in 'Quantitative analysis of gene expression by qRT-PCR.'

Protein analyses
The total proteins were prepared from cultured chondrocytes obtained as in 'Quantitative analysis of gene expression by qRT-PCR' by lysis in the suspension of the RIPA Lysis and Extraction Buffer (Thermo Scientific) using Sonics Vibra Cell TM (Sonics & Materials, Newtown, CT, USA). Total cellular proteins were quantitatively analysed using the bicinchoninic acid (BCA) total protein quantitation assays [38]. Equal proteins were separated by 8.0% SDS-PAGE, blotted onto nitrocellulose membrane (Bio-Rad, Hercules, CA, USA). The membranes were blocked by skim milk powder solution in Tris-buffered saline and then incubated with diluted primary antibodies of CTNNB1 (AVIVA, San Diego, CA, USA) against bcatenin, COL2A1 (Santa Cruz) against COL II by specifically binding to the C-terminal epitope of a highly conserved motif between human and rabbit, and COL1A (COL-1; Santa Cruz) against COL I, respectively, with the Monoclonal Anti-b-Actin (Sigma-Aldrich) against the house-keeping gene bactin used as an internal control. The binding proteins were detected with conjugated secondary antibody, goat anti-rabbit IgG-HRP (Santa Cruz) and visualized using Clarity TM Western ECL Substrate Kit (Bio-Rad). The images were captured and analysed using the Image Lab (Beta 1) Version 3.0.1 Changelist 40296 software associated with Molecular Imager â , Che-miDoc TM XRS+ Imaging System (Bio-Rad).

Statistical analysis
Differences of OD values and tendency of interactive effects of two factors between Sal B-treated and control chondrocytes cultured in eight consecutive days were analysed using two-factor repeated-measures analysis of variance (ANOVA) in SAS 9.3 (SAS Institute Inc., Cary, NC, USA). Other differences between groups were analysed by one-way ANOVA using SPSS 19 (IBM SPSS Statistics, Chicago, IL, USA). Differences with a P value of <0.05 were considered significant (*), and the P value of <0.01 were regarded as highly significant (**).

Culture and characterization of rabbit chondrocytes
The isolated chondrocytes in culture exhibited spherical format when first inoculated in the medium, then adhered and fused to form monolayers, grown confluent (95%) within 3 days. The monolayer of confluent cells showed typical swirling fibrous colonies after passage 3 (Fig. 1A), and predominantly expressed COL II (Fig. 1B) and secreted proteoglycan (Fig. 1C) as a typical chondrocytic phenotype with a certain level of COL I expression (Fig. 1D) as a characteristic of dedifferentiation. The

Enhanced chondrocyte morphology by SEM
Chondrocytes were less condensed in aggregates ( Fig. 2A) with active cells scattered (Fig. 2B) in spreading flat areas of irregular shapes (Fig. 2C) in control groups, which seems less active than Sal B-treated chondrocytes formed dense aggregates surrounded by active cells (Fig. 2D), tandemly expanded to make connections between aggregates (Fig. 2E), in triangle-like shapes with a large number of extruded granules predominantly visible on the cell surface under high magnification (Fig. 2F).

Enhanced nucleic acid synthesis in treated chondrocytes
Acridine orange stained chondrocytes through interaction with DNA and RNA, which were showed in green and red, respectively, according to their specific excitation and emission wavelengths. The nucleic acid staining of Sal B-treated cells outlined the cellular structures of different cycling phases by presenting typical multi-shaped chondrocytes with, sometimes, double-and poly-nuclei cells, duplicating chromosomes and cell aggregates in contrast to their control counterparts ( Fig. 3A-H) by CLSM. Quantitative analysis of labelled nucleic acid in Sal B-treated chondrocytes revealed a significantly higher level (P < 0.01) in both DNA and RNA contents (Fig. 3I) than untreated cells.
The mitochondrial membrane potential of chondrocytes was examined by HR 123 staining and expressed as changes of the fluorescent label intensity, which was detected and recorded by CLSM. The signals were recorded for 25 min. as measurements of the mitochondrial membrane potential. Untreated chondrocytes started to show the baseline (Fig. 4A①), then faded away gradually (Fig. 4A②-⑥), while the treated chondrocytes maintained the baseline steadily with an increment throughout the testing period (Fig. 4B①-⑥).

Modulated protein and gene expression by Sal B in chondrocytes
The total proteins in all Sal B-stimulated chondrocytes were increased in a dosage-dependent manner with a maximum mount   (Fig. 5A). The key Wnt signalling factor b-catenin and the phenotypic protein COL II were significantly increased (P < 0.05) in cultured chondrocytes treated with 28.0 lM Sal B (Fig. 5B and C) as detected by quantitative Western blot analysis. Further investigations showed expression of both COL I and COL II proteins (Fig. 5D) in Sal B-treated chondrocytes, but the level of COL I remained unchanged, while the COL II level in treated cells was significantly higher than COL I in both groups (P < 0.01) and COL II in untreated cells (P < 0.05). The qRT-PCR analysis revealed a significant upregulation (P < 0.01) of the master transcription factor Sox9, the important autocrine/paracrine chondrocytic cytokine Cytl-1 and the genes of Col2-a1 and Acan coding for the major downstream products of COL II and Aggrecan (ACAN) in Sal B-treated chondrocytes (Fig. 6A). However, neither the other key mediators in the canonical Wnt signalling pathway, such as Axin-1, Dvl-1 and Gsk-3b, nor the hypoxia inducible factor HIf-1a in cultured chondrocytes was affected by the Sal B treatment (Fig. 6A). Further studies demonstrated a similar dosage-affected fashion of expression pattern for genes coding for SOX9, CYTL-1, COL II and ACAN in chondrocytes treated with serial diluted Sal B with peaks (P < 0.01) at 14.0 lM for Sox9, Col2-a1 and Acan, and 7.0 lM for Cytl-1 (Fig. 6B). The cultured chondrocytes were treated with 28.0 lM Sal B for 6, 12, 24 and 48 hrs, and the gene expression patterns showed that Col1-a1 remained unchanged accept a significantly increase at 24 hrs at low level (Fig. 6C, left), while the Col2-a1 was significantly increased (P < 0.01) at all four time points examined at high levels in the treated chondrocytes (Fig. 6C, middle) and that a significantly (P < 0.05) increased expression of Acan was evidenced at various time points except 12 hrs (Fig. 6C,  right). The expression of Cytl-1 in cultured chondrocytes was not affected by Sal B in the early hours, became significantly upregulated at 24 hrs onward (Fig. 6D, left) and IL-1b gene, the upregulated inflammatory cytokine in passaged chondrocytes, was only transcribed in early hours (6 hrs) at a significant (P < 0.01) high level (Fig. 6D, right).

The regulatory role of CYTL-1 on gene transcription in chondrocytes
Chondrocytes treated with rhCYTL-1 only showed that the recombinant protein upregulated the expression of genes coding for COL II with a significant increment in the tested concentrations of 4.0 (P < 0.05), 8.0 and 16.0 lM (P < 0.01), peaked at 8.0 lM; then, the increment became non-significant at 32.0 lM compared to untreated cells as analysed by qRT-PCR (Fig. 7B). Similarly, increased transcription of Acan was also detected in rhCYTL-1 treated cells in the range of dilution, peaked at 8.0 lM (P < 0.01) with significantly high at 16.0 lM (P < 0.01) and 32.0 lM (P < 0.05) (Fig. 7C). The rhCYTL-1 had no effect on the expression of Sox9 (Fig. 7A).

MTS assay for chondrocyte proliferation
Chondrocytes cultured with series diluted Sal B showed significant increment (P < 0.05 for the most diluted  (Fig. 8B). Differences among these treatments at various time points    were statistically significant (P < 0.01) with a tendency of significant differences up to day 7 by two-factor repeated-measure analyses.

Discussion
Large numbers of chondrocytes obtained by in vitro cultivation of cells isolated from cartilage with low cellularity of limited biopsy are essential to tissue engineering for cartilage reconstructive therapies, such as ACI [1,3], which usually need at least four passages [4]. This study investigated effects of Sal B on passage 3/4 (P3/4) chondrocytes resembling those cultured cells for therapeutic applications. The P3/4 chondrocytes are successfully employed in clarification of regulatory role of factors on cellular functions in various cell models [39][40][41]. However, accumulated evidence showed that passaged chondrocytes change their gene expression profiles, including matrix proteins, cytokines, matrix proteases and inhibitors, and signalling molecules [42], and dedifferentiate into a more fibroblastic state [43,44] typically with decreased COL II and ACAN accompanied by increased COL I [4,6,7]. The activities of cells maintained in vitro are ultimately under the influence of culture media, which are specifically formulated and include bioactive stimulants to regulate the expression of genes encoding cytokines and growth factors in the cells for designated cellular properties. Despite the unavoidable dedifferentiation of expanded chondrocytes in vitro, the chondrocytic phenotype may either be retained experimentally [45] by optimizing culture conditions or be reversed from dedifferentiated cells by redifferentiation introduced by complemented growth factors [46]. The P3/4 chondrocytes cultivated in this study showed typical morphology of colonies (Figs 1A and 2), and they expressed the ECM protein ACAN (Fig. 1C) and both COL II and COL I (Fig. 1B and D), suggesting certain levels of dedifferentiation. The COL II staining was much stronger than COL I, which was further supported by Western blot analysis (Fig. 1E) that showed about three times COL II over COL I (Fig. 1F). The passaged chondrocytes manifested a lesser extent of dedifferentiation than that of previous studies.
The anabolism of cultured chondrocytes is improved by Sal B treatment as evidenced in cellular morphology of microscopy. The pharmacological and regulatory effects of SM and its isolated individual components on various cell types have been widely reported previously and sampled in the Introduction section. This study showed that Sal B, the water soluble component of SM, acted on cultured chondrocytes to promote the anabolic synthesis facilitating cell survival and growth. The Sal B-treated cells formed more active colonies  of thick cell layer and dense cell aggregates (Fig. 2D-F). The promoted nucleic acids synthesis at various cycling stages and showed by different formats (Fig. 3A-H) in treated chondrocytes was illustrated using double-labelling of DNA and RNA [47] of the genetic basis for cell growth and development, which also revealed a significantly higher level of DNAs and RNAs in treated chondrocytes than that in untreated cells (Fig. 3I). The mitochondria is 'power station' of the cell and vulnerable to damage that causes apoptosis [48] and the mitochondrial membrane potential in living cells is detected using rhodamine staining [49]. Reduction of the mitochondrial membrane potential, together with enzymatic activities, was observed in chondrocytes of osteoarthritis [50]. The mitochondrial membrane potential faded away in living chondrocytes in culture, but was stabilized in the Sal B-treated cells (Fig. 4). The enhanced mitochondrial function as a power generator and a pivotal player in biological processes of signalling and cellular activities would certainly promote the cellular anabolism. Indeed, the cellular protein expression was stimulated by Sal B in a dosage effective fashion as demonstrated by total protein analysis using BCA assays (Fig. 5A). The major chondrocyte phenotype protein COL II (Fig. 5C) and the key Wnt signalling molecule b-catenin (Fig. 5B) important for cell fate determination and development were elevated in Sal B-treated chondrocytes. The expression of genes involved in signal transduction and chondrocyte metabolism was also upregulated (Fig. 6). These results lend molecular supports to the morphological illustrations.
The expression of genes coding for signalling regulators was modulated by Sal B in chondrocytes cultured in monolayer. It has been established that the canonical Wnt/b-catenin signalling pathway is heavily involved in the activation of gene transcription in chondrocytes [12][13][14]. The b-catenin, the central regulator of the Wnt signalling pathway, interacts with hypoxia inducible factor-1 (HIF-1a) to activate gene transcription in hypoxic conditions [51,52]. The stabilization and accumulation of cellular b-catenin protein is believed to be a result of coordinated regulation of a group of signalling mediators/regulators [12][13][14], including Axin-1, Dvl-1, Gsk-3b and Hif-1a. This study had shown an elevated b-catenin protein level in Sal Btreated chondrocytes (Fig. 5B), but none of these factors were influenced by Sal B (Fig. 6A), suggesting that Sal B increases b-catenin level possibly not mediated by these Wnt signalling regulators. Neither the b-catenin level is modulated by the HIF-1/b-catenin interaction pathway [51,52] as Hif-1a remained unchanged (Fig. 6A) in treated cells. The nuclear b-catenin initiates the formation of downstream transcription complexes and activates gene expression. Sal B stimulated the expression of Sox9 and Cytl-1 genes (Fig. 6), and CYTL-1 promotes SOX9 activity [19], which generate a peradventure of that the elevated Sox9 expression may be resulted from increased Cytl-1 by Sal B in the treated chondrocytes. In fact, CYTL-1 did not affect the Sox9 expression (Fig. 7A), while it increased the expression of Col2-a1 and Acan ( Fig. 7B and C), indicating that Sal B was responsible for upregulating Sox9 expression rather depending upon Cytl-1. Sal B-stimulated cytokine CYTL-1 played a role in the enhancement of the chondrocytic phenotype in passaged cells, but not mediated by SOX9.
Sal B enhanced the expression of downstream genes coding for chondrocytic proteins in cultured chondrocytes. The expression of Col2-a1 and Acan was upregulated in Sal B-treated chondrocytes ( Fig. 6A) and remained upregulated up to 48 hrs (Fig. 6C). The expression of Col1-a1, the marker molecule of chondrocyte dedifferentiation, was hardly upregulated in the tested cells (Fig. 6C) even six times concentrated cDNA templates (compared to Col2-a1 and Acan) were used in qRT-PCRs for resolving 2 ÀDDCT values of Col1-a1 amplicons, indicating its low level of transcription. The expression pattern of upregulated differentiation markers of Col2-a1 and Acan, and unaffected dedifferentiation marker Col1-a1 in the Sal Btreated chondrocytes in culture is discrepant from previously reported expression profile, which suggests downregulated Col2-a1 and Acan and upregulated Col1-a1 in passaged chondrocytes [5][6][7]. The gene expression pattern was further supported by a low COL I protein level (Fig. 5D) in cultured chondrocytes and remained unchanged, while the COL II was highly increased by Sal B treatment (Fig. 5D). These results suggest that both the formulated culture system and Sal B treatment attributed to the promoted cell viability and ameliorated dedifferentiation status. It is worth noting that the expression of target genes, such as Col1-a1, Col2-a1 and Acan, responses to the Sal B treatment slower than cytokine IL-1b, which is upregulated in the cultured chondrocytes and induce dedifferentiation by interacting with multiple signalling pathways [53], but the chondrocytic cytokine-like factor Cytl-1 responded to the treatment slowly as other targets (Fig. 6D). After all, the expression of key signalling molecule b-catenin, the master transcription factors Sox9 and paracrine cytokine Cytl-1 was upregulated by Sal B in cultured chondrocytes, which synthesized significantly higher level of chondrocytic target molecules than control cells, suggesting enhanced anabolic activities. The expression pattern of a highly upregulated Col2-a1 and Acan accompanied by an unaffected Col1-a1 suggests shifts from dedifferentiation to redifferentiation in the Sal B-treated chondrocytes cultured in monolayer.
Numbers of viable chondrocytes were increased by Sal B treatment in monolayer culture. The promoting effects of Sal B on cell growth have been shown in variety of cells [33,34]. This study found evidence of stimulating effects of Sal B on cellular activities in cultured chondrocytes, including enhanced morphology of cell colonies and aggregates, stimulated synthesis of cellular genetic materials and stabilized mitochondrial membrane potential and upregulated expression of genes coding for important regulatory factors and specific cytokine for chondrocyte proliferation and differentiation and the downstream genes encoding the proteins for chondrocyte growth and phenotype. The promoting actions collectively resulted in significantly increased numbers of viable cells cultured in the given medium in a dosage-dependent manner (Fig. 8A), and the increments were maintained for up to 7 days in three selected concentrations of 7.0, 14.0 and 28.0 lM, and reached stationary phase by day 8 (Fig. 8B). This in vitro culture system using Sal B is capable of generating large numbers of chondrocytes with enhanced cellular, molecular and redifferentiation properties.
The advanced articular cartilage repair treatments, including microfracture, osteochondral grafting, cell implantation and tissue engineering, Largely reply on the activity of chondrocytes. This report provides evidence of stimulating effects of Sal B and CYTL-1 on cellular activities and gene expression in chondrocytes cultured in monolayer, suggesting their potential application as complementary agents in culture medium for ex vivo generation of large numbers of chondrocytes with more differentiation status beneficial to cell-based therapies of cartilage repair.