Osteochondral allograft transplantation is a well-accepted treatment for articular cartilage damage. However, chondrocyte
viability declines during graft storage, which may compromise graft performance. We first tested the hypothesis that the composition
of commonly used storage media affects the viability of articular chondrocytes over time; we then tested the hypothesis that
the addition of insulin growth factor-1 or the apoptosis inhibitor ZVAD-fmk could enhance the storage properties of serum-free
media. Bovine osteochondral grafts were stored at 4°C in lactated Ringer’s, Dulbecco’s modified eagle’s media (DMEM), DMEM
supplemented with either insulin growth factor-1 or ZVAD-fmk, and a commercial storage media. Chondrocyte viability in lactated
Ringer’s declined rapidly to 20.4% at 2 weeks. Viability in DMEM declined more slowly to 54.8% at 2 weeks and 31.2% at 3 weeks.
Viability in commercial storage media was 83.6% at 3 weeks and 44.8% at 4 weeks. Viability was increased in DMEM + insulin
growth factor-1 (56.4%) and DMEM + ZVAD (52.4%) at 3 weeks compared with DMEM alone. These results confirm the hypotheses
that media composition greatly influences chondrocyte viability during cold storage and that insulin growth factor-1 and ZVAD
improve the storage properties of DMEM.
One or more of the authors (HTK) have received funding from the Musculoskeletal Transplant Foundation.