| Literature DB >> 31262021 |
Choyi Wong1, Suyog Yoganarasimha2, Caroline Carrico3, Parthasarathy Madurantakam4.
Abstract
Guided tissue regeneration (GTR) aims to regenerate the lost attachment apparatus caused by periodontal disease through the use of a membrane. The goal of this study is to create and characterize a novel hybrid membrane that contains biologically active fibrin matrix within a synthetic polycaprolactone (PCL) electrospun membrane. Three-dimensional fibrin matrices and fibrin-incorporated electrospun membrane were created from fresh frozen plasma by centrifugation in glass vials under three different conditions: 400 g for 12 min, 1450 g for 15 min and 3000 g for 60 min. Half the membranes were crosslinked with 1% genipin. Degradation against trypsin indicated biologic stability while uniaxial tensile testing characterized mechanical properties. Continuous data was analyzed by ANOVA to detect differences between groups (p = 0.05). Fibrin-incorporated electrospun membranes showed statistically significant increase in mechanical properties (elastic modulus, strain at break and energy to break) compared to fibrin matrices. While crosslinking had marginal effects on mechanical properties, it did significantly increase biologic stability against trypsin (p < 0.0001). Lastly, membranes generated at 400 g and 1450 g were superior in mechanical properties and biologic stability compared to those generated at 3000 g. Fibrin-incorporated, crosslinked electrospun PCL membranes generated at lower centrifugation forces offers a novel strategy to generate a potentially superior membrane for GTR procedures.Entities:
Keywords: GTR; electrospinning; fibrin; membranes; regeneration; wound healing
Year: 2019 PMID: 31262021 PMCID: PMC6784027 DOI: 10.3390/bioengineering6030057
Source DB: PubMed Journal: Bioengineering (Basel) ISSN: 2306-5354
Figure 1Scanning electron micrograph of electrospun polycaprolactone (PCL) membrane showing its porous and fibrous structure. The average fiber diameter is 0.82 microns.
Figure 2Fibrin alone (top row) and hybrid PCL-fibrin membranes (bottom row) immediately after generation following 3 centrifugation protocols: (A,D) 400 g for 12 min; (B,E) 1350 g for 15 min; (C,F) 3000 g for 60 min. While fibrin matrices are uniform, electrospun membranes within hybrid membranes can be seen as rectangular opaque sheets embedded within the gelatinous fibrin coagulum. These membranes would be compressed in a platelet-rich fibrin (PRF-box to remove excess fluid before use in experiments.
Figure 3Genipin crosslinking of hybrid membranes increases biological stability following trypsin incubation. Columns indicate membranes generated by three different centrifugation protocols. Uncrosslinked fibrin matrices before (A) and at 48 h (B) showing significant structural loss at two days, especially those at 1350 and 3000 g. Crosslinked hybrid membranes before (C) and after (D) two days incubation in trypsin solution show preservation of structure especially those at 400 g and 1350 g. Membranes generated at high centrifugal forces showed less integrity to begin with.
Figure 4Effect of crosslinking on stability of membranes. Uncrossed fibrin matrices are completely disintegrated in trypsin with the exception of those generated at 400 g. Hybrid membranes are more resistant to trypsin degradation. However, all crosslinked membranes show remarkable stability in trypsin degradation model. Key: UNXL: uncrosslinked; XL: crosslinked.
Estimated mean energy to break for membrane (yes/no).
| Membrane | Estimated Mean (N*mm) | SE | |
|---|---|---|---|
| No membrane | 2.0 | 3.55 | |
| Membrane | 95.5 | 3.45 | |
| Difference (no membrane−membrane) | −93.5 | 4.95 | <0.0001 |
* p-value for t-test of difference in means.
Figure 5Elastic modulus of fibrin membrane, hybrid membrane and pure PCL membrane. Data shows extremely fragile fibrin matrices when compared the electrospun PCL membrane. Hybrid membrane shows improved stiffness compared to PCL indicating the additive effect of fibrin crosslinking on the electrospun PCL membrane. Key: UNXL: uncrosslinked; XL: crosslinked.
Comparison of mean modulus by membrane and centrifuge rates.
| Comparison | Estimated Difference (MPa) | Adj P |
|---|---|---|
| 400 g: No membrane vs. membrane | −65.70 | <0.0001 |
| 1450 g: No membrane vs. membrane | −52.21 | <0.0001 |
| 3000 g: No membrane vs. membrane | −37.60 | <0.0001 |
| No membrane: 1450 g vs. 3000 g | −0.20 | 1 |
| No membrane: 400 g vs. 1450 g | −0.01 | 1 |
| No membrane: 400 g vs. 3000g | −0.21 | 1 |
| Membrane: 1450 g vs. 3000 g | 1,5.41 | 0.0403 |
| Membrane: 400 g vs. 1450 g | 13.47 | 0.0600 |
| Membrane: 400 g vs. 3000 g | 27.88 | <0.0001 |
Figure 6Energy to break of fibrin membrane, hybrid membrane and pure PCL membrane. Data shows extremely fragile fibrin matrices when compared the electrospun PCL membrane. Hybrid membrane shows improved stiffness compared to PCL indicating the additive effect of fibrin crosslinking on the electrospun PCL membrane. Key: UNXL: uncrosslinked; XL: crosslinked.
Figure 7Strain at break of fibrin membrane, hybrid membrane and pure PCL membrane. Data shows fibrin membranes stretch approximately 50% of its original length. Hybrid membranes, especially those that are not crosslinked have significantly increased strain before break (more than twice its original length). Crosslinking decreases the ability of the membranes to stretch as expected. Key: UNXL: uncrosslinked; XL: crosslinked.
Comparison of mean strain at break by membrane and crosslinking. * indicates statistical significance (p < 0.05).
| Comparison | Estimated Difference (mm/mm) | Adj P |
|---|---|---|
| UNXL: no membrane vs. membrane | −1.09 | <0.0001 * |
| No membrane: UNXL vs. XL | 0.09 | 0.9116 |
| Membrane: UNXL vs. XL | 1.44 | <0.0001 * |
| XL: no membrane vs. membrane | 0.26 | 0.2193 |
ANOVA model results (* Statistically significant at 0.05 level).
| Trypsin Degradation | Modulus | Strain at Break | Energy to Break | |
|---|---|---|---|---|
| Membrane (yes/no) | <0.0001 * | <0.0001 * | <0.0001 * | <0.0001 * |
| Centrifuge Rate (400, 1450, 3000) | <0.0001 * | 0.0008 * | 0.2116 | 0.5871 |
| Crosslinking (XL or UNXL) | <0.0001 * | 0.0969 | <0.0001 * | 0.0736 |
| Membrane × centrifuge rate | <0.0001 * | 0.0007 * | 0.2777 | 0.5974 |
| Centrifuge rate × crosslinking | <0.0001 * | 0.8140 | 0.9735 | 0.2512 |
| Membrane × crosslinking | 0.2290 | 0.1307 | <0.0001 * | 0.0544 |
| Membrane × centrifuge rate × crosslinking | 0.0064 * | 0.8352 | 0.4000 | 0.2831 |
Pairwise comparisons of % remaining for membrane, crosslinking and centrifugation rates. * indicates statistical significance (p < 0.05).
| Comparison | Estimated Difference (% Remaining) | Adj P |
|---|---|---|
| No membrane at 400 g: UNXL vs. XL | −60% | <0.0001 * |
| No membrane at 1450 g: UNXL vs. XL | −89% | <0.0001 * |
| No membrane at 3000 g: UNXL vs. XL | −30% | <0.0001 * |
| Membrane at 400 g: UNXL vs. XL | −83% | <0.0001 * |
| Membrane at 1450 g: UNXL vs. XL | −77% | <0.0001 * |
| Membrane at 3000 g: UNXL vs. XL | −33% | <0.0001 * |
| No membrane UNXL: 400 g vs. 1450 g | 36% | <0.0001 * |
| No membrane UNXL: 400 g vs. 3000 g | 36% | <0.0001 * |
| No membrane UNXL: 1450 g vs. 3000 g | 0% | 1 |
| No membrane XL: 400 g vs. 1450 g | 6% | 0.9887 |
| No membrane XL: 400 g vs. 3000 g | 66% | <0.0001 * |
| No membrane XL: 1450 g vs. 3000 g | 59% | <0.0001 * |
| Membrane UNXL: 400 g vs. 1450 g | −7% | 0.9637 |
| Membrane UNXL: 400 g vs. 3000 g | −32% | <0.0001 * |
| Membrane UNXL: 1450 g vs. 300 g | −25% | 0.0001 * |
| Membrane XL: 400 g vs. 1450 g | −1% | 1 |
| Membrane XL: 400 g vs. 3000 g | 18% | 0.0235 * |
| Membrane XL: 1450 g vs. 3000 g | 19% | 0.0096 * |
| UNXL at 400 g: no membrane vs. membrane | 20% | 0.0044 * |
| UNXL at 1450 g: no membrane vs. membrane | −22% | 0.001 * |
| UNXL at 3000 g: no membrane vs. membrane | −47% | <0.0001 * |
| XL at 400 g: no membrane vs. membrane | −3% | 1 |
| XL at 1450 g: no membrane vs. membrane | −11% | 0.6658 |
| XL at 3000 g: no membrane vs. membrane | −51% | <0.0001 * |