The origin of electrokinetic potentials in bone tissue: the organic phase

Triboelectric Nanogenerators for Therapeutic Electrical Stimulation

Current solutions developed for the purpose of in and on body (IOB) electrical stimulation (ES) lack autonomous qualities necessary for comfortable, practical, and self-dependent use. Consequently, recent focus has been placed on developing self-powered IOB therapeutic devices capable of generating therapeutic ES for human use. With the recent invention of the triboelectric nanogenerator (TENG), harnessing passive human biomechanical energy to develop self-powered systems has allowed for the introduction of novel therapeutic ES solutions. TENGs are especially effective at providing ES for IOB therapeutic systems given their bioconformability, low cost, simple manufacturability, and self-powering capabilities. Due to the key role of naturally induced electrical signals in many physiological functions, TENG-induced ES holds promise to provide a novel paradigm in therapeutic interventions. The aim here is to detail research on IOB TENG devices applied for ES-based therapy in the fields of regenerative medicine, neurology, rehabilitation, and pharmaceutical engineering. Furthermore, considering TENG-produced ES can be measured for sensing applications, this technology is paving the way to provide a fully autonomous personalized healthcare system, capable of IOB energy generation, sensing, and therapeutic intervention. Considering these grounds, it seems highly relevant to review TENG-ES research and applications, as they could constitute the foundation and future of personalized healthcare.

A new streaming potential chamber for zeta potential measurements of particulates

A novel streaming potential measurement device has been validated by determining the average electrokinetic (zeta) potential of densely packed particulate such as human erythrocytes and ground bovine cortical bone. The new streaming potential device used in this study is easy to construct in the laboratory, designed to allow dense packing of particles, and determines zeta potentials for a broad range of particle sizes. The streaming potential device consists of four Plexiglas parts: (i) an upper and (ii) a lower chamber, which act as reservoirs for fluid; (iii) a midchamber which connects the upper and lower chambers and holds the sample holder, and (iv) a sample holder. Pressurization of fluid in the top chamber generates a pressure gradient that induces movement of fluid through the stationary sample and into the bottom chamber. Pressure induced flow through the interconnected pores of the densely packed particulate generates a potential difference across the sample that is measured using electrodes housed in the top and bottom chambers. The measured potential difference is then converted to zeta potentials. The advantage of this chamber is its ability to handle densely packed particulates exhibiting a broad distribution of sizes. Dense packing of particulate is achieved by compacting samples at the bottom of the sample holder under centrifugal forces before the device is assembled. This approach allowed us to determine average zeta potentials of densely packed particulate made of soft and hard materials.

Determination of zeta-potential and tortuosity in rat organotypic hippocampal cultures from electroosmotic velocity measurements under feedback control

Extracellular translational motion in the brain is generally considered to be governed by diffusion and tortuosity. However, the brain as a whole has a significant zeta-potential, thus translational motion is also governed by electrokinetic effects under a naturally occurring or applied electric field. We have previously measured zeta-potential and tortuosity in intact brain tissue; however, the method was tedious. In this work, we use a four-electrode potentiostat to control the potential difference between two microreference electrodes in the tissue, creating a constant electric field. Additionally, some alterations have been made to simplify our previous procedure. The method entails simultaneously injecting two 70 kDa dextran conjugated fluorophores into rat organotypic hippocampal cultures and observing their mobility using fluorescence microscopy. We further present two methods of data analysis: regression and two-probe analysis. Statistical comparisons are made between the previous and current methods as well as between the two data analysis methods. In comparison to the previous method, the current, simpler method with data analysis by regression gives statistically indistinguishable mean values of zeta-potential and tortuosity, with a similar variability for zeta-potential, -21.3 +/- 2.8 mV, and a larger variability for the tortuosity, 1.98 +/- 0.12. On the other hand, we find that the current method combined with the two-probe analysis produces accurate and more precise results, with a zeta-potential of -22.8 +/- 0.8 mV and a tortuosity of 2.24 +/- 0.10.

Determination of zeta-potential in rat organotypic hippocampal cultures

zeta-potentials of entities such as cells and synaptosomes have been determined, but zeta of brain tissue has never been measured. Electroosmotic flow, and the resulting transport of neuroactive substances, would result from naturally occurring and experimentally or clinically induced electric fields if zeta is significant. We have developed a simple method for determining zeta in tissue. An electric field applied across a rat organotypic hippocampal slice culture (OHSC) drives fluorescent molecules through the tissue by both electroosmotic flow and electrophoresis. Fluorescence microscopy is used to determine each molecule's velocity. Independently, capillary electrophoresis is used to measure the molecules' electrophoretic mobilities. The experiment yields zeta-potential and average tissue tortuosity. The zeta-potential of OHSCs is -22 +/- 2 mV, and the average tortuosity is 1.83 +/- 0.06. In a refined experiment, zeta-potential is measured in various subregions. The zeta-potentials of the CA1 stratum pyramidale, CA3 stratum pyramidal, and dentate gyrus are -25.1 +/- 1.6 mV, -20.3 +/- 1.7 mV, and -25.4 +/- 1.0 mV, respectively. Simple dimensional arguments show that electroosmotic flow is potentially as important as diffusion in molecular transport.

“Whither flows the fluid in bone?” An osteocyte's perspective

Bone represents a porous tissue containing a fluid phase, a solid matrix, and cells. Movement of the fluid phase within the pores or spaces of the solid matrix translates endogenous and exogenous mechanobiological, biochemical and electromechanical signals from the system that is exposed to the dynamic external environment to the cells that have the machinery to remodel the tissue from within. Hence, bone fluid serves as a coupling medium, providing an elegant feedback mechanism for functional adaptation. Until recently relatively little has been known about bone fluid per se or the influences governing the characteristics of its flow. This work is designed to review the current state of this emerging field. The structure of bone, as an environment for fluid flow, is discussed in terms of the properties of the spaces and channel walls through which the fluid flows and the influences on flow under physiological conditions. In particular, the development of the bone cell syncytium and lacunocanalicular system are presented, and pathways for fluid flow are described from the systemic to the organ, tissue, cellular and subcellular levels. Finally, exogenous and endogenous mechanisms for pressure-induced fluid movement through bone, including mechanical loading, vascular derived pressure gradients, and osmotic pressure gradients are discussed. The objective of this review is to survey the current understanding of the means by which fluid flow in bone is regulated, from the level of the skeletal system down to the level of osteocyte, and to provide impetus for future research in this area of signal transduction and coupling. An understanding of this important aspect of bone physiology has profound implications for restoration of function through innovative treatment modalities on Earth and in space, as well as for engineering of biomimetic replacement tissue.

In vitro stability predictions for the bone/hydroxyapatite composite system

Electroacoustic measurements of the zeta (zeta) potential as a function of pH were collected and used to probe the nature of the ionic contributions to the bond formed between synthetic hydroxyapatite (HA) and bone. HA powder and wet bone powder were dispersed into an electrolyte solution comprised of physiologic saline (0.154M NaCl), electroacoustic measurements collected, and the zeta potential calculated as a function of pH. The zeta potential and particle size then were used to calculate the stability of the composite dispersion, where stability is the ability of a particulate suspension to remain unagglomerated. The stability was used to predict the homo- (HA to HA and bone to bone) versus heterocoagulation (HA to bone) behaviors for the HA/bone system. Although single component bone and HA demonstrated stability against agglomeration, the HA/bone interaction was determined to be unstable for all pH levels tested, including pH 7.4, the normal in vivo pH. These results establish one factor responsible for the observed physicochemical bonding between bone and HA noted by many in the orthopedic community.

Streaming potentials in gap osteotomy callus and adjacent cortex. A pilot study

This study documented streaming potentials generated in vivo by maturing osteotomy calluses in 10 canine tibiae. Gap osteotomies were allowed to heal for 6 or 12 weeks and were stabilized by an external fixator. Then, with the dogs under anesthesia, electrical measurements were made from 3 silver-silver chloride electrodes placed surgically in direct contact with the callus, with adjacent cortical bone, and with the medullary canal (reference electrode). Streaming potentials were recorded during step loading and sinusoidal bending (0.1-30 Hertz) as the tibia was deformed by 2 threaded pins coupled to a servohydraulic device. Streaming potentials were generated at callus and adjacent cortical sites, but the magnitude was greater on the immature, flexible callus, where bending strain was concentrated; as the callus became increasingly rigid, strain and streaming potential magnitude were distributed more evenly over the callus and adjacent cortical fragments. When normalized to surface strain, mean streaming potential per strain was less dependent on the microscopic structure, although on individual specimens streaming potential per strain at callus and adjacent cortical bone sites tended to increase with decreasing porosity. Despite a wide variation in data in this pilot series, these observations are consistent with the natural history of callus maturation: the maximum magnitude of streaming potentials in callus appears to decrease as the strain gradient across the site decreases, whereas streaming potentials normalized to strain increase as bone matures and becomes more dense.

Demineralized bone matrix as a template for mineral--organic composites

Mineralizing biological tissues are complex bioceramic-biopolymer composites engineered for a variety of functions. The organic and inorganic constituents, morphology, location, orientation, crystallinity and interactions exhibit materials or extremely fine microstructure, unique mechanical and physical properties with high strength and fracture toughness compared to the individual constituents. An understanding of mineralization, ultrastructural organization and interfacial bonding forces in mineralizing biological composite tissues, such as bone, may provide new strategies and techniques for the production of a novel class of man-made organic-ceramic composites. The present study explores the use of the organic matrix remaining after removal of the mineral phase by chelation with EDTA or solubilizing in HCl as a template for mineral deposition and the production of mineral-organic composites. Different pH conditions are employed to alter the inorganic phase which is deposited within the organic matrix. Mechanical testing and ultrastructural evaluations are carried out for characterization.

Zeta potential of bone from particle electrophoresis: solution composition and kinetic effects

The morphology of bone may be influenced by many factors, including electromechanical ones such as electric potentials, electric fields, or zeta potentials. Stress-generated potential studies in bone and particle electrophoresis studies using calcium-deficient hydroxyapatite have shown that the zeta potential depends on the composition of the steeping fluid and steeping time. To better quantify and understand these in situ potential changes in bovine cortical bone, the effects of alterations in calcium, phosphate, and fluoride concentrations in Neuman's Fluid (NF), which simulates in vivo bone extracellular fluid, were investigated using particle electrophoresis. The zeta potential increased in magnitude with increased calcium concentration in NF in as little as 17 min. Increasing phosphate concentration in NF also increased the zeta potential magnitude. These results provide support for a structural model of the bone matrix surface-bone fluid interface, which incorporates the bone surface proper (composed of collagen, mineral, and boundary regions), stationary layer (in which ions, ionic complexes, and proteins may be adsorbed), and bone extracellular fluid. These results, coupled with those of previous studies, indicate that the protein phase probably has an important role in the determination of the physiologic zeta potential; the role of the mineral phase may also be important.

Streaming potential measurements at low ionic concentrations reflect bone microstructure

Streaming potentials (SPs) have been proposed as one transduction pathway for mechanically driven bone remodeling. The fluid spaces in which SPs are generated will determine, in part, the structural information that they can provide to bone cells. Streaming potential measurements across cortical bone strips soaked in a range of saline concentrations were used to estimate the mean radii of fluid spaces that contribute to generation of electrokinetic fields. Using a cylindrical pore model, a pore radius of less than 200 A fit SP magnitude as a function of concentration. This pore size was shown to be consistent with estimates obtained from data reported earlier for SP as a function of concentration using a non-specific model, but was smaller than previously reported estimates for pore radius. A pore size in this range indicates that flow either in bone microporosity, or canaliculi that are substantially occluded by cellular material, must generate streaming potentials. Further, the fact that such small pores generate SPs in bone indicates that SPs could provide information regarding local matrix structure to bone cells.

Compressive properties of cortical bone: mineral-organic interfacial bonding

Bone tissue is an anisotropic non-homogeneous composite material composed of inorganic, bone mineral fibres (hydroxyapatite) embedded in an organic matrix (type I collagen and non-collagenous proteins). Factors contributing to the overall mechanical behaviour include constituent volume fraction, mechanical properties, orientation and interfacial bonding interactions. Interfacial bonding between the mineral and organic constituents is based, in part, on electrostatic interactions between negatively charged organic domains and the positively charged mineral surface. Phosphate and fluoride ions have been demonstrated to alter mineral-organic interactions, thereby influencing the mechanical properties of bone in tension. The present study explores the effects of phosphate and fluoride ions on the compressive properties of cortical bone.

Streaming potentials in healing, remodeling, and intact cortical bone

Electrical fields have been implicated in accelerated bone healing and as a transduction mechanism for mechanically driven bone remodeling. Applied mechanical or electrical stimulation of bone remodeling suggests that this depends on the magnitude, frequency, and duration of the stimulus. The magnitude of endogenous electrical fields, manifest by streaming potentials (SPs) across canine cortical bone, were measured as a function of bending frequency in vivo and then in vitro at healing drill holes and at remodeling (ipsilateral) and normal, intact (contralateral) control sites in canine tibia. SP magnitudes normalized to periosteal strain were smaller for drill holes at 2 and 4 weeks postsurgery relative to either remodeling (P < 0.05 at 10 Hz) or normal intact (P < 0.001 at 10 Hz) controls both in vivo and in vitro. SPs of 12 week drill holes were similar to SPs of remodeling controls and tended to be smaller than SPs of normal intact controls. Mean SP normalized to bone impedance was approximately the same for all sites, suggesting that the smaller SPs during healing and remodeling relate to smaller bone impedance and/or larger porosity. SP as a function of bending frequency for normal sites was similar to that observed previously. SP versus frequency for drill holes and remodeling controls was more variable, probably because of variations in bone microstructure, and displayed a higher frequency content. The observed differences in SP magnitude and frequency response to loading associated with stages of healing indicate that endogenous electrical fields do indeed respond to the structural changes in healing and remodeling and are therefore capable of providing structural feedback information for the repair and remodeling process.

Stress-generated potentials in bone: effects of bone fluid composition and kinetics

It is now generally accepted that stress-generated potentials (SGPs) at low frequencies are due to an electrokinetic phenomenon in the small interior surfaces of bone and are directly proportional to the zeta potential, a property of the poorly characterized bone surface-bone fluid interface. We hypothesized that this interface would be labile and might explain the controversy over whether or not the polarity of SGPs can invert under certain conditions. In this paper, the effects of alterations in the steeping fluid on SGPs for 87 samples from 15 animals were examined in four-point bending for steeping times of < or = 65 h. Calcium and fluoride in distilled-deionized water and constant ionic strength solutions produced concentration-dependent inversions in the SGP sign. A new steady state was reached in approximately 18 h. The effects of the fluoride anion (unlike the calcium cation) apparently were reversible. The results strongly suggest that the zeta potential at the labile bone surface-bone fluid interface can undergo dramatic changes, not only in magnitude but also in sign. The results further suggest that the preparation of bone samples is critical to the understanding of this interface in vivo, and they support the hypothesis that SGPs have a role in bone remodeling.

Particle microelectrophoresis of calcium-deficient hydroxyapatite: solution composition and kinetic effects

Concurrent work demonstrates that the zeta potential of bone is multivalued and systematically alterable by changes in sample preparation, steeping fluid composition, and steeping time. Since bone mineral is a mixture of carbonated calcium-deficient hydroxyapatites, and since the zeta potential of calcium-deficient hydroxyapatite (CDHA) is altered by pH and time in HNO3-KOH solutions, the zeta potential of CDHA in physiologic Neuman's fluid (NF) compared with that seen in bone could reveal important information on the contribution of the mineral phase to the zeta potential of bone. In addition, such information may be valuable in designing and evaluating calcium-phosphate ceramics for increased bone ingrowth. Results demonstrate that the zeta potential of CDHA in NF is negative. With increasing calcium in NF, the zeta potential magnitude of CDHA decreases and inverts to positive values given sufficient calcium concentration and steeping time. This result is opposite to that seen in bone, suggesting that exposed CDHA is not the predominant bone microsurface and implicating a bone surface protein component. With increasing phosphate in NF, the zeta potential magnitude increases to more negative values. While low concentrations of fluoride showed no effect, the possibility of an effect with higher concentrations is still to be determined.

Ion concentration effects on bone streaming potentials and zeta potentials

Electrical potentials are dependent on the properties of the solid and fluid phases of bone. The solid phase in bone is composed of an organic matrix and inorganic bone mineral fibre, while the fluid phase is separated into compartments associated with the vascular channel system and mineralized matrix. Recently, a piezoelectric and electrokinetic response following mechanical deformation was demonstrated in fully hydrated bone. However, alterations in the fluid phase and the effects on streaming potentials where flow through the sample due to pressure on the fluid phase without prior solid matrix mechanical deformation have not been examined. Streaming potentials in high ionic strength solutions reveal a flow-dependent streaming potential in the absence of mechanical deformation not previously observed in stress-generated potentials. Streaming potentials in high ionic strength sodium chloride solutions (0.75 M) of control and deproteinized samples suggest that organic molecules and ions in the electrical double layer may be susceptible to flow-induced alterations which can modify the streaming potentials generated. Alterations in properties of the fluid phase can modify the streaming and zeta potentials and may play a role in the biofeedback response to bone tissue.

Electrokinetic behavior of intact wet bone: compartmental model

Streaming potential experiments were performed on chemically-treated intact wet bone plugs equilibrated in potential-determining ion buffers. Comparison of calculated zeta (zeta) potentials from intact wet bone streaming potentials and bone particle electrophoresis indicates different values. Intact streaming potential experiments, where fluid is forced through the samples, represents flow, primarily through the vascular channel system, and contribution of the organically-lined channels to the electrokinetic zeta potential. Bone particle electrophoresis represents mainly the electrokinetic contribution of exposed mineralized matrix. The organic linings present in the vascular channel system limit potential-determining ions' access to the mineralized matrix. These linings may have an important role in mineral homeostasis and control of ion fluxes between bone compartments.

Streaming potential of intact wet bone

The conversion of mechanical loads to bioelectrical signals in bone have been suggested to control repair and remodeling. These signals in wet bone are attributed to the electrokinetic behavior where mechanical forces cause electrical signals due to motion of an ion carrying extracellular fluid in the bone matrix (streaming potentials). Streaming potential experiments were performed on control and chemically treated intact wet bone plugs in aphosphate and phosphate buffers to examine the contribution of bone constituents to the electrokinetic behavior of bone tissue. Data indicate that the organic constituents of bone dominate streaming potentials. Slopes of streaming potential vs pressure are related to the electrokinetic (zeta) potential. The slopes should be analyzed in the low pressure region where data is mainly linear. Comparisons of estimated zeta potentials from streaming potentials with existing data obtained by particle electrophoresis showed similar trends.