Nanofibrous structures have long been used as scaffolds for tissue engineering (TE) applications, due to their favorable characteristics, such as high porosity, flexibility, high cell attachment and enhanced proliferation, and overall resemblance to native extracellular matrix (ECM). Such scaffolds can be easily produced at a low cost via electrospinning (ESP), but generally cannot be fabricated with a regular and/or complex geometry, characterized by macropores and uniform thickness. We present here a novel technique for direct writing (DW) with solution ESP to produce complex three-dimensional (3D) multiscale and ultrathin (∼1 μm) fibrous scaffolds with desirable patterns and geometries. This technique was simply achieved via manipulating technological conditions, such as spinning solution, ambient conditions, and processing parameters. Three different regimes in fiber morphologies were observed, including bundle with dispersed fibers, bundle with a core of aligned fibers, and single fibers. The transition between these regimes depended on tip to collector distance (Wd) and applied voltage (V), which could be simplified as the ratio V/Wd. Using this technique, a scaffold mimicking the zonal organization of articular cartilage was further fabricated as a proof of concept, demonstrating the ability to better mimic native tissue organization. The DW scaffolds directed tissue organization and fibril matrix orientation in a zone-dependent way. Comparative expression of chondrogenic markers revealed a substantial upregulation of Sox9 and aggrecan (ACAN) on these structures compared to conventional electrospun meshes. Our novel method provides a simple way to produce customized 3D ultrathin fibrous scaffolds, with great potential for TE applications, in particular those for which anisotropy is of importance.
Nanofibrous structures have long been used as scaffolds for tissue engineering (TE) applications, due to their favorable characteristics, such as high porosity, flexibility, high cell attachment and enhanced proliferation, and overall resemblance to native extracellular matrix (ECM). Such scaffolds can be easily produced at a low cost via electrospinning (ESP), but generally cannot be fabricated with a regular and/or complex geometry, characterized by macropores and uniform thickness. We present here a novel technique for direct writing (DW) with solution ESP to produce complex three-dimensional (3D) multiscale and ultrathin (∼1 μm) fibrous scaffolds with desirable patterns and geometries. This technique was simply achieved via manipulating technological conditions, such as spinning solution, ambient conditions, and processing parameters. Three different regimes in fiber morphologies were observed, including bundle with dispersed fibers, bundle with a core of aligned fibers, and single fibers. The transition between these regimes depended on tip to collector distance (Wd) and applied voltage (V), which could be simplified as the ratio V/Wd. Using this technique, a scaffold mimicking the zonal organization of articular cartilage was further fabricated as a proof of concept, demonstrating the ability to better mimic native tissue organization. The DW scaffolds directed tissue organization and fibril matrix orientation in a zone-dependent way. Comparative expression of chondrogenic markers revealed a substantial upregulation of Sox9 and aggrecan (ACAN) on these structures compared to conventional electrospun meshes. Our novel method provides a simple way to produce customized 3D ultrathin fibrous scaffolds, with great potential for TE applications, in particular those for which anisotropy is of importance.
Entities:
Keywords:
articular cartilage; direct writing; electrospinning; human mesenchymal stromal cells; tissue engineering
Tissue engineering (TE)
is a promising approach to replace the
currently suboptimal clinical treatments aiming to restore the function
of damaged or diseased tissues and organs. Additive manufacturing
(AM) techniques have greatly contributed to this goal. These technologies
have provided valuable tools for the custom fabrication of 3D scaffolds
with reproducible patterns, tunable porosity, and tailored physicochemical
properties.[1] However, limitations inherent
to these processes still persist. Notably, the required setups are
typically expensive, and the range of usable materials is dependent
on the fabrication technique, for instance, extrudable thermoplastic
polymers for fused deposition modeling. These techniques also introduce
other concerns, such as thermal degradation of the polymer during
the fabrication process.[1] Moreover, current
AM techniques possess low spatial resolution, and thus, the features
of the produced scaffolds are typically several orders of magnitude
larger than extracellular matrix (ECM) fibers, particularly collagen
fibrils. This results in a poor cell-seeding efficiency and proliferation,
as well as nonuniform scaffold coverage.Nanofibrous scaffolds
are interesting alternatives for TE, with
a highly porous structure reminiscent of the ECM milieu that has been
shown to promote cell attachment and to stimulate cell function while
the efficient exchange of nutrients, oxygen, and metabolites is facilitated.[2] Nanofibers are also very flexible due to their
high aspect ratio, allowing cells to remodel their surroundings with
produced matrix.[3] To fabricate nanofibrous
mats, solution electrospinning (ESP) is one of the most popular methods,
since it is easy to operate, relatively inexpensive, and versatile
in terms of materials selection.[4] ESP is
a complex hydrodynamic process governed by many variables and characterized
by an unpredictable electrified jet.[5] The
chaotic nature of this jet results from the buildup of surface charges
generated by an applied electrostatic force, which initially leads
to droplet elongation, Taylor cone formation, and jet emanation, but
soon overcomes the liquid surface tension, causing bending instabilities.[5,6] As charge density increases, repulsion forces alter the stable jet
into a whipping jet. At this point, fiber deposition occurs randomly
and thus accurate pattern designing is impeded. Therefore, most ESP
products are dense meshes that lack a regular pore-size network and
have an architecture defined by the collector shape (e.g., flat or
grooved plate, rotating drums, and spaced electrodes).[6,7]Achieving control over ESP fiber deposition would enable ESP
in
a direct writing (DW) mode, which provides the combined benefits of
the topography provided by electrospun mats with the reproducibility
and designing potential of AM techniques. Therefore, much interest
has been taken in the pursuit of DW ESP via different approaches,
including improving jet focusing using additional devices, reducing
working distance, and melt ESP.[8−10] Through the use of a ring electrode
positioned between the spinneret and collector, Neubert et al. and
Bellan and Craighead showed the targeted deposition of fibers into
a single spot.[11,12] By either moving the collector
or using steering electrodes, simple lines could be patterned onto
the collector, but no complex patterning was achieved, A similar but
improved strategy was followed by Lee et al., who employed a side-wall
electrode, a thin glass plate collector, and a sharp-pin electrode
to focus the electrified jet and draw regular 3D nanofibrous patterns,[9] which could later be stacked to build a larger
scaffold.[13] Although successful, the aforementioned
approach relied on a complex setup that is difficult to adopt in other
laboratories. An earlier and simpler approach that dispenses additional
setup modifications is near-field ESP, in which the unstable region
of the jet is bypassed, by closely approximating the spinneret to
the collector and using very low voltages.[10,14,15] However, drawbacks to this technique are
evident, as it relies on a solution-dipped probe for jet feeding,
which greatly limits the possible scaffold size. In the case of melt
ESP, polymer solution was replaced with a molten polymer to generate
fibers.[8,16] Application of melt ESP for DW of poly(ε-caprolactone)
(PCL) fibrous structures for hydrogel reinforcement has revealed great
potential in engineered cartilage constructs.[17] This technique has been also used to fabricate cell-invasive 3D
scaffolds constructed from photo-cross-linkable poly(l-lactide-co-ε-caprolactone-co-acryloyl carbonate)
microfibers.[18,19] Because of the use of high melting
temperatures, the technique may cause polymer degradation and is restricted
to the use of thermoplastic polymers. In addition, it excludes the
addition of bioactive molecules, such as collagen, which undergo denaturation
at high temperatures.[16,20] The minimum feature size is also
a concern in melt ESP, since the Barus effect induces a jet enlargement[21] and obstructs formation of nanofibers, although
recent efforts have shown the production of submicron fibers under
special conditions.[22] This process also
produces a single fiber at a time, while tissue development benefits
from the presence of multiple interconnected fibers that act as anchoring
points for cells to assemble focal adhesions.[23] The comparison of current techniques for direct-write ESP is summarized
in Table S1 of the Supporting Information
(SI).To overcome all of the above-mentioned problems, we show
here the
development of a novel DW technique that allows conventional solution
ESP to focus the jet to a single point and collect fibers in a dry
state. We achieved this goal through optimizing conditions for DW
ESP, including solution, ambient conditions, and processing parameters.
Patterns could be designed via predefining XY translation
of the collector, and the resulting fibers are stacked to create 3D
constructs. After characterizing this technological process, scaffolds
that mimic the zonal configuration of articular cartilage were fabricated
as a proof of concept, demonstrating the ability to better mimic native
tissue hierarchical organization. These scaffolds were seeded with
human mesenchymal stromal cells (hMSCs) and cultured in chondrogenic
differentiation medium over the course of 21 days. The DW ESP scaffolds
successfully supported hMSCs proliferation and early chondrogenic
differentiation, as evaluated by matrix production and orientation,
tissue development, and gene expression. These data argue that DW
ESP can fabricate ultrathin scaffolds with multidimensional fiber
architecture and favorable biological characteristics, which has great
potential for wide TE applications.
Results
and Discussion
Traditional ESP generally deposits fibers
with random morphology
due to the bending instability of the electrospinning jet (Figure A). However, controlled
fiber deposition, and thus patterning, is possible by DW with ESP
and requires the jet to follow a stable path from the moment it emanates
from the spinneret tip until it reaches the collector (Figure B). To fabricate suitable scaffolds
to mimic articular cartilage, we deployed DW with ESP. First, we optimized
the ESP process for DW, including polymer solution, flow rate, applied
voltage, working distance, and ambient conditions.
Figure 1
Illustration of the ESP
process in conventional (A) and direct
writing (B) mode. In direct writing mode, the jet travels in a straight
path and the translational stage moves in X and Y directions to create a pattern. Photos of an electrified
jet when traveling with an unfocused trajectory (C; V = 7 kV and Wd = 3 cm) and in stable path (D; V =
5 kV and Wd = 3 cm).
Illustration of the ESP
process in conventional (A) and direct
writing (B) mode. In direct writing mode, the jet travels in a straight
path and the translational stage moves in X and Y directions to create a pattern. Photos of an electrified
jet when traveling with an unfocused trajectory (C; V = 7 kV and Wd = 3 cm) and in stable path (D; V =
5 kV and Wd = 3 cm).
Solution Conditions
For these studies,
we used a polymer solution of poly(ethylene oxide terephthalate)/poly(butylene
terephthalate) (PEOT/PBT) for the scaffolds, because it has been demonstrated
as a biocompatible and degradable polymer with promising application
for skeletal regeneration.[24,25] Elongation and stability
of the ESP jet depends on optimal solution parameters. Solutions with
a very high viscosity usually exhibit longer stress relaxation times,
which can prevent fracturing of the jet during ESP.[6] We tested solution mixtures with polymer concentrations
between 26 and 30% (w/v) and CHCl3:HFIP solvent ratios
between 70:30 and 80:20 (v/v). We found that the optimal range of
polymer concentration that permits DW was 27–29% (w/v), which
yielded fairly viscous solutions. The optimal range of solvent ratio
that permits DW was between 74:26 and 78:22 (v/v), which ensured good
polymer dissolution and yielded a solution with a high evaporation
rate. A solution with a high evaporation rate is particularly important
for the DW technique, since it enables fibers to dry quickly within
shorter working distances (Wd) used in these studies. Within the optimal
range of polymer concentration and solvent ratio, the solution with
28% (w/v) polymer in 75:25 CHCl3/HFIP (v/v) revealed the
best outcome for a stable and continuous DW process (Table S2, SI).
Solution Flow Rate
The solution flow
rate through the spinneret is an important factor, as it influences
the amount of transferred material and jet velocity.[6] We tested flow rates from 0.05 to 2 mL/h. We found that
flow rates between 0.08 and 0.3 mL/h, a range that enables a low but
steady flow of the polymer solution through the spinneret, were necessary
for successful DW ESP. The influence of flow rates (0.05, 0.1, and
0.5 mL/h) on the jet and fiber deposition is shown in Figure S1A–C (SI) to exemplify the conditions
tested. At a low flow rate of 0.05 mL/h, the amount of solution that
was supplied through the spinneret was insufficient to maintain a
regular jet for the applied voltage (8 kV) and scan speed, thus leading
to the deposition of an erratic line (Figure S1A, SI). As the flow rate increased to 0.1 mL/h, a thin and steady
jet was produced, resulting in the formation of straight line patterns
(Figure S1B, SI). When the polymer solution
supply was 0.5 mL/h, the jet could no longer be focused, and consequently,
the result was the collection of dispersed fiber mesh (Figure S1C, SI). Thus, we concluded that the
optimal flow rate was ∼0.1 mL/h.
Applied
Voltage and Working Distances
In addition to the solution
conditions and flow rate, the interplay
between the applied voltage and the distance from the collector affects
the solution jet. The applied voltage needs to reach a certain threshold
to initiate the ESP process.[5,26] As the voltage increases,
the solution ejection also increases and higher electrostatic repulsive
forces build up on the fluid jet.[5,6] The optimal
applied voltage is also dependent on the Wd, as both parameters are
related in the determination of the electric field strength.[27] A typical electrified jet will follow a short
stable path before acquiring a whipping profile;[28] thus selecting an appropriate Wd is of utmost importance.
We tested applied voltages between 2 and 16 kV, with corresponding
Wd values between 2 and 12 cm. The threshold voltages needed to initiate
the ESP process increased as the Wd increased: the minimum voltages
were 4 kV at 2 cm, 4.5 kV at 3 cm, and 5.5 kV at 4 cm (Table S3, SI). It is worth mentioning that following
jet initiation, the spinning voltage could be reduced to a value lower
than its jet initiation voltage. For example, at 2 cm, the lowest
Wd tested, the minimum voltage for jet initiation was 4 kV during
DW ESP. However, following jet initiation, the spinning voltage could
be reduced to a minimum value of 2.5 kV. At 7 kV and a Wd of 3 cm,
we observed an unfocused jet, which broke down into multiple thin
jets as a consequence of jet bending instability (Figure C). In this case, the amount
of ejected solution provided insufficient viscoelastic force to balance
surface charge density.[29] When we deceased
the voltage to 5 kV, a stable jet was achieved during its flight time
(Figure D), depositing
and vertically building the fibers in a single point in the static
collector. However, this process could not continue indeterminably
due to an increase in charge accumulation, resulting in an increase
of repulsive forces at that point (Figure S2, SI). We then increased the Wd to 8 cm and tested different applied
voltages. At 8 kV, the jet trajectory was stable and straight lines
could be fabricated (Figure S1D, SI). At
12 kV, the amount of ejected fluid increased, resulting in too much
volume at the collector to produce single steady lines at the given
scan speed (Figure S1E, SI). At 16 kV,
the repulsive charges accumulated and led to the onset of bending
instabilities, resulting in the complete loss of the focusing effect
(Figure S1F, SI). When the Wd was further
increased to 10 and 12 cm, either the jet was collected in its whipping
phase or the electric field strength was too low to focus it, resulting
in unpredictable fiber deposition (Figure S1H,I, SI). From these data, we concluded that Wd ≤ 8 cm and voltages
≤ 8 kV were necessary to collect the jet in a stable and focusing
manner.From voltage and Wd parameters that resulted in successful
focused spinning, we examined the morphology of the deposited fibers
(Table S3, SI) and found three different
regimes (Figure D–F).
The transition between these regimes depended both on Wd and electrical
field strength derived from the applied voltage (V), which could be simplified as the ratio V/Wd.
Typically, for low V/Wd, the fibers were randomly
deposited in a bundle and dispersed from each other (Figure D). As the V/Wd ratio increased, there was an improvement in fiber alignment,
the fiber density increased and the distance between fibers decreased,
resulting in increased fiber cohesiveness [Table S5 (SI) and Figure E]. If the V/Wd ratio was increased by increasing
the voltage, the fiber bundle displayed a more three-dimensional core,
with the fibers aligned in the direction of the jet movement, as well
as a thicker fiber dimension [Figures A and S3 (SI)]. If the V/Wd ratio was increased via reducing the Wd, similar morphological
changes were achieved together with an increase of fiber diameter
[Figure B and S4 (SI)]. Reducing the Wd lead to less fiber
dispersion, and thus better alignment, compared to voltage change
(Table S5 and Figures S3 and S4, SI). The
transition between a random deposition (lower limit) and an anisotropic
alignment (upper limit) can then be defined by the V/Wd ratio, suggesting that these morphological changes are determined
by an interplay between the jet travel distance and the amount of
solution ejected. In specific situations, if the V/Wd ratio is further increased and the Wd is low, the jet may not
spin and the resulting morphology is a single fiber (Figure F). For example, at a Wd of
2 cm, an applied voltage of 4.5 kV (V/Wd > 2)
resulted
in single fiber deposition. However, this was only possible at Wd
≤ 2 cm, since the threshold that defines the balancing of repulsive
charges by the solution cohesive forces is also low.
Figure 2
Influence of the ESP
processing parameters on fiber diameter (A
and B) and line width (C). Applied voltage (A), working distance (B),
and collector speed (C) were varied. SEM micrographs of different
possible configurations of the fiber bundle within the DW range: (D)
bundle with dispersed fibers (V = 5 kV and Wd = 3
cm), (E) bundle with a core of aligned fibers (V =
6 kV and Wd = 3 cm), and (F) single fiber (V = 4.5
kV and Wd = 2 cm). Scale bars: D and E, 100 μm; F, 50 μm.
Influence of the ESP
processing parameters on fiber diameter (A
and B) and line width (C). Applied voltage (A), working distance (B),
and collector speed (C) were varied. SEM micrographs of different
possible configurations of the fiber bundle within the DW range: (D)
bundle with dispersed fibers (V = 5 kV and Wd = 3
cm), (E) bundle with a core of aligned fibers (V =
6 kV and Wd = 3 cm), and (F) single fiber (V = 4.5
kV and Wd = 2 cm). Scale bars: D and E, 100 μm; F, 50 μm.
Scan
Speed
The velocity at which
the fibers were collected was also a parameter of great interest.
If the voltage and Wd were maintained constant, the physical behavior
of the jet would be in principle the same. However, the velocity at
which the jet or collector moves would influence the amount of fibers
reaching a single point on the collector. Consequently, the amount
of charges in a single spot can also vary and can determine the consistency
of the fiber deposition. We maintained the voltage at 5 kV and Wd
at 5 cm but varied the scan speed between 4 and 10 mm/s to determine
its effect on the deposited fibers (Figure S5, SI). At a collection speed of 4 mm/s, the deposited layer was slightly
incoherent with respect to its central axis and some fiber dispersion
occurred. When the scan speed was increased to 7 mm/s, the accumulation
of repulsive charges at a point decreased and the spun layer showed
a more consistent pattern, but still presented some fiber dispersion
from its core (Figure S5B, SI). At a collection
speed of 10 mm/s, the deposited layer showed little deviation from
its central axis having comparatively less fiber dispersion (Figure S5C, SI). However, the morphology of the
deposited layer did not significantly change if the collection speed
was above 10 mm/s (data not shown). In summary, as the collector scan
speed increased, the line focusing was improved, whereas line patterns
assumed a proportionally shorter width (Figure C). From these data, we conclude that a scan
speed above 10 mm/s was necessary to maintain a focusing deposited
layer when the voltage applied was kept at 5 kV
Ambient Parameters
Finally, the ambient
parameters for ESP, such as temperature and relative humidity, were
also important to control. Since an inverse relationship exists between
temperature and viscosity (crucial for jet elongation, as mentioned
above),[30] we reasoned that lower temperatures
would facilitate jet focusing and relative higher temperatures may
cause faster solvent evaporation and, consequently, needle blocking
by the polymer solution. Therefore, we tested temperatures between
18.5 and 30 °C and found the optimal temperature to be ∼20
°C.Relative humidity within the fairly large range of
25–55% allows for jet eruption and focusing, but we needed
to optimize this parameter for long fabrication times. The production
of large patterns requires the hemispherical drop at the spinneret
tip to be maintained in a fluid state, which is facilitated by humidity
levels. Furthermore, solutions containing volatile solvents may dry
quickly in dry environments. High humidity also benefits fiber stacking
by reducing the charge accumulation. It should be noted that excessive
humidity results in melting the fiber morphology due to insufficient
solvent evaporation. From the humidity tested, we found that the optimal
relative humidity was 40 ± 2%.
Optimal
ESP Parameters
The range
of processing parameters that permitted DW ESP of PEOT/PBT is summarized
in Table S4 (SI). We found that the optimal
range of polymer concentration was from 27 to 29% (w/v), which yielded
fairly viscous solutions. Wd values of ≤8 cm were necessary
to collect the jet in its stable region, with corresponding optimal
voltages of ≤8 kV. Flow rates between 0.08 and 0.3 mL/h were
necessary, and the scan speeds had to be kept above 5 mm/s. The optimal
temperature was kept at ∼20 °C and relative humidity ranged
from 40 ± 2%.
Pattern Fabrication
Having established
the optimal parameters of DW ESP for PEOT/PBT, we proceeded to design
scaffolds (Video S1, SI). The design of
a scaffold, such as its architecture and pore network, determines
its success in a targeted TE application. While the architecture may
guide and influence cartilaginous tissue formation,[31] porosity is essential not only for nutrient diffusion and
waste removal,[2,23] but also allows and impacts cartilage
ECM formation.[32,33] Conventional ESP processes lack
on-demand patterning ability and typically produce compact meshes
that hinder cell infiltration and ECM formation throughout their volume.[8]DW ESP permits the tailored patterning
of 3D ultrathin scaffolds with multiscale and controllable porosity,
with a setup that dispenses any complex add-ins. Applying the optimized
DW ESP parameters (Table S7, SI), we fabricated
regular structures with a 0/90° lay down pattern (Figure A,B). The accuracy of this
process also allowed the design and fabrication of more complex structures,
such as one that mimics the anatomy of a tympanic membrane (Figure C). By tuning the
distance between struts and the number of deposited layers, the pore
size and scaffold thickness could be controlled. True 3D structures
could be built, where 0/90° scaffolds with an approximate fiber
spacing of 800 μm were fabricated with varying thickness based
on the number of deposited layers: 35.7 ± 4.7 μm with 50
layers (Figure D),
140.5 ± 8.9 μm with 100 layers (Figure E), and 190.8 ± 20.8 μm with 200
layers (Figure F).
The fabrication of scaffolds in the centimeter thickness range was
hindered by the loss of the macroporous structure. As fibers were
stacked, both the height and the width of the line pattern increased.
This is attributed to a higher concentration of fibers on a single
spot and, consequently, the accumulation of repulsive charges, leading
to dispersion during the deposition process.[34]
Figure 3
Pattern
fabrication with DW ESP. SEM micrographs of a 0/90°
lay down pattern (A) and detail of a strut intersection (B). (C) Photo
of a tympanic membrane design. SEM micrographs of stacked fibers with
50 layers (35.7 ± 4.7 μm) (D), 100 layers (140.5 ±
8.9 μm) (E), and 200 layers (190.8 ± 20.8 μm) (F).
Scale bars: A, 1 mm; B, 100 μm; C, 1 cm; and D–F, 100
μm.
Pattern
fabrication with DW ESP. SEM micrographs of a 0/90°
lay down pattern (A) and detail of a strut intersection (B). (C) Photo
of a tympanic membrane design. SEM micrographs of stacked fibers with
50 layers (35.7 ± 4.7 μm) (D), 100 layers (140.5 ±
8.9 μm) (E), and 200 layers (190.8 ± 20.8 μm) (F).
Scale bars: A, 1 mm; B, 100 μm; C, 1 cm; and D–F, 100
μm.To circumvent this issue, some
strategies can be implemented. A
stepwise approach of the layer-by-layer deposition could provide enough
time for the dissipation of the residual charges, hence reducing the
repulsive effect and yielding a more focused deposition. However,
if the ESP process is interrupted between the fabrication of layers,
multiple jet ejections are required. This is a limiting factor, since
minor deviations can occur from the focusing spot, causing a mismatch
between the deposited layers. However, if the ESP process is continued,
the ejection time will be greatly enhanced and further jet instabilities
may arise. Another strategy could be the hybridization of this system
with a mechanism for charge compensation used in other applications,
such as scanning electron microscopy.[35,36] Ji et al.
reported a noticeable charge decrease on Al2O3 samples by employing an oxygen atmosphere through a local oxygen
pressure device.[36] Finally, another possible
solution is to invert the electrode polarity between layer depositions.
In such a setup, the residual charges on the deposited fibers would
be the opposite of the charges from the upcoming fibers, thus resulting
in an attractive effect. Xu et al. followed this strategy and reported
an increase in nanofiber deposition accuracy in a near-field ESP device.[34]
DW ESP with Other Polymers
In order
to prove the versatility of this technique, we applied the same principle
to a PCL solution and demonstrate a similar outcome (Figure S6, SI). We chose PCL due to its wide applications
in the TE field. We kept the same solvents and used the ratio derived
from the PEOT/PBT optimal solution, which yielded a fast evaporation
rate, critical to collect the fibers in a dry state, as aforementioned.
A polymer concentration of 20% (w/v) was found to be optimal, due
to its fairly high viscosity, necessary to this process, while still
flowing through the tubing and spinneret. We measured and compared
the dynamic viscosity of PCL and PEOT/PBT solutions (Figure S6E, SI) and noticed a similar, yet slightly higher,
value for the PCL solution. As for the ESP parameters, we used the
same empirical evidence to define the DW window. Similarly, we observed
a transition of the bundle morphology with different processing parameters.
With an increase of the voltage, more-disperse fibers were produced,
thus affecting the fiber bundle formation (Figure S6A–C, SI). For the latter morphology, we could see
once again that the bundle was composed of ultrathin fibers with a
diameter of 1.42 ± 0.09 μm (Figure S6D, SI).Differences in the ESP parameters and outcome
can be explained by the inherent properties of both solutions. While
some properties, such as surface tension and conductivity, can be
better approximated by using the same solvents, polymer-derived properties,
such as molecular weight of the polymer chains and their entanglement,
will most likely differ when testing completely different materials.
We postulated that the molecular weight of our PEOT/PBT formulation
(Mn = 50 670)[37] and the resulting chain entanglement are decisive in maintaining
the jet stability by balancing the repulsive forces through material
cohesion. Therefore, we used a formulation of PCL with a Mn of 80 000, which was thought to provide a similar
effect. In fact, due to a higher Mn and
solution viscosity, the material cohesion of this PCL solution seems
slightly higher, which explains the necessity to use higher voltages
in order to obtain fully dispersed fibers (Figure S6C, SI). In summary, we have shown that our approach works
in disparate materials and that there is a moderate discrepancy of
solution properties for which similar results can be obtained, provided
that the right ESP parameters are met.
Cell
Seeding and Proliferation on DW ESP Scaffolds
Electrospun
meshes generally facilitate cell attachment and distribution
due to their ECM resemblance.[3] To determine
whether our DW ESP scaffolds supported cell seeding and proliferation,
we fabricated scaffolds with a fiber spacing of 860 μm and an
average line width of 150 μm, and then seeded them with hMSCs
(Figure S7C, SI). For comparison, we fabricated
scaffolds with similar dimensions by AM (Figure S7B, SI). Seeding efficiency was evaluated by DNA quantification
1 day postseeding (Figure S7A, SI) and
revealed that DW ESP scaffolds promoted 7 times more cell retention
than those fabricated by AM techniques (17.66 ± 3.82% v. 2.43
± 0.28%). To assess cell distribution and proliferation, the
scaffolds were stained with methylene blue after 1 and 4 days of culture
(Figure S8, SI). At day 1, cells seeded
on the AM scaffolds were mostly retained at the fiber intersections
(Figure S8A, SI), while those seeded on
the DW ESP scaffolds were more abundant and well distributed (Figure S8C, SI). At day 4, both scaffolds supported
cell proliferation, but a larger population was present on the DW
ESP structure (Figure S8B,D, SI). These
data argue that the DW ESP scaffolds promoted better cell seeding
and retention compared to the AM scaffolds.
Fabrication
of an Articular Cartilage Mimetic
Scaffold
Having established that DW ESP could be used to
fabricate scaffolds that support cell seeding and proliferation, we
then tested whether this novel technique could be used to create a
scaffold that mimics articular cartilage with its distinct multizone
morphology (Figure A); such a scaffold may offer a superior template for in vitro cartilage
formation and ECM organization.[38] We fabricated
a scaffold that recapitulates three of the four main zones of cartilage
(Figure B–E).
The superficial zone, denoted by tangentially oriented collagen fibrils,
was represented by two parallel electrospun layers with an average
distance of 238 ± 79.3 μm. To reproduce the oblique collagen
structure of the middle zone, we created crossed diagonal layers.
Finally, the deep zone was represented by parallel layers, radially
oriented to the top structure, with an average distance of 523 ±
156 μm. The mimetic scaffolds had pore dimensions that ranged
from 238 ± 79 to 524 ± 156 μm, of which the values
were within the ideal dimensions (250–500 μm) reported
for chondrocyte proliferation and ECM secretion on gelatin scaffolds.[39] Detailed views of the fiber bundle and individual
ultrathin fibers with an average diameter of 1.4 ± 0.6 μm
(Figure S9, SI) are shown in parts D and
E of Figure , respectively.
Figure 4
Design
of an articular cartilage mimetic scaffold. (A) Illustration
of the zonal configuration in native cartilage (2–4 mm thick).
(B) 3D model representing the fabricated scaffold. Four of these scaffolds
were stacked to form the final construct (dimensions are in millimeters).
(C) Stereomicroscope image of the DW ESP structure, depicting the
three different zones. (D) SEM micrograph showing a magnified view
of the red rectangle marked in part C. (E) Detailed view of the individual
fibers composing the scaffold (panel D). Scale bars: C, 1 mm; D, 200
μm; and E, 2 μm.
Design
of an articular cartilage mimetic scaffold. (A) Illustration
of the zonal configuration in native cartilage (2–4 mm thick).
(B) 3D model representing the fabricated scaffold. Four of these scaffolds
were stacked to form the final construct (dimensions are in millimeters).
(C) Stereomicroscope image of the DW ESP structure, depicting the
three different zones. (D) SEM micrograph showing a magnified view
of the red rectangle marked in part C. (E) Detailed view of the individual
fibers composing the scaffold (panel D). Scale bars: C, 1 mm; D, 200
μm; and E, 2 μm.Next, we further characterized the mimetic scaffold’s
physical
and mechanical properties (Table S6, SI).
Overall, the measured porosity was 91.2 ± 1.0% (Table S6, SI). Tanaka et al. demonstrated that scaffolds with
a porosity of 95% and pore size of 0.3 mm yielded the best cartilage
regeneration among scaffolds with various kinds of porosity (80–95%)
and pore sizes (0.3–2.0 mm).[40] However,
such a high porosity is not univocal in regenerative articular cartilage.
Our previous studies have demonstrated that pore size and shape are
more important than total porosity in regenerating articular cartilage.[31,32] The mechanical properties of the scaffolds in dry condition were
also characterized using a nanoindenter. Since the specific PEOT/PBT
copolymer used has minimal swelling (below 5%), wet conditions were
not deemed necessary for mechanical tests.[41] The measured Young’s modulus in compression was 2.65 ±
0.65 MPa, which proved to be higher than human native cartilage as
measured by in situ biphasic creep indentation (0.45 to 0.80 MPa)
or bovinecartilage (0.08 to 2.1 MPa) measured by nanoindentation.[42−44]In order to engineer a larger tissue construct, four individual
scaffolds (each approximately 208.5 ± 19.4 μm thick) were
stacked and bonded to yield an assembled structure of 1.39 ±
0.6 mm in height. The introduction of sacrificial layers of PEO between
the spun mats promoted space between individual scaffold layers in
the longitudinal direction, and the bonding process did not affect
the inner core of the scaffolds (data not shown).
Cell Culture and Chondrogenic Differentiation
To investigate
the potential of designed scaffolds for articular
cartilage regeneration, we cultured hMSCs on stacked DW ESP scaffolds
(unless otherwise stated) in chondrogenic and basic medium (negative
control medium). Although the stacked DW ESP scaffolds showed varied
patterns in the three different zones, fibers were randomly oriented
in the bundles comprising the articular cartilage mimicking structures.
Thus, we choose cell-seeded random fiber (RF) scaffolds as a control
instead of aligned fiber scaffolds. For comparison, the fiber dimension
and porosity of RF scaffolds were tailored to be similar to that of
DW scaffolds. The cell proliferation on the DW and RF seeded scaffolds
was evaluated at three time points during the first week of culture,
using a PrestoBlue assay (Figure S10, SI).
Proliferation was registered in all the conditions through an increase
in the fluorescent signal. In both media, DW scaffolds showed 4-fold
higher intensity compared to RF scaffolds, until day 7 when cell proliferation
increased steeply on RF sheets. This observation can be explained
by the higher number of fibers in the vicinity of cells, due to the
lack of large pores on the RF structure, which leads to easier cell
spreading, and thus a faster proliferation rate. For chondrogenic
differentiation, cells on DW scaffolds showed a steady increase in
fluorescence over the 7 days. In contrast, the signal from cells incubated
on RF scaffolds in differentiation medium showed little change over
the same period. These data indicate that cells proliferated on both
RF and DW scaffolds.To determine the topographical influence
of DW mimetic scaffolds on tissue development and matrix secretion,
scanning electron microscopy (SEM) observations were performed after
21 days of culture in chondrogenic medium. Whereas the RF and DW scaffolds
both demonstrated full coverage of cells, only the DW scaffolds showed
cells and matrix throughout their volume (Figure S11, SI).When cultured on the RF meshes, hMSCs dispersed
randomly. As a
consequence, their secreted matrix was isotropically distributed (data
not shown). In contrast, the matrix organization was influenced by
the zonal topography of the DW scaffolds (Figure ). The horizontal layers forming the superficial
zone (Figure C) and
the vertical layers of the deep zone (Figure G) promoted tissue development along their
respective axes, which resulted in the anisotropic formation of fibrils.
Coherence analysis of the SEM micrographs showed a slightly higher
coefficient of directionality for the deep zone (0.49 ± 0.08)
compared to the superficial zone (0.41 ± 0.09) (Figure S12, SI).
Figure 5
SEM images showing the topographical influence
of the scaffold’s
architecture on tissue development (B, D, F) and matrix orientation
(C, E, G) after 21 days of culture in chondrogenic medium. (A) Empty
scaffold fabricated by DW ESP. Low-magnification images (B, D, F)
and high-magnification images (C, E, G) of the superficial zone (B–C),
middle zone (D–E), and deep zone (F–G). Scale bars:
B, D, and F, 100 μm; C, E, and G, 10 μm.
SEM images showing the topographical influence
of the scaffold’s
architecture on tissue development (B, D, F) and matrix orientation
(C, E, G) after 21 days of culture in chondrogenic medium. (A) Empty
scaffold fabricated by DW ESP. Low-magnification images (B, D, F)
and high-magnification images (C, E, G) of the superficial zone (B–C),
middle zone (D–E), and deep zone (F–G). Scale bars:
B, D, and F, 100 μm; C, E, and G, 10 μm.The oblique layers that represent the middle zone
induced tissue
formation in a more random manner, with secreted fibers displaying
a crossed pattern (Figure E). The coefficient of directionality for this middle zone
was 0.33 ± 0.11 (Figure S12, SI).
The presence of holes (Figure D) suggested the formation of tissue in different and opposite
directions. In summary, the DW scaffold imparted a tissue and matrix
organization in a zone-dependent way, in contrast to the isotropy
seen in the RF sheets.The morphology and feature size of the
fibrils observed in the
SEM micrographs suggested the presence of collagen. Among collagen
types, type II collagen is the basis for articular cartilage. To investigate
the formation of collage type II, the surface of the scaffolds was
immunostained against collagen type II after 21 days of culture in
chondrogenic medium, but no signal was detected. hMSC pellets after
21 days in chondrogenic medium showed collagen type II staining (Figure S13C–F, SI), suggesting that pellet
conditions (such as greater cell–cell contact, maintenance
of cell rounded shape, softer substrate, and reduced oxygen tension)
resulted in improved differentiation of hMSCs and consequent production
of collagen type II.[45−47] We are investigating whether modifications to the
cell culture conditions that provide an environment more similar to
the pellet conditions, such as using a hydrogel for scaffold coating
or a cell carrier like hyaluronic acid (Figure S14, SI), will improve chondrogenic differentiation and collagen
I and II production. When cultured on flat substrates, differentiated
chondrocytes might dedifferentiate into fibroblast-like cells and
produce collagen type I instead.[48] Therefore,
we further immunostained the scaffolds for collagen type I (Figure ). We observed distinct
collagen type I staining that resembled the matrix patterning. The
RF scaffolds revealed random, nonpreferential direction of collagen
type I staining (Figure A). For the DW scaffolds, collagen type I anisotropy was observed
for the top (Figure B) and bottom layers (Figure D), and an arclike configuration was seen for the middle layer
(Figure C). These
results indicate that the DW scaffolds enabled collagen matrix organization
in a zone-dependent way, in contrast to the isotropy seen in the RF
meshes.
Figure 6
Immunostaining of collagen type I on hMSCs seeded scaffolds after
21 days of culture in chondrogenic medium: (A) RF scaffolds and (B–D)
sections of the DW scaffolds, as labeled. The scale bar in D (100
μm) applies to all panels. The dashed lines in panels B and
D delineate the collagen fiber orientation.
Immunostaining of collagen type I on hMSCs seeded scaffolds after
21 days of culture in chondrogenic medium: (A) RF scaffolds and (B–D)
sections of the DW scaffolds, as labeled. The scale bar in D (100
μm) applies to all panels. The dashed lines in panels B and
D delineate the collagen fiber orientation.To determine whether the observed patterns in SEM were cartilage-specific
matrix, we visualized sulfated glycosaminoglycan (GAG) by staining
the scaffolds with Alcian Blue after 21 days of culture. Cultured
cell pellets were also stained as a positive control (Figure S13A,B, SI). As shown in Figure S15 (SI), both RF and DW scaffolds present higher amount
of GAG staining in chondrogenic medium compared to basic medium (control
medium). In chondrogenic medium, GAG staining was abundant and distributed
all over the RF scaffold (Figure A). For the DW scaffolds, we observed GAG staining
in a zonal distribution and distinct cell morphology (Figure B–D). For the top (Figure B) and bottom (Figure D) layers of the
scaffolds, we observed anisotropic GAG staining and cell elongation
along the same direction. This was particularly evident in the top
layer, with the presence of some flattened cells on the most superficial
zones, which resembled the native state. GAG staining was more randomly
dispersed in multiple directions for the middle section (Figure C), and the cells
were more rounded compared with the other scaffold zones.
Figure 7
Staining with
Alcian Blue for sulfated GAGs and Nuclear Fast Red
for cell nuclei in histological sections of hMSCs after 21 days of
culture in chondrogenic medium on RF (A) and DW (B–D) scaffolds.
(A) A 10× view of the RF scaffold. A 20× view of the top
(B), middle (C), and bottom (D) sections of DW ESP scaffolds. The
dashed lines represent the direction on the layer (parallel to its
axis) and the arrows point to cells. The scale bar in D also applies
to panels B and C.
Staining with
Alcian Blue for sulfated GAGs and Nuclear Fast Red
for cell nuclei in histological sections of hMSCs after 21 days of
culture in chondrogenic medium on RF (A) and DW (B–D) scaffolds.
(A) A 10× view of the RF scaffold. A 20× view of the top
(B), middle (C), and bottom (D) sections of DW ESP scaffolds. The
dashed lines represent the direction on the layer (parallel to its
axis) and the arrows point to cells. The scale bar in D also applies
to panels B and C.Quantification of GAG
production showed similar levels for both
scaffolds (Figure A). However, cell adhesion and proliferation were significantly greater
in DW scaffolds compared to RF sheets (Figure B). As a consequence, the RF sheets exhibited
significantly higher GAG/DNA ratios (Figure C), or more matrix production normalized
to cell content, compared to DW scaffolds. Although seeded at the
same density (per volume), RF sheets may achieve cell confluency at
an earlier time compared to DW scaffolds due to their smaller available
growth area. Therefore, cells grown on RF scaffolds were subjected
to higher cell–cell interaction throughout the culture period.
Reports in the literature show that higher cell densities, as a consequence
of higher cell–cell interaction, enhance matrix production
in cultures with hMSCs[49] and articular
chondrocytes,[50] which could explain our
observed differences. Quantification of GAG and DNA levels after cells
achieve full confluency on the scaffolds may help clarify this difference.
Figure 8
Cartilaginous
matrix production (A–C) and gene expression
profiles (D–F) of hMSCs cultured for 14 and 21 days in basic
and chondrogenic medium. (A) Total GAG amount, (B) total DNA amount,
and (C) GAG normalized to the DNA content. mRNA levels of Col2A (D),
Sox9 (E), and ACAN (F) are represented as fold differences relative
to the expression obtained in RF samples cultured in basic medium
at day 14. *p < 0.05.
Cartilaginous
matrix production (A–C) and gene expression
profiles (D–F) of hMSCs cultured for 14 and 21 days in basic
and chondrogenic medium. (A) Total GAG amount, (B) total DNA amount,
and (C) GAG normalized to the DNA content. mRNA levels of Col2A (D),
Sox9 (E), and ACAN (F) are represented as fold differences relative
to the expression obtained in RF samples cultured in basic medium
at day 14. *p < 0.05.Finally, the cell-seeded scaffolds were examined for the
presence
of several chondrogenic markers, including collagen type II alpha
1 (Col2a), Sox9, and aggrecan (ACAN). Col2a and ACAN are major proteins
found in cartilage matrix.[51,52] Sox9 is a transcription
factor that plays a key role in chondrogenes.[53,54] The cell-seeded scaffolds cultured in basic medium were used as
control. Levels of mRNA for all three markers were higher for DW scaffolds
in chondrogenic medium compared to basic medium (Figure D–F). In chondrogenic
medium, expression of Sox9 and ACAN was significantly higher in DW
scaffolds compared to RF scaffolds after both 14 and 21 days of culture
(Figure E,F). Cellular
aggregation or mesenchymal condensation is essential for the process
of chondrogenesis.[55] The surface topography
of scaffolds, including patterns and pore size, was already shown
to have an influence on cellular aggregation.[55−57] In the present
work, the upregulation of Sox9 and ACAN on DW scaffolds could be ascribed
to the distinct surface patterns and pore size of DW scaffolds, which
provided a better 3D environment for cellular organization and compactness.
However, the higher expression of Sox9 and ACAN did not always result
in a higher expression of Col2a. Col2a expression was higher for the
RF scaffolds compared to the DW scaffolds at day 21 in chondrogenic
medium (Figure D).
This uncoupling of Col2a and Sox9 expression was also reported by
Aigner et al., who demonstrated that Sox9 was not the central regulatory
mediator of Col2a in human articular chondrocytes.[58] They demonstrated that high gene expression of Sox9 did
not lead to an increase of Col2a expression in normal articular chondrocytes
and that the amount of Col2a expression was higher in spite of reducing
Sox9 expression in osteoarthritic chondrocytes. The higher expression
of Sox9 in DW scaffolds could be responsible for the higher expression
of ACAN in DW scaffolds. Previous studies demonstrated that Sox9 supported
the aggrecan promoter activity in clonal chondrocytic cells.[54] These data argue that DW scaffolds supported
early chondrogenic differentiation of hMSCs.
Conclusion
We have shown here the development of a technique
for direct writing
with electrospinning, with the capability to control the fiber bundle
morphology and to fabricate regular 3D ultrathin structures, applicable
to different materials. Applying this technique, we produced a scaffold
that mimics the zonal organization of articular cartilage and compared
its performance for cartilage tissue formation to a regular electrospun
sheet. In contrast to nonspecific deposition by the typical electrospun
meshes, DW scaffolds were able to direct tissue organization and fibril
matrix orientation. Expressions of chondrogenic markers, including
Sox9 and ACAN, were also significantly enhanced in this structure.
Our work provides a new technique for the patterning of nano/microfibrous
structures with potentially wide application for the engineering of
many tissues, particularly those presenting regional differences.
Further optimization might enable the fabrication of articular cartilage
suitable for therapeutic applications.
Materials and Methods
Polymer
Solution Preparation
A polyethylene
terephthalate/polybutylene terephthalate (PEOT/PBT) block copolymer
(PolyVation B.V.; the weight ratio of PEOT/PBT = 55/45, and the molecular
weight (g/mol) of the starting PEG segments used in the polymerization
process is 300) was dissolved in a mixture of chloroform (CHCl3, Sigma-Aldrich) and 1,1,1,3,3,3-hexafluoro-2-propanol (HFIP,
Biosolve-Chemicals) to prepare the polymer solutions. Solutions of
26–30% of polymer (w/v) in 70:30 to 80:20 CHCl3/HFIP
(v/v) were formulated. Polycaprolactone (PCL, Mn = 80 000, Sigma-Aldrich) solutions were prepared with
20% (w/v) in 75:25 CHCl3/HFIP.
Electrospinning
Setup
The ESP system
configuration consisted of a two parallel plate setup, composed of
a top unit (21.5 × 30 cm) of a 2 cm thick copper plate encased
in Teflon and a 0.5 cm thick copper collector (10 × 10 cm) mounted
on an XY translational stage. The stage is a modified
3D printer (k8200, Velleman), specifically customized for ESP experiments
and controllable using Repetier-Host software (v0.84, Repetier).
Electrospinning Tests and Jet Imaging
Initial
electrospinning experiments to assess the drawing region
were carried out with polymer solutions of 26–30% PEOT/PBT
in 70:30 to 80:20 CHCl3/HFIP (v/v). The applied voltage
was varied from 2.0 to 16 kV and the working distance from 2 to 16
cm, the flow rate from 0.05 to 2 mL/h, the temperature from 18.5 to
30 °C, and the relative humidity from 25% to 55%. The scan speed
was varied from 1 to 13 mm/s and the spinneret diameter was fixed
to 0.5 mm. After jet initiation, the collector was set to a linear
motion to collect the fibers in a single direction. A gross visual
examination of the outcome and scanning electron microscope (SEM)
analysis were done to analyze the contribution of each parameter to
the jet stability and to define the parameters range for drawing capability.ESP tests within the drawing region were carried with a 28% PEOT/PBT
in 75:25 CHCl3/HFIP (v/v). The applied voltage varied from
4 to 8 kV, the working distance from 2 to 7 cm, and the scan speed
from 1 to 13 mm/s. The flow rate was set to 0.18 mL/h through a spinneret
with 0.8 mm diameter. A temperature of 20 °C and a relative humidity
of 30% were used as ambient parameters. SEM micrographs were then
taken to investigate the fiber bundle morphology within the drawing
region.ESP tests with PCL solutions were carried out using
the same approach
but different settings. The voltage was varied from 7 to 16 kV and
the working distance from 3 to 6 cm, and the scan speed was set at
10 mm/s. The flow rate was tested between 1 and 5 mL/h through a 0.5
mm spinneret. The temperature was established at 21–23 °C
and the relative humidity between 35% and 45%.Images of the
jet flight were captured using a digital camera (Panasonic
Lumix DMC G3) and the resulting photographs were further treated with
ImageJ.
Direct Writing and Scaffold Fabrication
Direct writing experiments and scaffold fabrication were carried
with a polymer solution of 28% PEOT/PBT in 75:25 CHCl3/HFIP
(v/v) with the experimental parameters listed in Table S7 (SI). For the fabrication of the assembled scaffolds,
the electrospun mats were stacked via a manual process illustrated
in Figure S16 (SI). Briefly, the scaffolds
were detached from the aluminum foil by placing them in deionized
(DI) water for 1–2 min and gently tapping the structure with
tweezers to promote detachment. After drying with filter paper, the
scaffolds were placed on top of a polydimethylsiloxane (PDMS) block
covered with a Teflon sheet and held in place with thin metal wires.
Overall, four scaffolds were stacked together to achieve the final
constructs. To promote the space between individual scaffold layers,
a thin poly(ethylene oxide) (PEO, Mw =
900 000 g/mol, Sigma-Aldrich) sheet (300 μm thick) fabricated
through solvent casting of 3% PEO in 80:20 H2O/ethanol
(v/v) was placed between each scaffold. The stacked layers were then
bound together by joining the vertexes of each scaffold and melting
them at 180 °C (using a micro-soldering iron). After that, the
thin metal wires were removed from the scaffolds. The assembled constructs
were then placed overnight in a container filled with DIwater under
agitation to dissolve the sacrificial PEO layers. Following this process,
the scaffolds were retrieved and allowed to dry.The fabrication
of random fiber (RF) sheets was carried out using the same polymer
solution and setup, with the process parameters listed in Table S7 (SI), which were selected to fabricate
a mesh with similar fiber dimensions as the DW scaffolds. The collector
was set to a raster scan path with a step size on the Y axis of 1 mm to ensure thickness uniformity on the deposited meshes.
Scaffolds with a diameter of 12 mm were then punched out for further
cell culture study.
Scaffold Characterization
The scaffold
geometry and architecture was characterized through measurements on
SEM micrographs. The height of the final assembled construct was measured
using a digital caliper. The porosity of the electrospun scaffold
was calculated using the theoretical approach described in eq where mscaffold is the measured weight of the scaffold,
ρmaterial is the density of the material (1.2 g/mL),[59] and Vscaffold is
the apparent volume
of the scaffold (assuming a solid block of equal dimensions). To determine
the Young’s modulus under compression of the electrospun scaffolds,
a mechanical test was performed using a nanoindentation device (Piuma,
Optics 11). The compression test on the scaffold was carried out with
a tip radius (r) of 22.5 μm and spring constant
(k) of 78.3 N/m. Forty indentations were performed
with a step size of 50 μm on the X axis and
5 μm on the Y axis.
Cell
Culture
Preselected hMSCs (male
age 22) were retrieved from the Institute of Regenerative Medicine
at Texas A&M University.[60,61] Briefly, a bone marrow
aspirate was drawn from the patient after informed written consent,
and mononuclear cells were separated using density centrifugation.
hMSCs at passage 2 were expanded in basic medium (BM) composed of
α-MEM (Thermo Fisher Scientific) supplemented with 10% fetal
bovine serum (Lonza), 2 mM l-glutamin (Thermo Fisher Scientific),
0.2 mM ascorbic acid (Sigma-Aldrich), and 100 units/mL penicillin
plus 100 mg/mL streptomycin (Thermo Fisher Scientific) until reaching
80–85% confluence. The medium was refreshed every 2 days.
Pellet Culture
To check the donor
potential for chondrogenesis, a pellet culture study was performed
over 21 days as a positive control. About 2 × 105 cells
suspended in 200 μL of chondrogenic medium composed of DMEM
(Thermo Fisher Scientific) supplemented with 1% ITS premix (Micronic
BV), 50 μg/mL ascorbic acid (Sigma-Aldrich), 40 μg/mL
proline (Sigma-Aldrich), 100 μg/mL sodium pyruvate (Life Technologies),
100 units/mL penicillin plus 100 mg/mL streptomycin (Thermo Fisher
Scientific), 0.01 μg/mL TGF-β3 (R&D systems), and
100 nM dexamethasone (Sigma-Aldrich) were seeded in a round-bottomed
nontreated tissue culture 96-well plate. For pellet formation, the
cells were centrifuged at 2000 rpm for 3 min at 4 °C. As a control
the cells were seeded in BM using the same protocol. The medium was
refreshed every 2 days, taking out 100 μL and adding 100 μL.
The pellets were fixed in 4% paraformaldehyde for 2 h at 4 °C
and then washed three times with phosphate-buffered saline solution
(PBS) and maintained wet.
Seeding Efficiency and
Proliferation on AM
vs DW ESP Scaffolds
3D scaffolds made of PEOT/PBT were fabricated
via additive manufacturing (Bioscaffolder, SysENG).[32] hMSCs were seeded on DW ESP and AM scaffolds at a density
of 5 × 104 cells/cm2 and cultured in BM
for 4 days, with medium changes every other day. Cell attachment was
evaluated by DNA quantification using a CyQUANT Cell Proliferation
Assay Kit (Thermo Fisher Scientific). Briefly, the scaffolds were
washed three times with PBS, transferred to a 1.5 mL Eppendorf tubes,
and placed at −80 °C overnight. After this, three freeze/thaw
cycles (from −80 °C to room temperature) were applied,
and 250 μL of proteinase K digestion buffer [0.001% (w/v) proteinase
K, 10% of 1.85 mg/mL iodoacetamide (Sigma-Aldrich) solution, and 10%
of 100 μg/mL pepstatin A (Sigma-Aldrich) solution in Tris/EDTA
buffer] was added to every tube, followed by incubation at 56 °C
for 16 h under agitation. The lysate was collected and used to measure
the DNA amount in the scaffolds using the kit protocol. Cell distribution
and proliferation were assessed with Methylene Blue staining. Briefly,
samples were fixed in 10% formalin solution for 30 min, followed by
a rinse with demineralized water for 1 min. After that, samples were
put in 1% Methylene Blue solution for 60 s and washed with demineralized
water again three times. Images were acquired with a stereomicroscope
(SMZ25, Nikon).
Cell Seeding and Culture
on RF Sheets and
DW ESP Scaffolds
Prior to cell seeding, samples were placed
in a nontreated tissue culture 24-well plate (O-rings were used to
prevent the scaffolds from floating), sterilized in 70% ethanol for
1 h, and washed three times with PBS. After removing the PBS, the
scaffolds were prewetted in BM overnight for the next step of cell
seeding. Cells were seeded on each scaffold at a similar density (12 000
cells/mg of material) unless otherwise stated. After cell attachment,
a final volume of 1 mL of CM was applied for each well. Cell culture
on scaffolds in BM was used as the negative control. Cell culture
on scaffolds was kept for 21 days and the medium refreshed every 2–3
days.
Scanning Electron Microscopy (SEM) Analysis
The cell-seeded scaffolds (n = 4) were washed
three times with PBS, fixed during 2 h in 10% neutral buffered formalin,
washed again three times with PBS, dehydrated in a series of ethanol
dilutions (1 × 50, 60, 70, 80, 90, and 96% and 2 × 100%)
for 30 min and then critical point dried with liquid carbon dioxide
(Balzers CPD 030 and Leica EM CPD 300). Following this, samples were
gold-sputtered (Cressington Sputter Coater 108 auto) for 40 s at 30
mA and then imaged using a SEM (Philips XL-30 ESEM, Philips, and Versa
3D, FEI) at V = 10 kV. For analysis of the fiber
diameter and morphology and characterization of the electrospun scaffolds,
the samples were gold-sputtered and imaged using the same parameters.
Metabolic Activity
The cell metabolic
activity was measured at days 1, 4, and 7 using the PrestoBlue Cell
Viability Reagent (Life Technologies). Briefly, a 10% (v/v) prestoBlue
solution in culture medium was added to each sample (n = 4), which was incubated at 37 °C, 5% CO2 during
2 h, protected from light. After that time, 150 μL aliquots
were transferred to a black 96-well plate, and the fluorescence was
measured in a PerkinElmer Victor3 plate reader (PerkinElmer) using
the following parameters for excitation/emission: 560/590 nm. Blanks
of medium only were made to correct for background fluorescence.
Gene expression of the chondrogenic markers including
Col2a, Sox9, and ACAN was evaluated after 14 and 21 days of culture.
Total RNA was isolated from the samples using a TRIzol-based extraction
method followed by the Isolate II RNA Mini Kit (Bioline). Briefly,
1 mL of TRIzol reagent (Thermo Fisher Scientific) was added to each
sample, followed by centrifugation at 12 000 rcf for 2 min
at 4 °C, addition of 0.2 mL of a CHCl3:isoamyl alcohol
mixture, and again centrifugation at 12 000 rcf for 15 min
at 4 °C. The aqueous phase was then collected and the rest of
the procedure was conducted using the Isolate II RNA Mini kit protocol.
RNA quantification and purity assessment were done in a NanoDrop 2000
(Thermo Fisher Scientific). cDNA was synthesized using the SensiFAST
cDNA Synthesis Kit (Bioline) according to the manufacturer’s
protocol. qPCR was performed in the CFX Connect Real-Time PCR Detection
System (Bio-Rad) using the SensiMix SYBR & Fluorescein Kit (Bioline)
and the primers listed in Table S8 (SI).
Twenty-five microliters of sample volume composed of 3 μL of
cDNA, 12.5 μL of kit reagent, 7.5 μL of distilled water,
and 1 μL of forward and reverse primer was used in the amplification
process. For this, cDNA was first denatured for 10 min at 95 °C,
followed by 45 cycles, consisting of 15 s at 95 °C, 15 s at 60
°C, and 15 s at 72 °C. Ct values were determined and normalized
to the housekeeping gene B2M, and ΔCt = (average of Ctcontrol) – (Ctvalue). The relative mRNA of the markers
of interest is represented as fold changes relative to the expression
obtained in the random fiber samples cultured in basic medium and
calculated by 2–ΔΔCt.
Immunohistochemistry
Samples (n =
3) were retrieved after 21 days of culture, washed three
times with PBS, and fixed for 30 min in 4% paraformaldehyde, at 4
°C. Samples were permeabilized in 0.5% Triton X-100 for 5 min
at room temperature, followed by incubation with blocking buffer (0.05%
Tween 20, 5% goat serum, and 1% BSA in PBS) overnight. Afterward,
a mouse monoclonal anticollagen type I (1:100; Thermo Fisher scientific)
or a mouse monoclonal anticollagen type II (1:50; Novus Biologicals)
was added, and samples were incubated overnight again at 4 °C.
The following day, samples were washed three times with wash buffer
(blocking buffer without goat serum) and incubated with goat anti-mouseAlexa Fluor 647 secondary antibody (Invitrogen) (1:300) in wash buffer
for 1.5 h at room temperature. Cell nuclei were stained with DAPI
(0.1 μg/mL in PBS) for 5 min, followed by washing in PBS (three
times). Samples without primary antibodies were used as a negative
control. Fluorescent images were acquired using an inverted fluorescent
microscope (Nikon Eclipse Ti–S).
Glycosaminoglycan
(GAG) Assay
GAG
and DNA measurements were performed after 14 and 21 days of culture.
Samples (n = 4) were washed with PBS, transferred
to a 1.5 mL Eppendorf tube, and stored dry overnight at −80
°C. Three freeze/thaw cycles (from −80 °C to room
temperature) were applied to all the samples, and 250 μL of
proteinase K digestion buffer (the formulation as describe above)
was added to each tube, followed by incubation at 56 °C for 16
h, under agitation. The lysate was collected and used to measure the
GAG amount and respective DNA content. The GAG amount was determined
spectrophotometrically after reaction of 25 μL of lysate mixed
with 5 μL of NaCl solution (2.3 M) with 150 μL of dimethylmethylene
blue dye (DMMB, Sigma-Aldrich). The intensity of color change was
quantified immediately by measuring the absorbance at 525 nm in a
microplate spectrophotometer (CLARIOstar, BMG Labtech). The GAG content
was then calculated using a standard of chondroitin sulfate (Sigma-Aldrich).
The DNA amount was determined following the protocol described above.
Histology
Pellets and cell-seeded
scaffolds (n = 3) were retrieved after 21 days of
culture, washed with PBS, and fixed overnight in 10% neutral buffered
formalin, at 4 °C. Subsequently, samples were dehydrated through
a graded ethanol series (1 × 50, 60, 70, 80, 90, and 96% and
2 × 100%), cleared with butanol (2 h), infiltrated with liquid
paraffin (overnight), embedded in paraffin, and stored at −20
°C. Sections 10 μm in thickness were cut with a microtome
(HM355S, Thermo Fisher Scientific), mounted in poly-l-lysine
precoated slides, and stained with 0.5% (w/v) Alcian Blue solution
in 1 M HCl (pH 1.0, Sigma-Aldrich) for sulfated GAG and with Nuclear
Fast Red for cell visualization. Microphotographs were then acquired
using an inverted fluorescent microscope (Nikon Eclipse Ti–S)
equipped with a color camera (DS-Ri2).
Image
Analysis
SEM images were analyzed
for fiber alignment quantification using the ImageJ software. The
plugin OrientationJ was employed for this purpose, and the images
were analyzed over the same ROI. Measurements (n =
30) were performed per condition, and the results are expressed in
terms of the directional coherency coefficient, on a scale from zero
to one. A coherency coefficient close to one, represented as a slender
ellipse, indicates a strongly coherent orientation of the local fibers
in the direction of the ellipse long axis. A coherency coefficient
close to zero, represented geometrically as a circle, denotes no preferential
orientation of the fibers.[49]
Statistics
Statistical significance
was assessed with an unpaired t test on the fiber
diameter study. A p-value <0.05 was considered
significant. For the biological study, statistical significance was
assessed using nonparametric tests. For comparison between two groups,
the Mann–Whitney U test was used, and for
comparison between three groups, the Kruskal–Wallis test was
applied. A p-value <0.05 was considered significant.
All the values are expressed as the average ± standard deviation.
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