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Kaboodkhani R, Mehrabani D, Moghaddam A, Salahshoori I, Khonakdar HA. Tissue engineering in otology: a review of achievements. JOURNAL OF BIOMATERIALS SCIENCE. POLYMER EDITION 2024; 35:1105-1153. [PMID: 38386362 DOI: 10.1080/09205063.2024.2318822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Accepted: 02/09/2024] [Indexed: 02/23/2024]
Abstract
Tissue engineering application in otology spans a distance from the pinna to auditory nerve covered with specialized tissues and functions such as sense of hearing and aesthetics. It holds the potential to address the barriers of lack of donor tissue, poor tissue match, and transplant rejection through provision of new and healthy tissues similar to the host and possesses the capacity to renew, to regenerate, and to repair in-vivo and was shown to be a bypasses for any need to immunosuppression. This review aims to investigate the application of tissue engineering in otology and to evaluate the achievements and challenges in external, middle and inner ear sections. Since gaining the recent knowledge and training on use of different scaffolds is essential for otology specialists and who look for the recovery of ear function and aesthetics of patients, it is shown in this review how utilizing tissue engineering and cell transplantation, regenerative medicine can provide advancements in hearing and ear aesthetics to fit different patients' needs.
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Affiliation(s)
- Reza Kaboodkhani
- Otorhinolaryngology Research Center, Department of Otorhinolaryngology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Fars, Iran
| | - Davood Mehrabani
- Burn and Wound Healing Research Center, Shiraz University of Medical Sciences, Shiraz, Fars, Iran
- Stem Cell Technology Research Center, Shiraz University of Medical Sciences, Shiraz, Fars, Iran
| | | | | | - Hossein Ali Khonakdar
- Iran Polymer and Petrochemical Institute (IPPI), Tehran, Iran
- Max Bergmann Center of Biomaterials and Institute of Materials Science, Technische Universität Dresden, Dresden, Germany
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Azimi B, Rasti A, Fusco A, Macchi T, Ricci C, Hosseinifard MA, Guazzelli L, Donnarumma G, Bagherzadeh R, Latifi M, Roy I, Danti S, Lazzeri A. Bacterial Cellulose Electrospun Fiber Mesh Coated with Chitin Nanofibrils for Eardrum Repair. Tissue Eng Part A 2024; 30:340-356. [PMID: 37962275 DOI: 10.1089/ten.tea.2023.0242] [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] [Indexed: 11/15/2023] Open
Abstract
In this study, we develop a bio-based and bioactive nanofibrous patch based on bacterial cellulose (BC) and chitin nanofibrils (CNs) using an ionic liquid as a solvent for BC, aimed at tympanic membrane (TM) repair. Electrospun BC nanofiber meshes were produced via electrospinning, and surface-modified with CNs using electrospray. The rheology of the BC/ionic liquid system was investigated. The obtained CN/BC meshes underwent comprehensive morphological, physicochemical, and mechanical characterization. Cytotoxicity tests were conducted using L929 mouse fibroblasts, revealing a cell viability of 97.8%. In vivo tests on rabbit skin demonstrated that the patches were nonirritating. Furthermore, the CN/BC fiber meshes were tested in vitro using human dermal keratinocytes (HaCaT cells) and human umbilical vein endothelial cells as model cells for TM perforation healing. Both cell types demonstrated successful growth on these scaffolds. The presence of CNs resulted in improved indirect antimicrobial activity of the electrospun fiber meshes. HaCaT cells exhibited an upregulated mRNA expression at 6 and 24 h of key proinflammatory cytokines crucial for the wound healing process, indicating the potential benefits of CNs in the healing response. Overall, this study presents a natural and eco-sustainable fiber mesh with great promise for applications in TM repair, leveraging the synergistic effects of BC and CNs to possibly enhance tissue regeneration and healing. Impact statement Repair of tympanic membrane perforations following chronic otitis media is a main clinical issue in otologic surgery, where the underlying infection obstacles self-healing. To address this challenge, our study proposes a bio-based patch made of nanoscale carbohydrate materials (i.e., bacterial cellulose electrospun fibers and chitin nanofibrils) processed via green solvents. The scaffold is nonirritating in vivo, and cytocompatible with fibroblasts, endothelial cells, and keratinocytes. In epithelial cells, it stimulates the expression of the antimicrobial peptide human beta defensin 2, with a pathway of cytokine expression compatible with the wound healing process. Therefore, it could be applied with unsolved infective pathology.
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Affiliation(s)
- Bahareh Azimi
- Department of Civil and Industrial Engineering, University of Pisa, Pisa, Italy
| | - Atefeh Rasti
- Department of Textile Engineering, Amirkabir University of Technology, Tehran, Iran
| | - Alessandra Fusco
- Department of Experimental Medicine, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Teresa Macchi
- Department of Translational Researches and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy
| | - Claudio Ricci
- Department of Civil and Industrial Engineering, University of Pisa, Pisa, Italy
| | | | | | - Giovanna Donnarumma
- Department of Experimental Medicine, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Roohollah Bagherzadeh
- Institute for Advanced Textile Materials and Technologies (ATMT), Amirkabir University of Technology, Tehran, Iran
| | - Masoud Latifi
- Department of Textile Engineering, Amirkabir University of Technology, Tehran, Iran
| | - Ipsita Roy
- Department of Materials Science and Engineering, University of Sheffield, Sheffield, United Kingdom
| | - Serena Danti
- Department of Civil and Industrial Engineering, University of Pisa, Pisa, Italy
| | - Andrea Lazzeri
- Department of Civil and Industrial Engineering, University of Pisa, Pisa, Italy
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Danti S, Anand S, Azimi B, Milazzo M, Fusco A, Ricci C, Zavagna L, Linari S, Donnarumma G, Lazzeri A, Moroni L, Mota C, Berrettini S. Chitin Nanofibril Application in Tympanic Membrane Scaffolds to Modulate Inflammatory and Immune Response. Pharmaceutics 2021; 13:pharmaceutics13091440. [PMID: 34575515 PMCID: PMC8468799 DOI: 10.3390/pharmaceutics13091440] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2021] [Revised: 09/04/2021] [Accepted: 09/05/2021] [Indexed: 01/25/2023] Open
Abstract
Chitin nanofibrils (CNs) are an emerging bio-based nanomaterial. Due to nanometric size and high crystallinity, CNs lose the allergenic features of chitin and interestingly acquire anti-inflammatory activity. Here we investigate the possible advantageous use of CNs in tympanic membrane (TM) scaffolds, as they are usually implanted inside highly inflamed tissue environment due to underlying infectious pathologies. In this study, the applications of CNs in TM scaffolds were twofold. A nanocomposite was used, consisting of poly(ethylene oxide terephthalate)/poly(butylene terephthalate) (PEOT/PBT) copolymer loaded with CN/polyethylene glycol (PEG) pre-composite at 50/50 (w/w %) weight ratio, and electrospun into fiber scaffolds, which were coated by CNs from crustacean or fungal sources via electrospray. The degradation behavior of the scaffolds was investigated during 4 months at 37 °C in an otitis-simulating fluid. In vitro tests were performed using cell types to mimic the eardrum, i.e., human mesenchymal stem cells (hMSCs) for connective, and human dermal keratinocytes (HaCaT cells) for epithelial tissues. HMSCs were able to colonize the scaffolds and produce collagen type I. The inflammatory response of HaCaT cells in contact with the CN-coated scaffolds was investigated, revealing a marked downregulation of the pro-inflammatory cytokines. CN-coated PEOT/PBT/(CN/PEG 50:50) scaffolds showed a significant indirect antimicrobial activity.
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Affiliation(s)
- Serena Danti
- Interuniversity National Consortiums of Materials Science and Technology (INSTM), 50121 Firenze, Italy; (B.A.); (M.M.); (A.F.); (C.R.); (L.Z.); (G.D.); (A.L.); (S.B.)
- Department of Civil and Industrial Engineering, University of Pisa, 56122 Pisa, Italy
- Correspondence: (S.D.); (C.M.)
| | - Shivesh Anand
- Department of Complex Tissue Regeneration, MERLN Institute for Technology-Inspired Regenerative Medicine, Maastricht University, 6229 ER Maastricht, The Netherlands; (S.A.); (L.M.)
| | - Bahareh Azimi
- Interuniversity National Consortiums of Materials Science and Technology (INSTM), 50121 Firenze, Italy; (B.A.); (M.M.); (A.F.); (C.R.); (L.Z.); (G.D.); (A.L.); (S.B.)
- Department of Civil and Industrial Engineering, University of Pisa, 56122 Pisa, Italy
| | - Mario Milazzo
- Interuniversity National Consortiums of Materials Science and Technology (INSTM), 50121 Firenze, Italy; (B.A.); (M.M.); (A.F.); (C.R.); (L.Z.); (G.D.); (A.L.); (S.B.)
- The BioRobotics Institute, Scuola Superiore Sant’Anna, Viale Rinaldo Piaggio 34, 56025 Pontedera, Italy
| | - Alessandra Fusco
- Interuniversity National Consortiums of Materials Science and Technology (INSTM), 50121 Firenze, Italy; (B.A.); (M.M.); (A.F.); (C.R.); (L.Z.); (G.D.); (A.L.); (S.B.)
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
| | - Claudio Ricci
- Interuniversity National Consortiums of Materials Science and Technology (INSTM), 50121 Firenze, Italy; (B.A.); (M.M.); (A.F.); (C.R.); (L.Z.); (G.D.); (A.L.); (S.B.)
- Department of Surgical, Medical, Molecular Pathology and Emergency Medicine, University of Pisa, 56126 Pisa, Italy
| | - Lorenzo Zavagna
- Interuniversity National Consortiums of Materials Science and Technology (INSTM), 50121 Firenze, Italy; (B.A.); (M.M.); (A.F.); (C.R.); (L.Z.); (G.D.); (A.L.); (S.B.)
- Linari Engineering s.r.l., 56121 Pisa, Italy;
| | | | - Giovanna Donnarumma
- Interuniversity National Consortiums of Materials Science and Technology (INSTM), 50121 Firenze, Italy; (B.A.); (M.M.); (A.F.); (C.R.); (L.Z.); (G.D.); (A.L.); (S.B.)
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
| | - Andrea Lazzeri
- Interuniversity National Consortiums of Materials Science and Technology (INSTM), 50121 Firenze, Italy; (B.A.); (M.M.); (A.F.); (C.R.); (L.Z.); (G.D.); (A.L.); (S.B.)
- Department of Civil and Industrial Engineering, University of Pisa, 56122 Pisa, Italy
| | - Lorenzo Moroni
- Department of Complex Tissue Regeneration, MERLN Institute for Technology-Inspired Regenerative Medicine, Maastricht University, 6229 ER Maastricht, The Netherlands; (S.A.); (L.M.)
| | - Carlos Mota
- Department of Complex Tissue Regeneration, MERLN Institute for Technology-Inspired Regenerative Medicine, Maastricht University, 6229 ER Maastricht, The Netherlands; (S.A.); (L.M.)
- Correspondence: (S.D.); (C.M.)
| | - Stefano Berrettini
- Interuniversity National Consortiums of Materials Science and Technology (INSTM), 50121 Firenze, Italy; (B.A.); (M.M.); (A.F.); (C.R.); (L.Z.); (G.D.); (A.L.); (S.B.)
- Department of Surgical, Medical, Molecular Pathology and Emergency Medicine, University of Pisa, 56126 Pisa, Italy
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Kaboodkhani R, Mehrabani D, Karimi-Busheri F. Achievements and Challenges in Transplantation of Mesenchymal Stem Cells in Otorhinolaryngology. J Clin Med 2021; 10:2940. [PMID: 34209041 PMCID: PMC8267672 DOI: 10.3390/jcm10132940] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Revised: 06/25/2021] [Accepted: 06/28/2021] [Indexed: 12/15/2022] Open
Abstract
Otorhinolaryngology enrolls head and neck surgery in various tissues such as ear, nose, and throat (ENT) that govern different activities such as hearing, breathing, smelling, production of vocal sounds, the balance, deglutition, facial animation, air filtration and humidification, and articulation during speech, while absence of these functions can lead to high morbidity and even mortality. Conventional therapies for head and neck damaged tissues include grafts, transplants, and artificial materials, but grafts have limited availability and cause morbidity in the donor site. To improve these limitations, regenerative medicine, as a novel and rapidly growing field, has opened a new therapeutic window in otorhinolaryngology by using cell transplantation to target the healing and replacement of injured tissues. There is a high risk of rejection and tumor formation for transplantation of embryonic stem cells (ESCs) and induced pluripotent stem cells (iPSCs); mesenchymal stem cells (MSCs) lack these drawbacks. They have easy expansion and antiapoptotic properties with a wide range of healing and aesthetic functions that make them a novel candidate in otorhinolaryngology for craniofacial defects and diseases and hold immense promise for bone tissue healing; even the tissue sources and types of MSCs, the method of cell introduction and their preparation quality can influence the final outcome in the injured tissue. In this review, we demonstrated the anti-inflammatory and immunomodulatory properties of MSCs, from different sources, to be safely used for cell-based therapies in otorhinolaryngology, while their achievements and challenges have been described too.
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Affiliation(s)
- Reza Kaboodkhani
- Otorhinolaryngology Research Center, Department of Otorhinolaryngology, School of Medicine, Shiraz University of Medical Sciences, Shiraz 71936-36981, Iran;
| | - Davood Mehrabani
- Stem Cell Technology Research Center, Shiraz University of Medical Sciences, Shiraz 71348-14336, Iran
- Burn and Wound Healing Research Center, Shiraz University of Medical Sciences, Shiraz 71987-74731, Iran
- Comparative and Experimental Medicine Center, Shiraz University of Medical Sciences, Shiraz 71348-14336, Iran
- Li Ka Shing Center for Health Research and Innovation, University of Alberta, Edmonton, AB T6G 2E1, Canada
| | - Feridoun Karimi-Busheri
- Department of Oncology, Faculty of Medicine, University of Alberta, Edmonton, AB T6G 1Z2, Canada
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Milazzo M, Gallone G, Marcello E, Mariniello MD, Bruschini L, Roy I, Danti S. Biodegradable Polymeric Micro/Nano-Structures with Intrinsic Antifouling/Antimicrobial Properties: Relevance in Damaged Skin and Other Biomedical Applications. J Funct Biomater 2020; 11:jfb11030060. [PMID: 32825113 PMCID: PMC7563177 DOI: 10.3390/jfb11030060] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Revised: 08/07/2020] [Accepted: 08/12/2020] [Indexed: 12/16/2022] Open
Abstract
Bacterial colonization of implanted biomedical devices is the main cause of healthcare-associated infections, estimated to be 8.8 million per year in Europe. Many infections originate from damaged skin, which lets microorganisms exploit injuries and surgical accesses as passageways to reach the implant site and inner organs. Therefore, an effective treatment of skin damage is highly desirable for the success of many biomaterial-related surgical procedures. Due to gained resistance to antibiotics, new antibacterial treatments are becoming vital to control nosocomial infections arising as surgical and post-surgical complications. Surface coatings can avoid biofouling and bacterial colonization thanks to biomaterial inherent properties (e.g., super hydrophobicity), specifically without using drugs, which may cause bacterial resistance. The focus of this review is to highlight the emerging role of degradable polymeric micro- and nano-structures that show intrinsic antifouling and antimicrobial properties, with a special outlook towards biomedical applications dealing with skin and skin damage. The intrinsic properties owned by the biomaterials encompass three main categories: (1) physical–mechanical, (2) chemical, and (3) electrostatic. Clinical relevance in ear prostheses and breast implants is reported. Collecting and discussing the updated outcomes in this field would help the development of better performing biomaterial-based antimicrobial strategies, which are useful to prevent infections.
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Affiliation(s)
- Mario Milazzo
- Department of Civil and Environmental Engineering, Massachusetts Institute of Technology, Cambridge, MA 02142, USA
- Correspondence: (M.M.); (S.D.)
| | - Giuseppe Gallone
- Department of Civil and Industrial Engineering, University of Pisa, 56126 Pisa, Italy;
| | - Elena Marcello
- School of Life Sciences, University of Westminster, London W1W 6UW, UK;
| | - Maria Donatella Mariniello
- Doctoral School in Clinical and Translational Sciences, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, via Savi 10, 56126 Pisa, Italy;
| | - Luca Bruschini
- Department of Surgical, Medical, Molecular Pathology and Emergency Medicine, University of Pisa, via Savi 10, 56126 Pisa, Italy;
| | - Ipsita Roy
- Department of Materials Science and Engineering, Faculty of Engineering, University of Sheffield, Sheffield S1 3JD, UK;
| | - Serena Danti
- Department of Civil and Environmental Engineering, Massachusetts Institute of Technology, Cambridge, MA 02142, USA
- Department of Civil and Industrial Engineering, University of Pisa, 56126 Pisa, Italy;
- Doctoral School in Clinical and Translational Sciences, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, via Savi 10, 56126 Pisa, Italy;
- Correspondence: (M.M.); (S.D.)
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Mota C, Milazzo M, Panetta D, Trombi L, Gramigna V, Salvadori PA, Giannotti S, Bruschini L, Stefanini C, Moroni L, Berrettini S, Danti S. 3D fiber deposited polymeric scaffolds for external auditory canal wall. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2018; 29:63. [PMID: 29736776 DOI: 10.1007/s10856-018-6071-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/26/2017] [Accepted: 04/21/2018] [Indexed: 06/08/2023]
Abstract
The external auditory canal (EAC) is an osseocartilaginous structure extending from the auricle to the eardrum, which can be affected by congenital, inflammatory, and neoplastic diseases, thus reconstructive materials are needed. Current biomaterial-based approaches for the surgical reconstruction of EAC posterior wall still suffer from resorption (biological) and extrusion (synthetic). In this study, 3D fiber deposited scaffolds based on poly(ethylene oxide terephthalate)/poly(butylene terephthalate) were designed and fabricated to replace the EAC wall. Fiber diameter and scaffold porosity were optimized, leading to 200 ± 33 µm and 55% ± 5%, respectively. The mechanical properties were evaluated, resulting in a Young's modulus of 25.1 ± 7.0 MPa. Finally, the EAC scaffolds were tested in vitro with osteo-differentiated human mesenchymal stromal cells (hMSCs) with different seeding methods to produce homogeneously colonized replacements of interest for otologic surgery. This study demonstrated the fabrication feasibility of EAC wall scaffolds aimed to match several important requirements for biomaterial application to the ear under the Tissue Engineering paradigm, including shape, porosity, surface area, mechanical properties and favorable in vitro interaction with osteoinduced hMSCs. This study demonstrated the fabrication feasibility of outer ear canal wall scaffolds via additive manufacturing. Aimed to match several important requirements for biomaterial application to ear replacements under the Tissue Engineering paradigm, including shape, porosity and pore size, surface area, mechanical properties and favorable in vitro interaction with osteo-differentiated mesenchymal stromal cells.
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Affiliation(s)
- Carlos Mota
- Institute for Technology Inspired Regenerative Medicine (MERLN), Complex Tissue Regeneration Department, Maastricht University, Maastricht, The Netherlands
| | - Mario Milazzo
- The BioRobotics Institute, Scuola Superiore Sant'Anna, Pontedera, PI, Italy
| | - Daniele Panetta
- Institute of Clinical Physiology, National Research Council (CNR), Pisa, Italy
| | - Luisa Trombi
- Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
| | - Vera Gramigna
- Institute of Bioimaging and Molecular Physiology, National Research Council (CNR), Germaneto, CZ, Italy
| | - Piero A Salvadori
- Institute of Clinical Physiology, National Research Council (CNR), Pisa, Italy
| | - Stefano Giannotti
- Department of Medical and Surgical Sciences and Neurosciences, University of Siena, Siena, Italy
| | - Luca Bruschini
- Department of Surgical, Medical, Molecular Pathology and Emergency Medicine, University of Pisa, Pisa, Italy
| | - Cesare Stefanini
- The BioRobotics Institute, Scuola Superiore Sant'Anna, Pontedera, PI, Italy
| | - Lorenzo Moroni
- Institute for Technology Inspired Regenerative Medicine (MERLN), Complex Tissue Regeneration Department, Maastricht University, Maastricht, The Netherlands
| | - Stefano Berrettini
- Department of Surgical, Medical, Molecular Pathology and Emergency Medicine, University of Pisa, Pisa, Italy
| | - Serena Danti
- The BioRobotics Institute, Scuola Superiore Sant'Anna, Pontedera, PI, Italy.
- Dept. of Civil and Industrial Engineering, University of Pisa, Largo L. Lazzarino 2, Pisa, Italy.
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3D printing for clinical application in otorhinolaryngology. Eur Arch Otorhinolaryngol 2017; 274:4079-4089. [DOI: 10.1007/s00405-017-4743-0] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2017] [Accepted: 09/12/2017] [Indexed: 12/12/2022]
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Manavitehrani I, Fathi A, Badr H, Daly S, Negahi Shirazi A, Dehghani F. Biomedical Applications of Biodegradable Polyesters. Polymers (Basel) 2016; 8:E20. [PMID: 30979116 PMCID: PMC6432531 DOI: 10.3390/polym8010020] [Citation(s) in RCA: 260] [Impact Index Per Article: 32.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Revised: 01/08/2016] [Accepted: 01/11/2016] [Indexed: 01/08/2023] Open
Abstract
The focus in the field of biomedical engineering has shifted in recent years to biodegradable polymers and, in particular, polyesters. Dozens of polyester-based medical devices are commercially available, and every year more are introduced to the market. The mechanical performance and wide range of biodegradation properties of this class of polymers allow for high degrees of selectivity for targeted clinical applications. Recent research endeavors to expand the application of polymers have been driven by a need to target the general hydrophobic nature of polyesters and their limited cell motif sites. This review provides a comprehensive investigation into advanced strategies to modify polyesters and their clinical potential for future biomedical applications.
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Affiliation(s)
- Iman Manavitehrani
- School of Chemical and Biomolecular Engineering, University of Sydney, NSW 2006, Australia.
| | - Ali Fathi
- School of Chemical and Biomolecular Engineering, University of Sydney, NSW 2006, Australia.
| | - Hesham Badr
- School of Chemical and Biomolecular Engineering, University of Sydney, NSW 2006, Australia.
| | - Sean Daly
- School of Chemical and Biomolecular Engineering, University of Sydney, NSW 2006, Australia.
| | - Ali Negahi Shirazi
- School of Chemical and Biomolecular Engineering, University of Sydney, NSW 2006, Australia.
| | - Fariba Dehghani
- School of Chemical and Biomolecular Engineering, University of Sydney, NSW 2006, Australia.
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Mota C, Danti S, D'Alessandro D, Trombi L, Ricci C, Puppi D, Dinucci D, Milazzo M, Stefanini C, Chiellini F, Moroni L, Berrettini S. Multiscale fabrication of biomimetic scaffolds for tympanic membrane tissue engineering. Biofabrication 2015; 7:025005. [PMID: 25947357 DOI: 10.1088/1758-5090/7/2/025005] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
The tympanic membrane (TM) is a thin tissue able to efficiently collect and transmit sound vibrations across the middle ear thanks to the particular orientation of its collagen fibers, radiate on one side and circular on the opposite side. Through the combination of advanced scaffolds and autologous cells, tissue engineering (TE) could offer valuable alternatives to autografting in major TM lesions. In this study, a multiscale approach based on electrospinning (ES) and additive manufacturing (AM) was investigated to fabricate scaffolds, based on FDA approved copolymers, resembling the anatomic features and collagen fiber arrangement of the human TM. A single scale TM scaffold was manufactured using a custom-made collector designed to confer a radial macro-arrangement to poly(lactic-co-glycolic acid) electrospun fibers during their deposition. Dual and triple scale scaffolds were fabricated combining conventional ES with AM to produce poly(ethylene oxide terephthalate)/poly(butylene terephthalate) block copolymer scaffolds with anatomic-like architecture. The processing parameters were optimized for each manufacturing method and copolymer. TM scaffolds were cultured in vitro with human mesenchymal stromal cells, which were viable, metabolically active and organized following the anisotropic character of the scaffolds. The highest viability, cell density and protein content were detected in dual and triple scale scaffolds. Our findings showed that these biomimetic micro-patterned substrates enabled cell disposal along architectural directions, thus appearing as promising substrates for developing functional TM replacements via TE.
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Affiliation(s)
- Carlos Mota
- Laboratory of Temporal Bone Dissection and Otologic Tissue Engineering (OtoLab), Department of Surgical, Medical, Molecular Pathology and Emergency Medicine, University of Pisa, Pisa, Italy. Institute for Biomedical Technology & Technical Medicine (MIRA), Tissue Regeneration Department, University of Twente, Enschede, The Netherlands. Laboratory of Bioactive Polymeric Materials for Biomedical and Environmental Applications (BIOLab), Department of Chemistry and Industrial Chemistry, University of Pisa, Pisa, Italy. Institute for Technology Inspired Regenerative Medicine (MERLN), Complex Tissue Regeneration Department, Maastricht University, Maastricht, The Netherlands
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D'Alessandro D, Pertici G, Moscato S, Metelli MR, Danti S, Nesti C, Berrettini S, Petrini M, Danti S. Processing large-diameter poly(L-lactic acid) microfiber mesh/mesenchymal stromal cell constructs via resin embedding: an efficient histologic method. Biomed Mater 2014; 9:045007. [PMID: 25029413 DOI: 10.1088/1748-6041/9/4/045007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
In this study, we performed a complete histologic analysis of constructs based on large diameter ( >100 μm) poly-L-lactic acid (PLLA) microfibers obtained via dry-wet spinning and rat Mesenchymal Stromal Cells (rMSCs) differentiated towards the osteogenic lineage, using acrylic resin embedding. In many synthetic polymer-based microfiber meshes, ex post processability of fiber/cell constructs for histologic analysis may face deterring difficulties, leading to an incomplete investigation of the potential of these scaffolds. Indeed, while polymeric nanofiber (fiber diameter = tens of nanometers)/cell constructs can usually be embedded in common histologic media and easily sectioned, preserving the material structure and the antigenic reactivity, histologic analysis of large polymeric microfiber/cell constructs in the literature is really scant. This affects microfiber scaffolds based on FDA-approved and widely used polymers such as PLLA and its copolymers. Indeed, for such constructs, especially those with fiber diameter and fiber interspace much larger than cell size, standard histologic processing is usually inefficient due to inhomogeneous hardness and lack of cohesion between the synthetic and the biological phases under sectioning. In this study, the microfiber/MSC constructs were embedded in acrylic resin and the staining/reaction procedures were calibrated to demonstrate the possibility of successfully employing histologic methods in tissue engineering studies even in such difficult cases. We histologically investigated the main osteogenic markers and extracellular matrix molecules, such as alkaline phosphatase, osteopontin, osteocalcin, TGF-β1, Runx2, Collagen type I and the presence of amorphous, fibrillar and mineralized matrix. Biochemical tests were employed to confirm our findings. This protocol permitted efficient sectioning of the treated constructs and good penetration of the histologic reagents, thus allowing distribution and expression of almost all the tested molecules to be revealed. Our results demonstrated that it is possible to perform histologic analyses of large-diameter PLLA-based microfiber scaffold/MSC constructs that face the failure of standard histologic procedures.
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Affiliation(s)
- Delfo D'Alessandro
- Center for Clinical Use of Stem Cells (CUCCS-RRMR), University of Pisa, 56126 Pisa, Italy. Department of Surgical, Medical, Molecular Pathology and Emergency Medicine, University of Pisa, 56124 Pisa, Italy
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Danti S, Serino LP, D'Alessandro D, Moscato S, Danti S, Trombi L, Dinucci D, Chiellini F, Pietrabissa A, Lisanti M, Berrettini S, Petrini M. Growing bone tissue-engineered niches with graded osteogenicity: an in vitro method for biomimetic construct assembly. Tissue Eng Part C Methods 2013; 19:911-24. [PMID: 23537352 DOI: 10.1089/ten.tec.2012.0445] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The traditional bone tissue-engineering approach exploits mesenchymal stem cells (MSCs) to be seeded once only on three-dimensional (3D) scaffolds, hence, differentiated for a certain period of time and resulting in a homogeneous osteoblast population at the endpoint. However, after achieving terminal osteodifferentiation, cell viability is usually markedly compromised. On the other hand, naturally occurring osteogenesis results from the coexistence of MSC progenies at distinct differentiative stages in the same microenvironment. This diversification also enables long-term viability of the mature tissue. We report an easy and tunable in vitro method to engineer simple osteogenic cell niches in a biomimetic fashion. The niches were grown via periodic reseeding of undifferentiated MSCs on MSC/scaffold constructs, the latter undergoing osteogenic commitment. Time-fractioning of the seeded cell number during differentiation time of the constructs allowed graded osteogenic cell populations to be grown together on the same scaffolds (i.e., not only terminally differentiated osteoblasts). In such cell-dynamic systems, the overall differentiative stage of the constructs could also be tuned by varying the cell density seeded at each inoculation. In this way, we generated two different biomimetic niche models able to host good reservoirs of preosteoblasts and other osteoprogenitors after 21 culture days. At that time, the niche type resulting in 40.8% of immature osteogenic progenies and only 59.2% of mature osteoblasts showed a calcium content comparable to the constructs obtained with the traditional culture method (i.e., 100.03 ± 29.30 vs. 78.51 ± 28.50 pg/cell, respectively; p=not significant), the latter colonized only by fully differentiated osteoblasts showing exhausted viability. This assembly method for tissue-engineered constructs enabled a set of important parameters, such as viability, colonization, and osteogenic yield of the MSCs to be balanced on 3D scaffolds, thus achieving biomimetic in vitro models with graded osteogenicity, which are more complex and reliable than those currently used by tissue engineers.
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Affiliation(s)
- Serena Danti
- 1 Department of Surgical, Medical, Molecular Pathology and Emergency Medicine, University of Pisa , Pisa, Italy
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Murillo-Cuesta S, Rodríguez-de la Rosa L, Cediel R, Lassaletta L, Varela-Nieto I. The role of insulin-like growth factor-I in the physiopathology of hearing. Front Mol Neurosci 2011; 4:11. [PMID: 21845174 PMCID: PMC3146045 DOI: 10.3389/fnmol.2011.00011] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2011] [Accepted: 07/11/2011] [Indexed: 01/19/2023] Open
Abstract
Insulin-like growth factor-I (IGF-I) belongs to the family of polypeptides of insulin, which play a central role in embryonic development and adult nervous system homeostasis by endocrine, autocrine, and paracrine mechanisms. IGF-I is fundamental for the regulation of cochlear development, growth, and differentiation, and its mutations are associated with hearing loss in mice and men. Low levels of IGF-I have been shown to correlate with different human syndromes showing hearing loss and with presbyacusis. Animal models are fundamental to understand the genetic, epigenetic, and environmental factors that contribute to human hearing loss. In the mouse, IGF-I serum levels decrease with aging and there is a concomitant hearing loss and retinal degeneration. In the Igf1(-/-) null mouse, hearing loss is due to neuronal loss, poor innervation of the sensory hair cells, and age-related stria vascularis alterations. In the inner ear, IGF-I actions are mediated by intracellular signaling networks, RAF, AKT, and p38 MAPK protein kinases modulate the expression and activity of transcription factors, as AP1, MEF2, FoxM1, and FoxP3, leading to the regulation of cell cycle and metabolism. Therapy with rhIGF-I has been approved in humans for the treatment of poor linear growth and certain neurodegenerative diseases. This review will discuss these findings and their implications in new IGF-I-based treatments for the protection or repair of hearing loss.
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Affiliation(s)
- Silvia Murillo-Cuesta
- Servicio de Evaluación Neurofuncional no Invasiva, Instituto de Investigaciones Biomédicas Alberto Sols, Consejo Superior de Investigaciones Científicas-Universidad Autónoma de Madrid Madrid, Spain
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