Narges
Naseri
a,
Jean-Michel
Poirier
a,
Lenart
Girandon
b,
Mirjam
Fröhlich
b,
Kristiina
Oksman
a and
Aji P.
Mathew
*ac
aDivision of Materials Science, Luleå University of Technology, 97187 Luleå, Sweden. E-mail: aji.mathew@ltu.se; aji.mathew@mmk.su.se; Fax: +46 920 49 1399; Tel: +46 920 49 2024
bEducell ltd., Prevale 9, 1236 Trzin, Slovenia
cDivision of Materials and Environmental Chemistry, Stockholm University, SE-10691 Stockholm, Sweden
First published on 8th January 2016
Fully bio-based 3-dimensional porous scaffolds based on freeze-dried cellulose nanofibers (70–90 wt%) stabilized using a genipin crosslinked matrix of gelatin and chitosan were prepared. Morphology studies using scanning electron microscopy showed that the scaffolds have interconnected pores with average pore diameters of 75–200 μm and nanoscaled pore wall roughness, both favorable for cell interactions with cartilage repair. X-ray tomography confirmed the 3-dimensional homogeneity and interconnectivity of the pores as well as the fibrillar structure of the scaffolds. The compression modulus of the scaffolds (1–3 MPa) at room conditions was higher than natural cartilage (≈1 MPa). The lowered compression modulus of 10–60 kPa in phosphate buffered saline (PBS) at 37 °C was considered favorable for chondrogenesis. The current study therefore successfully addressed the challenge of tailoring the pore structure and mechanical properties simultaneously for cartilage regeneration. Furthermore, the scaffolds' high porosity (≈95%), high PBS uptake and good cytocompatibility towards chondrocytes are considered beneficial for cell attachment and extracellular matrix (ECM) production.
Due to good biocompatibility, natural biomaterials such as chitosan, gelatin, alginate and collagen have been used as raw materials for scaffolds in soft tissue engineering.3–9 These natural polymers support the cell growth and regeneration. However, their use is limited because of their lower mechanical properties when compared to synthetic polymers, especially load behaviour requirements necessary to allow proper cell proliferation.10–12
In cartilage tissue engineering, scaffolds are expected to imitate the functions of damaged cartilage and provide a 3-dimensional (3D) environment for cell growth and ECM production.3,4 Typically, the tailoring of scaffold porosity with pore sizes in the range of 200–300 μm is considered a benchmark for cartilage regeneration.4,13 Such porous scaffolds can be prepared using many different processes, such as freeze-drying, CO2 foaming, electrospinning or cryogelation, with a wide variety of polymers as found in literature.5,14–16
Chitosan and gelatin based scaffolds have been reported to be beneficial for soft load bearing tissues. Positive charges on the surface of chitosan can promote chondrocyte growth thus beneficial for cartilage repair.3,4 Gelatin is partially derived from collagen, which is the main protein component of connective tissues as cartilage, skin and bone. Furthermore, a blend of these polymers absorbs water and forms a hydrogel whereby allowing fluid to be retained in the scaffold structure leading to a higher compression modulus similar to natural soft tissue.4,13,17,18 A recent study on chitosan/gelatin blends with random and aligned pore structures prepared with a freeze-drying process showed a compression modulus in the range of 5 kPa (for randomly aligned scaffolds) to 30 kPa (in the vertical direction of the aligned scaffold), when tested at 37 °C after conditioning in PBS medium.18
To enhance the mechanical performance of biopolymers and their blends, different types of reinforcements obtained from natural materials have been used; the most important examples being derivatives of cellulose and chitin.8,9,14,15 Our earlier studies have also demonstrated that solution cast fibrous nanocomposite structures with high cellulose nanofibers concentrations (75 wt%) and collagen provide mechanical performance suitable for ligaments.8,9 Also, our previous studies have demonstrated the non-cytotoxicity of nanocellulose from different sources and their potential in medical applications.15,19,20
In the current study, 3D nanocomposite scaffolds for cartilage regeneration were processed via freeze-drying technique, where porous cellulose nanofiber structures were bound together and mechanically/dimensionally stabilized using low amounts of crosslinked chitosan/gelatin blend system. The pore structure developed during the processing is expected to impact the moisture uptake and mechanical performance of the resultant scaffolds. Moreover, the pore structure and sizes, which favor the movement of fluids through the scaffold, creating drag forces,21 as well as the development of ECM, is known to contribute to the load bearing under in vivo conditions. Though tailoring of mechanical properties using nanocellulose have received some attention in tissue engineering,8,9,22 limited studies are available on tailoring the pore structure in bionanocomposites and understanding the effect of porosity on the mechanical performance. It is highly challenging to tailor the pore structure and mechanical properties required for tissue regeneration, simultaneously, as increase in porosity generally decreases the mechanical properties and vice versa. The pore structure and porosity of the scaffold was tailored in the current study by varying the suspension concentrations, fibers/matrix ratio and crosslinking with the aim to obtain optimal mechanical properties and chondrocyte attachment and proliferation to obtain extracellular matrix of optimal quality. It was expected that these 3D porous structures could act as templates for the formation of new tissue and act as guidance for cell growth while facilitating nutrient and oxygen transport.
The structural morphology of the produced scaffolds was observed by scanning electron microscopy (SEM) and X-ray tomography. Mechanical properties in room condition and in PBS medium, moisture uptake, density and porosity, as well as in vitro biodegradation and cytocompatibility towards chondrocytes were also investigated.
The atomic force microscopy of the prepared nanofibers (Fig. 1a) showed nanosized fibers with diameters in the range of 19–38 nm (Fig. 1b), based on the measurements using the Nanoscope V software (Santa Barbara, CA, USA). The diameter of nanofibers was measured from the height to compensate the tip broadening effect. The photograph of the gels of CNF obtained after grinding is also shown (Fig. 1c).
The suspension was centrifuged for 30 min and the rotor speed was 1500 rpm to remove water and obtain highly concentrated gel, typically between 7 and 10 wt%, which was used for scaffold processing.
Sample | CNF (g) | M (g) | Sample code | Density (g cm−3) | Porosity (%) | Average pore size (μm) |
---|---|---|---|---|---|---|
a M: matrix composed of gelatin/chitosan (9:1), X: crosslinked. | ||||||
1 | 4 | 0.0 | CNF4 | 0.069 | 95.5 | — |
2 | 4 | 0.4 | CNF4-M0.4 | 0.062 | 95.6 | 153 ± 53 |
3 | 4 | 0.4 | X-CNF4-M0.4 | 0.066 | 95.3 | 68 ± 49 |
4 | 4 | 1.1 | X-CNF4-M1.1 | 0.061 | 95.1 | 58 ± 35 |
5 | 4 | 2.2 | X-CNF4-M2.2 | 0.065 | 94.2 | 59 ± 18 |
6 | 5 | 0.5 | X-CNF5-M0.5 | 0.076 | 94.6 | 90 ± 71 |
7 | 6 | 0.6 | X-CNF6-M0.6 | 0.093 | 93.4 | 65 ± 51 |
For high-resolution images, MAGELLAN 400 XHR-SEM (FEI Company, Eindhoven, The Netherlands) was used. The samples were placed on carbon tape, coated with tungsten, and observed under the SEM at an acceleration voltage of 3 kV.
Nanoscaled pores were measured using a Micromeritics ASAP 2000 instrument and the average pore diameters were determined from nitrogen adsorption measurements at 77 K using the BET method. The measurements were performed after degassing the samples at 100 °C for 48 h in dry N2 flow.
Moisture uptake (%) = [(Wt − Wd)/Wd] × 100 | (2) |
In order to assess the swelling of the matrix phase, samples were dried in the vacuum oven and weighed as described above and placed in a 95% moisture desiccator. The samples were weighed every two days for two weeks in order to follow the weight gain until equilibrium. The moisture uptake was calculated using the same equation as above.
For tests in PBS, the sample thickness was about 5 mm and the cut samples were immersed in PBS for 24 h before testing. The displacement rate for moduli calculation was 400 μm min−1 and the initial contact force was 0.02 N, slightly adapted according to the specific rigidity of each type of sample (up to 0.05 N). Compression tests were also performed in PBS at varying strain rates ranging from 100 μm min−1 to 400 μm min−1 to evaluate viscoelasticity. Each test was performed at least five times and the average values were reported.
Weight loss (%) = [(W0 − Wt)/W0] × 100 | (3) |
The morphologies of X-CNF4-M0.4, X-CNF4-M1.1, and X-CNF4-M2.2 with varying the matrix content are compared in Fig. 2c–e. Fig. 2c shows CNF bound by the matrix forming an interconnected pore structure with single and bundled fibers emerging from and embedded in the matrix. X-CNF4-M1.1 and X-CNF4-M2.2 (Fig. 2d and e) show flat and layered structures and resemble self-assembly behaviour similar to that of pure gelatin, as previously found in literature.13,25 As the matrix content increased, smoother and thicker wall structures and fewer pores were observed, which was not considered favorable for the pore sizes required for cartilage applications.
When comparing the scaffolds with different initial suspension concentrations, X-CNF4-M0.4 showed a pore structure which is relatively homogeneous and interconnected, whereas X-CNF5-M0.5 and X-CNF6-M0.6 showed more of a layered structure than a fibrillar structure and formed denser structures with fewer pores and cellulose nanofibers coated with matrix compared to X-CNF4-M0.4 (images given in ESI, S1†). Earlier studies also have demonstrated the controlling the cell size and foam density by changing the suspension concentration.26,27
The pore sizes measured from SEM for all developed scaffolds are summarized in Table 1. In all cases the standard deviations are high and pore sizes in the range of 20 μm to 200 μm were observed. The highest average pore size (100–200 μm) was with the uncrosslinked system and the pore size decreased with crosslinking (20–120 μm), increased matrix content (20–75 μm) and increased suspension concentration (40–115 μm).
The X-CNF4-M0.4 system was considered optimal for the cartilage tissue engineering based on pore structure, homogeneity of pores and average pore sizes. When examined using high-resolution microscopy (Fig. 2f), X-CNF4-M0.4 showed a highly entangled network of CNF on the pore walls. These fibrous nanostructures and the pore wall roughness is expected to aid cell fixation and extracellular matrix (ECM) development after implantation because the rougher surface improves vascularization, diffusion rates to and from the scaffold for oxygen/nutrients supply and removal of waste.23,28 (For this system, the nanoscaled pores measured from micromeritics porosity analyser were in the range of 12–14 nm).
All of the materials were highly porous (>93%) and had low densities, shown in Table 1, and which agree with literature values.27 The crosslinking as well as the increase in matrix content had limited influence on porosity. These samples had a similar density irrespective of the matrix content (samples 1–5), most likely due to the higher bulk density of cellulose (1.54 g cm−3) as cellulose is the main component in all of the samples. When the concentration of the freeze-drying suspension increased (samples 3, 6 and 7) while keeping the fibers to matrix ratio constant (10:1), the density increased from 0.066 to 0.093 g cm−3 due to denser packing of fiber network and as expected led to a decrease in porosity.26,27
Fig. 3a–c shows cross-sectional images of the porous scaffold for the X-CNF4-M0.4 system obtained using X-ray tomography. It can be observed that the scaffold has high porosity (confirming the porosity data in Table 1) as well as pores are uniformly distributed in the horizontal as well as vertical sections of the scans. Furthermore, X-ray tomography confirmed the interconnectivity of the pores as well as the fibrillar structure of the scaffolds.
The 3D interconnectivity of pores (Fig. 3d) throughout the scaffold, the high degree of porosity, the hierarchical pore structure with micron sized pores in the bulk and the nanoscaled pores on the walls of scaffolds were considered optimal for the cartilage tissue engineering.26
Fig. 4 Effect of fibers/matrix ratio, initial concentration and crosslinking on the PBS and water uptake by the scaffolds. |
It can be inferred that the open pore structure of the materials (shown in SEM) plays a role in the fast and high moisture uptake and moisture susceptibility in the scaffolds. It was found that the amount of matrix does not significantly affect the uptake, as X-CNF4-M0.4, X-CNF4-M1.1 and X-CNF4-M2.2 showed similar water uptake. This indicates that a significant proportion of the water uptake is due to the porous structure of the scaffolds. A higher CNF concentration in the suspension resulted in a decrease in the uptake of the resultant scaffolds due to a tighter, denser network with smaller pores, as expected. However, it was noted that porous CNF scaffolds without matrix (CNF4) absorbed PBS quickly and disaggregated easily when manipulated since there is no matrix to bind the fibers together. The uncrosslinked samples also proved to be unstable after 3 days in PBS, while the crosslinked samples remained stable in moist conditions during the whole duration of the experiment.
The water uptake by the same scaffolds was monitored in 95% RH conditions (without immersion) and the maximum uptake was 30% of its original weight, even after 15 days (shown by Fig. 4 in the inset). This shows that the adsorption due to the scaffold swelling is negligible. No difference has been observed regardless of whether the samples are crosslinked or not, and the total uptake showed a tendency to decrease as the initial concentration increased, which is in correlation with the density of the material.
The aggregate compression modulus of articular cartilage is reported to be around 0.9 MPa by Martin et al.29 and 0.5–0.1 MPa by Guilak et al.30 Also, a wide range of values varying between 0.1 MPa and 2 MPa are reported as compression moduli for healthy cartilage31–34 depending on the source and testing conditions. The values of compression moduli of the current scaffolds are slightly higher than that of natural cartilage, but it may be noted that the moisture content in natural cartilage is greater.
The performance of the scaffolds was evaluated in simulated body conditions (PBS medium and 37 °C) to understand the effect of compression rate, crosslinking, fibers/matrix ratio and initial suspension concentration; (see Fig. 5b–e). The compression modulus showed a clear tendency to increase as the compression rate increased from 100 to 400 μm min−1 (Fig. 5b), a sign of the viscoelasticity of the scaffolds. In dry conditions, the scaffolds exhibited an elastoplastic behaviour, but when submerged in PBS, viscoelastic behaviour was evident. The viscoelastic behaviour in PBS medium is partly due to the swelling of the matrix phase as well as fluid flow through the pores of the scaffolds during compression. This tendency was reported for natural cartilage tissues when tested in compression mode and therefore considered favorable for load bearing by the scaffolds.21
The influence of crosslinking on compression modulus was evaluated for CNF4-M0.4 and X-CNF4-M0.4, tested in PBS at 400 μm min−1 (Fig. 5c) in the strain region of 0–5% and 10–15%. No significant improvement on the mechanical properties was achieved by crosslinking and the compression modulus was around 30 kPa. The low amount of matrix material available for crosslinking as well as the similar density and porosity observed for these scaffolds explains this trend.
The compression moduli of CNF4, X-CNF4-M0.4, X-CNF4-M1.1 and X-CNF4-M2.2 in the strain region of 0–5% and 10–15% are given in Fig. 5d. The values decreased from 62 kPa for pure CNF to 10 kPa for nanocomposites with the highest matrix concentration (X-CNF4-M2.2). The results show that the scaffolds become weaker in wet conditions when the matrix content increases. One possible reason is that gelatin and chitosan are mechanically weaker in wet conditions than the CNF network. Nevertheless, a minimum concentration of matrix phase was necessary to bind the fibers together and ensure the stability of the scaffold in wet medium. Furthermore, CNF4 collapsed completely during compression tests in submersion mode after 15% strain, while scaffolds with matrix phase showed better mechanical and dimensional stability in spite of the lower compression moduli. Fig. 5e shows scaffolds prepared by increasing suspension concentrations (X-CNF4-M0.4, X-CNF5-M0.5 and X-CNF6-M0.6) but the same ratio of fibers/matrix (10:1). The compression modulus increased from 18 to 60 kPa as the concentration increased from 2.2 to 5.5 but stabilized thereafter. The increase in density of the scaffolds did not affect the mechanical properties significantly, especially in PBS medium.
In general, it can be seen that the compression modulus in wet conditions is lower (10–60 kPa) than in dry conditions (1–3 MPa). The decreased mechanical properties in wet conditions were expected due to the swelling and plasticisation of the scaffold pore walls with water. The hydrophilicity of the nanocellulose, gelatin and chitosan as well as the high water-binding capability of gelatin significantly impacts the performance in aqueous medium. The compression moduli of the scaffolds with CNF as reinforcement in the chitosan/gelatin matrix is however significantly higher than those reported for the chitosan/gelatin blend,18 indicating that CNF acts as reinforcements in the porous scaffold.
The values presented here are lower than reported for natural cartilage tested in wet conditions. It may be noted that the current compression studies are performed submerged in PBS and at 37 °C which can weaken the scaffold in comparison to conditioned natural cartilage tested at 37 °C. More importantly, it was demonstrated earlier that in in vivo conditions, chondrocytes sense the mechanical properties of the substrate and soft scaffolds (4 kPa) facilitate chondrogenesis where as stiffer scaffolds (≥40 kPa) are shown to favor bone regeneration.35,36
In the current study, X-CNF4-M0.4 scaffolds have shown favorable mechanical properties (18–32 kPa) for chondrogenesis, stability in moist conditions and favorable pore sizes and pore wall morphology for cell adhesion. Therefore, these scaffolds are expected to develop extracellular matrix (ECM) and regenerate cartilage with the right mechanical properties after implantation. The evaluation of the scaffold after ECM development will be required to understand the performance of the scaffold in in vivo conditions and may be addressed in future.
An optimal rate of degradation crucial for cartilage regeneration is one which balances stable 3D structures that provide support with gradual development of ECM.37
The short-term biodegradation studies showed that the rate of degradation of nanofibrous scaffolds could be controlled by the fibers/matrix ratio. The slow biodegradation tendency of biologically stable scaffolds in the current study, which provides an enduring support for the patient while also favoring ECM formation, can be considered beneficial. However, further long-term investigation needs to be done to evaluate ECM development in correlation with biodegradation of the scaffold to ensure the potential of the produced scaffold.
Footnote |
† Electronic supplementary information (ESI) available. See DOI: 10.1039/c5ra27246g |
This journal is © The Royal Society of Chemistry 2016 |