EVALUATION OF A 3-D ALGINATE SCAFFOLD FOR INTERVERTEBRAL DISC ANNULUS FIBROSUS CELLS TISSUE ENGINEERING *Shao, XX; +*Hunter, CJ +*University of Calgary, Calgary, Alberta, Canada [email protected] INTRODUCTION Degeneration of the intervertebral discs cause discogenic low back pain and limited mobility. Current surgical treatments include spine fusion, which eliminates pain but does not restore disc function, or implantation of synthetic disc prostheses. However, these materials face challenges in fixation, mechanical strength and loosing of the implant [1]. Tissue engineering strategies may produce new promising treatments for intervertebral disc disease, using functional living tissues constructed from cells and scaffolds. Unlike articular cartilage, the intervertebral disc has two distinct regions, the annulus fibrosus (AF) and the nucleus pulposus (NP), each containing different cell type and extracellular matrix. The aim of the present study was to develop a nonwoven three-dimensional alginate felt for supporting annulus fibrosus cell growth. METHODS Scaffold: Alginate felts were synthesized by extruding a solution of 1.4% sodium alginate in water into a bath of 102 mM CaCl2 or BaCl2 [2,3] through a 25G needle with rapid random motion of the needle tip through the bath. After 5 minutes in the bath, the supernatant was decanted, and the felt was washed twice in phosphate-buffered saline (PBS) containing 1.3 mM CaCl2 or BaCl2. The supernatant was again decanted, and the felt was freeze-dried, then sterilized by soaking overnight in 70% ethanol and freeze-dried again. This procedure produced mechanically stable, randomly oriented felt with approximately 240 µm fiber diameter (Fig. 1). Alginate felts were chemically modified with polypeptide residues using a previously described protocol [4]. Briefly, alginate was placed into a solution of sulfo-NHS (N-hydroxy-sulfosuccinimide) and EDC (1-ethyl(dimethylaminopropyl) carbodiimide) at a molar ratio of 1:2 (sulfoNHS: EDC) and 1:20 (EDC: uronic acid monomers) and incubated for 5 minutes. Peptide RGD (GGGGRGDY), RGE (GGGGRGEY) or a water control were added at 500 mg per gram of alginate and incubated for 20 hours. The resulting modified alginate was dialyzed for 3 days against PBS to remove unbound peptide and chemical residues, then rinsed thoroughly in PBS. AF cells culture on the scaffold and gene expression: Canine AF cells were achieved from collagenase and pronase digestion of minced annulus fibrosis tissue. The cells were loaded into the alginate scaffolds with different cross-linker (BaCl2 or CaCl2) and polypeptide coating (Blank control, RGD or RGE) by incubating overnight on a shaker table. The cell/scaffold constructs were then culture in 6-well plates for 7 days, with media changed every two days. Culture medium was DMEM/Ham’s-12 containing 10% fetal bovine serum, penicillin (100U/ml) and streptomycin (100U/ml). At the end of the experiment, constructs were snap-frozen and collected for RNA extraction. Gene expression was analyzed using real-time RT-PCR for collagen I, collagen IIB, aggrecan and decorin. Data were analyzed using ANOVA with Turkey’s post-hoc test, with significance set at p<0.05. the BaCl2 constructs, and they appeared more gelatinous than the fibrous BaCl2 condition. Real time RT-PCR results indicated that the AF cells can express collagen I, collagen II, aggrecan and decorin genes on all the alginate scaffolds. Collagen I and aggrecan genes showed higher relative expression than Collagen II and decorin (approximately 105-fold higher). In comparing the crosslinking ions, CaCl2 showed a significantly higher expression of collagen I, collagen II, decorin and aggrecan than BaCl2 (p<0.05). In comparing the peptide treatments, there were no significant differences in expression level for all genes between the RGD, RGE and blank scaffold group (Fig. 2). There was also no significant interaction between the cation and peptide treatments in all genes tested. Figure 2: Relative gene expression on different scaffolds. Data are displayed as percentage of CaCl2-blank control. N=4. DISCUSSION Alginate has found wide biotechnology applications as a material for the encapsulation of a variety of cells or for wound dressing because its biocompatibility, hydrophilicity, and relative low cost. In tissue engineering, crosslinked alginate has been used extensively as a delivery matrix for cartilage reconstruction [5, 6]. However, most of these investigations used cells embedded within the polymerized gel. From an anatomical viewpoint, this kind of gel scaffold may not be as suitable for the annulus fibrosus. Therefore our present studies produced a nonwoven alginate felt. It is highly likely that reconstruction of a threedimensional shape can be made using this alginate sponge, to fit to a degenerated annulus fibrosus. Our results show that canine annulus fibrosus cells can grow on this kind of alginate scaffold and express several functional genes. While the CaCl2 crosslinker demonstrated better support for gene expression, the BaCl2 condition may be more suitable, due to its better mechanical integrity. Further studies will attempt to stabilize the CaCl2 condition and/or stimulate gene expression in the BaCl2 condition. Peptide modification of the gels did not produce any obvious improvement for all of the genes explored; however, this may be more a function of batch-to-batch variability than a difference in responsiveness. These preliminary results demonstrate that a non-woven alginate sponge can act as a matrix for annulus fibrosus cells growth, that the gel has good potential as a three-dimensional scaffold for intervertebral disc tissue engineering. Future work will focus on the scaffold shape modification and further characterization of the system. ACKNOWLEDGEMENTS CJH is supported by the McCaig Centre for Joint Injury and Arthritis Research. This work was funded by NSERC under grant number 288259. Figure 1. Left: alginate felt (left: hydrated, right: freeze-dried). Right: Individual fibers have a mean diameter of 240 µm. RESULTS The CaCl2 condition was not as stable as the BaCl2, as the felts began to degrade after approximately 4 days in culture. At the end of the experiment, the CaCl2 constructs were approximately ¼ of the mass of REFERENCES [1] Alini M. et al, Eur Spine J 2002 ,11(Suppl.2): S215-S220 [2] Thonar et al, Biochem Soc Trans. 2002, 30 (Pt 6): 874-878. [3] Bonassar, ORS 2004 [4] Rowley et al, Biomaterials 1999, 20,45-53 [5] Fragonas E et al, Biomaterials 2000,21(8):795-801 [6] Mierisch CM et al, J Bone Joint Surg Am. 2003 Sep;85-A(9):1757-67. 51st Annual Meeting of the Orthopaedic Research Society Poster No: 1724
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