Fabrication of a Bioactive, PCL-based "Self-fitting" Shape Memory Polymer Scaffold

Podsumowanie

Scaffolds capable of fitting within cranio-maxillofacial (CMF) bone defects while exhibiting osteoconductivity and bioactivity are of interest. This protocol describes the preparation of a shape memory scaffold based on polycaprolactone diacrylate (PCL-DA) using a solvent-casting particulate-leaching (SCPL) method employing a fused salt template and application of a bioactive polydopamine coating.

Streszczenie

Tissue engineering has been explored as an alternative strategy for the treatment of critical-sized cranio-maxillofacial (CMF) bone defects. Essential to the success of this approach is a scaffold that is able to conformally fit within an irregular defect while also having the requisite biodegradability, pore interconnectivity and bioactivity. By nature of their shape recovery and fixity properties, shape memory polymer (SMP) scaffolds could achieve defect “self-fitting.” In this way, following exposure to warm saline (~60 ºC), the SMP scaffold would become malleable, permitting it to be hand-pressed into an irregular defect. Subsequent cooling (~37 ºC) would return the scaffold to its relatively rigid state within the defect. To meet these requirements, this protocol describes the preparation of SMP scaffolds prepared via the photochemical cure of biodegradable polycaprolactone diacrylate (PCL-DA) using a solvent-casting particulate-leaching (SCPL) method. A fused salt template is utilized to achieve pore interconnectivity. To realize bioactivity, a polydopamine coating is applied to the surface of the scaffold pore walls. Characterization of self-fitting and shape memory behaviors, pore interconnectivity and in vitro bioactivity are also described.

Wprowadzenie

Currently considered the gold standard of cranio-maxillofacial (CMF) bone defect treatments, transplantation of harvested autologous grafts is hindered by complex grafting procedures, donor site morbidity and limited availability¹. A particular difficulty is shaping and fixing the rigid autograft tightly into the defect in order to obtain osseointegration and to prevent graft resorption. Tissue engineering has been investigated as an alternative strategy to autografting and synthetic bone substitutes (e.g. bone cement)^2,3. Critical to the success of a tissue engineering approach is a scaffold with a specific set of properties. First, in order to achieve osseointegration, the scaffold must form close contact with adjacent bone tissue⁴. The scaffold should also be osteoconductive, permitting cell migration, nutrient diffusion and neotissue deposition^4,5. This behavior is generally achieved with biodegradable scaffolds exhibiting a highly interconnected pore morphology. Lastly, the scaffold should be bioactive so as to promote integration and bonding with surrounding bone tissue⁵.

Here, we present a protocol to prepare a tissue engineering scaffold with these properties. Importantly, this scaffold exhibits the ability to “self-fit” into irregular CMF defects due to its shape memory behavior⁶. Thermoresponsive shape memory polymers (SMPs) are known to undergo shape change upon exposure to heat^7,8. SMPs are comprised of “netpoints” (i.e. chemical or physical crosslinks) which determine the permanent shape and “switching segments” which maintain the temporary shape and recover the permanent shape. The switching segments exhibit a thermal transition temperature (T_trans) corresponding to either the glass transition (T_g) or melt transition (T_m) of the polymer. As a result, SMPs may be sequentially deformed into a temporary shape at T > T_trans, fixed in the temporary shape at T < T_trans, and recovered to the permanent shape at T > T_trans. Thus, an SMP scaffold could achieve “self-fitting” within a CMF defect as follows⁶. After exposure to warm saline (T > T_trans), an SMP scaffold would become malleable, permitting a generically prepared cylindrical scaffold to be hand-pressed into an irregular defect, with shape recovery promoting expansion of the scaffold to the defect boundary. Upon cooling (T < T_trans), the scaffold would return to its relatively more rigid state, with shape fixity maintaining its new temporary shape within the defect. In this protocol, an SMP scaffold is prepared from polycaprolactone (PCL), a biodegradable polymer studied extensively for tissue regeneration and other biomedical applications^9-11. For shape memory, the T_m of PCL serves as the T_trans and varies between 43 and 60 ºC, depending on the molecular weight of the PCL¹². In this protocol, the T_trans (i.e. T_m) of the scaffold is 56.6±0.3 ºC⁶.

In order to achieve osteoconductivity, a protocol was developed to make PCL-based SMP scaffolds with highly interconnected pores based on a solvent-casting particulate-leaching (SCPL) method^6,13,14. Polycaprolactone diacrylate (PCL-DA) (M_n = ~10,000 g/mol) was utilized to permit rapid, photochemical crosslinking and was dissolved in dichloromethane (DCM) to allow solvent-casting over the salt template. Following photochemical cure and solvent evaporation, the salt template was removed by leaching into water. The average salt size regulates scaffold pore size. Importantly, the salt template was fused with water prior to solvent-casting to achieve pore interconnectivity.

Bioactivity was imparted to the SMP scaffold by the in situ formation of a polydopamine coating onto pore walls⁶. Bioactivity is often introduced into scaffolds by the inclusion of glass or glass-ceramic fillers¹⁵. However, these may give rise to unwanted brittle mechanical properties. Dopamine has been shown to form an adherent, thin polydopamine layer on a variety of substrates^16-19. In this protocol, the SMP scaffold was subjected to a slightly basic solution (pH = 8.5) of dopamine to form a nanothick coating of polydopamine on all pore wall surfaces⁶. In addition to enhancing surface hydrophilicity for improved cell adhesion and spreading, polydopamine has been shown to be bioactive in terms of formation of hydroxyapatite (HAp) upon exposure to simulated body fluid (SBF)^18,20,21. In a last step, the coated scaffold is exposed to heat treatment at 85 ºC (T > T_trans) which leads to scaffold densification. Heat treatment was previously noted to be essential for scaffold shape memory behavior, perhaps due to PCL crystalline domains reorganizing to closer proximity¹⁴.

We additionally describe the methods to characterize the self-fitting behavior within an irregular model defect, shape memory behavior in terms strain-controlled cyclic-thermal mechanical compression tests (i.e. shape recovery and shape fixity), pore morphology, and in vitro bioactivity. Strategies to tailor scaffold properties are also presented.

Protokół

1. Synthesizing PCL-DA Macromer

1. Run the acrylation reaction.
   1. Weigh 20 g of PCL-diol (M_n = ~10,000 g/mol) into a 250 ml round bottom flask equipped with a Teflon-covered magnetic stir bar.
   2. Dissolve the PCL-diol in DCM.
      1. Add 120 mLlof DCM to the flask (concentration = 0.17 g/ml).
      2. Place a rubber septum loosely into the neck of the flask so as to avoid pressure build-up while also preventing evaporation of DCM.
      3. Stir solution for ~30 min at ~250 rpm to completely dissolve the polymer.
   3. Add ~6.6 mg of 4-dimethylaminopyridine (DMAP) to the solution and dissolve with stirring.
   4. Place a rubber septum securely into the neck of the flask. Allow the solution to continue stirring.
   5. Through the rubber septum, gently purge the flask with N₂ for ~3 min by using a positive N₂ pressure needle inlet and an open needle as an outlet.
   6. Remove the N₂ inlet and outlet.
   7. Add 0.56 ml (4.0 mmol) of triethylamine (Et₃N) dropwise via a glass syringe equipped with a needle inserted through the rubber septum.
   8. Add 0.65 ml (8.0 mmol) of acryloyl chloride dropwise via a glass syringe equipped with a needle inserted through the rubber septum.
   9. Return the N₂ inlet to the flask and allow the contents to stir under positive N₂ pressure for ~30 min.
   10. Pre-heat an oil bath to 55 ºC.
   11. After the allotted ~30 min, remove the N₂ inlet and replace the septum with a condenser.
   12. Submerge the flask into the pre-heated oil bath.
   13. Allow the contents of the flask to stir for 20 hr.
   14. After the allotted 20 hr, remove the flask from the oil bath and allow contents to cool to RT.
   15. Using a rotary evaporator, remove DCM solvent from the flask.
2. Purify the crude PCL-DA product.
   1. To the flask, add ~135 ml of ethyl acetate and dissolve the crude PCL-DA.
   2. Gravity filter the solution through filter paper into a clean 250 ml round bottom flask. (Note: Solution may thicken on the filter paper, not readily passing through. If so, carefully apply mild heat with a heating gun.)
   3. Using a rotary evaporator, remove ethyl acetate solvent from the flask.
   4. To the flask, add ~140 ml of DCM and dissolve the crude PCL-DA.
   5. Transfer contents to a 500 ml separatory funnel.
   6. To the funnel, add 13.5 ml of 2 M potassium carbonate (K₂CO₃).
   7. Cap the funnel. Gently mix the two layers by inverting the funnel and swirling gently once or twice, taking care to release pressure via the stopcock. Repeat 3 times.
   8. Replace the cap with a layer of Parafilm and allow the mixture to separate O/N (~12 hr).
   9. Collect the bottom, organic layer into a 250 ml Erlenmeyer flask.
   10. Add ~5 g of anhydrous magnesium sulfate (MgSO₄) to the flask and gently swirl.
   11. Gravity filter the mixture through qualitative filter paper and into a clean 250 ml round bottom flask.
   12. Using a rotary evaporator, remove DCM solvent from the flask.
   13. Dry under high vacuum to remove residual DCM. (Note: PCL-DA should be stored away from light.)
   14. Confirm acrylation with ¹H NMR^22,23.

2. Preparing the SMP Scaffold (Figure 1)

1. Prepare the fused salt template.
   1. Use a 425 µm sieve to obtain sodium chloride (NaCl) particles ~460 ± 70 µm in diameter. (Note: Average particle size may be confirmed from scanning electron microscopy [SEM] images with ImageJ software .)¹⁴
   2. To a 3 ml glass vial (I.D. = 12.9 mm), add 1.8 g of the previously sieved NaCl.
   3. Slowly add, in four portions, 7.5 wt% (based on salt weight) DI water (0.146 g) to the vial. Mix with a metal spatula after the addition of each portion of water.
   4. Cap the vial, wrap in tissue and place vertically into a centrifuge tube. Centrifuge for 15 min at 3,220 x g.
   5. Remove the cap and let air-dry O/N (~12 hr).
2. In a new glass vial, prepare a “macromer solution” by combining 0.15 g of PCL-DA per ml of DCM. (Note: For one scaffold, ~ 1 ml of solution should be prepared.) Cap and mix the solution at high speed on a vortex mixer for ~1 min.
3. In a new 3 ml glass vial, prepare a “photoinitiator solution” based on 10 wt% 2,2-dimethoxy-2-phenyl acetophenone (DMP) in 1-vinyl-2-pyrrolidinone (NVP). Combine 0.115 g of DMP in 1 ml of NVP. (Note: For one scaffold, ~180 µl is required.) Cap, wrap in aluminum foil (to block light) and mix the solution at high speed on a vortex mixer for ~1 min. (Note: If prepared in advanced, the solution should be refrigerated and protected from light.)
4. Wrap the vial containing the macromer solution (excluding the cap) with aluminum foil (to block light) and add via pipette 15 vol% (based on total volume of the macromer solution) of the photoinitiator solution. Cap and mix the solution at high speed on a vortex mixer for ~1 min.
5. Wrap the vial containing the fused salt template (excluding the cap) with aluminum foil (to block light) and add via pipette the previously prepared macromer/photoinitiator solution (~0.6 ml or until the template is completely covered).
6. Cap the vial, wrap in tissue and place vertically into a centrifuge tube. Centrifuge for 10 min at 1,260 x g to distribute the macromer solution throughout the template.
7. Remove the aluminum foil, uncap the vial and expose to UV light (365 nm, 25 W) for 3 min. Air-dry O/N.
8. Remove the “salt-containing scaffold” from the vial with tweezers after scoring and fracturing the top of the glass vial.
9. In a 400 ml beaker, prepare ~200 ml of a water/ethanol solvent (1:1 vol:vol).
10. Maintain the scaffold submerged in the water/ethanol solvent for 4 days with daily solvent changes.
11. Remove the scaffold from the solvent and air-dry O/N.

3. Applying Polydopamine Coating to SMP Scaffold (Figure 1)

1. In 400 ml beaker equipped with a Teflon-covered stir bar, prepare ~200 ml of a dopamine hydrochloride solution (2 mg/ml in 10 mM Tris buffer, pH = 8.5, 25 ºC). Stir at ~150 rpm.
2. Place a disposable needle (length = 40 mm; gauge = 20) into the scaffold, ~half the distance through the scaffold. Wrap a wire around the needle hub.
3. Submerge the scaffold (with the needle hub above the solution surface) into the stirring dopamine solution by anchoring the wire to the rim of the beaker.
4. Degas the scaffold by placing a syringe into the needle hub and using it to pull air out of the scaffold. (Note: Degassing is complete when no more air can be removed and the solution has completely infiltrated the scaffold.)
5. Maintain the scaffold submerged in the stirring dopamine solution for 16 hr.
6. Remove the scaffold from the solution and remove the needle. Rinse with DI water and dry in a vacuum oven at RT for 24 hr.
7. Place the scaffold in an 85 ºC oven for 1 hr.
8. Allow the scaffold to cool to RT. The final cylindrical scaffold will be ~6 mm diameter x ~5 mm height.

4. Evaluating “Self-fitting” Behavior

1. Prepare an “irregular CMF defect model” using a sheet of rigid plastic whose thickness is ~5 mm. Use a drill to create a void within the plastic sheet with an average diameter slightly less than ~6 mm, as demonstrated in Figure 2A.
2. In a beaker, heat DI water (representing the clinical use of saline) to a temperature of ~60 ºC.
3. Place the scaffold into the beaker of ~60 ºC water. Use tweezers to push the scaffold below the water surface, exposing all areas to the water. Continue for ~2 min or until the scaffold is noticeably softened (Figure 2B).
4. Remove the scaffold from the beaker and immediately press (by hand) into the model defect.
5. Allow to cool to RT (~5-10 min) (Figure 2C).
6. Remove from the defect to observe the new, fixed temporary shape and the return of the relatively more rigid state (Figure 2D).

5. Testing Shape Memory Behavior

1. Using a dynamic mechanical analyzer (DMA; e.g. a TA Instruments Q800 as used herein), run a strain-controlled cyclic-thermal mechanical compression test on a scaffold over two cycles (N) to determine shape fixity (R_f) and shape recovery (R_r) (Figure 3).
   1. Equilibrate to 60 °C (T_high) for 5 min.
   2. Compress to a maximum strain (ε_m = 50 %) at 50 %/min.
   3. Hold at ε_m (5 min).
   4. Cool to 25 °C (T_low) and maintain for 10 min to fix the temporary shape.
   5. Remove the load.
   6. Measure the ultimate strain in the stress-free state (ε_u).
   7. Reheat to 60 °C (T_high) and maintain for 10 min to recover the permanent shape.
   8. Measure the recovered strain (ε_p).
   9. While still at 60 °C (T_high), start the 2^nd cycle (N = 2) by compressing the scaffold to 50 % of the height recovered after the 1^st cycle (N = 1).
   10. Repeat 5.1.3-5.1.8 for N = 2.
   11. Calculate R_f and R_r for N = 1 and 2 using the following equations:
       R_f(N) = [ε_u(N)/ ε_m]R_r(N) = [ε_m - ε_p(N)]/[ε_m- ε_p(N-1)]

6. Visualizing Pore Size and Pore Interconnectivity

1. Using scanning electron microscopy (SEM; e.g. a FEI Quanta SEM as used herein), observe the pore size and pore interconnectivity.
   1. Using tweezers to hold the SMP scaffold, submerge in liquid N₂ for 1 min.
   2. Remove from liquid N₂ and fracture along the middle of the scaffold with a clean razor blade.
   3. Using carbon tape, affix one of the SMP scaffold halves onto the sample stage with the fractured surface facing up.
   4. Sputter coat with Au-Pt (~4 nm).
   5. Capture the SEM image at a recommended accelerating voltage of 10-15 kV ( Figure 4A).

7. Testing of in vitro Bioactivity

1. Into a 50 ml centrifuge tube, add ~30 ml of 1X SBF²⁴.
2. Obtain a scaffold in its original, cylindrically-molded permanent shape. Cut the scaffold in half (across the circular edge) using a clean blade.
3. Place an individual scaffold half into the prepared centrifuge tube and cap.
4. Maintain the tube at 37 °C in a water bath under static conditions with no SBF changes.
5. After 14 days, remove the scaffold from the SBF and air dry for 24 hr.
6. Using carbon tape, affix the scaffold onto the sample stage with the fractured surface facing up.
7. Sputter coat with Au-Pt (~4 nm).
8. Capture the SEM image at a recommended accelerating voltage of 10-15 kV (Figure 4B).

Wyniki

The resulting PCL-based SMP scaffold is capable of self-fitting into a model CMF defect (Figure 2). After brief exposure to warm saline (~60 °C), the cylindrical scaffold softens allowing the scaffold to be manually pressed into and expand within the model defect. After cooling to RT, the scaffold is fixed into its new temporary shape which is retained upon removal from the defect.

The shape memory behavior of an SMP scaffold is quantified by strain-controlled cyclic-ther...

Dyskusje

This protocol describes the preparation of a polydopamine-coated, PCL-based scaffold whose self-fitting behavior, as well as osteoinductivity and bioactivity, makes it of interest in the treatment of irregular CMF bone defects. Aspects of the protocol may be altered to change various scaffold features.

The protocol begins with acrylation of a PCL-diol to permit UV cure. In the reported example, the PCL-diol M_n is ~10,000 g/mol. However, by appropriately adjusting amount of acryloyl ...

Materiały

Name	Company	Catalog Number	Comments
Polycaprolactone-diol (Mn ~ 10,000 g/mol)	Sigma-Aldrich	440752
Dichloromethane (DCM)	Sigma-Aldrich	D65100	Dried over 4A molecular sieves
4-dimethylaminopyridine (DMAP)	Sigma-Aldrich	D5640
Triethylamine (Et3N)	Sigma-Aldrich	T0886
Acryloyl chloride	Sigma-Aldrich	A24109
Ethyl acetate	Sigma-Aldrich	319902
Potassium carbonate (K2CO3)	Sigma-Aldrich	209619
Anhydrous magnesium sulfate (MgSO4)	Fisher	M65
Sodium chloride (NaCl)	Sigma-Aldrich	S9888
2,2-dimethoxy-2-phenyl acetophenone (DMP)	Sigma-Aldrich	196118
1-vinyl-2-pyrrolidinone (NVP)	Sigma-Aldrich	V3409
Ethanol	Sigma-Aldrich	459844
Dopamine hydrochloride	Sigma-Aldrich	H8502
Tris buffer (2mol/L)	Fisher	BP1759	Used at 10 mM concentration, pH = 8.5
Sieve	VWR	47729-972
UV-Transilluminator (365 nm, 25 W)	UVP	95-0426-02
Centrifuge	Eppendorf	5810 R
Dynamic Mechanical Analyzer (DMA)	TA Instruments	Q800
High Resolution Sputter Coater	Cressington	208HR
Scanning Electron Microscope (SEM)	FEI	Quanta 600