DEGRADABLE MAGNESIUM AND BIOPOLYMER COMPOSITES FOR BONE TISSUE ENGINEERING Emma McBride, John Ohodnicki, Abhijit Roy, Prashant N. Kumta University of Pittsburgh INTRODUCTION In tissue engineering scaffolds are placed in the patient’s body to regenerate lost tissue after the patient’s own cells have been cultured on the scaffolds. The scaffolds are important because they provide support to the tissue surrounding the injury site. The scaffolds are usually highly porous which promotes cell growth. Depending on the material, some scaffolds degrade over time which allows the native tissue to replace the scaffold and eliminates the need for a second removal surgery. [1] The biocompatibility of a material is its ability to give the appropriate and favorable host response for an application. This depends mostly on the material and its associated byproducts. Biopolymers, such as Polycaprolactone (PCL) and Poly(lactic-co-glycolic acid) (PLGA), are very biocompatible and have been approved for clinical use by the FDA. However, as they degrade, biopolymers generate acidic byproducts that may be harmful in a concentrated area and damage growing cells. [2] One approach to neutralizing this acidity would be to create a composite polymer. Scaffolds for bone tissue engineering can either be loadbearing or non-load bearing. Materials such as polymers are easy to deform so they are usually used in surface and craniofacial applications. Magnesium is an important nutrient for osteoblast development because it aids in the metabolism of calcium. [3] Magnesium compounds are slightly basic and previous studies have shown that adding them to biopolymers stabilizes the pH. [3] This exploratory study also determined that the magnesium compounds supported new bone cell growth, more than the pure polymer scaffolds. [3] Furthermore higher calcium content and a greater cell attachment were found in the polymer scaffolds that contained the magnesium compound. [3] OBJECTIVE The objective of this project was to synthesize 5, 15, 25, and 50 weight percentages of both Mg(OH)2:PCL and MgO:PCL composites, as well as a pure PCL scaffold. Then the degradation profiles of all the composites and controls would be characterized. Lastly, the cell viability would be studied for all three systems. HYPOTHESIS Since magnesium is a basic substance and important for the growth and development of osteoblast cells, the hypothesis for this study is that the addition of magnesium compounds to PCL will increase the pH of the degradation solution to a physiological level while encouraging more cell growth compared to PCL alone. METHOD To meet the first part of the objective, the composite polymers were synthesized using commercially obtained PCL, Mg(OH)2, and MgO. Dichloromethane (10 mL) is added to the PCL pellets (3 g) in order to liquefy it while on a shaker. Then the correct weight percentage (5, 15, 25 or 50 wt %) of the magnesium compound is mixed in. The dichloromethane evaporates at room temperature in the hood after 24 hours and leaves a sheet of the composite polymer. This sheet is cut up into approximately 1 cm2 pieces. About 0.2 g of the pieces is heated to 80 °C and pressed into uniform disks about 10 mm in diameter using a die. The degradation study of the composites lasted 91 days. A sample size of n=4 for each weight percentage of each composite was submerged in phosphate buffer solution (PBS) in separate scintillation vials. One day each week the disks were removed from the solution, dried and weighed. The pH of the PBS was also measured. The PBS was changed every few days as well as 24 hours before the measurements in order to prevent the build-up of degradation products. One disk from each weight percentage of each composite, not included in the measurement samples, was removed at each time point for further material characterization testing. For characterization of the material, the samples from the different time points of each composite were analyzed with XRay Diffraction. The resulting spectra were compared to standard spectra of the parent compounds: PCL, Mg(OH)2, and MgO. Peaks unique to certain compounds were identified in the composites. For a cell viability study, MC3T3 pre-osteoblast cells were seeded onto each composite as well as the pure PCL scaffold. The live/dead cell staining technique was used as a qualitative measure of cytotoxicity. Calcein stained the live cells green and ethidium homodimer stained the dead cell nuclei red. The samples were imaged at 1 and 4 days after staining. RESULTS From the degradation study, information was obtained about the pH and percent weight change over time. The pH was initially high but converged to a more physiological level (7.4) over the three month time period as shown in Figure 1. The pH of each of the different composites was higher than that of PCL alone. Figure 1. The change in pH over the degradation study. 1 For most of the composites, the weight decreased slightly as shown in Figure 2. However the higher weight percentages of the MgO:PCL composites showed an accelerated weight gain. Figure 2. The change in weight over the degradation study. The X-Ray Diffraction spectra for the lower weight percentages of each compound mostly resembled the spectra for PCL. Peaks unique to Mg(OH)2 and MgO appeared in the higher weight percentages of their respective composites. Peaks characteristic of Mg(OH)2 were also observed in the spectra for the higher weight percentages of the MgO:PCL composites. For the cell viability study, images of the composites presented more cell growth and more widespread attachments when compared to the images of the pure PCL scaffold, shown in Table 1. The results were similar for both Day 1 and Day 4 time points. Table 1. Images taken of the cells at different days in the study. Day 1 Day 4 PCL 5% Mg(OH)2:PCL 5% MgO:PCL DISCUSSION The results confirm that the magnesium compounds increased the pH of the degradation solution of the composites compared to PCL alone which would neutralize the acidity of the degrading biopolymer scaffolds. Although the pH was initially basic, this was due to the magnesium ion release and the pH converged to a physiological level over time. Most of the composites decreased in weight slightly during the degradation study, but the increase in weight of the higher weight percentages of the MgO:PCL composites was unexpected and much greater than was predicted to account for any absorption of PBS. Further analysis by X-Ray Diffraction attributed this weight gain to the formation of Mg(OH)2 on the surface of the composites through a hydrolysis reaction with the surrounding PBS. Since the molecular weight of Mg(OH)2 is greater than the molecular weight of MgO, the weight of the composites increased. Finally, greater cell proliferation was observed on the composites compared to the pure PCL scaffold which confirms the positive effects magnesium ions have on the growth of osteoblast cells. This study was limited to in vitro analyses of the composites so the results may not be extended to the in vivo response. In the future, in vivo studies would be appropriate for determining the biocompatibility of the composite materials, as opposed to the cytocompatibility that was obtained from the in vitro studies, which is the reaction of cells to the material. Furthermore, PCL is a very slow-degrading polymer and it would be beneficial to explore other polymers that degrade more quickly to gain information on the time point when the pH reaches a physiological level for the higher weight percentages of the magnesium compounds without performing the degradation study for longer than three months. Lastly further in vitro studies should be performed to obtain quantitative results on the cell viability of the composite polymers. ACKNOWLEDGMENTS Authors gratefully acknowledge the financial support of NSFERC, Grant # EEC-0812348, America Makes, and all of the ERC-RMB team members. REFERENCES [1] Peng, W., et al. (2014). "Fabrication and evaluation of bioresorbable PLLA/magnesium and PLLA/magnesium fluoride hybrid composites for orthopedic implants." Composites Science and Technology 98: 36-43. [2] Varde, N. K., et al. (2007). “Influence of particle size and antacid on release and stability of plasmid DNA from uniform PLGA microspheres.” Journal of Controlled Release 124: 172180. [3] Guarino, V., et al. (2014). “MgCHA particles dispersion in porous PCL scaffolds: In vitro mineralization and in vivo bone formation.” Journal of Tissue Engineering and Regenerative Medicine 8: 291-303. 2
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