Muscle cell-derived factors inhibit inflammatory stimuli-induced damage in hMSC- derived chondrocytes  R.S. Rainbow, H. Kwon, A.T. Foote, R.C. Preda, D.L.

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Muscle cell-derived factors inhibit inflammatory stimuli-induced damage in hMSC- derived chondrocytes  R.S. Rainbow, H. Kwon, A.T. Foote, R.C. Preda, D.L. Kaplan, L. Zeng  Osteoarthritis and Cartilage  Volume 21, Issue 7, Pages 990-998 (July 2013) DOI: 10.1016/j.joca.2013.04.011 Copyright © 2013 Osteoarthritis Research Society International Terms and Conditions

Fig. 1 Study design and mRNA expression of chondrogenic genes. hMSCs were differentiated for 21 days into chondrocytes using chondrogenic media, with treatment of pro-inflammatory cytokines and muscle cell- or non-muscle control cell-conditioned media after Day 12 (A). Relative expression of markers for cartilage matrix production at Day 12 included transcription factor SOX9 (B), collagen II (Col II) (C), and ACAN (D), as compared to undifferentiated hMSCs at Day 0. Matrix markers at Day 21 included collagen II (E) and ACAN (F), while hypertrophic markers included Runx2 (G) and collagen X (Col X) (H). Expression was normalized to GAPDH. Data are presented as mean with 95% confidence intervals (n = 3 independent samples (cell-seeded scaffolds) from one experiment completed using one donor's cells). Osteoarthritis and Cartilage 2013 21, 990-998DOI: (10.1016/j.joca.2013.04.011) Copyright © 2013 Osteoarthritis Research Society International Terms and Conditions

Fig. 2 Relative expression of matrix degradation markers in differentiated hMSCs at Day 21 after treatment of pro-inflammatory cytokines and muscle cell-derived factors as compared with controls. Matrix degradation markers included MMP1 (A), MMP3 (B), MMP8 (C), and MMP13 (D). Expression was normalized to GAPDH. Data are presented as mean with 95% confidence intervals (n = 3 independent samples (cell-seeded scaffolds) from one experiment completed using one donor's cells). Osteoarthritis and Cartilage 2013 21, 990-998DOI: (10.1016/j.joca.2013.04.011) Copyright © 2013 Osteoarthritis Research Society International Terms and Conditions

Fig. 3 Representative histological evaluation of hMSC-derived chondrocytes within silk scaffolds after Day 21 of culture in the presence of pro-inflammatory cytokines and muscle cell-derived factors as compared to controls. H&E staining (A–F). Toluidine blue staining for proteoglycans (G–L) and immunocytochemical staining for type II collagen (M–R). (Scale bars: 250 μm). Osteoarthritis and Cartilage 2013 21, 990-998DOI: (10.1016/j.joca.2013.04.011) Copyright © 2013 Osteoarthritis Research Society International Terms and Conditions

Fig. 4 Biochemical quantification of glycosaminoglycan (A) and DNA (B) content, as well as ratio of GAG/DNA (C), in differentiated hMSCs at Day 21 after treatment of pro-inflammatory cytokines and muscle cell-derived factors as compared with controls. Data are presented as mean with 95% confidence intervals (n = 6 independent samples (cell-seeded scaffolds) using one donor's cells). Osteoarthritis and Cartilage 2013 21, 990-998DOI: (10.1016/j.joca.2013.04.011) Copyright © 2013 Osteoarthritis Research Society International Terms and Conditions

Fig. 5 Biochemical quantification and relative gene expression analysis of cell proliferation, cell cycle regulation, and apoptosis. Cells were stained via immunocytochemistry for proliferative marker Ki67 (A) and the percentage of Ki67 + stained cells were quantified (B). mRNA expression for markers for cell cycle regulation and inhibition included p21 (C) and p53 (D). Cells were stained via immunocytochemistry for active caspase 3 (CASP3) (E) And the percentage of positively stained cells were quantified (F). mRNA expression for CASP3 was also assessed (G). All mRNA expression was normalized to GAPDH. For immunocytochemistry, sections were counterstained with methyl green. Data are presented as mean with 95% confidence intervals (n = 4 sections for quantification of Ki67 + cells, n = 3 independent samples (cell-seeded scaffolds) for RT-PCR, and n = 6 sections for quantification of caspase 3 + cells). Osteoarthritis and Cartilage 2013 21, 990-998DOI: (10.1016/j.joca.2013.04.011) Copyright © 2013 Osteoarthritis Research Society International Terms and Conditions

Fig. S1 To select the optimal biomaterial for hMSC chondrogenesis, cells were seeded into 3D scaffolds composed of silk, collagen, or polylactic acid (PLA), and were differentiated into chondrocytes in vitro for 21 days. Relative gene expression for cartilage matrix production assessed using markers aggrecan (ACAN) (A) and collagen II (Col II) (B). ACAN was measured at Days 0, 9, and 21, while collagen II was measured at Day 21. Apoptosis marker caspase 3 (CASP3) (C) was also measured at Day 21. All expression was normalized to GAPDH. Biochemical quantification of glycosaminoglycan (D) and DNA (E) content, as well as ratio of GAG/DNA (F), in differentiated hMSCs at Day 21. Data are presented as mean with 95% confidence intervals (n = 3 independent samples (cell-seeded scaffolds) from one experiment completed using one donor's cells). Osteoarthritis and Cartilage 2013 21, 990-998DOI: (10.1016/j.joca.2013.04.011) Copyright © 2013 Osteoarthritis Research Society International Terms and Conditions

Fig. S2 . Donor variability was assessed using two additional hMSC donor populations. Relative expression of matrix production marker collagen II (Col II) (A, D), hypertrophic marker collagen X (Col X) (B, E), and matrix degradation marker MMP13 (C, F) in differentiated hMSCs at Day 21 after treatment of pro-inflammatory cytokines and muscle cell-derived factors as compared with controls. Data are presented as mean with 95% confidence intervals (n = 4 independent samples (cell-seeded scaffolds) from one experiment completed using one donor's cells). Osteoarthritis and Cartilage 2013 21, 990-998DOI: (10.1016/j.joca.2013.04.011) Copyright © 2013 Osteoarthritis Research Society International Terms and Conditions