Yaping Ding1, Wei Li, Alexandra Correia, Yuyun Yang2,3, Kai Zheng2, Dongfei Liu, Dirk W Schubert1, Aldo R Boccaccini2, Hélder A Santos, Judith A Roether1. 1. Institute of Polymer Materials , University of Erlangen-Nuremberg , Martensstrasse 7 , 91058 Erlangen , Germany. 2. Institute of Biomaterials , University of Erlangen-Nuremberg , Cauerstrasse 6 , 91058 Erlangen , Germany. 3. Institute of Corrosion Science and Surface Technology , Harbin Engineering University , Nantong Street 145 , 150001 Harbin , China.
Abstract
Electrospun hybrid scaffolds are an effective platform to deliver drugs site specifically for the prevention and treatment of diseases in addition to promote tissue regeneration because of the flexibility to load drugs therein. In the present study, electrospun hybrid scaffolds containing antibiotics were developed to support cellular activities and eliminate potential postoperative inflammation and infection. As a model drug, levofloxacin (LFX) was successfully incorporated into pure polyhydroxybutyrate/poly(ε-caprolactone) (PHB/PCL) scaffolds and PHB/PCL/sol-gel-derived silica (SGS) scaffolds. The influence of LFX on the morphology, mechanical performance, chemical structure, drug release profile, and antibacterial effect of the scaffolds was thoroughly and comparatively investigated. MG-63 osteoblast-like cell cultivation on both scaffolds certified that LFX inclusion did not impair the biocompatibility. In addition to the favorable cellular proliferation and differentiation, scaffolds containing both LFX and SGS displayed highly increased mineralization content. Therefore, the present multifunctional hybrid scaffolds are promising in tissue engineering applications.
Electrospun hybrid scaffolds are an effective platform to deliver drugs site specifically for the prevention and treatment of diseases in addition to promote tissue regeneration because of the flexibility to load drugs therein. In the present study, electrospun hybrid scaffolds containing antibiotics were developed to support cellular activities and eliminate potential postoperative inflammation and infection. As a model drug, levofloxacin (LFX) was successfully incorporated into pure polyhydroxybutyrate/poly(ε-caprolactone) (PHB/PCL) scaffolds and PHB/PCL/sol-gel-derived silica (SGS) scaffolds. The influence of LFX on the morphology, mechanical performance, chemical structure, drug release profile, and antibacterial effect of the scaffolds was thoroughly and comparatively investigated. MG-63 osteoblast-like cell cultivation on both scaffolds certified that LFX inclusion did not impair the biocompatibility. In addition to the favorable cellular proliferation and differentiation, scaffolds containing both LFX and SGS displayed highly increased mineralization content. Therefore, the present multifunctional hybrid scaffolds are promising in tissue engineering applications.
As
a simple and versatile technique to generate three-dimensional (3D)
and highly porous architectures, consisting of continuous fibers down
to nanosize, electrospinning has been applied for various applications
such as biomedical, agricultural, energy industries, and so forth.[1−3] Biomedical applications such as tissue engineering and drug delivery
are recognized as the most technically relevant among those applications.[3] On the one hand, nonwoven nanofibers fabricated
via electrospinning possess highly interconnected pores up to 90%
in volume, thus imitating the extracellular matrix (ECM) closely,
and can favorably support cell adhesion, proliferation, differentiation,
and ultimately tissue regeneration.[4] On
the other hand, flexible drug entrapment through direct blending or
incorporation of particulate vehicles, high drug loading capacity,
and nearly 100% encapsulation efficiency makes the fibrous scaffolds
an optimal platform to locally deliver a variety of drugs.[2] Additionally, because of topical administration,
the required drug dosage in electrospun fibers can be reduced, leading
to less systematic adsorption and reduced side effects.[5,6] These advantages of electrospinning, therefore, make it a promising
technique to develop multifunctional scaffolds that meet the diverse
requirements in tissue engineering. For instance, in bone tissue engineering,
biocompatible and bioactive scaffolds with an antibacterial function
are desired because they could greatly reduce the possibility of postoperative
inflammation and infection.[7]Several
studies have focused on drug incorporation into polymer scaffolds
or ceramic scaffolds.[6,8−10] However, drug
incorporation in organic/inorganic hybrids and their drug release
behaviors are rarely reported. Aiming for bone tissue engineering,
polyhydroxybutyrate/poly(ε-caprolactone) (PHB/PCL)/sol–gel-derived
silica (SGS) hybrid scaffolds were successfully fabricated in our
previous study and their physiochemical and biocompatibility were
thoroughly characterized.[11,12] SGS was able to promote
the bioactivity of polymer matrix, and the PHB/PCL/SGS hybrid scaffolds
were favorable for osteogenicity.[12] As
a widely used antibiotic in clinic, levofloxacin (LFX) is active against
a variety of clinical pathogens including both Gram-negative bacteria
and Gram-positive bacteria.[13] In the present
study, LFX was used as a model drug to be incorporated into SGS-containing
scaffolds to further eliminate the potential infection after operation.
It is considered that drug incorporation may influence the morphology
and physical performance of the nanocomposites and hybrids. Moreover,
drug release behavior may also vary when in contact with hybrid systems.
Their morphologies and physical properties of scaffolds with and without
LFX were compared in detail, and their drug release profiles and antibacterial
efficacy against Gram-positive bacteria Staphylococcus
aureus (S. aureus)
and Gram-negative bacteria Escherichia coli (E. coli) were investigated. Furthermore,
MG-63 osteoblast-like cell cultivation was carried on the above LFX-containing
scaffolds to evaluate their biological performances.
Materials and Methods
Materials
PHB (Mw = 437 kDa) and PCL (Mw = 48–90 kDa) were dissolved in chloroform
(CF) and N,N-dimethylformamide (DMF)
to prepare the polymer solution. For silica sol preparation, tetraethyl
orthosilicate (TEOS, 98%), ethanol (EtOH, 99.5%), hydrogen chloride
(HCl, 1 N), and DI H2O were used as a precursor, a solvent,
and a catalyst. LFX (≥98.0%) was utilized as a model drug to
examine the antibacterial properties. All chemicals were commercially
purchased from Sigma-Aldrich.
Fabrication
of PHB/PCL/SGS/LFX Fibermats
For a comparative study, PHB/PCL/LFX
fibermats were first prepared. As illustrated in Figure , 0.35 g of PHB and 0.15 g
of PCL were dissolved in a cosolvent consisting of 8 mL of CF and
1 mL of DMF at 70 °C under intense magnetic stirring. In addition,
25 mg of LFX was dissolved in 1 mL of DMF at room temperature. Afterward,
the LFX solution was added dropwise into the PHB/PCL solution until
a homogeneous solution was obtained for electrospinning at room temperature
(Figure , route 1).
The weight ratio of LFX in comparison to polymer matrix was 1:20,
and the sample was labeled as P100L5.
Figure 1
Schematic illustration of the preparation
procedures of P100L5 (route 1) and P100S20L5 (route 2) electrospun
fibermats.
Schematic illustration of the preparation
procedures of P100L5 (route 1) and P100S20L5 (route 2) electrospun
fibermats.To fabricate the sol–gel
silica (SGS)-containing sample, a two-step procedure was involved.
First, 9 mL of PHB (0.35 g)/PCL (0.15 g)-CF (8 mL)/DMF (1 mL) solution
and 1 mL of LFX (25 mg)–DMF solution were prepared through
the same process as described above. At the same time, 0.93 mL of
TEOS was dissolved in 0.485 mL of EtOH until clear and then 0.15 mL
of H2O and 4 μL of HCl (1 N) were dropped into the
TEOS solution and stirred for 30 min to prepare the silica sol. Then,
1 mL of LFX–DMF solution was mixed with 628 μL of as-prepared
silica sol until a homogeneous mixture was obtained and further added
into the PHB/PCL–CF/DMF solution for electrospinning (Figure , route 2). The polymer/SGS
and polymer/LFX ratios were fixed at 5:1 and 20:1, respectively; thus,
the sample was labeled as P100S20L5.All mixtures were electrospun
following the flow rate of 4 mL/h and an electric field of 15 kV/15
cm for 2.5 h to obtain fiber meshes with thicknesses around 100–150
μm. An aluminum foil was used as a collector for final scaffolds.
All processes were conducted at room temperature, and the humidity
was kept at 30–40%. For comparison, pure PHB/PCL fibermats
were also fabricated using the same concentration and operational
parameters. Afterward, all samples were dried in a vacuum oven for
24 h before further characterizations.
Physicochemical
Characterizations
Morphology
The
morphologies of as-prepared samples were observed by scanning electron
microscopy (SEM, Ultra Plus, Zeiss, Germany). In addition, fiber diameter
distributions were measured by ImageJ through SEM images, and more
than 100 fibers were chosen randomly for each image. All samples were
sputter-coated with gold/palladium before observation.
Tensile Property
The mechanical properties were evaluated
by a tensile testing machine (Frank, Karl Frank GmbH, Germany) on
rectangular strip samples with a size of 40 × 5 mm2. Stress–strain curves were recorded when the samples were
stretched at a speed of 10 mm/min by the testXpert program (Zwick/Roell,
Germany) using a load cell of 50 N. The ultimate tensile strength,
strain at break, and elastic modulus were determined from the stress–strain
curves, and average values were calculated on five samples.
Wettability
The wettability was testified by contact
angle (CA) measurements (DSA30, Kruess GmbH, Germany). During each
measurement, a water droplet of 6 μL was dropped onto the sample
and five measurements were conducted on each composition.
Fourier Transform Infrared Spectroscopy
Attenuated
total reflectance Fourier transform infrared spectroscopy (ATR–FTIR,
Nicolet 6700, Thermo Scientific, USA) was utilized to investigate
the chemical structure of the obtained samples. For each measurement,
32 spectral scans were repeated in the wavenumber range of 4000–525
cm–1.
In Vitro
Drug Release Studies
All samples were cut into strips with
dimensions of 40 × 5 mm2, and the total drug content
was calculated as a function of sample weight and designed weight
ratio. Then, the drug release behavior was tested by immersing two
types of samples in 20 mL of phosphate-buffered saline (PBS) solution
at 37 °C. At each time point, 1 mL of the immersing PBS was extracted
for testing and 1 mL of fresh PBS was refilled. The absorbance of
UV light of the 1 mL extracted PBS solution was measured with a UV–vis
spectrophotometer (SPECORD 40, Analytik Jena, Germany) at 288 nm.
Afterward, the concentration was interpreted through an absorbance–concentration
calibration curve ranging from 5 to 100 μg/mL. Curves of cumulative
release over time were plotted. The experiments were conducted in
triplicates.
Antibacterial Studies
The antibacterial performance of obtained sample was tested against
both Gram-positive bacteria S. aureus and Gram-negative bacteria E. coli. First, the above microorganisms were precultured in Luria–Bertani
Broth (LB medium, Carl Roth GmbH, Karlsruhe, Germany) overnight in
a shaker at 37 °C. Then, the bacterial pellets were collected
and dispersed in the sterilized LB medium, and the bacterial density
was standardized by an OD600 to an optical density of 0.01.
Briefly, to assess the inhibitory activity of as-prepared samples
against bacterial, 20 μL of S. aureus diluted suspension or E. coli suspension
was uniformly spread onto respective agar plates and then square samples
with a size of 5 × 5 mm2 were placed onto the above
agar plates and incubated for 24 h at 37 °C. Subsequently, the
zone of inhibition around the samples on the agar plates was visually
inspected.
In Vitro Cellular Behavior
MG-63 osteoblast-like cells (Sigma-Aldrich, USA) were cultured
in a Dulbecco’s modified Eagle’s medium (HyClone, Logan,
UT) with 4.5 g/L glucose, supplemented with 10% fetal bovine serum
(Gibco, Invitrogen, USA), 1% nonessential amino acids, 1% l-glutamine, penicillin (100 IU/mL), and streptomycin (100 μg/mL)
(all from HyClone, Logan, UT). The cells were cultured under a 95%
humidified atmosphere with 5% CO2 at 37 °C. The medium
was changed every other day. As-prepared samples were cut into pieces
at a size of 5 × 5 mm2 and then inserted onto the
bottom of the culture plates, followed by sterilization under UV light.
Cytotoxicity
To investigate the cytotoxicity of the
prepared scaffolds, MG-63 cells were seeded onto the samples in 96-well
plates at a density of 1 × 104 cells per well and
alamarBlue Cell Viability Assay (Thermo Fisher Scientific, USA) was
utilized. After cell culture for 1 and 3 days, the culture medium
was removed and samples were incubated in a fresh Hanks’ balanced
salt solution containing 10 vol % alamarBlue solutions at 37 °C
in 5% CO2 for another 4 h. When the medium color changed
from blue to light pink, the luminescence of the reacted medium (100
μL) was measured using a Varioskan Flash plate reader (Thermo
Fisher Scientific, USA), which proportionally indicated the live cell
numbers. The experiments were repeated in triplicates.
Cell Adhesion and Morphology
MG-63 cells were seeded
onto the samples in 48-well plates at a density of 2 × 104 cells per well and then cultivated in the medium for 3 and
7 days. At each time point, the samples were fixed with 4% paraformaldehyde
for 10 min and then washed with PBS three times. Before observation
by confocal laser scanning microscopy (Leica TCS SP5 II HCS A, Germany),
the cells were permeabilized with 0.1% Triton X-100 for 5 min, rinsed
with PBS, and blocked with 1% bovine serum albumin solution for 20
min. After that, the cytoskeletons were stained with Alexa Fluor 488
phalloidin for 20 min and nuclei were stained using 4′,6-diamidino-2-phenylindole
(DAPI) for 5 min.To observe the cell morphologies by SEM, MG-63
cells were cultured onto the samples in 48-well plates at a density
of 2 × 104 cells per well for 3 and 7 days. At each
time point, cell-seeded samples were fixed in 2.5% glutaraldehyde
for 30 min, rinsed with PBS several times, and then dehydrated through
concentration-graded ethanol at 30, 50, 70, 80, 90, and 100% for 15
min each. The dehydrated samples were sputter-coated with platinum
before SEM observation (Quanta 250 FEG, FEI, USA).
Cell Alkaline Phosphatase Activity
The alkaline phosphate
activity (ALP) is regarded as an initial indicator of the osteoblast
phenotype.[14] An ALP assay kit (Fluorometric,
Abcam, UK) was used to measure the ALP activity according to the manufacturer’s
instructions. In brief, after cell cultivation for 7 and 14 days,
a supernatant of cell lysate was collected to react with the nonfluorescent
4-methylumbelliferone phosphatase disodium salt (MUP) substrate in
96-well black plates with clear bottoms. The plates were subsequently
incubated at room temperature in the dark for 30 min. During the incubation,
the substrate MUP was dephosphorylated to the fluorescent chemical
by active ALP obtained in the cell lysate. Emission of the fluorescent
substrate was measured at 440 nm using Varioskan Flash plate reader
(Thermo Fisher Scientific, USA). A standard curve was generated each
time, and the results were normalized to the control sample (PHB/PCL
at day 7, 100%).
Quantitative Assessment
of Alizarin Red S Staining for Mineralization
Mineralization
of cells on the substrate is another sign of osteogenic differentiation
of relevance to bone tissue engineering.[14,15] Alizarin Red S (ARS) staining was used to detect the presence of
calcified calcium nodules on the scaffolds and MG-63 cells, which
were cultured on the scaffolds at a density of 5 × 103 cells per well for 4 weeks. After the cell culture, all samples
were rinsed with PBS and fixed with 95% ethanol for 10 min. Afterward,
they were immersed in ARS staining solution (pH = 4.2) for 10 min
to stain the calcium, followed by H2O rinsing to remove
excess dye. Then, the ARS uptake in calcium minerals was extracted
by using a 10% acetic acid for 30 min. Finally, the mineralization
content was quantified by determining the optical density of extracted
ARS using the Varioskan Flash plate reader (Thermo Fisher Scientific,
USA). The obtained values were then normalized to the control sample
(PHB/PCL at day 28, 100%).
Statistical
Analysis
All data were expressed as average ± standard
deviation (SD). A one-way analysis of variance followed by the Bonferroni
post hoc test was used to analyze the data. The analysis was carried
out using OriginPro 9.0 software (OriginLab Corporation, USA), and
the levels of significance were set at the probabilities of *p < 0.05, **p < 0.01, and ***p < 0.001.
Results and Discussion
Morphologies of Scaffolds
To facilitate cell growth
and proliferation, a 3D structure with interconnected pores is desired
to closely mimic the ECM, which is the microenvironment supporting
the cellular activities and metabolism.[16] As shown in Figure , all three samples exhibit smooth, nonwoven, and highly porous architecture,
which is the typical topography of optimized electrospun fibermats.
Moreover, the fiber diameters of all samples display a comparable
distribution range (Figure and Table ), indicating that the LFX addition had no significant influence
on the spinnability of the solution. The topographies of the LFX-containing
scaffolds differed in terms of fiber surfaces. Compared to pure polymer
scaffolds, drug crystal-like particles appear on the fiber surfaces
of P100L5 (Figure d), whereas P100S20L5 exhibits smooth and uniform fiber surfaces
(Figure f).
Figure 2
SEM images
and fiber diameter distributions of PHB/PCL (a,b), P100L5 (c,d), and
P100S20L5 (e,f).
Table 1
Fiber Diameter
Distributions, Tensile Properties, and Wettabilities (CA Values) for
PHB/PCL, P100L5, and P100S20L5 (The Data Are Mean Value ± Standard
Deviation, n ≥ 5)
diameter (μm)
ultimate tensile strength (MPa)
strain at
failure (%)
Young’s modulus (MPa)
CA (deg)
CA (deg)
at 20 min
PHB/PCL
0.8 ± 0.2
3.5 ± 0.1
195 ± 31
98 ± 10
137 ± 5
135 ± 3
P100L5
0.9 ± 0.2
4.0 ± 0.3
175 ± 23
153 ± 9
122 ± 4
0
P100S20L5
0.8 ± 0.1
2.4 ± 0.1
50 ± 4
122 ± 8
135 ± 2
0
SEM images
and fiber diameter distributions of PHB/PCL (a,b), P100L5 (c,d), and
P100S20L5 (e,f).Particles on the P100L5 samples (Figure d) may be drug crystals, as drug crystal
formation and growth were often reported in electrospun hydrophobic
fibers containing hydrophilic drugs and were assumed to be caused
mainly by the incompatibility between the polymers and drugs.[17] In addition, several parameters were especially
investigated on the drug crystal formation by Zeng et al.[18] They proposed that solubility
and compatibility in the polymer/drug/solvent system were the decisive
factors influencing drug distribution and crystal formation, and the
hydrophilic (drug)–hydrophobic (polymer) relationship could
highly induce the drug crystallization on the fiber surface. The above
study can reasonably explain the drug crystal-like aggregates in scaffolds
consisting of hydrophobic PHB/PCL matrix and hydrophilic LFX incorporation.
However, in the P100S20L5 system, the high solubility of LFX in acid
silica sol (pH ≈ 4) and the better compatibility between LFX
and silanol moieties (−Si–OH) were assumed to inhibit
the crystalline LFX formation. It was reported that the solubility
of LFX in water is pH-dependent and reaches a maximum of 200 mg/mL
when the pH ranges from 2 to 5.[19] Additionally,
according to Radin et al.’s study, SGS xerogels were able to
entrap hydrophilic drug (vancomycin) in the network as a drug carrier.[20] Thus, it is likely that LFX was completely dissolved
in the mixture and confined in the silica network during electrospinning,
resulting in smooth fiber generation without drug aggregates. The
formation and distribution of drug crystals could influence the physical
properties and the release profiles, as discussed below.
Chemical Structure
The chemical structures evidenced
by FTIR spectra of the as-prepared scaffolds are presented in Figure a to verify the inclusion
of SGS and LFX. As the FTIR spectra of PHB, PCL, and SGS have been
thoroughly discussed in the previous study,[11,12] only drug related information will be discussed here. Most bands
of LFX are overlapping with those of the polymers; however, two bands
at 1621 and 1540 cm–1 can characteristically prove
the incorporation of LFX.[21] In addition,
the presence of SGS can also be confirmed by the band area in the
range of 1200–1000 cm–1.[11] No apparent new bands or band shift can be detected because
of the overlapping and low amount of LFX addition.
Figure 3
(a) FTIR spectra of PHB/PCL,
P100L5, and P100S20L5. (b) Representative stress–strain curves
of PHB/PCL, P100L5, and P100S20L5 samples in tensile strength tests
(n = 5).
(a) FTIR spectra of PHB/PCL,
P100L5, and P100S20L5. (b) Representative stress–strain curves
of PHB/PCL, P100L5, and P100S20L5 samples in tensile strength tests
(n = 5).
Mechanical Performances
Besides the
topography, matrix stiffness is also reported to strongly affect cellular
behavior. For instance, more proliferative and spreading cell phenotype
could be observed on a stiffer matrix.[22,23] Thus, the
mechanical properties were evaluated on LFX-containing samples to
examine the influence of drug incorporation. Representative stress–strain
curves are displayed in Figure b, and a summary of the average values is listed in Table . As shown in stress–strain
curves, the ductile fracture feature of the PHB/PCL blend is maintained
for all LFX-containing samples. Tensile strength and Young’s
modulus of P100L5 were highly increased due to LFX addition. This
is likely due to the formation of drug crystals which reinforced the
polymer matrix in a manner similar to rigid nanoparticles.[24] Similar results were reported in the studies
of electrospun cellulose acetate fibers containing gallic acid and
electrospun PCLEEP fibers encapsulated with retinoic acid.[24,25] Furthermore, in the P100S20L5 system containing both SGS and LFX,
despite the decreased tensile strength and strain, Young’s
modulus was also increased ∼24% compared to that of the pure
PHB/PCL scaffolds. In our former study, SGS-alone inclusion could
enhance the strength and stiffness of pure PHB/PCL fibermats simultaneously.[11] On the contrary, the LFX incorporation into
SGS may interfere with the sol–gel network formation, leading
to the reduction of the tensile strength.
Wettability
Surface wettability (hydrophilicity–hydrophobicity) of scaffolds
is considered as one of the most essential factors affecting biological
responses, such as initial cellular adhesion and proliferation behaviors,
protein adhesion, and bacterial adhesion.[26,27] Moreover, in drug release systems, the permeation rate of water
and the drug diffusion rate are both related to the hydrophilicity.[28] Therefore, in addition to physical performance,
the wettability of the scaffolds was assessed by measuring the CAs
and the results are summarized in Table . As the data shows, all LFX-containing samples
were very hydrophobic after fabrication and at the initial stage of
measurement, which can be attributed to the hydrophobic nature of
PHB and PCL and the high porosity of electrospun structures.[29] However, unlike pure PHB/PCL scaffolds, the
CAs of the LFX-containing samples decreased to 0° after 20 min,
which was evidenced by the fact that water drops were absorbed into
the scaffolds gradually during the measurement. It is proven that
the hydrophilic LFX on the fiber surface dramatically changed the
wettability of the fibrous scaffolds. Additionally, the SGS addition
could also increase the hydrophilicity of hybrid scaffolds according
to our previous study;[11] therefore, both
SGS and LFX contributed to the hydrophilicity of the current hybrid
PHB/PCL/SGS/LFX scaffolds. Similar trends were observed in a study
about electrospun collagen/PCL scaffolds containing penicillin and
tetracycline.[28]
Drug
Release Behavior
As drug carrier and delivery systems, electrospun
scaffolds can achieve a high drug loading and encapsulation efficiency.
Moreover, the drug release kinetics can be modulated through altering
the composition and structure of the fibers.[30] To investigate the release behaviors of LFX in the present systems,
a 72 h release study was carried out in PBS solutions. Figure a shows the UV–vis spectra
of pure LFX and the released LFX from electrospun scaffolds, and cumulative
release profiles of the two LFX-containing scaffolds are shown in Figure b. From the UV–vis
measurement, it is observed that the released LFX from all scaffolds
for 24 h displays the same curves to that of pure LFX. All spectra
show the maximum absorbance peaks at 288 nm, which indicates that
the integrity of the LFX molecule was preserved during the whole procedure,
including the sol–gel process and the electrospinning process.
From the cumulative release profiles, it can be seen that all scaffolds
show a quick burst release of LFX in the first 8 h, followed by a
sustained release up to 72 h. However, the initial amount of LFX released
after 8 h is a function of the scaffold composition. Comparatively,
nearly 74 wt % of LFX was released from pure PHB/PCL in the first
8 h, and almost 95 wt % of LFX was released from SGS-containing scaffolds.
The initial accelerating release of LFX from P100S20L5 can be clearly
compared in the inset in Figure b. In addition, the total amount of LFX released from
P100L5 after 72 h is 87 wt %, and this value almost reaches 96.7 wt
% for P100S20L5, implying accelerated LFX release due to SGS addition.
Figure 4
(a) UV–vis
spectra of pure LFX/PBS and released LFX/PBS from electrospun P100L5
and P100S20L5 samples after 24 h. (b) Cumulative release of LFX from
the samples P100L5 and P100S20L5 up to 72 h (n =
3).
(a) UV–vis
spectra of pure LFX/PBS and released LFX/PBS from electrospun P100L5
and P100S20L5 samples after 24 h. (b) Cumulative release of LFX from
the samples P100L5 and P100S20L5 up to 72 h (n =
3).Intrinsically, the drug release
rate from electrospun scaffolds can be controlled by the degradation
of the polymer matrix and the interactions between drug and matrix.[31] In our early studies,[32] the hydrolytic degradation of PHB/PCL was quite slow (less than
5% in PBS for up to 12 months) and thus, it will not significantly
contribute to the LFX release in our systems. Thus, the incompatibility
of the hydrophilic drug (LFX) in the hydrophobic polymer (PHB/PCL)
and the high ionic strength of the drug molecule and the rapid solvent
evaporation during electrospinning, all contribute to the LFX molecules
tending to be located near the surface of the electrospun fibers and
thus be dissolved easily in the medium, leading to the rapid burst
release profile.[33,34] The highly increased LFX release
in SGS-containing samples can be mainly attributed to the fast dissolution
of the silica phase.[35] Similar conclusions
were drawn from a study on PCL/sol–gel silica/tetracycline
system with varying silica contents (0–20 vol %).[36]
Antibacterial Activity
The bacterial inhibitory activity of as-prepared scaffolds was
evaluated by the agar diffusion test using Gram-positive bacteria S. aureus and Gram-negative bacteria E. coli. As indicated in Figure , the efficacy of the incorporated LFX was
evaluated by measuring the inhibition zone. It was observed that both
P100L5 and P100S20L5 scaffolds are able to effectively inhibit the
bacterial growth under the studied conditions, and the inhibition
zones of the two LFX-containing scaffolds against S.
aureus after 24 h are basically similar in diameter,
which is 44 ± 3 mm for P100L5 and 43 ± 2 mm for P100S20L5,
implying that the drug release patterns did not significantly affect
the antibacterial efficacy. As shown in Figure d–f, for LFX-containing samples, most
of the bacterial colonies disappeared and only few of the colonies
can be seen around the boundary of the culture plate after culturing
for 24 h against E. coli, suggesting
that the released LFX has a stronger inhibitory effect on E. coli bacteria in comparison to S. aureus bacteria. No significant differences were observed between the efficacy
of P100L5 and P100S20L5 against E. coli.
Figure 5
Antibacterial tests against Gram-positive bacterial S. aureus and Gram-negative bacterial E. coli after culturing on agar plates with electrospun
samples of PHB/PCL (a,d), P100L5 (b,e), and P100S20L5 (c,f) for 24
h. The diameter of inhibition zone in (b) is 44 ± 3 and 43 ±
2 mm in (c). The size of samples was 5 × 5 mm2, and
an example of the testing sample was in the left corner of (a).
Antibacterial tests against Gram-positive bacterial S. aureus and Gram-negative bacterial E. coli after culturing on agar plates with electrospun
samples of PHB/PCL (a,d), P100L5 (b,e), and P100S20L5 (c,f) for 24
h. The diameter of inhibition zone in (b) is 44 ± 3 and 43 ±
2 mm in (c). The size of samples was 5 × 5 mm2, and
an example of the testing sample was in the left corner of (a).
In Vitro
Cellular Behavior
A systematic biological study was conducted
on the LFX-containing samples to evaluate the influence of LFX inclusion
on biocompatibilities.
Cell Viability
A high dose of antibiotics might significantly interfere with cell
replication and even cause cell death.[37,38] Therefore,
it is important to understand whether the loaded LFX in P100L5 and
P100S20L5 causes cytotoxicity. The cytotoxicity was evaluated using
the alamarBlue cell viability assay after cell cultivation for 1 and
3 days. As shown in Figure a, all scaffolds exhibited comparable cell viability to the
control (tissue culture plate) after cell culture for 1 day. Although
the values were slightly lower when cells were cultivated in P100L5
and P100S20L5 for 3 days (Figure b), the results among all samples have no significant
differences. Thus, LFX in our systems has no significant cytotoxicity
on the MG-63 cells.
Figure 6
Cell viability of MG-63 cells when cultivated in fibrous
scaffolds for 1 (a) and 3 days (b); the tissue culture plate was used
as the control (the results were presented as average value ±
SD, n = 3).
Cell viability of MG-63 cells when cultivated in fibrous
scaffolds for 1 (a) and 3 days (b); the tissue culture plate was used
as the control (the results were presented as average value ±
SD, n = 3).Confocal
microscopy was utilized to visualize the cellular adhesion and morphologies
when cells were cultivated for 3 and 7 days on the fibrous scaffolds.
As demonstrated in Figure a−c, cell numbers after cultivation for 3 days on LFX-containing
samples were slightly less when compared to the results on pure PHB/PCL
scaffolds, which is consistent with the cell viability results in Figure b. In addition, the
cell skeleton stained by phalloidin shows a relatively round or ellipsoid
shape on sample P100L5, whereas typical spindle-shape cells were found
on PHB/PCL and SGS-containing scaffolds P100S20L5. This distinction
indicated that the addition of LFX restrained cell adhesion and growth
in the early stages of cell culture, and this negative influence can
be reduced by silica addition to some extent. The confocal images
after cell culture for 7 days (Figure d–f) verified that bipolar MG-63 cells fully
covered all three samples, indicating that LFX inclusion has no severe
inhibitory effect on the cell growth and migration behaviors.
Figure 7
Confocal images
of MG-63 cells when cultivated on scaffolds PHB/PCL (a,d), P100L5
(b,e), and P100S20L5 (c,f) for 3 and 7 days (same scale bar for all
images).
Confocal images
of MG-63 cells when cultivated on scaffolds PHB/PCL (a,d), P100L5
(b,e), and P100S20L5 (c,f) for 3 and 7 days (same scale bar for all
images).Furthermore, cell–scaffold
interactions were further investigated by SEM (Figure ). After cell culture for 3 days, cells on
PHB/PCL and P100S20L5 exhibited comparable cellular proliferation
and elongated spindle-like morphologies. On the other hand, cells
on P100L5 appeared spherical and more separated from each other. After
culture for 7 days, cells on all samples formed a homogeneous cell
layer, consistent with the confocal images discussed above. However,
cells on LFX-containing samples (P100L5 and P100S20L5) displayed closer
attachment to the substrate than pure PHB/PCL scaffolds, which can
be attributed to the significantly enhanced hydrophilicity of LFX-containing
samples (Table ).
Figure 8
SEM images
of MG-63 cells when cultivated on the scaffolds PHB/PCL (a,d), P100L5(b,e),
and P100S20L5 (c,f) for 3 and 7 days. (The scale bar is 200 μm;
the scale bar of the inset is 40 μm).
SEM images
of MG-63 cells when cultivated on the scaffolds PHB/PCL (a,d), P100L5(b,e),
and P100S20L5 (c,f) for 3 and 7 days. (The scale bar is 200 μm;
the scale bar of the inset is 40 μm).
ALP Activity and Mineralization
ALP activity is the primary index to assess the differentiation of
osteoblast cells.[14,15] As demonstrated in Figure a, all samples showed significantly
increased ALP activity after 14 days when compared to cell culture
for 7 days. However, there is no significant difference among the
three samples at each culture period, suggesting that LFX addition
has no negative influence on the osteogenicity of osteoblast-like
cells in our study.
Figure 9
(a) ALP activity of MG-63 cells when cultured on PHB/PCL,
P100L5, and P100S20L5 scaffolds for 7 and 14 days, and ALP activity
of PHB/PCL scaffolds after cell culture for 7 days was used as a control.
(b) Uptake of ARS by the calcified minerals when cultured PHB/PCL,
P100L5, and P100S20L5 scaffolds in the presence of MG-63 cells for
28 days, and the ARS value of PHB/PCL scaffolds was used as a control.
(The results were presented as average value ± SD, n = 3).
(a) ALP activity of MG-63 cells when cultured on PHB/PCL,
P100L5, and P100S20L5 scaffolds for 7 and 14 days, and ALP activity
of PHB/PCL scaffolds after cell culture for 7 days was used as a control.
(b) Uptake of ARS by the calcified minerals when cultured PHB/PCL,
P100L5, and P100S20L5 scaffolds in the presence of MG-63 cells for
28 days, and the ARS value of PHB/PCL scaffolds was used as a control.
(The results were presented as average value ± SD, n = 3).After cell culture for 28 days,
ARS was used to stain the mineral nodules and calcium depositions
to evaluate the mineralization content of scaffolds in the presence
of MG-63 cells, which is proportionally related to the optical density
of ARS staining extraction. As indicated in Figure b, although there is no significant difference
between the ARS values of P100L5 and PHB/PCL, P100S20L5 showed a significantly
enhanced content of mineralization compared to P100L5 and PHB/PCL,
suggesting that the SGS addition could favorably promote the mineralization
activity. This result is consistent with the study of Kim et al.,
regarding the effects of silicon on osteoblast activity.[15] Their research revealed that the effect of ALP
activity of osteoblasts was directly dependent on silicon-ion concentration
and only a medium high dose of silicon ions could favorably promote
the ALP activity. Instead, the mineralization content showed a constant
increase when silicon ions concentration ranged from 0 to 100 mM.[15]Overall, electrospinning showed to be
a versatile technique to integrate multiple functions especially for
tissue engineering. The current study concentrates on the development
of a drug carrier capability for organic/inorganic hybrid fibermats.
Results indicated that the solubility and compatibility changed when
LFX was included into the PHB/PCL/SGS hybrid system, leading to a
distinct influence on the physicochemical performances and drug release
behavior. The biocompatibility and antibacterial function of LFX-containing
samples were verified, and the potential to facilitate osteodifferentiation
and mineralization of osteoblasts was confirmed on SGS-containing
scaffolds, making the hybrid system a prospective option for tissue
engineering applications.
Conclusions
LFX was incorporated into PHB/PCL and PHB/PCL/SGS hybrid scaffolds
to achieve antibacterial function. Morphology observations indicated
that LFX drug crystal-like particles appeared on the PHB/PCL fiber
surface. Scaffolds containing both LFX and SGS exhibited a smooth
surface without particles. With regard to mechanical performance,
5 wt % of LFX inclusion can greatly reinforce the pure polymer matrix.
However, this enhancement effect was compromised when SGS was added
to the system. Moreover, LFX addition can reverse the hydrophobicity
of PHB/PCL scaffolds. Release profiles of LFX from both scaffolds
exhibited a biphasic release behavior consisting of an initial burst
release and followed by a sustained release. Nevertheless, the scaffolds
containing both SGS and LFX showed an accelerated release of LFX compared
to LFX-alone scaffolds. Two types of scaffolds showed comparable antibacterial
efficacy against both Gram-positive and Gram-negative bacteria (S. aureus and E. coli). All scaffolds were nontoxic to MG-63 osteoblast-like cells. Comparable
cell adhesion and growth behaviors were observed after cell culture
for 7 days. Although the osteodifferentiation behavior evidenced by
ALP activity after cell cultivation for 14 days shows no significant
difference among the scaffolds, the amount of mineralization nodules
after cell culturing for 28 days on scaffolds PHB/PCL/SGS/LFX was
significantly higher than that of pure PHB/PCL and PHB/PCL/LFX scaffolds
because of the silica phase dissolution. Overall, the electrospun
biocompatible and antibacterial scaffolds containing both LFX and
SGS are promising for bone tissue engineering applications.
Authors: Alberto Di Martino; Liliana Liverani; Alberto Rainer; Giuseppe Salvatore; Marcella Trombetta; Vincenzo Denaro Journal: Musculoskelet Surg Date: 2011-03-12
Authors: Kwangsok Kim; Yen K Luu; Charles Chang; Dufei Fang; Benjamin S Hsiao; Benjamin Chu; Michael Hadjiargyrou Journal: J Control Release Date: 2004-07-23 Impact factor: 9.776