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. Author manuscript; available in PMC: 2017 Dec 1.
Published in final edited form as: Adv Healthc Mater. 2016 Oct 6;5(23):2993–3003. doi: 10.1002/adhm.201600808

Expanded Three-dimensional Nanofiber Scaffolds: Cell Penetration, Neovascularization, and Host Response

Jiang Jiang 1, Zhuoran Li 2, Hongjun Wang 3, Yue Wang 4, Mark A Carlson 5,6, Matthew J Teusink 7, Matthew R MacEwan 8, Linxia Gu 9, Jingwei Xie 10,*
PMCID: PMC5143187  NIHMSID: NIHMS832682  PMID: 27709840

Abstract

Herein, we report a robust method to fabricate expanded nanofiber scaffolds with controlled size and thickness using a customized mold during the modified gas-foaming process. The expansion of nanofiber membranes was also simulated using a computational fluid model. Expanded nanofiber scaffolds implanted subcutaneously in rats showed cellular infiltration, whereas non-expanded scaffolds only had surface cellular attachment. Compared to unexpanded nanofiber scaffolds, more CD68+ and CD163+ cells were observed within expanded scaffolds at all tested time points post-implantation. More CCR7+ cells appeared within expanded scaffolds at week 8 post-implantation. In addition, new blood vessels were present within the expanded scaffolds at week 2. The formed multinucleated giant cells within expanded scaffolds were heterogeneous expressing CD68, CCR7, or CD163 markers. Together, the present study demonstrated that the expanded nanofiber scaffolds promoted cellular infiltration/tissue integration, a regenerative response, and neovascularization after subcutaneous implantation in rats. The use of expanded electrospun nanofiber scaffolds offers a promising method for in situ tissue repair/regeneration and generation of three-dimensional tissue models/constructs.

Graphical abstract

graphic file with name nihms-832682-f0001.jpg

We report a method to fabricate expanded nanofiber scaffolds with controlled size and thickness using a customized mold during the expansion process. The expanded nanofiber scaffolds promoted cellular infiltration/tissue integration, a regenerative response, and neovascularization after subcutaneous implantation in rats.

1. Introduction

Electrospinning is an enabling technology that can produce a matrix reminiscent of extracellular matrix found in a variety of tissues and organs, which are synthesized and hierarchically organized into fibrillar form with fiber dimensions down to nanometer scale.[1-3] Electrospun nanofibers can also provide a large surface area-to-volume ratio ideal for immobilizing bioactive signaling molecules and pharmaceutical agents capable of positively influencing cellular behavior.[4] Nanotopographic cues rendered by electrospun nanofibers have demonstrated the ability to guide cellular morphology, migration, and differentiation.[5] However, one major drawback that lies in traditional electrospun nanofiber membranes is the small pore size resulting from tightly-packed nanofiber layers, which limits cellular infiltration and three-dimensional (3D) tissue formation.[6] 3D scaffolds composed of electrospun nanofibers that promote cellular infiltration therefore may represent an improved synthetic matrix for use in tissue repair/regeneration, and provide a better mimic for both the structure and composition of targeted tissues.[7]

In order to improve the modeling of native tissue structure, many attempts have been made to fabricate 3D electrospun nanofiber scaffolds. Jun et al. designed a unique collector consisting of a grounded spherical dish and an array of needle-like probes for creation of a focused, low density, uncompressed poly(ε-caprolactone) (PCL) nanofiber scaffold.[8] In order to promote electron transfer from deposited fibers to the collector and achieve repulsion between deposited fibers and the collector during electrospinning, Yang et al. used a negatively-charged spinneret and a positively-charged collector board, electrospinning zein and keratin scaffolds with fibers oriented randomly and evenly in three dimensions.[9] Based on a similar principle, Jang et al. added salts to a polymer solution prior to electrospinning and produced a sponge nanofiber matrix composed of multilayered nanofiber sheets.[10] Kwon et al. exposed two-dimensional (2D) poly(L-lacide) (PLLA) nanofiber membranes to ultra-sonication with different times and obtained 3D nanofiber scaffolds with adjustable pore size and thickness with longer treatment.[11] Alsberg et al. further combined fiber-fiber charge repulsions and ultra-sonication to fabricate highly porous alginate nanofiber scaffolds.[12] Unfortunately, most studies have been limited to the fabrication of 3D nanofiber scaffolds composed of random nanofibers and/or certain materials. The resultant scaffolds often had insufficient thickness, restricted geometries, and/or uncontrolled porosity.[8-12] These fabricated scaffolds were also associated with unordered structures and lack of nanotopographic cues that are critical for regeneration of highly organized tissues such as tendon, nerve, and muscle.[13] In addition, most of these 3D nanofiber scaffolds were only examined either in vitro or in vivo with respect to cellular infiltration, lacking the characterization of host response and neovascularization.

Our recent study reported a modified gas-foaming approach to expand electrospun nanofiber membranes in the third dimension.[13] The expanded nanofiber scaffolds had significantly higher porosity than traditional 2D nanofiber membranes, while maintaining aligned nanotopography. The expanded scaffolds also had a layered structure with gap widths and layer thicknesses controllable on micron scale, ideal for cell seeding and penetration. Robust cellular infiltration and proliferation within expanded nanofiber scaffolds were demonstrated in vitro. However, the usable size and precise control of scaffold thickness were not fully realized in previous work.[13] For example, the largest size of fiber samples tested for expansion was approximately 1 cm × 1 cm.[13] Larger sizes of nanofiber membranes were not examined. Furthermore, the thickness of scaffolds fabricated was primarily dependent on processing time. In order to optimize this process for use in the production of scaffolds for tissue repair/regeneration, a greater range of scaffold sizes (width, length) and thicknesses are required. More precise control of scaffold thickness is also desired in order to optimize the translational potential of fabricated 3D nanofiber matrices. Therefore, a robust method capable of producing expanded electrospun nanofiber scaffolds with increased size and precise control of thickness is greatly needed. In addition, the previous study only tested the in vitro cellular infiltration for expanded nanofiber scaffolds. [13] The in vivo response of expanded nanofiber scaffolds largely remains unknown. The objectives of the present study were to fabricate expanded nanofiber scaffolds with increased size and precise control of thickness, and to examine the cellular infiltration, host response, and neovascularization of expanded scaffolds after subcutaneous implantation in rats. The findings of this study aim to provide insight into the design of 3D biomimetic scaffolds for tissue repair and regeneration in situ and engineering 3D tissue models/constructs in vitro.

2. Results

2.1. Fabrication and Characterization of Expanded Nanofiber Scaffolds

Previously we demonstrated that electrospun nanofiber mats can be expanded in the third dimension after treatment with aqueous NaBH4 solution.[13] However, the working size and thickness control of these expanded scaffolds were somewhat limited. In the present report, we have described a robust approach for fabrication of expanded nanofiber scaffolds with both a greater mat size and a precise control of thickness by using a customized glass mold (Figure 1). We were able to expand nanofiber scaffolds with a starting mat size of 80 mm × 80 mm (increased from10 mm × 10 mm; see Figure S1). In addition, the precise thickness control of these expanded scaffolds was achieved using pre-designed glass spacers (Figure 1a).

Figure 1.

Figure 1

Schematic illustrating the fabrication of expanded PCL nanofiber scaffolds. a) A customized mold was made by a pair of glass sheets and spacers, which was assembled by glue. A piece of plasma-treated PCL fiber mat was placed at the center of the mold. b) The PCL fiber mat together with the mold was expanded in 1 M NaBH4 solution for 1 h at room temperature. c) The expanded PCL nanofiber scaffold was rinsed, vacuumed, and freeze-dried using a lyophilizer. d) The glass mold was gently removed and the expanded PCL nanofiber scaffold was ready to be sterilized and used for implantation.

Figure 2a shows the photographs of an unexpanded nanofiber mat (left) and freeze-dried, expanded nanofiber scaffolds (30 mm × 50 mm) with thicknesses of 3 mm (middle) and 10 mm (left). Figure 2, b and c, shows the photographs of the sterilized 3 mm and 10 mm thick scaffolds immersed in saline before subcutaneous implantation. Figure 2d shows SEM images of the cross-section of an unexpanded PCL nanofiber mat, indicating that the fiber mat prior to expansion was composed of densely packed random nanofibers. Figure 2, e and f, shows SEM images of the cross-sections of expanded 3 mm and 10 mm thick nanofiber scaffolds, displaying layered structures. Increased gap distances were observed for thicker nanofiber scaffolds. However, it seems that there was not much difference between the layer thicknesses of 3 mm and 10 mm thick nanofiber scaffolds. Based on SEM images, we also quantified the distribution of gap distances and layer thicknesses for the cross-sections of 3 mm and 10 mm thick nanofiber scaffolds. Figure 2g shows the distributions of gap distances for the cross-sections. Thicker scaffolds had larger gap distances as the peak shifted to the right with increasing the thickness. The gap distances corresponding to the peaks were 10 μm and 20 μm on the cross-sections of 3 mm and 10 mm thick nanofiber scaffolds. Interestingly, the distributions of layer thicknesses were similar (Figure 2h). The layer thickness corresponding to the peak was around 10 μm.

Figure 2.

Figure 2

Morphological and structural characterizations of unexpanded and expanded random nanofiber scaffolds. a) Photographs of random PCL nanofiber scaffolds prior to and after treatment with 1 M NaBH4 for 1 h using 3 mm and 10 mm molds. b, c) Photographs of expanded 3 mm and 10 mm thick scaffolds in saline. (d-f) SEM images showing the cross-sections of random PCL fiber mats before (d) and after expansion with 3 mm (e) and 10 mm (f) molds. The scale bar in (d-f) is 20 μm. (g) The distributions of gap distances between adjacent layers of expanded 3 mm and 10 mm thick nanofiber scaffolds. (h) The distributions of layer thicknesses of expanded 3 mm and 10 mm thick nanofiber scaffolds. Both the gap distance and layer thickness were quantified using the Image J software based on SEM images.

2.2. Simulation of Expanding Process of Nanofiber Membranes

The volume fractions (VOF) of the gas during the expanding process, including the bubble nucleation, growth, and coalescence, were described in the Figure 3. The volume of fluid (VOF) model tracked the volumes of gas in each numerical grid. Specifically, the blue region corresponds to near zero volume fraction of gas, indicating a liquid phase. The red region with a unity volume fraction indicated a gas phase. Here we tracked the gas-liquid interface based on a given volume fraction of 0.5, i.e., each grid at the interface that is half full with gas. Five inlets were constructed at the bottom layer to initiate the gas flow and mimic the gas bubble nucleation. It is clear that the nucleated bubbles grow bigger with the continued production of gas till coalescence of adjacent bubbles starting at 0.0003 s. A short distance between two nucleation sites led to earlier gas bubble coalescence. At 0.0011 s, a bubble layer was formed to further expand the nanofiber scaffolds. This process was also speculated in our previous work.[13] Results also demonstrated that gas bubbles bridging two layers of scaffold were noncircular, which was different from classical free-floating gas bubbles. This could be due to the bubble surface tension and the pressure gradient at both ends of the scaffold. The flow dynamics of the expanding process could be further used to optimize and control the spatial structure of nanofiber scaffolds.

Figure 3.

Figure 3

The simulated expanding process of electrospun nanofiber membranes.

2.3. Qualitative Histology Analysis

In order to examine the cellular infiltration after subcutaneous implantation, we evaluated histological sections of the implanted PCL scaffolds and surrounding tissues with H&E and Masson trichrome staining. Figure 4 shows H&E staining of various scaffolds with surrounding tissues after subcutaneous implantation for 1, 2, 4, and 8 weeks. Unexpanded scaffolds only exhibited limited cellular penetration (Figure 4), except at occasional cracks within the scaffolds. In the expanded 3 mm thick scaffolds, cellular penetration was present from week 1; near complete penetration was present by week 8. For the expanded 10 mm thick scaffolds, complete cellular penetration was present at week 8. We also observed new blood vessel formation within expanded scaffolds at week 2, 4 and 8, as indicated by the red blood cells (insets in Figure 4). In contrast, no blood vessel formation was noted within the unexpanded scaffolds.

Figure 4.

Figure 4

H&E staining of random PCL nanofiber scaffolds and surrounding tissues. The unexpanded (raw) and expanded 3 mm and 10 mm thick nanofiber scaffolds were subcutaneously implanted to rats for 1 week, 2 weeks, 4 weeks and 8 weeks. Insets show high magnification of green square areas in the corresponding images.

Figure 5 shows Masson's trichrome staining of scaffolds with surrounding tissue after explantation. The cellular infiltration and new blood vessel formation showed a trend similar to the H&E staining (Figure 4). In addition, initial collagen encapsulation of the implants was evident 1 week after implantation. Qualitatively, the thickness of the collagen capsule on unexpanded scaffolds tended to increase with time; this progression was not apparent on the expanded scaffolds. In addition, within-scaffold collagen deposition by infiltrated cells was observed within the expanded nanofiber scaffolds at week 4 and 8 (Figure 5). Multinucleated giant cells were present at the edge of unexpanded scaffolds and 3 mm thick expanded scaffolds at week 1, but not in the 10 mm expanded scaffolds (Figure 6). The giant cells in unexpanded scaffolds mostly were observed on the scaffold edges, while giant cells in expanded random scaffolds mostly were adjacent to the newly formed blood vessels. Similar results were observed for expanded aligned PCL scaffolds (Figure S3).

Figure 5.

Figure 5

Masson's trichrome staining of random PCL nanofiber scaffolds and surrounding tissues. Masson's trichrome staining indicates collagen in blue, nuclei in black, and cytoplasm and keratin in red. The unexpanded (raw) and expanded 3 mm and 10 mm thick nanofiber scaffolds were subcutaneously implanted to rats for 1 week, 2 weeks, 4 weeks and 8 weeks. Insets show high magnification of green square areas in the corresponding images.

Figure 6.

Figure 6

Multinucleated giant cells after random PCL nanofiber scaffold implantation. Masson's trichrome staining of random PCL nanofiber scaffolds after rat subcutaneous implantation. The rats were scarified at week 1, 2, 4 and 8 after surgery. Giant cells indicated by green arrows were found around and inside of PCL nanofiber scaffolds.

2.4. Quantification of Cell Infiltration, Neovascularization, and Host Response

In order to fully understand the cellular infiltration, neovascularization, and host response, we quantified the depth of cell penetration into scaffolds, blood vessel density within scaffolds, the thickness of collagen fibrous capsules, and the number of giant cells per implant (Figure 7). The unexpanded nanofiber scaffolds showed a marginal increase in the depth of cell penetration from around 49.9 μm at week 1 and 2 to 80 μm at week 4 and 8 after implantation (Figure 7a). The expanded 3 mm thick scaffolds showed a steady increase of penetration depth from 67.1 μm at week 1, to 128.7 μm at week 2, to 171.5 μm at week 4, and further to 314.3 μm at week 8 (Figure7a). Similarly, the depth of cell penetration within expanded 10 mm thick scaffolds increased from 90.2 μm at week 1, to 94.3 μm at week 2, to 186.8 μm at week 4, and further to 441.1 μm at week 8 (Figure 7a). The aligned expanded 3 mm thick scaffolds showed a comparable depth of penetration as 3 mm and 10 mm thick scaffolds at week 4 and 8. No newly formed blood vessels were seen within unexpanded scaffolds at all tested time points (Figure 7b). Differently, expanded 3 and 10 mm thick scaffolds showed a dramatic increase in blood vessel density from zero at week 1, to 11.0 and 13.4 vessels/mm2 at week 2, to 16.9 and 30.3 vessels/mm2 at week 4, and further to 22.7 and 31.0 vessels/mm2 at week 8 (Figure 7b). Aligned expanded 3 mm thick scaffolds showed a similar level of blood vessel density as 3 mm and 10 mm thick scaffolds.

Figure 7.

Figure 7

Quantification of histological analysis of PCL nanofiber scafflods after subcutaneous implantation. a) cell penetration, b) blood vessels density, c) capsule thickness, and d) number of giant cells. The values were obtained by measuring six scaning images at 40× (objective lense) magnification for each specimen.

The unexpanded nanofiber scaffolds showed an increase in the thickness of collagen fibrous capsules from 549.7 μm at week 1, to 673.2 μm at week 2, to 668.0 μm at week 4 and further to 840.6 μm at week 8 (Figure 7c). In contrast, the thicknesses of capsules for expanded 3 mm thick scaffolds decreased from 523.7 μm at week 1, to 437.0 μm at week 2, to 290.0 μm at week 4, and further to 348.9 μm at week 8 (Figure 7c). The thickness of fibrous capsules of expanded 10 mm thick scaffolds was comparable to that of 3 mm thick scaffolds (Figure 7c). For the aligned expanded 3 mm thick scaffolds, the thickness of collagen fibrous capsules showed a slight increase from 128.9 μm at week 1 to 254.2 μm at week 2, then remained almost constant at week 4 and week 8 (Figure 7c).

The number of giant cells per implant for unexpanded nanofiber scaffolds was about 16 at week 1, 9 at week 2, 3 at week 4, and 6 at week 8 (Figure 7d). In comparison, the number of giant cells per implant for expanded 3 mm thick scaffolds was 16 at week 1, 28 at week 2, 31 at week 4, and 50 at week 8 (Figure 7d). Expanded 10 mm thick scaffolds showed a comparable number of giant cells per implant as 3 mm thick scaffolds at week 4 and 8 (Figure 7d). Differently, the number of giant cells per implant for aligned 3 mm thick scaffolds increased from week 1 (24) to week 2 (44) and then decreased to 20 at week 4, and further to 13 at week 8 (Figure 7d).

2.5. Immunostaining of Macrophage Phenotype

In order to understand the phenotypes of infiltrated macrophages in scaffolds or in the surrounding areas, we performed immunostaining of scaffolds and surrounding tissues after explantation using three macrophage markers against CCR 7 (a surface marker for M1 macrophage phenotype), CD163 (a surface marker for M2 macrophage phenotype), and CD68 (a general macrophage marker).[14, 15] Figures S4-S7 show the spatiotemporal distribution of all macrophages, M1 macrophages, and M2 macrophages within scaffolds and surrounding tissues. As expected, unexpanded scaffolds displayed limited macrophage infiltration (Figure S4), mostly appearing at week 4 and 8. In the expanded scaffolds, macrophages penetration into scaffolds was apparent at week 1, and increased thereafter. The 10 mm thick scaffolds showed the greatest number of penetrating macrophages at week 8 (Figure S4), with a similar spatiotemporal distribution of M1 and M2 phenotypes (Figures S5-S7).

2.6. Quantification of Macrophage Phenotype

In order to better understand the phenotypes of infiltrated macrophages, we quantified the number of macrophages in each phenotype per immunohistochemical image (40×) (Figure 8 a-c). The unexpanded nanofiber scaffolds showed a slight increase in the number of CD68+ cells from 30 at week 1, to 33 at week 2, to 38 at week 4, and decreased to 24 at week 8 (Figure 8a). Expanded 3 mm thick scaffolds showed a constant number (54) of CD68+ cells during the testing period. In contrast, 10 mm and aligned 3 mm thick scaffolds showed a dramatic increase in the number of CD68+ cells from 49 and 45 at week 1, to 56 and 46 at week 2, to 85 and 78 at week 4, and further to 88 and 91 at week 8 (Figure 8a).

Figure 8.

Figure 8

Quantification of immunhistological analysis of PCL nanofiber scafflods after subcutaneous implantation. a) CD 68, b) CCR 7 (M1), c) CD 163 (M2) immunpositve cells and d) ratio of number of CD163 positive cells (M2)/number of CCR7 positive cells (M1). The values were obtained by measuring six scaning images at 40× (objective lense) magnification for each specimen.

The number of CCR7+ cells for unexpanded nanofiber scaffolds was 40 at week 1, 41 at week 2, 42 at week 4, and 15 at week 8 (Figure 8b). Expanded 3 mm thick scaffolds showed a slight increase in the number of CCR7+ cells from 39 at week 1, to 48 at week 2, then decreased to 34 at week 4, and further to 25 at week 8. In contrast, 10 mm and aligned 3 mm thick scaffolds showed a gradual increase in the number of CCR7+ cells from 31and 32 at week 1, to 43 and 39 at week 2, to 47 and 58 at week 4, and further to 57 and 61 at week 8 (Figure 8b).

The numbers of CD163+ cells per snap shot for unexpanded nanofiber scaffolds were 27, 26, 30, and 20 at week 1, 2, 4, and 8 (Figure 8c). The numbers of CD163+ cells for expanded 3 mm scaffolds were similar at different time points (41, 49, 46, and 49 CD163+ cells per snap shot at week 1, 2, 4, and 8). Expanded 10 mm scaffolds showed an increase in the number of CD163+ cells per snap shot from 46 at week 1, to 47 at week 2, to 62 at week 4, and further to 72 at week 8 (Figure 8c). The corresponding numbers of CD163+ cells for the aligned 3 mm thick scaffolds were 35, 32, 48, and 57 at week 1, 2, 4 and 8. Figure 8d shows that expanded 10 mm thick scaffolds had higher ratios of M2/M1 at week 1 and 4 compared to unexpanded scaffolds. However, no significant difference in the ratio of M2/M1 was observed between the tested groups at week 8. In addition, expanded 3 mm thick scaffolds showed higher M2/M1 ratio than that of unexpanded counterparts.

2.7. Heterogeneity of Multinucleated Giant Cells

To understand the heterogeneity of multinucleated giant cells, we further analyzed the corresponding high magnification images of Figure S4-S6. For random nanofiber scaffolds including unexpanded and expanded, the formed multinucleated giant cells expressed CD 68, CCR 7, and CD 163 markers (Figures S8-S10). The expanded, aligned nanofiber scaffolds showed similar results (Figure S11). We also quantified the number of CD 68+, CCR 7+, CD 163+, and the ratio of CD163+/CCR7+ multinucleated giant cells (Figure S12). Multinucleated giant cells expressed heterogeneous markers including CD 68, CCR7 and CD 163 (Figure S12 (a-c)). The number of CD163+ giant cells was usually higher than that of CCR7+ giant cells except for expanded 10 mm thick random scaffolds at week 2 and unexpanded scaffolds at week 4 (Figure S12d). Expanded random nanofiber scaffolds with 3 mm thick showed the highest ratios of CD163+/CCR7+ multinucleated giant cells from week 2 to week 8 among the tested groups (Figure S12d).

2.8. Immunostaining of Inflammatory and Anti-inflammatory Cytokines

To further understand the effect of cytokines produced within scaffolds or in surrounding areas on the tissue regeneration, we performed immunostaining of scaffolds and surrounding tissues after explantation at week 1, 2, 4, and 8 using three different markers against IL-4 and IL-10 (anti-inflammatory cytokines), TNF-α (pro-inflammatory cytokine).[16,17] Figures S13-S16 show the spatiotemporal distribution of IL-4, IL-10 and TNF-α within scaffolds and surrounding areas. As expected, unexpanded scaffolds only displayed limited infiltration for IL-4 (Figures S13 and S16), IL-10 (Figures S14 and S16) and TNF-α (Figures S15 and S16), and their secretion level remained unchanged from week 1 to week 8. The IL-4 positive staining mainly located at the surrounding area of unexpanded scaffolds. For expanded scaffolds, IL-4 cytokines started expressing within the scaffolds from week 1 (Figure S13). More IL-4 cytokines were accumulated within expanded scaffolds with increasing the implantation time (Figure S13). Obviously, the 10 mm thick scaffolds showed the highest level of IL-4 secretion at week 8 (Figures S13 and S15). Intriguingly, IL-10 and TNF-α positive staining showed a similar spatiotemporal distribution within scaffolds as IL-4 (Figures S14 - S16). However, the level for TNF-α staining seemed much lower than that of IL-4 and IL-10.

3. Discussion

For tissue repair/regeneration, scaffolds/implants may play an important role for homing cells from surrounding healthy tissues and form new tissues to repair the defected tissues.[18] Therefore, for sucessful in situ tissue regeneration, promoting cell ingrowth is one of the prerequisites for an ideal 3D scaffold. Studies have shown that cell infiltration is mainly determined by the architecture or structure of scaffolds.[19] This is, in particular, critical for synthetic scaffolds as cells often fail to immediately disintegrate the artificial extracellular matrices for migration.[19] Hence, cell ingrowth greatly relies on the porosity and pore size of scaffolds, which is especially true for non-biodegradable or slowly biodegradable materials. In a recent study, Jang et al. reported the cell infiltration within layered PCL nanofiber scaffolds after subcutaneous implantation in nude mice for 6 weeks, which were produced by electrospinning highly conductive solutions with additives of ionic salts.[10] Cellular infiltration was observed, however, only one time point (6 weeks) was examined. In addition, the porosity and the distribution of gap distances between adjacent layers were not reported.[10] The present study demonstrated the fabrication of expanded 3 mm and 10 mm nanofiber scaffolds with porosities of ~ 90% and ~ 100%, respectively. The gaps between most adjacent layers ranged from several microns to ~ 100 μm (Figure 2g). The dynamic process of cell penetration was shown from week 1 to week 8, suggesting that cells may fully penetrate throughout the whole scaffold within 8 weeks, mainly dependent on the porosity (Figures 4 and 5). Cells penetrated throughout the whole expanded 3 mm and 10 mm thick random scaffolds within 8 weeks. The aligned expanded 3 mm thick scaffolds showed a similar penetration depth as expanded 3 mm and 10 mm thick random scaffolds at week 8. In addition, the unexpanded PCL nanofiber scaffolds exhibited very limited cellular infiltration on the surface layer, which agreed well with previous reports.[13]

Sufficient oxygen and nutrient transport to the infiltrated cells within scaffolds is the key to form functional tissues in clinically relevant dimensions.[20] Therefore, another important aspect for in situ tissue regeneration is neovascularization. Many attempts have been made to promote vascularization including scaffold design, endothelial cell pre-seeding, and incorporation of bioactive molecules.[21] Among them, the pore architecture and porosity of scaffolds play a critical role on the formation of new blood vessles via sprouting from host vasculature.[22] Beier et al. examined the actual pattern of vascularization in PCL/collagen nanofiber scaffolds using microCT scans and found the aligned scaffold showed a significantly smaller number of sprouting vessels but vascularization in the center of the constructs occurred considerably earlier than in the nonwoven scaffold.[23] In a separate study, Andreopoulos et al. showed that aligned electrospun gelatin nanofibers containning bFGF had the highest vessel density (33 vessels/mm2) comparing to other groups including aligned fibers and random fibers with and without containing bFGF (5 vessles/mm2) after implantation in the mouse's hindlimb for 21 days.[24] Park et al. also examined the vascularization of 1-1.5 mm thick 10-layered PCL/collagen nanofiber scaffolds formed by manually folding after subcutaneous implantation in rats.[25] Dunn et al. developed a laser cutting pores in traditional nanofiber membranes for enhancement of vascular ingrowth.[26] In this work, no blood vessels were observed within unexpanded nanofiber scaffolds at all time points because of very limited cellular infiltration on the surface layer. Within expanded PCL nanofiber scaffolds new blood vessels appeared at week 2 and blood vessel density increased with increasing implantation time and reached 30 vessels/mm2 at week 8, which is comparable to the aligned gelatin nanofibers containing bFGF (33 vessels/mm2). In addition, expanded 10 mm thick scaffolds usually showed higher number of blood vessels per unit area within scaffolds than that of 3 mm thick ones (Figure 7b). The blood vessel density within aligned expanded 3 mm thick scaffolds was similar to that of 10 mm thick scaffolds at week 4 and 8.

Implants require tissue engraftment and vascularization to generate functional tissues for replacement/repair/regeneration. Host response to implantated scaffolds is very important to determin their success after implantation. The biological response has been examined on various biomaterials with different sizes, compositions, and shapes.[27] However, the host respone to electrospun nanofiber scaffolds was not fully illustrated and most of work was limited to the investigation of traditional 2D electrospun nanofiber membranes. Chew et al. examined host response of PCL nanofiber membranes and found that aligned nanofibers can minimize host response, enhance tissue-scaffold integration, and elicit a thinner fibrous capsule compared with random nanofibers.[28] In the present study, expanded nanofiber scaffolds displayed thinner fibrous capsules compared to 2D nanofiber membranes. Expanded 3 mm and 10 mm thick scaffolds presented the similar thickness of fibrous capsules. The aligned expanded 3 mm thick scaffolds showed thinner fibrous capsules than expanded 3 mm and 10 mm thick scaffolds. Expanded nanofiber scaffolds showed the infiltration of macrophages in different phenotypes and induction of heterogenous multinucleated giant cells within the scaffolds, which could be critical for the neovascularization and regeneration process.[29-33] The expanded 10 mm thick scaffolds had the highest number of infiltrating macrophages at week 8 (Figure S4). The number of giant cells per implant was comparable for expanded 3 mm and 10 mm thick scaffolds at week 4 and 8. Interestingly, expanded 3 mm thick scaffolds showed the highest M2/M1 ratio of multinucleated giant cells. In addition, the number of giant cells per implant for aligned 3 mm thick scaffolds was much lower compared to random 3 mm and 10 mm thick scaffolds at week 8. The multinucleated giant cells present within aligned 3 mm thick scaffolds showed heterogeneous markers including CD 68, CCR7 and CD 163 similar to other scaffolds. Recent studies suggested that a porous polymer with interconnected pores (~ 40 μm in size) can form vascularized tissues with little or no fibrosis and good resoration of vascularity, whereas the same polymer in solid form triggers the classic foreign body reaction characterized by a dense, collagen fibrous capsule and low vascularity.[34] Our results are in line with this finding as the expanded scaffolds show the distances of gaps between layers ranges from several microns to about one hundred microns. Importantly, expanded nanofiber scaffolds showed IL-4 cytokine expression at week 1 and an increased IL-4 production within scaffolds with increasing the implantation time. Expanded 10 mm thick scaffolds demonstrated the highest expression of IL-4 within scaffolds at week 8 among all the tested scaffolds. IL-4 could be produced by T helper 2 cells and guide the polarization of infiltrated macrophages, providing a pro-regenerative microenvironment.[35] In addition, the incorporation of anti-inflammatory drugs to the nanofibers could further reduce the thickness of collagen fibrous capsules.[36] The incorporation of immunmodulating agents to scaffolds for sustained release could temperoally control the phenotypes of macrophages infiltrated.[37]

4. Conclusion

We have developed a robust method for producing expanded nanofiber scaffolds with controlled size and thickness using a custermized mold in during the modified gas-foaming process. We demonstrated the evident cellular infiltration and new blood vessel formation within expanded nanofiber scaffolds after subcutaenous implantation in rats. We also observed that expanded scaffolds elicited a thinner collagen fibrous capsule compared to unexpanded nanofiber scaffolds and promoted a regenerative response. Gap distances between adjacent layers, layer thickness, porosity, and fiber alignment mainly determined cellular infiltration, vascularization and host response. In summary, such expanded nanofiber scaffolds hold great potential for use in tissue repair/regeneration in situ, the development of various 3D tissue models/constructs in vitro, and wound dressings.

Supplementary Material

Supporting Information

Acknowledgements

This work was supported partially from startup funds from University of Nebraska Medical Center (UNMC), National Institute of General Medical Science (NIGMS) grant 2P20 GM103480-06, and UNMC Regenerative Medicine Program pilot project grant number 37-1209-2004-007.

Footnotes

5. Experimental Section (See supplemental information)

Contributor Information

Dr. Jiang Jiang, Department of Surgery-Transplant and Mary & Dick Holland Regenerative Medicine Program, University of Nebraska Medical Center, Omaha, Nebraska 68198, United States

Zhuoran Li, Department of Mechanical and Materials Engineering, University of Nebraska-Lincoln, Lincoln, Nebraska 68588, United States.

Hongjun Wang, Department of Surgery-Transplant and Mary & Dick Holland Regenerative Medicine Program, University of Nebraska Medical Center, Omaha, Nebraska 68198, United States.

Yue Wang, Department of Surgery-Transplant and Mary & Dick Holland Regenerative Medicine Program, University of Nebraska Medical Center, Omaha, Nebraska 68198, United States.

Prof. Mark A. Carlson, Departments of Surgery and Genetics, Cell Biology and Anatomy, University of Nebraska Medical Center, Omaha, Nebraska, 68198 Department of Surgery, VA Nebraska–Western Iowa Health Care System, Omaha, Nebraska, 68105.

Prof. Matthew J. Teusink, Department of Orthopedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, Nebraska 68198, United States

Prof. Matthew R. MacEwan, Department of Neurosurgery, Washington University School of Medicine, Saint Louis, Missouri, 63110, United States

Prof. Linxia Gu, Department of Mechanical and Materials Engineering, University of Nebraska-Lincoln, Lincoln, Nebraska 68588, United States

Prof. Jingwei Xie, Department of Surgery-Transplant and Mary & Dick Holland Regenerative Medicine Program, University of Nebraska Medical Center, Omaha, Nebraska 68198, United States.

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