1.
Huey, D. J., Hu, J. C. & Athanasiou, K. A. Unlike bone, cartilage
regeneration remains elusive. Science 338, 917–921 (2012).
2. Roberts, S., Menage, J., Sandell, L. J., Evans, E. H. & Richardson, J. B.
Immunohistochemical study of collagen types I and II and procollagen IIA in human cartilage repair tissue following autologous
chondrocyte implantation. Knee 16, 398–404 (2009).
3. Wang, T. et al. Patellofemoral cartilage lesions treated with particulated juvenile allograft cartilage: a prospective study with minimum 2-year clinical and magnetic resonance imaging outcomes.
Arthroscopy 34, 1498–1505 (2018).
4. Farr, J., Tabet, S. K., Margerrison, E. & Cole, B. J. Clinical, radiographic, and histological outcomes after cartilage repair with particulated juvenile articular cartilage: a 2-year prospective study.
Am. J. Sports Med. 42, 1417–1425 (2014).
5. Dawkins, B. J. et al. Patellofemoral joint cartilage restoration with
particulated juvenile allograft in patients under 21 years old. Knee
https://doi.org/10.1016/j.knee.2021.07.006 (2021).
6. Adkisson, H. D. et al. Immune evasion by neocartilage-derived
chondrocytes: Implications for biologic repair of joint articular
cartilage. Stem Cell Res. 4, 57–68 (2010).
7. Kimura, T., Yamashita, A., Ozono, K. & Tsumaki, N. Limited immunogenicity of human induced pluripotent stem cell-derived cartilages. Tissue Eng. Part A 22, 1367–1375 (2016).
8. Malejczyk, J., Osiecka, A., Hyc, A. & Moskalewski, S. Effect of
immunosuppression on rejection of cartilage formed by transplanted allogeneic rib chondrocytes in mice. Clin. Orthop. Relat.
Res. 269, 266–273 (1991).
9. Romaniuk, A. et al. Rejection of cartilage formed by transplanted
allogeneic chondrocytes: evaluation with monoclonal antibodies.
Transpl. Immunol. 3, 251–257 (1995).
10. Yamashita, A. & Tsumaki, N. Recent progress of animal transplantation studies for treating articular cartilage damage using pluripotent stem cells. Dev. Growth Differ. 63, 72–81 (2021).
11. Castro-Vinuelas, R. et al. Induced pluripotent stem cells for cartilage repair: current status and future perspectives. Eur. Cell Mater.
36, 96–109 (2018).
12. Yamashita, A., Yoshitomi, H., Kihara, S., Toguchida, J. & Tsumaki, N.
Culture substrate-associated YAP inactivation underlies chondrogenic differentiation of human induced pluripotent stem cells.
Stem Cells Transl. Med. https://doi.org/10.1002/sctm.200058 (2020).
13. Yamashita, A. et al. Generation of scaffoldless hyaline cartilaginous
tissue from human iPSCs. Stem Cell Rep. 4, 404–418 (2015).
14
Article
14. Okutani, Y. et al. Generation of monkey induced pluripotent stem
cell-derived cartilage lacking major histocompatibility complex
class I molecules on the cell surface. Tissue Eng. Part A 28,
94–106 (2022).
15. Stuart, T. et al. Comprehensive integration of single-cell data. Cell
177, 1888–1902.e1821 (2019).
16. Ji, Q. et al. Single-cell RNA-seq analysis reveals the progression of
human osteoarthritis. Ann. Rheum. Dis. 78, 100–110 (2019).
17. Swann, D. A., Silver, F. H., Slayter, H. S., Stafford, W. & Shore, E. The
molecular structure and lubricating activity of lubricin isolated from
bovine and human synovial fluids. Biochem. J. 225, 195–201 (1985).
18. Rhee, D. K. et al. The secreted glycoprotein lubricin protects cartilage surfaces and inhibits synovial cell overgrowth. J. Clin. Invest.
115, 622–631 (2005).
19. Ruan, M. Z. et al. Proteoglycan 4 expression protects against the
development of osteoarthritis. Sci. Transl. Med. 5, 176ra134 (2013).
20. Zhang, C. H. et al. Creb5 establishes the competence for Prg4
expression in articular cartilage. Commun. Biol. 4, 332 (2021).
21. Flannery, C. R. et al. Articular cartilage superficial zone protein (SZP)
is homologous to megakaryocyte stimulating factor precursor and
Is a multifunctional proteoglycan with potential growth-promoting,
cytoprotective, and lubricating properties in cartilage metabolism.
Biochem. Biophys. Res. Commun. 254, 535–541 (1999).
22. Ogawa, H., Kozhemyakina, E., Hung, H. H., Grodzinsky, A. J. & Lassar, A. B. Mechanical motion promotes expression of Prg4 in
articular cartilage via multiple CREB-dependent, fluid flow shear
stress-induced signaling pathways. Genes Dev. 28, 127–139 (2014).
23. Altarejos, J. Y. & Montminy, M. CREB and the CRTC co-activators:
sensors for hormonal and metabolic signals. Nat. Rev. Mol. Cell Biol.
12, 141–151 (2011).
24. Yahara, Y. et al. Pterosin B prevents chondrocyte hypertrophy and
osteoarthritis in mice by inhibiting Sik3. Nat. Commun. 7,
10959 (2016).
25. Sasagawa, S. et al. SIK3 is essential for chondrocyte hypertrophy
during skeletal development in mice. Development 139,
1153–1163 (2012).
26. Csukasi, F. et al. The PTH/PTHrP-SIK3 pathway affects skeletogenesis through altered mTOR signaling. Sci. Transl. Med. https://doi.
org/10.1126/scitranslmed.aat9356 (2018).
27. Chesterman, P. J. & Smith, A. U. Homotransplantation of articular
cartilage and isolated chondrocytes. An experimental study in
rabbits. J. Bone Jt. Surg. Br. 50, 184–197 (1968).
28. Ao, Y. et al. The use of particulated juvenile allograft cartilage for
the repair of porcine articular cartilage defects. Am. J. Sports Med.
47, 2308–2315 (2019).
29. Caplan, A. I. Adult mesenchymal stem cells: when, where, and how.
Stem Cells Int. 2015, 628767 (2015).
30. Caplan, A. I. M. S. Cs The sentinel and safe-guards of injury. J. Cell.
Physiol. 231, 1413–1416 (2016).
31. Ansboro, S., Roelofs, A. J. & De Bari, C. Mesenchymal stem cells for
the management of rheumatoid arthritis: immune modulation,
repair or both? Curr. Opin. Rheumatol. 29, 201–207 (2017).
32. Petrigliano, F. A. et al. Long-term repair of porcine articular cartilage
using cryopreservable, clinically compatible human embryonic
stem cell-derived chondrocytes. NPJ Regen. Med. 6, 77 (2021).
33. Kimura, T. et al. Proposal of patient-specific growth plate cartilage
xenograft model for FGFR3 chondrodysplasia. Osteoarthr. Cartil.
26, 1551–1561 (2018).
34. Tognana, E. et al. Adjacent tissues (cartilage, bone) affect the
functional integration of engineered calf cartilage in vitro.
Osteoarthr. Cartil. 13, 129–138 (2005).
35. Lee, M. C., Sung, K. L., Kurtis, M. S., Akeson, W. H. & Sah, R. L.
Adhesive force of chondrocytes to cartilage. Effects of chondroitinase ABC. Clin. Orthop. Relat. Res. https://doi.org/10.1097/
00003086-200001000-00029 (2000).
Nature Communications | (2023)14:804
https://doi.org/10.1038/s41467-023-36408-0
36. Chen, X. et al. Integration capacity of human induced pluripotent stem cell-derived cartilage. Tissue Eng. Part A 25,
437–445 (2019).
37. Shiina, T. et al. Discovery of novel MHC-class I alleles and haplotypes in Filipino cynomolgus macaques (Macaca fascicularis) by
pyrosequencing and Sanger sequencing: Mafa-class I polymorphism. Immunogenetics 67, 563–578 (2015).
38. Yamashita, A., Takada, T., Yamamoto, G. & Torii, R. Stable maintenance of monkey embryonic stem cells in the absence of bFGF.
Transpl. Proc. 38, 1614–1615 (2006).
39. Morizane, A. et al. MHC matching improves engraftment of iPSCderived neurons in non-human primates. Nat. Commun. 8,
385 (2017).
40. Wang, Y. et al. Endogenous regeneration of critical-size chondral
defects in immunocompromised rat xiphoid cartilage using decellularized human bone matrix scaffolds. Tissue Eng. Part A 18,
2332–2342 (2012).
41. Wakitani, S. et al. Mesenchymal cell-based repair of large, fullthickness defects of articular cartilage. J. Bone Jt. Surg. Am. 76,
579–592 (1994).
42. Sugimoto, M. et al. Universal surface biotinylation: a simple, versatile and cost-effective sample multiplexing method for single-cell
RNA-seq analysis. DNA Res. https://doi.org/10.1093/dnares/
dsac017 (2022).
43. Shichino, S. et al. TAS-Seq is a robust and sensitive amplification
method for bead-based scRNA-seq. Commun. Biol. 5, 602 (2022).
44. Yates, A. D. et al. Ensembl 2020. Nucleic Acids Res. 48,
D682–D688 (2020).
45. Lun, A. T. L. et al. EmptyDrops: distinguishing cells from empty
droplets in droplet-based single-cell RNA sequencing data. Genome Biol. 20, 63 (2019).
46. Finak, G., Manuel. -Perez, J. & Gottardo, R. flowTrans: parameter
optimization for flow cytometry data transformation. R package
version 1.36.0. (2019).
47. Scrucca, L., Fop, M., Murphy, T. B. & Raftery, A. E. mclust 5: clustering, classification and density estimation using Gaussian finite
mixture models. R. J. 8, 289–317 (2016).
48. Hao, Y. et al. Integrated analysis of multimodal single-cell data. Cell
184, 3573–3587.e3529 (2021).
49. The Tabula Muris Consortium, Single-cell transcriptomics of 20
mouse organs creates a Tabula Muris. Nature 562, 367–372 (2018).
50. Kamatani, T. et al. Human iPS cell-derived cartilaginous tissue
spatially and functionally replaces nucleus pulposus. Biomaterials
284, 121491 (2022).
51. Kim, D., Paggi, J. M., Park, C., Bennett, C. & Salzberg, S. L. Graphbased genome alignment and genotyping with HISAT2 and HISATgenotype. Nat. Biotechnol. 37, 907–915 (2019).
52. Liao, Y., Smyth, G. K. & Shi, W. featureCounts: an efficient general
purpose program for assigning sequence reads to genomic features. Bioinformatics 30, 923–930 (2014).
53. La Manno, G. et al. RNA velocity of single cells. Nature 560,
494–498 (2018).
54. Bergen, V., Lange, M., Peidli, S., Wolf, F. A. & Theis, F. J. Generalizing
RNA velocity to transient cell states through dynamical modeling.
Nat. Biotechnol. 38, 1408–1414 (2020).
55. Wolf, F. A. et al. PAGA: graph abstraction reconciles clustering with
trajectory inference through a topology preserving map of single
cells. Genome Biol. 20, 59 (2019).
56. Iwai, T., Murai, J., Yoshikawa, H. & Tsumaki, N. Smad7 inhibits
chondrocyte differentiation at multiple steps during endochondral
bone formation and down-regulates p38 MAPK pathways. J. Biol.
Chem. 283, 27154–27164 (2008).
57. Gosset, M., Berenbaum, F., Thirion, S. & Jacques, C. Primary culture
and phenotyping of murine chondrocytes. Nat. Protoc. 3,
1253–1260 (2008).
15
Article
https://doi.org/10.1038/s41467-023-36408-0
Acknowledgements
Additional information
We thank Chieko Matsuda, Masumi Sanada, Hiroki Hagizawa, and Yuya
Nishijima for their assistance and helpful discussion. We thank the iPS
Cell Research Fund for its research support. This study was supported by
JSPS KAKENHI Grant No. 18H02923 (to N.T.) and WPI Premium Research
Institute for Human Metaverse Medicine (PRIMe) (to N.T.) from the Japan
Society for the Promotion of Science. This study was also supported by
the Center for Clinical Application Research on Specific Disease/
Organ (type B) Grant No. 21bm0304004h0009 (to N.T.); Research
Project for Practical Applications of Regenerative Medicine Grant No.
21bk0104079h0003 (to N.T.); Practical Research Project for Rare/
Intractable Diseases (step 1) Grant No. 21ek0109452h0002 (to N.T.);
Core Center for iPS Cell Research Grant No. 20bm0104001h0008 (to
N.T.); and the Acceleration Program for Intractable Diseases Research
utilizing disease-specific iPS cells Grant No. 20bm0804006h0004
(to N.T.) from the Japan Agency for Medical Research and Development (AMED).
Supplementary information The online version contains
supplementary material available at
https://doi.org/10.1038/s41467-023-36408-0.
Author contributions
K.A., S.M., and N.T. designed experiments. K.O. prepared cyiPSCs. A.Y.
created the cyiPS-cart. K.A. transplanted cyiPS-Carts into monkeys. K.A.
performed CT and histological analyses. K.A., M.M., S.K., and N.T. performed scRNA-seq analysis. N.H. and Y.T. performed experiments
regarding Sik3. K.A. and N.T. wrote the manuscript.
Competing interests
N.T. is an inventor and Kyoto University is a holder of the patent on
“An efficient chondrocyte induction method” (PCT/JP2014/079117).
This patent is licensed to Asahi KASEI corporation. Y.T. is an
employee of Asahi KASEI. The remaining authors declare no
competing interests.
Nature Communications | (2023)14:804
Correspondence and requests for materials should be addressed to
Noriyuki Tsumaki.
Peer review information Nature Communications thanks Denis
Evseenko and the other, anonymous, reviewer(s) for their contribution to
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