1
|
Ranat K, Phan H, Ellythy S, Kenter M, Akkouch A. Advancements in Musculoskeletal Tissue Engineering: The Role of Melt Electrowriting in 3D-Printed Scaffold Fabrication. J Funct Biomater 2025; 16:163. [PMID: 40422828 DOI: 10.3390/jfb16050163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2025] [Revised: 04/22/2025] [Accepted: 04/24/2025] [Indexed: 05/28/2025] Open
Abstract
Musculoskeletal tissue injuries of the bone, cartilage, ligaments, tendons, and skeletal muscles are among the most common injuries experienced in medicine and become increasingly problematic in cases of significant tissue damage, such as nonunion bone defects and volumetric muscle loss. Current gold standard treatment options for musculoskeletal injuries, although effective, have limited capability to fully restore native tissue structure and function. To overcome this challenge, three-dimensional (3D) printing techniques have emerged as promising therapeutic options for tissue regeneration. Melt electrowriting (MEW), a recently developed advanced 3D printing technique, has gained significant traction in the field of tissue regeneration because of its ability to fabricate complex customizable scaffolds via high-precision microfiber deposition. The tailorability at microscale levels offered by MEW allows for enhanced recapitulation of the tissue microenvironment. Here, we survey the recent contributions of MEW in advancing musculoskeletal tissue engineering. More specifically, we briefly discuss the principles and technical aspects of MEW, provide an overview of current printers on the market, review in-depth the latest biomedical applications in musculoskeletal tissue regeneration, and, lastly, examine the limitations of MEW and offer future perspectives.
Collapse
Affiliation(s)
- Kunal Ranat
- Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA
| | - Hong Phan
- Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA
| | - Suhaib Ellythy
- Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA
| | - Mitchell Kenter
- Department of Surgical Services, Division of Medical Engineering, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA
| | - Adil Akkouch
- Department of Surgical Services, Division of Medical Engineering, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA
- Department of Surgical Services, Division of Orthopaedic Surgery, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USA
| |
Collapse
|
2
|
de Souza Araújo IJ, Bottino MC. Biofabrication - Revolutionizing the future of regenerative periodontics. Dent Mater 2025; 41:179-193. [PMID: 39632205 DOI: 10.1016/j.dental.2024.11.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2024] [Revised: 11/19/2024] [Accepted: 11/27/2024] [Indexed: 12/07/2024]
Abstract
Periodontium is a compartmentalized and highly specialized tissue responsible for tooth stability. Loss of tooth attachment due to periodontitis and trauma is a complex clinical burden affecting a large parcel of the adult and elderly population worldwide, and regenerative strategies to reestablish the native conditions of the periodontium are paramount. Biofabrication of scaffolds, through various techniques and materials, for regenerative periodontics has significantly evolved in the last decades. From the basics of occlusive membranes and graft materials to the complexity of converging 3D printing and Bioprinting using image-based models, biofabrication opens many possibilities for patient-specific scaffolds that recapitulate the anatomical and physiological conditions of periodontal tissues and interfaces. Thus, this review presents fundamental concepts related to the native characteristics of the periodontal tissues, the key to designing personalized strategies, and the latest trends of biofabrication in regenerative periodontics with a critical overview of how these emerging technologies have the potential to shift the one-size-fits-all paradigm.
Collapse
Affiliation(s)
- Isaac J de Souza Araújo
- Department of Bioscience Research, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN 38163, USA
| | - Marco C Bottino
- Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USA; Department of Biomedical Engineering, College of Engineering, University of Michigan, Ann Arbor, MI 48109, USA.
| |
Collapse
|
3
|
Sinha P, Lahare P, Sahu M, Cimler R, Schnitzer M, Hlubenova J, Hudak R, Singh N, Gupta B, Kuca K. Concept and Evolution in 3D Printing for Excellence in Healthcare. Curr Med Chem 2025; 32:831-879. [PMID: 38265395 DOI: 10.2174/0109298673262300231129102520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 08/05/2023] [Accepted: 10/31/2023] [Indexed: 01/25/2024]
Abstract
Three-dimensional printing (3DP) has gained popularity among scientists and researchers in every field due to its potential to drastically reduce energy costs for the production of customized products by utilizing less energy-intensive machines as well as minimizing material waste. The 3D printing technology is an additive manufacturing approach that uses material layer-by-layer fabrication to produce the digitally specified 3D model. The use of 3D printing technology in the pharmaceutical sector has the potential to revolutionize research and development by providing a quick and easy means to manufacture personalized one-off batches, each with unique dosages, distinct substances, shapes, and sizes, as well as variable release rates. This overview addresses the concept of 3D printing, its evolution, and its operation, as well as the most popular types of 3D printing processes utilized in the health care industry. It also discusses the application of these cutting-edge technologies to the pharmaceutical industry, advancements in various medical fields and medical equipment, 3D bioprinting, the most recent initiatives to combat COVID-19, regulatory frameworks, and the major challenges that this technology currently faces. In addition, we attempt to provide some futuristic approaches to 3DP applications.
Collapse
Affiliation(s)
- Priyank Sinha
- Department of Chemistry, Centre for Basic Sciences, Pandit Ravishankar Shukla University, Raipur 492010, Chhattisgarh, India
| | - Preeti Lahare
- Department of Chemistry, Centre for Basic Sciences, Pandit Ravishankar Shukla University, Raipur 492010, Chhattisgarh, India
| | - Meena Sahu
- Department of Chemistry, Centre for Basic Sciences, Pandit Ravishankar Shukla University, Raipur 492010, Chhattisgarh, India
| | - Richard Cimler
- Department of Chemistry, Faculty of Science, Center for Applied Technologies, University of Hradec Kralove, Rokitanskeho 62, Hradec Kralove, Czech Republic
| | - Marek Schnitzer
- Department of Biomedical Engineering and Measurement, Faculty of Mechanical Engineering, Technical University of Kosice, Letna 1/9 Kosice, Slovakia
| | - Jana Hlubenova
- Department of Biomedical Engineering and Measurement, Faculty of Mechanical Engineering, Technical University of Kosice, Letna 1/9 Kosice, Slovakia
| | - Radovan Hudak
- Department of Biomedical Engineering and Measurement, Faculty of Mechanical Engineering, Technical University of Kosice, Letna 1/9 Kosice, Slovakia
| | - Namrata Singh
- Department of Chemistry, Faculty of Science, Center for Applied Technologies, University of Hradec Kralove, Rokitanskeho 62, Hradec Kralove, Czech Republic
- Department of Engineering Sciences, Ramrao Adik Institute of Technology, DY Patil University, Nerul, Navi Mumbai, Maharashtra 400706, India
| | - Bhanushree Gupta
- Department of Chemistry, Centre for Basic Sciences, Pandit Ravishankar Shukla University, Raipur 492010, Chhattisgarh, India
| | - Kamil Kuca
- Department of Chemistry, Faculty of Science, Center for Applied Technologies, University of Hradec Kralove, Rokitanskeho 62, Hradec Kralove, Czech Republic
- Biomedical Research Center, University Hospital Hradec Kralove, Sokolska 581, Hradec Kralove 50005, Czech Republic
| |
Collapse
|
4
|
Bikuna-Izagirre M, Aldazabal J, Moreno-Montañes J, De-Juan-Pardo E, Carnero E, Paredes J. Artificial Trabecular Meshwork Structure Combining Melt Electrowriting and Solution Electrospinning. Polymers (Basel) 2024; 16:2162. [PMID: 39125188 PMCID: PMC11314991 DOI: 10.3390/polym16152162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2024] [Revised: 07/15/2024] [Accepted: 07/22/2024] [Indexed: 08/12/2024] Open
Abstract
The human trabecular meshwork (HTM) is responsible for regulating intraocular pressure (IOP) by means of gradient porosity. Changes in its physical properties, like increases in stiffness or alterations in the extracellular matrix (ECM), are associated with increases in the IOP, which is the primary cause of glaucoma. The complexity of its structure limits the engineered models to one-layered and simple approaches, which do not accurately replicate the biological and physiological cues related to glaucoma. Here, a combination of melt electrowriting (MEW) and solution electrospinning (SE) is explored as a biofabrication technique used to produce a gradient porous scaffold that mimics the multi-layered structure of the native HTM. Polycaprolactone (PCL) constructs with a height of 20-710 µm and fiber diameters of 0.7-37.5 µm were fabricated. After mechanical characterization, primary human trabecular meshwork cells (HTMCs) were seeded over the scaffolds within the subsequent 14-21 days. In order to validate the system's responsiveness, cells were treated with dexamethasone (Dex) and the rho inhibitor Netarsudil (Net). Scanning electron microscopy and immunochemistry staining were performed to evaluate the expected morphological changes caused by the drugs. Cells in the engineered membranes exhibited an HTMC-like morphology and a correct drug response. Although this work demonstrates the utility of combining MEW and SE in reconstructing complex morphological features like the HTM, new geometries and dimensions should be tested, and future works need to be directed towards perfusion studies.
Collapse
Affiliation(s)
- Maria Bikuna-Izagirre
- Tissue Engineering Group, Tecnun School of Engineering, University of Navarra, Manuel Lardizabal 13, 20018 San Sebastian, Spain; (M.B.-I.); (J.A.)
- Biomedical Engineering Center, University of Navarra, Campus Universitario, 31080 Pamplona, Spain
- T3mPLATE Harry Perkins Institute of Medical Research, QII Medical Center, 6 Verdun St., Nedlands, WA 6009, Australia;
- UWA Center of Medical Research, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009, Australia
| | - Javier Aldazabal
- Tissue Engineering Group, Tecnun School of Engineering, University of Navarra, Manuel Lardizabal 13, 20018 San Sebastian, Spain; (M.B.-I.); (J.A.)
- Biomedical Engineering Center, University of Navarra, Campus Universitario, 31080 Pamplona, Spain
- Navarra Institute of Health Research, IdisNA, Calle Irunlarrea 3, 31088 Pamplona, Spain;
| | - Javier Moreno-Montañes
- Ophthalmology Department, University of Navarra Clinic, Avenida PIO XII, 31080 Pamplona, Spain;
| | - Elena De-Juan-Pardo
- T3mPLATE Harry Perkins Institute of Medical Research, QII Medical Center, 6 Verdun St., Nedlands, WA 6009, Australia;
- UWA Center of Medical Research, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009, Australia
| | - Elena Carnero
- Navarra Institute of Health Research, IdisNA, Calle Irunlarrea 3, 31088 Pamplona, Spain;
- Ophthalmology Department, University of Navarra Clinic, Avenida PIO XII, 31080 Pamplona, Spain;
| | - Jacobo Paredes
- Tissue Engineering Group, Tecnun School of Engineering, University of Navarra, Manuel Lardizabal 13, 20018 San Sebastian, Spain; (M.B.-I.); (J.A.)
- Biomedical Engineering Center, University of Navarra, Campus Universitario, 31080 Pamplona, Spain
- Navarra Institute of Health Research, IdisNA, Calle Irunlarrea 3, 31088 Pamplona, Spain;
| |
Collapse
|
5
|
Saiz PG, Reizabal A, Vilas-Vilela JL, Dalton PD, Lanceros-Mendez S. Materials and Strategies to Enhance Melt Electrowriting Potential. ADVANCED MATERIALS (DEERFIELD BEACH, FLA.) 2024; 36:e2312084. [PMID: 38447132 DOI: 10.1002/adma.202312084] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Revised: 02/04/2024] [Indexed: 03/08/2024]
Abstract
Melt electrowriting (MEW) is an emerging additive manufacturing (AM) technology that enables the precise deposition of continuous polymeric microfibers, allowing for the creation of high-resolution constructs. In recent years, MEW has undergone a revolution, with the introduction of active properties or additional functionalities through novel polymer processing strategies, the incorporation of functional fillers, postprocessing, or the combination with other techniques. While extensively explored in biomedical applications, MEW's potential in other fields remains untapped. Thus, this review explores MEW's characteristics from a materials science perspective, emphasizing the diverse range of materials and composites processed by this technique and their current and potential applications. Additionally, the prospects offered by postprinting processing techniques are explored, together with the synergy achieved by combining melt electrowriting with other manufacturing methods. By highlighting the untapped potentials of MEW, this review aims to inspire research groups across various fields to leverage this technology for innovative endeavors.
Collapse
Affiliation(s)
- Paula G Saiz
- Macromolecular Chemistry Research Group (LABQUIMAC) Department of Physical Chemistry Faculty of Science and Technology, University of the Basque Country (UPV/EHU), Spain
- Phil and Penny Knight Campus for Accelerating Scientific Impact, University of Oregon, 1505 Franklin Boulevard, Eugene, OR, 97403, USA
| | - Ander Reizabal
- Phil and Penny Knight Campus for Accelerating Scientific Impact, University of Oregon, 1505 Franklin Boulevard, Eugene, OR, 97403, USA
- BCMaterials, Basque Center for Materials Applications, and Nanostructures, Bldg. Martina Casiano, UPV/EHU Science Park Barrio Sarriena s/n, Leioa, 48940, Spain
| | - Jose Luis Vilas-Vilela
- Macromolecular Chemistry Research Group (LABQUIMAC) Department of Physical Chemistry Faculty of Science and Technology, University of the Basque Country (UPV/EHU), Spain
- BCMaterials, Basque Center for Materials Applications, and Nanostructures, Bldg. Martina Casiano, UPV/EHU Science Park Barrio Sarriena s/n, Leioa, 48940, Spain
| | - Paul D Dalton
- Phil and Penny Knight Campus for Accelerating Scientific Impact, University of Oregon, 1505 Franklin Boulevard, Eugene, OR, 97403, USA
| | - Senentxu Lanceros-Mendez
- BCMaterials, Basque Center for Materials Applications, and Nanostructures, Bldg. Martina Casiano, UPV/EHU Science Park Barrio Sarriena s/n, Leioa, 48940, Spain
- IKERBASQUE, Basque Foundation for Science, Plaza Euskadi 5, Bilbao, 48009, Spain
| |
Collapse
|
6
|
von Witzleben M, Hahn J, Richter RF, de Freitas B, Steyer E, Schütz K, Vater C, Bernhardt A, Elschner C, Gelinsky M. Tailoring the pore design of embroidered structures by melt electrowriting to enhance the cell alignment in scaffold-based tendon reconstruction. BIOMATERIALS ADVANCES 2024; 156:213708. [PMID: 38029698 DOI: 10.1016/j.bioadv.2023.213708] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Revised: 11/21/2023] [Accepted: 11/23/2023] [Indexed: 12/01/2023]
Abstract
Tissue engineering of ligaments and tendons aims to reproduce the complex and hierarchical tissue structure while meeting the biomechanical and biological requirements. For the first time, the additive manufacturing methods of embroidery technology and melt electrowriting (MEW) were combined to mimic these properties closely. The mechanical benefits of embroidered structures were paired with a superficial micro-scale structure to provide a guide pattern for directional cell growth. An evaluation of several previously reported MEW fiber architectures was performed. The designs with the highest cell orientation of primary dermal fibroblasts were then applied to embroidery structures and subsequently evaluated using human adipose-derived stem cells (AT-MSC). The addition of MEW fibers resulted in the formation of a mechanically robust layer on the embroidered scaffolds, leading to composite structures with mechanical properties comparable to those of the anterior cruciate ligament. Furthermore, the combination of embroidered and MEW structures supports a higher cell orientation of AT-MSC compared to embroidered structures alone. Collagen coating further promoted cell attachment. Thus, these investigations provide a sound basis for the fabrication of heterogeneous and hierarchical synthetic tendon and ligament substitutes.
Collapse
Affiliation(s)
- Max von Witzleben
- Technische Universität Dresden, University Hospital Carl Gustav Carus and Faculty of Medicine, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstr. 74, 01307 Dresden, Germany
| | - Judith Hahn
- Leibniz-Institut für Polymerforschung Dresden e. V. (IPF), Institute of Polymer Materials, Hohe Str. 6, 01069 Dresden, Germany
| | - Ron F Richter
- Technische Universität Dresden, University Hospital Carl Gustav Carus and Faculty of Medicine, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstr. 74, 01307 Dresden, Germany
| | - Bianca de Freitas
- Technische Universität Dresden, University Hospital Carl Gustav Carus and Faculty of Medicine, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstr. 74, 01307 Dresden, Germany
| | - Emily Steyer
- Technische Universität Dresden, University Hospital Carl Gustav Carus and Faculty of Medicine, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstr. 74, 01307 Dresden, Germany
| | - Kathleen Schütz
- Technische Universität Dresden, University Hospital Carl Gustav Carus and Faculty of Medicine, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstr. 74, 01307 Dresden, Germany
| | - Corina Vater
- Technische Universität Dresden, University Hospital Carl Gustav Carus and Faculty of Medicine, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstr. 74, 01307 Dresden, Germany
| | - Anne Bernhardt
- Technische Universität Dresden, University Hospital Carl Gustav Carus and Faculty of Medicine, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstr. 74, 01307 Dresden, Germany
| | - Cindy Elschner
- Leibniz-Institut für Polymerforschung Dresden e. V. (IPF), Institute of Polymer Materials, Hohe Str. 6, 01069 Dresden, Germany
| | - Michael Gelinsky
- Technische Universität Dresden, University Hospital Carl Gustav Carus and Faculty of Medicine, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstr. 74, 01307 Dresden, Germany.
| |
Collapse
|
7
|
von Witzleben M, Stoppe T, Zeinalova A, Chen Z, Ahlfeld T, Bornitz M, Bernhardt A, Neudert M, Gelinsky M. Multimodal additive manufacturing of biomimetic tympanic membrane replacements with near tissue-like acousto-mechanical and biological properties. Acta Biomater 2023; 170:124-141. [PMID: 37696412 DOI: 10.1016/j.actbio.2023.09.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 08/08/2023] [Accepted: 09/05/2023] [Indexed: 09/13/2023]
Abstract
The three additive manufacturing techniques fused deposition modeling, gel plotting and melt electrowriting were combined to develop a mimicry of the tympanic membrane (TM) to tackle large TM perforations caused by chronic otitis media. The mimicry of the collagen fiber orientation of the TM was accompanied by a study of multiple funnel-shaped mimics of the TM morphology, resulting in mechanical and acoustic properties similar to those of the eardrum. For the different 3D printing techniques used, the process parameters were optimized to allow reasonable microfiber arrangements within the melt electrowriting setup. Interestingly, the fiber pattern was less important for the acousto-mechanical properties than the overall morphology. Furthermore, the behavior of keratinocytes and fibroblasts is crucial for the repair of the TM, and an in vitro study showed a high biocompatibility of both primary cell types while mimicking the respective cell layers of the TM. A simulation of the in vivo ingrowth of both cell types resulted in a cell growth orientation similar to the original collagen fiber orientation of the TM. Overall, the combined approach showed all the necessary parameters to support the growth of a neo-epithelial layer with a similar structure and morphology to the original membrane. It therefore offers a suitable alternative to autologous materials for the treatment of chronic otitis media. STATEMENT OF SIGNIFICANCE: Millions of people worldwide suffer from chronic middle ear infections. Although the tympanic membrane (TM) can be reconstructed with autologous materials, the grafts used for this purpose require extensive manual preparation during surgery. This affects not only the hearing ability but also the stability of the reconstructed TM, especially in the case of full TM reconstruction. The synthetic alternative presented here mimicked not only the fibrous structure of the TM but also its morphology, resulting in similar acousto-mechanical properties. Furthermore, its high biocompatibility supported the migration of keratinocytes and fibroblasts to form a neo-epithelial layer. Overall, this completely new TM replacement was achieved by combining three different additive manufacturing processes.
Collapse
Affiliation(s)
- Max von Witzleben
- Technische Universität Dresden, Faculty of Medicine Carl Gustav Dresden, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstr. 74, 01307 Dresden, Germany
| | - Thomas Stoppe
- Technische Universität Dresden, Faculty of Medicine Carl Gustav Carus, Department of Otorhinolaryngology, Head and Neck Surgery, Ear Research Center Dresden (ERCD), Fetscherstr. 74, 01307 Dresden, Germany
| | - Alina Zeinalova
- Technische Universität Dresden, Faculty of Medicine Carl Gustav Dresden, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstr. 74, 01307 Dresden, Germany
| | - Zhaoyu Chen
- Technische Universität Dresden, Faculty of Medicine Carl Gustav Carus, Department of Otorhinolaryngology, Head and Neck Surgery, Ear Research Center Dresden (ERCD), Fetscherstr. 74, 01307 Dresden, Germany
| | - Tilman Ahlfeld
- Technische Universität Dresden, Faculty of Medicine Carl Gustav Dresden, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstr. 74, 01307 Dresden, Germany
| | - Matthias Bornitz
- Technische Universität Dresden, Faculty of Medicine Carl Gustav Carus, Department of Otorhinolaryngology, Head and Neck Surgery, Ear Research Center Dresden (ERCD), Fetscherstr. 74, 01307 Dresden, Germany
| | - Anne Bernhardt
- Technische Universität Dresden, Faculty of Medicine Carl Gustav Dresden, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstr. 74, 01307 Dresden, Germany
| | - Marcus Neudert
- Technische Universität Dresden, Faculty of Medicine Carl Gustav Carus, Department of Otorhinolaryngology, Head and Neck Surgery, Ear Research Center Dresden (ERCD), Fetscherstr. 74, 01307 Dresden, Germany
| | - Michael Gelinsky
- Technische Universität Dresden, Faculty of Medicine Carl Gustav Dresden, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstr. 74, 01307 Dresden, Germany.
| |
Collapse
|
8
|
Camarero‐Espinosa S, Yuan H, Emans PJ, Moroni L. Mimicking the Graded Wavy Structure of the Anterior Cruciate Ligament. Adv Healthc Mater 2023; 12:e2203023. [PMID: 36914581 PMCID: PMC11469042 DOI: 10.1002/adhm.202203023] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 02/22/2023] [Indexed: 03/16/2023]
Abstract
Anterior cruciate ligament (ACL) is the connective tissue providing mechanical stability to the knee joint. ACL reconstruction upon rupture remains a clinical challenge due to the high mechanical properties required for proper functioning. ACL owes its outstanding mechanical properties to the arrangement of the extracellular matrix (ECM) and to the cells with distinct phenotypes present along the length of the tissue. Tissue regeneration appears as an ideal alternative. In this study, a tri-phasic fibrous scaffold that mimics the structure of collagen in the native ECM is developed, presenting a wavy intermediate zone and two aligned uncurled extremes. The mechanical properties of the wavy scaffolds present a toe region, characteristic of the native ACL, and an extended yield and ultimate strain compared to aligned scaffolds. The presentation of a wavy fiber arrangement affects cell organization and the deposition of a specific ECM characteristic of fibrocartilage. Cells cultured in wavy scaffolds grow in aggregates, deposit an abundant ECM rich in fibronectin and collagen II, and express higher amounts of collagen II, X, and tenomodulin as compared to aligned scaffolds. In vivo implantation in rabbits shows a high cellular infiltration and the formation of an oriented ECM compared to aligned scaffolds.
Collapse
Affiliation(s)
- Sandra Camarero‐Espinosa
- MERLN Institute for Technology‐Inspired Regenerative MedicineComplex Tissue Regeneration DepartmentMaastricht UniversityP.O. Box 616Maastricht6200 MDThe Netherlands
- POLYMATUniversity of the Basque Country UPV/EHUAvenida Tolosa 72Donostia/San SebastiánGipuzkoa20018Spain
- IKERBASQUEBasque Foundation for ScienceEuskadi Pl. 5Bilbao48009Spain
| | - Huipin Yuan
- MERLN Institute for Technology‐Inspired Regenerative MedicineComplex Tissue Regeneration DepartmentMaastricht UniversityP.O. Box 616Maastricht6200 MDThe Netherlands
| | - Pieter J. Emans
- Department of Orthopaedic SurgeryJoint‐Preserving Clinic, CAPHRI Research SchoolMaastricht University Medical CentreP. Debyelaan 25Maastricht6229 HXThe Netherlands
| | - Lorenzo Moroni
- MERLN Institute for Technology‐Inspired Regenerative MedicineComplex Tissue Regeneration DepartmentMaastricht UniversityP.O. Box 616Maastricht6200 MDThe Netherlands
| |
Collapse
|
9
|
Govindaraju DT, Chen CH, Shalumon KT, Kao HH, Chen JP. Bioactive Nanostructured Scaffold-Based Approach for Tendon and Ligament Tissue Engineering. NANOMATERIALS (BASEL, SWITZERLAND) 2023; 13:1847. [PMID: 37368277 PMCID: PMC10302175 DOI: 10.3390/nano13121847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Revised: 06/05/2023] [Accepted: 06/09/2023] [Indexed: 06/28/2023]
Abstract
An effective therapeutic strategy to treat tendon or ligament injury continues to be a clinical challenge due to the limited natural healing capacity of these tissues. Furthermore, the repaired tendons or ligaments usually possess inferior mechanical properties and impaired functions. Tissue engineering can restore the physiological functions of tissues using biomaterials, cells, and suitable biochemical signals. It has produced encouraging clinical outcomes, forming tendon or ligament-like tissues with similar compositional, structural, and functional attributes to the native tissues. This paper starts by reviewing tendon/ligament structure and healing mechanisms, followed by describing the bioactive nanostructured scaffolds used in tendon and ligament tissue engineering, with emphasis on electrospun fibrous scaffolds. The natural and synthetic polymers for scaffold preparation, as well as the biological and physical cues offered by incorporating growth factors in the scaffolds or by dynamic cyclic stretching of the scaffolds, are also covered. It is expected to present a comprehensive clinical, biological, and biomaterial insight into advanced tissue engineering-based therapeutics for tendon and ligament repair.
Collapse
Affiliation(s)
- Darshan Tagadur Govindaraju
- Department of Chemical and Materials Engineering, Chang Gung University, Kwei-San, Taoyuan City 33302, Taiwan;
| | - Chih-Hao Chen
- Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital at Keelung, Chang Gung University College of Medicine, Anle, Keelung 20401, Taiwan;
- Craniofacial Research Center, Chang Gung Memorial Hospital at Linkou, Kwei-San, Taoyuan City 33305, Taiwan
| | - K. T. Shalumon
- Department of Chemistry, Sacred Heart College, Mahatma Gandhi University, Kochi 682013, India;
| | - Hao-Hsi Kao
- Division of Nephrology, Chang Gung Memorial Hospital at Keelung, Chang Gung University College of Medicine, Anle, Keelung 20401, Taiwan;
| | - Jyh-Ping Chen
- Department of Chemical and Materials Engineering, Chang Gung University, Kwei-San, Taoyuan City 33302, Taiwan;
- Craniofacial Research Center, Chang Gung Memorial Hospital at Linkou, Kwei-San, Taoyuan City 33305, Taiwan
- Department of Neurosurgery, Chang Gung Memorial Hospital at Linkou, Kwei-San, Taoyuan City 33305, Taiwan
- Research Center for Food and Cosmetic Safety, College of Human Ecology, Chang Gung University of Science and Technology, Kwei-San, Taoyuan City 33305, Taiwan
- Department of Materials Engineering, Ming Chi University of Technology, Tai-Shan, New Taipei City 24301, Taiwan
| |
Collapse
|
10
|
Zhang G, Li W, Yu M, Huang H, Wang Y, Han Z, Shi K, Ma L, Yu Z, Zhu X, Peng Z, Xu Y, Li X, Hu S, He J, Li D, Xi Y, Lan H, Xu L, Tang M, Xiao M. Electric-Field-Driven Printed 3D Highly Ordered Microstructure with Cell Feature Size Promotes the Maturation of Engineered Cardiac Tissues. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2023; 10:e2206264. [PMID: 36782337 PMCID: PMC10104649 DOI: 10.1002/advs.202206264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Revised: 01/31/2023] [Indexed: 06/18/2023]
Abstract
Engineered cardiac tissues (ECTs) derived from human induced pluripotent stem cells (hiPSCs) are viable alternatives for cardiac repair, patient-specific disease modeling, and drug discovery. However, the immature state of ECTs limits their clinical utility. The microenvironment fabricated using 3D scaffolds can affect cell fate, and is crucial for the maturation of ECTs. Herein, the authors demonstrate an electric-field-driven (EFD) printed 3D highly ordered microstructure with cell feature size to promote the maturation of ECTs. The simulation and experimental results demonstrate that the EFD jet microscale 3D printing overcomes the jet repulsion without any prior requirements for both conductive and insulating substrates. Furthermore, the 3D highly ordered microstructures with a fiber diameter of 10-20 µm and spacing of 60-80 µm have been fabricated by maintaining a vertical jet, achieving the largest ratio of fiber diameter/spacing of 0.29. The hiPSCs-derived cardiomyocytes formed ordered ECTs with their sarcomere growth along the fiber and developed synchronous functional ECTs inside the 3D-printed scaffold with matured calcium handling compared to the 2D coverslip. Therefore, the EFD jet 3D microscale printing process facilitates the fabrication of scaffolds providing a suitable microenvironment to promote the maturation of ECTs, thereby showing great potential for cardiac tissue engineering.
Collapse
Affiliation(s)
- Guangming Zhang
- Shandong Engineering Research Center for Additive ManufacturingQingdao University of TechnologyQingdao266520P. R. China
| | - Wenhai Li
- Shandong Engineering Research Center for Additive ManufacturingQingdao University of TechnologyQingdao266520P. R. China
| | - Miao Yu
- Institute for Cardiovascular Science & Department of Cardiovascular Surgery of the First Affiliated HospitalMedical CollegeSoochow UniversitySuzhou215000P. R. China
| | - Hui Huang
- Shandong Engineering Research Center for Additive ManufacturingQingdao University of TechnologyQingdao266520P. R. China
| | - Yaning Wang
- Institute for Cardiovascular Science & Department of Cardiovascular Surgery of the First Affiliated HospitalMedical CollegeSoochow UniversitySuzhou215000P. R. China
| | - Zhifeng Han
- Shandong Engineering Research Center for Additive ManufacturingQingdao University of TechnologyQingdao266520P. R. China
| | - Kai Shi
- Shandong Engineering Research Center for Additive ManufacturingQingdao University of TechnologyQingdao266520P. R. China
| | - Lingxuan Ma
- Shandong Engineering Research Center for Additive ManufacturingQingdao University of TechnologyQingdao266520P. R. China
| | - Zhihao Yu
- Shandong Engineering Research Center for Additive ManufacturingQingdao University of TechnologyQingdao266520P. R. China
| | - Xiaoyang Zhu
- Shandong Engineering Research Center for Additive ManufacturingQingdao University of TechnologyQingdao266520P. R. China
| | - Zilong Peng
- Shandong Engineering Research Center for Additive ManufacturingQingdao University of TechnologyQingdao266520P. R. China
| | - Yue Xu
- Institute for Cardiovascular Science & Department of Cardiovascular Surgery of the First Affiliated HospitalMedical CollegeSoochow UniversitySuzhou215000P. R. China
| | - Xiaoyun Li
- Institute for Cardiovascular Science & Department of Cardiovascular Surgery of the First Affiliated HospitalMedical CollegeSoochow UniversitySuzhou215000P. R. China
| | - Shijun Hu
- Institute for Cardiovascular Science & Department of Cardiovascular Surgery of the First Affiliated HospitalMedical CollegeSoochow UniversitySuzhou215000P. R. China
| | - Jiankang He
- State Key Laboratory for Manufacturing System EngineeringXi'an Jiaotong UniversityXi'an710049P. R. China
| | - Dichen Li
- State Key Laboratory for Manufacturing System EngineeringXi'an Jiaotong UniversityXi'an710049P. R. China
| | - Yongming Xi
- Department of Spinal SurgeryThe Affilliated Hosepital of Qingdao UniversityQingdao266003P. R. China
| | - Hongbo Lan
- Shandong Engineering Research Center for Additive ManufacturingQingdao University of TechnologyQingdao266520P. R. China
| | - Lin Xu
- Yantai Affiliated HospitalBinzhou Medical UniversityYantai264100P. R. China
- Institute of Rehabilitation EngineeringBinzhou Medical UniversityYantai264100P. R. China
| | - Mingliang Tang
- Institute for Cardiovascular Science & Department of Cardiovascular Surgery of the First Affiliated HospitalMedical CollegeSoochow UniversitySuzhou215000P. R. China
- Co‐innovation Center of NeuroregenerationNantong UniversityNantong226001P. R. China
| | - Miao Xiao
- Institute for Cardiovascular Science & Department of Cardiovascular Surgery of the First Affiliated HospitalMedical CollegeSoochow UniversitySuzhou215000P. R. China
| |
Collapse
|
11
|
Gomez-Cerezo MN, Perevoshchikova N, Ruan R, Moerman KM, Bindra R, Lloyd DG, Zheng MH, Saxby DJ, Vaquette C. Additively manufactured polyethylene terephthalate scaffolds for scapholunate interosseous ligament reconstruction. BIOMATERIALS ADVANCES 2023; 149:213397. [PMID: 37023566 DOI: 10.1016/j.bioadv.2023.213397] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Revised: 03/13/2023] [Accepted: 03/17/2023] [Indexed: 03/29/2023]
Abstract
The regeneration of the ruptured scapholunate interosseous ligament (SLIL) represents a clinical challenge. Here, we propose the use of a Bone-Ligament-Bone (BLB) 3D-printed polyethylene terephthalate (PET) scaffold for achieving mechanical stabilisation of the scaphoid and lunate following SLIL rupture. The BLB scaffold featured two bone compartments bridged by aligned fibres (ligament compartment) mimicking the architecture of the native tissue. The scaffold presented tensile stiffness in the range of 260 ± 38 N/mm and ultimate load of 113 ± 13 N, which would support physiological loading. A finite element analysis (FEA), using inverse finite element analysis (iFEA) for material property identification, showed an adequate fit between simulation and experimental data. The scaffold was then biofunctionalized using two different methods: injected with a Gelatin Methacryloyl solution containing human mesenchymal stem cell spheroids (hMSC) or seeded with tendon-derived stem cells (TDSC) and placed in a bioreactor to undergo cyclic deformation. The first approach demonstrated high cell viability, as cells migrated out of the spheroid and colonised the interstitial space of the scaffold. These cells adopted an elongated morphology suggesting the internal architecture of the scaffold exerted topographical guidance. The second method demonstrated the high resilience of the scaffold to cyclic deformation and the secretion of a fibroblastic related protein was enhanced by the mechanical stimulation. This process promoted the expression of relevant proteins, such as Tenomodulin (TNMD), indicating mechanical stimulation may enhance cell differentiation and be useful prior to surgical implantation. In conclusion, the PET scaffold presented several promising characteristics for the immediate mechanical stabilisation of disassociated scaphoid and lunate and, in the longer-term, the regeneration of the ruptured SLIL.
Collapse
|
12
|
Daghrery A, de Souza Araújo IJ, Castilho M, Malda J, Bottino MC. Unveiling the potential of melt electrowriting in regenerative dental medicine. Acta Biomater 2023; 156:88-109. [PMID: 35026478 PMCID: PMC11046422 DOI: 10.1016/j.actbio.2022.01.010] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Revised: 12/08/2021] [Accepted: 01/05/2022] [Indexed: 01/18/2023]
Abstract
For nearly three decades, tissue engineering strategies have been leveraged to devise effective therapeutics for dental, oral, and craniofacial (DOC) regenerative medicine and treat permanent deformities caused by many debilitating health conditions. In this regard, additive manufacturing (AM) allows the fabrication of personalized scaffolds that have the potential to recapitulate native tissue morphology and biomechanics through the utilization of several 3D printing techniques. Among these, melt electrowriting (MEW) is a versatile direct electrowriting process that permits the development of well-organized fibrous constructs with fiber resolutions ranging from micron to nanoscale. Indeed, MEW offers great prospects for the fabrication of scaffolds mimicking tissue specificity, healthy and pathophysiological microenvironments, personalized multi-scale transitions, and functional interfaces for tissue regeneration in medicine and dentistry. Excitingly, recent work has demonstrated the potential of converging MEW with other AM technologies and/or cell-laden scaffold fabrication (bioprinting) as a favorable route to overcome some of the limitations of MEW for DOC tissue regeneration. In particular, such convergency fabrication strategy has opened great promise in terms of supporting multi-tissue compartmentalization and predetermined cell commitment. In this review, we offer a critical appraisal on the latest advances in MEW and its convergence with other biofabrication technologies for DOC tissue regeneration. We first present the engineering principles of MEW and the most relevant design aspects for transition from flat to more anatomically relevant 3D structures while printing highly-ordered constructs. Secondly, we provide a thorough assessment of contemporary achievements using MEW scaffolds to study and guide soft and hard tissue regeneration, and draw a parallel on how to extrapolate proven concepts for applications in DOC tissue regeneration. Finally, we offer a combined engineering/clinical perspective on the fabrication of hierarchically organized MEW scaffold architectures and the future translational potential of site-specific, single-step scaffold fabrication to address tissue and tissue interfaces in dental, oral, and craniofacial regenerative medicine. STATEMENT OF SIGNIFICANCE: Melt electrowriting (MEW) techniques can further replicate the complexity of native tissues and could be the foundation for novel personalized (defect-specific) and tissue-specific clinical approaches in regenerative dental medicine. This work presents a unique perspective on how MEW has been translated towards the application of highly-ordered personalized multi-scale and functional interfaces for tissue regeneration, targeting the transition from flat to anatomically-relevant three-dimensional structures. Furthermore, we address the value of convergence of biofabrication technologies to overcome the traditional manufacturing limitations provided by multi-tissue complexity. Taken together, this work offers abundant engineering and clinical perspectives on the fabrication of hierarchically MEW architectures aiming towards site-specific implants to address complex tissue damage in regenerative dental medicine.
Collapse
Affiliation(s)
- Arwa Daghrery
- Department of Cardiology, Restorative Sciences, and Endodontics, University of Michigan, School of Dentistry, Ann Arbor, Michigan, United States; Department of Restorative Dental Sciences, School of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Isaac J de Souza Araújo
- Department of Cardiology, Restorative Sciences, and Endodontics, University of Michigan, School of Dentistry, Ann Arbor, Michigan, United States
| | - Miguel Castilho
- Regenerative Medicine Center, University Medical Center Utrecht, Utrecht, the Netherlands; Department of Orthopedics, University Medical Center Utrecht, Utrecht, the Netherlands; Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, the Netherlands
| | - Jos Malda
- Regenerative Medicine Center, University Medical Center Utrecht, Utrecht, the Netherlands; Department of Orthopedics, University Medical Center Utrecht, Utrecht, the Netherlands; Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands.
| | - Marco C Bottino
- Department of Cardiology, Restorative Sciences, and Endodontics, University of Michigan, School of Dentistry, Ann Arbor, Michigan, United States; Department of Biomedical Engineering, College of Engineering, University of Michigan, Ann Arbor, Michigan, United States.
| |
Collapse
|
13
|
Shiroud Heidari B, Ruan R, Vahabli E, Chen P, De-Juan-Pardo EM, Zheng M, Doyle B. Natural, synthetic and commercially-available biopolymers used to regenerate tendons and ligaments. Bioact Mater 2023; 19:179-197. [PMID: 35510172 PMCID: PMC9034322 DOI: 10.1016/j.bioactmat.2022.04.003] [Citation(s) in RCA: 26] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 03/15/2022] [Accepted: 04/04/2022] [Indexed: 12/26/2022] Open
Abstract
Tendon and ligament (TL) injuries affect millions of people annually. Biopolymers play a significant role in TL tissue repair, whether the treatment relies on tissue engineering strategies or using artificial tendon grafts. The biopolymer governs the mechanical properties, biocompatibility, degradation, and fabrication method of the TL scaffold. Many natural, synthetic and hybrid biopolymers have been studied in TL regeneration, often combined with therapeutic agents and minerals to engineer novel scaffold systems. However, most of the advanced biopolymers have not advanced to clinical use yet. Here, we aim to review recent biopolymers and discuss their features for TL tissue engineering. After introducing the properties of the native tissue, we discuss different types of natural, synthetic and hybrid biopolymers used in TL tissue engineering. Then, we review biopolymers used in commercial absorbable and non-absorbable TL grafts. Finally, we explain the challenges and future directions for the development of novel biopolymers in TL regenerative treatment.
Collapse
Affiliation(s)
- Behzad Shiroud Heidari
- Vascular Engineering Laboratory, Harry Perkins Institute of Medical Research, QEII Medical Centre and the UWA Centre for Medical Research, The University of Western Australia, Nedlands, 6009, Australia
- School of Engineering, The University of Western Australia, Perth, Australia
- Australian Research Council Centre for Personalised Therapeutics Technologies, Australia
| | - Rui Ruan
- Australian Research Council Centre for Personalised Therapeutics Technologies, Australia
- Division of Surgery (Orthopaedics), Medical School, The University of Western Australia, Perth, Australia
- Perron Institute for Neurological and Translational Science, Nedlands, 6009, Australia
| | - Ebrahim Vahabli
- Vascular Engineering Laboratory, Harry Perkins Institute of Medical Research, QEII Medical Centre and the UWA Centre for Medical Research, The University of Western Australia, Nedlands, 6009, Australia
- School of Engineering, The University of Western Australia, Perth, Australia
| | - Peilin Chen
- Australian Research Council Centre for Personalised Therapeutics Technologies, Australia
- Division of Surgery (Orthopaedics), Medical School, The University of Western Australia, Perth, Australia
- Perron Institute for Neurological and Translational Science, Nedlands, 6009, Australia
| | - Elena M. De-Juan-Pardo
- School of Engineering, The University of Western Australia, Perth, Australia
- T3mPLATE, Harry Perkins Institute of Medical Research, QEII Medical Centre and the UWA Centre for Medical Research, The University of Western Australia, Nedlands, 6009, Australia
- Science and Engineering Faculty, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Minghao Zheng
- Australian Research Council Centre for Personalised Therapeutics Technologies, Australia
- Division of Surgery (Orthopaedics), Medical School, The University of Western Australia, Perth, Australia
- Perron Institute for Neurological and Translational Science, Nedlands, 6009, Australia
| | - Barry Doyle
- Vascular Engineering Laboratory, Harry Perkins Institute of Medical Research, QEII Medical Centre and the UWA Centre for Medical Research, The University of Western Australia, Nedlands, 6009, Australia
- School of Engineering, The University of Western Australia, Perth, Australia
- Australian Research Council Centre for Personalised Therapeutics Technologies, Australia
- BHF Centre for Cardiovascular Science, The University of Edinburgh, UK
| |
Collapse
|
14
|
3D printing of bio-instructive materials: Toward directing the cell. Bioact Mater 2023; 19:292-327. [PMID: 35574057 PMCID: PMC9058956 DOI: 10.1016/j.bioactmat.2022.04.008] [Citation(s) in RCA: 35] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 03/25/2022] [Accepted: 04/10/2022] [Indexed: 01/10/2023] Open
|
15
|
Chijimatsu R, Takeda T, Tsuji S, Sasaki K, Kato K, Kojima R, Michihata N, Tsubaki T, Matui A, Watanabe M, Tanaka S, Saito T. Development of hydroxyapatite-coated nonwovens for efficient isolation of somatic stem cells from adipose tissues. Regen Ther 2022; 21:52-61. [PMID: 35765544 PMCID: PMC9192701 DOI: 10.1016/j.reth.2022.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 05/15/2022] [Accepted: 05/25/2022] [Indexed: 11/26/2022] Open
Abstract
Adipose-derived stem cells (ASCs) are an attractive cell source for cell therapy. Despite the increasing number of clinical applications, the methodology for ASC isolation is not optimized for every individual. In this study, we developed an effective material to stabilize explant cultures from small-fragment adipose tissues. Methods Polypropylene/polyethylene nonwoven sheets were coated with hydroxyapatite (HA) particles. Adipose fragments were then placed on these sheets, and their ability to trap tissue was monitored during explant culture. The yield and properties of the cells were compared to those of cells isolated by conventional collagenase digestion. Results Hydroxyapatite-coated nonwovens immediately trapped adipose fragments when placed on the sheets. The adhesion was stable even in culture media, leading to cell migration and proliferation from the tissue along with the nonwoven fibers. A higher fiber density further enhanced cell growth. Although cells on nonwoven explants could not be fully collected with cell dissociation enzymes, the cell yield was significantly higher than that of conventional monolayer culture without impacting stem cell properties. Conclusions Hydroxyapatite-coated nonwovens are useful for the effective primary explant culture of connective tissues without enzymatic cell dissociation. Hydroxyapatite-coated nonwovens enable explant culture of adipose tissue. ASCs migrated and proliferated from the tissue explants along the fibers in nonwovens. Nonwoven explants had significantly higher cell yield than conventional culture. Nonwoven culture did not impact stem cell properties of ASCs.
Collapse
Affiliation(s)
- Ryota Chijimatsu
- The University of Tokyo, Bone and Cartilage Regenerative Medicine, Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.,The University of Tokyo, Sensory and Motor System Medicine, Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.,Okayama University Hospital, Center for Comprehensive Genomic Medicine, 2-5-1, Shikada-chou, Kita-ku, Okayama, 700-8558, Japan
| | - Taiga Takeda
- The University of Tokyo, Bone and Cartilage Regenerative Medicine, Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.,CPC Corporation, 3-18-16 Minami-Aoyama, Minato-ku, Tokyo, 107-0062, Japan
| | - Shinsaku Tsuji
- CPC Corporation, 3-18-16 Minami-Aoyama, Minato-ku, Tokyo, 107-0062, Japan.,Avenue Cell Clinic, 3-18-16 Minami-Aoyama, Minato-ku, Tokyo, 107-0062, Japan
| | - Kohei Sasaki
- Japan Vilene Company, Ltd., Central Research Laboratory, 7 Kita-tone, Koga-shi, Ibaraki, 306-0213, Japan
| | - Koichi Kato
- Japan Vilene Company, Ltd., Central Research Laboratory, 7 Kita-tone, Koga-shi, Ibaraki, 306-0213, Japan
| | - Rie Kojima
- Japan Vilene Company, Ltd., Central Research Laboratory, 7 Kita-tone, Koga-shi, Ibaraki, 306-0213, Japan
| | - Noriko Michihata
- Japan Vilene Company, Ltd., Central Research Laboratory, 7 Kita-tone, Koga-shi, Ibaraki, 306-0213, Japan
| | - Toshiya Tsubaki
- The University of Tokyo, Sensory and Motor System Medicine, Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan
| | - Aya Matui
- CPC Corporation, 3-18-16 Minami-Aoyama, Minato-ku, Tokyo, 107-0062, Japan
| | - Miharu Watanabe
- CPC Corporation, 3-18-16 Minami-Aoyama, Minato-ku, Tokyo, 107-0062, Japan
| | - Sakae Tanaka
- The University of Tokyo, Sensory and Motor System Medicine, Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan
| | - Taku Saito
- The University of Tokyo, Sensory and Motor System Medicine, Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan
| |
Collapse
|
16
|
Włodarczyk-Biegun MK, Villiou M, Koch M, Muth C, Wang P, Ott J, del Campo A. Melt Electrowriting of Graded Porous Scaffolds to Mimic the Matrix Structure of the Human Trabecular Meshwork. ACS Biomater Sci Eng 2022; 8:3899-3911. [PMID: 35984428 PMCID: PMC9472227 DOI: 10.1021/acsbiomaterials.2c00623] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Accepted: 08/05/2022] [Indexed: 11/30/2022]
Abstract
The permeability of the human trabecular meshwork (HTM) regulates eye pressure via a porosity gradient across its thickness modulated by stacked layers of matrix fibrils and cells. Changes in HTM porosity are associated with increases in intraocular pressure and the progress of diseases such as glaucoma. Engineered HTMs could help to understand the structure-function relation in natural tissues and lead to new regenerative solutions. Here, melt electrowriting (MEW) is explored as a biofabrication technique to produce fibrillar, porous scaffolds that mimic the multilayer, gradient structure of native HTM. Poly(caprolactone) constructs with a height of 125-500 μm and fiber diameters of 10-12 μm are printed. Scaffolds with a tensile modulus between 5.6 and 13 MPa and a static compression modulus in the range of 6-360 kPa are obtained by varying the scaffold design, that is, the density and orientation of the fibers and number of stacked layers. Primary HTM cells attach to the scaffolds, proliferate, and form a confluent layer within 8-14 days, depending on the scaffold design. High cell viability and cell morphology close to that in the native tissue are observed. The present work demonstrates the utility of MEW for reconstructing complex morphological features of natural tissues.
Collapse
Affiliation(s)
| | - Maria Villiou
- INM-Leibniz
Institute for New Materials, Campus D2 2, 66123 Saarbrücken, Germany
- Chemistry
Department, Saarland University, 66123 Saarbrücken, Germany
| | - Marcus Koch
- INM-Leibniz
Institute for New Materials, Campus D2 2, 66123 Saarbrücken, Germany
| | - Christina Muth
- INM-Leibniz
Institute for New Materials, Campus D2 2, 66123 Saarbrücken, Germany
| | - Peixi Wang
- INM-Leibniz
Institute for New Materials, Campus D2 2, 66123 Saarbrücken, Germany
- Chemistry
Department, Saarland University, 66123 Saarbrücken, Germany
| | - Jenna Ott
- INM-Leibniz
Institute for New Materials, Campus D2 2, 66123 Saarbrücken, Germany
| | - Aranzazu del Campo
- INM-Leibniz
Institute for New Materials, Campus D2 2, 66123 Saarbrücken, Germany
- Chemistry
Department, Saarland University, 66123 Saarbrücken, Germany
| |
Collapse
|
17
|
Ribeiro VP, Costa JB, Carneiro SM, Pina S, Veloso ACA, Reis RL, Oliveira JM. Bioinspired Silk Fibroin-Based Composite Grafts as Bone Tunnel Fillers for Anterior Cruciate Ligament Reconstruction. Pharmaceutics 2022; 14:pharmaceutics14040697. [PMID: 35456531 PMCID: PMC9029049 DOI: 10.3390/pharmaceutics14040697] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Revised: 03/14/2022] [Accepted: 03/20/2022] [Indexed: 02/04/2023] Open
Abstract
Anterior cruciate ligament (ACL) replacement is still a big challenge in orthopedics due to the need to develop bioinspired implants that can mimic the complexity of bone-ligament interface. In this study, we propose biomimetic composite tubular grafts (CTGs) made of horseradish peroxidase (HRP)-cross-linked silk fibroin (SF) hydrogels containing ZnSr-doped β-tricalcium phosphate (ZnSr-β-TCP) particles, as promising bone tunnel fillers to be used in ACL grafts (ACLGs) implantation. For comparative purposes, plain HRP-cross-linked SF hydrogels (PTGs) were fabricated. Sonication and freeze-drying methodologies capable of inducing crystalline β-sheet conformation were carried out to produce both the CTGs and PTGs. A homogeneous microstructure was achieved from microporous to nanoporous scales. The mechanical properties were dependent on the inorganic powder’s incorporation, with a superior tensile modulus observed on the CTGs (12.05 ± 1.03 MPa) as compared to the PTGs (5.30 ± 0.93 MPa). The CTGs presented adequate swelling properties to fill the space in the bone structure after bone tunnel enlargement and provide a stable degradation profile under low concentration of protease XIV. The in vitro studies revealed that SaOs-2 cells adhered, proliferated and remained viable when cultured into the CTGs. In addition, the bioactive CTGs supported the osteogenic activity of cells in terms of alkaline phosphatase (ALP) production, activity, and relative gene expression of osteogenic-related markers. Therefore, this study is the first evidence that the developed CTGs hold adequate structural, chemical, and biological properties to be used as bone tunnel fillers capable of connecting to the ACL tissue while stimulating bone tissue regeneration for a faster osteointegration.
Collapse
Affiliation(s)
- Viviana P. Ribeiro
- 3B’s Research Group, I3Bs—Research Institute on Biomaterials, Biodegradables and Biomimetics of University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, AvePark, Parque de Ciência e Tecnologia, Zona Industrial da Gandra, Barco, 4805-017 Guimarães, Portugal; (S.P.); (R.L.R.); (J.M.O.)
- ICVS/3B’s—PT Government Associate Laboratory, 4710-057 Braga, Portugal
- Correspondence: (V.P.R.); (J.B.C.)
| | - João B. Costa
- 3B’s Research Group, I3Bs—Research Institute on Biomaterials, Biodegradables and Biomimetics of University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, AvePark, Parque de Ciência e Tecnologia, Zona Industrial da Gandra, Barco, 4805-017 Guimarães, Portugal; (S.P.); (R.L.R.); (J.M.O.)
- ICVS/3B’s—PT Government Associate Laboratory, 4710-057 Braga, Portugal
- Correspondence: (V.P.R.); (J.B.C.)
| | - Sofia M. Carneiro
- Instituto Politécnico de Coimbra (ISEC), Departamento de Engenharia Química e Biológica (DEQB), Rua Pedro Nunes, Quinta da Nora, 3030-199 Coimbra, Portugal; (S.M.C.); (A.C.A.V.)
| | - Sandra Pina
- 3B’s Research Group, I3Bs—Research Institute on Biomaterials, Biodegradables and Biomimetics of University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, AvePark, Parque de Ciência e Tecnologia, Zona Industrial da Gandra, Barco, 4805-017 Guimarães, Portugal; (S.P.); (R.L.R.); (J.M.O.)
- ICVS/3B’s—PT Government Associate Laboratory, 4710-057 Braga, Portugal
| | - Ana C. A. Veloso
- Instituto Politécnico de Coimbra (ISEC), Departamento de Engenharia Química e Biológica (DEQB), Rua Pedro Nunes, Quinta da Nora, 3030-199 Coimbra, Portugal; (S.M.C.); (A.C.A.V.)
- CEB—Centre of Biological Engineering, University of Minho, Campus de Gualtar, 4710-057 Braga, Portugal
| | - Rui L. Reis
- 3B’s Research Group, I3Bs—Research Institute on Biomaterials, Biodegradables and Biomimetics of University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, AvePark, Parque de Ciência e Tecnologia, Zona Industrial da Gandra, Barco, 4805-017 Guimarães, Portugal; (S.P.); (R.L.R.); (J.M.O.)
- ICVS/3B’s—PT Government Associate Laboratory, 4710-057 Braga, Portugal
| | - Joaquim M. Oliveira
- 3B’s Research Group, I3Bs—Research Institute on Biomaterials, Biodegradables and Biomimetics of University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, AvePark, Parque de Ciência e Tecnologia, Zona Industrial da Gandra, Barco, 4805-017 Guimarães, Portugal; (S.P.); (R.L.R.); (J.M.O.)
- ICVS/3B’s—PT Government Associate Laboratory, 4710-057 Braga, Portugal
| |
Collapse
|
18
|
Xiong J, Wang H, Lan X, Wang Y, Wang Z, Bai J, Ou W, Cai N, Wang W, Tang Y. Fabrication of bioinspired grid-crimp micropatterns by melt electrospinning writing for bone-ligament interface study. Biofabrication 2022; 14. [PMID: 35021164 DOI: 10.1088/1758-5090/ac4ac8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Accepted: 01/12/2022] [Indexed: 11/11/2022]
Abstract
Many strategies have been adopted to engineer bone-ligament interface, which is of great value to both the tissue regeneration and the mechanism understanding underlying interface regeneration. However, how to recapitulate the complexity and heterogeneity of the native bone-ligament interface including the structural, cellular and mechanical gradients is still challenging. In this work, a bioinspired grid-crimp micropattern fabricated by melt electrospinning writing (MEW) was proposed to mimic the native structure of bone-ligament interface. The printing strategy of crimped fiber micropattern was developed and the processing parameters were optimized, which were used to mimic the crimp structure of the collagen fibrils in ligament. The guidance effect of the crimp angle and fiber spacing on the orientation of fibroblasts was studied, and both of them showed different levels of cell alignment effect.. MEW grid micropatterns with different fiber spacings were fabricated as bone region. Both the alkaling phosphatase activity and calcium mineralization results demonstrated the higher osteoinductive ability of the MEW grid structures, especially for that with smaller fiber spacing. The combined grid-crimp micropatterns were applied for the co-culture of fibroblasts and osteoblasts. The results showed that more cells were observed to migrate into the in-between interface region for the pattern with smaller fiber spacing, suggested the faster migration speed of cells. Finally, a cylindrical triphasic scaffold was successfully generated by rolling the grid-crimp micropatterns up, showing both structural and mechanical similarity to the native bone-ligament interface. In summary, the proposed strategy is reliable to fabricate grid-crimp triphasic micropatterns with controllable structural parameters to mimic the native bone-to-ligament structure, and the generated 3D scaffold shows great potential for the further bone-ligament interface tissue engineering.
Collapse
Affiliation(s)
- Junjie Xiong
- Guangdong University of Technology, Higher Education Mega Center, Guangzhou, 510006, CHINA
| | - Han Wang
- Guangdong University of Technology, Higher Education Mega Center, Guangzhou, 510006, CHINA
| | - Xingzi Lan
- Guangdong University of Technology, Higher Education Mega Center, Guangzhou, 510006, CHINA
| | - Yaqi Wang
- Guangdong University of Technology, Higher Education Mega Center, Guangzhou, 510006, CHINA
| | - Zixu Wang
- Guangdong University of Technology, Higher Education Mega Center, Guangzhou, 510006, CHINA
| | - Jianfu Bai
- Guangdong University of Technology, Higher Education Mega Center, Guangzhou, 510006, CHINA
| | - Weicheng Ou
- Guangdong University of Technology, Higher Education Mega Center, Guangzhou, 510006, CHINA
| | - Nian Cai
- Guangdong University of Technology, Higher Education Mega Center, Guangzhou, Guangdong, 510006, CHINA
| | - Wenlong Wang
- Guangzhou University, Higher Education Mega Center, Guangzhou, 510006, CHINA
| | - Yadong Tang
- Guangdong University of Technology, Higher Education Mega Center, Guangzhou, 510006, CHINA
| |
Collapse
|
19
|
Rush MN, Salas C, Mottishaw L, Fountain D, Mercer D. Additive Manufacturing: The Next Generation of Scapholunate Ligament Reconstruction. J Wrist Surg 2021; 10:492-501. [PMID: 34881104 PMCID: PMC8635827 DOI: 10.1055/s-0041-1729993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Accepted: 04/06/2021] [Indexed: 10/21/2022]
Abstract
Background Ligament reconstruction, as a surgical method used to stabilize joints, requires significant strength and tissue anchoring to restore function. Historically, reconstructive materials have been fraught with problems from an inability to withstand normal physiological loads to difficulties in fabricating the complex organization structure of native tissue at the ligament-to-bone interface. In combination, these factors have prevented the successful realization of nonautograft reconstruction. Methods A review of recent improvements in additive manufacturing techniques and biomaterials highlight possible options for ligament replacement. Description of Technique In combination, three dimensional-printing and electrospinning have begun to provide for nonautograft options that can meet the physiological load and architectures of native tissues; however, a combination of manufacturing methods is needed to allow for bone-ligament enthesis. Hybrid biofabrication of bone-ligament tissue scaffolds, through the simultaneous deposition of disparate materials, offer significant advantages over fused manufacturing methods which lack efficient integration between bone and ligament materials. Results In this review, we discuss the important chemical and biological properties of ligament enthesis and describe recent advancements in additive manufacturing to meet mechanical and biological requirements for a successful bone-ligament-bone interface. Conclusions With continued advancement of additive manufacturing technologies and improved biomaterial properties, tissue engineered bone-ligament scaffolds may soon enter the clinical realm.
Collapse
Affiliation(s)
- Matthew N. Rush
- Department of Orthopaedics and Rehabilitation, The University of New Mexico Health Sciences Center, Albuquerque, New Mexico
| | - Christina Salas
- Department of Orthopaedics and Rehabilitation, The University of New Mexico Health Sciences Center, Albuquerque, New Mexico
- Center for Biomedical Engineering, The University of New Mexico, Albuquerque, New Mexico
- Department of Mechanical Engineering, The University of New Mexico, Albuquerque, New Mexico
| | - Lorraine Mottishaw
- Department of Orthopaedics and Rehabilitation, The University of New Mexico Health Sciences Center, Albuquerque, New Mexico
- Center for Biomedical Engineering, The University of New Mexico, Albuquerque, New Mexico
| | - Damian Fountain
- Department of Orthopaedics and Rehabilitation, The University of New Mexico Health Sciences Center, Albuquerque, New Mexico
- Department of Biochemistry and Molecular Biology, The University of New Mexico, Albuquerque, New Mexico
| | - Deana Mercer
- Department of Orthopaedics and Rehabilitation, The University of New Mexico Health Sciences Center, Albuquerque, New Mexico
| |
Collapse
|
20
|
Han P, Vaquette C, Abdal-hay A, Ivanovski S. The Mechanosensing and Global DNA Methylation of Human Osteoblasts on MEW Fibers. NANOMATERIALS 2021; 11:nano11112943. [PMID: 34835707 PMCID: PMC8621030 DOI: 10.3390/nano11112943] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Revised: 10/25/2021] [Accepted: 10/26/2021] [Indexed: 02/02/2023]
Abstract
Cells interact with 3D fibrous platform topography via a nano-scaled focal adhesion complex, and more research is required on how osteoblasts sense and respond to random and aligned fibers through nano-sized focal adhesions and their downstream events. The present study assessed human primary osteoblast cells’ sensing and response to random and aligned medical-grade polycaprolactone (PCL) fibrous 3D scaffolds fabricated via the melt electrowriting (MEW) technique. Cells cultured on a tissue culture plate (TCP) were used as 2D controls. Compared to 2D TCP, 3D MEW fibrous substrates led to immature vinculin focal adhesion formation and significantly reduced nuclear localization of the mechanosensor-yes-associated protein (YAP). Notably, aligned MEW fibers induced elongated cell and nucleus shape and highly activated global DNA methylation of 5-methylcytosine, 5-hydroxymethylcytosine, and N-6 methylated deoxyadenosine compared to the random fibers. Furthermore, although osteogenic markers (osterix-OSX and bone sialoprotein-BSP) were significantly enhanced in PCL-R and PCL-A groups at seven days post-osteogenic differentiation, calcium deposits on all seeded samples did not show a difference after normalizing for DNA content after three weeks of osteogenic induction. Overall, our study linked 3D extracellular fiber alignment to nano-focal adhesion complex, nuclear mechanosensing, DNA epigenetics at an early point (24 h), and longer-term changes in osteoblast osteogenic differentiation.
Collapse
Affiliation(s)
- Pingping Han
- Center for Oral-Facial Regeneration, Rehabilitation and Reconstruction (COR3), Epigenetics Nanodiagnostic and Therapeutic Group, School of Dentistry, The University of Queensland, Brisbane, QLD 4006, Australia;
- School of Dentistry, The University of Queensland, Herston, QLD 4006, Australia; (C.V.); (A.A.-h.)
| | - Cedryck Vaquette
- School of Dentistry, The University of Queensland, Herston, QLD 4006, Australia; (C.V.); (A.A.-h.)
| | - Abdalla Abdal-hay
- School of Dentistry, The University of Queensland, Herston, QLD 4006, Australia; (C.V.); (A.A.-h.)
- Department of Mechanical Engineering, Faculty of Engineering, South Valley University, Qena 83523, Egypt
| | - Sašo Ivanovski
- Center for Oral-Facial Regeneration, Rehabilitation and Reconstruction (COR3), Epigenetics Nanodiagnostic and Therapeutic Group, School of Dentistry, The University of Queensland, Brisbane, QLD 4006, Australia;
- School of Dentistry, The University of Queensland, Herston, QLD 4006, Australia; (C.V.); (A.A.-h.)
- Correspondence:
| |
Collapse
|
21
|
Gwiazda M, Bhardwaj SK, Kijeńska-Gawrońska E, Swieszkowski W, Sivasankaran U, Kaushik A. Impedimetric and Plasmonic Sensing of Collagen I Using a Half-Antibody-Supported, Au-Modified, Self-Assembled Monolayer System. BIOSENSORS-BASEL 2021; 11:bios11070227. [PMID: 34356698 PMCID: PMC8301786 DOI: 10.3390/bios11070227] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Revised: 07/03/2021] [Accepted: 07/05/2021] [Indexed: 11/16/2022]
Abstract
This research presents an electrochemical immunosensor for collagen I detection using a self-assembled monolayer (SAM) of gold nanoparticles (AuNPs) and covalently immobilized half-reduced monoclonal antibody as a receptor; this allowed for the validation of the collagen I concentration through two different independent methods: electrochemically by Electrochemical Impedance Spectroscopy (EIS), and optically by Surface Plasmon Resonance (SPR). The high unique advantage of the proposed sensor is based on the performance of the stable covalent immobilization of the AuNPs and enzymatically reduced half-IgG collagen I antibodies, which ensured their appropriate orientation onto the sensor's surface, good stability, and sensitivity properties. The detection of collagen type I was performed in a concentration range from 1 to 5 pg/mL. Moreover, SPR was utilized to confirm the immobilization of the monoclonal half-antibodies and sensing of collagen I versus time. Furthermore, EIS experiments revealed a limit of detection (LOD) of 0.38 pg/mL. The selectivity of the performed immunosensor was confirmed by negligible responses for BSA. The performed approach of the immunosensor is a novel, innovative attempt that enables the detection of collagen I with very high sensitivity in the range of pg/mL, which is significantly lower than the commonly used enzyme-linked immunosorbent assay (ELISA).
Collapse
Affiliation(s)
- Marcin Gwiazda
- Faculty of Materials Science and Engineering, Warsaw University of Technology, 141 Woloska Str., 02-507 Warsaw, Poland; (M.G.); (E.K.-G.); (W.S.)
- Department of Chemistry, The University of Manchester, Manchester M13 9PL, UK
- Institute of Animal Reproduction and Food Research, Polish Academy of Sciences, Tuwima 10, 10-748 Olsztyn, Poland;
| | - Sheetal K. Bhardwaj
- Institute of Animal Reproduction and Food Research, Polish Academy of Sciences, Tuwima 10, 10-748 Olsztyn, Poland;
- Van’t Hoff Institute for Molecular Sciences, University of Amsterdam Science Park 904, 1098 XH Amsterdam, The Netherlands
- Correspondence: or (S.K.B.); or (A.K.)
| | - Ewa Kijeńska-Gawrońska
- Faculty of Materials Science and Engineering, Warsaw University of Technology, 141 Woloska Str., 02-507 Warsaw, Poland; (M.G.); (E.K.-G.); (W.S.)
- Centre for Advanced Materials and Technologies CEZAMAT, Poleczki 19, 02-822 Warsaw, Poland
| | - Wojciech Swieszkowski
- Faculty of Materials Science and Engineering, Warsaw University of Technology, 141 Woloska Str., 02-507 Warsaw, Poland; (M.G.); (E.K.-G.); (W.S.)
| | - Unni Sivasankaran
- Institute of Animal Reproduction and Food Research, Polish Academy of Sciences, Tuwima 10, 10-748 Olsztyn, Poland;
| | - Ajeet Kaushik
- NanoBioTech Laboratory, Department of Natural Sciences, Florida Polytechnic University, Lakeland, FL 33805, USA
- Correspondence: or (S.K.B.); or (A.K.)
| |
Collapse
|
22
|
Rinoldi C, Kijeńska-Gawrońska E, Khademhosseini A, Tamayol A, Swieszkowski W. Fibrous Systems as Potential Solutions for Tendon and Ligament Repair, Healing, and Regeneration. Adv Healthc Mater 2021; 10:e2001305. [PMID: 33576158 PMCID: PMC8048718 DOI: 10.1002/adhm.202001305] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 10/19/2020] [Indexed: 02/06/2023]
Abstract
Tendon and ligament injuries caused by trauma and degenerative diseases are frequent and affect diverse groups of the population. Such injuries reduce musculoskeletal performance, limit joint mobility, and lower people's comfort. Currently, various treatment strategies and surgical procedures are used to heal, repair, and restore the native tissue function. However, these strategies are inadequate and, in some cases, fail to re-establish the lost functionality. Tissue engineering and regenerative medicine approaches aim to overcome these disadvantages by stimulating the regeneration and formation of neotissues. Design and fabrication of artificial scaffolds with tailored mechanical properties are crucial for restoring the mechanical function of tendons. In this review, the tendon and ligament structure, their physiology, and performance are presented. On the other hand, the requirements are focused for the development of an effective reconstruction device. The most common fiber-based scaffolding systems are also described for tendon and ligament tissue regeneration like strand fibers, woven, knitted, braided, and braid-twisted fibrous structures, as well as electrospun and wet-spun constructs, discussing critically the advantages and limitations of their utilization. Finally, the potential of multilayered systems as the most effective candidates for tendon and ligaments tissue engineering is pointed out.
Collapse
Affiliation(s)
- Chiara Rinoldi
- Materials Design Division, Faculty of Materials Science and Engineering, Warsaw University of Technology, Warsaw, 02-507, Poland
| | - Ewa Kijeńska-Gawrońska
- Materials Design Division, Faculty of Materials Science and Engineering, Warsaw University of Technology, Warsaw, 02-507, Poland
- Centre for Advanced Materials and Technologies CEZAMAT, Warsaw University of Technology, Warsaw, 02-822, Poland
| | - Ali Khademhosseini
- Department of Bioengineering, Department of Chemical and Biomolecular Engineering, Department of Radiology, California NanoSystems Institute (CNSI), University of California, Los Angeles, CA, 90095, USA
- Terasaki Institute for Biomedical Innovation (TIBI), Los Angeles, CA, 90024, USA
| | - Ali Tamayol
- Department of Biomedical Engineering, University of Connecticut, Farmington, CT, 06030, USA
| | - Wojciech Swieszkowski
- Materials Design Division, Faculty of Materials Science and Engineering, Warsaw University of Technology, Warsaw, 02-507, Poland
| |
Collapse
|
23
|
Melt Electrospinning of Polymers: Blends, Nanocomposites, Additives and Applications. APPLIED SCIENCES-BASEL 2021. [DOI: 10.3390/app11041808] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Melt electrospinning has been developed in the last decade as an eco-friendly and solvent-free process to fill the gap between the advantages of solution electrospinning and the need of a cost-effective technique for industrial applications. Although the benefits of using melt electrospinning compared to solution electrospinning are impressive, there are still challenges that should be solved. These mainly concern to the improvement of polymer melt processability with reduction of polymer degradation and enhancement of fiber stability; and the achievement of a good control over the fiber size and especially for the production of large scale ultrafine fibers. This review is focused in the last research works discussing the different melt processing techniques, the most significant melt processing parameters, the incorporation of different additives (e.g., viscosity and conductivity modifiers), the development of polymer blends and nanocomposites, the new potential applications and the use of drug-loaded melt electrospun scaffolds for biomedical applications.
Collapse
|
24
|
Shiroud Heidari B, Ruan R, De-Juan-Pardo EM, Zheng M, Doyle B. Biofabrication and Signaling Strategies for Tendon/Ligament Interfacial Tissue Engineering. ACS Biomater Sci Eng 2021; 7:383-399. [PMID: 33492125 DOI: 10.1021/acsbiomaterials.0c00731] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Tendons and ligaments (TL) have poor healing capability, and for serious injuries like tears or ruptures, surgical intervention employing autografts or allografts is usually required. Current tissue replacements are nonideal and can lead to future problems such as high retear rates, poor tissue integration, or heterotopic ossification. Alternatively, tissue engineering strategies are being pursued using biodegradable scaffolds. As tendons connect muscle and bone and ligaments attach bones, the interface of TL with other tissues represent complex structures, and this intricacy must be considered in tissue engineered approaches. In this paper, we review recent biofabrication and signaling strategies for biodegradable polymeric scaffolds for TL interfacial tissue engineering. First, we discuss biodegradable polymeric scaffolds based on the fabrication techniques as well as the target tissue application. Next, we consider the effect of signaling factors, including cell culture, growth factors, and biophysical stimulation. Then, we discuss human clinical studies on TL tissue healing using commercial synthetic scaffolds that have occurred over the past decade. Finally, we highlight the challenges and future directions for biodegradable scaffolds in the field of TL and interface tissue engineering.
Collapse
Affiliation(s)
- Behzad Shiroud Heidari
- Vascular Engineering Laboratory, Harry Perkins Institute of Medical Research, QEII Medical Centre and the UWA Centre for Medical Research, The University of Western Australia, Nedlands, Western Australia 6009, Australia.,School of Engineering, The University of Western Australia, Perth, Western Australia 6009, Australia.,Australian Research Council Centre for Personalised Therapeutics Technologies, Australia
| | - Rui Ruan
- Centre for Orthopaedic Research, Faculty of Health and Medical Sciences, The University of Western Australia, Perth, Western Australia 6009, Australia
| | - Elena M De-Juan-Pardo
- School of Engineering, The University of Western Australia, Perth, Western Australia 6009, Australia.,T3mPLATE, Harry Perkins Institute of Medical Research, QEII Medical Centre and the UWA Centre for Medical Research, The University of Western Australia, Nedlands, Western Australia 6009, Australia.,Science and Engineering Faculty, Queensland University of Technology, Brisbane, Queensland, 4000, Australia
| | - Minghao Zheng
- Centre for Orthopaedic Research, Faculty of Health and Medical Sciences, The University of Western Australia, Perth, Western Australia 6009, Australia.,Perron Institute for Neurological and Translational Science, Nedlands, Western Australia 6009, Australia
| | - Barry Doyle
- Vascular Engineering Laboratory, Harry Perkins Institute of Medical Research, QEII Medical Centre and the UWA Centre for Medical Research, The University of Western Australia, Nedlands, Western Australia 6009, Australia.,School of Engineering, The University of Western Australia, Perth, Western Australia 6009, Australia.,Australian Research Council Centre for Personalised Therapeutics Technologies, Australia.,BHF Centre for Cardiovascular Science, The University of Edinburgh, Edinburgh EH9 3FD, United Kingdom
| |
Collapse
|
25
|
Abstract
Melt electrowriting (MEW) is an emerging high-resolution additive manufacturing technique based on the electrohydrodynamic processing of polymers. MEW is predominantly used to fabricate scaffolds for biomedical applications, where the microscale fiber positioning has substantial implications in its macroscopic mechanical properties. This review gives an update on the increasing number of polymers processed via MEW and different commercial sources of the gold standard poly(ε-caprolactone) (PCL). A description of MEW-processed polymers beyond PCL is introduced, including blends and coated fibers to provide specific advantages in biomedical applications. Furthermore, a perspective on printer designs and developments is highlighted, to keep expanding the variety of processable polymers for MEW.
Collapse
Affiliation(s)
- Juliane C. Kade
- Department of Functional Materials in Medicine and DentistryBavarian Polymer InstituteUniversity Clinic WürzburgPleicherwall 297070WürzburgGermany
| | - Paul D. Dalton
- Department of Functional Materials in Medicine and DentistryBavarian Polymer InstituteUniversity Clinic WürzburgPleicherwall 297070WürzburgGermany
| |
Collapse
|
26
|
Ferraris S, Spriano S, Scalia AC, Cochis A, Rimondini L, Cruz-Maya I, Guarino V, Varesano A, Vineis C. Topographical and Biomechanical Guidance of Electrospun Fibers for Biomedical Applications. Polymers (Basel) 2020; 12:E2896. [PMID: 33287236 PMCID: PMC7761715 DOI: 10.3390/polym12122896] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Revised: 11/30/2020] [Accepted: 12/01/2020] [Indexed: 02/07/2023] Open
Abstract
Electrospinning is gaining increasing interest in the biomedical field as an eco-friendly and economic technique for production of random and oriented polymeric fibers. The aim of this review was to give an overview of electrospinning potentialities in the production of fibers for biomedical applications with a focus on the possibility to combine biomechanical and topographical stimuli. In fact, selection of the polymer and the eventual surface modification of the fibers allow selection of the proper chemical/biological signal to be administered to the cells. Moreover, a proper design of fiber orientation, dimension, and topography can give the opportunity to drive cell growth also from a spatial standpoint. At this purpose, the review contains a first introduction on potentialities of electrospinning for the obtainment of random and oriented fibers both with synthetic and natural polymers. The biological phenomena which can be guided and promoted by fibers composition and topography are in depth investigated and discussed in the second section of the paper. Finally, the recent strategies developed in the scientific community for the realization of electrospun fibers and for their surface modification for biomedical application are presented and discussed in the last section.
Collapse
Affiliation(s)
- Sara Ferraris
- Department of Applied Science and Technology, Politecnico di Torino, 10129 Torino, Italy;
| | - Silvia Spriano
- Department of Applied Science and Technology, Politecnico di Torino, 10129 Torino, Italy;
| | - Alessandro Calogero Scalia
- Department of Health Sciences, Center for Translational Research on Autoimmune and Allergic Diseases–CAAD, Università del Piemonte Orientale UPO, 28100 Novara, Italy; (A.C.S.); (A.C.); (L.R.)
| | - Andrea Cochis
- Department of Health Sciences, Center for Translational Research on Autoimmune and Allergic Diseases–CAAD, Università del Piemonte Orientale UPO, 28100 Novara, Italy; (A.C.S.); (A.C.); (L.R.)
| | - Lia Rimondini
- Department of Health Sciences, Center for Translational Research on Autoimmune and Allergic Diseases–CAAD, Università del Piemonte Orientale UPO, 28100 Novara, Italy; (A.C.S.); (A.C.); (L.R.)
| | - Iriczalli Cruz-Maya
- Institute for Polymers, Composites and Biomaterials (IPCB), National Research Council of Italy, Mostra d’Oltremare, Pad. 20, V. le J.F. Kennedy 54, 80125 Napoli, Italy; (I.C.-M.); (V.G.)
| | - Vincenzo Guarino
- Institute for Polymers, Composites and Biomaterials (IPCB), National Research Council of Italy, Mostra d’Oltremare, Pad. 20, V. le J.F. Kennedy 54, 80125 Napoli, Italy; (I.C.-M.); (V.G.)
| | - Alessio Varesano
- Institute of Intelligent Industrial Technologies and Systems for Advanced Manufacturing (STIIMA), National Research Council of Italy (CNR), Corso Giuseppe Pella 16, 13900 Biella, Italy; (A.V.); (C.V.)
| | - Claudia Vineis
- Institute of Intelligent Industrial Technologies and Systems for Advanced Manufacturing (STIIMA), National Research Council of Italy (CNR), Corso Giuseppe Pella 16, 13900 Biella, Italy; (A.V.); (C.V.)
| |
Collapse
|
27
|
A Charge-Based Mechanistic Study into the Effects of Process Parameters on Fiber Accumulating Geometry for a Melt Electrohydrodynamic Process. Processes (Basel) 2020. [DOI: 10.3390/pr8111440] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Melt electrohydrodynamic processes, in conjunction with a moveable collector, have promising engineered tissue applications. However, the residual charges within the fibers deteriorate its printing fidelity. To clarify the mechanism through which the residual charges play roles and exclude the confounding effects of collector movement, a stationary printing mode is adopted in which fibers deposit on a stationary collector. Effects of process parameters on generalizable printing outcomes are studied herein. The fiber deposit bears a unique shape signature typified by a central cone surrounded by an outer ring and is characterized by a ratio of its height and base diameter Hdep/Ddep. Results indicate Hdep/Ddep increases with collector temperature and decreases slightly with voltage. Moreover, the steady-state dynamic jet deposition process is recorded and analyzed at different collector temperatures. A charge-based polarization mechanism describing the effect of collector temperature on the fiber accumulating shape is apparent in both initial and steady-state phases of fiber deposition. Therefore, a key outcome of this study is the identification and mechanistic understanding of collector temperature as a tunable process variable that can yield predictable structural outcomes. This may have cross-cutting potential for additive manufacturing process applications such as the melt electrowriting of layered scaffolds.
Collapse
|