No abstract

Many hydrogels have been proposed as articular cartilage replacements as an alternative to partial or total joint replacements. In the current study, poly(vinyl alcohol)/poly(vinyl pyrrolidone) (PVA/PVP) hydrogels were investigated as potential cartilage replacements by investigating their in vitro wear and friction characteristics in a pin-on-disk setup. A three-factor variable-level experiment was designed to study the wear and friction characteristics of PVA/PVP hydrogels. The three different factors studied were (a) polymer content of PVA/PVP hydrogels, (b) load, and (c) effect of lubricant. Twelve tests were conducted, with each lasting 100,000 cycles against Co-Cr pins. The average coefficient of friction for synovial fluid lubrication was a low 0.035 compared with 0.1 for bovine serum lubrication. Frictional behavior of PVA/PVP hydrogels did not follow Amonton's law of friction. Wear of the hydrogels was quantified by measuring their dry masses before and after the tests. Higher polymer content significantly reduced the wear of hydrogel samples with 15% PVA/PVP samples, showing an average dry polymer loss of 4.74% compared with 6.05% for 10% PVA/PVP samples. A trend change was observed in both the friction and wear characteristics of PVA/PVP hydrogels at 125 N load, suggesting a transition in the lubricating mechanism at the pin-hydrogel interface at the critical 125 N load.

The self-assembly of peptides is explored as an alternative route towards the development of new injectable joint lubricants for osteoarthritis (OA). The versatility of the peptide chemistry allows the incorporation of behavior reminiscent of hyaluronic acid (HA), while the triggered in situ self-assembly provides easy delivery of the samples by injection due to the low viscosity of the peptide solutions (that are initially monomeric). Using design criteria based on the chemical properties of HA, a range of de novo peptides were prepared with systematic alterations of charge and hydrophilicity that self-assembled into nematic fluids and gels in physiological solution conditions. The frictional characteristics of the peptides were evaluated using cartilage on cartilage sliding contacts along with their rheological characteristics. Peptide P(11)-9, whose molecular, mesoscopic, and rheological properties most closely resembled HA was found to be the most effective lubricant amongst the peptides. In healthy static and dynamic friction testing (corresponding to healthy joints) P(11)-9 at 20-40 mg/mL performed similar to HA at 10 mg/mL. In friction tests with damaged cartilage (corresponding to early stage OA) P(11)-9 was a less efficient lubricant than HA, but still the best among all the peptides tested. The results indicate that de novo self-assembling peptides could be developed as an alternate therapeutic lubricant for early stage OA.

An increase in contact stress from 0.5 MPa to 3.15 MPa resulted in an increase in the COF and wear of native cartilage samples, due to cartilage tissue's inability to rehydrate itself completely and maintain a high fluid load support at the 4 mm stroke length under high contact stress levels. There was no effect of increasing contact stress levels on the COF and wear of GAG deficient cartilage samples due to the very high deformations observed in these samples and the smoothening of their surfaces under the higher loads, leading to the development of conforming surfaces during articulation.

Glycosaminoglycans (GAGs) have been shown to be responsible for the interstitial fluid pressurization of articular cartilage and hence its compressive stiffness and load-bearing properties. Contradictory evidence has been presented in the literature on the effect of depleting GAGs on the friction properties of articular cartilage. The aim of this study was to investigate the effect of depleting GAGs on the friction and deformation characteristics of articular cartilage under different tribological conditions. A pin-on-plate machine was utilized to measure the coefficient of friction of native and chondroitinase ABC (CaseABC)-treated articular cartilage under two different models: static (4 mm/s start-up velocity) and dynamic (4 mm/s sliding velocity; 4 mm stroke length) under a load of 25 N (0.4 MPa contact stress) and with phosphate-buffered saline as the lubricant. Indentation tests were carried out at 1 N and 2 N loads (0.14 MPa and 0.28 MPa contact stress levels) to study the deformation characteristics of both native and GAG-depleted cartilage samples. CaseABC treatment rendered the cartilage tissue soft owing to the loss of compressive stiffness and a sulphated-sugar assay confirmed the loss of GAGs from the cartilage samples. CaseABC treatment significantly increased (by more than 50 per cent) the friction levels in the dynamic model (p < 0.05) at higher loading times owing to the loss of biphasic lubrication. CaseABC treatment had no effect on friction in the static model in which the cartilage surfaces did not have an opportunity to recover fluid because of static loading unlike the cartilage tissue in the dynamic model, in which translation of the cartilage surfaces was involved, ensuring effective biphasic lubrication. Therefore the depletion of GAGs had a smaller effect on the coefficient of friction for the static model. Indentation tests showed that GAG-depleted cartilage samples had a lower elastic modulus and higher permeability than native tissue. These results corroborate the role of GAGs in the compressive and friction properties of articular cartilage and emphasize the need for developing strategies to control GAG loss from diseased articular cartilage tissue.