Small Molecule Cyclic Adenosine Monophosphate Analogues for Bone Regenerative Engineering 1, 2 Lo K. W.-H., 1, 2 Kan, H.M., & + 1, 2, 3, 4 Laurencin, C.T. Institute for Regenerative Engineering, 2Department of Orthopaedic Surgery, 3Connecticut Institute for Clinical and Translational Science, University of Connecticut Health Center, Farmington, CT; 4Chemical, Materials and Biomolecular Engineering Department, University of Connecticut, Storrs, CT +Senior author (Cato T. Laurencin, M.D., Ph.D.): [email protected] 1 INTRODUCTION Bone regenerative biodegradable scaffolds, often in combination with cells and/or growth factors, have been heavily studied and applied to certain clinical situations. The use of growth factors has become a common strategy to enhance bone formation within tissue engineered scaffolds. For instance, bone morphogenetic proteins (BMPs) have shown great potential for use in bone regeneration and repair. While these proteinacious growth factors have shown the potential to facilitate bone formation within these scaffolds, the resulting tissue often localizes to the surface of the scaffold rather than ingrow due to poor vascularization and limited oxygen supply. To combat this issue, vascular endothelial growth factor (VEGF) has been extensively researched as a cofactor to be delivered into the scaffolds in order to enhance angiogenesis. While tissue engineering constructs employing both osteoinductive and angioinductive protein growth factors have shown promise, unfortunately, protein instability, low solubility, high cost, contamination, supra-physiologic dose and immunogenicity have limited these protein-based therapeutic strategies. Therefore, an alternative form of growth factors is needed to obviate the drawbacks. Small molecules that carry the capacity to induce osteoblast differentiation, have recently gained more spotlight in the bone regenerative field. It is believed that these small molecules have the intrinsic physical properties that allow them to overcome the issues observed with protein growth factors1. We previously demonstrated that the small molecule, 6-Bnz-cAMP, which is a target-specific cAMP-analog that interacts via the protein kinase A (PKA) signaling pathway, was able to induce initial cell adhesion 2, differentiation, and mineralization of early passage MC3T3 osteoblast cells on biodegradable polymeric scaffolds 1. Interestingly, as of recent, it has been shown that cAMP signaling is also important for regulating VEGF expression3. As a result, this observation has prompted us to test whether the cAMP analogues could likewise induce angiogenesis by increasing the production of VEGF. Since human mescenchymal stem cells (hMSCs) demonstrate the ability to differentiate into the osteogenic lineages and provide a closer link between the laboratory and preclinical studies, we found it appropirate to utlilize these cells in our experiments. In this study, we evaluated the in vitro osteoinductivity potential of the small molecule 6-Bnz-cAMP in hMSCs. We characterized the in vitro cellular behavior of hMSCs cultured on polylactic-co-glycolic acid (PLAGA) thin films in the presence of 6-Bnz-cAMP. We evaluated the cells for initial cell adhesion, proliferation, differentiation, and matrix mineralization. Our data indicated that 6-Bnz-cAMP promoted in vitro osteogenesis of hMSCs. We further explored the angioinductive potential of different cAMP analogues in osteoblasts by monitoring the protein expression of VEGF. It was found that target non-specific cyclic AMP analog, 8-Br-cAMP, significantly induced the expression of VEGF in MC3T3 osteoblast cells. The hypothesis of our work was that cAMP analogs play an important role in controlling osteoblast function on biomaterial surfaces. METHODS Reagents. 6-Bnz-cAMP and 8-Br-cAMP were purchased from Alexis Biochemicals; Biodegradable PLAGA polymer (85:15) was purchased from Lakeshore Biomaterials. Two-dimensional (2D) thin films of PLAGA fabrication. PLAGA was dissolved in methylene chloride (Fisher), poured into a teflon-coated dish, and placed at −20°C. Once the solvent evaporated, the 2D thin film discs were formed by cutting the polymer sheet into circle films. All PLAGA films were sterilized by 70% ethanol. Cell cultures. hMSCs (Lonza) (passage 2) were used for in vitro osteogenesis experiments. Osteoblast-like MC3T3 cells (passage 22 to 30) (ATCC) were used for VEGF expression studies. Alkaline phosphatase (ALP) activity and mineralization assays. The assays were performed as previously described 1. Immunocytochemistry. Cells were rinsed in PBS and blocked with normal goat serum. Cells were then incubated with monoclonal anti-VEGF antibody (Santa Cruz) diluted in 1% BSA blocking buffer for overnight. Anti-mouse fluorescein isothiocyanate antibody (Santa Cruz) was used for secondary fluorescence staining. Images of cells were acquired with a confocal microscope (Zeiss LSM 780). Photoshop 7.0 was used to process all images. ELISA. Media were collected after 2d of incubation. ELISA was performed using a kit (Mouse VEGF Immunoassay) according to the manufacturer’s instructions (R&D Systems). RESULTS 6-Bnz-cAMP at 100 M promoted ALP activities at day 14 (fig.1) and matrix calcification at day 20 (fig.2) of hMSCs on PLAGA thin films. For calcification study, cells cultured in osteogenic medium served as a positive control while cells cultured in regular medium “Control” served as the baseline. To facilitate the comparison of different experimental settings, the “control” values were set to one relative unit. In addition, 6-Bnz-cAMP promoted not only hMSC initial adhesion, but also supported hMSC proliferation on PLAGA thin film (data not shown). 8-Br-cAMP at 100 M but not 6-Bnz-cAMP significantly promoted extracellular production of VEGF in MC3T3 cells after 2d of incubation on PLAGA as revealed by the ELISA experiment (fig.3). Fig. 3 Consistent with the data in fig. 3, immunocytochemistry results (Fig. 4A-C) revealed that only 8-Br-cAMP promoted production of VEGF (green) in MC3T3 cells after 2d of incubation. Red color (propidium iodide) represents chromatin. The magnification is 20X. 8-Br-cAMP 6-Bnz-cAMP Control DISCUSSION Signaling of cAMP/PKA has been known to regulate numerous biological processes including osteoblast adhesion and maturation 1, 2. In this study, our results provide a clear connection between cAMP signaling and VEGF expression in osteoblast MC3T3 cells. It is interesting to point out that the PKA specific agonist, 6-Bnz-cAMP, did not significantly enhance the expression of VEGF, but rather the target non-specific cAMP analog, 8-Br-cAMP, greatly enhanced VEGF expression (fig. 3 & 4). Interestingly, this suggests that cAMP/PKA-independent signaling(s) is/are involved in the process. The detailed underlying mechanism will be investigated by our group. Our studies suggest that 6-Bnz-cAMP and 8-Br-cAMP may serve promising roles as bio-factors for bone repair and regeneration. We propose that the delivery of these synthetic small molecules, 6-Bnz-cAMP and 8-Br-cAMP, within the polymeric scaffold constructs, when released in a controlled manner, may greatly improve the success of tissue-engineered bone grafts. The data from this study will facilitate the development of such scaffold construct. SIGNIFICANT: Development of inexpensive stable small molecules with biodegradable polymeric scaffolds for engineering bone tissue. REFERENCES 1. Lo K.W.et al., J. Tissue Eng. Regen. Med. 2011 Epub ahead of print. 2. Lo K.W. et al., J. Orthop. Res. p602-8, 2011. 3. Namkoong, S. et al., Cell Signal. p906-15, 2009. Poster No. 1649 • ORS 2012 Annual Meeting
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