# Patent

## Title
Delivery system for heparin-binding growth factors

## Abstract

A device comprising a scaffold coated with a protein having at least 83% identity to the amino acid sequence of the core protein of domain I of a mammalian perlecan, wherein at least one glycosaminoglycan is attached to the protein is described. The device may be used in vitro or in vivo to induce replication and/or differentiation of connective tissue cells and to repair tissue.

## Background
RELATED APPLICATIONS
This is a divisional application of U.S. application Ser. No. 10/363,368, filed Aug. 4, 2003, (pending), which is a national phase application of PCT Ser. No. US01/026512, filed Aug. 27, 2001, which claims the benefit of U.S. Provisional Application Ser. No. 60/228,935, filed Aug. 30, 2000. Each of these priority applications is incorporated herein, in entirety, by reference.


GOVERNMENT INTERESTS
This invention was made with Government support under grant or contract numbers HD25235, RR16458, CA098912 Project 2, and DE13542, awarded by the National Institutes of Health. The Government has certain rights in this invention.


BACKGROUND OF THE INVENTION
Embodiments of the invention provide new uses and compositions of proteoglycans. The proteoglycans are derived from perlecan, an extracellular matrix protein. They retain certain desirable activities of the full-length perlecan molecule, such as the ability to bind growth factors, yet they have a size that allows for effective preparation and application as is not the case for perlecan. Furthermore, large amounts of the proteoglycans can be produced in mammalian cell lines. The proteoglycans described herein can be used as coatings on scaffolds used for bone and tissue repair to attract and retain growth factors to the repair site. These proteoglycans can also be used to induce differentiation to or maintenance of chondrocyte phenotype.
Chondrogenesis occurs as a multi-step process that is initiated by condensation of mesenchymal stem cells that subsequently undergo a specific program of differentiation. Studies from several laboratories have demonstrated a role for specific soluble signals in this differentiation program that include bone morphogenetic proteins (1), parathyroid hormone related protein (PTIrP) (2), Indian hedgehog (Ihh) (3), and transforming and fibroblast growth factors (4,5). Several of these are known to interact with heparan sulfate proteoglycans (HSPG), a factor implicated in modulating their bioavailability (6). It has been demonstrated that a large HSPG found in the extracellular matrix (ECM) of developing cartilage, perlecan (Pln, HSPG2), stimulates cells of a murine fibroblast line, C3H10T1/2, to form aggregates in vitro similar to those found in condensing mesenchyme in vivo (7). In addition, Pln maintains the chondrogenic phenotype of adult chondrocytes in vitro (7).
Consistent with a fundamental role for Pln in endochondral bone formation, targeted disruption of the Pln gene in mice results in severe disorganization of the columnar structure of chondrocytes and defective endochondral ossification (9). Interestingly, the phenotype of the Pln null mice is similar to that caused by activating mutations of fibroblast growth factor receptor 3 (FGFR3), which has been interpreted to mean that these molecules modulate similar signaling pathways in developing cartilage (9).
Pln is a multi-domain protein consisting of five distinct regions, four of which display sequence similarity to other protein families (10). The proteoglycan and its core protein are disclosed in Costell et al. (16). All the perlecan domains are disclosed in Noonan DM et al. (10).
The N-terminal domain I is unique to Pln. Within domain I are three glycosaminoglycan (“GAG”) attachment sites, defined by the consensus amino acid triplet Serine-Glycine-Aspartic Acid (“SGD”). While other potential sites for glycosylation exist in the protein core, the N-terminal sites are considered the major site for GAG attachment (11). Domain II contains repeat sequences highly similar to domain IV of the laminin A chain. In mice, domain III contains an Arginine-Glycine-Aspartic Acid (“RGD”) sequence but in human Pln this sequence is missing (12). Domain IV contains repeats similar to those found in the IgG superfamily member, neural cell adhesion molecule (N-CAM). The C-terminal of domain V shows sequence similarity to the G region of the laminin A chain. There are also epidermal growth factor (EGF)-like sequences spaced between the domain G-like repeats in Pln domain V.
Each domain of Pln previously has been produced as a recombinant protein, and several of these also have been produced in various forms (13-17).
Perlecan has been associated with growth factors. Mongiat et al. reported that perlecan acts as a ligand reservoir for various growth factors, stabilizing them against misfolding and proteolysis (20). Costell et al. reported that perlecan binds and delivers growth factors in two ways (8). Costell et al. reported that perlecan's heparan sulfate and chondroitin sulfate side chains bind growth factors as well as its protein core.
Several groups have studied the interaction between the glycosaminoglycan molecules and the fibroblast growth factor family of heparin-binding growth factors. For example, Walz et al. have found that the biological activities of fibroblast growth factor-1 and fibroblast growth factor-2 depend on their ability to bind cell surfaces and extracellular matrix heparan sulfate side chains, like those found attached to perlecan (27).
Growth factors have been used as coatings for scaffolds implanted to treat numerous skeletal and connective-tissue related disorders. It is of great interest to attract and retain growth factors to the site of bone or tissue repair and thereby accelerate healing.
Although it is known that perlecan is involved in growth factor retention, the intact molecule is too large to exploit commercially as a growth factor adhesive. Perlecan is one of the most complex gene products because of its enormous dimensions and number of posttranslational modifications. Its size does not allow for efficient and cost effective commercial production. Embodiments of the present invention avoid this problem and meet the needs of the art by providing molecules that can be produced in large amounts in mammalian cell lines and are at least as active as the intact perlecan molecule in binding and presenting heparin-binding growth factors and inducing differentiation to or maintenance of a chondrocyte phenotype.
SUMMARY OF THE INVENTION
An implantable device comprising a scaffold, the scaffold coated with a protein having at least 83% identity to the amino acid sequence of the core protein of domain I of a mammalian perlecan, wherein at least one glycosaminoglycan is attached to the protein is described. A growth factor may be bound to the glycosaminoglycan. The growth factor may induce replication and/or differentiation of connective tissue cells.



BRIEF DESCRIPTION OF THE DRAWINGS
The patent or application file contains at least one drawing executed in color. Copies of this patent or patent application publication with color drawings will be provided by the Office upon request and payment of the necessary fee.
FIG. 1 depicts the perlecan domains and variants thereof.
FIGS. 2A-D are photographs of the response of C3H10T1/2 cells to recombinant domains of perlecan.
FIGS. 3A-C are photographs of cell cultures from Pln IA coated wells probed with three different antibodies.
FIGS. 4A-B are photographs of C3H10T1/2 cells cultured on Pln IA and Pln Imut.
FIGS. 5A-L are photographs of cell aggregation on fragments of perlecan that have been digested with various enzymes.



DETAILED DESCRIPTION OF THE INVENTION
Proteoglycans Useful in Embodiments of the Invention
Preferred embodiments of the invention involve a proteoglycan of less than 450 kDa, more preferably of less than 100 kDa, still more preferably of less than 2 kDa, still more preferably of about 8 to 10 kDa in molecular weight, comprising the core protein of domain I of a mammalian perlecan to which at least one glycosaminoglycan chain is attached. More preferably, the proteoglycan is substituted with two or three glycosaminoglycan chains. The proteoglycans identified as Pln IA and PlnIB, as defined in Example 1, may be used. The proteoglycan should have at least one and can have more glycosaminoglycan chains, varying in length or composition. Embodiments of the invention also include uses and compositions of proteoglycans in which the core protein comprises an amino acid sequence having at least about 70-75%, still more preferably at least about 80-85%, and most preferably at least about 90% or more homology to the amino acid sequence of domain I of a mammalian perlecan (PLN), preferably murine or human perlecan.
Other preferred embodiments of the invention involve a proteoglycan in which the core protein comprises an amino acid having the sequence of SEQ ID NO:1 (human) or SEQ ID NO:2 (mouse).
Further preferred embodiments involve a proteoglycan comprising the amino acid sequence of SEQ ID NO: 1 or SEQ ID NO:2 and is less than 250 amino acids in length and preferably less than 200 amino acids in length. Embodiments of the invention also include uses and compositions of proteoglycans in which the core protein comprises an amino acid sequence having at least about 70-75%, still more preferably at least about 80-85%, and most preferably at least about 90% or more homology to the amino acid sequence of SEQ ID NO:1 or SEQ ID NO:2. The proteoglycan should have at least one glycosaminoglycan chain. The glycosaminoglycan chains may vary in length or composition.
To determine the percent homology of two amino acid sequences, the sequences are aligned for optimal comparison purposes (e.g., gaps can be introduced in the sequence of one polypeptide for optimal alignment with the other polypeptide). The amino acid residues at corresponding amino acid positions are then compared. When a position in one sequence is occupied by the same amino acid residue as the corresponding position in the other sequence, then the molecules are homologous at that position (i.e., as used herein amino acid “homology” is equivalent to amino acid “identity”). The percent homology between the two sequences is a function of the number of identical positions shared by the sequences (i.e., % homology=# of identical positions/total # of positions times. 100).
The proteoglycans used in embodiments of the invention include those molecules having conservative amino acid substitutions at one or more predicted non-essential amino acid residues when compared to a wild-type mammalian perlecan domain I. A “conservative amino acid substitution” is one in which the amino acid residue is replaced with an amino acid residue having a similar side chain. Families of amino acid residues having similar side chains have been defined in the art. These families include amino acids with basic side chains (e.g., lysine, arginine, histidine), acidic side chains (e.g., aspartic acid, glutamic acid), uncharged polar side chains (e.g., glycine, asparagine, glutamine, serine, threonine, tyrosine, cysteine), non-polar side chains (e.g., alanine, valine, leucine, isoleucine, proline, phenylalanine, methionine, tryptophan), beta-branched side chains (e.g., threonine, valine, isoleucine) and aromatic side chains (e.g., tyrosine, phenylalanine, tryptophan, histidine). Thus, a predicted nonessential amino acid residue in the proteoglycan is preferably replaced with another amino acid residue from the same side chain family such that the proteoglycan retains the ability to bind growth factors. More preferably, the proteoglycans retain the ability to facilitate the formation of aggregates of C3H10T1/2 cells.
In other preferred embodiments, the proteoglycan is a biologically active portion of the perlecan domain I that includes a domain or motif that has growth factor binding ability and/or the ability to support C3H10T1/2 cell agglomeration. Such domains or motifs include the domains associated with glycosaminoglycan attachment to the core polypeptide.
The proteoglycans described herein may be synthesized in various ways, such as by chemical synthesis, isolation from perlecan, or recombinant production. Preferred is recombinant production. Examples of such production are found in Costell et al. (16). Costell et al. teaches preparation of perlecan domain I from mammalian cell clones on a preparative scale using the pRc/CMV expression vector sold by Invitrogen. The expression vector was co-transfected together with plasmid pSVpac into human embryonic kidney 293 cells and stable transfectants were selected with puromycin.
The proteoglycans described herein may be obtained by derivation from perlecan from any mammalian species, most preferably mouse, rat or human.
The proteoglycans described herein may be used to induce differentiation to or maintenance of connective-tissue cells, particularly chondrocytes. More particularly, chondrocyte phenotype can be maintained in cultures using the inventive proteoglycans. The proteoglycans may also be used to bind and present heparin-binding growth factors. The proteoglycans may be used in soluble or insoluble form. They also may be used as a coating for surfaces, particularly surfaces used in tissue engineering or prosthetic devices. For example, scaffolds and medical devices may be coated with the inventive proteoglycans and implanted in a mammalian body. The coating binds growth factors to the surface, which encourages rapid and complete tissue growth at the injured site. Also, the surfaces may be coated with the proteoglycans described herein to which growth factors are attached and then implanted into a mammalian body. These coated scaffolds and devices are expected to provide enhanced recovery for patients suffering from connective tissue disorders, such as bone fractures, cartilage tearing, etc. The proteoglycans described herein increase the adhesion of desirable biological materials such as growth factors to the repair site.
Scaffolds
Devices coated with the inventive proteoglycans, such as implants and scaffolds, are also provided. Also provided are implants and scaffolds coated with the inventive proteoglycans to which growth factors have been attached, either covalently or non-covalently.
Preferably, the scaffold is made of a polymer, a biologically derived material, ceramic, metal, or combinations thereof, that is biologically inert and physiologically compatible with mammalian tissues. The scaffold material preferably does not induce an inflammatory response. The scaffold also preferably is capable of associating with the proteoglycan at sufficient levels to satisfy the intended objective, e.g., increased growth factor adhesion or attraction to the scaffold. The scaffold can bind the proteoglycan either covalently or non-covalently, such as by electrostatic charge or hydrophobic or hydrophilic interactions.
Preferred polymers are polyamides, polypeptides, polyesters, polycarbonates, polyurethanes, polyacetals, polysaccharides, and polyolefins. Specific examples of such polymers include silicone rubber, polyurethane rubber, polyethylene, polyvinyl chloride, poly (hydroxyethyl methacrylate), poly (methyl methacrylate), poly (ethyleneterephthalate), polypropylene, polystyrene, poly (tetrafluoroethylene), polyglycolic acid, cellulose, ethylcellulose, methycellulose, dextran, carboxymethylcellulose, hyaluronic acid, hydroxypropylmethylcellulose, nylon, collagen, and collagen-GAG. Preferred polymers include expanded polytetrafluoroethylene composed of two polymers and having nine billion pores per square inch. Additionally, the scaffold can be a copolymer, composite or blend of the above polymers.
The polymer may have other materials embedded in it, such as carbon fibers embedded in a polyurethane-poly(L-lactide matrix). Additional scaffold materials are disclosed in Sweigart, M. A. (28). Additional scaffold materials are known to those skilled in the art.
Preferred biologically derived materials are matrices comprised of collagen sponge, cortical bone chips, cancellous bone chips, cortico-cancellose bone chips, hydroxyapatite or like ceramics, bioactive glass, growth factors and demineralized bone, which are embedded or suspended in a carrier material. The carrier material is preferably a fibrin-containing composition that coagulates, collagen formulations, hydroxylapatite, pleuronic polymers, synthetic or natural polymers, carboxymethylcellulose, gelatin, or combinations thereof. More preferably, the carrier is gelatin derived from human or animal tissue. Other preferred biologically derived materials are mammalian tissues, such as perichondral tissue and periosteal tissue.
Methods of Treatment
The inventive proteoglycans can also be administered directly to injured connective tissue, where growth factors will be attached in vivo and thereby tissue recovery will be enhanced. Growth factors can also be attached to the proteoglycans ex vivo and then the proteoglycan/growth factor product can be administered to a damaged tissue, such as a bone fracture or cartilage tear. The proteoglycan may be in soluble or insoluble form.
Embodiments of the invention provide methods for accelerating wound, tissue, or bone healing in a mammalian subject, e.g., human, by applying to the injured area a therapeutically effective amount of a composition which contains one or more of the inventive proteoglycans and optionally a heparin-binding growth factor. In addition, certain embodiments provide a pharmaceutical composition comprising one or more of the proteoglycans described herein or a biologically active portion thereof, a pharmaceutically acceptable carrier, and optionally a heparin-binding growth factor.
The proteoglycans can be used to administer or attract growth factors as treatment for a variety of medical conditions. One important example is in the repair of bone, cartilage, or other connective tissue (such as tendon and ligament). Repair may be needed because of trauma, bone tumor resection, or in the case of joint fusion and spinal fusion for non-healing fractures and osteoporotic lesions. A proteoglycan-coated scaffold also may be used in treating tooth and jaw defects in cases of trauma, bone loss, tooth loss, and gum disease. The scaffolds also are useful in treating cartilage defects such as those which result from rheumatoid arthritis, osteoarthritis and trauma. The scaffolds also may be used to repair defects and damage in skin, muscle and other soft tissues such as results from trauma, burns, ulcers (diabetic ulcers, pressure sores, venus, stasis ulcers, etc.). Likewise, damage to visceral organs including liver damage, heart attack damage, and damage resulting from intestinal cancer or intestinal ulcer may be treated with the scaffolds that embody the invention.
The inventive proteoglycans may be administered with growth factors attached or without growth factors attached, such that growth factors already present in the mammalian body can be attracted to and bind to the proteoglycan.
Various heparin-binding growth factors are known in the art or are readily identifiable and can be used in the embodiments of the invention. For example, U.S. Pat. No. 5,876,730 to Brigstock et al. issued Mar. 2, 1999 entitled, “Heparin-binding growth factor (HBGF) polypeptides,” discloses a group of heparin-binding growth factors isolated from uterine secretory fluids. Another example is transforming growth factor-β. Many members of the fibroblast growth factor family (“FGF family”) also bind tightly to heparin.
Embodiments of the invention also pertain to in vitro culture of cells with the purpose of creating tissue constructs for repairing tissues and organs in vivo. The scaffolds may be used to promote tissue culture of committed cells and/or differentiation of precursor cells. Thus, the scaffolds can be used in virtually all instances when it is desirable to provide a substrate for the growth of cells onto or into a tissue replaceable matrix. Scaffolds can also be used with autografts, allografts, and xenografts associated with bone grafts, cartilage grafts, and joint resurfacing implants.
EXAMPLES
The following discussion shows that in C3H10T1/2 cells, domain I of perlecan functions to trigger the cells to enter a chondrogenic differentiation pathway.
Example 1
Materials and Methods
Materials
Pln/HSPG2 was obtained from Becton-Dickinson Labware (Bedford, Mass.). The rabbit polyclonal antibody against rat aggrecan was provided by Dr. Kurt Doege (Shriner's Hospital for Children, Portland Unit). The rabbit anti-mouse antibody against type X collagen (PXNC1-88) was provided by Dr. Greg Lunstrum (Shriner's Childrens Hospital, Portland, Oreg.). The rabbit IgG antibody against mouse type II collagen was purchased from Biodesign International (catalog #T40025R). Species-specific, Texas-Red conjugated secondary antibodies were purchased from Amersham Corporation (Arlington Heights, Ill.).
Immunofluorescent Detection of Extracellular Matrix Components
After culture upon matrix for 6 or 9 days, cell aggregates and monolayers were rinsed twice with Dulbecco's phosphate buffered saline (D-PBS) without calcium or magnesium. The specimens were subsequently fixed, washed 3 times (5 minutes at room temperature) with D-PBS and incubated with the primary antibody for 1 hr at 37° C. in a humidified chamber. After 3 washes (5 min each at room temperature) in D-PBS, cell aggregates and monolayers were incubated with the secondary antibody for 45 min at 37° C. in a humidified chamber, and finally washed 3 times (5 min each) with D-PBS and mounted.
For aggrecan labeling, cell aggregates and monolayers were fixed in 100% methanol (10 min/at room temperature); however, for type II and X collagen labeling an ice cold solution composed of 95% ethanol plus 5% acetic acid (30 min on ice) was employed as fixative. To promote type II and X collagen antibody penetration, cell aggregates and monolayers were incubated with 0.02% Type 1V-S testicular hyaluronidase (H3884, Sigma) for 30 min at room temperature.
Culture of C3H1OT1/2 Cells on Various Matrix Components
Cell culture was performed as previously described (7) with some modification. For confocal microscopic analysis of cell aggregates, Nalge-Nunc “pennanox” chambered slides (4 well, catalogue #177437) were used in place of the Nalge-Nunc four well plates used previously. Briefly, for coating wells, 5 μg of Pln or recombinant protein plus D-PBS was added to the well at a final volume of 200 μl, and then incubated overnight at 37° C. with lids askew. On the following day, wells were rinsed twice with D-PBS prior to addition of cells. C3H1OT1/2 cells were added to wells at a density of 2×105 cells per well in CMRL-1066 matrix. The CMRL1066 media (Gibco Life Sciences, Rockville, Md.) was supplemented with 15% (v/v) fetal calf serum, 100 U/ml penicillin and 100 mg/ml streptomycin sulfate, ascorbic acid (50 μg/ml), citrate (50 μg/ml), and pyruvate (50 μg/ml), and changed daily throughout the experiment. Great care was taken not to disturb or remove aggregates. Formation of aggregates was assessed by visual inspection using light microscopy. Cells that had drawn together into dense, multi-layered cellular aggregates reminiscent of condensing mesenchyme of developing cartilage, leaving areas of the well bare, were scored as positive as described previously (7).
Confocal Microscopic Analysis of C3HJ OTJ/2 Cell Aggregates
All data was acquired on a Zeiss inverted 1OO M Axioskop equipped with a Zeiss 510 LSM confocal microscope and a Krypton Argon laser (48 8 nm and 568 nm excitation lines). Simultaneous acquisition of nuclei stained with Syto 13 (505-550 band pass filter) and Texas Red-conjugated secondary antibodies (590 long pass filter) utilized the fast-line switch feature for elimination of spectral bleedthrough. Samples were imaged using a Zeiss 63X C-Apochromat water immersion lens (N.A. 1.2).
Enzymatic Digestion of Glycosaminoglycan Chains
Digestion with both heparitinase and chondroitinase ABC was performed as described previously (7). Briefly, wells coated with Pln or recombinant domains of Pln were subjected to digestion with chondroitinase ABC or a mixture of heparinases I, II, III (Sigma, St. Louis, Mo.) for 4 hrs at 37° C. After digestion, the enzyme solution was removed and wells were rinsed once with DPBS before the cells were plated.
Recombinant Pln Fragments
Recombinant Pln fragments were prepared as described previously (13-17). Briefly, cDNA encoding the specified Pln domain was inserted in frame behind the basement membrane protein, BM-40. This construct was then inserted into the pRc/CMV vector and stably transfected into human embryonic kidney 293 cells. Positive clones were selected and media containing the various domains collected. Recombinant protein was isolated by elution from a DEAE-cellulose column using a NaCl gradient and purity assessed by SDS-PAGE and Coomassie Blue Staining.
Results
The Response of C3H1OTI/2 Cells Cultured on Domain I of Pln Mimics the Response Generated by Native Pln
It was reported previously that the murine embryonic cell line, C3H1OT1/2, aggregates and undergoes chondrogenic differentiation in response to culture on Pln coated surfaces (7). The present investigation tested the hypothesis that a single domain of the Pln molecule is responsible for the in vitro aggregation and chondrogenic activation of C3H1OT1/2 cells. To test this hypothesis, recombinant fragments (Table I) of Pln were used as culture matrices for C3H10T1/2 cells (FIG. 1). When cultured on the recombinant N-terminal domain, Pln IA, C3H10T1/2 cells responded as if cultured on native Pln (FIG. 2, compare B and C). Within 24 hrs, the majority of the cells condensed into multi-cellular masses of rounded cells, leaving the well bare with relatively few fibroblastic cells between the aggregates. By day 6 of culture, aggregates express markers of early chondrogenesis (Alcian Blue (not shown), type II collagen, and aggrecan, FIG. 3), but not type X collagen, a marker of chondrocyte maturation. Analysis of day 6 aggregates employing confocal microscopy indicates the cells are tightly packed and in high density. Z-series (optical sectioning) analysis of aggregates labeled with the nucleic acid stain Syto 13 (Molecular Probes, catalogue #S-7575) revealed that aggregates vary in thickness (42-120 μm). In addition, z-series analysis of aggregates labeled with antibodies specific to type II collagen and aggrecan illustrated that expression of these chondrogenic markers is localized to the periphery of the aggregate. Interestingly, expression of type II collagen appears to encompass the entire aggregate surface; however, aggrecan expression is distributed only at the top/dorsal surface of the aggregate (FIGS. 3, A and B).
In contrast to Pln IA, C3H10T1/2 cells did not aggregate or differentiate when cultured on other recombinant Pln domains, Pln II through Pln V(B) (FIG. 2D). C3H10T1/2 cells cultured on recombinant Pln domains II-V(B) responded like cells cultured on plastic, they attached, spread, and formed a dense monolayer. Thus, domain I of Pln is sufficient for the aggregation and differentiation of C3H10T1/2 cells into early chondrocytes in vitro.
The Presence of GAG Chains is Required on the Pln IA Core for Activity
Heparinase digestion of native Pln has been shown to greatly reduced its aggregate-inducing activity in vitro (7). Thus, in the present investigation we tested the hypothesis that the presence of GAG chains on recombinant Pln domain I is necessary for the aggregation and differentiation of C3H10T1/2 cells in vitro. To test this hypothesis, recombinant Pln domain I variants of differing GAG chain composition were employed as culture matrices for C3H10T1/2 cells. Of the three Pln domain I variants, the first comprised a protein core bearing HS chains only (Pln IA), the second bearing a mixture of HS and CS chains (Pln 1B; (16)), and the third with mutations preventing GAG chain attachment (Pln Imut).
When cultured on Pln IA and IB, a robust recruitment of C3H10T1/2 cells into aggregates was observed (FIG. 4). This response is consistent with previous observations of cells cultured on native Pln (7). In contrast, C3H10T1/2 cells cultured on Pln 1mut not aggregate but attach and spread into a dense monolayer (FIG. 4). The full activity observed with Pln IB suggests that the presence of CS in conjunction with HS chains on the protein core does not interfere with activity. Moreover, our observations employing Pln Imut suggest that the presence of GAG chains on the Pln protein core is necessary for C3H10T1/2 cell aggregation and differentiation activity.
Enzymatic Digestion of GAG Chains Reveals Chondroitin/Dermatan Sulfate Chain Participation
The redundancy in function between the Pln IA and Pln 1B forms of Pln domain I suggested that both HS and chondroitin/dermatan sulfate chains might play a role in supporting differentiation. If a soluble factor secreted by the cells acted by binding HS, then digestion with heparinase should result in a reduction or loss of this activity. Thus, both Pln IA and Pln IB variants were digested with either heparinase or chondroitinase ABC and tested in the aggregation assay. As expected, heparitinase, but not chondroitinase digestion abolished the aggregate-promoting activity of native Pln (FIG. 5, panels A, D, G, and J). Similarly, activity of the HS-bearing Pln IA variant was only lost when digested with heparitinase, but not with chondroitinase ABC (FIG. 5, panels B, E, H, and K). Interestingly, neither digestion with heparitinase nor chondroitinase ABC alone affected the activity of the Pln IB variant (FIG. 5, panels C, F and I). The maintenance of activity after heparitinase digestion suggested that chondroitin/dermatan sulfate chains carried by the Pln IB variant also could promote aggregate formation. This was confirmed by the demonstration that digestion with a combination of enzymes destroyed aggregate promoting activity (FIG. 5L). Thus, either HS or chondroitin/dermatan sulfate chains on Pln domain I is sufficient to trigger this response.
Discussion
After culturing the cells on each perlecan domain individually, it was found that the N-terminal GAG-bearing domain I of Pln was sufficient to activate aggregate formation and expression of chondrogenic markers. No other domain had this aggregating ability, and C3H10T1/2 rapidly attached and spread on other recombinant domains. From this we conclude that Pln I with its attached GAG chains, like intact Pln, provides a sufficient signal to initiate the chondrogenic program in C3H10T1/2 cells.
The contribution of the core protein and GAG chains to the activity of domain I was explored further using Pln domain I variants of differing GAG composition or mutated to delete sites of GAG chain addition. We also tested the activity of preparations that had been digested with GAG lyases. The finding that Pln Imut displayed no aggregate-forming activity indicated a requirement for the presence of GAG chains and showed that the Pln I core protein alone provided an insufficient signal. This idea was further supported by the finding that heparitinase digestion of Pln IA completely destroyed its activity. Because neither heparitinase nor chondroitinase ABC digestion alone could destroy the aggregate-promoting activity of Pln IB having mixed GAG chains, we conclude that either heparan sulfate or chondroitin sulfate GAG chains attached to domain I can support aggregation and chondrocytic differentiation of C3H10T1/2 cells.
Interestingly, the pattern of expression of chondrogenic markers within aggregates forming in vitro suggests that the aggregate itself is not homogenous. For example, whereas collagen II is expressed uniformly at the periphery of the aggregates, aggrecan appears to be expressed primarily at the top of the aggregate where the most differentiated cells are expected to be. The pattern of aggregate expression resembles that previously reported for N-CAM (23) where it was suggested that within aggregates a “sorting out” between differentiating and non-differentiating cells occurs. This marker localization is seen in aggregates on Pln domain I, providing further evidence that this region produces a sufficient signal for early chondrogenesis.
FIG. 1. Recombinant Fragments of Pln Protein
The Pln core protein was expressed as a series of recombinant polypeptides in human 293 embryonic kidney cells and isolated by ion exchange chromatography as described in the text. Domains I (Pin IA) and II (Pln II) were both expressed as intact domains while domains III, IV and V were expressed as smaller proteins. The three subdomains found in domain III were each represented by a recombinant polypeptide, Pln III(A-C) while domain IV was divided into unequal Pln IV(A, B). Domain V also contained subdomains, expressed as recombinant fragments Pln V(A, B). Two variant forms of domain I were expressed. Pln IB with a protein sequence identical to Pln IA, carried both HS and chondroitin/dermatan sulfate chains on its protein core. The nucleotide sequence of Pln Imut was altered such that the amino acid motifs used to attach glycosaminoglycan chains were no longer present. Thus, this form of domain I carries no glycosaminoglycan chains.
FIG. 2. Response of C3H10T1/2 Cells to Recombinant Domains of Pln
C3H10T1/2 cells were either cultured on plastic (A), native Pln (B), Pln IA (C), or on domains II-V (D). On plastic (A), cells appeared fibroblastic while on native Pln (B) and Pln IA alone (C) cells formed aggregates. However, when domains II thru V were used individually as matrices on which C3H10T1/2 cells were cultured, no aggregates formed. Panel D presents a representative view of C3H10T1/2 cells when cultured on any of the Pln domains II thru V. The cells form a dense monolayer of fibroblastic cells.
FIG. 3. Pln Domain IA Induces Differentiation to the Same Extent as Native Pln
Cultures (day 6) from Pln IA coated wells were probed with antibodies to type II collagen (A, red signal), aggrecan (B, red signal), type X collagen (C, red signal), and optically sectioned with a confocal microscope (0.2 μm). The green signal is the nucleic acid stain Syto 13. Type II collagen is expressed on the exterior surface of Pln IA aggregates. In contrast, aggrecan expression is localized at the top/dorsal surface of the Pln IA aggregate. Day 6 Pln IA aggregates do not express type X collagen. Magnification bar equals 20 μm.
FIG. 4. Induction of Morphological Change by Pln IA Variants
C3H10T1/2 cells were cultured on Pln IA and Pln Imut (lacking glycosaminoglycan chains) and photographed on day 6 of culture. C3H10T1/2 cells cultured on Pln IImut did not form aggregates.
FIG. 5 Activity of Enzymatically Modified PG IA and PG IB
Enzymatic digestion of Pln IA and Pln IB was performed to examine the role of glycosaminoglycan chains in differentiation of C3H10T1/2 cells. Cells on undigested native Pln (A), Pln IA (B) or Pin IB (C) formed numerous aggregates. When digested with heparitinase, Pln (D)) and Pln IA (E) failed to stimulate the C3H10T1/2 cells while cells cultured on Pln IB (F) again formed aggregates. Chondroitinase ABC digestion had little effect on Pln (G), Pln IA (H) or Pln IB (I). The combination of the two enzymes resulted in loss of activity in all cases; Pln (J), Pln IA (K), Pln IB (L). Magnification bar in panel B-100 μM.







TABLE I







Aggregate formation on Pln domains1










Matrix Component
Response







PBS
(−)



Pln
(+++)



Pln IA
(++/+++)



Pln 1B
(+++)



Pln Imut
(−)



Pln II
(+/−)







1C3H10T1/2 cells were cultured on the indicated Pln domain and aggregation and Alcian Blue staining assessed after 3 days as described previously (7).



(−), no aggregates or Alcian Blue staining;



(+/−), inefficient aggregate formation with little or no Alcian Blue staining;



(++), efficient aggregate formation with heterogeneous Alcian Blue staining;



(+++), efficient aggregate formation and homogeneous Alcian Blue staining.






    
    
        Pln III (A-C) (−)
        Pln IV (A-C) (−)
        Pln V (A,B) (−)
    
    


The specification includes a Sequence Listing, which is incorporated herein by reference.
The following references are hereby incorporated in their entireties herein:
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## Claims

1. An implantable device comprising a scaffold, the scaffold coated with a proteoglycan that consists of an amino acid sequence having at least 84% homology to the amino acid sequence of the core protein of domain I of a mammalian perlecan, wherein the proteoglycan has at least one heparan sulfate glycosaminoglycan chain attached, and wherein the proteoglycan stimulates mesenchymal stem cell differentiation to cartilage.

2. The device of claim 1, further comprising at least one growth factor attached to the glycosaminoglycan chain.

3. The device of claim 2, wherein the growth factor is a heparin-binding growth factor.

4. The device of claim 1, wherein the device is a medical device.

5. The device of claim 1, wherein the scaffold comprises a polymer, biologically derived material, ceramic, metal, or combinations thereof.

6. The device of claim 1, wherein the device is implanted in a mammal.

7. The device of claim 2, wherein the growth factor induces differentiation of connective tissue cells.

8. The device of claim 7, wherein the connective tissue cells are chondrocytes or fibroblasts.

9. The device of claim 1, wherein the proteoglycan has two or three glycosaminoglycan chains attached.

10. A device for producing connective tissue cells for the repair of tissues or organs comprising a scaffold coated with a proteoglycan that consists of an amino acid sequence having at least 84% homology to the amino acid sequence of the core protein of domain I of a mammalian perlecan, wherein the proteoglycan has at least one heparan sulfate glycosaminoglycan chain attached, wherein the proteoglycan stimulates mesenchymal stem cell differentiation to cartilage, and wherein at least one growth factor capable of inducing connective tissue cells to replicate or to differentiate is attached to the glycosaminoglycan chain.

11. The device of claim 10, wherein the growth factor is a heparin-binding growth factor.

12. The device of claim 10, wherein the scaffold comprises a polymer, biologically derived material, ceramic, metal, or combinations thereof.

13. The device of claim 10, wherein the cells are connective tissue cells.

14. The device of claim 13, wherein the connective tissue cells are chondrocytes or fibroblasts.

15. The device of claim 10, wherein the proteoglycan has two or three glycosaminoglycan chains attached to the protein.

16. The device of claim 1, wherein the protein has at least 84% homology to the amino acid sequence of SEQ ID NO: 1.

17. The device of claim 1, wherein the protein consists of the amino acid sequence of SEQ ID NO: 1.

18. The device of claim 1, wherein the protein has at least 84% homology to the amino acid sequence of SEQ ID NO: 2.

19. The device of claim 1, wherein the protein consists of the amino acid sequence of SEQ ID NO: 2.