Abstract
Recent studies have shown that nanoscale and submicron topographic cues modulate a menu of fundamental cell behaviors, and the use of topographic cues is an expanding area of study in tissue engineering. We used topographically-patterned substrates containing anisotropically-ordered ridges and grooves to investigate the effects of topographic cues on mesenchymal stem cell morphology, proliferation, and osteogenic differentiation. We found that human mesenchymal stem cells cultured on 1400 or 4000 nm pitches showed greater elongation and alignment relative to 400 nm pitch or planar control. Cells cultured on 400 nm pitch demonstrated significant increases in RUNX2 and BGLAP expression relative to cells cultured on 1400 or 4000 nm pitch or planar control. 400 nm pitch enhanced extracellular calcium deposition. Cells cultured in osteoinductive medium revealed combinatory effects of topography and chemical cues on 400 nm pitch as well as up-regulation of expression of ID1, a target of the BMP pathway. Our data demonstrate that a specific size scale of topographic cue promotes osteogenic differentiation with or without osteogenic agents. These data demonstrate that the integration of topographic cues may be useful for the fabrication of orthopedic implants.
Keywords: mesenchymal stem cells, nanotopographic ridges and grooves, osteogenic differentiation, osteoinductive agents, Bone Morphogenetic Protein (BMP)
1. Introduction
In the United States alone, the annual costs of orthopedic-related injuries are estimated to be between $17–20 billion annually [1]. Many of these costs are associated with complications following adverse events such as skeletal fracture due to traumatic injury or idiopathic or pharmacologically-induced osteoporosis. The frequency of such events is predicted to increase as the population ages [2]. High morbidity and mortality in conjunction with increasing healthcare costs are associated with such fractures [3], resulting in a critical need to enhance skeletal repair.
Bone marrow-derived MSCs [4], as well as adipose-derived MSCs, demonstrate the capacity for adipogenic, osteogenic, and chondrocytic differentiation [5] in response to a variety of stimuli such as exogenous growth factor (e.g., BMP [6]) and biophysical conditions (i.e., micromass pellet versus monolayer expansion [7, 8]). Cell-based therapies involving autologous or allogeneic MSCs have been investigated as options in cases involving orthopedic complications [9]. The success of tissue engineering in skeletal repair is a function of the scaffold, cells, and exogenous signals that are used [10]. Traditionally, osteoinductive agents such as BMP-2 or BMP-7 have been used for promoting stem cells to differentiate along the osteogenic lineage [6], but potential adverse effects and high costs of such agents create a need for novel methods to promote osteogenic differentiation.
Recent findings underscore that submicron and nanoscale topography can control fundamental cell behaviors including proliferation [11, 12], migration [11, 12], and differentiation [13, 14]. It is important to choose an appropriate topographically-patterned substrate to achieve desired cell responses because cell responses vary depending on cell type, topographic feature size and geometry, and substrate compliance [11, 15–17]. Two types of geometries, namely nanopits and nanotubes, have been previously investigated in terms of osteogenic differentiation. Nanopits of randomly placed 50 nm holes separated by 250 nm (i.e. 300 nm pitch) as well as nanotubes (100 nm diameter) enhance osteogenic differentiation of hMSCs [18, 19]. However, responses to other commonly-used geometries [20], including submicron and nanoscale ridges and grooves [16], remain unknown. In addition, the previous investigations of effective feature size were performed on surfaces with feature sizes smaller than 300 nm [18, 19, 21], and further analysis of additional biologically-relevant feature sizes is needed to determine the optimal length scale of topography to promote osteogenic differentiation. Therefore, we focused on surfaces with feature sizes in the range of nanomicron to submicron, as they are biologically relevant but not extensively investigated.
Our hypothesis is that topographic cues in the form of anisotropically ordered ridges and grooves, mimicking biophysical cues provided by collagen fibers, will enhance osteogenic differentiation of MSCs. To optimize the osteogenic differentiation, the effects of feature scale employing dimension values that span the biologically relevant size range of the collagen fibrils (10–300 nm) and fibers (up to several microns) [22] were investigated. Topographic features of ridges and grooves ranging from 200 to 2000 nm (400 to 4000 nm in pitch) were used to identify the ideal length scale for promoting osteogenic differentiation [11, 23]. Osteoinductive effectors were also employed to determine if there was a synergistic or additive effect between soluble signaling molecules and topographic cues..
2. Materials and Methods
2.1. Fabrication of micro- and nanoscale surfaces
Patterned silicon surfaces utilized as master stamps were prepared at the Center for Nanotechnology (University of Wisconsin) as previously described [24, 25]. The grooves on each substrate were 300nm in depth and 400, 1400, or 4000 nm pitch. The ratio of width of a ridge to a groove was 1:1 (Fig 1A). Planar surfaces were used as controls. Polydimethylsiloxane (PDMS) stamps were generated as previously described [11, 16] and were used as templates for replication of the patterns in NOA81 polyurethane (Norland Optical Adhesives, Cranbury, NJ)
2.2. Cell culture
Human MSCs were purchased from Lonza (Walkersville, MD); these cells were a priori found positive for MSC markers CD105, CD16, CD29, and CD44, and were negative for markers of hematopoietic lineage, including CD34 and CD45. Cells were maintained in growth medium consisting of Minimum Essential Medium, α-modification (Invitrogen, Carlsbad, CA), supplemented with 10% fetal bovine serum (Invitrogen, Carlsbad, CA) and 1% penicillin/streptomycin (Invitrogen, Carlsbad, CA). Cells were seeded onto the patterned or planar polymeric substrates at 2,000 cells/cm2 and the medium was changed twice weekly. Additionally, hMSCs were grown in osteogenic medium (growth medium supplemented with 5 mM β–glycerolphosphoric acid (VWR International, Randnor, PA) and 50 µg/ml L-ascorbic acid (Waco, Japan). Medium was changed twice weekly. Cells of passage 5–9 were used in the experiments.
2.3. Analysis of cell morphology, area, elongation and alignment
hMSCs were plated at a density of 2,000 cells/cm2; 24 hours later, hMSCs were fixed with 3.7% paraformaldehyde in 1x phosphate-buffered saline (PBS, pH 7.2) for 20 min. Fixed cells were treated with 0.1% Triton X-100 solution for 5 min, followed by 20 min treatment with SuperBlock Blocking Buffer (Themo Scientific, Rockford, IL), and rinsed with PBS. Alexa Flour® 568 phalloidin (Invitrogen, Carlsbad, CA) 10 µg/ml in 10% SuperBlock was added to the plates, and incubated for an hour at room temperature. Plates were rinsed with PBS, and counterstained with DAPI (BioGenex, San Ramon, CA) for 5 min, and imaged at a Zeiss Axiovert 200 M inverted microscope with a motorized stage, a 10X/0.4 NA lens, AxioCam HRm or AxioCam b/w (Carl Zeiss Inc., North America).
Inclusion criteria for the cell area, elongation and alignment factor assays were based on cells that were adherent with no discernable cleavage furrows and had no cell-cell contact with other cells. The perimeters of each cell were traced using AxioVison Release 4.6 (Carl Zeiss Inc., North America). A total of 120–160 cells for a given surface from 2 dishes were analyzed, and the experiment was repeated twice more with cells from later passages. The “Auto Measure” function was used to measure the total area of each traced cell and the aspect ratio (the ratio of the major axis divided by the minor axis of each cell based on a fitted ellipse model) and the specific angle of orientation of cells in relation to the ridges and grooves. Cells were considered aligned to underlying topography of ridges and grooves when this angle was within 10 degrees of being parallel to the ridges. The 95% confidence interval of the aspect ratio of hMSCs on planar surfaces was calculated to determine the base range of the aspect ratio of hMSCs. Cells were considered elongated if it was more than 2.429, the upper bound of the confidence interval.
2.4. Cell adhesion and proliferation assay
hMSCs were plated at a density of 2,000 cells/cm2; 24 hours later, hMSCs were fixed for 15 min in 5% formaldehyde in PBS, followed by 0.1% Triton X-100 solution for 5 min. Nuclei were then stained with DAPI for 5 min, and imaged at a Zeiss Axiovert 200 M inverted microscope with a motorized stage, a 10X/0.4 NA lens, AxioCam HRmor AxioCam b/w. Then, 25 random images were taken from each patterned or unpatterned surface, and total cell number was estimated from 5 randomly-selected images using ImageJ version 1.42q with the cell counter plug-in (NIH, Bethesda, MD). The remaining cultures were allowed to grow in normal or osteogenic medium for 7 days, after which they were fixed and imaged in the same manner. Proliferation rate was calculated by dividing total cell number after 7 days of culture by cell number determined 3 hours after initial seeding.
2.5. Alizarin red S stain and quantification
Cells were grown on patterned and planar surfaces. On days 7, 14 and 21, cells were washed with pre-warmed PBS (37 °C) and fixed for 15 min with 5% formaldehyde solution. After fixing, cells were washed with filtered de-ionized water and incubated with 0.5% Alizarin red S (ARS: Sigma-Aldrich, St. Louis, MO) solution for 30 min. The ARS solution was removed and cells were washed with filtered de-ionized water until the rinse solution was clear. Imaging and quantitative assays were performed after surfaces were air-dried. Following imaging, calcium deposition was quantified as previously described [26]. Briefly, ARS-stained hMSCs were incubated with 10% cetylpyridinium chloride in 10mM sodium phosphate solution, pH 7.0, for an hour. Next, 200µl of each sample were then loaded into a 96-well plate in triplicate and absorbances were determined at 562nm wavelength and compared to standards of known concentration of ARS. Because 1 mole of ARS binds to 2 moles of calcium [27], moles of calcium deposited per sample were extrapolated. Following quantification of ARS, total cell number of hMSCs on each surface was measured to normalize the amount of calcium deposition by permeabilizing the cells with 0.1% Triton X-100, staining with DAPI. Total cell number was measured as described in section 2.3.
2.6. mRNA expression profiles
Total RNA was collected from hMSCs at 3, 7, 10 and 14 days. RNA was isolated with RNeasy Mini Kit (Qiagen, San Jose, CA). Total RNA was reverse-transcribed with QuantiTect Reverse Transcription Kit (Qiagen, San Jose, CA), and qPCR was performed using QuantiFast Probe PCR Kit (Qiagen, San Jose, CA) on a Mastercycler® realplex2 (Eppendorf, Hauppauge, NY). Proprietary primer and probe sets for BGLAP (Osteocalcin, Hs01587814-g1), RUNX2 (runt-related transcription factor 2, Hs00231692-m1) and TBP (TATA-binding protein, 4333769F) were purchased from Applied Biosystems (Carlsbad, CA). Amplification conditions were 95 °C for 3 minutes, followed by 40 cycles at 95 °C for 3 seconds and 60 °C for 30 seconds. ΔCt was calculated relative to the loading control (TBP) for each sample; ΔΔCt was calculated by normalizing ΔCt of target conditions to that of control conditions (e.g. planar surface at the same time point). Relative expression was subsequently calculated using the formula 2−ΔΔCt [28].
2.7. Statistics
All data were analyzed using GraphPad Prism 4 (GraphPad Software, La Jolla, CA) and/or PASW Statistics 17.0 (SPSS Inc, Chicago, IL). When variability was determined to be significant (p < 0.05) using analysis of variance (ANOVA), the Tukey’s multiple comparison test was conducted as the post hoc test. Significance was established when * = p < 0.05, ** = p < 0.01, or *** = p < 0.001.
3. Results
3.1. Effect of topographic cues on fundamental cell behaviors
3.1.1. Cell Morphology, Area, Elongation and Alignment
hMSCs on 400 nm pitch exhibited a flattened morphology (Fig 1B) as well as the largest average cell area among all surfaces (Fig 2A). In contrast, the number of elongated hMSCs on 1400 and 4000 nm pitch was significantly higher compared to 400 nm pitch and planar surfaces (Fig 1C/D and 2B). On 1400 and 4000 nm pitch, the number of aligned hMSCs to the underlying topography was significantly higher compared to 400 nm pitch and planar surfaces (Fig 2C). The results were similar with all passages.
3.1.2. Cell Attachment
400 nm pitch significantly decreased cell adhesion compared to planar surfaces (Fig 2D). There were trends, although not statistically significant, for similar results with 1400 and 4000 nm pitch compared to planar surfaces.
3.1.3 Cell Proliferation
The percent increase in cell number was calculated by comparing the cell number 3 hours post-seeding to total cell number after 7 days of culture. There was no statistical difference of the proliferation rate between cells cultured on patterned and planar surfaces (Fig 3A). Total cell number on day 7, 14 and 21 was also calculated, and the number of cells on planar surfaces was consistently higher than that on patterned surfaces on all days (Fig 3B), perhaps due to differential attachment of the seeded cells.
3.2. Enhanced osteogenic differentiation on topographically-patterned substrates
After 3 days of culture, expression of RUNX2, a master control gene of osteogenic differentiation [5], was significantly higher on 400 nm pitch compared to 4000 nm pitch and planar surfaces (Fig 4A). This persisted through 14 days of culture (Fig 4A). There was no statistically significant influence of 1400 or 4000nm pitch topographies on RUNX2 expression compared to planar controls. We also examined expression of osteocalcin (BGLAP), a marker of mature osteoblasts. At each time point examined, there was a significant stimulatory effect of topography upon BGLAP expression compared to planar controls (Fig 4B).
The influence of topographic cues on extracellular calcium deposition was also examined. As the total cell number on topographic surfaces was different between topographic surfaces and planar surfaces (Fig 3B), calcium deposition was normalized to cell number. Normalized calcium deposition on 400 nm pitch was significantly higher than planar surfaces at days 7 and 14 (Fig 4C). There were no differences in normalized calcium deposition among any surfaces at day 21.
3.3. Regulation of upstream signaling pathways in non-osteoinductive growth medium
To investigate how nanotopography affects the osteogenic differentiation, we examined RNA expression of target genes of BMP (ID1) or Wnt signaling (TCF3 and AXIN2). In non-osteoinductive medium, RNA expression of the three genes (ID1, TCF3 and AXIN2) was not significantly different among all surfaces (Fig 5A–C).
3.4 Combinatory effects of osteoinductive medium and topographic cues on fundamental cell behaviors and osteogenic differentiation
We next examined whether there were additive effects of traditional osteoinductive treatment and nanotopography. The percent increase in cell number was calculated by comparing the cell number after 3 hours to the cell number (Fig 2A) after the seven day time point in osteoinductive medium (Fig 6A). Data trends in this medium showed lower proliferation rates on 400 nm and 4000 nm pitch compared to planar surfaces. Then, we measured the total cell number of hMSCs in osteogenic medium on day 7, 14 and 21. The hMSCs on topographic surfaces consistently showed lower cell number compared to planar surfaces (Fig 6B).
The expression of osteogenic gene markers and calcium deposition in osteo-inductive culture was determined. Expression of RUNX2 was only significantly enhanced on the 400 nm pitch as compared to planar surfaces at days 3 (Fig 7A). Expression of BGLAP was significantly increased on the topographically-patterned substrates compared to planar surfaces at multiple time points. Significantly higher BGLAP expression was detected on 400 nm pitch surfaces at days 3, 10 and 14, on 1400 nm pitch surfaces at days 10 and 14, and on 4000 nm pitch surfaces at days 3 compared to planar surfaces (Fig 7B). Similar to non-osteoinductive growth medium, normalized calcium deposition was significantly increased on 400 nm pitch surfaces at days 7 compared to planar controls (Fig 7C).
In osteogenic medium, expression of ID1 on 400 nm pitch surfaces was significantly greater than expression on planar controls, while expression of TCF3 and AXIN2 did not significantly differ among all surfaces (Fig 8A–C).
4. Discussion
In this study, we demonstrated that a specific size scale of topographic ridges and grooves promotes the osteogenic differentiation of hMSCs. Other substratum geometries, such as nanopits and nanotubes have been previously shown to stimulate osteogenic differentiation [18, 19]. In this study, hMSCs were seeded on topographic ridges and grooves ranging from 400 nm to 4,000 nm pitch. The 400 nm pitch (200 nm wide ridges + 200 nm wide grooves) resulted in the highest expression levels of two important osteogenic marker genes and bone mineral formation. Given the results that tubes with a 100 nm diameter and nanopits of 300 nm pitch enhanced osteogenic differentiation of hMSCs [18, 19], 100 nm to 400 nm may be the optimal length scale for promoting osteogenic differentiation in hMSCs. Within bone, type I collagen is the most abundant ECM protein, and is composed of parallel array of collagen fibrils 10–300 nm in size [22, 29], suggesting that the most potent osteogenic differentiation in this study may have resulted from topographic cues that mimic in situ orientation and composition of collagen in bone.
Our results differ from previous studies where topographic ridges and grooves were shown to induce neuronal markers [30], In that study, ridges and grooves with 700 nm pitch induced a number of neuronal markers. With that study, different culture medium and a different coating material were used. The seeding density also differed. Each of these factors may have cued the MSC into a different cell path than the osteogenic one observed in our studies.
Similar to the study conducted in rabbit corneal keratocytes, fibroblasts and myofibroblasts [12], hMSCs on 1400 nm and 4000 nm pitch patterned substrates significantly elongated and aligned to the underlying topography compared to planar surfaces. In contrast, hMSCs on 400 nm pitch and planar surfaces showed a more rounded and flattened morphology although hMSCs on 400 nm pitch were significantly aligned to the underlying topography. These data demonstrate that ridges and grooves as low as 400 nm pitch modify alignment and/or morphology of hMSCs. It is known that changes in cell morphology affect gene expression profiles and cell differentiation [31–33]. In particular, hMSCs differentiate into osteoblasts when allowed to spread and flatten, whereas restricting the surface area upon which to grow promotes adipogenic differentiation of hMSCs [4]. Greatest average cell area was found in hMSCs cultured on 400 nm pitch (Fig 2B). Combined, this suggests that osteogenic differentiation occurs when cell area increases.
The process of bone repair and regeneration is complex, and several molecules, including Wnt and bone morphogenetic proteins (BMPs), were identified as pivotal factors in osteogenic differentiation [5, 6, 34, 35]. However, the precise mechanisms and interaction between different molecular processes remain unknown [34]. There have been very few investigations regarding the association between topographic cues and molecular signaling pathways, particularly for osteogenic differentiation [36, 37]. In order to determine the relationship between topographic cues and the Wnt and or BMP signaling pathways, three downstream genes, ID1, TCF3 and AXIN2 were analyzed. ID1 is a target gene induced by BMPs [38, 39], while TCF3 is induced by Wnt signaling and plays an important role in stem cell differentiation [40]. AXIN2 is induced by beta-catenin/Wnt signaling, where it functions to dampen Wnt signaling in a negative feedback manner [41]. In this study, TCF3 and AXIN2, downstream genes of Wnt pathway, were not significantly affected by topographic cues. On the other hand, ID1 was significantly up-regulated on 400 nm pitch patterned substrates in osteogenic medium, and a similar trend of ID1 up-regulation was found in non-osteinductive medium. The results demonstrate that biomimetic topographic cues enhance the BMP pathway particularly in the presence of osteogenic medium. This finding is important because the combinatory treatment of topographical and biochemical induction may be applicable for patients of orthopedic procedures at high-risk for the development of complications.
The combination of soluble biochemical cues provided by osteoinductive medium and topographical cues provided by 400 nm pitch substratum topography significantly enhanced expression of RUNX2 and BGLAP and showed the highest normalized calcium deposition. The results demonstrate that topographical cues can be combined with traditional osteoinductive treatments to achieve an additive effect for osteogenic differentiation. Similarly, ID1 was significantly up-regulated only on 400 nm pitch in osteogenic medium suggesting that topographic cues may reinforce a canonical signaling pathway in the presence of osteoinductive agents. Assessment of osteogenic differentiation over two to three weeks demonstrated that the effects of topographic cues persisted for at least for two weeks. Expression of the BGLAP and normalized calcium deposition on topography with 400 nm pitch were consistently higher than that on planar controls. These results showed the advantage of employing topographically modified implants over traditional osteoinductive agents as topographic cues last longer than osteoinductive agents that have mean residence time of less than 8 days [42, 43].
In summary, our data showed that topographic cues, especially in the smaller biomimetic size scale (400 nm pitch), are feasible ways to improve osteogenic differentiation in hMSCs. We identified optimal length scale for osteogenic differentiation and combinatory effects of topography and osteoinductive agents will provide insight on the wide variety of treatment options for orthopedic complications.
5. Conclusion
Our data show that topographic cues promote osotegenic differentiation in hMSCs in a size scale-dependent manner. We investigated the effects of topographic cues on proliferation, two essential osteogenic genes, canonical signaling pathways and calcium deposition with and without osteoinductive agents. We found that 400 nm pitch surfaces are ideal for osteogenic differentiation in hMSCs regardless of culture conditions. These studies provide the optimal size scale for the substratum in the development of orthopedic implants to enhance bone formation. Furthermore, these studies imply combinatory use of topographic cues and traditional soluble osteoinductive agents would be beneficial.
ACKNOWLEDGEMENTS
The authors would like to thank Dr. Nihar M. Shah and Brittany L. Wood for the fabrication of patterned substrates. This work was supported by an unrestricted grant from Research to Prevent Blindness and Award Number R03AR057547 from the National Institute of Arthritis and Musculoskeletal and Skin Diseases (DCG).
Footnotes
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