Atmospheric non-thermal plasma surface modification of poly(L-lactic acid) electrospun nanofibers affects scaffold hydrophilicity and fibroblast morphological response L. S. Dolci1, S. D. Quiroga1, M. Gherardi2, R. Laurita2, A. Liguori2, E Ghedini2,3, P. Sanibondi3, A. Fiorani4, L. Calzà1, V. Colombo2,3, M.L Focarete1,4 Alma Mater Studiorum – Università di Bologna Health Sciences and Technologies - Interdepartmental Center for Industrial Research (HST-ICIR), Via Tolara di Sopra 50, 40064 - Ozzano dell'Emilia, Italy 2 Department of Industrial Engineering (DIN), Via Saragozza 8, 40123 Bologna, Italy 3 Advanced Mechanics and Materials - Interdepartmental Center for Industrial Research (AMM-ICIR) , Via Saragozza 8, 40123 Bologna, Italy 4 Department of Chemistry “G. Ciamician” and National Consortium of Materials Science and Technology (INSTM, RU Bologna), Via Selmi 2, 40126 Bologna, Italy 1 Abstract: In the present work atmospheric pressure non-thermal plasma surface modification of poly(L-lactic acid) electrospun scaffold for biomedical applications is investigated. Plasma treatment improves scaffold hydrophilicy and increases the concentration of carboxyl groups (–COOH) on the surface of the scaffold. The morphology of cells cultured on pristine and plasma treated electrospun scaffolds is compared with that of cells cultured on cultrex substrates. Keywords: Electrospun scaffold, non-thermal plasma, hydrophilicity, functionalization, cells 1. Introduction Surface modification of artificial polymeric biomaterials has been extensively studied as an effective strategy to improve material biocompatibility, biointegration and to promote cell adhesion, proliferation and differentiation, without altering material bulk properties [1, 2]. An ideal biomaterial should display proper surface properties to promote biointegration, in terms of chemical composition, biochemical functionalization and surface charge. Electrospun nanofibrous scaffolds made of poly(L-lactic acid) (PLLA) have been widely studied as artificial scaffolds to mimic the fibrillar arrangement of the extracellular matrix (ECM) both from a morphological and a mechanical point of view. Given the possibility to easily modulate the structure of the scaffolds during the electrospinning fabrication processes [3], electrospun PLLA scaffolds have been proven successful as tissue-engineering implants [4], wound dressings [5], in neural tissue engineering [3], peripheral nerve studies [6] and cardiac repair [7]. PLLA, and polyesters in general, are hydrophobic materials. Hydrophobicity is often responsible for some undesired effects related to practical use of biomaterials, such as unspecific protein adsorption, adhesion of bacterial agents and reduced water wetting. Among the various techniques available to increase hydrophilicity, plasma treatment is a solvent-free process that can provide a uniform physical and chemical modification of the scaffold surface without altering its bulk properties. This versatile process has been already proven viable for introducing specific functional groups on scaffold surface to increase cell viability and proliferation [8, 9], increasing adhesion of biomolecules [10] and enhancing cellular acceptance through subsequent functionalization of the scaffold surface [11]. In this study, we investigate plasma surface modification of PLLA scaffolds fabricated by electrospinning technique using a linear corona discharge (LC); the LC source is driven by a nanosecond pulsed high-voltage generator and can be operated with various gases (e.g. He, Ar, Air, N2). In order to increase the treatment area with respect to the typical pin-to-plate configuration of corona discharges [12], in the LC plasma source a sharp blade is used as the high-voltage electrode. The effect of linear corona (LC) plasma-treatment on electrospun scaffolds was evaluated through morphological and thermo-mechanical characterization, as well as by measuring the changes of the static water contact angle on the scaffold and the water absorbance percentage after scaffold exposure to plasma source. In order to estimate the relative amount of –COOH functional groups created during the treatment with atmospheric plasma, a functionalization with fluorescein isothiocyanate (FITC) was performed. In view of biomedical applications, the effect of LC plasma treatment was evaluated using mouse embryonic fibroblast (MEF) cells cultured on plasma treated and untreated PLLA scaffolds. 2. Materials and Methods Scaffold fabrication. The electrospinning apparatus, made in house, is composed of a high voltage power supply (Spellman, SL 50 P 10/CE/230), a syringe pump (KD Scientific 200 series), a glass syringe, a stainless-steel blunt-ended needle connected with the power supply electrode (inner diameter: 0.84 mm), and a rotating cylindrical collector (50 mm diameter; 120 mm length). PLLA was dissolved in a mixed solvent, DCM:DMF=65:35 v/v at a concentration of 13% w/v. The polymer solution was dispensed, through a Teflon tube, to the needle. PLLA scaffolds were fabricated using the following conditions: applied voltage = 18 kV, needle to collector distance = 15 cm, collector rotational speed = 40 rpm, solution flow rate = 0.015 ml/min, at room temperature (RT) and relative humidity RH = 40-50%. Electrospun mats (30÷60 μm thick) were kept under vacuum over P2O5 at RT overnight in order to remove residual solvents. Plasma Treatment. Plasma treatment of PLLA scaffolds was carried out by means of a LC plasma source mounted on a shaft moved at a controlled speed by a motorized linear stage. As shown in Fig. 1, LC plasma source is composed of a housing made of dielectric material and a sharp stainless steel blade, 36 mm wide and 0.1 mm thick, as the high voltage electrode; the housing is provided of a gas inlet and a compensation chamber and two parallel gas channels. LC plasma source is driven by a nano-second pulsed generator having peak voltage (PV) 7-20 kV into a 100-200 Ohm load, pulse repetition frequency (PRF) 83-1050 Hz, pulse width 12 ns and rise time 3 ns. Plasma treatment was performed at PV 20 kV, PRF 1 kHz; N2 was employed as plasma gas with a 5 slpm flow rate, plasma treatment time was 20 s. After plasma-treatment all scaffolds were kept at +4°C in air. Fig. 1 3D drawings of the LC plasma source: rendering (left) and section (right) Scaffold characterization. Scanning Electron Microscope (SEM) observations were carried out using a Philips 515 SEM at an accelerating voltage of 15 kV. The distribution of fiber diameters was determined through the measurement of about 250 fibers by means of an acquisition and image analysis software (EDAX Genesis). Thermogravimetric analysis (TGA) measurements were performed with a TA Instruments TGA2950 thermogravimetric analyzer from RT to 600 °C. Differential Scanning Calorimetry (DSC) measurements were carried out using a TAInstruments Q100 DSC equipped with the Liquid Nitrogen Cooling System (LNCS) accessory. Stress-strain measurements were carried out with an Instron 4465 tensile testing machine on rectangular sheets cut from electrospun mats. Static water contact angle measurements were performed under ambient conditions by using an optical contact angle and surface tension meter KSV’s CAM 100 (KSV, Espoo, Finland). Milli-Q water was used for the measurements. Drop profile images were collected in a time range of 0-90 s, every 1 s. Water absorption was calculated by weighing the scaffold before and after soaking in distilled water for 24 h at RT. Surface conjugation and fluorescence characterization. PLLA scaffolds first was activated with 1-Ethyl-3-(3-dimethylaminopropyl)carbodiimide (EDC) and N-Hydroxysuccinimide (sNHS); activated scaffolds were then incubated with 1,4-diaminobutane, conjugated with FITC 10-3M in carbonate buffer for 2 hours a RT and finally shaked and rinsed four times for 5 minutes each. Untreated (PLLA) and plasma-treated PLLA (PLLA-LC) FITC conjugate were embedded with glycerol 0.1% 1,4-phenylendiamine and stored at -20°C until use. Control samples to evaluate the unspecific binding of FITC were prepared removing EDC and sNHS from the conjugation process. FITC conjugated PLLA and PLLA-LC scaffolds were observed by NIKON eclipse E600 (Nikon, Italy) equipped with digital CCD camera Q imaging Retiga 20002V (Q Imaging, Surry, BC, Canada). The images were analyzed using Imaging NIS Elements software. Aging. The PLLA-LC scaffolds were FITC conjugated at different times after plasma treatment (0, 6, 24, 48, 72 and 144 hours). Cell culture on scaffold. PLLA and PLLA-LC scaffolds were cut and assembled, by means of CellCrown™ supports (Scaffdex, Tampere, Finland), in a 24-well and they were sterilized by 15 min incubation in EtOH 90%, then in EtOH 70% for 30 min. Mouse embryonic fibroblasts (MEF) were cultured in Dulbecco’s Modified Eagle Medium (DMEM-F12) in a humidified atmosphere at 37°C and 5% CO2. MEF were seeded on different surfaces at a density of 7x 10-4 cells/well. Immunocytochemistry. Fibroblasts cultured for 24, 48 and 72 hours were fixed in 4% PFA in 0.1M phosphate buffer for 20 min at RT, washed with PBS (2x10 minutes) and incubated with blocking buffer for 1 hour at RT. Subsequently cells were incubated with anti Actin primary antibodies (1:200) in PBS 0.3% triton overnight at 4°C. Cells were rinsed with PBS and incubated with DyLight488-labeled secondary antibodies (1:1000) 30 minutes at 37°C followed by rinses with PBS (2x10 minutes). Finally cells were incubated with 1 ug/mL Hoechst 33258, 0.2% Triton-X100 for 20 minutes at RT and were washed two times with PBS. Finally cells were mounted with glycerol 0.1% 1,4-phenylendiamine. Negative controls were performed by primary antibody absence. Cell visualization was performed by NIKON eclipse E600 (Nikon, Italy) equipped with digital CCD camera Q imaging Retiga 20002V (Q Imaging, Surry, BC, Canada). 3. Results Morphological structure of PLLA and PLLA-LC electrospun scaffolds was observed by SEM imaging technique. Fig. 2 shows both samples at two different magnifications (1000x, scale bar = 10 µm; 8000x, scale bar = 1 µm). It was observed a random distribution of PLLA electrospun scaffolds with uniform sub-micrometer fibers presenting average fiber diameters of 820 ± 200 nm and 730 ± 200 nm on bare and on plasma-treated PLLA scaffolds, respectively. No evidence of morphological modification, in terms of fiber morphology and fiber diameter, occurred during or after exposure to the LC plasma source was observed. Fig. 2 SEM micrographs of pristine (a) and linear corona plasma-treated (b) electrospun PLLA scaffolds TGA analysis demonstrated the absence of residual solvent after electrospinning fabrication process. Mechanical properties characterization showed that LC plasma-treatment reduced around 25-30 % Young’s modulus and stress at break with respect to pristine PLLA scaffolds. On the other hand, deformation at break was proportionally increased after exposure to plasma, resulting in a loss of rigidity. WCA measurements resulted unsuitable for electrospun mats due to the very high void percentage of these materials. Measurements on pristine samples revealed high WCA values (>120°); similar values were obtained when the drop was placed on treated scaffolds, but the WCA decreased progressively as the drop was absorbed by the substrate. To carefully measure hydrophilicity of scaffolds water absorption measurements were adopted. Measurements to evaluate water adsorption capacity of PLLA scaffold demonstrated that plasma-treatment increases of two orders of magnitude the ability to retain water into the sub-micrometer fibers on PLLA electrospun scaffolds. In addition, this capacity was kept for at least 120h, as reported in Fig. 3. The averaged percentages of water adsorption for the entire period of study were 7.8 ± 7.4 % and 368.0 ± 33.6 % for bare and treated PLLA scaffolds, respectively. At the end of this experiment all scaffolds were kept in a desiccator at RT overnight, then the samples were weighted and their thickness was measured again. Scaffolds were recovered their initial thickness and no mass loss was evidenced. Fig. 3 Percentage of water adsorbance measured on bare and treated PLLA scaffolds during a time-range of 120 h after plasma-treatment The introduction of carboxyl groups on PLLA scaffolds after LC plasma treatment was characterized by fluorescence analysis, after the chemical conjugation with FITC molecules. The signal to background ratio of plasma treated PLLA scaffolds increased of more than five times compared to untreated scaffolds, while no relevant value of fluorescence intensity was registered for control scaffolds (unspecific binding of FITC), as highlighted in Fig. 4A. In order to determine the aging of plasma modification, FITC conjugation and fluorescence analysis were performed at different times after plasma treatment; Fig. 4B shows that the intensity of fluorescence remains constant for at least 6 days after plasma treatment. A Cultrex B PLLA-LC Fig. 4 Mean intensity of COOH-FITC binding (A); Mean intensity of COOH-FITC binding in the time (B) PLLA In this study, MEF cells were cultured on untreated PLLA and treated PLLA-LC surface to investigate the cell morphology modification induced by plasma treatment and compared with results for cells cultured on.cultrex substrates, chosen as control. As shown in Fig. 5, fibroblasts cell body seeded on cultrex showed the classical round and spread shape; conversely, fibroblasts on PLLA were smaller and star-like, while those grown on PLLA-LC resulted very elongated. 4. Conclusions Functionalization and biocompatibilization of PLLA electrospun scaffolds can be achieved using low temperature atmospheric pressure plasmas. The treatment with linear corona modified surface properties of electrospun PLLA scaffolds without alterating their morphological characteristics. A notable increase of scaffold wettability after plasma treatment was observed and measured as an increase of water adsorbance capacity. Furthermore, a relevant increase of –COOH concentrations was registered after plasma treatment. Fig. 5 Fibroblasts on Cultrex, PLLA-LC and PLLA substrates References [1] P.B. Van Wachem et al., Biomaterials, 23, 6 (2002). [2] Y. Zhun, Biomacromolecules, 4, 2 (2003). [3] F. Yang et al., Biomaterials, 26 (2005). [4] D.W. Hutmacher, Biomaterials, 21 (2000). [5] Shu-Ying Gu et al., Materials Science and Engineering C, 29 (2009). [6] T.B. Bini et al., J Biomed Mater Res Part A, 68A (2004). [7] S. Mukherjee et al., J Mater Sci Mater Med., 22, 7 (2011). [8] M.P.Prabhakaran et al., Nanotechnology, 19 (2008). [9] A. Martins et al, Small, 5, 10 (2009). [10] H-U. Lee et al., Acta Biomaterialia 6 (2010). [11] R. Wyrwa et al., Advanced Engineering Materials, 13, 5 (2011). [12] T.Callebaut et al., Plasma Sources Science and Technology, 13, (2004).
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