Biomimetic Hybrid Hydrogels for Cartilage Tissue Engineering Anna Maria Ganios Department of Polymer Science (9871:497) April 22, 2011 1 INTRODUCTION Osteoarthritis (OA) is a prevailing degenerative cartilage disease that affects over 20 million individuals in the United States. It is estimated that 67 million Americans will suffer from osteoarthritis by 2030, and 25 million of these individuals will be subjected to severe OA (1). Cartilage damage or loss leads to friction between bones, which results in decreased joint mobility and joint pain (2). Currently a cure does not exist for OA, and the avascular and aneural nature of cartilage limit the treatments available to treat OA because of its poor regenerative ability (3). Current interventions concentrate on alleviating pain and improving joint mobility. Several surgical procedures like microfracture, autologous osteochondral grafts, and autologous chondrocyte implantation are currently used to treat cartilage injuries or defects. While used widely, these therapies have significant disadvantages, including the production of fibrous cartilage that degrades over time. Contemporary tissue engineering approaches to repair and ultimately replace damaged tissue by generating functional tissue ex vivo using polymer-based scaffold materials (4). The tissue engineering field has moved away from cell monolayers to a three-dimensional culture environment in order to provide an optimal environment for cellular response (5). Biomimetic scaffolds should resemble native tissue organization and possess mechanical properties similar to natural materials. The scaffold should provide sufficient porosity for nutrient/waste flux and an appropriate surface for cell attachment, proliferation, and cellular differentiation to occur (6, 7). The cellular interaction with the scaffold material influences the rate and quality of tissue formation. For example, how well cells are able to align and attach, as well as protein adsorption, are influenced by the surface chemistry of the material. Therefore, hydrophobic polymers generally do not provide the optimal environment for cell and material interaction (8). The development of hydrophilic photopolymerized hydrogels, under physiologic conditions, has provided a biocompatible scaffold for tissue engineering (9, 10). Hydrogels are three – dimensional, hydrophilic crosslinked polymers that are able to rapidly convert from a liquid monomer or macromonomer to a polymeric networks through photopolymerization (10). Poly-(ethylene)-glycol) (PEG) is the most commonly utilized polymer to create synthetic hydrogels (7). The photopolymerization reaction is driven by 2 photoinitiatiors that produce free radicals when exposed to visible or UV light. A photon from the light source dissociates the photoinitiator; specifically, the photoinitiatiors are cleaved at the C-C, C-Cl, C-O, or C-S bonds to form high-energy radicals. These radicals then induce the polymerization of the monomer or macromer solution (9, 10). Scheme 1: The polymerization of the PEGDM macromonomer is initiated using 365 nm light which generates radical formation in the IRGACURE 2959. This particular initiating system is attractive in biological systems in that both radical products are typically incorporated in the network minimizing cell toxicity. By varying the molecular mass of the macromonomer or by varying the mass percent of macromonomer in solutions, the network cross-link density can be easily manipulated (11). The cross-link density is proportional to the gel modulus and inversely proportional to the swelling (4). The transport properties and cell behavior are affected by the former and latter respectively. Hydrogels are able to support cell survival and cell proliferation since they allow for a high permeability of nutrients and water soluble metabolites. Cellular interactions with the extra cellular matrix (ECM) are essential for the native cartilage viability. The ECM is composed of proteoglycans, glycosaminoglycans, glycoproteins, elastin, and collagen fibres (7). Encapsulated chondrocytes in hydrogels have been shown to generate native cartilage tissue (11). Although the PEG hydrogel does not contain any chemical signaling motifs, it can be easily modified to become bioactive. A bioactive scaffold will afford regulated cell attachment and increased differentiated function. Hyaluronic acid (HA) is a high molecular weight glycosaminoglycan present in the ECM of all mammalian connective tissue. It has the ability to form an ionic hydrogel with multiple modification sites through its carboxyl and hydroxyl groups (12). Collagen, a fibrous protein, is the main component found in mammalian tissues like bone and cartilage (9). By incorporating ECM components that provide biochemical signaling, the synthetic hydrogel will provide more natural conditions for matrix and tissue formation upon cell encapsulation. 3 Osteochondral integration is a key component since the synthetic scaffold should facilitate cartilage tissue formation, as well as bone. The tissue must be functionally integrated with the host tissue including the surrounding cartilage and subchondral bone (13). This requires an interface with a gradient of mechanical properties progressing from soft tissue to bone. Cellular communication is required at the interface in order for biological fixation to occur, which can be accomplished by producing a functional gradient that possesses mechanical properties similar to the native tissue-to-tissue interface (14). By incorporating adhesive peptides into the hydrogel, like arginine–glycine–aspartate (RGD), cellular adhesion and spreading is facilitated (8). Integrins are cell surface receptors that mediate adhesion between ECM and cells by binding to ligands that possess the RGD sequence. These receptors stimulate intracellular signaling and gene expression (15). Only few studies have investigated the in vitro response of chondrocytes and osteoblasts into these scaffolds (7). Our goal was to create the optimal environment for cellular proliferation and differentiation for chondrocytes and osteoblasts. EXPERIMENTAL SECTION Materials. Poly(ethylene glycol) (PEG, FW ≈ 8000 g/mol (8k)), methacrylic anhydride (MA), hydroquinone, ethyl ether, and triethylamine (TEA) were purchased from Sigma-Aldrich and used as received. Dichloromethane was purchased from Sigma-Aldrich and dried over activated molecular sieves (3 Å) prior to use. Photoinitiator IRGACURE 2959 (I2959) was obtained from Ciba Specialty Chemicals and used as received. Synthesis of PEGDM. PEGDM (poly (ethylene glycol) dimethacrylate) was prepared from the reaction of PEG and MA. The synthesis of a 4.6k PEGDM is as follows: PEG (5 g, ~ 0.001 mol), 2.2 equiv of methacrylic anhydride (MA) (0.34 g, 0.0022 mol), triethylamine (TEA) (0.2 mL), and hydroquinone (250 mg) were reacted in ~15 mL of dichloromethane over freshly activated molecular sieves (~ 3 g) for 4 d at room temperature. The solution was filtered and precipitated into ethyl ether. The product was dried in a vacuum prior to use. The product was analyzed using 1H NMR (Varian Mercury 300) and MALDI-TOF MS (Bruker). Deuterated chloroform was used as a solvent, and the polymer concentration was 2.5 % by mass fraction for 4 the NMR analysis. For MALDI analysis, PEG was dissolved in 1 mL of THF, and sodium was used as the cationizing reagent in a 1:1 by volume ratio THF: PEG. Hydrogel preparation for bovine and human chondrocytes. 10 % PEGDM (~8000 g/mol) OptiMEM I reduced-serum medium solution containing 0.1% IRGACURE 2959 with 1% Col I and 0.5% or 1% HA was photopolymerized using ~2.3 mJ/cm2 UVA light for 5 min. Samples (~1 cm diameter, 0.3 cm thick) encapsulating either 1 million bovine (2-3 week old) or 2 million human (knee arthroscopy) chondrocytes per 100 µL of 10% PEGDM Opti-MEM solution yielding samples (~1 cm diameter, 0.3 cm thick) which were cultured up to 6 weeks in Opti-MEM containing 50 µg/mL ascorbate and 100ug/mL primocin. The primary chondrocytes were cultured in growth medium composed of Dulbecco's modified Eagle medium, 10% fetal bovine serum, 1% minimum essential medium (GIBCO, Invitrogen Corp), 50 μg/mL l-ascorbic acid 2phosphate (Sigma), and 1% antibiotics (penicillin/streptomycin) (Mediatech, Inc.). The media was changed 3 times a week. Histology & Biochemistry. Proteoglycan staining was conducted on 10% formalin fixed whole samples with 0.01% thionin. For biochemical testing, samples were desiccated overnight in a vacuum centrifuge or freeze dryer. Sulfated gylcosaminoglycans (sGAGs) were quantified with dimethylmethlene blue and collagen content was quantified using dimethylaminobenzaldehyde to observe chloramines T-oxidized hydroxyproline. All biochemistry was normalized against samples without cells cultured in media for the same duration and then normalized to the PEGDM samples. Solid-Phase Peptide Synthesis. The RGD peptide was synthesized by standard solid-phase synthesis using Fmoc chemistry. The synthesis consisted of the following steps: swelling of 1.0 g of 1.0 mmol/g resin in DMF, deprotection through Fmoc cleavage in piperidine (0.25 vol fraction in DMF), rinse cycles, and coupling at 5X molar excess amino acid (0.50 mol/L amino acid concentrations). After the completion of the synthesis, the peptide is cleaved from the resin using a solution. The retained product was lyophilized and verified using matrix-assisted laser desorption/ionization (MALDI). 5 Fabrication of Hydrogel Modulus Gradients. RGD peptide (0.440 M) was added to the 5% PEGDM along with pre-osteoblast cell line, MC3T3EI. 5%, 15%, and 50% PEGDM (~8000 g/mol) Dulbecco’s Modified Eagle Medium (DMEM) (Invitrogen) medium solutions containing 0.1% Irgacure 2959 were combined using a computer driven gradient maker. Samples (~ 10 cm in length, 1cm in width) encapsulating 3.85 X 10^6 cells/mL (MC3T3E1) were polymerized using ~2.3 mJ/cm2 UVA light for 5 min. Samples were cultured up to one week in MEM Alpha Medium (1X) (Invitrogen) with 0.1% ascorbic acid (Sigma) and 1% beta glycerol phosphate (Sigma). Media was changed three times a week. MC3T3E1 Gradient Hydrogel Analysis. Gradient hydrogel analysis was completed at 1, 3, 5, and 7 day time points. Wst-1 assay was used to measure cellular metabolic dehydrogenase activity in non-homogenized gels. Gel sections were incubated for 2 h in 24-well plates at 37°C with (0.5 mL) Wst-1 Solution containing (22 mM Wst-1 stock solution and 32 mM 1-methoxy PMS stock solution). Aliquots (0.2mL) from the reacted solutions were transferred to a 96-well plate and absorbance values were measured at 450 nm by a microplate reader (BioTek). The DNA Sigma Fluorescence Kit was used to quantify DNA. BioRad DC Protein Assay Kit was utilized for total protein content. Anaspec Sensolyte pNPP Alkaline Phosphatase Assay Kit was utilized to detect alkaline phosphate activity in biological samples. Manufacturer’s protocol was followed for each assay. RESULTS PEGDM Synthesis PEGDM was prepared for the formation of photo-crosslinkable hydrogels. The PEG hydroxyl groups react with methacrylic anhydride to form PEGDM. Scheme 2: The synthesis of PEGDM using triethylamine and methacrylic anhydride. 6 The combination of proton NMR and MALDI-TOF MS provide insight on the degree of methacrylate conversion as well as product purity. Figure 1 shows the 1H NMR of PEGDM. The main signal is observed at a δ of 3.65. The chemical shift of methylene protons on the methacrylate groups respectively are δ = 6.35 and 5.77. Any unreacted methacrylic anhydride and triethylamine have been removed since the spectra exhibits the expected peaks. Molecular mass, molecular mass distribution, and endgroup functionalities can be determined using MALDI-TOF MS. As a result, this tool can be used to determine the amount of PEGDM versus the amount of unreacted PEG or PEG that has reacted one hydroxyl group. The MALDI-TOF MS spectrum (Figure 2) illustrates the degree of methacrylate conversion and polydispersity. The molecular mass can be determined from the MALDI, as shown in Figure 2. Figure 1: 1H NMR spectrum of PEGDM Figure 2: MALDI-TOF mass spectrum of 4.6k PEGDM 7 Hydrogel Characterization The hydrogel’s properties play an important role on ECM formation, since properties determine if the scaffold will provide an optimal environment for cellular response. Primary bovine and human chondrocytes were encapsulated in 10% PEGDM solution as well a s ECM components, HA and collagen type I. Figure 3 compiles the change in the swelling ratio and Swelling Ratio figure 4 compiles the mesh size of the four different sample groups. 18 16 14 12 10 8 6 4 2 0 10%pedm 10% Pegdm +1%collagen 10% Pegdm 10%Pegdm +1% +1% collagen collagen +1% +0.5% hyaluronic acid hyaluronic acid Figure 3: Swelling Ratio of PEGDM hydrogels with various concentrations of ECM additives. The greatest swelling ratio is observed when 10% PEGDM is combined with 1% collagen and 0.5% hyaluronic acid when compared to the rest of the varying conditions (Figure 3). The mesh size displayed similar characteristics as the swelling ratio, since the 1% collagen and 0.5% hyaluronic acid exhibited the greatest mesh size as well (Figure 4). Although the other groups were not significantly different, the samples that had ECM components had a slightly smaller mesh size than the synthetic polymer. 8 Mesh Size (A) 140 135 130 125 120 115 110 105 100 10%pedm 10% Pegdm +1%collagen 10% Pegdm 10%Pegdm +1% collagen +1% collagen +0.5% +1% hyaluronic hyaluronic acid acid Figure 4: Mesh Size of PEGDM hydrogels with various concentrations of ECM additives. The following table shows the results of the characterization studies. The greatest swelling ratio and mesh size was observed when 1% Col I and 0.5% HA were added to the synthetic polymer. It was found that incorporating ECM components did not lower the storage modulus in every case. Porosity and mesh size are important for nutrient and waste transport; therefore, these factors need to be finely controlled in order for cell attachment, proliferation, and cellular differentiation to occur. Sample Swelling Ratio Mesh Size (Å) Storage Modulus (PA) Loss Modulus (PA) 10% PEGDM 13.5 ± 0.935 120.2 ± 7.01 1578 ± 60 793 ± 78 10% PEGDM + 1% Col I 13.2 ± 1.11 114.4 ± 6.20 2214 ± 189* 545 ± 103* 10% PEGDM + 1% Col I + 0.5% HA 15.9 ± 0.362** 132.67 ± 1.83* 1275 ± 51** 852 ± 109 10% PEGDM + 1% Col I + 1% HA 13.3 ± 0.957 112.25 ±6.46 1238 ± 34** 865 ± 6.2 Table 1: Summary of characterization results ** indicates p-value <0.01 and * indicates p-value <0.05 compared to 10% PEGDM. 9 Cellular Response of Bovine and Human Chondrocytes Bovine and human primary chondrocytes were encapsulated in 10 % PEGDM with various concentrations of the ECM components, collagen I and HA. The four different groups are 10% PEGDM, 10% PEGDM + 1% Col I, 10% PEGDM + 1% Col I +0.5% HA, and 10% PEGDM + 1% Col I + 1% HA. The hydrogels were cultured up to 6 weeks in vitro, after which histological and biochemical analysis were conducted. Proteoglycan, chondroitin sulfate, and hydroxyproline content were analyzed for the four different groups. Proteoglycans play an important role in cell and ECM adhesion, and they are composed of glycoproteins containing covalently linked glycosaminoglycans (GAGs). Hydrogels encapsulating bovine and human chondrocytes after 6 weeks in vitro show increased proteoglycan staining compared to synthetic hydrogels (Figures 5 and 6). Chondroitin sulfate and hydroxyproline content is greatest in both human and bovine chondrocytes when 10% PEGDM + 1% Col + 0.5% HA are used to construct the hydrogel as compared to the other sample groups (Figures 7-10). A B A B C D C D Figure 5: Proteoglycan staining of bovine chondrocyte hydrogels 6 weeks after in vitro culture. A) 10% PEGDM, B) 10% PEGDM +1% Col I, C) 10% PEGDM + 1% Col I + 0.5% HA, D) 10% PEGDM + 1% Col I + 1% HA. Scale bar = 100 µM Figure 6: Proteoglycan staining of human chondrocyte hydrogels 6 weeks after in vitro culture. A) 10% PEGDM, B) 10% PEGDM +1% Col I, C) 10% PEGDM + 1% Col I + 0.5% HA,D) 10% PEGDM + 1% Col I + 1% HA. Scale bar = 100 µM 10 Relative Chondroitin Sulfate Content * 4 * 3.5 3 2.5 2 1.5 1 0.5 0 10% PEGDM 10% PEGDM + 10% PEGDM + 10% PEGDM + 1% Col I 1% Col I + 0.5% 1% Col I + 1% HA HA Figure 7: Relative Chondroitin sulfate content of bovine chondrocytes encapsulated in hydrogels 6 weeks in vitro. Hydrogels with 1% Col I and 0.5% HA were found to contain significantly more chondroitin sulfate content than samples without ECM additives. * indicates p-value < 0.05. * 4 * 3.5 3 . 2.5 2 1.5 1 0.5 0 10% PEGDM 10% PEGDM + 10% PEGDM + 10% PEGDM + 1% Col I 1% Col I + 0.5% 1% Col I + 1% HA HA Figure 8: Relative hydroxyproline content of bovine chondrocytes. Hydrogels encapsulating bovine chondrocytes with 1% Col I and 0.5% HA were found to contain significantly more hydroxyproline content than samples without ECM additives. *indicates p-value < 0.05 11 Relative Chondroitin Sulfate Content 2.5 2 1.5 1 0.5 0 10% PEGDM 10% PEGDM 10%PEGDM + 10% PEGDM + +1% Col I 1% Col I + 0.5% 1% Col I + 1% HA HA Relative Hydroxyproline Content Figure 9: Relative Chondroitin sulfate content of human chondrocytes encapsulated in hydrogels 6 weeks in vitro. Hydrogels with 1% Col I and 0.5% HA were found to contain significantly more sGAGs than samples without ECM additives. 2.5 2 1.5 1 0.5 0 10% PEGDM 10% PEGDM 10%PEGDM + 10% PEGDM + +1% Col I 1% Col I + 0.5% 1% Col I + 1% HA HA Figure 10: Relative hydroxyproline content of human chondrocytes. Hydrogels encapsulating bovine chondrocytes with 1% Col I and 0.5% HA were found to contain significantly more hydroxyproline content. Gradient Hydrogel Characterization Gradient hydrogels were created using a computer driven gradient maker with 5%, 15%, and 50% PEGDM concentrations. As a result, stiffness was varied by modulating the concentration of PEGDM. Gradient hydrogels were cast into molds (5 cm x 1 cm x 1cm) and photoinitiated for 5 min. Figure 11 compiles the storage modulus of the gradient hydrogels at each position (5 mm each position length) along the hydrogel (Figure 11). The storage modulus decreases the farther the position on the hydrogel, signifying the highest concentration of PEGDM is in the first 12 position and lower concentrations are toward the end. Mesh size (Figure 12) and swelling ratios (Figure 13) were also calculated according to position. The further the position is on the Swelling Ratio gradient, the higher the swelling ratio and mesh size. 18 16 14 12 10 8 6 4 2 0 Figure 13: Swelling ratio of gradient hydrogels slightly increases as position distance increases from the start of the hydrogel. Cellular Response of Functionalized Gradient Hydrogels The quantification of DNA and ALP (alkaline phosphatasez) provide insight to the cellular response of the pre-osteoblast cell line, MC3T3E1. A change in alkaline phosphate activity is involved in bone development, thus permitting differentiation. DNA quantification provides insight to cellular proliferation and as DNA content increases this signifies cellular proliferation within the hydrogels (Figure 14). ALP activity increased as well; thus, pre- DNA (ng) osteoblast differentiation occurred throughout the time points (Figure 15-17). 100 0.7 80 0.6 60 Day 1 40 Day 3 20 Day 5 0 Day 7 1 2 3 4 5 6 7 8 9 10 Gradient Position Figure 14: DNA quantification of positions along the gradient at various time points. 0.5 0.4 0.3 0.2 0.1 0 1 2 3 4 5 6 7 8 9 10 Figure 15: ALP content of gradient positions on day 13 one. 0.5 0.45 0.4 0.35 0.3 0.25 0.2 0.15 0.1 0.05 0 0.4 0.3 0.2 0.1 0 1 2 3 4 5 6 7 8 9 10 Figure 16: ALP content of gradient positions on day three. day 7 day5 1 2 3 4 5 6 7 8 9 10 Figure 17: ALP content of gradient positions on day five and seven. DISCUSSION Tissue engineering scaffolds should provide an optimal environment for both cartilage and bone tissue formation. Bone is a tissue that is composed of a dense mineralized matrix that can endure significant compressive loads; therefore, it requires a scaffold that can provide a foundation for mechanical stability as well as a suitable porosity for cellular transport (5). Cartilage provides protection of the subchondral bone in order for bone to withstand compressive forces as well as smooth movement (15). Cartilage has a poor healing capacity since it is isolated from systemic regulation (6). When cartilage is damaged, chondrocytes cannot migrate from healthy tissue to the site of injury like other tissues. Chondrocytes are surrounded by the ECM and lack a blood and nerve supply; therefore, they are secluded (14). Both cartilage and bone arise from mesenchymal stem cells and exist concurrently at articular surfaces of synovial joints. Since bone and cartilage are typically organized into three dimensional structures in the body, the scaffold must provide adequate space for cellular growth (13). If a scaffold could synchronously support the growth of both cartilage and bone tissue, osteochondral integration would be facilitated (5). By utilizing a scaffold whose mechanical properties and porosity are easily controlled, synthetic materials will provide more natural conditions for matrix and tissue formation. Hydrogels provide flexibility in design, since they can easily be tailored to one’s needs. PEGDM hydrogels were modified to become bioactive with concentrations of ECM components, hyaluronic acid and collagen type I. Bovine and human chondrocytes were encapsulated into the 14 hydrogels to observe the effects. Both bovine and human chondrocytes were found to contain a greater content of proteoglycans with the ECM additives. The main ECM components in cartilage are collagen, glycosaminoglycans, and proteoglycans. Proteoglycans are protein molecules that have covalently linked glycosaminoglycans. HA is one of the major proteoglycans in cartilage and has a role in maintaining the integrity of cartilage when it is under compressive forces. The negatively charged glycosaminoglycans and proteoglycans allow for the perpetual hydration of the tissue. As a result, cartilage possesses high water content and this necessitates diffusion within the tissue (15). Chondroitin sulfate (glycosaminoglycan) and hydroxyproline (major collagen component) content were found to be the greatest in the 10% PEGDM + 1% Col I + 0.5% HA sample. The mechanical properties were also analyzed of the four sample groups, and the 1% Col I and 0.5% HA hydrogels exhibited a greater swelling ratio and mesh size. An increase in porosity and swelling ratio facilitate the cellular, nutrient, and waste transport. This ultimately promotes cell proliferation and differentiation. Although one would expect the synthetic scaffold to have the greatest storage modulus, it did not. The group that had the highest storage modulus was the addition of 1% Col I to the PEGDM. This is probably due to collagen’s fibrous nature. Therefore, the inclusion of low concentrations of Col I and HA promotes ECM production. To examine the response of bone, the pre-osteoblast cell line, MC3T3E1, was encapsulated in functionalized gradient hydrogels. Since hydrophilic polymers may not provide an optimal environment for osteoblast adhesion, a biomimetic, functionalized hydrogel that promotes cellular adhesion is required (16). Osteoblasts require adhesion in order for development and ECM production. By incorporating the peptide, RGD, cells will be able to interact with their environment and modify their microenvironments. Cellular interactions have improved with incorporated peptides since the peptide’s mobility is increased and steric hindrance is decreased (17). A computer driven gradient pump was utilized to analyze the mechanical properties of the gradient hydrogels produced. By synthesizing a scaffold with a gradation of mechanical and structural properties, complex tissue-to- tissue interfaces may be regenerated. As a result, gradient hydrogels will closely mimic the natural transition in composition (18). The stiffness varied within the hydrogel between 15% - 50% PEGDM concentrations. Storage modulus decreased the further the position from the start of the gradient. 15 This signifies that the higher concentrations of PEGDM are located at the beginning positions of the hydrogel, and lower concentrations of PEGDM are located at the end positions. The composition of PEG and the cross – linking density are directly related. Therefore, an increase in polymer composition is accompanied with a reduction in the distance between cross-linking points. The decrease in polymer-rich domains affects the transport of molecules within the hydrogel (19). Swelling ratio and mesh size increased as position increased. Since the lower concentrations of PEGDM have greater swelling ratios, indicating the softer a gel, the more water it will absorb (20). This is the reason stiff hydrogels have smaller mesh sizes. Cellular response was examined using DNA quantification and alkaline phosphatase (ALP) content. ALP represents an early marker for osteoblast differentiation. DNA content generally increased at further time points, specifically by day 5 and 7. This signifies cellular proliferation (21). After five days the gradient hydrogels had greater DNA quantities for the beginning positions in the hydrogel, while day 7 exhibited greater DNA content for the positions toward the end of the hydrogel. ALP content increased greatly from day 1 to day 3 signifying osteoblast differentiation. When comparing day 5 and day 7, there is a significant increase in the differentiation marker. The functionalized gradient hydrogel is able to provide an environment where osteoblasts can proliferate and differentiate differently within one hydrogel. Therapies generated from tissue engineering would improve the quality of life for thousands of Americans suffering from osteoarthritis by providing them with numerous alternatives that will not have serious drawbacks. CONCLUSION Results obtained from this study indicate that biomimetic and functionalized gradient hydrogels can be engineered to become an interface between bone and cartilage by manipulating their mechanical properties and surface properties. Future work will examine the effect of these ECM on gene expression and examine the pathway’s activations triggering the increase in ECM production. The effect of gradient hydrogels on human chondrocytes will also be further explored. Ultimately, the goal is to design a single functional gradient hydrogel where both tissues will exhibit their natural cellular activity. 16 REFERENCES Lawrence, R.C.; Felson, D.T.; Helmick, C.G.; et al. Estimates of the Prevalence of Arthritis and Other Rheumatic Conditions in the United States. Arthritis Rheum. 2008, 58, 26–35. Joern W.-P. Michael; et al. The Epidemiology, Etiology, Diagnosis, and Treatment of Osteoarthritis of the Knee. Dtsch. Arztebl. Int. 2010, 107, 152–162. Nugent, A.E.; Reiter, D.A.; Fishbein, K.W.; McBurney, D.L.; Murray, T.; Bartusik, D.; Ramaswamy, S.; Spencer, R.G.; Horton W.E. Characterization of ex-vivo-generated Bovine and Human Cartilage by Immunohistochemical, Biochemical, and Magnetic Resonance Imaging Analyses. Tissue Eng. 2010, 7, 2183-96. Wei, G.; Ma, P.X. Nanostructured Biomaterials for Regeneration. Adv. Funct. Mat. 2008, 18, 3568-3582. Grayson, W.L.; Martens, T.P.; Eng, G.M.; Radisic, M.; Vunjak-Novakovic, G. 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Hydrogel Properties Influence ECM Production By Chondrocytes Photoencapsulated in Poly (ethylene glycol) Hydrogels. J. Biomed. Mater. Res. 2002, 59, 63-72. 18 Hutmacher, D.W. Scaffolds in Tissue Engineering Bone and Cartilage. Biomaterials. 2000, 21, 2529-2543. 19 APPENDIX 1 SAFETY CONSIDERATIONS Training and approval in biosafety was required to be completed before this project commenced. This is primarily due to the exposure of human biological samples upon chondrocyte isolation. Eating, drinking, inserting/removing contact lenses, and applying cosmetics were prohibited. Safety glasses, gloves, and closed shoes were required at all times. Needles and scalpels used when dealing with human specimen needed to be recapped and placed in the biohazardous sharps waste. When finished with laboratory work, hands needed to be thoroughly lathered with soap, rinsed in clean water, and dried with clean paper towels. If exposure to biohazardous material did occur, the area was to be flushed with water for 15 min and then washed with soap and water. Exposure includes a spilled solution on an open cut in the skin, needle prick (used for potentially biohazardous material), splashed cell culture waste in eyes, nose, or mouth, and ingestion of biohazardous material. The supervisor and UA Health Unit needed to be contacted, and a sample of the biohazardous material needed to be kept for testing. Biohazardous waste disposal required certain procedures to be followed for proper removal. Liquid waste, like cell culture waste, needed to be decontaminated with bleach (1:10 dilution of bleach to water) then poured down the sink. Sharps waste needed to be placed in biohazard sharps waste containers, and solid waste needed to be disposed in waste bags/boxes. In case of a spill, the area needed to be decontaminated with bleach and then wiped with paper towels. The paper towels would then enter the biohazard waste container. If the area is beyond one’s capacity to clean, UA emergency needs to be notified. 20 Finally, chemical safety was also required when synthesizing PEGDM. Hydroquinone, methacrylic anhydride, triethylamine, and dichloromethane were all utilized in the reaction. Skin contact, eye contact, ingestion, and inhalation all needed to be avoided with the compounds. If the substance was exposed to any mucous openings, the area needed to be flushed with water for 15 min. Medical attention needed to be sought if irritation occurred. Safety glasses, lab coat, and gloves were required at all times when in the laboratory. Shorts and open-toed shoes were prohibited, and hair and loose clothing needed to be secured. Once chemicals were utilized, they needed to be stored by compatibility. Disposable of chemicals needed to be in the proper container: non-halogenous vs halogenous waste containers. If a spill occurred, it needed to be absorbed with an inert dry material and placed in the appropriate waste disposal container. Finally, an important rule for safety everywhere is to be aware of your surroundings. 21
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