Elaine R Durham1, Eileen Ingham, Stephen J Russell. 1. Nonwovens Research Group, Centre for Technical Textiles, School of Design, University of Leeds, Leeds, UK. E.R.Durham@leeds.ac.uk
Abstract
An important requirement in thick, high-porosity scaffolds is to maximise cellular penetration into the interior and avoid necrosis during culture in vitro. Hitherto, reproducible control of the pore structure in nonwoven scaffolds has proved challenging. A new, channelled scaffold manufacturing process is reported based on water jet entanglement of fibres (hydroentangling) around filamentous template to form a coherent scaffold that is subsequently removed. Longitudinally-oriented channels were introduced within the scaffold in controlled proximity using 220 µm diameter cylindrical templates. In this case study, channelled scaffolds composed of poly(l-lactic acid) were manufactured and evaluated in vitro. Environmental scanning electron microscope and µCT (X-ray microtomography) confirmed channel openings in the scaffold cross-section before and after cell culture with human dermal fibroblasts up to 14 weeks. Histology at week 11 indicated that the channels promoted cell penetration and distribution within the scaffold interior. At week 14, cellular matrix deposition was evident in the internal channel walls and the entrances remained unoccluded by cellular matrix suggesting that diffusion conduits for mass transfer of nutrient to the scaffold interior could be maintained.
An important requirement in thick, high-porosity scaffolds is to maximise cellular penetration into the interior and avoid necrosis during culture in vitro. Hitherto, reproducible control of the pore structure in nonwoven scaffolds has proved challenging. A new, channelled scaffold manufacturing process is reported based on water jet entanglement of fibres (hydroentangling) around filamentous template to form a coherent scaffold that is subsequently removed. Longitudinally-oriented channels were introduced within the scaffold in controlled proximity using 220 µm diameter cylindrical templates. In this case study, channelled scaffolds composed of poly(l-lactic acid) were manufactured and evaluated in vitro. Environmental scanning electron microscope and µCT (X-ray microtomography) confirmed channel openings in the scaffold cross-section before and after cell culture with human dermal fibroblasts up to 14 weeks. Histology at week 11 indicated that the channels promoted cell penetration and distribution within the scaffold interior. At week 14, cellular matrix deposition was evident in the internal channel walls and the entrances remained unoccluded by cellular matrix suggesting that diffusion conduits for mass transfer of nutrient to the scaffold interior could be maintained.
Scaffolds for neo-tissue repair are required to support cell growth in three dimensions and
should be highly porous with sufficient surface area for cell attachment and to allow
continuous nutrient diffusion throughout.[1] The materials used to create the scaffold
must be both biocompatible and degradable and until the neo-tissue becomes load bearing, the
porosity should not compromise the mechanical performance.[2] A significant challenge in the repair of
relatively thick, three-dimensional tissues is the extent to which depth-wise migration and
colonisation of cells in the interior of a scaffold can be obtained. In soft tissue
regeneration, formation of extracellular matrix (ECM) on the exterior of the scaffold can
gradually reduce access of nutrient and oxygen to the interior of the scaffold, ultimately
resulting in cell death and a necrotic core.[3,4] Practically, this limits the thickness of tissue that can be
regenerated.[5]One approach that has been explored to increase cell infiltration and nutrient access to
the interior has been the introduction of channels within the scaffold structure.[6-8] Techniques have been developed for introducing channels in sponge, foam
and hydrogel,[9-11] but not in nonwoven scaffolds. The
introduction of channels also aims to overcome limitations in the pore structure of certain
scaffold types. Porogen-fused scaffolds typically have limited pore interconnectivity, which
affects nutrient diffusion.[12,13]
Similarly, in hydrogels, the density required to form a mechanically stable construct can
negatively influence nutrient diffusion.[14,15] The introduction of tubular channels has
been reported in hydroxyapatite scaffolds for tissue engineering of bone[9] as well as to improve cell
distribution in porous poly(l-lactic acid) (PLA) scaffolds produced using solid–liquid phase
separation techniques.[16]Nonwoven scaffolds are assembled from fibres into complex three-dimensional architectures
composed largely of through-pores rather than blind or closed pores that are present in
other types of porous scaffold (Figure
1). Previous workers have attempted to influence the porosity in electrospun
scaffolds,[17-19] however, these approaches can adversely
affect mechanical strength.[20] Based on a recently developed water-jet templating technique,[14] it has been found that the
internal pore structure and the intrinsic permeability of nonwoven scaffolds can be
manipulated by the introduction of multiple tube-like channels within the cross-section. At
the same time, surrounding fibres are intensively entangled with each other such that the
structure is stable. In simplest form, the channels are periodically spaced tubular voids
oriented in parallel. The aim of the present work was to investigate the formation of a new
type of nonwoven scaffold wherein a water-jet templating approach[14] was employed to introduce discrete
microtubular channels within the porous structure and to study cell penetration in to the
interior.
Figure
1.
Different pore configurations.
Different pore configurations.
Materials and methods
Scaffold design and production technique
The continuous water jet templating technique[14] involves exposing pre-formed fibre webs
to successive rows of constricted high-velocity water jets to simultaneously entwine
(bond) and displace fibre segments around an embedded template comprised of closely spaced
metal rods or tubes. The cross-sectional shape and dimensions of the template directly
influence the geometry of the resulting micro-tubular channels. Following
hydroentanglement, the template is physically removed as the fabric slides off the surface
leaving continuous channels in the fabric where the templates had once been. In this
study, the technique was scaled down and refined to enable the discontinuous production of
small scaffold samples (30 mm × 30 mm) containing microtubular channels as small as
∼200 µm within the cross-section.To form the templates, high tenacity polyamide 6 (nylon 6) filament with a diameter of
220 µm was affixed around a thin metal frame and pre-tensioned at a force below the
polymer yield point. Adhesive cardboard frames with an internal pre-cut window were then
placed on both sides of the metal frame at the filament fixing points. After trimming the
filament ends, the metal frame was discarded and the multiple pre-tensioned segments of
filament extending across the cardboard frames were secured by adhesive. The frame was
then sandwiched between two layers of carded, cross-lapped and pre-needled fabric each of
60 g m−2 composed of PLA fibres of 12 µm mean diameter and 38 mm mean fibre
length.To form the scaffold, the combined fibre-template construct was placed on a suctioned
water-permeable woven conveyor and exposed to successive hydroentangling injectors (STL
Hydrolace system, Leeds) fitted with 120 µm cone capillary nozzles, with a pitch of 90 µm
operating at 7 MPa water pressure and a total specific energy of 3 MJ/kg. Residual water
was continuously removed by vacuum. Finally, the scaffolds were dried in a convection
oven. In addition to the 220 µm templated scaffolds (n = 10), control
samples (n = 10) were produced using identical hydroentangling conditions
but with no channels (Figure 2) in
addition to a control with no cells and no channels.
Figure 2.
Schematic showing the basic
principles of microtubular channel formation in hydroentangled fabrics. A
pre-assembled template consisting of closely spaced rigid and incompressible rods
(left) is sandwiched between two fibrous webs. The fibres in each layer are
simultaneously entangled and deformed around the template rods by incident,
high-velocity water jets. Fibres in each web layer become mechanically
interconnected by entanglement producing a coherent, porous scaffold structure
(p > 0.9). Subsequent removal of the template reveals
microtubular channels that conform in shape and dimensions to the cross-section of
the template rod elements.
Schematic showing the basic
principles of microtubular channel formation in hydroentangled fabrics. A
pre-assembled template consisting of closely spaced rigid and incompressible rods
(left) is sandwiched between two fibrous webs. The fibres in each layer are
simultaneously entangled and deformed around the template rods by incident,
high-velocity water jets. Fibres in each web layer become mechanically
interconnected by entanglement producing a coherent, porous scaffold structure
(p > 0.9). Subsequent removal of the template reveals
microtubular channels that conform in shape and dimensions to the cross-section of
the template rod elements.The channelled and non-channelled scaffolds were produced with areas of 30 mm × 30 mm and
a mean thickness of 2.5 mm. Each scaffold was then cut in half perpendicular to the
channels to give a scaffold area of 30 mm × 15 mm. This was carried out prior to the
removal of the template to ensure the channel entrances were not disturbed.
Cell culture
Primary human dermal fibroblasts, passage 8 (Cascade), were maintained in monolayer
culture, in a humidified atmosphere at 37℃, 5% (v/v) CO2 in air in Dulbecco’s
modified Eagle medium (DMEM) supplemented with 10% (v/v) fetal calf serum (FCS), 100 U/mL
of penicillin, 100 mg/mL of streptomycin and 2 mM L-glutamine (all Invitrogen). Passaging
and preparation of single-cell suspensions for scaffold seeding was achieved by enzymatic
digestion using trypsin-EDTA solution (Invitrogen Ltd, UK). Cell counts were assessed
using Trypan blue dye (Sigma Aldrich) exclusion and a haemocytometer; live cell numbers
were used to determine the final cell density for scaffold seeding.
Scaffold seeding and subsequent culture
To encourage cell attachment to the PLA fibres, scaffolds were soaked in foetal bovine
serum (FBS); (Biosera, UK) for 24 h prior to cell seeding. Scaffolds were transferred to
sterilised filter paper to remove excess serum (Whatman 40 from Sigma Aldrich) for 15 s
prior to cell seeding. The scaffolds were then transferred to individual tissue culture
flasks (Nunc branded 25 cm[2] flasks from Thermo Fisher Scientific Ltd). Primary human dermal
fibroblasts (HDF, passage 8) suspended in supplemented DMEM were seeded at a density of
1.0 × 106 cells per scaffold into both sides of the scaffolds. To aid cell
attachment, the cell suspension was seeded onto the scaffolds 60 min prior to adding
supplemented DMEM (6 mL) to ensure that the scaffolds were completely bathed in culture
medium. The cell-seeded constructs were cultured at 37℃ in 5% CO2 (v/v) in air.
The supplemented medium was changed every 2 days throughout the culture period. Scaffolds
were statically cultured in vitro for an extended period of up to 14
weeks to assess the long-term stability of the channels and to determine if the channels
would remain open and accessible.
Histological analysis
Histological examination was performed on each scaffold (four specimens examined per
scaffold), in order to analyse the general histoarchitecture and the cell density and
distribution in relation to the channels. The cell-seeded scaffolds were harvested after
11 weeks of culture and fixed in 10% (v/v) neutral buffered formalin (NBF) (Bios Europe
Ltd). Post-fixation, samples were dehydrated and embedded in paraffin wax (Bios Europe
Ltd). Samples were sectioned to produce sections of 9 µm thickness and transferred to
gelatine-coated slides.[21] Histological sections were stained with haematoxylin and eosin
(H&E) (Bios Europe Ltd). The stained sections were examined under light microscopy and
digital images captured (Olympus BX51, Olympus, UK).
Scanning electron microscope analysis after 14 weeks static cell culture
Statically cultured constructs were harvested for image analysis at week 14 (four
specimens per sample). Constructs were removed from culture flasks and gently rinsed using
phosphate buffered saline (PBS) (Invitrogen Ltd, UK) to remove any non-adherent cells
before being fixed using 2.5% (v/v) gluteraldehyde (Sigma Aldrich) in PBS for 2 h and
washed twice, using PBS. Samples were dehydrated using an ascending acetone series: 20%,
40%, 60%, 80%, 100% (v/v), and the samples remained in each grade for 1 h. Constructs were
critical point dried using a Polaron E3000 critical point drying apparatus using liquid
carbon dioxide as the transition fluid. Each sample was mounted onto a 13-mm diameter pin
stub and gold sputter coated (Emscope SC500) before examination. Scanning electron
microscope (SEM) samples were imaged at various magnifications between × 25 and × 750.
Microscopic analysis was conducted on each of the cultured scaffold types using a Phillips
XL30 environmental scanning electron microscope (ESEM) operating in SEM mode.
X-ray microtomography
At week 14, analysis was performed using micro-focused X-ray microtomography (XMT;
phoenix X-ray nanotom) to non-destructively examine tissue location and distribution in
the scaffold. A well-controlled cone-beam was directed into the sample standing between
the X-ray source and a detector. The scan was performed at a resolution of 2 µm per voxel.
During the scan, the sample was rotated for 360° at an angle rate of 0.25°/step, and 1440
projection images were recorded. The voltage, current and irradiation time used were
optimised for the best contrast among the sample components, with values of 80 kV, 100 µA
and 1000 milliseconds, respectively. The projection images obtained were computationally
reconstructed (phoenix X-ray nanotom) to produce a three-dimensional spatial image.
Results
Scaffold manufacture
Scaffolds containing internal channels were successfully produced by the new production
technique. A cross-section of a scaffold produced by the new method, with the filament
templates still in place, is shown in Figure 3. The successful interconnection of the two fibrous PLA fibre layers and
the shaping of the channels around the filament templates was confirmed by SEM analysis
(Figure 4(a)). In this image,
the template spacing was of the order of 1000 µm. Following their removal from the
scaffold, the channels remained open at their extremities (Figure 4(b)), providing a highly accessible, low
tortuosity pathway for cell penetration during seeding and for the diffusion of culture
medium. Although some fibres were migrated around the perimeter of the channel, clearly
demarcating its boundary, this was not the case for all fibres (Figure 4(c) and (d)).
Figure 3.
Cross section of a microtubular
channelled fabric immediately prior to removal of the template; filament
diameter = 200 µm. Fibres are entangled around and between the
filaments.
Figure
4.
Microstructure of the channelled scaffold. (A) Scaffold
cross-section showing two rods in situ. (B) Channel entrance after removal of
template. (C) Interior of the scaffold (channel position circled). (D) Curved fibre
segments around the periphery of a channel.
Cross section of a microtubular
channelled fabric immediately prior to removal of the template; filament
diameter = 200 µm. Fibres are entangled around and between the
filaments.Microstructure of the channelled scaffold. (A) Scaffold
cross-section showing two rods in situ. (B) Channel entrance after removal of
template. (C) Interior of the scaffold (channel position circled). (D) Curved fibre
segments around the periphery of a channel.Histological examination was performed on scaffold quarters, in order to analyse the
general histoarchitecture, and the cellular distribution in relation to the channels. The
analysis showed that there was a greater density of cells in the centre of the channelled
scaffolds than in the centre of the non-channelled scaffolds after 11 weeks. No biological
changes were observed in the no cell control at week 11. It is likely that the greater
density of cells in the centre of the channelled scaffold compared to the nonchannelled
scaffold was due to an increased supply of nutrients and oxygen. However, additional
studies of cell behaviour in the scaffolds (over a shorter time period and not reported
here) suggested that the channels may also aid the initial migration of cells into the
centre of the scaffold. As the cells had not migrated away from the centre of the scaffold
(in the 14-week period), it could be suggested that the greater density of cells in the
centre of the channelled scaffold was as a result of the combination of both factors.
Stability of channels after 14 weeks static cell culture
Even after an extended period of cell culture (14 weeks), the channel entrances remained
open and were not occluded with ECM. The channels were easily identifiable in sections of
the scaffold and were characterised by the presence of curved fibre segments around their
periphery (Figure 5). Both the
channelled and nonchannelled scaffolds appeared to have good long-term stability although
compression testing was outside the remit of this study. The fibres, which would have been
in the channel areas, had simply been displaced to the area immediately surrounding the
channels (thereby reinforcing the channel wall area). By contrast, the pores in the
surrounding scaffold surface were extensively in-filled with ECM (Figure 5). The interior of a channel in the core of
the scaffold, showing clear evidence of cell/matrix deposition within its walls after 14
weeks, is shown in Figure 5(d). No
biological changes were observed on the no cell control scaffolds. The PLA fibres used in
this study were of a textile grade, and as part of another study (not reported here), the
scaffolds were shown not to degrade in a 14-week time period under comparable culture
conditions.
Figure
5.
Sections of channelled and non-channelled scaffolds stained
with hematoxylin and eosin (H&E) at week 11 (static culture). A higher density
of cells at the centre of the channelled scaffold is visible (compare Image D with
Image H), all images × 100 mag.
Sections of channelled and non-channelled scaffolds stained
with hematoxylin and eosin (H&E) at week 11 (static culture). A higher density
of cells at the centre of the channelled scaffold is visible (compare Image D with
Image H), all images × 100 mag.
XMT imaging of the scaffolds after 14 weeks static cell culture
The XMT studies permitted the scaffold to be probed in three dimensions to locate the
channels and in two dimensions to assess cell and matrix deposition without disturbing the
structure. Identification of the fibre and ECM components relied on differences in the
linear attenuation coefficients, which is based on the relative density of the materials.
In Figure 6, the ECM sheet
structure is shown as red and the fibres in white. Whilst matrix was concentrated in the
scaffold exterior (Figure 6(c)),
small areas of matrix were also present in the scaffold interior in all of the 2D sections
(Figure 6(a)and (b)) and between channels in the
cross-section (Figure 6(d)). Using
XMT, we were not able to be more specific about the components of the matrix, however,
antibody labelling (not reported here) was shown to be positive for the specific matrix
markers of collagen I, collagen IV and fibronectin.
Figure 6.
Scanning electron microscope (SEM)
images of 200 µm channelled scaffolds after 14 weeks of cell culture. (A) Macro-view
showing channel entrances running vertically through the centre of the
image × 25 mag; (B) Channel entrance × 97 mag; (C) Internal view, × 25 mag; (D)
Internal view of the scaffold showing cell/matrix deposition around the interior
walls of the channel, × 750 mag.
Scanning electron microscope (SEM)
images of 200 µm channelled scaffolds after 14 weeks of cell culture. (A) Macro-view
showing channel entrances running vertically through the centre of the
image × 25 mag; (B) Channel entrance × 97 mag; (C) Internal view, × 25 mag; (D)
Internal view of the scaffold showing cell/matrix deposition around the interior
walls of the channel, × 750 mag.
Discussion
One of the limitations of conventional nonwoven scaffold fabrication has been the problem
of precisely controlling pore size and constructing well-defined internal channels with the
scaffold.[22]
Previously, channelling of porous scaffolds to improve cell penetration, nutrient and gas
exchange has been mainly confined to nonfibrous scaffold assemblies using techniques such as
sponge, foam and hydrogel scaffolds.[9-11] Although well-defined channels or grooves
have been introduced into a range of assemblies, at a scale appropriate for tissue
engineering,[23] the
tortuous nature of the pores[24] (or lack of pores) in the area surrounding the channel can limit their
functional performance as a scaffold. Nonwoven materials are largely composed of
interconnecting pores,[25] which would be expected to enhance the communication between the channel
walls and the surrounding porous structure. Some of the existing approaches for introducing
channels involves the utilisation of a sacrificial component that is removed by chemical
dissolution[15] or
thermal degradation[26]
after the bulk scaffold structure has been stabilised. A challenge with such methods is to
eliminate potentially cytotoxic residues without modifying the structure of the as-formed
scaffold.The technique described herein utilised a solid template and involved scaling-down an
industrial hydroentangling process to facilitate the continuous or semi-continuous
manufacture of fibrous scaffolds comprised of resorbable fibres, in this example: PLA. The
feasibility of creating well-defined microtubular channels within a nonwoven scaffold
cross-section using this approach has been successfully demonstrated. The incident water
jets consolidate the fibrous structure and migrate fibre segments within the web structure
around the fixed templates (Figure
3) whilst entwining and knotting of proximal fibres to produce a coherent structure
(Figure 4) Fibre entanglement is
influenced by vortices in the fluid bed surrounding the fibres, which gives rise to fibre
bending, rotation and displacement. The flexural and torsional rigidities of fibres will
therefore influence the degree of entanglement and fabric strength that can be generated for
a specific energy input. In terms of engineering fibre properties to ensure compatibility
with this process, the diameter, density, tensile modulus and shape factor of the fibres
will directly influence their flexibility.[27]The viability of cells is dependent on their proximity to the nutrient and oxygen supply
and the maximum communication distance is a function of cell type. For example, chrondocytes
have a relatively low oxygen requirement and as a result, cartilage is one of the few soft
tissues to have been grown in vitro to thick cross-sections of more than
1 mm without the use of channels, microfluidics or complex scaffold constructs.[28] Dermal fibroblasts grown
in dense, three-dimensional collagen scaffolds containing fluidic channels showed
significantly elevated cell viability compared to scaffolds without any channels.[29] In the present work with
primary human dermal fibroblasts, the conditions for cell penetration and cell viability
were particularly challenging because of the thickness of the scaffolds (2.5 mm) and the
length of the culture period (up to 14 weeks), which resulted in extensive occlusion of the
exterior pore openings by ECM. Although cells were concentrated on the scaffold’s exterior
surface’s at weeks 11 and 14, there was a greater through-thickness distribution of cells
within the channelled scaffold suggesting that conditions for nutrient and gas exchange had
been improved. A higher density of cells was observed in the interior of channelled scaffold
than the scaffold with no channels at week 11 (Figure 7(d) and (h)). Cells were also located within
the interior walls of the channels after week 14 supporting the hypothesis that when filled
with medium the channels provided effective pathways for molecular diffusion (Figure 5(d)). Natural tissue is not a
homogeneous structure as it has areas of dense matrix and areas of less-dense matrix. This
would suggest that it is not necessary to have a homogenous scaffold. In addition to the
channelled areas, there were still large parts of the scaffold where the cells were fully
supported by the fibrous pore structure and could lay down matrix.
Figure 7.
X-ray
microtomography (XMT) images of 200 µm channelled scaffolds after 14 weeks of cell
culture. (A) and (B) 2D views in the interior of the scaffold; (C) 3D view; (D) Cross
section showing the channels. The fibres are white and the red sheet structures are
biological matrix.
X-ray
microtomography (XMT) images of 200 µm channelled scaffolds after 14 weeks of cell
culture. (A) and (B) 2D views in the interior of the scaffold; (C) 3D view; (D) Cross
section showing the channels. The fibres are white and the red sheet structures are
biological matrix.The relatively large diameter of the channel entrances (∼220 µm) prevented the cellular
bridging and infiltration that was evident over large areas of the surrounding scaffold
structure. Thus, it may be expected that if the channel diameter were reduced to a critical
value that approximated to the pore dimensions of the fibrous nonwoven scaffold, the channel
entrances would rapidly become occluded and therefore unavailable as a means to improve
transport to the scaffold interior.In addition to channel entrance dimensions, channel shape is thought to be important. A
numerical analysis by Ahn et al.[30] showed that a channel with a uniform diameter, (cylinder shaped) and a
channel with a diameter gradient, (cone shaped) produced different oxygen concentrations. In
their study, cell culture experiments revealed that cell proliferation and viability were
superior in the constructs and scaffolds containing cone-shaped channels.A further consideration is the proximity of channels and its effect on cell penetration and
viability.[31] Few
cells tolerate distances of greater than 200 µm from a blood vessel[32] and in the present
scaffolds, the interval spacing between the channels was ∼1000 µm, which is above this
critical maximum distance. Despite this, because the channel entrances remained open and
unoccluded (Figure 5), access to
nutrient and oxygen may have still been available during in vitro cell
culture despite extensive occlusion by ECM of the pore openings in the scaffold exterior. In
the present scaffold production technique, the channel spacings may be readily adjusted by
varying the placement of the filaments in the template and this will be necessary to improve
scaffold functionality. In preliminary studies (unpublished), the smallest spacing between
adjacent channels that could be obtained whilst still maintaining a strong interconnection
between the fibres of the upper and lower webs was ∼250 µm. Further reductions in the
channel spacing may be possible by reducing the nozzle dimensions and pitch of the water
jets as well as by reducing the mean fibre diameter in the original webs.
Conclusions
A new template-hydroentangling technique has been presented for the assembly of nonwoven
scaffolds containing channels that have a fully interconnected pore structure. The process
does not involve cytotoxic solvents or adhesives. In this case study, three-dimensional
scaffolds comprised of PLA were produced containing well-defined micro-tubular channels
within the scaffold cross-section. The channels were found to promote the penetration and
distribution of primary human dermal fibroblasts inside the scaffold. The channel entrances
remained open and unoccluded by ECM after culture in vitro after 14
weeks.
Authors: Sharon L Edwards; Jeffrey S Church; David L J Alexander; Stephen J Russell; Eileen Ingham; John A M Ramshaw; Jerome A Werkmeister Journal: Tissue Eng Part C Methods Date: 2010-10-01 Impact factor: 3.056