Abstract
Effective graft technologies for bone repair have been a primary focus in the field of bone tissue engineering. We have previously fabricated and examined a nanocomposite composed of polyurethane, nano-hydroxyapatite, and decellularized bone particles, which demonstrated osteobiologic characteristics. To evaluate the underlying mechanisms of this biomaterial, human adipose-derived mesenchymal stem cell seeded scaffolds were assessed using a combinatorial approach of transcriptomic and metabolomic analyses. Data from osteogenic and signal transduction polymerase chain reaction arrays and small molecule abundances, measured through liquid chromatography–mass spectrometry, were cross-examined using Integrated Molecular Pathway Level Analysis, Database for Annotation, Visualization, and Integrated Discovery, and ConsensusPathDB online tools to generate a fundamental collection of scaffold-influenced pathways. Results demonstrated upregulation of key osteogenic, cellular adhesion cell signaling markers and indicated that Hedgehog and Wnt signaling pathways were primary candidates for the osteobiologic mechanisms of the scaffold design. The detection of complimentary metabolites, such as ascorbate, further indicates that scaffolds generate intricate cellular environments, promoting cell attachment and subsequent osteodifferentiation.
Keywords: multiomics, metabolomics, transcriptomics, scaffold, mesenchymal stem cells
Introduction
The field of bone tissue engineering faces unique challenges in biomaterial design stemming largely from the highly dynamic nature of the target tissue. Native bone undergoes continuous remodeling through osteoblastic (OB) and osteoclastic activity to accommodate for mechanical forces exerted on the body and provide structural support. For this reason, noncompromised bone tissue, as opposed to that observed in osteoporotic or geriatric individuals, is innately capable of repairing sizable injuries. However, for cases of tissue damage that result in defect sizes that exceed the reparative capacities of native bone, or for accelerated repair, the application of a graft material is necessary.1
Currently the gold standard for such graft material is the use of autologous tissue, as this eliminates concerns of immunogenic reaction and provides an optimal substrate for cellular on-growth and eventual integration. Despite the superior reparative and restorative functions of autografts, implementation incurs an increased risk to patient due to the need for multiple surgical sites and donor site morbidity, as well as a reliance on a limited source material.2 Therefore, the development and characterization of graft materials with similar or enhanced functionality and biocompatibility to autografts offer an attractive alternative.2–4
Scaffold constructs being designed for bone tissue engineering must display key osteobiologic characteristics, including osteoinductive, osteoconductive, and osseointegrative functions, to facilitate effective repair of native tissue.5–8 Osteoinduction indicates that the material is capable of stimulating exposed cells toward an osteogenic lineage.2 The osteoconductivity of a material determines the ability of cellular communication across and through a substrate.2 Finally, osseointegration indicates the measure of cell migration and subsequent formation of mature bone tissue on the surface and throughout the matrix.
We have previously reported the fabrication of a nanocomposite composed of nano-hydroxyapatite (nHA)/polyurethane (PU) film layers with interspersing layers of decellularized bovine bone particles (DBPs), which demonstrated biocompatibility and osteobiologic characteristics, both in vitro and in vivo.4,9 Specifically, 8-week-old Sprague Dawley rats had a significant increase in new bone formation over a 30-day period within unicortical tibial bone defects when treated with the nanocomposite. Based on these results, we next wanted to elucidate more precise mechanisms by which exposed cells are influenced. To accomplish this, a multiomics approach utilizing analytical tools of transcriptomics and metabolomics was implemented.3
The use of various molecular analytical tools to assess the functions of biomaterials is an expanding and promising approach as the critical attributes of bone scaffolds previously described depend heavily on the cell–biomaterial interactions.7 Stimuli from surface topography or composition elements can drastically alter the influence of a material on exposed cells, leading to substantially different results both in vitro and in vivo.9 Transcriptomics, the study of messenger RNA (mRNA) molecules and functional impact of their expression levels, offers the potential to observe the fundamental regulative capacities of cells through comparative assessment of gene expression.10
The extraction and analysis of mRNA from cells exposed to various conditions, through generation of complimentary DNA (cDNA) and subsequent real-time quantitative polymerase chain reaction (PCR), offer the potential to evaluate the effect of specific treatments on exposed cells by normalizing to an untreated control culture. Such methods have been utilized in studies focused on elucidating correlations between discrete material characteristics and biological responses of exposed cells in attempts to establish pathway libraries. These data can be used as a rationale to design biomaterials with specific topographies, architecture, and composition.3
Transcriptomic evaluation is further strengthened through supplementation with metabolomic data, which consist of small molecule concentrations often detected through mass spectrometry.11 Metabolites and their associated relative abundance can be detected in a wide variety of samples ranging from acellular materials to tissue biopsy samples, providing the potential for comparative analyses based on metabolite profiles.
By cross-examining detected small molecules with expression data for upregulated and downregulated genes, respectively, it is possible to develop a basic pathway(s) to describe the behavior of cells on scaffolds. Online databases, such as the Kyoto Encyclopedia of Genes and Genomes (KEGG) and Reactome, and tools for assessing connective elements within datasets, including Integrated Molecular Pathway Level Analysis (IMPaLA), Database for Annotation, Visualization, and Integrated Discovery (DAVID), and ConsensusPathDB (CPDB), can be used to generate basic pathway maps demonstrating the signals that are triggered when cells interact with scaffolds.
The use of naive cells during in vitro examination of scaffold mechanisms provides a more relevant model, as predifferentiated and immortalized cell lines may demonstrate expression profiles that reflect innate cell programming instead of material induced effects. Naive cells alleviate this concern and permit accurate assessment of material impact on cellular activity. Furthermore, the use of human mesenchymal stem cells (hMSCs) contributes a clinical translatability aspect, as the designed scaffold technology is intended for human medicine. Therefore, studies conducted to elucidate mechanisms of the biomaterial were facilitated using MSCs derived from human adipose tissue.
MSCs are naive multipotent cells with the potential to differentiate toward multiple lineages, namely osteocytes, chondrocytes, and adipocytes.12 These cells therefore offer a unique potential as a reparative element, especially when coupled with a scaffold substrate, and have been implemented in a wide array of cell-based treatments.1 Seeding of these adipose-derived hMSCs (adhMSCs) onto the nanocomposite scaffold can thereby evaluate the effectiveness of the construct as an osteogenic platform capable of application as a cell-based therapy device.1
Our objective in the present study, based on data from previous studies, is to assess the interaction between hMSCs and the nanocomposite through variations in both the transcriptional and metabolite landscapes. Expression of genes associated with osteogenesis, cellular attachment, and signaling was examined for hMSC seeded nanocomposites and compared with hMSCs differentiated through a well-established method to assess scaffold impact. These data were then cross-examined with small molecule concentrations to elucidate potential candidate pathways of effect for the scaffold on exposed cells.
Materials and Methods
Adipose-derived human MSCs
Cell collection, isolation, expansion, and characterization
adhMSCs were collected under an established IRB protocol, and primary cultures were developed using previously described methods.12 The stromal vascular fraction of cells, which contain the nonhematopoietic mesenchymal stem cells, were seeded in Dulbecco's modified Eagle's medium-F12 (DMEM-F12) growth media containing 10% fetal bovine serum and 1% amphotericin penicillin streptomycin and expanded in vitro in tissue culture polystyrene flasks.
Cells incubated at 37°C and 5% CO2, with growth media replaced every 2–3 days, were enzymatically released from substrates with 0.05% Trypsin-EDTA upon reaching ∼80% confluency and then allocated to tissue culture flasks for continued expansion, cryopreservation, or experimental setups. Cells were characterized and confirmed to be mesenchymal stem cells using previously described in vitro assays, including trilineage differentiation.12
hMSC/scaffold constructs
Cell seeding
1 × 5 × 5 mm pieces of the nanocomposite scaffold material were cut from bulk scaffold blocks to ensure that each piece fits into a single well of a 24-well plate.4 Each scaffold piece was placed into individual wells of a nontissue culture plate, and cell solutions were directly added to ensure cellular migration into nanocomposite pores through capillary action.
Cells were seeded at a density of 4 × 104 cells/scaffold for proliferation assessment and 5 × 105 cells/scaffold for both gene expression and small molecule analyses. As previously observed, total RNA from cell/scaffold complexes at 5 days that had received media with osteogenic-inducing agents (growth media supplemented with 10 mM beta glycerophosphate, 10 nM dexamethasone, and 155 μM ascorbic acid) showed consistently poor yields.4 This indicated that stress factors due to conditions may negatively impact cell health, which was observed in previous studies.4 As such, cell seeded scaffolds were exposed to growth media lacking osteodifferentiation additives. Media was refreshed every 2–3 days.
Cell proliferation
Quantitative analysis of Calcein-AM fluorescent staining was performed as previously described to determine cellular proliferation and viability on the scaffolds.9 Briefly, cell-seeded scaffolds were cultured in black-walled 24-well plates, preventing light refraction across wells during reading, and assessed in triplicate at 3, 5, and 7 days of growth. Samples were incubated in 0.5 mL staining solution, containing 2 μg/mL calcein-AM dimethyl sulfoxide mix in HBSS, at 37°C for 5 min. Fluorescence intensity was quantitated using a plate reader setup with an excitation wavelength of 485 nm and an emission wavelength of 528 nm. Normalized average fluorescent intensity values from each time point were plotted to generate a cellular proliferation curve.
Transcriptomics
Osteogenic and signal transduction gene expression
Total RNA was extracted from the cell/scaffold constructs 5 days postseeding as described previously and was analyzed for the expression of genes relating to osteogenesis and signal transduction.4,10 Total RNA isolation was performed with TRIzol extraction agent (Thermo Fisher Scientific, Waltham, MA) as per the manufacturer's protocol with modifications to increase the yield of RNA.13 cDNA was prepared using a Qiagen First Strand cDNA Reverse Transcription Kit (Qiagen). A housekeeping RT2 Profiler array (Qiagen) was used to ensure the quality of isolated RNA.
Expression was then evaluated using Qiagen RT2 Profiler arrays for human osteogenesis (PAHS-026Z) and signal transduction (PAHS-014Z) with 2 μg of total RNA per array with ∼20.8 ng cDNA per PCR, with samples run in triplicate. Relative fold differences in the gene expression and corresponding significance values were generated through Qiagen data center. Expression of cells seeded on scaffold constructs for 5 days was compared to cell monolayers differentiated on polystyrene substrates for 21 days with osteodifferentiation media.9
Metabolomics
Small molecule analysis
Metabolite relative abundance profiles for cells exposed to scaffolds were compared with cell- and material-based controls to determine variations among groups. hMSCs seeded on material scaffolds for 5 days were compared to cell monolayers cultured on polystyrene substrates with and without osteodifferentiation media additives to evaluate concentration differences associated with the examined nanocomposite. In addition, acellular scaffold samples both exposed and not exposed to growth media were implemented to address metabolites attributed to the basal scaffold or media additives.
Samples, in triplicate, were collected by scraping wells, adding HBSS, and pelleting suspended samples. Pellets were isolated and weighed before storage at −80°C with cell monolayer, dry material blanks, media-exposed material blanks, and cell-seeded material samples having weight ranges of 16.53–25.64 mg, 30.14–50.37 mg, 92.08–175.82 mg, and 165.30–191.71 mg, respectively. Once all the samples were collected, the metabolites were extracted using a 20:40:40 solution of water/methanol/acetonitrile with 0.1 M formic acid following the procedure previously reported by Lu et al.14
Samples were reconstituted in ultrapure water and then ran on an LC-MS; they were separated on a Phenomenex Synergi Hydro RP column (100 × 2.0 mm, 2.5 μm pore size; Phenomenex, Torrance, CA) using ultra high-pressure liquid chromatography. The mobile phases used to elute the metabolites were (A) 97:3 water/methanol with 11 mM tributylamine and 15 mM acetic acid and (B) methanol. The 26-min gradient, adapted from Lu et al., was used with a flow rate of 0.2 mL/min. The gradient was as follows: 0 min, 0% B; 5 min, 20% B; 13 min, 55% B; 15.5 min, 95% B; 19 min, 0% B; and 25 min, 0% B.
The Exactive Plus Orbitrap Mass Spectrometer (Thermo Fisher Scientific) was operated in negative mode with an electrospray ionization probe; the scan range was set from 72 to 1,200 m/z while resolution was set to 140,000; the capillary temperature was set to 300°C.15 Once the raw files were obtained from the MS, the files were converted to mzML using an open source file converter. The mzML files were loaded into Metabolomic Analysis and Visualization Engine where metabolites were chosen based on peak shape and signal-to-noise ratio. Metabolite intensities were recorded and normalized to sample weight.
Appropriately formatted data were uploaded to MetaboAnalyst, an online metabolomic statistical analysis tool, to evaluate statistically significant variations among sample groups and generate visual representative figures. Sparse partial least squares discriminant analysis (sPLS-DA) performed on sample groups demonstrated similarity within groups and significant variation between groups. Post hoc heatmaps offer a visual representation of metabolite variations among study groups. Online databases and tools were then used to correlate detected metabolites and relative concentrations to potential pathways.
Pathway analysis
IMPaLA and DAVID pathway assessment
Evaluation of molecular impact of the scaffold material on exposed cells was conducted through use of both IMPaLA and the DAVID online software tools, with gene and metabolite inputs entered using Entrez IDs and KEGG IDs, respectively.
For IMPaLA assessment, the detected metabolites were cross-examined with the upregulated genes identified in osteogenic and signal transduction arrays. The generated list of pathways consists of pathway names, database source for pathway information, target genes involved in pathway, and target metabolites involved in pathway. Pathways of interest (PoIs) were selected based on the number of target genes/metabolites included, with those pathways containing greater numbers of targets indicating more relevance to material impact.
DAVID assessment was then performed for pathway enrichment based on functional categories, gene ontology, pathways, protein domains, and tissue expression characteristics based on the default statistical parameters.16,17 Resulting PoIs are then divided into clusters based on pathway enrichment significance.
Network mapping
Visualization of pathway connections for both gene and metabolite elements was facilitated through the use of CPDB. Network map construction using CPDB was used to illustrate intra-omic connection based on gene expression and metabolite concentration data, respectively.
Results
Cell viability and proliferation
Calcein-AM staining demonstrated an increased fluorescent intensity in cell-seeded scaffolds at day 7 that was significantly >days 3 and 5 (Fig. 1). This increase over time indicates that scaffolds are cytocompatible.
Transcriptomics
Established techniques using cells cultured for 21 days with osteodifferentiation media were used as a positive control to assess cells seeded onto scaffolds and cultured for 5 days. RNA expression was compared using PCR evaluation of RNA, extracted and isolated from these cell cultures, and was carried out utilizing Qiagen RT2 Profiler arrays for human osteogenesis and signal transduction pathways. Resulting expression fold changes and significance data between genes for samples were generated through Qiagen data center.
Fold change values and representative heatmaps for each array type are presented in Figure 2. Significantly upregulated genes, as designated by Qiagen Data Center output for genes with expression fold differences >2, and their associated functions can be viewed in Supplementary Tables S1–S4. Notably, expression of RUNX2, an essential gene in regulating bone formation and remodeling, did not significantly differ from cell controls stimulated through well-characterized differentiation agents toward osteolineage. Furthermore, data from signal transduction arrays showed enhanced expression of genes related to oxidative stress, Notch, Hedgehog (HH), and hypoxia signaling pathways.
Metabolomics
Assessment of small molecule concentration profiles utilizing sPLS-DA showed that all sample groups were discrete and unique, with intragroup samples forming tight clusters. When comparing all study groups, it was determined that 18 metabolites were significantly responsible for driving the separation of sample groups. However, separation of study groups into standard cell culture (hMSC monolayers with and without osteodifferentiation media) and cell-free material (acellular scaffolds exposed and unexposed to growth media) subsets permitted more relevant comparisons due to initial sample characteristics, primarily weight and culture size. Subset groups both included hMSC-seeded scaffold samples.
Although groups remained discrete and unique when examined with sPLS-DA, it was observed that the metabolites responsible for the distinct grouping varied in both number and significance with 21 metabolites for cell oriented and 15 metabolites for material-oriented samples (Fig. 3). Generation of corresponding heatmaps for cell-oriented and material-oriented groups was performed by normalizing hMSC-seeded scaffolds to subgroup-specific controls, undifferentiated hMSC monolayers, and acellular scaffolds unexposed to growth media (Fig. 4). The resulting heatmaps were assessed for metabolites of interest (MoIs), compounds that may serve as corollary links to cellular and material mechanisms.
For cell-oriented subset groups, comparisons in which both cell monolayers exposed to differentiation agents and cells seeded to scaffolds exhibited higher concentration than control samples, as well as those in which cell-seeded scaffolds alone displayed superior concentration, were selected as MoIs. The first of these relations being potentially indicative of an osteodifferentiation-related metabolite and the second representing a scaffold-related metabolite.
Similarly, MoIs from material-oriented subset groups were selected if a metabolite concentration was significantly different in cell-seeded scaffold samples compared to one or both control groups to examine changes due to cellular activity on constructs. Metabolites that demonstrated an increase in concentration in scaffold samples exposed to media compared to dry scaffold samples were considered to be associated with components of media and were therefore not further examined.
Pathway analysis
IMPaLA and DAVID pathway assessment
PoI collections generated through IMPaLA software can be observed in Supplementary Table S5. Highly ranked PoIs for samples were largely associated with metabolic and signaling functions, including extracellular matrix (ECM) organization and cell differentiation pathways. PoIs selected from cluster lists, created utilizing DAVID, are displayed in Supplementary Table S6 with pathway enrichment score, number of overlapping genes, and significance values.
These generated PoIs demonstrate significant impact on bone mineralization, osteoblast differentiation, and osteoclast differentiation, which supports the osteogenic potential of the scaffold. Furthermore, cell signaling pathways, such as bone morphogenetic protein (BMP) signaling and cell–cell junction organization, compliment IMPaLA output and suggest that scaffolds facilitate cellular attachment and communication in addition to osteobiologic functions.
Network mapping
Observational assessment of intra-omic networks for gene expression and metabolite concentration data individually through CPDB demonstrated elements associated with osteogenic and cellular attachment functions (Figs. 5 and 6). As in IMPaLA and DAVID assessments, CPDB generated for transcriptomic and metabolomic data demonstrates pathways closely associated with osteogenesis and cellular attachment. Mapped transcriptomic data (Fig. 5) include pathways for cell differentiation, BMP signaling, and osteoclast differentiation, as well as ECM organization and focal adhesion pathways, and are reinforced by detection of fundamental metabolism functions and mineral absorption pathways through small molecule assessment with CPDB.
Discussion
As expected, based on previous in vitro and in vivo studies, the 3D nanocomposite scaffold composed of nHA/PU films interspersed with layers of DBPs was cytocompatible with adhMSCs. To elucidate the underlying mechanisms of this material, a combinatorial approach of transcriptomics and metabolomics was utilized. The scaffold demonstrated significant upregulation of genes closely associated with osteogenesis and indicated that a combined interaction of multiple pathways may be responsible for the osteobiologic characteristics exhibited by the material (Fig. 7). Specifically, the interaction of HH, Wnt, and BMP signaling pathways appears to play a crucial role in stimulating exposed cells.18
Members of the BMP family have been strongly correlated with osteogenesis and mineralization, in particular BMP-2/4/6/7, although recruitment of Smad 1/5/8 interacts with Smad 4 to regulate gene expression. Upregulation of BMP-2/4/6/7, BMP receptors, and Smad 1/4/5 may therefore provide evidence for activation of this pathway.19,20 In addition, coordination of this BMP signaling with both Wnt and HH signaling pathways is indicated by increased expression of essential pathway elements, including PTCH1, Gli1, and Wnt5A.21 HH, as well as Notch, signaling mechanisms have been previously demonstrated to have vital roles in bone remodeling and development through modulation of osteoblast and osteoclast activity.22,23
The described pathways culminate in upregulation of vital transcription factors, RUNX2 and Sp7, shown to elicit pro-osteogenic and antiadipogenic characteristics.24,25 This results in the enhanced production of key proteins for OB differentiation and ossification, including SPP1 and BGLAP, both of which were upregulated.26 As the expression of RUNX2 is similar between material-seeded cells and osteodifferentiated cultures, expression difference in other osteo-related targets may represent the mechanisms by which scaffold induces exposed cells toward an osteogenic lineage in 5 days.
Furthermore, hypoxia signaling and oxidative stress may also play important roles in facilitating the osteoinductive capacity of the scaffold, as these have been linked to skeletal development and bone promoting functions. Hypoxia signaling has been shown to have a role in the formation of endochondral bone, as well as the potential to modulate bone formation through manipulation of oxygen sensing,27 while oxidative stress, relating to an imbalance between generated radical oxygen species and available counteracting antioxidants, has demonstrated substantial influence on bone remodeling functions through suppression of osteoblast activity, temporarily reducing mineralization capacity and promoting resorption dynamics.28
These data combined with the upregulation of genes associated with cellular attachment functions, including cell–cell and cell–ECM adhesion/communication mechanisms, indicate that scaffold constructs facilitate cellular infiltration, attachment, and proliferation with subsequent stimulation of osteogenesis. By correlating the transcriptomic data with detected metabolite concentrations in cell-seeded scaffolds, fundamental pathways were constructed that appear to further support the function of scaffolds as osteogenic platforms.
Particularly the detection of ascorbate, a small molecule strongly associated with osteogenesis, in scaffold samples at markedly lower concentrations than those in scaffold blanks may indicate utilization of the metabolite by seeded cells. Xanthine concentration levels detected in cell-seeded scaffolds may also correlate to upregulation of oxidative stress pathway genes. Importantly, overlay of multiomic data through IMPaLA software revealed that overlapping regions between gene expression and metabolite concentrations were related to primarily cellular metabolism and signaling functions, which demonstrate that scaffolds are capable of facilitating cell–cell communication and supporting intricate intrastructural cell networks.
Conclusions
As expected, the results of this study demonstrate that the scaffold material is both biocompatible and maintains osteogenic properties. Evaluation of the transcriptional landscape for scaffold exposed hMSCs compared with cells differentiated on polystyrene further indicated this osteogenic potential in the upregulation of expression in genes strongly associated with pro-osteogenic and cell attachment functions.
Fundamental pathway analysis of expression data revealed interactions among BMP, HH, and Wnt signaling mechanism as primary candidates for the osteobiologic characteristics of the material. Among these, HH appears to play a particularly crucial role and, thus, will be the target of future studies, which will implement HH-specific PCR profiler arrays (Qiagen) and inhibition assays to elucidate precise mechanisms.
The pro-osteogenic potential of the scaffold indicates that it may serve as an effective scaffold for both long and flat bone injuries, as it is capable of facilitating cellular in-growth and subsequent ossification. Further evaluation of scaffolds as delivery vehicles for drug and cell-based treatments is expected to yield enhanced osteobiologic graft treatments. Furthermore, application of similar experimental approaches for tissue samples from in vivo analyses of this material may provide invaluable insight as to its impact on native tissue, which is essential for translation to clinical applications.
Supplementary Material
Acknowledgments
The authors also acknowledge and thank Drs. Stacy Stephenson and Tom Masi of the Department of Surgery in the Graduate School of Medicine at the University of Tennessee, Knoxville for their contributions in harvesting, isolating, and culturing the utilized mesenchymal stem cells.
Abbreviations Used
- adhMSC
adipose-derived human MSC
- ALP
alkaline phosphatase protein
- BMP
bone morphogenetic protein
- cDNA
complimentary DNA
- Col1
collagen 1
- CPDB
ConsensusPathDB
- DAVID
Database for Annotation, Visualization, and Integrated Discovery
- DBP
decellularized bovine bone particle
- DMEM-F12
Dulbecco's modified Eagle's medium-F12
- ECM
extracellular matrix
- EDTA
ethylenediaminetetraacetic acid
- FN
fibronectin
- HBSS
Hank's Balanced Salt Solution
- HH
Hedgehog
- IMPaLA
Integrated Molecular Pathway Level Analysis
- KEGG
Kyoto Encyclopedia of Genes and Genomes
- LC-MS
Liquid Chromatography-Mass Spectrometry
- MoIs
metabolites of interest
- mRNA
messenger RNA
- MSC
mesenchymal stem cell
- nHA
nano-hydroxyapatite
- OB
osteoblastic
- ON
osteonectin
- PCR
polymerase chain reaction
- PoIs
pathways of interest
- PU
polyurethane
- sPLS-DA
sparse partial least squares discriminant analysis
Data Availability
The raw/processed data required to reproduce these findings cannot be shared at this time as the data also form part of an ongoing study.
Author Disclosure Statement
A.S.B. and D.E.A. are the cofounders of NuShores LLC, which has the right to the scaffold technology used in this study. For all other authors, no competing financial interests exist.
Funding Information
The authors acknowledge partial financial support from the DOD MRMC (W81XWH-15-1-0666).
Supplementary Material
Cite this article as: Bow A, Jackson B, Griffin C, Howard S, Castro H, Campagna S, Biris AS, Anderson DE, Bourdo S, Dhar M (2020) Multi-omics evaluation of human fat-derived mesenchymal stem cells on an osteobiologic nanocomposite, BioResearch Open Access 9:1, 37–50, DOI: 10.1089/biores.2020.0005.
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Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
The raw/processed data required to reproduce these findings cannot be shared at this time as the data also form part of an ongoing study.