Abstract
Ideal outcomes in the field of tissue engineering and regenerative medicine involve biomaterials that can enhance cell differentiation and production of local factors for natural tissue regeneration without the use of systemic drugs. Biomaterials typically used in tissue engineering applications include polymeric scaffolds that mimic the 3-D structural environment of the native tissue, but these are often functionalized with proteins or small peptides to improve their biological performance. For bone applications, titanium (Ti) implants, or more appropriately the titania (TiO2) passive oxide layer formed on their surface, have been shown to enhance osteoblast differentiation in vitro and to promote osseointegration in vivo. In this study we evaluated the effect on osteoblast differentiation of pure TiO2 nano-fiber meshes with different surface micro-roughness and nano-fiber diameters, prepared by the electrospinning method. MG63 cells were seeded on TiO2 meshes, and cell number, differentiation markers and local factor production were analyzed. The results showed that cells grew throughout the entire surfaces and with similar morphology in all groups. Cell number was sensitive to surface micro-roughness, whereas cell differentiation and local factor production was regulated by both surface roughness and nano-fiber diameter. These results indicate that scaffold structural cues alone can be used to drive cell differentiation and create an osteogenic environment without the use of exogenous factors.
Keywords: nano structures, electrospinning, scaffold, titanium implant, tissue engineering, bone
1. INTRODUCTION
The decade from 2001 to 2011 has been termed the “bone and joint decade”, because it has been recognized that musculoskeletal injuries are the most reported health condition in the United States (US), with an associated cost close to 8% of the US gross domestic product in lost wages and healthcare related costs [1]. More than 25% of musculoskeletal injuries involve bone fractures, with many of these fractures not being able to heal by themselves, thus requiring some type of bone void filler that can promote bone regeneration and reduce healing time for the patient. With an aging population in developed countries and statistics showing, for example, that 1 in every 2 women over 50 years old will suffer an osteoporotic bone fracture [2], there is a pressing need to find reliable bone repair materials.
Tissue engineering offers a promising approach for repair and regeneration of damaged human tissue by mimicking the extracellular environment and taking advantage of the natural cues cells use to perform their role. A common methodology for bone tissue engineering is the fabrication of three-dimensional (3-D) porous scaffolds, which allow cells to invade the construct in vitro or in vivo and more closely mimic the native environment [3, 4]. There are several methods to prepare porous scaffolds, such as freeze-drying and salt-leaching methods for polymer scaffolds [5], and replica methods used in ceramics [3, 6]. Although discovered over 100 years ago [7], electrospinning has gained popularity recently as a simple and versatile method to produce fibrous structures from synthetic and natural polymers with nano- to micro-scale dimensions [7, 8].
The electrospinning process has been extensively applied to create nano-fiber scaffolds for cardiovascular [9], urologic [10] and bone tissue engineering applications [11], among others, using synthetic organic polymers such as poly(epsilon-caprolactone) (PCL) [12] and poly(lactide-co-glycolide) (PLGA) [13]. Natural polymers such as collagen [14] and silk fibroin [15] have also been used in the electrospinning setup. Electrospun scaffolds have also been made using a composite of synthetic and natural polymers to take advantage of the mechanical properties of the former and the biological performance of the latter [16, 17]. An attractive property of organic polymers is that they can be resorbed by the body and fully replaced by the native tissue [18]. These organic polymers can also provide surfaces for cell attachment and growth, but it is often necessary to functionalize them, specifically for bone applications, with osteogenic molecules, such as hydroxyapatite [11] and growth factors like bone morphogenic proteins (BMP) [19] to promote cell differentiation.
Ceramic scaffolds have also been considered as bone graft substitutes for bone repair, with calcium-based chemistries such as hydroxyapatite [20] and β-tricalcium phosphate (βTCP) [21] commonly used because of their bioactivity and, in some cases, tunable resorbability [3]. Studies using solid substrate surfaces show that cell differentiation is sensitive to micro-scale and nano-scale topography [22–26]. When osteoblasts or mesenchymal stem cells (MSCs) are cultured on titanium substrates, which have an inherent TiO2 ceramic layer on the surface, they exhibit enhanced osteoblastic differentiation, particularly if the surface has both micro-scale and nano-scale features [27–29]. Although not bioresorbable, TiO2 could serve as an attractive substrate for bone tissue engineering due to its good biological performance. Whether surface structure also plays a role when cells are growing on TiO2 nano-fiber meshes is not known. The purpose of this study was to assess the contributions of nano-fiber dimensions and micro-scale pattern on cell response. To do this, pure TiO2 nano-fiber meshes were fabricated using electrospinning to have different surface micro-roughness and nano-fiber diameters.
2. MATERIALS AND METHODS
2.1 Preparation and Characterization of TiO2 Scaffolds
Titania nano-fiber meshes were prepared from a TiO2 gel solution prepared by hydrolysis of titanium(IV) isopropoxide (TiP) in poly(vinyl pyrrolidone) (PVP, Mw ≈ 300 000) and acetic acid. Initially, 0.5 mL of TiP was mixed with 0.5 mL ethanol, with 0.5 mL acetic acid used as catalyst. After stirring for 10 minutes, the solution was added to 1.5 mL of 6% PVP or 10% PVP in ethanol solution, and magnetically stirred for 30 minutes. To produce electrospun nano-fiber meshes, 1 mL of such hybrid solution was loaded into a plastic syringe with a blunt-ended stainless steel needle. The nano-fibers were spun using a feeding rate of 0.5 mL/h, a collection distance of 10 cm, and an applied voltage of 8 kV. To create a micro-scale pattern, the electrospun fibers were collected on a cross-hatched bronze net to imprint a pattern on the side of the mesh in contact with the collector. The PVP was removed from the fibers by heating in air at 700 °C for 3 hours on top of Si wafers, and all samples were sterilized under UV irradiation for at least 12 hours before characterization or cell experiments.
Sample topography and cell morphology were examined by scanning electron microscopy (Ultra 60 FEG-SEM, Carl Zeiss SMT Ltd., Cambridge, UK) using a 5 kV accelerating voltage and 30 μm aperture. Fiber dimensions and pore sizes were evaluated using image analysis software (ImageJ, NIH software) from three images of two different samples. Fiber diameter was evaluated at 20k X magnification and pore size at 5k X, with at least 100 fibers and 200 pores per mesh determined manually and analyzed by the software.
The chemical composition of the scaffolds was examined by energy dispersive x-ray spectroscopy (INCA EDX, Thermo Fisher Scientific, West Palm Beach, FL), with two different scaffolds per group analyzed in at least three different sites. Additionally, surface atomic concentrations were obtained from two specimens per group, two spots per specimen by X-ray photoelectron spectroscopy (Thermo K-Alpha XPS, Thermo Fisher Scientific, West Palm Beach, FL). The instrument was equipped with a monochromatic Al-Kα X-ray source (hv = 1468.6 eV) and spectra were collected using an X-ray spot size of 400 μm and pass energy of 200 eV, with 1 eV increments, at a 55° takeoff angle.
Surface roughness of the porous TiO2 meshes was evaluated using a laser confocal microscope (Lext LCM, Olympus, Center Valley, PA). LCM analyses were performed over a 644 μm × 644 μm area using a scan height step of 50 nm, a 20X objective, and a cutoff wavelength of 100 μm. Three scans each of at least two different samples per group were analyzed. The roughness parameters determined were mean surface roughness (Sa) and peak-to-valley height (Sz), and topographical images were also collected at the 20X magnification.
Finally, crystal structure x-ray diffraction (XRD) was investigated using 1.8 kW Cu Kα radiation, a 1° parallel plate collimator, a ¼ divergence slit, and a 0.04 rad soller slit (X’Pert PRO Alpha-1 diffractometer, PANalytical, Almelo, The Netherlands). Two samples per group were analyzed.
2.2 Cell Culture
MG63 cells (American Type Culture Collection, Rockville, MD) were cultured in Dulbecco’s Modification of Eagle’s Medium (DMEM, Cellgro® by Mediatech, Inc., Manassas, VA), containing 10% fetal bovine serum (Gibco, Carlsbad, CA) and 1% penicillin–streptomycin (Gibco), at 37°C in 5% CO2 and 100% humidity. The MG63 cell line was originally derived from a human osteosarcoma and has been shown to exhibit many characteristics of pre-mature osteoblasts, making it an attractive model for in vitro studies [30–32]. Cells were grown on 24-well plate tissue culture polystyrene (TCPS) using a seeding density of 20,000 cells/well. Alternatively, cells were seeded onto two different formulations of the TiO2 meshes (6% and 10% PVP), both on their flat and patterned sides after UV sterilization overnight. The meshes were slightly large to fit in a 24-well plate, so larger well-plates had to be used to avoid damage. Meshes were initially seeded in an untreated 6-well plate using a volume of 150 μL containing 20,000 cells to cover just the surface of the sample, and incubated for 4 hours to allow for initial cell attachment. Next, each well was brought up to a final volume of 2 mL and incubated for an additional 20 hours. After the first 24 hours, TiO2 meshes were transferred to an untreated 12-well plate containing 1 mL of medium in each well. MG63 cells were fed every 48 hours until confluent on TCPS. Cells in all wells were then incubated with fresh media for 24 hours and harvested. Conditioned media were collected as described below. Cell layers were washed twice with DMEM, followed by two sequential incubations in 500 μL of 0.25% trypsin-EDTA (Gibco) for 10 minutes at 37°C to ensure all cells were released from their substrate. Cells were then centrifuged at 2000 rpm for 15 minutes, resuspended in 10 mL of saline solution and counted with a Z1 Coulter particle counter (Beckman Coulter, Brea, CA). Cells were centrifuged again at 2000 rpm for 15 minutes, the supernatant was decanted, and the cell pellets were resuspended in 500 μL of 0.05% Triton-X-100. Cells were lysed by sonication.
2.3 Biochemical Assays
Cell differentiation was evaluated as a function of alkaline phosphatase specific activity as an early differentiation marker, and osteocalcin content in the conditioned media as a late differentiation marker, as previously described [29]. Alkaline phosphatase specific activity was assayed as the release of p-nitrophenol from p-nitrophenylphosphate at pH 10.2 [33, 34] and values were normalized to the protein content, which was detected as colorimetric cuprous cations in a bicinchoninic reaction (BCA Protein Assay Kit, Pierce Biotechnology Inc., Rockford, IL, USA) at 570 nm (Microplate Reader, BioRad Laboratories Inc., Hercules, CA, USA) [35]. Osteocalcin levels in the conditioned media were measured with a commercially available radioimmunoassay kit (Human Osteocalcin RIA Kit, Biomedical Technologies, Stoughton, MA) using a LS1500 gamma counter (Beckman Coulter, Brea, CA) as described previously [36].
The conditioned media were also assayed for protein levels of growth factors and cytokines, as described previously [37, 38]. Osteoprotegerin (OPG), a cytokine that works as a decoy receptor for receptor activator for nuclear factor κB ligand (RANKL) to inhibit osteoclastogenesis, was measured using an enzyme-linked immunosorbent assay (ELISA) kit (DY805 Osteoprotegerin DuoSet, R&D Systems, Minneapolis, MN). Vascular endothelial growth factor (VEGF), a growth factor involved in vasculogenesis and angiogenesis, was also measured using an enzyme-linked immunosorbent assay (ELISA) kit (DY293B VEGF DuoSet, R&D Systems).
2.4 Statistical Analysis
Data from characterization of the TiO2 meshes are presented as the mean ± one standard deviation (SD) of all the measurements performed on different samples. Data from cell experiments are presented as mean ± standard error (SE) for six independent cultures. All experiments were repeated at least twice to ensure validity of the observations and results from individual experiments are shown. Data were evaluated by analysis of variance, and significant differences between groups were determined using Bonferroni’s modification of Student’s t-test. A p value below 0.05 was considered to indicate a statistically-significant difference.
3. RESULTS
The process of electrospinning using the Ti(IV) isopropoxide and PVP mixture produced flexible, roughly-circular white meshes with an average diameter of 17 mm and less than 1 mm in thickness. After calcination at 700 °C for 3 hours, the meshes shrunk to an average diameter of 15 mm and became brittle. LCM images showed topographical differences between the two sides of the 6% PVP (Fig. 1a, b) and 10% PVP (Fig. 1c, d) TiO2 meshes. The surface of the meshes that was exposed to the electrospinning setup was relatively flat, with fibers aligned randomly throughout the surface. In contrast, the surface of the mesh that was in contact with the cross-hatched bronze net used to collect the fibers retained the pattern stamped by the net, with bunches of aligned fibers forming ridges ranging from 13 to 26 μm in height. SEM images (Fig. 2a–d) and image analysis (Fig. 2e, f) revealed that the meshes were porous, with a similar average pore size of 1.44 ± 0.89 μm for 6% PVP scaffolds and 1.76 ± 1.00 μm for 10% PVP scaffolds. However, the higher magnification SEM images (Fig. 2b, d) showed that changing the preparation from 6% to 10% PVP had an effect on the fiber diameter size, with the former having an average diameter of 184 ± 39 nm, and the latter a significantly larger average diameter of 343 ± 98 nm.
LCM measurements (Table 1) revealed that the roughness of both 6% and 10% scaffolds was similar with their patterned side significantly rougher compared to the flat side. The XRD spectrum (Fig. 3) of the nano-fiber TiO2 meshes after calcination presented main peaks for rutile and anatase crystal structures in both PVP concentrations, with small differences in the intensity of the peaks. Chemical analysis by EDX (Table 2) showed that the initial PVP concentrations did not affect the final chemical composition after calcination, which included Ti and O as the major components with a molar ratio close to 1:2 consistent with the TiO2 molecular formula. Small traces of Si and Ca were detected and no C was found in the EDX spectra of all the samples. The surface-sensitive XPS analysis (Table 3) also showed O and Ti as the main chemical species in both mesh groups, as well as the presence of C and Si in the spectra.
Table 1.
Sample | Roughness Average (Sa ± SD) [μm] | Peak-to-Peak Height (Sz ± SD) [μm] |
---|---|---|
TiO2 6% PVP (flat) | 0.57 ± 0.02 | 12.06 ± 3.33 |
TiO2-6% PVP (patterned) | 2.68 ± 0.35 | 53.00 ± 14.44 |
TiO2-10% PVP (flat) | 0.61 ± 0.05 | 25.11 ± 7.33 |
TiO2-10% PVP (patterned) | 2.15 ± 0.57 | 62.71 ± 8.79 |
Table 2.
Sample | Concentration [Atomic % ± SD]
|
|||
---|---|---|---|---|
O | Ti | Si | Ca | |
TiO2 - 6% PVP | 72.5 ± 2.0 | 27.4 ± 2.1 | 0.3 ± 0.0 | - |
TiO2 - 10% PVP | 73.9 ± 1.0 | 25.7 ± 1.1 | 0.3 ± 0.0 | 0.2 ± 0.0 |
Table 3.
Elemental composition of Ti disk surfaces analyzed by XPS
| ||||
---|---|---|---|---|
Sample | Concentration [Atomic % ± S.D.]
|
|||
O | Ti | C | Si | |
TiO2 6%PVP | 61.1 ± 1.5 | 22.2 ± 2.0 | 11.8 ± 0.6 | 2.7 ± 1.2 |
TiO2 10%PVP | 63.7 ± 0.8 | 23.8 ± 0.8 | 8.94 ± 2.8 | 2.99 ± 2.2 |
Cell morphology was similar on flat (Fig. 4) and patterned (Fig. 5) sides of the TiO2 meshes, regardless of the percent of PVP used during processing. The cells grew throughout the surface with elongated morphology and in some cases seemed to grow along some of the ridges of the patterned side and into the largest pores of both of the mesh. The number of cells on the patterned P6% and P10% groups were similar, but lower than the cell number of flat groups (Fig. 5a) Cell number of all TiO2 groups were lower than TCPS (Fig. 5a). Alkaline phosphatase was affected in a similar manner, with cells on the patterned side of the meshes having lower levels of enzyme activity than cells on the flat side, regardless of the PVP preparation (Fig. 5b). Osteocalcin levels were higher on the P10% group when compared to the F10% and P6% groups (Fig. 5c). Osteocalcin levels were also higher on all TiO2 meshes compared to TCPS. Osteoprotegerin production was sensitive to both the micro-scale pattern of the surface and the size of the nano-fibers, as the levels were higher on the F10% group compared to F6%, and on both P6% and P10% groups compared to their flat sides (Fig. 5d). VEGF production was higher on P6% and P10% groups compared to TCPS, with P10% being significantly higher than its flat counterpart F10% (Fig. 5e).
4. DISCUSSION
In this study the electrospinning process was used to create pure TiO2 meshes that had the same chemical composition and crystal structure, but different surface roughness and nano-fiber diameter. Differences in surface roughness were achieved by contrasting the side of each mesh that was exposed to the injection needle with the side that was in contact with the patterned bronze collector resulting in a cross-hatch pattern.
LCM measurements confirmed the difference in roughness between the two sides of the meshes, and showed that the patterned side was comparatively rougher than the flat side. These results using inorganic fiber meshes support previous observations showing that different collector patterns affect the topography and fiber alignment of polymeric electrospun meshes [39, 40].
By changing the PVP concentration of the starting solution from 6% to 10% PVP, the samples ended up with different average nano-fiber diameters. These results are consistent with previous studies on electrospun titania meshes [41], which showed that properties such as fiber diameter and pore size are dependent on electrospinning parameters such as PVP and titanium precursor concentrations, electric field strength, and solution feeding rate. Interestingly, these changes in surface roughness and fiber diameter were achieved without affecting the chemistry or the crystal structure of the substrates, thus emphasizing the effect of the structural variables of interest on cell response. In addition, the EDX results in combination with the lack of N in the XPS spectra supports the point that PVP was removed during calcination and the substrates are, indeed, mainly composed of TiO2. However, the meshes became brittle after calcination, limiting their use for clinical applications. Our results are in agreement with other studies on similar meshes made with 7% PVP after calcination at 700 °C for 2 hours that have found no additional weight loss measured by thermogravimetric analysis [42]. The presence of C in the XPS spectra can be attributed to hydrocarbon and organic contamination, which has been well documented on studies of Ti/TiO2 surfaces for implant applications when exposed to air [43, 44]. The traces of Si in both the EDX and XPS spectra possibly come from contamination during calcination of the meshes on top of the Si wafers.
Cell morphology was not sensitive to differences in micro-scale structure or nano-fiber diameter. However, cultures grew throughout the entire surface and interacted very closely with the nano-fibers. Even on the samples imprinted with the cross-hatch pattern, no major effects on cell morphology were observed, although a few cells did align with some of the ridges. Previous studies on electrospun polymeric scaffolds reported preferential attachment of cells along patterned and aligned nano-fibers during early culture time points, but not after cells reach a larger percentage of confluence [45–47]. It is possible that during earlier time points in our study, cells alignment with the ridges of the cross-hatch pattern might have been more evident, although this was not evaluated in this study.
In the present study, the average pore size of the meshes was smaller than the size of the cells, so it was not possible for them to be incorporated into the mesh. However, cells still tried to migrate within the largest pores, as evidenced by single nano-fibers covering parts of their cell extensions. Previously, non-woven electrospun scaffolds seeded with human mesenchymal stem cells (hMSC) have been shown to support cell growth with even distribution inside the scaffolds after culture in a dynamic flow bioreactor, and to promote neo-vascularization within the scaffolds in a nude mouse subcutaneous model [48]. Conversely, it has been recently reported that most conventional electrospinning collecting systems result in tightly packed layers of nano-fibers that hinder cell infiltration [49]. The same group developed a new “focused, low-density, uncompressed nano-fiber” (FLUF) collection system that results in loosely packed scaffolds with large pores that allow improved infiltration of cells.
Cell number on the TiO2 meshes was affected by the surface roughness of the samples and not necessarily by the size of the nano-fibers. The rough side of both 6% and 10% PVP meshes had lower cell numbers than their smooth side. The effect of surface roughness on cell number has been previously reported by our lab and others for Ti/TiO2 surfaces that promote osteoblast differentiation [29, 50–52]. The concept of decreased cell number on rougher surfaces that enhance osteoblast maturation has been explained as a transcriptionally regulated transition between cell proliferation and differentiation [53, 54]. In contrast, other groups have found higher cell numbers with an increase in nano-roughness [55], micro-roughness [56, 57] or a combination of both [28]. Our results are also in agreement with other studies on electrospun polymeric scaffolds, which have found no effects on osteoblast proliferation due to nano-fiber alignment [40, 45] nor nano-fiber diameter [58].
Maturation of osteoblasts was controlled by a combination of surface roughness and fiber diameter on the TiO2 meshes, or in other words a combination of micro-roughness and nano-topography created by the nano-fibers. Alkaline phosphatase specific activity, which is a marker of osteoblast differentiation expressed during early stages, was lower on the rough side of the 6% and 10% TiO2 meshes and higher on the flat side of the 6% PVP meshes compared to TCPS. Osteocalcin, a late differentiation marker, was significantly higher on the rough side of 10% PVP meshes compared to all other groups, suggesting that osteoblast were able to sense the combination of micro- and nano-topography and, thus, differentiation was enhanced on these samples. Osteocalcin production was also dependent on the chemistry of the substrate, as levels on all TiO2 meshes were higher than on TCPS. Many studies evaluating rough Ti/TiO2 surfaces have reported enhanced differentiation as evidenced by higher levels of alkaline phosphatase specific activity and osteocalcin compared to smooth surfaces using MG63s [59] and hMSCs [22]. Our results are in agreement with other studies that have also found lower levels of alkaline phosphatase specific activity with associated higher production of osteocalcin on micro-rough surfaces [59, 60] or combined micro- and nano-rough surfaces that mimic bone structural hierarchy [29], suggesting a more mature osteoblastic phenotype. These results are attributed to the biphasic profile of alkaline phosphatase specific activity, with an earlier peak and subsequent downregulation in production that precedes the step-like upregulation of osteocalcin once the osteoblasts reach a certain stage of maturity [54]. Only few studies have looked at these differentiation markers on polymeric electrospun meshes, with no clear effect from nano-fiber alignment [45] or diameter [58].
In addition, local factors OPG and VEGF were also sensitive to the combination of surface roughness and nano-fiber diameter. OPG production was higher on the smooth side of the 10% meshes compared to the 6% meshes, favoring the larger nano-fiber diameter on flat substrates. However, the highest levels of OPG were found on the rough side of the 6% and 10% meshes compared to their smooth side. VEGF production had the highest levels on the rough side of both meshes compared to TCPS, with the 10% PVP mesh also having higher levels compared to its smooth counterpart. Overall, our results show enhanced osteoblast maturation and local factor production on rougher TiO2 porous meshes with larger nano-fiber diameter of around 340 nm (i.e., 10% PVP TiO2 meshes). These results together with the cell number, ALP and OCN data suggest that surface roughness of porous TiO2 substrates in combination with the nano-topography created by the fibers can drive the maturation process of osteoblasts on these surfaces.
5. CONCLUSION
In this study, we have evaluated the effect of porous and nano-fiber TiO2 meshes on the cell number, differentiation, and local factor production of osteoblasts. The surface roughness and fiber diameter of the meshes could be varied without affecting their chemistry or crystal structure, emphasizing the effect of the structural parameters on cell response. The different TiO2 mesh groups supported osteoblast viability, as the cells grew throughout the entire surfaces. The TiO2 chemistry seemed to enhance osteoblast maturation, as all experimental groups had lower cell number and higher levels of differentiation markers compared to TCPS. Although cell morphology was similar on all TiO2 mesh groups, cell response was sensitive to the substrate. Moreover, cell number, differentiation and local factor production were regulated by different structural aspects of the meshes. Osteoblast final cell number was controlled by surface micro-roughness, whereas differentiation and local factor production were affected by both surface micro-scale pattern and nano-fiber diameter, indicating that osteoblasts are sensitive to both the micro-roughness and the nano-topography created by the TiO2 nano-fibers. Finally, the combination of micro-roughness with the nano-topography created by the larger nano-fibers enhanced osteoblast differentiation and local factor production, indicating that there might be a lower-limit threshold in the size of the nano-fibers that could be sensed by the osteoblasts to differentiate and generate an osteogenic environment. In conclusion, inorganic scaffold structural cues alone can be used to drive cell differentiation and create an osteogenic environment without the use of exogenous factors and, thus, structural parameters should be carefully considered when designing a scaffold for tissue engineering applications.
Supplementary Material
Acknowledgments
This research was supported by USPHS AR052102 and the Wallace H. Coulter Foundation. RAG is partially supported by a fellowship from IFARHU-SENACYT. HC thanks the support from the Ministry of Science and Technology of China (Grants 2011AA030102, 2012CB933903).
Footnotes
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