1
|
Wu Y, Zou J, Tang K, Xia Y, Wang X, Song L, Wang J, Wang K, Wang Z. From electricity to vitality: the emerging use of piezoelectric materials in tissue regeneration. BURNS & TRAUMA 2024; 12:tkae013. [PMID: 38957661 PMCID: PMC11218788 DOI: 10.1093/burnst/tkae013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Revised: 03/07/2024] [Accepted: 03/13/2024] [Indexed: 07/04/2024]
Abstract
The unique ability of piezoelectric materials to generate electricity spontaneously has attracted widespread interest in the medical field. In addition to the ability to convert mechanical stress into electrical energy, piezoelectric materials offer the advantages of high sensitivity, stability, accuracy and low power consumption. Because of these characteristics, they are widely applied in devices such as sensors, controllers and actuators. However, piezoelectric materials also show great potential for the medical manufacturing of artificial organs and for tissue regeneration and repair applications. For example, the use of piezoelectric materials in cochlear implants, cardiac pacemakers and other equipment may help to restore body function. Moreover, recent studies have shown that electrical signals play key roles in promoting tissue regeneration. In this context, the application of electrical signals generated by piezoelectric materials in processes such as bone healing, nerve regeneration and skin repair has become a prospective strategy. By mimicking the natural bioelectrical environment, piezoelectric materials can stimulate cell proliferation, differentiation and connection, thereby accelerating the process of self-repair in the body. However, many challenges remain to be overcome before these concepts can be applied in clinical practice, including material selection, biocompatibility and equipment design. On the basis of the principle of electrical signal regulation, this article reviews the definition, mechanism of action, classification, preparation and current biomedical applications of piezoelectric materials and discusses opportunities and challenges for their future clinical translation.
Collapse
Affiliation(s)
- Yifan Wu
- College of Life Sciences, Tiangong University, Binshuixi Road, Xiqing District, Tianjin 300387, China
- College of Life Sciences, Key Laboratory of Bioactive Materials (Ministry of Education), State Key Laboratory of Medicinal Chemical Biology, Nankai University, Weijin Road, Nankai District, Tianjin 300071, China
| | - Junwu Zou
- College of Life Sciences, Tiangong University, Binshuixi Road, Xiqing District, Tianjin 300387, China
| | - Kai Tang
- State Key Laboratory of Cardiovascular Disease, Department of Cardiovascular Surgery, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, Peking Union Medical College, Fuwai Hospital, Beilishi Road, Xicheng District, Beijing 100037, China
| | - Ying Xia
- College of Life Sciences, Tiangong University, Binshuixi Road, Xiqing District, Tianjin 300387, China
| | - Xixi Wang
- College of Life Sciences, Tiangong University, Binshuixi Road, Xiqing District, Tianjin 300387, China
- Tianjin Key Laboratory of Biomaterial Research, Institute of Biomedical Engineering, Chinese Academy of Medical Sciences and Peking Union Medical College, Baidi Road, Nankai District, Tianjin 300192, China
| | - Lili Song
- College of Life Sciences, Tiangong University, Binshuixi Road, Xiqing District, Tianjin 300387, China
- Tianjin Key Laboratory of Biomaterial Research, Institute of Biomedical Engineering, Chinese Academy of Medical Sciences and Peking Union Medical College, Baidi Road, Nankai District, Tianjin 300192, China
| | - Jinhai Wang
- College of Life Sciences, Tiangong University, Binshuixi Road, Xiqing District, Tianjin 300387, China
| | - Kai Wang
- College of Life Sciences, Key Laboratory of Bioactive Materials (Ministry of Education), State Key Laboratory of Medicinal Chemical Biology, Nankai University, Weijin Road, Nankai District, Tianjin 300071, China
| | - Zhihong Wang
- Institute of Transplant Medicine, School of Medicine, Nankai University, Weijin Road, Nankai District, Tianjin 300071, China
| |
Collapse
|
2
|
Nain A, Chakraborty S, Barman SR, Gavit P, Indrakumar S, Agrawal A, Lin ZH, Chatterjee K. Progress in the development of piezoelectric biomaterials for tissue remodeling. Biomaterials 2024; 307:122528. [PMID: 38522326 DOI: 10.1016/j.biomaterials.2024.122528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Revised: 02/15/2024] [Accepted: 03/08/2024] [Indexed: 03/26/2024]
Abstract
Piezoelectric biomaterials have demonstrated significant potential in the past few decades to heal damaged tissue and restore cellular functionalities. Herein, we discuss the role of bioelectricity in tissue remodeling and explore ways to mimic such tissue-like properties in synthetic biomaterials. In the past decade, biomedical engineers have adopted emerging functional biomaterials-based tissue engineering approaches using innovative bioelectronic stimulation protocols based on dynamic stimuli to direct cellular activation, proliferation, and differentiation on engineered biomaterial constructs. The primary focus of this review is to discuss the concepts of piezoelectric energy harvesting, piezoelectric materials, and their application in soft (skin and neural) and hard (dental and bone) tissue regeneration. While discussing the prospective applications as an engineered tissue, an important distinction has been made between piezoceramics, piezopolymers, and their composites. The superiority of piezopolymers over piezoceramics to circumvent issues such as stiffness mismatch, biocompatibility, and biodegradability are highlighted. We aim to provide a comprehensive review of the field and identify opportunities for the future to develop clinically relevant and state-of-the-art biomaterials for personalized and remote health care.
Collapse
Affiliation(s)
- Amit Nain
- Department of Material Engineering, Indian Institute of Science, Bangalore, 560012, Karnataka, India.
| | - Srishti Chakraborty
- Department of Material Engineering, Indian Institute of Science, Bangalore, 560012, Karnataka, India
| | - Snigdha Roy Barman
- Department of Bioengineering, Indian Institute of Science, Bangalore, 560012, Karnataka, India
| | - Pratik Gavit
- Department of Material Engineering, Indian Institute of Science, Bangalore, 560012, Karnataka, India; School of Bio Science and Technology, Vellore Institute of Technology, Vellore, 632014, India
| | - Sushma Indrakumar
- Department of Material Engineering, Indian Institute of Science, Bangalore, 560012, Karnataka, India
| | - Akhilesh Agrawal
- Department of Material Engineering, Indian Institute of Science, Bangalore, 560012, Karnataka, India
| | - Zong-Hong Lin
- Department of Biomedical Engineering, National Taiwan University, Taipe, 10617, Taiwan.
| | - Kaushik Chatterjee
- Department of Material Engineering, Indian Institute of Science, Bangalore, 560012, Karnataka, India; Department of Bioengineering, Indian Institute of Science, Bangalore, 560012, Karnataka, India.
| |
Collapse
|
3
|
Min Q, Gao Y, Wang Y. Bioelectricity in dental medicine: a narrative review. Biomed Eng Online 2024; 23:3. [PMID: 38172866 PMCID: PMC10765628 DOI: 10.1186/s12938-023-01189-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Accepted: 12/05/2023] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND Bioelectric signals, whether exogenous or endogenous, play crucial roles in the life processes of organisms. Recently, the significance of bioelectricity in the field of dentistry is steadily gaining greater attention. OBJECTIVE This narrative review aims to comprehensively outline the theory, physiological effects, and practical applications of bioelectricity in dental medicine and to offer insights into its potential future direction. It attempts to provide dental clinicians and researchers with an electrophysiological perspective to enhance their clinical practice or fundamental research endeavors. METHODS An online computer search for relevant literature was performed in PubMed, Web of Science and Cochrane Library, with the keywords "bioelectricity, endogenous electric signal, electric stimulation, dental medicine." RESULTS Eventually, 288 documents were included for review. The variance in ion concentration between the interior and exterior of the cell membrane, referred to as transmembrane potential, forms the fundamental basis of bioelectricity. Transmembrane potential has been established as an essential regulator of intercellular communication, mechanotransduction, migration, proliferation, and immune responses. Thus, exogenous electric stimulation can significantly alter cellular action by affecting transmembrane potential. In the field of dental medicine, electric stimulation has proven useful for assessing pulp condition, locating root apices, improving the properties of dental biomaterials, expediting orthodontic tooth movement, facilitating implant osteointegration, addressing maxillofacial malignancies, and managing neuromuscular dysfunction. Furthermore, the reprogramming of bioelectric signals holds promise as a means to guide organism development and intervene in disease processes. Besides, the development of high-throughput electrophysiological tools will be imperative for identifying ion channel targets and precisely modulating bioelectricity in the future. CONCLUSIONS Bioelectricity has found application in various concepts of dental medicine but large-scale, standardized, randomized controlled clinical trials are still necessary in the future. In addition, the precise, repeatable and predictable measurement and modulation methods of bioelectric signal patterns are essential research direction.
Collapse
Affiliation(s)
- Qingqing Min
- Department of Endodontics, Wuxi Stomatology Hospital, Wuxi, 214000, China
| | - Yajun Gao
- Department of Endodontics, Wuxi Stomatology Hospital, Wuxi, 214000, China
| | - Yao Wang
- Department of Implantology, Wuxi Stomatology Hospital, Wuxi, 214000, China.
| |
Collapse
|
4
|
Panda AK, Basu B. Regenerative bioelectronics: A strategic roadmap for precision medicine. Biomaterials 2023; 301:122271. [PMID: 37619262 DOI: 10.1016/j.biomaterials.2023.122271] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 07/30/2023] [Accepted: 08/06/2023] [Indexed: 08/26/2023]
Abstract
In the past few decades, stem cell-based regenerative engineering has demonstrated its significant potential to repair damaged tissues and to restore their functionalities. Despite such advancement in regenerative engineering, the clinical translation remains a major challenge. In the stance of personalized treatment, the recent progress in bioelectronic medicine likewise evolved as another important research domain of larger significance for human healthcare. Over the last several years, our research group has adopted biomaterials-based regenerative engineering strategies using innovative bioelectronic stimulation protocols based on either electric or magnetic stimuli to direct cellular differentiation on engineered biomaterials with a range of elastic stiffness or functional properties (electroactivity/magnetoactivity). In this article, the role of bioelectronics in stem cell-based regenerative engineering has been critically analyzed to stimulate futuristic research in the treatment of degenerative diseases as well as to address some fundamental questions in stem cell biology. Built on the concepts from two independent biomedical research domains (regenerative engineering and bioelectronic medicine), we propose a converging research theme, 'Regenerative Bioelectronics'. Further, a series of recommendations have been put forward to address the current challenges in bridging the gap in stem cell therapy and bioelectronic medicine. Enacting the strategic blueprint of bioelectronic-based regenerative engineering can potentially deliver the unmet clinical needs for treating incurable degenerative diseases.
Collapse
Affiliation(s)
- Asish Kumar Panda
- Laboratory for Biomaterials, Materials Research Centre, Indian Institute of Science, Bengaluru, 560012, India
| | - Bikramjit Basu
- Laboratory for Biomaterials, Materials Research Centre, Indian Institute of Science, Bengaluru, 560012, India; Centre for Biosystems Science and Engineering, Indian Institute of Science, Bengaluru, 560012, India.
| |
Collapse
|
5
|
Bhaskar N, Kachappilly MC, Bhushan V, Pandya HJ, Basu B. Electrical field stimulated modulation of cell fate of pre-osteoblasts on PVDF/BT/MWCNT based electroactive biomaterials. J Biomed Mater Res A 2023; 111:340-353. [PMID: 36403282 DOI: 10.1002/jbm.a.37472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 11/03/2022] [Accepted: 11/08/2022] [Indexed: 11/21/2022]
Abstract
The present study reports the impact of the interplay between electroactive properties of the biomaterials and electrical stimulation (ES) toward the cell proliferation, migration and maturation of osteoprogenitors (preosteoblasts; MC3T3-E1) on the electroactive poly (vinylidene difluoride) (PVDF)-based composites. The barium titanate (BaTiO3; BT; 30 wt%) and multiwalled carbon nanotubes (MWCNT; 3 wt%) were introduced into the PVDF via melt mixing, which led to an enhancement of the dielectric permittivity, electrical conductivity, and surface roughness. We also present the design and development of an in-house customized 12-well plate-based device for providing different types (DC, square, biphasic) of ES to cells in culture in a programmable manner. In the presence of ES of 1 V cm-1 , biophysical stimulation experiments performed using 12-well plate-based device revealed that PVDF composite (PVDF/30BT/3MWCNT) can facilitate the enhanced adhesion and proliferation of the MC3T3-E1 in non-osteogenic media, with respect to non-stimulated conditions. Importantly, MC3T3-E1 cells demonstrated significantly better migration and differentiation on the PVDF/30BT/3MWCNT under ES when compared to ES-free culture conditions. Similar enhancement with respect to alkaline phosphatase activity, intracellular Ca2+ concentration, and calcium deposition in MC3T3-E1 cells was recorded, when pre-osteoblasts were grown for 21 days on electroactive substrates. All these observations supported the activation of osteo-differentiation fates, which were further promoted in the osteogenic medium. The present study demonstrates that the synergistic interactions of ES with piezoelectric PVDF-based polymer composite can potentially enhance the proliferation, migration, and osteogenesis of the pre-osteoblast cells, rendering it a promising bioengineering strategy for bone tissue engineering.
Collapse
Affiliation(s)
- Nitu Bhaskar
- Laboratory for Biomaterials, Materials Research Centre, Indian Institute of Science, Bangalore, India
| | - Midhun C Kachappilly
- Department of Electronic Systems Engineering, Indian Institute of Science, Bangalore, India
| | - Venkatesh Bhushan
- Department of Electronic Systems Engineering, Indian Institute of Science, Bangalore, India
| | - Hardik J Pandya
- Department of Electronic Systems Engineering, Indian Institute of Science, Bangalore, India.,Centre for Product Design and Manufacturing, Indian Institute of Science, Bangalore, India
| | - Bikramjit Basu
- Laboratory for Biomaterials, Materials Research Centre, Indian Institute of Science, Bangalore, India.,Centre for Biosystems Science and Engineering, Indian Institute of Science, Bangalore, India
| |
Collapse
|
6
|
Nedelcu L, Ferreira JMF, Popa AC, Amarande L, Nan B, Bălescu LM, Geambașu CD, Cioangher MC, Leonat L, Grigoroscuță M, Cristea D, Stroescu H, Ciocoiu RC, Stan GE. Multi-Parametric Exploration of a Selection of Piezoceramic Materials for Bone Graft Substitute Applications. MATERIALS (BASEL, SWITZERLAND) 2023; 16:901. [PMID: 36769908 PMCID: PMC9917895 DOI: 10.3390/ma16030901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 01/11/2023] [Accepted: 01/13/2023] [Indexed: 06/18/2023]
Abstract
This work was devoted to the first multi-parametric unitary comparative analysis of a selection of sintered piezoceramic materials synthesised by solid-state reactions, aiming to delineate the most promising biocompatible piezoelectric material, to be further implemented into macro-porous ceramic scaffolds fabricated by 3D printing technologies. The piezoceramics under scrutiny were: KNbO3, LiNbO3, LiTaO3, BaTiO3, Zr-doped BaTiO3, and the (Ba0.85Ca0.15)(Ti0.9Zr0.1)O3 solid solution (BCTZ). The XRD analysis revealed the high crystallinity of all sintered ceramics, while the best densification was achieved for the BaTiO3-based materials via conventional sintering. Conjunctively, BCTZ yielded the best combination of functional properties-piezoelectric response (in terms of longitudinal piezoelectric constant and planar electromechanical coupling factor) and mechanical and in vitro osteoblast cell compatibility. The selected piezoceramic was further used as a base material for the robocasting fabrication of 3D macro-porous scaffolds (porosity of ~50%), which yielded a promising compressive strength of ~20 MPa (higher than that of trabecular bone), excellent cell colonization capability, and noteworthy cytocompatibility in osteoblast cell cultures, analogous to the biological control. Thereby, good prospects for the possible development of a new generation of synthetic bone graft substitutes endowed with the piezoelectric effect as a stimulus for the enhancement of osteogenic capacity were settled.
Collapse
Affiliation(s)
- Liviu Nedelcu
- National Institute of Materials Physics, 077125 Magurele, Romania
| | - José M. F. Ferreira
- Department of Materials and Ceramic Engineering, CICECO—Aveiro Materials Institute, University of Aveiro, 3810-193 Aveiro, Portugal
| | | | | | - Bo Nan
- Department of Materials and Ceramic Engineering, CICECO—Aveiro Materials Institute, University of Aveiro, 3810-193 Aveiro, Portugal
| | | | | | | | - Lucia Leonat
- National Institute of Materials Physics, 077125 Magurele, Romania
| | | | - Daniel Cristea
- Department of Materials Science, Faculty of Materials Science and Engineering, Transilvania University of Brasov, 500068 Brasov, Romania
| | - Hermine Stroescu
- “Ilie Murgulescu” Institute of Physical Chemistry of the Romanian Academy, 060021 Bucharest, Romania
| | - Robert Cătălin Ciocoiu
- Department of Metallic Materials Science, Physical Metallurgy, University Politehnica of Bucharest, 060042 Bucharest, Romania
| | - George E. Stan
- National Institute of Materials Physics, 077125 Magurele, Romania
| |
Collapse
|
7
|
Martín D, Bocio-Nuñez J, Scagliusi SF, Pérez P, Huertas G, Yúfera A, Giner M, Daza P. DC electrical stimulation enhances proliferation and differentiation on N2a and MC3T3 cell lines. J Biol Eng 2022; 16:27. [PMID: 36229846 PMCID: PMC9563743 DOI: 10.1186/s13036-022-00306-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Accepted: 09/26/2022] [Indexed: 11/21/2022] Open
Abstract
Background Electrical stimulation is a novel tool to promote the differentiation and proliferation of precursor cells. In this work we have studied the effects of direct current (DC) electrical stimulation on neuroblastoma (N2a) and osteoblast (MC3T3) cell lines as a model for nervous and bone tissue regeneration, respectively. We have developed the electronics and encapsulation of a proposed stimulation system and designed a setup and protocol to stimulate cell cultures. Methods Cell cultures were subjected to several assays to assess the effects of electrical stimulation on them. N2a cells were analyzed using microscope images and an inmunofluorescence assay, differentiated cells were counted and neurites were measured. MC3T3 cells were subjected to an AlamarBlue assay for viability, ALP activity was measured, and a real time PCR was carried out. Results Our results show that electrically stimulated cells had more tendency to differentiate in both cell lines when compared to non-stimulated cultures, paired with a promotion of neurite growth and polarization in N2a cells and an increase in proliferation in MC3T3 cell line. Conclusions These results prove the effectiveness of electrical stimulation as a tool for tissue engineering and regenerative medicine, both for neural and bone injuries. Bone progenitor cells submitted to electrical stimulation have a higher tendency to differentiate and proliferate, filling the gaps present in injuries. On the other hand, neuronal progenitor cells differentiate, and their neurites can be polarized to follow the electric field applied.
Collapse
Affiliation(s)
- Daniel Martín
- Electronics Technology Department, Universidad de Sevilla, Seville, Spain. .,Microelectronics Institute of Seville, Universidad de Sevilla, Seville, Spain.
| | - J Bocio-Nuñez
- Bone Metabolism Unit, UGC Medicina Interna, HUV Macarena, Seville, Spain
| | - Santiago F Scagliusi
- Electronics Technology Department, Universidad de Sevilla, Seville, Spain.,Microelectronics Institute of Seville, Universidad de Sevilla, Seville, Spain
| | - Pablo Pérez
- Electronics Technology Department, Universidad de Sevilla, Seville, Spain.,Microelectronics Institute of Seville, Universidad de Sevilla, Seville, Spain
| | - Gloria Huertas
- Microelectronics Institute of Seville, Universidad de Sevilla, Seville, Spain.,Electronics and Electromagnetism Department, Universidad de Sevilla, Seville, Spain
| | - Alberto Yúfera
- Electronics Technology Department, Universidad de Sevilla, Seville, Spain.,Microelectronics Institute of Seville, Universidad de Sevilla, Seville, Spain
| | - Mercè Giner
- Departamento de Citologia e Histologia Normal y Patologica, Universidad de Sevilla, Seville, Spain
| | - Paula Daza
- Cell Biology Department, Universidad de Sevilla, Seville, Spain
| |
Collapse
|