ABSTRACT
In the design of biomaterial scaffolds for traumatic spinal cord injury (SCI), anisotropic composites of magnetically aligning architectures and injectable hydrogels have garnered increasing interest for their combined neuroregenerative and neuroprotective advantages, uniquely supporting both axonal orientation cues and minimally invasive delivery. Herein, ferric iron‐chelated silk fibroin microfibers (Fe3+‐mSF) are explored as a magnetic nanoparticle‐free alternative to existing magneto‐responsive fiber architectures. Functionalization of nascent mSF via iron chelation exhibited stability at physiological pH, with minimal iron release observed over 7‐d and 3‐month periods. Mechanically, the addition of Fe3+‐mSF to an existing injectable, in situ crosslinking hydrogel did not compromise its injectability, gelation kinetics, or low swelling profile. Fe3+‐mSF cytocompatibility was observed in SH‐SY5Y cells (neuronal analog), both when cultured with Fe3+‐mSF‐supplemented media and when cultured within Fe3+‐mSF/collagen hydrogels, and the addition of Fe3+‐mSF to a collagen‐only hydrogel resulted in a few significant changes in neuroregenerative biomarker expression. Finally, in a proof‐of‐principle study, magnetically‐actuated alignment of Fe3+‐mSF/hydrogel composites was achieved on the patient bed of a magnetic resonance imaging (MRI) machine, without obvious pulling of the fiber architecture from the hydrogel bulk. It is envisioned that this Fe3+‐mSF‐laden hydrogel system may be used as an injectable, in situ aligning neuroregenerative scaffold.
Keywords: fiber, injectable, magnetic, neuroregeneration, silk
Ferric iron‐chelated silk fibroin microfibers (Fe3+‐mSF) are explored as a magnetic nanoparticle‐free alternative to existing magneto‐responsive nerve guidance architectures. Fe3+‐mSF release minimal iron at physiological pH, and, when incorporated into existing injectable hydrogels, do not compromise favorable mechanical properties (syringeability, gelation time, low swelling profile), exhibit cytocompatibility, and may increase the neuroregenerative potential of the scaffold system.

1. Introduction
Regenerative medicine research for neurotraumatic injuries has increasingly emphasized biomaterial‐based scaffolds and therapeutic delivery systems, especially for applications in traumatic spinal cord injuries (SCI) [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18]. By physically bridging the lesion and alleviating environmental inhibitors of innate neuroregeneration, these biomaterials provide biomechanical and biochemical cues to guide functionally integrative cell migration, maturation, and organization across the injury site [1, 12]. Both injectable and implantable biomaterial systems have been explored in efforts to facilitate neurorecovery post‐SCI, each offering unique therapeutic advantages. Injectable, in situ crosslinking biomaterials are advantageous in their minimally invasive delivery and high‐fidelity conformation to heterogeneous lesion geometries, limiting counterproductive exacerbation of secondary damage cascades and mitigating fibrotic capsule formation [10, 12, 19, 20, 21]. Unfortunately, in situ gelation also sacrifices control over internal architecture, limiting opportunities for aligned biophysical cues to direct trans‐lesion axonal elongation and functional integration [22]. Implantable biomaterials are advantageous because their hierarchical morphology and internal architectures can be precisely controlled to produce aligned features, which are critical for directing axonal outgrowth and reconnection across the SCI lesion [2, 10, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35]. However, surgical implantation of these systems exacerbates neuroinflammation, and imperfect fitting to the lesion site results in fibrotic scar tissue deposition, further inhibiting axonal ingrowth. As highlighted by this tradeoff, current design paradigms for injectable and implantable scaffold systems are inherently limited in their neuroregenerative and neuroprotective contributions to neurorecovery post‐SCI.
Combining the benefits of minimally invasive delivery and structured cues for lesion‐bridging neurite outgrowth, innovative neuroregenerative strategies for SCI have recently explored injectable biomaterials with in situ aligning guidance architectures, i.e., scaffold features that can be aligned post‐delivery in response to the controlled application of an external stimulus (e.g., a magnetic field) [22, 27, 30]. For instance, Tran et al. imparted magneto‐responsive properties to the self‐assembling peptide amphiphile RADA‐16I via magnetic nanoparticle (MNP) doping [35]. While the alignment of RADA‐16I fibrils is typically flow‐induced during injection, requiring a complex, potentially traumatic micromanipulator‐assisted needle retraction scheme, Tran et al. demonstrated that incorporating MNPs into the hydrogel bulk facilitates minimally invasive post‐injection alignment via an externally applied magnetic field.
Alternatively, several research groups have explored the neuroregenerative potential of in situ aligning anisotropic hydrogels, i.e., injectable hydrogel bulks into which magneto‐responsive fiber architectures are incorporated [27, 29, 30, 37, 38]. The internal architectures can be aligned in situ within the hydrogel precursor via externally applied magnetic fields, after which their alignment is then preserved via in situ hydrogel gelation. These “anisogels” are especially attractive for biomaterial‐based SCI treatments, providing the neuroregenerative benefits of rostro‐caudal guidance cues for neurite outgrowth without sacrificing the neuroprotective benefits of minimally invasive delivery. Recent publications by Rose et al. and Omidinia‐Anarkoli et al. represent the first reports of these magneto‐responsive anisogels in neuroregenerative applications. By photo‐crosslinking MNP‐doped polyethylene glycol (PEG) solutions in cylindrical molds and electrospinning MNP‐doped fibrin solutions, respectively, the authors produced magneto‐responsive microgels (1 × 10 µm) and microfibers (5 × 50 µm) for subsequent suspension in fibrin or collagen hydrogels [27, 30]. A few years later, a similar approach for anisogel synthesis was reported by Ghaderinejad et al., demonstrating the neuroregenerative potential of a polycaprolactone microfiber/alginate hydrogel composite []. Additionally, Johnson et al. developed magneto‐responsive cylindrical constructs by rolling electrospun mats of aligned, MNP‐doped poly(L‐lactic acid) nanofibers [].
The mechanism by which magneto‐responsive properties are imparted to each of these existing nerve guidance architectures is the same: doping of superparamagnetic iron nanoparticles (SPIONs) directly into the fibers. Compared with other metal‐oxide‐based MNPs, SPIONs are particularly beneficial for biomaterial development due to their high magnetic saturation, imparting substantial magneto‐responsiveness with minimal increase in the material's metal content. While SPIONs are thereby associated with reduced metal toxicity risks, both ferrous and ferric oxides exhibit greater toxicity than iron alone [39, 40, 41, 42].
To this end, ferric iron chelated silk fibroin microfibers (Fe3+‐mSF) are evaluated as an MNP‐free alternative to existing magnetically aligning nerve guidance architectures. Derived from Bombyx mori silkworm cocoons, silk fibroin (SF) is a naturally occurring, FDA‐approved biomaterial with an inherently fibrous structure, making it well‐suited for applications as nerve guidance architectures [44, 45, 46, 47, 48, 49, 50]. Previously, we demonstrated the feasibility of imparting magneto‐responsive properties to SF microfibers (mSF) via ferric iron chelation, achieving a comparable degree of fiber alignment in Fe3+‐mSF to that reported for MNP‐doped nerve guidance architectures [30, 43]. Herein, the effects of the proposed Fe3+‐mSF architecture on the mechanical functionality and neuroregenerative potential of existing injectable hydrogel‐only scaffold systems are investigated.
2. Results and Discussion
2.1. Ferric Iron‐Chelated Silk Fibroin Microfibers (Fe3+‐mSF) Release Minimal Iron
To better understand the implications of incorporating the proposed architecture into existing hydrogel‐only systems, both the short‐term and long‐term stability of the Fe3+‐mSF iron coordination was assessed by measuring Fe3+‐mSF iron release over time. Though the metal‐binding capacity of SF is well documented, the mechanisms that facilitate this bioinorganic coordination chemistry remain a subject of ongoing research [51, 52, 53, 54, 55]. With regard to iron, specifically, prior experimental investigations indicate that the coordination mechanism, and thereby the coordination stability, is dependent on the metal's oxidation state [55]. Not only does ferric iron tend to interact with different SF moieties than ferrous iron, but the more positively charged ferric iron ion (Fe3+) also exhibits stronger electrostatic interactions with negatively charged SF than the less positively charged ferrous iron ion (Fe2+) [55]. While we previously showed that iron is chelated by mSF from ferric chloride solution (FeCl3) in the ferric oxidation state (Fe3+), we also demonstrated that the iron content of the synthesized product (Fe3+‐mSF) increases concomitantly with increasing concentration of the FeCl3 solution, warranting investigation of how Fe3+‐mSF iron content affects retention of the loaded iron content (i.e., iron release) from the material [50].
Analysis of Fe3+‐mSF iron release via inductively coupled plasma mass spectrometry (ICP‐MS) indicated that iron release increases concomitantly with increasing Fe3+‐mSF iron content. However, regardless of Fe3+‐mSF iron content, less than 1% of the total loaded iron was released, and the mass of iron released was minimal in the context of physiologically normal iron levels observed in both the cerebrospinal fluid (CSF) and serum (Figure 1) [43].
FIGURE 1.

Cumulative Iron release from Fe3+‐mSF in phosphate‐buffered saline. (A) Short‐term (through 7 days) iron release as quantified via ICP‐MS; data are presented as the mean ± SEM cumulative iron release (µg) per unit mass Fe3+‐mSF (mg) from three independent replicates, with each condition prepared and evaluated in triplicate (N = 3, n = 3). (B) Long‐term (through 91 days) iron release as quantified via ICP‐MS; data are presented as the mean ± SD cumulative iron release (µg) per unit mass Fe3+‐mSF (mg) from one independent experiment with samples prepared and evaluated in triplicate (N = 1, n = 3).
In both the short‐term and long‐term studies, intraday and cumulative mass iron release from Fe3+‐mSF were significantly affected by the material's initial iron content (two‐way ANOVAs, Dunnett's multiple comparisons tests). Notably, all iron‐modified Fe3+‐mSF exhibited the greatest iron release at the 1‐d timepoint (Figure S1). After the first day, no significant differences in intraday iron release were observed from any Fe3+‐mSF in the short‐term study, regardless of Fe3+‐mSF iron content. In the long‐term study, only the “high iron” Fe3+‐mSF and “moderately high iron” Fe3+‐mSF exhibited significant differences in intraday release, both of which ceased within the duration of the 91‐d study (i.e., at the 42‐d timepoint and 35‐d timepoint, respectively). The initial burst release of iron observed from all Fe3+‐mSF is unlikely to be the result of residual unbound iron, as ICP‐MS analysis of the pre‐release Fe3+‐mSF wash steps demonstrated sufficient removal of remaining free iron post‐synthesis (Figure S2). Rather, the initial burst release may indicate weak electrostatic iron coordination mechanisms in the washed Fe3+‐mSF product: though prior experimental investigation has validated ferric iron chelation at oxygen‐containing residues in SF, it is possible that additional ferric iron ions are either electrostatically bound to the negatively charged mSF or otherwise entrapped in the material during binding‐induced conformational changes (e.g., ferric‐iron‐induced beta sheeting) [43, 56]. As the bio‐adsorption properties of SF are sensitive to environmental pH, the initial day‐1 burst release may have resulted from the transfer of the Fe3+‐mSF samples from the acidic FeCl3 solutions in which they were synthesized to the neutral (pH 7.4) phosphate‐buffered saline (PBS) solutions in which the release studies were conducted; the subsequently diminishing intraday releases may have resulted from the stabilization of the electrostatic interactions [52, 56, 57, 58].
Consistent with the intraday release results, the greatest cumulative mass iron release was observed from the “high iron” Fe3+‐mSF, which exhibited significantly greater iron release than the “no iron added” Fe3+‐mSF control at every timepoint in both the short‐term and long‐term studies. Similarly, the “moderately high iron” Fe3+‐mSF and “moderate iron” Fe3+‐mSF exhibited significantly greater cumulative iron release than the “no iron added” Fe3+‐mSF control at every timepoint in the short‐term study, though only the former exhibited comparatively significant iron release in the long‐term study. No significant iron release was observed from the “moderately low iron” Fe3+‐mSF or “low iron” Fe3+‐mSF by comparison to the “no iron added” Fe3+‐mSF. As expected, the “no iron added” Fe3+‐mSF control, i.e., nascent silk fibroin microfibers, exhibited the least cumulative iron release over the duration of both the short‐term and long‐term studies. Though trace quantities of iron were unexpectedly detected in the release medium samples collected from the “no iron added” Fe3+‐mSF, these observations may be attributed to confounding factors including minor iron contributions from the water in which the mSF were soaked (sham “0 mM” FeCl3 treatment) and subsequently washed, cross‐sample contamination due to the use of an autosampler during ICP‐MS measurements, and minor iron accumulation in the ICP‐MS instrument over the course of sample set analyses. Collectively, these results indicate that, while Fe3+‐mSF iron release in PBS increases with Fe3+‐mSF iron content, especially during the first 24 h, it ultimately plateaus within several weeks.
Importantly, independent of release profile, the short‐term and long‐term iron release observed from Fe3+‐mSF was minimal by comparison to the iron “loaded” (i.e., bound during Fe3+‐mSF synthesis). All Fe3+‐mSF released only 1% of the total bound iron content (Figure S3, Table S1), indicating that ferric iron chelation offers a stable mechanism for Fe3+ functionalization of mSF at physiological pH. The stability of this coordination is promising for long‐term material biocompatibility. For contextualization, cumulative intra‐lesion mass iron release of an Fe3+‐mSF/hydrogel composite was estimated with assumptions of a 1 mg mL−1 fiber density (i.e., mass Fe3+‐mSF per unit volume bulk hydrogel) and a total composite volume of 2 cm3 (i.e., an average‐to‐large volume for the cavitated lesion site in SCI patients) [59]. Under these assumptions, the greatest intraday iron release observed (“moderately high iron” Fe3+‐mSF, day 1 of short‐term study) would translate to an intra‐lesion iron release of 0.3245 µg, while the greatest cumulative iron release observed (“high iron” Fe3+‐mSF, long‐term study) would translate to an intra‐lesion iron release of 0.6294 µg over 91 days. Assuming no clearance of ferric iron from the CSF into the serum and a total CSF volume of 150 mL perfusing the body at any given time, the greatest cumulative iron release observed would increase CSF iron levels by only 4.2 µg L−1 [61]. Assuming clearance to the serum (5000 mL circulating volume), this effect would be even less significant, increasing serum iron levels by only 0.13 µg L−1 [62]. When compared against normal iron levels for both the cerebrospinal fluid (CSF) and serum (61.01 ± 18.3 and 1332.7 ± 408.2 µg L−1, respectively), these estimates offer preliminary in vitro evidence of physiologically minimal iron release from all Fe3+‐mSF examined in this study [60]. As Fe3+‐mSF magneto‐responsiveness has been shown to increase with increasing iron content, with “high iron” Fe3+‐mSF achieving target alignment uniformity for nerve guidance architectures, these results support continued exploration of Fe3+‐mSF as an in situ aligning architecture for injectable, neuroregenerative hydrogel scaffolds [30, 43].
2.2. Fe3+‐mSF Architecture Does Not Detract From Mechanical Functionality of Existing Injectable Hyaluronic Acid (HA) Hydrogels
To examine the effect of Fe3+‐mSF on the mechanical properties of an existing injectable, in situ crosslinking scaffold, the proposed architecture was incorporated into a hyaluronic acid (HA)‐based hydrogel system with demonstrated translational relevance in traumatic SCI treatment. HA‐based hydrogels have emerged as a favorable biomaterial for neuroregenerative scaffolds and cell‐delivery vehicles [12, 18, 21, 63, 64, 65, 66, 67]. In the context of chronic SCI, HA‐based hydrogels are beneficial because they both mitigate inhibitory responses and enhance endogenous neuroregenerative responses. As a primary component of native spinal cord extracellular matrix, HA hydrogels exhibit extraordinary biocompatibility, cytocompatibility, and immunomodulatory properties [68, 69, 70, 71]. HA positively engages with the ubiquitous neural cell surface receptor, CD44, to promote cell migration, proliferation, and differentiation. Furthermore, it has the potential to bind, organize, and present a wide variety of bioactive molecules employed in neuroregenerative processes [67, 68, 71, 72, 73].
While HA will not self‐assemble into a hydrogel, the requisite crosslinking mechanism offers an opportunity to tailor the properties of the final material to the desired application [74, 75]. Given the high solubility of HA and its susceptibility to rapid enzymatic degradation in vivo, HA‐based hydrogels for chronic SCI must be synthesized via highly resilient crosslinkers for increased longevity. Physical crosslinking mechanisms are disadvantageous as they yield unstable, rapidly degrading gels (days), while chemical crosslinking mechanisms are disadvantageous as potential crosslinker cytotoxicity and/or side reactivity with native proteins detract from hydrogel biocompatibility [66]. To this end, Diels‐Alder (DA) click chemistry offers a promising approach to the facile synthesis of highly biocompatible HA hydrogels. Consequently, the hydrogel system selected for material characterization studies consists of furan‐modified HA (FFA‐HA) and polyethylene glycol‐bismaleimide (PEG‐(MI)2), in which the maleimide groups of the PEG‐(MI)2 (dienophile) facilitates crosslinking of the furan groups of the FFA‐HA (diene) via a DA click reaction (4‐2 cycloaddition) (Figure S4) [76]. Synthesized per previously reported methodology, the FFA‐HA/PEG‐(MI)2 system exhibits favorable properties for efficacious performance as an injectable, in situ crosslinking, lesion‐bridging scaffold for traumatic SCI [66, 67]. Additionally, given the potential for metal‐ligand interaction between HA and ferric iron ions, the use of an HA‐based system allows for a more comprehensive investigation of the effect of the added Fe3+‐mSF architecture on the bulk hydrogel's gross mechanical properties [74].
2.2.1. Hydrogel Syringeability is Preserved With Added Fe3+‐mSF Architecture
Syringeability is a critical design consideration for facilitating the minimally invasive delivery of an in situ‐crosslinking scaffold system: the translational potential of these systems is highly dependent on users’ ability to inject the material in a controlled manner with reasonable effort via a clinically relevant injection scheme [77]. Though there are currently no clinical trials evaluating injectable biomaterials for SCI, simulation of Fe3+‐mSF/hydrogel injection was informed by current clinical practice for delivering cell therapies and pharmacological agents to the spinal cord [78, 79, 80]. The ISO 7886‐1 standard (sterile hypodermic syringes for single use) and human factors studies identify an upper threshold injection force of 40 to 50 N as a metric of reasonable syringeability [77]. In the context of injectable biomaterials, specifically, Robinson et al. reports participants’ perceived syringeability of 5 mL biomaterial volumes when injected at a rate of 1 mm s−1, ultimately correlating an injection force of 12 N or less to “easily injectable,” 12 to 38 N as “injectable with considerable effort,” 38 N to 64 N as “injectable with great effort,” and greater than 64 N as “entirely non‐injectable” [81]. In evaluating the syringeability of the Fe3+‐mSF/hydrogel composites, both maximum and average injection forces were calculated from the force‐displacement curve generated during simulated injection from a 0.5 mL syringe. Maximum injection force was identified as the peak force measured across the entire curve, while average injection force was calculated as the mean force measured across the final 0.5 mm of the plateau region (Figure S5).
The syringeability of the existing HA hydrogel system was not adversely affected by the addition of the Fe3+‐mSF architecture or by manipulating parameters of fiber density and iron content (Figure 2). When comparing the forces‐displacement curves of the Fe3+‐mSF/hydrogel composites to those generated for the hydrogel‐only control, only fiber density, not iron content, impacted maximum injection force (p = 0.0057 and p = 0.6783, respectively; two‐way ANOVA, Dunnett's multiple comparison test). While the maximum injection forces of both the 0.5 and 2 mg mL−1 0 mM Fe3+‐mSF/hydrogel composites were significantly different from that of the hydrogel‐only control, they were lower than that of the control, indicating syrinegability was not negatively impacted by the added Fe3+‐mSF. Furthermore, neither fiber density nor iron content of the added Fe3+‐mSF impacted the average injection force (p = 0.0541 and p = 0.5810, respectively; two‐way ANOVA, Dunnett's multiple comparison test). When comparing syringeability among Fe3+‐mSF/hydrogel composites (i.e., excluding the hydrogel‐only control condition), variations in fiber density and iron content of the added Fe3+‐mSF architecture did not affect the maximum or average injection forces (two‐way ANOVAs, Tukey's HSD test).
FIGURE 2.

Effect of Fe3+‐mSF on FFA‐HA hydrogel syringeability. (A) Maximum and (B) average force required to eject pre‐gelled Fe3+‐mSF/hydrogel composite from a 0.5 mL syringe fitted with a 27 G needle. Data are presented as mean ± SD from three independent experiments (n = 9). Statistical differences in injection forces observed in Fe3+‐mSF/hydrogel composites relative to hydrogel‐only samples were determined via two‐way ANOVA followed by Dunnett's multiple comparisons test; statistical differences among unique Fe3+‐mSF/hydrogel composite compositions were determined via two‐way ANOVA followed by Tukey's HSD test (* p < 0.05).
In terms of clinical relevance, these results indicate that Fe3+‐mSF architecture can be incorporated into existing injectable hydrogel systems without detracting from their syringeability. The maximum and average injection forces measured for the Fe3+‐mSF/hydrogel composites were not only well below the threshold set by regulatory standards, but also within the “easily injectable” range established by human factor studies, supporting the material's translational potential.
2.2.2. Hydrogel Gelation is not Impeded by Added Fe3+‐mSF Architecture
Crosslinking kinetics represent another key design consideration in the performance of injectable hydrogel systems, determining the material's capacity to form a lesion‐bridging scaffold in situ [17, 82]. Not only should the fully crosslinked hydrogel mechanically mimic native tissue, supporting functionally integrative regeneration, but the rate of crosslinking should also allow time for injection and lesion filling without compromising hydrogel retention or apposition to native tissue [17]. To this end, the effects of Fe3+‐mSF on the viscoelastic properties (Figure 3) and critical gelation time (Figure 4) of FFA‐HA hydrogels were examined via oscillatory rheology. Given the minimal iron release observed (Section 2.1), Fe3+‐mSF iron content was varied only to the extreme levels of “no iron added” and “high iron.”
FIGURE 3.

Effect of Fe3+‐mSF on FFA‐HA hydrogel viscoelastic behavior (oscillatory rheology). (A, B) Shear strain sweep examining strain‐dependent changes in the storage modulus (G′, Pa) and loss modulus (G″, Pa) of pre‐formed (i.e., click‐crosslinked) hydrogel composites containing either (A) “no iron added” Fe3+‐mSF or (B) “high iron” Fe3+‐mSF at densities of 0.5, 1.0, and 2.0 mg mL−1 hydrogel, with a 0 mg mL−1 Fe3+–mSF hydrogel‐only control. Data are presented as mean ± SD from three independent experiments (N = 3). (C–F) Frequency sweep examining time‐dependent changes in the storage and loss moduli (G′ and G″, Pa) as well as the complex viscosity (η*, Pa·s) of pre‐formed (i.e., click‐crosslinked) hydrogel composites containing either (C, E) “no iron added” Fe3+‐mSF or (D, F) “high iron” Fe3+‐mSF at densities of 0.5, 1.0, and 2.0 mg mL−1 hydrogel, with a 0 mg mL−1 Fe3+‐mSF hydrogel‐only control. Data are presented as mean ± SD from three independent experiments, each with triplicate sample sets (N = 3, n = 3).
FIGURE 4.

Effect of Fe3+‐mSF on FFA‐HA hydrogel critical gelation time (oscillatory rheology). Oscillatory time sweep examining time‐dependent changes in the storage modulus (G′, Pa) and loss modulus (G″, Pa) of Fe3+–mSF/hydrogel composite during gelation to obtain the (A) critical gelation time from (B) 0 mg mL−1 Fe3+–mSF hydrogel‐only control or (C, E, G) “no iron added” Fe3+‐mSF and (D, F, H) “high iron” Fe3+‐mSF at densities of 0.5, 1.0, and 2.0 mg mL−1 hydrogel, respectively. The critical gelation times of Fe3+‐mSF/hydrogel composites were determined by the crossover point in the respective storage and loss moduli (G′ and G″, Pa) and are presented as the mean ± SD of three independent experiments (N = 3). Storage and loss moduli at each time point are presented as the mean of three independent experiments (N = 3).
Regarding viscoelastic properties, the added Fe3+‐mSF architecture did not significantly affect the storage or loss moduli of the crosslinked bulk HA hydrogel. Following strain sweeps (Figure 3A,B), frequency sweeps were performed to characterize time‐dependent viscoelastic behaviors of pre‐crosslinked Fe3+‐mSF/hydrogel composites when subjected to oscillatory shear strain within the identified linear viscoelastic region (Figure 3C,D). Comparison of the storage and loss moduli measured for each Fe3+‐mSF hydrogel composition revealed no significant differences from the hydrogel‐only control moduli at the respective frequencies (one‐way ANOVA, Dunnett's multiple comparisons test). Furthermore, no significant differences in storage or loss moduli were observed when comparing the effects of Fe3+‐mSF fiber density and iron content (two‐way ANOVA, Tukey's HSD test).
In addition to storage and loss moduli, complex viscosities of the Fe3+‐mSF/hydrogel composites were evaluated during the oscillatory frequency sweep (Figure 3E,F). No significant differences were observed across all groups, suggesting that the fibers did not impact the complex viscosity. Within all experimental groups, the complex viscosities of both the Fe3+‐mSF/hydrogel composites and the hydrogel‐only control were significantly affected by the applied frequency (p < 0.0001), suggesting frequency‐dependent viscoelastic behavior. As the rate of applied oscillatory shear was increased from 0.0159 Hz to 3.66 Hz, the complex viscosity of all sample compositions decreased, indicative of shear‐thinning behavior [83]. With further increases in oscillatory shear rate beyond 3.66 Hz, the complex viscosity of all sample compositions subsequently increased, consistent with the reduced capacity for energy dissipation observed in the storage and loss moduli trends at the corresponding frequencies. These observations are consistent with the shear‐thinning behavior observed in the existing hydrogel‐only system, a viscoelastic property that not only facilitates syringeability but also mimics the behavior of native spinal cord extracellular matrix [66, 82, 84].
In addition to its effects on the viscoelastic properties of the crosslinked hydrogel system, the effect of the added Fe3+‐mSF on the gelation kinetics was examined via oscillatory time sweeps (Figure 4 and Table 1). No significant differences were observed between the storage/loss moduli crossover point of the Fe3+‐mSF/hydrogel composite materials and that of the hydrogel‐only control (p = 0.7591, one‐way ANOVA, Dunnett's multiple comparisons test). Furthermore, no significant differences were observed in storage/loss moduli crossover point when comparing the different Fe3+‐mSF/hydrogel composite groups (p = 0.7591, one‐way ANOVA, Tukey's HSD test). The lack of significant differences in critical gelation times suggests that the addition of Fe3+‐mSF does not impede crosslinking of the FFA‐HA/PEG(MI)2 hydrogel bulk, illustrating the translational potential of Fe3+‐mSF as an additive scaffold architecture for existing in situ crosslinking hydrogel systems. As in the hydrogel‐only control, the post‐critical gelation storage and loss moduli plateaus observed for all Fe3+‐mSF/hydrogel composites are consistent with mechanical properties shown to support cell attachment and proliferation in neural tissue engineering applications, further demonstrating the material's translational relevance as a functionally integrative scaffold system [10, 85].
TABLE 1.
Critical gelation time for Fe3+‐mSF/FFA‐HA hydrogel composites.
| Sample composition | Critical gelation time (min) |
|---|---|
| Hydrogel‐only control | 21.67 ± 6.01 |
| 0.5 mg mL−1, “No Iron Added” Fe3+‐mSF | 18.00 ± 7.00 |
| 1 mg mL−1, “No Iron Added” Fe3+‐mSF | 21.00 ± 7.76 |
| 2 mg mL−1, “No Iron Added” Fe3+‐mSF | 15.50 ± 5.68 |
| 0.5 mg mL−1, “High Iron” Fe3+‐mSF | 24.17 ± 6.71 |
| 1 mg mL−1, “High Iron” Fe3+‐mSF | 22.50 ± 10.97 |
| 2 mg mL−1, “High Iron” Fe3+‐mSF | 22.33 ± 10.98 |
| The critical gelation times of Fe3+‐mSF/FFA‐HA hydrogel composites were determined by the crossover point in the respective storage and loss moduli (G’ and G”, Pa) and are presented as the mean ± SD of three independent experiments (N = 3). | |
2.2.3. Low Swelling Profile of Hydrogel is Preserved With Added Fe3+‐mSF Architecture
To minimize secondary damage to the surrounding tissue, lesion‐bridging biomaterial scaffolds should exhibit a low swelling profile, thereby reducing disruptions to intraspinal pressure [86, 87]. Compared to the FFA‐HA/PEG(MI)2 hydrogel‐only control, the Fe3+‐mSF/hydrogel composites did not exhibit significant differences in swelling ratio, i.e., the ratio of initial mass to post‐swelling mass (Figure 5), after 24 h submerged in PBS (pH 7.4, incubated at 37°C). Not only was the swelling profile of the hydrogel preserved with the addition of the Fe3+‐mSF architecture, but it was also consistent with what is termed “low swelling” in the design of hydrogels for spinal cord repair (33% or less increase in swollen mass from retained fluid) [88]. Furthermore, the swelling ratios observed for all Fe3+‐mSF/hydrogel compositions were well below that currently observed in existing hydrogel‐based dural sealants (50%–400%) [88]. Given that the excessive swelling observed in these dural sealants has been counterproductive to their clinical implementation, this comparatively low swelling ratio is promising for translation.
FIGURE 5.

Effect of Fe3+‐mSF on FFA‐HA hydrogel 24‐h swelling behavior (PBS). (A) Swelling ratio of pre‐formed (click‐crosslinked) Fe3+‐mSF/hydrogel composites synthesized with Fe3+‐mSF of varied iron content (increasing with darkening grayscale) at 1 mg mL−1 fiber density, with a 0 mg mL−1 hydrogel‐only control (white column). Data are presented as the mean ± SD of three to five samples (N = 1, n = 3–5). (B) Swelling ratio of Fe3+‐mSF/hydrogel composites synthesized with Fe3+‐mSF of varied iron content (blue: “no iron added” Fe3+‐mSF, or orange: “high iron” Fe3+‐mSF) and varied fiber density (0.5, 1.0, and 2.0 mg mL−1, increasing with darkening blue/orange color scale), with a 0 mg mL−1 Fe3+‐mSF hydrogel‐only control (white column). Data are presented as the mean ± SD of four to five samples (N = 1, n = 4–5).
2.3. Fe3+‐mSF Exhibit Cytocompatibility With SH‐SY5Y Cells (Neuronal Analog)
With evidence of Fe3+‐mSF cytocompatibility previously demonstrated with normal human dermal fibroblasts, further cytocompatibility assessments of the proposed architecture were conducted with a commonly used neuronal analog, i.e., the neuroblastoma‐derived SH‐SY5Y cell line [43, 89]. To investigate whether Fe3+‐mSF exposure elicits a cytotoxic response, SH‐SY5Y cell metabolic activity levels were quantified via the resazurin assay after 1, 3, 5, and 7 d of continuous Fe3+‐mSF exposure. SH‐SY5Y cells were exposed to Fe3+‐mSF both as an independent biomaterial, with Fe3+‐mSF suspended in their culture media, and as an additive scaffold architecture, with Fe3+‐mSF incorporated into cell‐seeded collagen hydrogels (Figure 6). Collagen was selected as the bulk hydrogel component for both its relevance as a scaffold for SCI neuroregeneration and its inherent capacity to support cell adhesion [13, 90, 91]. The use of a bulk hydrogel material with demonstrated cell adhesion not only reduced confounding variables for cytocompatibility assessments but also supported later characterization of changes in cytoskeletal biomarker expression associated with the neuroregenerative outcomes of axonal outgrowth and extension (Section 2.4).
FIGURE 6.

Cytocompatibility response of SH‐SY5Y Cells to Fe3+‐mSF exposure in vitro. (A) Metabolic activity of undifferentiated SH‐SY5Y cells cultured on tissue‐culture treated polystyrene with 0.5 mg mL−1 Fe3+‐mSF in complete media, normalized to metabolic activity of an untreated control (i.e., SH‐SY5Y cells cultured in growth media only, no Fe3+‐mSF) at respective exposure timepoint. (B) Metabolic activity of undifferentiated SH‐SY5Y cells cultured in 200 µL collagen I hydrogels containing 0.5 mg mL−1 Fe3+‐mSF, normalized to metabolic activity of an untreated control (i.e., SH‐SY5Y cells cultured in collagen hydrogel‐only scaffold, no Fe3+‐mSF) at respective exposure timepoint. Metabolic activity levels were assessed via the resazurin reduction assay after 1, 3, 5, and 7 d exposure to Fe3+‐mSF of varied iron modification (reported in the legend). Data are presented as mean ± SEM from three independent replicates, with each condition evaluated six times per replicate when assessing Fe3+‐mSF as an independent biomaterial (A: N = 3, n = 6) or three to five times per replicate when assessing Fe3+‐mSF as an architectural component of composite collagen hydrogels (B: N = 3, n = 3–5). No statistical differences were observed relative to the non‐exposed control conditions or among varied Fe3+‐mSF iron content as determined by a two‐way ANOVA.
In studies assessing Fe3+‐mSF as an independent biomaterial, SH‐SY5Y cell metabolic activity was examined across variable Fe3+‐mSF iron content levels (noted in Figure 6 legend). When normalized to the non‐ Fe3+‐mSF ‐exposed control (SH‐SY5Y cells only), the metabolic activity of Fe3+‐mSF‐exposed SH‐SY5Y cells showed no significant differences from that of the non‐exposed SH‐SY5Y cells at the respective time point (p = 0.9247; two‐way ANOVA, Dunnett's multiple comparisons test) (Figure 6A). Furthermore, no significant differences were observed in the metabolic activity of SH‐SY5Y cells when compared across Fe3+‐mSF iron content groups and exposure time (p = 0.9729 and p = 0.0602, respectively; two‐way ANOVA, Tukey's HSD test).
With no statistically significant differences in viability observed across variable levels of Fe3+‐mSF iron content in the two‐dimensional studies, experimental groups were down‐selected for the three‐dimensional studies. Specifically, changes in the metabolic activity of SH‐SY5Y cells in Fe3+‐mSF‐exposed cultures were examined with cells cultured in collagen hydrogels containing either “no iron added” Fe3+‐mSF or “high iron” Fe3+‐mSF. The reported metabolic activity was normalized to the metabolic activity of SH‐SY5Y cells cultured in collagen‐only hydrogels at the respective time point. Neither the added Fe3+‐mSF architecture nor the exposure time had a significant effect on the metabolic activity levels of the SH‐SY5Y cells (p = 0.2709 and p = 0.7924, respectively; two‐way ANOVA) (Figure 6B). No significant differences were observed between the collagen hydrogel composites prepared with “high iron” mM Fe3+‐mSF and those prepared with “no iron added” Fe3+‐mSF, indicating the iron content of the Fe3+‐mSF did not significantly affect the cytocompatibility of the composite scaffold system.
Collectively, these results suggest that neither Fe3+‐mSF iron content nor Fe3+‐mSF exposure time affects the metabolic activity of SH‐SY5Y cells, which is consistent with the minimal iron release observed from Fe3+‐mSF in PBS (Section 2.1). As Fe3+‐mSF magneto‐responsiveness has been shown to increase with increasing iron content, the cytocompatibility observed across all Fe3+‐mSF groups suggests that the highest‐iron‐loading synthesis scheme examined herein (“high iron,” 150 mM FeCl3 treatment solution) could be used to increase magnetically actuated alignment uniformity of the scaffold architecture without compromising its cytocompatibility.
2.4. Fe3+‐mSF may Increase Neuroregenerative Potential of Collagen Hydrogels In Vitro
Given the intended application of Fe3+‐mSF as a nerve guidance architecture, the effect of Fe3+‐mSF on the neuroregenerative potential of an existing hydrogel‐only scaffold was also evaluated in vitro. As in the cytocompatibility assessments, characterization of scaffold neuroregenerative potential was conducted using SH‐SY5Y cells seeded in Fe3+‐mSF/collagen hydrogel composites. Changes in the expression of several neuroregenerative biomarkers (Table 2) by SH‐SY5Y cells were quantified in response to varied parameters of the collagen‐based scaffold composition, including the addition of Fe3+‐mSF architecture (0 mg mL−1 Fe3+‐mSF collagen‐only hydrogel, or 1 mg mL−1 Fe3+‐mSF/collagen composite), iron modification of the added Fe3+‐mSF architecture (“no iron added” Fe3+‐mSF or “high iron” Fe3+‐mSF, if applicable), and gross scaffold organization (randomly oriented or shear aligned). The effect of varied scaffold composition on neuroregenerative biomarker expression was examined in both non‐differentiated and retinoic acid (RA)‐differentiated SH‐SY5Y cells after 8 days in culture (1‐d seeding recovery, 7‐d differentiation period).
TABLE 2.
Biomarkers of neuroregeneration and axonal regeneration.
| Gene | Encoded protein | Expression | Biomarker profile |
|---|---|---|---|
| NES | Nestin | Cytoskeletal | Progenitor, “Neural Stemness” |
| RBFOX3 | Neuronal Nuclear Antigen (NeuN) | Nuclear | Immature, Mature Neuron |
| ENO2 | Neuronal Specific Enolase 2 (NSE) | Cytoplasmic | Immature, Mature Neuron |
| TUBB3 | β‐Tubulin III | Cytoskeletal | Immature Neuron |
| MAP2 | Microtubule‐Associated Protein 2 | Cytoskeletal | Mature Neuron |
| GAP43 | Growth Associated Protein 43 | Growth Cone Membrane | Extending/Regenerating Axon |
| SYP | Synaptophysin | Pre‐Synaptic Membrane | Synaptic Neuron |
With gene expression internally normalized to the respective randomly oriented collagen‐only scaffold control, few significant differences in neuroregenerative biomarker expression were observed in the non‐differentiated SH‐SY5Y cell cohort in response to varied scaffold composition (one‐way ANOVA, Tukey's HSD test); no significant differences were observed in the RA‐differentiated SH‐SY5Y cell cohort (one‐way ANOVA, Tukey's HSD test) (Table 3 and Figure 7). Unexpectedly, expression of the somatic markers NES (nestin, neural stemness marker), RBFOX3 (neuronal nuclear protein, neuronal maturation marker), and ENO2 (neuronal enolase 2, neuronal maturation marker) was not significantly affected by scaffold composition in either cohort. When differentiating SH‐SY5Y cells toward a neuronal phenotype with RA‐supplemented, serum‐deprived media, an initial upregulation and subsequent downregulation of NES is typically observed along with an overall upregulated expression of RBFOX3 and ENO2 [92, 93, 94]. While those outcomes were not observed herein, the differentiation in 3D culture systems (i.e., collagen hydrogels) with no additional media supplements (i.e., additional neurotrophic factors, including brain‐derived neurotrophic factor or N‐2 supplements) may have delayed or otherwise altered the temporal presentation of these differentiation profiles (expression was evaluated only on day 8) [90, 92, 93, 94, 95, 96].
TABLE 3.
Effect of Fe3+‐mSF architecture on neuroregenerative biomarker expression in non‐differentiated vs. RA‐differentiated SH‐SY5Y cells in vitro.
| Non‐differentiated | RA‐differentiated | |||
|---|---|---|---|---|
| Biomarker (Gene) | p value | Significance | p value | Significance |
| NES | 0.9158 | ns | 0.4617 | ns |
| RBFOX3 | 0.9814 | ns | 0.3455 | ns |
| ENO2 | 0.4112 | ns | 0.3397 | ns |
| TUBB3 | 0.2139 | ns | 0.9081 | ns |
| MAP2 | 0.8250 | ns | 0.3410 | ns |
| GAP43 | 0.9659 | ns | 0.6172 | ns |
| SYP | 0.0382 | * | 0.6755 | ns |
The table above reports only the results of the one‐way ANOVAs performed for the non‐differentiated and RA‐differentiated quantitative real‐time polymerase chain reaction (qRT‐PCR) data sets (ns – not significant, * p < 0.05); post‐hoc analyses not shown.
FIGURE 7.

Effect of Fe3+‐mSF architecture on neuroregenerative biomarker expression in non‐differentiated versus RA‐differentiated SH‐SY5Y cells in vitro (qRT‐PCR, internal normalization). Fold change expression of (A) somatic, (B) cytoskeletal, and (C) synaptic biomarkers associated with neuronal differentiation in Fe3+‐mSF/collagen‐seeded SH‐SY5Y cells (neuronal analog) when maintained in growth media (“Non‐Differentiated SH‐SY5Y Cells,” light gray) and when maintained in differentiation media (“RA‐Differentiated SH‐SY5Y Cells,” dark gray) in vitro. All normalized fold change expression values are reported relative to the SH‐SY5Y cells seeded in the collagen‐only, randomly oriented scaffold and maintained in the respective media formulation (non‐differentiation growth media or RA‐differentiation media) (i.e., internal experimental control, leftmost light gray bar and leftmost dark gray bar, respectively). Data are presented as the mean ± SEM from three independent experiments with one to three biological replicates per experiment (N = 3, n = 1–3). Accompanying graphics created in BioRender.
Similarly, expression of the presynaptic functional markers GAP43 (growth‐associated protein 43) and SYP (synaptophysin) was largely unaffected by scaffold composition, both of which are typically upregulated during differentiation toward a neuronal phenotype [92, 96, 97]. No significant differences in GAP43 expression were observed across varied scaffold compositions in either cohort. While SYP expression was significantly affected by scaffold composition in the non‐differentiated cohort (Table 3), a significant difference was observed only between two experimental groups, not between an experimental group and the control: aligned “high iron” Fe3+‐mSF/collagen was associated with upregulated SYP expression by comparison to the aligned collagen‐only control, but not by comparison to the randomly oriented collagen‐only control. No significant differences in SYP expression were observed across varied scaffold compositions in the RA‐differentiated cohort.
Notably, while not statistically significant, a pattern of increasing expression of cytoskeletal‐associated biomarkers was observed with Fe3+‐mSF exposure. In the non‐differentiated cohort, the addition of the Fe3+‐mSF fiber architecture, especially the “high iron” Fe3+‐mSF, seemed to be associated with upregulated expression of TUBB3 (β‐tubulin III), one of the microtubules in the distal growth cone of extending axons [92, 93, 97, 98, 99]. These trends were not observed in the expression level of the other examined cytoskeletal marker, MAP2 (microtubule‐associated protein 2), possibly indicating early stages of axonal outgrowth. β‐tubulin proteins homodimerize with α‐tubulin III to form the microtubules that extend an axon's growth cone, then proteins like MAP2 are synthesized to stabilize the extensions in both axonal and dendritic projections [98, 99, 100]. Not only is TUBB3 expression observed only in neuronal phenotypes (i.e., not observed in glial or microglial neural phenotypes), indicating differentiation toward a neuronal phenotype, but the β‐tubulin III protein is critical to rapid regenerative axonal extension and elongation, a key step in functional reconnection of disrupted nerve pathways [96, 99].
To examine how the scaffold‐induced neuronal differentiation outcomes compared to those induced by RA media supplementation, gene expression levels in both the non‐differentiated and RA‐differentiated cohorts were then universally normalized to that of the non‐differentiated SH‐SY5Y cells cultured in the randomly oriented collagen‐only control. Under this alternative normalization scheme, significant differences in biomarker expression were primarily observed relative to the media formulation rather than the scaffold composition (Table S3 and Figure S6).
By comparison to the non‐differentiated SH‐SY5Y cells maintained in growth media, the RA‐differentiated SH‐SY5Y cells maintained in RA‐supplemented, serum‐reduced differentiation media generally exhibited greater expression of neuroregenerative biomarkers. Regardless of scaffold composition, experimental groups in the RA‐differentiated cohort generally exhibited equivalent expression of neural stemness marker (NES) and either equivalent or significantly increased expression of neuronal somatic markers (RBFOX3 and ENO2, respectively) when compared to the respective scaffold condition in the growth media cohort, consistent with the more neuronal phenotype expected to be induced by the RA differentiation media. Consistent with previous studies examining neuronal biomarker expression in 7‐d RA differentiated SH‐SY5Y cells in 3D collagen scaffold systems, significantly upregulated TUBB3 expression was observed with no significant change in MAP2 expression, suggesting early‐stage differentiation toward a mature neuronal phenotype [90, 101]. Similarly, equivalent expression of axonal growth cone marker GAP43 and significantly upregulated expression of synaptic marker SYP were observed in the RA differentiation media cohort by comparison to the respective scaffold conditions of the growth media cohort, indicative of differentiation toward a more functionally mature neuronal phenotype [101].
Interestingly, when stratifying by scaffold composition, SH‐SY5Y cells cultured with both randomly oriented and aligned Fe3+‐mSF/collagen scaffolds, expression levels of MAP2 and GAP43 in the RA differentiation media cohort were not significantly greater than those observed in the growth media cohort (Figure S6 and Table S3). Furthermore, in those cells cultured with randomly and aligned “high iron” Fe3+‐mSF/collagen scaffolds, specifically, the upward‐trending levels of TUBB3 expression observed in the non‐differentiated SH‐SY5Y cells approached those of the RA‐differentiated. While the differences observed were not statistically significant (consistent with previously reported TUBB3 expression levels in response to 7‐d RA‐only differentiation procedures), these trends suggest that exposure to Fe3+‐mSF may not only promote more axonal regeneration than the collagen hydrogel alone, but also do so on a comparable scale to that achieved with RA differentiation media [92, 101, 102]. Furthermore, in comparing TUBB3 expression changes in the “high iron” Fe3+‐mSF/collagen scaffolds to those observed in the “no iron added” Fe3+‐mSF/collagen, the iron content of the architecture appears to increase TUBB3 expression further. Given that the Fe3+‐mSF/collagen scaffolds in this study were shear‐aligned rather than magnetically aligned (to reduce confounding effects of magnetic field exposure), this correlation is likely a response to the material itself rather than the alignment mechanism. It is unlikely that TUBB3 expression was increased by released iron, as minimal iron release was observed from the Fe3+‐mSF (Section 2.1). It is possible that the added ferric iron (Fe3+) reduced the negative charge on the surface of nascent, “no iron added” Fe3+‐mSF, thereby improving cell spreading and cytoskeletal attachment to the “high iron” Fe3+‐mSF by comparison [103, 104]. Ultimately, while statistically significant Fe3+‐mSF ‐associated changes were not observed in the measured neuroregenerative biomarkers, the instance of significantly upregulated SYP expression and the possible pattern of upregulated TUBB3 expression warrant continued exploration of the Fe3+‐mSF architecture's effect on the neuroregenerative potential of hydrogel‐only scaffold systems.
Finally, in a proof‐of‐principle study, magnetically actuated and gelation‐preserved Fe3+‐mSF alignment was observed in an SH‐SY5Y cell‐seeded collagen hydrogel upon exposure to the static magnetic field generated by an magnetic resonance imaging (MRI) machine, with no obvious pulling of the fibers or surrounding cells from the hydrogel bulk (Figures 8 and 9). Given the applicability of MRI‐guided injection procedures in intralesional therapeutic delivery (i.e., placement of hydrogel scaffolds), alignment without gross displacement of Fe3+‐mSF or the seeded SH‐SY5Y cells in the instrument's magnetic field is promising for the translational relevance of this magneto‐responsive, in situ aligning guidance architecture in neuroprotective, neuroregenerative SCI scaffold design [105, 106, 107]. Furthermore, when fluorescently stained for visualization of cell morphology (phalloidin cytoskeletal stain, DAPI nuclear stain), confocal images of these MRI‐exposed samples illustrated increased cell spreading and cytoskeletal interaction in response to the “high iron” Fe3+‐mSF architecture, consistent with the possible trend of TUBB3 upregulation observed in response to the high iron Fe3+‐mSF/collagen scaffolds (Figures 7, 8, 9).
FIGURE 8.

SH‐SY5Y cell interaction with magnet‐exposed Fe3+‐mSF/collagen scaffolds. Confocal microscopy images of fluorescently stained SH‐SY5Y cells seeded and differentiated in magnet‐exposed collagen hydrogel composites containing either (A, B) 0 mg mL−1 Fe3+‐mSF, (C, D) 1 mg mL−1 “no iron added” Fe3+‐mSF, or (E, F) 1 mg mL−1 “high iron” Fe3+‐mSF. Images were captured at 40X magnification (A–C), with areas of interest (white boxed regions in A–C) further magnified in post‐processing (B, D, E). Phalloidin staining (red) and DAPI (blue) staining were performed to afford visualization of SH‐SY5Y cell cytoskeleton and nuclei, respectively; due to the autofluorescence of silk fibroin, Fe3+‐mSF were captured in both channels, but are distinguishable from cellular structures as the long, sometimes arcing rectangular features observed in panels C, D and E, F. NOTE: Fe3+‐mSF orientation as it appears in the figure is not representative of the alignment achieved during magnet‐exposure; post‐magnet‐exposure Fe3+‐mSF orientation was disrupted by sample handling during the staining and mounting processes.
FIGURE 9.

SH‐SY5Y cell interaction with non‐magnet‐exposed Fe3+‐mSF/collagen scaffolds. Confocal microscopy images of fluorescently stained SH‐SY5Y cells seeded and differentiated in non‐magnet‐exposed collagen hydrogel composites containing either (A, B) 0 mg mL−1 Fe3+‐mSF, (C, D) 1 mg mL−1 “no iron added” Fe3+‐mSF, or (E, F) 1 mg mL−1 “high iron” Fe3+‐mSF/collagen hydrogel composites. Images were captured at 40X magnification (A–C), with areas of interest (white boxed regions in A–C) further magnified in post‐processing (B, D, E). Phalloidin staining (red) and DAPI (blue) staining were performed to afford visualization of SH‐SY5Y cell cytoskeleton and nuclei, respectively; due to the autofluorescence of silk fibroin, Fe3+‐mSF were captured in both channels, but are distinguishable from cellular structures as the long, sometimes arcing rectangular features observed in panels C, D and E, F.
3. Conclusions and Future Work
In this work, previously developed Fe3+‐mSF were investigated as a potential nerve guidance architecture to increase the neuroregenerative potential of existing hydrogel‐only scaffold systems. Minimal, physiologically negligible iron release from Fe3+‐mSF was observed in PBS over the course of both short‐term (7‐d) and long‐term (3‐mo) studies. Characterization of Fe3+‐mSF/hydrogel composites demonstrated that the addition of the Fe3+‐mSF architecture to existing hydrogel‐only systems did not impede key mechanical functionalities for minimally invasive scaffold delivery (syringeability, post‐injection gelation, low swelling profile). Injection forces measured for Fe3+‐mSF/hydrogel composites were consistent with those of the hydrogel‐only control group, remaining within “easily injectable” human factor limits and suggesting that the material's capacity for minimally invasive delivery is preserved with the addition of the Fe3+‐mSF architecture. Rheological characterization of Fe3+‐mSF/HA hydrogel composites indicated that neither the fiber density nor the iron content of the added Fe3+‐mSF architecture significantly altered the favorable viscoelastic behaviors or critical gelation time of the material.
In terms of effect on neuroregenerative potential, Fe3+‐mSF did not elicit any significant cytotoxic response from SH‐SY5Y cells (neuronal analog) in vitro after 1, 3, 5, or 7 d of exposure (resazurin reduction assay), providing evidence of the proposed architecture's cytocompatibility both as an independent biomaterial and when incorporated into an existing hydrogel system. In terms of its effect on the neuroregenerative potential of existing hydrogel‐only scaffolds, the addition of the proposed Fe3+‐mSF to a collagen‐only hydrogel did not significantly affect overall neuroregenerative biomarker expression in seeded SH‐SY5Y cells. However, a possible trend of TUBB3 regulation was observed in SH‐SY5Y cells when seeded on scaffolds with the added Fe3+‐mSF architecture, even without treatment with media‐supplemented differentiation factors (i.e., RA). As TUBB3 is a key biomarker of axonal advancement, these non‐significant trends warrant continued investigation. Future studies should examine the neuroregenerative effects of Fe3+‐mSF in a primary neural or neuronal cell line to further probe the outcomes observed in the SH‐SY5Y cell neuronal analog, ideally a neural stem/progenitor cell line (NSPCs) [65, 80, 108, 109, 110, 111, 112]. While the use of the SH‐SY5Y cell neuronal analog facilitated first‐pass screening of Fe3+‐mSF‐induced expression changes in key neuroregenerative biomarkers, NSPCs would additionally provide insight into Fe3+‐mSF‐driven changes in preferential differentiation outcomes among endogenous or transplanted cell populations, i.e., whether NSPCs differentiate toward neuronal cells or glial cells (e.g., astrocytes, oligodendrocytes, microglia), especially if examined with single‐cell RNA sequencing techniques. As NSPC preferential differentiation can be significantly affected by both topographical alignment cues and oxidative stress levels, quantified biomarkers should be expanded to include those relevant to iron homeostasis and oxidative stress, as well (e.g., transferrin receptor 1, TFR1; ferroportin, FPN; mitochondrial ferritin, FTMT; ferritin heavy chain, FTH) [113, 114, 115, 116].
Finally, in a proof‐of‐principle study, magnetically actuated Fe3+‐mSF alignment was achieved within an SH‐SY5Y cell‐seeded collagen hydrogel on the patient bed of an MRI machine, without obvious disruption of fiber or cell distribution. This work is the first to investigate Fe3+‐mSF as an injectable, magnetically aligning nerve guidance architecture for increasing the neuroregenerative potential of existing in situ crosslinking hydrogel scaffold systems for SCI.
4. Experimental Section/Methods
4.1. Fe3+‐mSF Synthesis
Magneto‐responsive silk fibroin microfibers were synthesized via SF chelation of ferric iron ions (Fe3+‐mSF) from aqueous ferric chloride solution (FeCl3) as reported previously [43]. The concentrations of FeCl3 treatment solutions (and thereby the iron contents of the synthesized Fe3+‐mSF) were selected to parallel those investigated in prior work, as synthesis of Fe3+‐mSF under these conditions was shown to facilitate fiber alignment comparable to that of existing MNP‐based nerve guidance architectures without compromising material cytocompatibility [30, 43]. “Low iron” Fe3+‐mSF were synthesized with 0.015 mM FeCl3 and “high iron” Fe3+‐mSF were synthesized with 150 mM FeCl3, while intermediate variants of “moderately low iron,” “moderate iron,” and “moderately high iron” Fe3+‐mSF synthesized with 0.15, 1.5, and 15 mM FeCl3, respectively, with a “no iron added” Fe3+‐mSF control synthesized with 0 mM FeCl3 (ultrapure water) [43].
4.2. Iron Quantification via Inductively Coupled Plasma Mass Spectroscopy (ICP‐MS)
Iron release from Fe3+‐mSF was quantified via ICP‐MS. To simulate iron release at physiological pH, Fe3+‐mSF were synthesized via treatment of mSF with FeCl3, washed with ultrapure water, and resuspended at 1 mg mL−1 in phosphate‐buffered saline (PBS, pH 7.4), aliquoted into 1.5 mL microcentrifuge tubes (1 mL per tube), and incubated at 37°C. The release medium (supernatant) was sampled at regular intervals over a “short‐term” 7‐d period (24‐h sampling interval) and a “long‐term” 3‐mo period (7‐d sampling interval), with 90% volume collected and replenished per sampling interval.
The iron content of the Fe3+‐mSF release supernatant was quantified using a NexION 350X ICP Mass Spectrometer (PerkinElmer, USA) interfaced with Syngistix software. The system was optimized for operation with kinetic energy discrimination (KED) via the Syngistix SmartTune function using the manufacturer‐recommended performance verification standard (NexION Setup Solution, PerkinElmer, USA), with flow rates for the nebulizer gas (Argon) and KED gas (Helium) optimized at 1.08 L min−1 and 5 mL min−1, respectively. Before each data collection session, a standard performance check was run to confirm appropriate analyte intensity readings and minimal analyte charging with the optimized nebulizer flow rate.
Samples were loaded into the instrument via a Perkin Elmer S10 Autosampler (initialized within and interfaced with the Syngistix software), with a 60 s sample flush, 65 s read delay, and 30 s post‐read wash. Spectral analysis was performed in peak hopping mode, with triplicate readings of 25 sweeps acquired with a dwell time of 50 ms per amu and an integration time of 1250 ms. Prior to analysis of the release supernatant samples, a linear calibration curve was generated from standard solutions of known iron concentrations in an equivalent matrix composition to that of the release supernatant samples. Standard solutions were prepared via dilution of a 1000 µg mL−1 elemental iron standard (Ultra Scientific Analytical Solutions, USA) in an aqueous phosphate‐buffered saline solution (5% v/v PBS). A NIST‐certified internal reference standard (standard reference material 1643f) was read immediately after the standards to verify the accuracy of the calibration curve and again every 18 samples to monitor standard drift (i.e., analyte and/or matrix accumulation in the instrument). All release supernatant samples were prepared in triplicate.
To minimize polyatomic interference, data collection was performed in kinetic energy discrimination (KED) mode. Given the expected low iron content of the samples relative to the instrument detection limits/innate variability in baseline matrix reads, all measured iron concentrations were normalized to an internal standard of known iron content. Furthermore, due to the propensity for charge accumulation on the instrument cones, the aforementioned standard was read before and after each sample set; the pre‐ and post‐sample set standard read was averaged, and each of the measurements acquired for the respective sample set was normalized to this pre/post‐read standard. All samples were baseline corrected to the first blank standard read acquired on the first day of data collection.
To complement the quantification of iron release from Fe3+‐mSF, iron loading in the synthesized Fe3+‐mSF product was likewise quantified via ICP‐MS analysis of samples collected from the FeCl3 treatment solution and each post‐synthesis wash volume. Fe3+‐mSF iron loading, i.e., the mass of iron assumed bound to the washed Fe3+‐mSF product, was calculated as the difference between the iron content of the respective FeCl3 treatment solution before and after the 24‐h mSF treatment period, less the cumulative iron content of the post‐synthesis wash volumes (Equation 1 and Table S1). The initial, pre‐treatment iron content of the FeCl3 solutions (Equation 1, msoln(0) ) was approximated as the as‐prepared molarity of the FeCl3 treatment solution, while the final. Post‐treatment iron content of the FeCl3 solutions (Equation 1, msoln(f) ) and the iron content of each of the four post‐synthesis wash volumes (Equation 1, mw1, mw2, mw3, mw4 ) were quantified via ICP‐MS analysis (Table S1). Percent mass loading was subsequently calculated relative to the theoretical initial iron content of the FeCl3 treatment solution (Equation 2 and Table S1).
| (1) |
| (2) |
4.3. Preparation of Fe3+‐mSF/HA Hydrogel Composite Scaffolds
FFA‐HA was synthesized via previously published methods with some modifications [76]. Briefly, 0.40 g of 151 ‐ 300 kDa HA (1 mmol carboxylate; Lifecore Biomedical Inc., Chaska, MN, USA) was dissolved in aqueous MES buffer (100 mM, pH 5.5). Once dissolved, 0.28 g (1 mmol) of 4‐(4,6‐dimethoxy‐1,3,5‐triazin‐2‐yl)‐4‐methylmorpholinium chloride (1 mmol DMTMM, Millipore Sigma, Burlington, MA, USA) was dissolved in the HA solution under constant stirring for 10 min. Then, 47.2 µL furfurylamine (∼0.5 mmol FFA, Sigma–Aldrich, St. Louis, MO, USA) was added, and the reaction proceeded for 24 h with constant stirring. Following the amidation reaction, the synthesized FFA‐HA product was dialyzed in 12–14 kDa MWCO tubing (SpectraPor, Spectrum Chemical Mfg. Corp., New Brunswick, NJ, USA) against pH 3 water for 24 h then against non‐ pH‐adjusted deionized water (PicoPure water purification system, Hydro Service and Supplies, Durham, NC) for 48 h followed by lyophilization into a dried product. The degree of substitution (DoS) of the FFA‐HA was quantified via proton nuclear magnetic resonance (1H‐NMR) spectroscopy. Briefly, calculation of DS was performed by comparing the area under the curves of the three peaks pertaining to the furan (6.59–6.23 and 7.35–7.58 ppm) normalized to the area under the curve of the unmodified HA region (1.44–2.44 ppm, 12 contributing protons) as previously described [76]. The integral ratio on the 1H NMR spectrum suggested that HA was grafted with furan groups on an average of 25% of the disaccharide repeats. FFA‐HA hydrogels were subsequently prepared via Diels‐Alder click chemistry using a PEG‐(MI)2 (3000 Da, RAPP Polymere GmbH, Tülbingen, Germany) crosslinking molecule per previously described methods [76]. The 4‐2 cycloaddition reaction between the furan (diene, FFA‐HA) and maleimide (dienophile, PEG‐(MI)2) yields a click‐crosslinked hydrogel. For this work, all hydrogels were synthesized with a final HA concentration of 1.5% w/v, and the diene‐to‐dienophile ratio was standardized at a 1:2 molar ratio of furan to maleimide.
For HA‐based hydrogel composites, the added Fe3+‐mSF architecture was varied in terms of fiber density and iron modification (Table 4). The effect of Fe3+‐mSF density was examined at levels of 0.5, 1.0, and 2.0 mg mL−1, with a 0 mg mL−1 hydrogel‐only control condition; the effect of Fe3+‐mSF iron modification was examined at the “high iron” (150 mM) level, with a “no iron added” (0 mM) control condition.
TABLE 4.
Experimental variables examined in Fe3+‐mSF/hydrogel composite characterization.
| Experimental group name | Fiber density a | Iron content b |
|---|---|---|
| 0 mg mL−1 (Hydrogel‐Only Control) | 0.0 mg mL−1 | n/a |
| 0.5 mg mL−1 “No Iron Added” Fe3+‐mSF | 0.5 mg mL−1 | 0 mM FeCl3 Treatment |
| 0.5 mg mL−1 “High Iron” Fe3+‐mSF | 0.5 mg mL−1 | 150 mM FeCl3 Treatment |
| 1.0 mg mL−1 “No Iron Added” Fe3+‐mSF | 1.0 mg mL−1 | 0 mM FeCl3 Treatment |
| 1.0 mg mL−1 “High Iron” Fe3+‐mSF | 1.0 mg mL−1 | 150 mM FeCl3 Treatment |
| 2.0 mg mL−1 “No Iron Added” Fe3+‐mSF | 2.0 mg mL−1 | 0 mM FeCl3 Treatment |
| 2.0 mg mL−1 “High Iron” Fe3+‐mSF | 2.0 mg mL−1 | 150 mM FeCl3 Treatment |
Fiber density refers to the mass of Fe3+‐mSF per unit volume of total hydrogel composite precursor during Fe3+‐mSF/hydrogel composite synthesis.
Iron content refers to the amount of iron with which mSF were functionalized during Fe3+‐mSF synthesis (directly correlated to the concentration of FeCl3 solution with which mSF were treated) [43].
4.4. Syringeability Assessment via Instron Compressive Testing
The syringeability of Fe3+‐mSF/FFA‐HA hydrogel composites was characterized in terms of the compressive force required to eject the material from a pre‐loaded syringe. Briefly, 50 µL of Fe3+‐mSF/FFA‐HA pre‐gel solution was loaded into a 0.5 mL syringe (Becton Dickinson, Franklin Lakes, NJ, USA) fitted with a 27G needle (0.5 in length, 0.210 mm inner diameter) and allowed to crosslink overnight at 37°C in a humidified environment (to mitigate dehydration of loaded solution in needle tip prior to injection testing). Injection force was characterized via compressive testing performed on an Instron ElectroPuls instrument fitted with a 50 N load cell. All samples were subject to two consecutive compressive tests during which the syringe plunger was depressed at a rate of 0.5 mm min−1 to a displacement of 2.5 mm per test (total displacement of 5 mm). The initial compressive test served to prime the syringe, while the secondary compressive test facilitated characterization of maximum and average injection forces required to eject the material from a primed syringe (final 0.5 mm of secondary force displacement curve) (Figure S5). To this end, injection of 50 µL of Fe3+‐mSF/FFA‐HA hydrogel composite was performed using a 0.5 mL syringe fitted with a 27 Ga needle (0.21 mm inner diameter, 0.5 in needle length). Plunger depression (0.5 mm min−1, approximately 10 µL min−1) was simulated via compressive loading performed on an Instron ElectroPuls (Instron, Norwood, MA, USA), and the applied force was plotted over a displacement range of 2.5 mm.
4.5. Oscillatory Rheology
The viscoelastic properties and critical gelation time of Fe3+‐mSF/FFA‐HA hydrogel composites were characterized via oscillatory rheology. All rheological testing was performed with an Anton Paar Modular Compact Rheometer (MCR 302 WESP) (Graz, Austria) fitted with a heated Pelletier plate (37°C) and a humidity chamber for physiological contextualization. In characterizing viscoelastic properties, a 5 mm parallel plate upper geometry (PP05/S, Anton Paar) was used. Subsequent oscillatory time sweeps were conducted using a 25 mm parallel plate upper geometry (PP25/S, Anton Paar).
Preliminary oscillatory strain sweeps (N = 3) were conducted to identify the linear viscoelastic region (LVER) of pre‐formed Fe3+‐mSF/FFA‐HA hydrogel composites, within which oscillatory frequency sweeps were subsequently performed. Strain sweeps of crosslinked Fe3+‐mSF/hydrogel composites were conducted with an initial shear strain of 0.01% that was increased stepwise on a base‐10 logarithmic scale to a final shear strain of 100%. For the subsequent frequency sweeps, a 5% oscillatory shear strain was applied at an initial frequency of 0.0159 Hz and increased stepwise to 100 Hz on a base‐10 logarithmic scale.
To mitigate the confounding effects of strain or frequency‐dependent viscoelastic behaviors, oscillatory time sweeps were performed within the previously identified LVER (5% strain, 0.159 Hz). The critical gelation time was identified as the time at which the storage modulus (G’) overtook the loss modulus (G”), indicating that the composite material began to exhibit elastic‐dominant behavior. While convergence of the storage and loss moduli was observed in all samples, not all time sweep plots exhibited a distinct crossover point, especially those with higher fiber densities. In these samples, the starting value of the storage moduli was generally higher than that of samples with lower fiber densities, reducing the difference between the storage and loss moduli of the composite system by increasing the elastic fraction of the initial system and thereby obscuring the crossover point. Consistent observation of moduli crossover in the hydrogel‐only control sample further validates attribution of lack of moduli crossover to the confounding contribution of the Fe3+‐mSF. Critical gelation time for these samples was instead estimated as the time at which the storage modulus was not only greater than the loss modulus (Equation 3) but also became increasingly greater than the loss modulus (Equation 4).
| (3) |
| (4) |
4.6. Swelling Study
The swelling properties of Fe3+‐mSF/FFA‐HA hydrogel composites were characterized at physiological pH and temperature. Briefly, 100 µL Fe3+‐mSF/FFA‐HA hydrogel composites were synthesized per previously described methods (Section 4.3) and crosslinked overnight (24 h) at 37°C in a humidified chamber to mitigate evaporation. Post‐gelation, the Fe3+‐mSF/FFA‐HA hydrogel composites were weighed (initial pre‐swollen mass, m0 ), submerged in 1 mL PBS for 24 h, and then removed from the PBS swelling solution. The Fe3+‐mSF/FFA‐HA hydrogel composites were again weighed with their retained fluid volume (final post‐swollen mass, mt ), and the swelling ratio was calculated as the fraction increase in mass (Equation 5).
| (5) |
4.7. SH‐SY5Y Cell Culture Maintenance and Cytocompatibility Testing
Neuroblastoma‐derived SH‐SY5Y cells (CRL‐2266, ATCC, Manassas, VA, USA) were cultured in Dulbecco's Modified Eagle/ Ham's F12 (DMEM/F12, 1:1; Cytiva, Marlborough, MA, USA) supplemented with 10% v/v FBS, 2.5 mM L‐glutamine, 100 U mL−1 penicillin/ 100 µg mL−1 streptomycin, and 0.25 µg mL−1 Amphotericin‐B (growth media formulation). The cultures were maintained at 37°C in a humidified incubator supplemented with 5.0% CO2 and passaged at approximately 90% confluency using 0.25% Trypsin/EDTA. To differentiate toward a neuronal phenotype, SH‐SY5Y cells were treated with reduced serum media (1% v/v FBS rather than 10% FBS) supplemented with 10 µM all‐trans RA, Cayman Chemical Company, Ann Arbor, MI, USA) (differentiation media formulation). Post‐passaging, undifferentiated SH‐SY5Y cells were allowed to recover for 24 h in “growth” media, then switched to differentiation media for an additional 7 days.
SH‐SY5Y cells were seeded in a 96‐well plate at an initial density of approximately 3.125 × 104 cells cm−1 (i.e., 1.0 × 104 cells per well). After 24 h in normal growth medium, the medium was replaced with growth medium containing “low iron,” “moderately low iron,” “moderate iron,” “moderately high iron,” or “high iron” Fe3+‐mSF at a concentration of 0.5 mg mL−1, with both a “no iron added” Fe3+‐mSF and 0 mg mL−1 Fe3+‐mSF (growth media only) control treatment. After 1, 3, 5, and 7 d of Fe3+‐mSF exposure, 100 µL of media was carefully removed from each well (avoiding Fe3+‐mSF aspiration), replaced with 200 µL sterile filtered resazurin solution (0.15 mg mL−1 in sterile phosphate buffered saline diluted to 25 µg mL−1 in growth medium), and incubated for approximately 3 h at 370C, 5% CO2 to allow reduction of resazurin to resorufin by cellular metabolites. Post‐incubation, 100 µL of supernatant was collected from each well, transferred to a black 96‐well plate (GreinerOne, non‐sterile polystyrene), and the endpoint fluorescence signal (excitation 544 nm, emission 590 nm, cutoff 570 nm) analyzed via spectrophotometry (SpectraMax M2 Multilabel Microplate Reader, Molecular Devices, San Jose, CA, USA).
To prepare cell‐seeded Fe3+‐mSF/collagen hydrogels, components of neutralized collagen solution, Fe3+‐mSF suspension (DMEM/F12), and SH‐SY5Y cell suspension (DMEM/F12) were individually prepared at 3× final concentration and combined at a 1:1:1 volumetric ratio. All reagents and component solutions were prepared on ice under aseptic conditions. Sterile rat tail type I collagen (Corning, Bedford, MA, USA) at a concentration of 3 mg mL−1 was neutralized via the addition of sterile‐filtered 1 N NaOH (23 µL per mL of collagen stock solution). Fe3+‐mSF suspensions were prepared with “high iron” and “no iron added” Fe3+‐mSF at 3 mg mL−1 in DMEM/F12, with a 0 mg mL−1 Fe3+‐mSF DMEM/F12‐only “suspension” substituted for the collagen‐only hydrogels. Undifferentiated SH‐SY5Y cells were trypsinized and resuspended at 7.5 × 106 cells mL−1 in DMEM/F12, yielding a final density of 2.5 × 106 cells mL−1 when combined with the collagen and Fe3+‐mSF solutions. After 1, 3, 5, and 7 d of Fe3+‐mSF exposure, media was carefully removed from each, replaced with 200 µL sterile‐filtered resazurin solution (0.15 mg mL−1 in sterile PBS diluted to 25 µg mL−1 in growth medium), and incubated for 3 h at 370C, 5% CO2. Post‐incubation, 100 µL of supernatant was collected from each well, transferred to a black 96‐well plate (GreinerOne, non‐sterile polystyrene), and the endpoint fluorescence signal (excitation 544 nm, emission 590 nm, cutoff 570 nm) was analyzed via spectrophotometry (SpectraMax M2 Multilabel Microplate Reader, Molecular Devices, San Jose, CA, USA).
4.8. Quantitative Real‐Time Reverse Transcription (qRT‐PCR) Polymerase Chain Reaction
Following Fe3+‐mSF exposure, changes in neuroregenerative biomarker expression by both undifferentiated and RA‐differentiated SH‐SY5Y cells were assessed via qRT‐PCR. SH‐SY5Y cells were seeded in Fe3+‐mSF/collagen hydrogel composite scaffolds prepared in a 48‐well tissue culture plate (200 µL Fe3+‐mSF/collagen hydrogel composite per well, with 5.0 × 105 cells per 200 µL scaffold). Scaffold composition was varied with respect to Fe3+‐mSF architecture addition (0 or 1 mg mL−1), Fe3+‐mSF iron content (“no iron added” Fe3+‐mSF or “high iron” Fe3+‐mSF), and Fe3+‐mSF orientation (random or aligned). While the feasibility of magnetically actuated Fe3+‐mSF alignment was successfully demonstrated in prior work, Fe3+‐mSF/collagen scaffolds analyzed for neuroregenerative biomarker expression were shear aligned to reduce the confounding effects of magnetic field exposure on observed gene expression. Immediately after pipetting the cell‐laden Fe3+‐mSF/collagen pre‐gel solution into 24‐well plates for gelation and subsequent culture, a 25 G needle was subsequently dragged through the hydrogel precursor solution across the diameter of the well, pulling the Fe3+‐mSF, collagen, and SH‐SY5Y cells into alignment.
After an initial 24 h recovery period (growth media), cultures were either maintained in growth media or switched to differentiation media for an additional 7 days. Post‐expansion or post‐differentiation (day 8 of culture for both media conditions), seeded cells were lysed with and collected in Trizol (Invitrogen Corporation, Thermo Fisher Scientific, Waltham, MA, USA) for RNA extraction. Extracted and isolated RNA content was quantified (NanoDrop 2000 spectrophotometer, Thermo Scientific, Waltham, MA, USA), and cDNA was subsequently synthesized via reverse transcription (High‐Capacity cDNA Reverse Transcription Kit, Applied Biosystems, Thermo Fisher Scientific, Waltham, MA). Quantitative reverse transcription polymerase chain reaction (qRT‐PCR) primers (Table S2) were purchased from Integrated DNA Technologies, Inc. (Coralville, IA, USA), and qRT‐PCR was performed with Applied Biosystems PowerSYBR Green PCR Master Mix per manufacturer recommendations (Thermo Fisher Scientific, Waltham, MA, USA) on the QuantStudio 6 Pro Real‐Time PCR System (Thermo Fisher Scientific, Waltham, MA, USA). For each gene of interest, change in cycle threshold values (ΔCt) were calculated relative to a housekeeping gene (GAPDH), and change in change in cycle threshold values (ΔΔCt) was calculated relative to the average of a 0 mg mL−1 Fe3+‐mSF/collagen (hydrogel‐only) experimental control condition. Normalized fold change in expression of examined genes (2−ΔΔCt) was subsequently calculated for each experimental condition.
4.9. Phalloidin/DAPI Fluorescence Staining and Confocal Imaging
SH‐SY5Y cell‐seeded Fe3+‐mSF/collagen hydrogel composites were visualized via fluorescence staining and confocal microscopy imaging. To facilitate simultaneous magnetic alignment of multiple samples, SH‐SY5Y cell‐seeded Fe3+‐mSF/collagen hydrogel composites were prepared within the static magnetic field generated by a MRI machine (3.0 T SIGNA Premier MRI, GE Healthcare, Chicago, IL, USA). SH‐SY5Y cell‐seeded Fe3+‐mSF/collagen hydrogel composites were prepared in a 48‐well tissue culture plate under sterile conditions as previously described, with 200 µL of SH‐SY5Y cell‐seeded Fe3+‐mSF/collagen hydrogel composite per well and 1.5 × 106 cells per mL scaffold. Immediately after plating (before gelation), the plate was either transferred to the patient bed of the MRI machine, allowing Fe3+‐mSF alignment in the instrument's static magnetic field (Figure S7), or transferred to a non‐magnetic field‐exposed benchtop, maintaining as‐plated, “random” Fe3+‐mSF orientation as an experimental control. All SH‐SY5Y cell‐seeded Fe3+‐mSF/collagen hydrogel composites were maintained in their respective exposure conditions for 1 h, allowing preliminary thermal crosslinking at room temperature to preserve Fe3+‐mSF orientation. The scaffolds were then transferred to a 37°C, 5.0% CO2 humidified incubator for an additional 30 min to allow further crosslinking, after which 100 µL of growth media was added to each scaffold‐containing well. SH‐SY5Y cell‐seeded Fe3+‐mSF/collagen scaffolds were maintained in growth media for 24 h then RA differentiation media for an additional 7 d, with 50% of the media exchanged daily.
Following 7‐d RA differentiation, SH‐SY5Y cell‐seeded Fe3+‐mSF/collagen scaffolds were washed with Dulbecco's phosphate‐buffered saline (DPBS; Corning, Inc., Corning, NY, USA), and fixed for 45 min with 4% paraformaldehyde solution (PFA, Electron Microscopy Sciences, Hatfield, PA, USA). Post‐fixation, scaffolds were washed thrice with DPBS, then the cells were permeabilized with 0.1% Triton X‐100. To avoid damaging scaffolds or disrupting cellular and architectural orientation, fluid exchange steps were performed by gently pipetting fixation agents, permeabilization agents, and wash volumes along the well plate walls. Fixed and permeabilized scaffolds were subsequently incubated with Phalloidin (1:40 dilution in DPBS; BioLegend, Inc., San Diego, CA, USA) and DAPI (1:1000 dilution in DPBS; Thermo Fisher Scientific, Waltham, MA, USA), washed once with DPBS, then transferred to a glass‐bottom MatTek dish for confocal fluorescence imaging (Leica Stellaris 8, Wetzlar, Germany). Five representative z‐stacks of each scaffold composition were captured at 20× magnification, and two or three representative z‐stacks of each scaffold composition were captured at 40× magnification.
4.10. Statistical Analysis
All statistical analyses were performed in GraphPad Prism 7. All data are presented as mean ± standard error of the mean (SEM) unless otherwise noted (i.e., mean ± standard deviation, SD). Cumulative and intraday iron release are presented as mean ± SEM for the short‐term release study data (N = 3, n = 3) and as mean ± SD for the long‐term release study data (N = 1, n = 3). Maximum and average injection forces are both presented as mean ± SD of nine replicates from three independent experiments (n = 9). For oscillatory rheology data sets, storage moduli and loss moduli values are presented as mean ± SD in amplitude sweep plots (N = 3, n = 1), mean ± SEM (N = 3, n = 3) in frequency sweep plots, and mean ± SD in time sweep plots (N = 1, n = 3). Swelling ratios are presented as mean ± SD (N = 1, n = 3). SH‐SY5Y cell cytocompatibility data are presented as mean ± SEM of three independent experiments (N = 3). qRT‐PCR data are presented as 2−ΔΔCt with lower and upper error bounds calculated using the ΔΔCt linear (SEM) and reported as 2(‐ΔΔCt – SEM) and 2(‐ΔΔCt + SEM), respectively. Statistical analyses of qRT‐PCR data sets were performed on the ΔΔCt values. Statistical differences were determined by an analysis of variance (ANOVA) followed by either Dunnett's multiple comparisons test (when comparing experimental groups to a control group) or Tukey's honestly significant differences (HSD) test (when comparing among experimental groups). In statistical comparison of data, a p‐value less than 0.05 was considered significant.
Author Contributions
Melissa A. Wojnowski: conceptualization (equal); methodology (lead); data curation (lead); investigation (lead); validation (lead); formal analysis (lead); funding acquisition (equal); visualization (lead); writing – original draft preparation (lead); writing – review and editing (equal)., Zephyr A. Paxton: methodology (supported); data curation (supported); formal analysis (supported); visualization (supported); writing – review and editing (equal). Donald Pellegrino: methodology (supported); data curation (supported); formal analysis (supported); visualization (supported); writing – review and editing (equal). Jeannine M. Coburn: conceptualization (equal); methodology (supported); data curation (supported); investigation (equal); validation (supported); formal analysis (supported); funding acquisition (equal); visualization (supported); writing – original draft preparation (supported); writing – review and editing (equal).
Conflicts of Interest
The authors declare no conflicts of interest.
Supporting information
Supporting File: adhm71430‐sup‐0001‐SuppMat.docx.
Acknowledgements
There are several funding and support services to acknowledge that made this research possible. This work was supported in part by the Bryon Riesch Paralysis Foundation and startup funds provided by Worcester Polytechnic Institute. Funding support for MAW was provided by the Aberdale Family Graduate Fellowship (The Aberdale Foundation). All funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Thank you to those at Worcester Polytechnic Institute's PracticePoint facility, especially Andrew Daudelin, for their assistance with MRI‐induced alignment of scaffold systems.
Data Availability Statement
The data that support the findings of this study are available from the corresponding author upon reasonable request.
References
- 1. Liu S., Schackel T., Weidner N., and Puttagunta R., “Biomaterial‐Supported Cell Transplantation Treatments for Spinal Cord Injury: Challenges and Perspectives,” Frontiers in Cellular Neuroscience 11 (2018): 439, 10.3389/fncel.2017.00430. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2. Wang Z. Z. and Sakiyama‐Elbert S. E., “Matrices, Scaffolds & Carriers for Cell Delivery in Nerve Regeneration,” Experimental Neurology 319 (2019): 112837, 10.1016/j.expneurol.2018.09.020. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3. Ashammakhi N., Kim H.‐J., Ehsanipour A., et al., “Regenerative Therapies for Spinal Cord Injury,” Tissue Engineering Part B: Reviews 25, no. 6 (2019): 471–491. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4. Damianakis E., Benetos I. S., Evangelopoulos D., et al., “Stem Cell Therapy for Spinal Cord Injury: A Review of Recent Clinical Trials,” Cureus 14, no. 4 (2022): e24575, 10.7759/cureus.24575 . [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5. Kiyotake E. A., Martin M. D., and Detamore M. S., “Regenerative Rehabilitation With Conductive Biomaterials for Spinal Cord Injury,” Acta Biomaterialia 139 (2022): 43–64, 10.1016/j.actbio.2020.12.021. [DOI] [PubMed] [Google Scholar]
- 6. Soares S., von Boxberg Y., and Nothias F., “Repair Strategies for Traumatic Spinal Cord Injury, With Special Emphasis on Novel Biomaterial‐Based Approaches,” Revue Neurologique 176, no. 4 (2020): 252–260, 10.1016/j.neurol.2019.07.029. [DOI] [PubMed] [Google Scholar]
- 7. Yang B., Zhang F., Cheng F., et al., “Strategies and Prospects of Effective Neural Circuits Reconstruction After Spinal Cord Injury,” Cell Death & Disease 11, no. 6 (2020): 439, 10.1038/s41419-020-2620-z. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8. Kaplan B. and Levenberg S., “The Role of Biomaterials in Peripheral Nerve and Spinal Cord Injury: A Review,” International Journal of Molecular Sciences 23, no. 3 (2022): 1244, 10.3390/ijms23031244. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9. Liu S., Xie Y.‐Y., and Wang B., “Role and Prospects of Regenerative Biomaterials in the Repair of Spinal Cord Injury,” Neural Regeneration Research 14, no. 8 (2019): 1352–1363, 10.4103/1673-5374.253512. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10. Führmann T., Anandakumaran P. N., and Shoichet M. S., “Combinatorial Therapies After Spinal Cord Injury: How Can Biomaterials Help?,” Advanced Healthcare Materials 6, no. 10 (2017): 1601130, 10.1002/adhm.201601130. [DOI] [PubMed] [Google Scholar]
- 11. Doblado L. R., Martínez‐Ramos C., and Pradas M. M., “Biomaterials for Neural Tissue Engineering,” Frontiers in Nanotechnology 3 (2021): 643507, 10.3389/fnano.2021.643507. [DOI] [Google Scholar]
- 12. Chen K., Yu W., Zheng G., et al., “Biomaterial‐Based Regenerative Therapeutic Strategies for Spinal Cord Injury,” NPG Asia Materials 16, no. 1 (2024): 5, 10.1038/s41427-023-00526-4. [DOI] [Google Scholar]
- 13. Straley K. S., Foo C. W. P., and Heilshorn S. C., “Biomaterial Design Strategies for the Treatment of Spinal Cord Injuries,” Journal of Neurotrauma 27, no. 1 (2009): 1–19, 10.1089/neu.2009.0948. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14. Serafin A. and Collins M. N., “Are Emerging Electroconductive Biomaterials for Spinal Cord Injury Repair the Future?,” Neural Regeneration Research 21 (2026): 1140–1141, 10.4103/NRR.NRR-D-24-01074. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15. Feng C., Deng L., Yong Y. Y., et al., “The Application of Biomaterials in Spinal Cord Injury,” International Journal of Molecular Sciences 24, no. 1 (2023): 816, 10.3390/ijms24010816. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16. Berns E. J., Sur S., Pan L., et al., “Aligned Neurite Outgrowth and Directed Cell Migration in Self‐Assembled Monodomain Gels,” Biomaterials 35, no. 1 (2014): 185–195, 10.1016/j.biomaterials.2013.09.077. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17. Qin C., Qi Z., Pan S., et al., “Advances in Conductive Hydrogel for Spinal Cord Injury Repair and Regeneration,” International Journal of Nanomedicine 18 (2023): 7305–7333, 10.2147/IJN.S436111. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18. Shen H., Fan C., You Z., Xiao Z., Zhao Y., and Dai J., “Advances in Biomaterial‐Based Spinal Cord Injury Repair,” Advanced Functional Materials 32, no. 13 (2022): 2110628, 10.1002/adfm.202110628. [DOI] [Google Scholar]
- 19. Santi S., Corridori I., Pugno N. M., Motta A., and Migliaresi C., “Injectable Scaffold‐Systems for the Regeneration of Spinal Cord: Advances of the Past Decade,” ACS Biomaterials Science & Engineering 7, no. 3 (2021): 983–999, 10.1021/acsbiomaterials.0c01779. [DOI] [PubMed] [Google Scholar]
- 20. Macaya D. and Spector M., “Injectable Hydrogel Materials for Spinal Cord Regeneration: A Review,” Biomedical Materials 7, no. 1 (2012): 012001, 10.1088/1748-6041/7/1/012001. [DOI] [PubMed] [Google Scholar]
- 21. Haggerty A. E. and Oudega M., “Biomaterials for Spinal Cord Repair,” Neuroscience Bulletin 29, no. 4 (2013): 445–459, 10.1007/s12264-013-1362-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22. Babu S., Chen I., Vedaraman S., et al., “How Do the Local Physical, Biochemical, and Mechanical Properties of an Injectable Synthetic Anisotropic Hydrogel Affect Oriented Nerve Growth?,” Advanced Functional Materials 32, no. 50 (2022): 2202468, 10.1002/adfm.202202468. [DOI] [Google Scholar]
- 23. Liu S., Schackel T., Weidner N., and Puttagunta R., “Biomaterial‐Supported Cell Transplantation Treatments for Spinal Cord Injury: Challenges and Perspectives,” Frontiers in Cellular Neuroscience 11 (2018): 430, 10.3389/fncel.2017.00430. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24. Ashammakhi N., Kim H. J., Ehsanipour A., et al., “Regenerative Therapies for Spinal Cord Injury,” Tissue Engineering Part B: Reviews 25, no. 6 (2019): 471–491. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25. Dalamagkas K., Tsintou M., Seifalian A., and Seifalian A. M., “Translational Regenerative Therapies for Chronic Spinal Cord Injury,” International Journal of Molecular Sciences 19, no. 6 (2018): 1776, 10.3390/ijms19061776. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26. Gelain F., Panseri S., Antonini S., et al., “Transplantation of Nanostructured Composite Scaffolds Results in the Regeneration of Chronically Injured Spinal Cords,” ACS Nano 5, no. 1 (2011): 227–236, 10.1021/nn102461w. [DOI] [PubMed] [Google Scholar]
- 27. Omidinia‐Anarkoli A., Boesveld S., Tuvshindorj U., Rose J. C., Haraszti T., and De Laporte L., “An Injectable Hybrid Hydrogel With Oriented Short Fibers Induces Unidirectional Growth of Functional Nerve Cells,” Small 13, no. 36 (2017): 1702207, 10.1002/smll.201702207. [DOI] [PubMed] [Google Scholar]
- 28. Wang H. B., Mullins M. E., Cregg J. M., McCarthy C. W., and Gilbert R. J., “Varying the Diameter of Aligned Electrospun Fibers Alters Neurite Outgrowth and Schwann Cell Migration,” Acta Biomaterialia 6, no. 8 (2010): 2970–2978, 10.1016/j.actbio.2010.02.020. [DOI] [PubMed] [Google Scholar]
- 29. Johnson C. D. L., Ganguly D., Zuidema J. M., et al., “Injectable, Magnetically Orienting Electrospun Fiber Conduits for Neuron Guidance,” ACS Applied Materials & Interfaces 11, no. 1 (2019): 356–372, 10.1021/acsami.8b18344. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30. Rose J. C., Cámara‐Torres M., Rahimi K., Köhler J., Möller M., and De Laporte L., “Nerve Cells Decide to Orient Inside an Injectable Hydrogel With Minimal Structural Guidance,” Nano Letters 17, no. 6 (2017): 3782–3791, 10.1021/acs.nanolett.7b01123. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31. Smith Callahan L. A., Xie S., Barker I. A., et al., “Directed Differentiation and Neurite Extension of Mouse Embryonic Stem Cell on Aligned Poly(lactide) Nanofibers Functionalized With YIGSR Peptide,” Biomaterials 34, no. 36 (2013): 9089–9095, 10.1016/j.biomaterials.2013.08.028. [DOI] [PubMed] [Google Scholar]
- 32. Fozdar D. Y., Lee J. Y., Schmidt C. E., and Chen S., “Hippocampal Neurons Respond Uniquely to Topographies of Various Sizes and Shapes,” Biofabrication 2, no. 3 (2010): 035005, 10.1088/1758-5082/2/3/035005. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33. Nguyen L. H., Gao M., Lin J., Wu W., Wang J., and Chew S. Y., “Three‐Dimensional Aligned Nanofibers‐Hydrogel Scaffold for Controlled Non‐Viral Drug/Gene Delivery to Direct Axon Regeneration in Spinal Cord Injury Treatment,” Scientific Reports 7, no. 1 (2017): 42212, 10.1038/srep42212. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34. Gerardo‐Nava J., Führmann T., Klinkhammer K., et al., “Human Neural Cell Interactions With Orientated Electrospun Nanofibers In Vitro,” Nanomedicine 4, no. 1 (2008): 11–30, 10.2217/17435889.4.1.11. [DOI] [PubMed] [Google Scholar]
- 35. Schaub N. J., “Electrospun Fibers: A Guiding Scaffold for Research and Regeneration of the Spinal Cord,” Neural Regeneration Research 11, no. 11 (2016): 1764, 10.4103/1673-5374.194719. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36. Tran K. A., Jin Y., Bouyer J., et al., “Magnetic Alignment of Injectable Hydrogel Scaffolds for Spinal Cord Injury Repair,” Biomaterials Science 10 (2022): 2237–2247, 10.1039/d1bm01590g. [DOI] [PubMed] [Google Scholar]
- 37. Ghaderinejad P., Najmoddin N., Bagher Z., et al., “An Injectable Anisotropic Alginate Hydrogel Containing Oriented Fibers for Nerve Tissue Engineering,” Chemical Engineering Journal 420 (2021): 130465, 10.1016/j.cej.2021.130465. [DOI] [Google Scholar]
- 38. Xue W., Shi W., Kong Y., Kuss M., and Duan B., “Anisotropic Scaffolds for Peripheral Nerve and Spinal Cord Regeneration,” Bioactive Materials 6, no. 11 (2021): 4141–4160, 10.1016/j.bioactmat.2021.04.019. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39. Wu H., Yin J.‐J., Wamer W. G., Zeng M., and Lo Y. M., “Reactive Oxygen Species‐Related Activities of Nano‐Iron Metal and Nano‐Iron Oxides,” Journal of Food and Drug Analysis 22, no. 1 (2014): 86–94, 10.1016/j.jfda.2014.01.007. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40. Malhotra N., Lee J.‐S., Liman R. A. D., et al., “Potential Toxicity of Iron Oxide Magnetic Nanoparticles: A Review,” Molecules 25, no. 14 (2020): 3159, 10.3390/molecules25143159. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41. Adedoyin A. A. and Ekenseair A. K., “Biomedical Applications of Magneto‐Responsive Scaffolds,” Nano Research 11, no. 10 (2018): 5049–5064, 10.5772/intechopen.89199. [DOI] [Google Scholar]
- 42. Gholami A., Mohammadi F., Ghasemi Y., Omidifar N., and Ebrahiminezhad A., “Antibacterial Activity of SPIONs Versus Ferrous and Ferric Ions Under Aerobic and Anaerobic Conditions: A Preliminary Mechanism Study,” IET Nanobiotechnology 14, no. 2 (2020): 155–160, 10.1049/iet-nbt.2019.0266. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 43. Wojnowski M. A., Martin J. L., and Kanber M., “Iron‐Chelated Silk Microfibers as a Novel Magneto‐Responsive Architecture for In Situ Aligning Biomaterial Scaffolds,” Advanced Functional Materials 33 (2023): 2305519, 10.1002/adfm.202305519. [DOI] [Google Scholar]
- 44. Fregnan F., Muratori L., Bassani G. A., et al., “Preclinical Validation of SilkBridgeTM for Peripheral Nerve Regeneration,” Frontiers in Bioengineering and Biotechnology 8 (2020): 835, 10.3389/fbioe.2020.00835. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 45. Matsuo T., Kimura H., Nishijima T., et al., “Peripheral Nerve Regeneration Using a Bioresorbable Silk Fibroin‐Based Artificial Nerve Conduit Fabricated via a Novel Freeze–Thaw Process,” Scientific Reports 15, no. 1 (2025): 3797, 10.1038/s41598-025-88221-y. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46. Wang C., Jia Y., Yang W., Zhang C., Zhang K., and Chai Y., “Silk Fibroin Enhances Peripheral Nerve Regeneration by Improving Vascularization Within Nerve Conduits,” Journal of Biomedical Materials Research Part A 106, no. 7 (2018): 2070–2077, 10.1002/jbm.a.36390. [DOI] [PubMed] [Google Scholar]
- 47. Feng F., Song X., Tan Z., et al., “Cooperative Assembly of a Designer Peptide and Silk Fibroin Into Hybrid Nanofiber Gels for Neural Regeneration After Spinal Cord Injury,” Science Advances 9, no. 25 (2023): eadg0234, 10.1126/sciadv.adg0234. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48. Nune M., Manchineella S., Govindaraju T, and Narayan K S, “Melanin Incorporated Electroactive and Antioxidant Silk Fibroin Nanofibrous Scaffolds for Nerve Tissue Engineering,” Materials Science and Engineering: C 94 (2019): 17–25, 10.1016/j.msec.2018.09.014. [DOI] [PubMed] [Google Scholar]
- 49. Xue C., Zhu H., Tan D., et al., “Electrospun Silk Fibroin‐Based Neural Scaffold for Bridging a Long Sciatic Nerve Gap in Dogs,” Journal of Tissue Engineering and Regenerative Medicine 12, no. 2 (2018): e1143–e1153, 10.1002/term.2449. [DOI] [PubMed] [Google Scholar]
- 50. Qu J., Wang D., Wang H., et al., “Electrospun Silk Fibroin Nanofibers in Different Diameters Support Neurite Outgrowth and Promote Astrocyte Migration,” Journal of Biomedical Materials Research Part A 101, no. 9 (2013): 2667–2678, 10.1002/jbm.a.34551. [DOI] [PubMed] [Google Scholar]
- 51. Ryan F., Blex C., Ngo T. D., et al., “Ferroptosis Inhibitor Improves Outcome After Early and Delayed Treatment in Mild Spinal Cord Injury,” Acta Neuropathologica 147, no. 1 (2024): 106, 10.1007/s00401-024-02758-2. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 52. Pilley S., Kaur H., Hippargi G., Gonde P., and Rayalu S., “Silk Fibroin: A Promising Bio‐Material for the Treatment of Heavy Metal‐Contaminated Water, Adsorption Isotherms, Kinetics, and Mechanism,” Environmental Science and Pollution Research 29, no. 37 (2022): 56606–56619, 10.1007/s11356-022-19833-4. [DOI] [PubMed] [Google Scholar]
- 53. Rastogi S. and Kandasubramanian B., “Progressive Trends in Heavy Metal Ions and Dyes Adsorption Using Silk Fibroin Composites,” Environmental Science and Pollution Research 27, no. 1 (2020): 210–237, 10.1007/s11356-019-07280-7. [DOI] [PubMed] [Google Scholar]
- 54. Brookstein O., Shimoni E., Eliaz D., Kaplan‐Ashiri I., Carmel I., and Shimanovich U., “Metal Ions Guide the Production of Silkworm Silk Fibers,” Nature Communications 15, no. 1 (2024): 6671, 10.1038/s41467-024-50879-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 55. Liu Q., Wang X., Tan X., et al., “Disruption of the Metal Ion Environment by EDTA for Silk Formation Affects the Mechanical Properties of Silkworm Silk,” International Journal of Molecular Sciences 20, no. 12 (2019): 3026, 10.3390/ijms20123026. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 56. Ji D., Deng Y.‐B., and Zhou P., “Folding Process of Silk Fibroin Induced by Ferric and Ferrous Ions,” Journal of Molecular Structure 938, no. 1 (2009): 305–310, 10.1016/j.molstruc.2009.09.047. [DOI] [Google Scholar]
- 57. Rajkhowa R., Naik R., Wang L., Smith S. V., and Wang X., “An Investigation Into Transition Metal Ion Binding Properties of Silk Fibers and Particles Using Radioisotopes,” Journal of Applied Polymer Science 119, no. 6 (2011): 3630–3639, 10.1002/app.33059. [DOI] [Google Scholar]
- 58. Wen Q., Zhang L., Chen Y., et al., “Novel Applications of Silk Proteins Based on Their Interactions With Metal Ions,” Sustainability 15 (2023): 16053, 10.3390/su152216053. [DOI] [Google Scholar]
- 59. Burks J. D., Gant K. L., Guest J. D., et al., “Imaging Characteristics of Chronic Spinal Cord Injury Identified During Screening for a Cell Transplantation Clinical Trial,” Neurosurgical Focus 46, no. 3 (2019): E8, 10.3171/2018.12.FOCUS18593. [DOI] [PubMed] [Google Scholar]
- 60. LeVine S. M., Wulser M. J., and Lynch S. G., “Iron Quantification in Cerebrospinal Fluid,” Analytical Biochemistry 265, no. 1 (1998): 74–78, 10.1006/abio.1998.2903. [DOI] [PubMed] [Google Scholar]
- 61. Margetis K. and Baker S., Physiology, Cerebral Spinal Fluid (StatPearls Publishing LLC, 2026). [PubMed] [Google Scholar]
- 62. Sharma R. and Sharma S., Physiology Blood Volume (StatPearls Publishing LLC, 2026). [PubMed] [Google Scholar]
- 63. Lin P. H., Dong Q., and Chew S. Y., “Injectable Hydrogels in Stroke and Spinal Cord Injury Treatment: A Review on Hydrogel Materials, Cell–Matrix Interactions and Glial Involvement,” Materials Advances 2, no. 8 (2021): 2561–2583, 10.1039/D0MA00732C. [DOI] [Google Scholar]
- 64. Prestwich G. D., “Hyaluronic Acid‐Based Clinical Biomaterials Derived for Cell and Molecule Delivery in Regenerative Medicine,” Journal of Controlled Release 155, no. 2 (2011): 193–199, 10.1016/j.jconrel.2011.04.007. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 65. Mothe A. J., Tam R. Y., Zahir T., Tator C. H., and Shoichet M. S., “Repair of the Injured Spinal Cord by Transplantation of Neural Stem Cells in a Hyaluronan‐Based Hydrogel,” Biomaterials 34, no. 15 (2013): 3775–3783, 10.1016/j.biomaterials.2013.02.002. [DOI] [PubMed] [Google Scholar]
- 66. Führmann T., Obermeyer J., Tator C. H., and Shoichet M. S., “Click‐Crosslinked Injectable Hyaluronic Acid Hydrogel is Safe and Biocompatible in the Intrathecal Space for Ultimate Use in Regenerative Strategies of the Injured Spinal Cord,” Methods 84 (2015): 60–69, 10.1016/j.ymeth.2015.03.023. [DOI] [PubMed] [Google Scholar]
- 67. Thompson R. E., Pardieck J., Smith L., et al., “Effect of Hyaluronic Acid Hydrogels Containing Astrocyte‐Derived Extracellular Matrix and/or V2a Interneurons on Histologic Outcomes Following Spinal Cord Injury,” Biomaterials 162 (2018): 208–223, 10.1016/j.biomaterials.2018.02.013. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 68. Jensen G., Holloway J. L., and Stabenfeldt S. E., “Hyaluronic Acid Biomaterials for Central Nervous System Regenerative Medicine,” Cells 9, no. 9 (2020): 2113, 10.3390/cells9092113. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 69. Khaing Z. Z. and Seidlits S. K., “Hyaluronic Acid and Neural Stem Cells: Implications for Biomaterial Design,” J Mater Chem B 3, no. 40 (2015): 7850–7866, 10.1039/C5TB00974J. [DOI] [PubMed] [Google Scholar]
- 70. Kushchayev S. V., Giers M. B., Hom Eng D., et al., “Hyaluronic Acid Scaffold Has a Neuroprotective Effect in Hemisection Spinal Cord Injury,” Journal of Neurosurgery: Spine SPI 25, no. 1 (2016): 114–124, 10.3171/2015.9.SPINE15628. [DOI] [PubMed] [Google Scholar]
- 71. Wolf K. J. and Kumar S., “Hyaluronic Acid: Incorporating the Bio Into the Material,” ACS Biomaterials Science & Engineering 5, no. 8 (2019): 3753–3765, 10.1021/acsbiomaterials.8b01268. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 72. Burnside E. R. and Bradbury E. J., “Review: Manipulating the Extracellular Matrix and Its Role in Brain and Spinal Cord Plasticity and Repair,” Neuropathology and Applied Neurobiology 40, no. 1 (2014): 26–59, 10.1111/nan.12114. [DOI] [PubMed] [Google Scholar]
- 73. Kubinova S., “Extracellular Matrix Based Biomaterials for Central Nervous System Tissue Repair: The Benefits and Drawbacks,” Neural Regeneration Research 12, no. 9 (2017): 1430–1432, 10.4103/1673-5374.215249. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 74. Khunmanee S., Jeong Y., and Park H., “Crosslinking Method of Hyaluronic‐Based Hydrogel for Biomedical Applications,” Journal of Tissue Engineering 8 (2017): 2041731417726464, 10.1177/2041731417726464. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 75. Snetkov P., Zakharova K., Morozkina S., Olekhnovich R., and Uspenskaya M., “Hyaluronic Acid: The Influence of Molecular Weight on Structural, Physical, Physico‐Chemical, and Degradable Properties of Biopolymer,” Polymers 12, no. 8 (2020): 1800, 10.3390/polym12081800. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 76. Nimmo C. M., Owen S. C., and Shoichet M. S., “Diels‐Alder Click Cross‐Linked Hyaluronic Acid Hydrogels for Tissue Engineering,” Biomacromolecules 12, no. 3 (2011): 824–830, 10.1021/bm101446k. [DOI] [PubMed] [Google Scholar]
- 77. Pack A., Su S., Drews F. A., et al., “Engineered Testbeds for Investigating Syringe Injection Performance in Human Factors Studies,” Human Factors in Healthcare 7, no. 5 (2025): 100091, 10.1016/j.hfh.2025.100091. [DOI] [Google Scholar]
- 78. Amer M. H., Rose F. R. A. J., Shakesheff K. M., Modo M., and White L. J., “Translational Considerations in Injectable Cell‐Based Therapeutics for Neurological Applications: Concepts, Progress and Challenges,” npj Regenerative Medicine 2 (2017): 23, 10.1038/s41536-017-0028-x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 79. Levi A. D., Okonkwo D. O., Park P., et al., “Emerging Safety of Intramedullary Transplantation of Human Neural Stem Cells in Chronic Cervical and Thoracic Spinal Cord Injury,” Neurosurgery 82, no. 4 (2018): 562–575, 10.1093/neuros/nyx250. [DOI] [PubMed] [Google Scholar]
- 80. Takahashi Y., Tsuji O., Kumagai G., et al., “Comparative Study of Methods for Administering Neural Stem/Progenitor Cells to Treat Spinal Cord Injury in Mice,” Cell Transplantation 20, no. 5 (2011): 727–739, 10.3727/096368910X536554. [DOI] [PubMed] [Google Scholar]
- 81. Robinson T. E., Hughes E. A. B., Bose A., et al., “Filling the Gap: A Correlation Between Objective and Subjective Measures of Injectability,” Advanced Healthcare Materials 9, no. 5 (2020): 1901521, 10.1002/adhm.201901521. [DOI] [PubMed] [Google Scholar]
- 82. Politrón‐Zepeda G. A., Fletes‐Vargas G., and Rodríguez‐Rodríguez R., “Injectable Hydrogels for Nervous Tissue Repair‐A Brief Review,” Gels 10, no. 3 (2024): 190, 10.3390/gels10030190. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 83. Zare Y., Park S. P., and Rhee K. Y., “Analysis of Complex Viscosity and Shear Thinning Behavior in Poly (lactic acid)/poly (ethylene oxide)/Carbon Nanotubes Biosensor Based on Carreau–Yasuda Model,” Results in Physics 13 (2019): 102245, 10.1016/j.rinp.2019.102245. [DOI] [Google Scholar]
- 84. Wang H., Zhang H., Xie Z., et al., “Injectable Hydrogels for Spinal Cord Injury Repair,” Engineered Regeneration 3, no. 4 (2022): 407–419, 10.1016/j.engreg.2022.09.001. [DOI] [Google Scholar]
- 85. Leipzig N. D. and Shoichet M. S., “The Effect of Substrate Stiffness on Adult Neural Stem Cell Behavior,” Biomaterials 30, no. 36 (2009): 6867–6878, 10.1016/j.biomaterials.2009.09.002. [DOI] [PubMed] [Google Scholar]
- 86. Khaing Z. Z., Ehsanipour A., Hofstetter C. P., and Seidlits S. K., “Injectable Hydrogels for Spinal Cord Repair: A Focus on Swelling and Intraspinal Pressure,” Cells Tissues Organs 202, no. 1‐2 (2016): 67–84, 10.1159/000446697. [DOI] [PubMed] [Google Scholar]
- 87. Seblani M., Decherchi P., and Brezun J. M., “Edema After CNS Trauma: A Focus on Spinal Cord Injury,” International Journal of Molecular Sciences 24, no. 8 (2023): 7159, 10.3390/ijms24087159. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 88. Cheng X., Zhang Z., Ren H., et al., “A Low‐Swelling Hydrogel as a Multirole Sealant for Efficient Dural Defect Sealing and Prevention of Postoperative Adhesion,” National Science Review 11, no. 6 (2024): nwae160, 10.1093/nsr/nwae160. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 89. Shipley M. M., Mangold C. A., and Szpara M. L., “Differentiation of the SH‐SY5Y Human Neuroblastoma Cell Line,” Journal of visualized experiments: JoVE 108 (2016): 53193–53193, 10.3791/53193. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 90. Merryweather D., Moxon S. R., Capel A. J., Hooper N. M., Lewis M. P., and Roach P., “Impact of Type‐1 Collagen Hydrogel Density on Integrin‐Linked Morphogenic Response of SH‐SY5Y Neuronal Cells,” RSC Advances 11, no. 52 (2021): 33124–33135, 10.1039/D1RA05257H. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 91. Xu Q., Torres J. E., Hakim M., et al., “Collagen‐ and Hyaluronic Acid‐Based Hydrogels and Their Biomedical Applications,” Materials Science and Engineering: R: Reports 146 (2021): 100641, 10.1016/j.mser.2021.100641. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 92. Forster J. I., Köglsberger S., Trefois C., et al., “Characterization of Differentiated SH‐SY5Y as Neuronal Screening Model Reveals Increased Oxidative Vulnerability,” SLAS Discovery 21, no. 5 (2016): 496–509, 10.1177/1087057115625190. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 93. Simões R. F., Ferrão R., Silva M. R., et al., “Refinement of a Differentiation Protocol Using Neuroblastoma SH‐SY5Y Cells for Use in Neurotoxicology Research,” Food and Chemical Toxicology 149 (2021): 111967, 10.1016/j.fct.2021.111967. [DOI] [PubMed] [Google Scholar]
- 94. Graser S., Mentrup B., Schneider D., Klein‐Hitpass L., Jakob F., and Hofmann C., “Overexpression of Tissue‐Nonspecific Alkaline Phosphatase Increases the Expression of Neurogenic Differentiation Markers in the Human SH‐SY5Y Neuroblastoma Cell Line,” Bone 79 (2015): 150–161, 10.1016/j.bone.2015.05.033. [DOI] [PubMed] [Google Scholar]
- 95. D'Aloia A., Pastori V., Blasa S., et al., “A New Advanced Cellular Model of Functional Cholinergic‐Like Neurons Developed by Reprogramming the Human SH‐SY5Y Neuroblastoma Cell Line,” Cell Death Discovery 10, no. 1 (2024): 24, 10.1038/s41420-023-01790-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 96. Martin E. R., Gandawijaya J., and Oguro‐Ando A., “A Novel Method for Generating Glutamatergic SH‐SY5Y Neuron‐Like Cells Utilizing B‐27 Supplement,” Frontiers in Pharmacology 13 (2022): 943627, 10.3389/fphar.2022.943627. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 97. Martínez M.‐A., Rodríguez J.‐L., Lopez‐Torres B., et al., “Use of human Neuroblastoma SH‐SY5Y Cells to Evaluate Glyphosate‐Induced Effects on Oxidative Stress, Neuronal Development and Cell Death Signaling Pathways,” Environment International 135 (2020): 105414, 10.1016/j.envint.2019.105414. [DOI] [PubMed] [Google Scholar]
- 98. Domínguez‐Romero M. E. and Slater P. G., “Unraveling Axon Guidance During Axotomy and Regeneration,” International Journal of Molecular Sciences (2021): 8344, 10.3390/ijms22158344. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 99. Latremoliere A., Cheng L., DeLisle M., et al., “Neuronal‐Specific TUBB3 is not Required for Normal Neuronal Function but Is Essential for Timely Axon Regeneration,” Cell Reports 24, no. 7 (2018): 1865–1879.e9, 10.1016/j.celrep.2018.07.029. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 100. Alaylıoğlu M., Keskin E., Yediel B., Dursun E., and Ak D. G., “A Novel and Robust Protocol for Differentiation of SH‐SY5Y Neuroblastoma Cells Into Neuron Like Cells,” Noro Psikiyatr Ars 61, no. 3 (2024): 208–212, 10.29399/npa.28510. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 101. Dwane S., Durack E., and Kiely P. A., “Optimising Parameters for the Differentiation of SH‐SY5Y Cells to Study Cell Adhesion and Cell Migration,” BMC Research Notes 6 (2013): 366, 10.1186/1756-0500-6-366. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 102. Encinas M., Iglesias M., Liu Y., et al., “Sequential Treatment of SH‐SY5Y Cells With Retinoic Acid and Brain‐Derived Neurotrophic Factor Gives Rise to Fully Differentiated, Neurotrophic Factor‐Dependent, Human Neuron‐Like Cells,” Journal of Neurochemistry 75, no. 3 (2000): 991–1003, 10.1046/j.1471-4159.2000.0750991.x. [DOI] [PubMed] [Google Scholar]
- 103. Hu X., Tang‐Schomer M. D., Huang W., Xia X. X., Weiss A. S., and Kaplan D. L., “Charge‐Tunable Autoclaved Silk‐Tropoelastin Protein Alloys That Control Neuron Cell Responses,” Advanced Functional Materials 23, no. 31 (2013): 3875–3884, 10.1002/adfm.201202685. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 104. Laomeephol C., Vasuratna A., Ratanavaraporn J., et al., “Impacts of Blended Bombyx Mori Silk Fibroin and Recombinant Spider Silk Fibroin Hydrogels on Cell Growth,” Polymers 13 (2021): 4182, 10.3390/polym13234182. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 105. Lamanna J. J., Urquia L. N., Hurtig C. V., et al., “Magnetic Resonance Imaging‐Guided Transplantation of Neural Stem Cells Into the Porcine Spinal Cord,” Stereotactic and Functional Neurosurgery 95, no. 1 (2017): 60–68, 10.1159/000448765. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 106. Malysz‐Cymborska I., Golubczyk D., Kalkowski L., et al., “MRI‐Guided Intrathecal Transplantation of Hydrogel‐Embedded Glial Progenitors in Large Animals,” Scientific Reports 8, no. 1 (2018): 16490, 10.1038/s41598-018-34723-x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 107. Vieira S., Strymecka P., Stanaszek L., et al., “Mn‐Based Methacrylated Gellan Gum Hydrogels for MRI‐Guided Cell Delivery and Imaging,” Bioengineering 10, no. 4 (2023): 427, 10.3390/bioengineering10040427. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 108. Kajikawa K., Imaizumi K., Shinozaki M., et al., “Cell Therapy for Spinal Cord Injury by Using Human iPSC‐derived Region‐Specific Neural Progenitor Cells,” Molecular Brain 13, no. 1 (2020): 120, 10.1186/s13041-020-00662-w. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 109. Chen Z., Zhang H., Fan C., et al., “Adhesive, Stretchable, and Spatiotemporal Delivery Fibrous Hydrogels Harness Endogenous Neural Stem/Progenitor Cells for Spinal Cord Injury Repair,” ACS Nano 16, no. 2 (2022): 1986–1998, 10.1021/acsnano.1c06892. [DOI] [PubMed] [Google Scholar]
- 110. Nishimura S., Yasuda A., Iwai H., et al., “Time‐Dependent Changes in the Microenvironment of Injured Spinal Cord Affects the Therapeutic Potential of Neural Stem Cell Transplantation for Spinal Cord Injury,” Molecular Brain 6 (2013): 3, 10.1186/1756-6606-6-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 111. Suzuki H., Imajo Y., Funaba M., Nishida N., Sakamoto T., and Sakai T., “Current Concepts of Neural Stem/Progenitor Cell Therapy for Chronic Spinal Cord Injury,” Frontiers in Cellular Neuroscience 15 (2022): 794692, 10.3389/fncel.2021.794692. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 112. Ceto S., Sekiguchi K. J., Takashima Y., Nimmerjahn A., and Tuszynski M. H., “Neural Stem Cell Grafts Form Extensive Synaptic Networks That Integrate With Host Circuits After Spinal Cord Injury,” Cell Stem Cell 27, no. 3 (2020): 430–440.e5, 10.1016/j.stem.2020.07.007. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 113. Cardona C. J., Kim Y., Chowanadisai W., and Montgomery M. R., “Considerations for Using Neuroblastoma Cell Lines to Examine the Roles of Iron and Ferroptosis in Neurodegeneration,” Cells 13, no. 18 (2024): 1541, 10.3390/cells13181541. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 114. Geng N., Shi B. J., Li S. L., et al., “Knockdown of Ferroportin Accelerates Erastin‐Induced Ferroptosis in Neuroblastoma Cells,” European Review for Medical and Pharmacological Sciences 22, no. 12 (2018): 3826–3836, 10.26355/eurrev_201806_15267. [DOI] [PubMed] [Google Scholar]
- 115. Guan H., Yang H., Yang M., et al., “Mitochondrial Ferritin Protects SH‐SY5Y Cells Against H2O2‐Induced Oxidative Stress and Modulates α‐Synuclein Expression,” Experimental Neurology 291 (2017): 51–61, 10.1016/j.expneurol.2017.02.001. [DOI] [PubMed] [Google Scholar]
- 116. Cozzi A., Orellana D. I., Santambrogio P., et al., “Stem Cell Modeling of Neuroferritinopathy Reveals Iron as a Determinant of Senescence and Ferroptosis During Neuronal Aging,” Stem Cell Reports 13, no. 5 (2019): 832–846, 10.1016/j.stemcr.2019.09.002. [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Supporting File: adhm71430‐sup‐0001‐SuppMat.docx.
Data Availability Statement
The data that support the findings of this study are available from the corresponding author upon reasonable request.
