Synthesis of Thermogelling Poly(N-isopropylacrylamide)-graft-chondroitin Sulfate Composites with Alginate Microparticles for Tissue Engineering

Summary

An injectable tissue engineering scaffold composed of poly(N-isopropylacrylamide)-graft-chondroitin sulfate (PNIPAAm-g-CS)-containing alginate microparticles was prepared. The adhesive strength, swelling properties and in vitro biocompatibility are analyzed in this study. The characterization techniques developed here may be applicable to other thermogelling systems.

Abstract

Injectable biomaterials are defined as implantable materials that can be introduced into the body as a liquid and solidify in situ. Such materials offer the clinical advantages of being implanted minimally invasively and easily forming space-filling solids in irregularly shaped defects. Injectable biomaterials have been widely investigated as scaffolds for tissue engineering. However, for the repair of certain load-bearing areas in the body, such as the intervertebral disc, scaffolds should possess adhesive properties. This will minimize the risk of dislocation during motion and ensure intimate contact with the surrounding tissue, providing adequate transmission of forces. Here, we describe the preparation and characterization of a scaffold composed of thermally sensitive poly(N-isopropylacrylamide)-graft-chondroitin sulfate (PNIPAAM-g-CS) and alginate microparticles. The PNIPAAm-g-CS copolymer forms a viscous solution in water at RT, into which alginate particles are suspended to enhance adhesion. Above the lower critical solution temperature (LCST), around 30 °C, the copolymer forms a solid gel around the microparticles. We have adapted standard biomaterials characterization procedures to take into account the reversible phase transition of PNIPAAm-g-CS. Results indicate that the incorporation of 50 or 75 mg/ml alginate particles into 5% (w/v) PNIPAAm-g-CS solutions quadruple the adhesive tensile strength of PNIPAAm-gCS alone (p<0.05). The incorporation of alginate microparticles also significantly increases swelling capacity of PNIPAAm-g-CS (p<0.05), helping to maintain a space-filling gel within tissue defects. Finally, results of the in vitro toxicology assay kit, 2,3-bis-(2-methoxy-4-nitro-5-sulfophenyl)-2H-tetrazolium-5-carboxanilide (XTT) and Live/Dead viability assay indicate that the adhesive is capable of supporting the survival and proliferation of encapsulated Human Embryonic Kidney (HEK) 293 cells over 5 days.

Introduction

Injectable biomaterials are those that can be conveniently delivered into the body as a liquid and solidify in situ. Such materials have been applied extensively in regenerative medicine, where they are used to deliver encapsulated cells to the affected site ^1-4 and act as a three-dimensional temporary extracellular matrix for the cells ⁵. For the patient, injectable biomaterials are advantageous because the surgical procedures for implantation are minimally invasive and the solid phase can fill irregularly shaped tissue defects, eliminating the need for custom-size implants.

Injectability can be achieved through a variety of mechanisms. External factors, like pH, have been investigated as a trigger for the formation of gels that encapsulate cells and bioactive molecules^6-8. However, pH may not be the most convenient trigger to use in all physiological environments. Another traditional alternative for achieving injectability is using in situ chemical polymerization or crosslinking. A group developed a water-soluble redox system composed of ammonium persulfate and N,N,N',N'-tetramethylethylenediamine and used it for reacting macromers composed of polyethylene glycol and poly(propylene) glycol ^9,10. Zan et al. ¹¹ developed injectable chitosan polyvinylalcohol networks crosslinked with glutaraldehyde. In such systems, the cytotoxicity of reactive components must be considered, especially for applications involving cell encapsulation. Also, exothermic polymerization could produce high enough temperatures to compromise surrounding tissue, which has been reported for polymeric bone cements ^12,13.

Still other injectable polymer systems have been developed that exhibit a change from the liquid to solid state with temperature as the trigger. Known as thermogelling systems, these are aqueous polymer solutions that do not require chemical stimulus, monomers, or crosslinkers to achieve in situ formation ¹⁴. Rather, a phase transition usually occurring near physiological temperature induces the formation of a physically crosslinked three-dimensional network. Poloxamers such as Pluronic F127 are among the most widely studied polymers for thermogelling drug delivery ^15-17 and cell encapsulation ^18,19. However, it is well accepted that these gels lack stability at physiological conditions. Studies have demonstrated increased stability using chain extenders ²⁰ or chemical crosslinkers ^21,22. Nevertheless, the use of these reagents may limit the potential of the materials for cell encapsulation.

Poly(N-isopropylacrylamide) is a synthetic thermogelling polymer that has received significant attention in tissue engineering and drug delivery ¹⁴. Aqueous solutions of poly(N-isopropylacrylamide) (PNIPAAm) exhibit a lower critical solution temperature (LCST), typically occurring around 32 - 34 °C ^23,24. Below the LCST, water hydrates PNIPAAm chains. Above the transition temperature, the polymer becomes hydrophobic, resulting in a dramatic phase separation ^25-27 and formation of a solid gel without the use of toxic monomers or crosslinkers. However, PNIPAAm homopolymers exhibit poor elastic properties and hold little water at physiological temperature due to hydrophobicity ²⁸. In this work, we choose to incorporate chondroitin sulfate covalently into the PNIPAAm network, which offers the potential for enzymatic degradability ²⁹, anti-inflammatory activity ^30,31, and increased water and nutrient absorption ³². PNIPAAm copolymers with CS were prepared in our laboratory by polymerizing the monomer NIPAAm in the presence of methacrylate-functionalized CS to form grafted copolymer (PNIPAAm-g-CS). Because of the low crosslinking density of the copolymer, PNIPAAm-g-CS forms a viscous solution in water at RT and an elastic gel at physiological temperature due to the LCST ²⁹. The polymer solutions become flowable again upon cooling below the LCST due to the reversibility of the transition.

We have demonstrated that PNIPAAm-g-CS has the potential to function as a tissue engineering scaffold, due to mechanical properties that can be tailored, degradability, and cytocompatibility with human embryonic kidney (HEK) 293 cells ²⁹. However, in certain load bearing areas, such as the intervertebral disc, tissue engineering scaffolds should have the ability to form a substantial interface with surrounding disc tissue to eliminate the risk of dislocation ³³. This interface is also necessary for the adequate transmission of force across the interface between the implant and the tissue ³³. In our work, we have suspended alginate microparticles in aqueous solutions of PNIPAAm-g-CS and found that gelation localizes the microparticles, which provide adhesion with surrounding tissue ³⁴. In this paper, we outline the steps for preparation of the thermogelling, adhesive polymer. Standard techniques for biomaterials characterization, cell imaging, and assays for viability were adapted to take into account the temperature sensitivity of the polymer and the reversibility of the phase transition. The injectable polymer described in this paper has wide potential for drug delivery and tissue engineering applications outside of those described in this paper. Moreover, the characterization methods described here may be applicable to other thermogelling systems.

Protocol

1. Poly(N-isopropylacrylamide)-g-chondroitin Sulfate Synthesis

1. Prior to the synthesis of the bioadhesive hydrogel, purify N-isopropylacrylamide (NIPAAm) monomer and methacrylate chondroitin sulfate (CS).
   1. Weigh out at least 10 g of NIPAAm and dissolve the monomer in 400 ml of n-hexane at 60 °C. Stir the container periodically until complete dissolution. Recrystallize the solution in a -20 °C freezer for 24 hr.
   2. Remove the crystallized monomer from the container and vacuum filter the n-hexane using a Buchner funnel. Place the monomer in a vacuum oven at RT for 24 hr to remove any remaining n-hexane. Store the monomer in a -20 °C freezer for later use (see step 1.2).
   3. Weigh out and dissolve 2.0 g of chondroitin sulfate in 8.0 ml of deionized water. Gently heat the solution to 60 °C.
   4. Adjust the pH of the solution to 10 using approximately 10 to 40 µl of 50% (w/w) NaOH.
   5. Add 0.298 ml of methacrylic anhydride (MA). Reflux for 24 hr, while stirring at 60 °C.
   6. Pour 400 ml of acetone solution into a jar and chill O/N in a -20 °C freezer.
   7. After 24 hr have elapsed, slowly pour the entire methacrylated CS (mCS) solution into 400 ml of cold acetone, while stirring with a magnetic stir bar.
   8. Remove the mCS from the acetone and place the precipitate into a vacuum oven. Perform this step quickly to maintain an intact and cohesive state for mCS. Allow the residual acetone to evaporate under vacuum for at least 24 hr.
2. Co-dissolve 10 g of purified NIPAAm and 2.209 g of mCS in 232 ml of deionized water.
3. Purge the solution of oxygen by using inert nitrogen gas. Maintain a vigorous, yet low gas flow rate to prevent the solution from bubbling over for 15 min.
4. Continue purging the solution with nitrogen gas and add 0.976 ml of tetramethylethylenediamine (TEMED).
5. Next, initiate the polymerization reaction by mixing 97.6 mg of ammonium persulfate (APS).
6. Mix the solution for approximately 20 sec and quickly seal the solution to prevent any air from entering the vessel. Allow the solution to polymerize under fluorescent light for 24 hr.
7. After 24 hr, place the reaction vessel into a 37 °C oven. Allow the hydrogel to transition from a liquid to a gel-like state. Submerge the polymerized hydrogel in 1X phosphate-buffered saline (PBS) for a total of 7 days to allow for diffusion of unreacted monomer out of the hydrogel.
8. Using a pair of scissors, cut the hydrogel into several small pieces, no greater than 5 cm in diameter. To prevent the hydrogel from transitioning from a gel-like state to a liquid, dice the polymer within the 37 °C PBS solution. Transfer the portions into 50 ml conical tubes.
9. Prepare the samples for lyophilization by wrapping the tops of the tubes with Kimwipes and rubber bands. Freeze the tubes at -70 °C for 1 to 2 hr.
10. Place the conical tubes on the freeze dryer to remove all of the water from the hydrogel. Before operating, the freeze dryer needs to reach a temperature and pressure of approximately -40 °C and 0.04 mbar, respectively. A minimum of 7 days is required for complete drying.
11. Grind the freeze dried polymer into a fine powder and store in a 4 °C refrigerator for later use (see step 3.1).

2. Calcium-alginate Crosslinked Microparticle Synthesis

1. Prepare a 2% (w/v) alginate solution by dissolving 400 mg in 20 ml of deionized water. Heat the solution to approximately 60 °C to facilitate dissolution.
2. Prepare a 2% (w/v) calcium chloride solution by adding 400 mg to 20 ml of deionized water.
3. Create an oil in water mixture by combining 100 ml of canola oil, 1.0 ml of Tween 20, and 20 ml of 2% (w/v) alginate. Emulsify the mixture for 10 min with a homogenizer at 15,000 rpm. Additionally, mix with a magnetic stir bar at 200 rpm or 2,000 rpm to create large or small microparticles, respectively.
4. Aspirate the 2% (w/v) calcium chloride solution using a syringe with an 18 G needle tip. Slowly add the calcium chloride drop-wise into the emulsion.
5. Once the 20 ml of calcium chloride have been exhausted, allow the microparticles within the emulsion to crosslink for 10 min.
6. Evenly distribute the batch of microparticles into capped 50 ml conical tubes and centrifuge to a force of 1,400 x g for 2 min to remove the initial layer of canola oil.
7. Consecutively wash, vortex, and centrifuge the microparticles with isopropanol a total of three times at 1,400 g for 2 min to remove any residual canola oil. Discard the isopropanol supernatant after each centrifugation step and wash with fresh isopropanol.
8. Once the oil has been removed, repeat the washing procedure three additional times with deionized water to remove any residual isopropanol. Discard the deionized water supernatant after each centrifugation step and wash with fresh deionized water. Remove approximately 100 mg of wet microparticles and store in a vial. The wet microparticles will be used to measure the average diameter of the batch by light microscopy.
   1. Using light microscopy, disperse a small sample of wet microparticles in deionized water on a microscope slide. Depending on the size of the microparticles, use a 10X or 20X objective, and adjust the numerical aperture until the particles come into focus. Ensure that the microscope is calibrated for the correct objective and adjust the brightness of the light source as needed. Use a line tool to measure the longest diameter of 50 random alginate microparticles and obtain an average size for the batch.
9. Prepare the microparticles for lyophilization by wrapping them with Kimwipes and securing them with rubber bands. Freeze the microparticles at -70 °C for 1 hr.
10. Place the microparticles on the lyophilizer and allow the sample to dry for at least 24 hr. Grind the freeze dried microparticles into a fine powder using a mortar and pestle and store in a 4 °C refrigerator for later use (see step 3.3).

3. Preparation of the Adhesives

1. Using the freeze-dried polymer powder, create a 5% (w/v) PNIPAAm-g-CS solution by dissolving 50 mg of hydrogel powder in 1 ml of 1x PBS.
2. Mix the solution using a vortex and chill in a refrigerator at 4 °C for 24 hr.
3. Once the viscous solution forms, create a homogenous composite by adding 25 or 50 mg of freeze dried alginate microparticles to the hydrogel solution and vortex. Store the composite in a refrigerator at 4 °C for later use (see steps 4.3 and 4.8).

4. Bioadhesive Mechanical Tensile Tests

1. Prior to performing tensile tests, extract cartilage substrate from a porcine ear.
   1. Defrost a porcine ear in a warm 0.9% (w/v) NaCl solution; this will help to loosen the tissue.
   2. Using a scalpel, isolate and section off a flat, rectangular area by cutting vertically though the epidermal layer, subcutaneous tissue, and cartilage. Avoid cutting the curved ridges of the porcine ear.
   3. Separate the epidermal layer of skin from the cartilage by cutting parallel through the subcutaneous tissue. The cartilage is a hard, white tissue found beneath the porcine skin.
   4. Carefully scrape the subcutaneous tissue that is attached to the cartilage with the side of the scalpel. Avoid cutting into the cartilage tissue with the scalpel blade.
   5. Ensure that only one side of the cartilage is exposed and flat during tensile testing. If necessary, flatten the cartilage by cutting off the uneven skin on the underside.
   6. Cut the cartilage tissue into several pieces with dimensions of 1 cm x 1 cm. Store the cartilage tissue in conical tubes filled with 0.9% (w/v) NaCl solution in a -20 °C freezer.
2. Prepare 2.0 L of 0.9% (w/v) NaCl solution. Pre-heat the saline solution to 37 °C. The temperature of this solution will need to be maintained throughout testing.
3. Defrost the frozen cartilage. Keep both the porcine cartilage and the hydrogel samples in a Styrofoam container with ice packs.
4. Attach the force gauge to the arm of the test stand. Place a hotplate on top of the force stand and set the temperature to 50 °C.
5. Affix a 1 cm x 1 cm piece of cartilage to the stainless steel block with cyanoacrylate glue and a pair of tweezers. Glue an additional piece of cartilage to the Delrin cylinder and attach the cylinder to the force gauge. It is very important that both cartilage surfaces face each other and contact the hydrogel.
6. Place the Plexiglas water bath on top of the hot plate and insert the stainless steel block with the cartilage substrate inside the bath.
7. Lower the arm of the test stand and align both cartilage substrates with one another. Raise the arm and leave enough room to apply the hydrogel.
8. With a positive displacement pipette, dispense 200 µl of the bioadhesive hydrogel to the bottom piece of cartilage.
9. Lower the arm of the force stand at 1 mm/min until the hydrogel contacts the upper piece of cartilage and exerts a preload force of 0.001 N.
10. Pour the 37 °C saline solution into the bath until the volume reaches the designated water level. Check the temperature of the solution with a thermocouple.
11. Allow the hydrogel to set for a total of 5 minutes. Once the gel has solidified, raise the arm at a speed of 2 mm/min. The test is completed once the bioadhesive detaches from the cartilage substrate or when a significant drop in force occurs, signaling failure.
12. Collect the recorded data and raise the arm of the test stand. Remove the Delrin cylinder from the force gauge. Pour the saline solution into its previous container and reheat to 37 °C.
13. Calculate stresses by subtracting the force exerted by the polymer from the buoyant force of a "blank", the Delrin attachment with no cartilage or adhesive, raised at the same rate, and dividing by the bond area.

5. Swelling Study of PNIPAAm-g-CS with Alginate Microparticles

1. Prepare clean glass vials and label them appropriately with a time point, sample type, and sample number. The adhesives may also be created, as previously described. Prepare a total of five samples (n = 5) for each sample type per time point.
2. Pre-weigh all glass vials and record their initial mass at RT.
3. Using a syringe, dispense approximately 0.4 ml of the prepared adhesive sample into each of the five vials. Repeat this step for each sample type across all tested time points.
4. Weigh and record the mass of each vial with the adhesive sample type at RT.
5. Pre-warm an orbital incubator and 1 L of 1x PBS solution to 37 °C.
6. Organize all of the vials on a rack and insert the rack into the incubator. Allow the adhesives to transition from a liquid to a gel for approximately 5 to 10 min.
7. Add 5.0 ml of 1x PBS to each vial. Be sure to carefully add the PBS solution along the side of the vial to prevent the hydrogel disc from breaking apart.
8. Cap each vial to prevent evaporation of the PBS solution and maintain the internal temperature of the incubator at 37 °C. Each set of hydrogel discs will need to remain submerged in PBS for a designated length of time.
9. Once a 7 day time point has been reached, uncap the set of vials and remove the PBS solution from each vial. Weigh each vial with the adhesive sample again at RT.

6. Qualitative Cell Viability Using a Live/Dead Assay

1. Before performing the Live/Dead assay with PNIPAAm-g-CS, grow human embryonic kidney 293 cells (HEK-293) to 80% confluence.
   1. Quick-thaw the frozen HEK-293 cell suspension by placing the cryovial in a 37 °C water bath, then centrifuge the cells at 400 x g at 4 °C for 5 min in a 15 ml conical tube.
   2. To make the first passage cell growth medium, combine in high glucose (4.5 g/L) Dulbecco's Modified Eagle's Medium (DMEM) with heat inactivated fetal bovine serum (FBS) to a final concentration of 20% and the 100x penicillin-streptomycin solution (pen-strep) to a final concentration of 100 I.U/ml penicillin and 100 μg/ml streptomycin. For all other passages, switch to DMEM with 10% FBS and 1x pen-strep.
   3. Resuspend the cell pellet in 10 ml of growth medium and transfer the suspension into one 100 mm diameter petri dish. Evenly distribute the cells by gently tilting the dish front to back and left to right a few times each direction.
   4. Culture the cells in a humidified incubator at 37 °C with 5% CO₂. If necessary, change the medium every two days.
   5. When cells reach 80% confluency, replicate the culture into multiple dishes. Remove the medium from the plate.
   6. Add 1 ml of 0.5% trypsin to the plate. Allow the plates to incubate at 37 °C for 10 min. Check to see if the cells detach from the surface by gently swirling the plate.
   7. For splitting the culture 1:10, add 9 ml of regular growth medium (DMEM with 10% FBS) to the trypsinized cells and gently mix by tilting the dish.
   8. Dispense 1 ml of the diluted cell suspension into each new dish and add 9 ml of growth medium. Gently mix by tilting the dish.
   9. Culture the cells in a humidified incubator at 37 °C with 5% CO₂. If necessary, change the medium every two days until cells reach 80% confluence.
2. Remove the media from two culture dishes grown to 80% confluence.
3. Add 1 ml of 0.5% trypsin to each plate. Allow the plates to incubate at 37 °C for 10 min. Check to see if the cells detach from the surface by gently swirling the plate.
4. Wash the HEK-293 cells on the plate with 3 ml of growth medium twice and add both suspensions to the same 15 ml conical tube.
5. Centrifuge the 15 ml conical tube for 10 min at 400 x g at 4 °C.
6. Remove the supernatant and resuspend the cell pellet in 3 ml of medium by pipetting up and down.
7. Pipette 10 µl of the cell suspension into a hemocytometer and perform a cell count to determine the cell density. Increase the suspension volume of medium if the initial cell concentration is too high, and conversely decrease the volume if the concentration is too low, in order to preserve a target concentration of 1 x 10⁶ cells/ml. Centrifuge the HEK-293 cells at 400 x g and resuspend the cell pellet in the corrected volume of media accordingly.
8. Gently vortex the cell suspension and evenly distribute the cell mix into four separate 15 ml conical tubes for the following test conditions: positive control monolayer, negative killed control in PNIPAAm-g-CS using 70% (v/v) methanol, HEK-293 cells encapsulated in PNIPAAm-g-CS, and HEK-293 cells encapsulated in PNIPAAm-g-CS with alginate microparticles.
9. Create positive control monolayers by pipetting multiple 300 µl volumes of the cell mix into a 24-well plate to generate 4-6 replicate samples.
10. Remove the media from the conical tubes pertaining to the killed control, PNIPAAm-g-CS, and PNIPAAm-g-CS with alginate microparticles.
    1. Centrifuge the conical tubes for 5 minutes at 400 x g and remove the supernatant.
    2. Maintain the same cell concentration by resuspending the cells in the same volume of PNIPAAm-g-CS as the removed media. Pipette the polymer cell mix up and down using a serological pipette until homogenous.
       1. If seeding with alginate microparticles, transfer the PNIPAAm-g-CS-cell suspension (obtained as described for 6.10.2) into a 35 mm culture dish and introduce the particles into the mix. Pipette the cell mix up and down using a serological pipette until homogenous.
    3. Using the serological pipette, dispense multiple 300 µl of the polymer cell mix into each of the wells for killed control, PNIPAAm-g-CS, and PNIPAAm-g-CS with alginate microparticles to generate 4 - 6 replicate samples.
11. Incubate the plate at 37 °C for 10 to 15 min and allow the PNIPAAm-g-CS to transition from a liquid to a gel (the polymer forms an opaque, white disc).
12. Position a slide warmer in the hood and set the temperature to 37 °C. Use the slide warmer to maintain well plate temperature and pipette 600 µl of pre-warmed media into each well. To further prevent the transitioning of the polymer to a liquid state, position a lamp with a fluorescent bulb above the dish to warm up the air above it.
13. Incubate the cells for 5 days at 37 °C with 5% CO₂.
14. After five days have elapsed, prepare the Live/Dead dye mix using ethidium homodimer (EthD-1) and calcein AM. Both substances are light sensitive and prepared on the day of use.
    1. Defrost the calcein AM and EthD-1 from the kit at RT.
    2. Add 5 ml of sterile 1x PBS to a conical tube and wrap it in aluminum foil.
    3. Add 6.67 µl of 2 mM EthD-1 to the conical tube. Vortex the solution mixture thoroughly.
    4. Next, add 2.5 µl of 4 mM calcein AM to the conical tube. Vortex the mixture thoroughly.
15. Remove the media from the wells of the monolayer (positive control), PNIPAAm-g-CS, and PNIPAAm-g-CS with alginate microparticles. Wash all of the wells thoroughly, but gently, with PBS and remove the PBS.
16. Allow the hydrogel discs containing alginate microparticles to liquefy at RT and add 2 ml of 50 mM sodium citrate to each of the wells.
17. Remove the media from the killed cell wells (negative control). Allow the hydrogel discs to liquefy at RT and add 300 µl of 70% (v/v) methanol to each well.
18. Incubate the plate for 45 min at 37 °C.
19. Remove the sodium citrate and methanol solutions from the wells and pipette each of the hydrogel suspensions into individual microcentrifuge tubes. Centrifuge the tubes at 2,000 x g for 10 min to separate the cells from the hydrogel suspension.
20. Carefully remove the suspension by pipetting the solution from the conical tube and leaving behind the cell pellet. Resuspend the pellet in 300 µl of PBS and transfer to the original well plate.
21. Add 300 µl of the Live/Dead dye mix to each of the wells. Wrap the well plate in aluminum foil and incubate for 45 min on a rocker at RT.
22. Image all of the samples under an inverted fluorescence microscope with a 10X objective. Living cells and killed cells will display a green and red fluorescence, respectively.

7. Quantitative Cell Viability Using an XTT Assay

1. Grow HEK-293 cells to 80% confluence. Remove the growth media from two culture dishes.
2. Add 1 ml of 0.5% trypsin to each plate. Allow the plates to incubate at 37 °C for 10 min. Check to see if the cells detach from the surface by gently swirling the plate.
3. Wash the HEK-293 cells on the plate with 3 ml of media twice and add both suspensions to the same 15 ml conical tube.
4. Centrifuge the 15 ml conical tube for 10 min at 400 x g at 4 °C.
5. Remove the supernatant and resuspend the cell pellet in 3 ml of media by pipetting up and down.
6. Pipette 10 µl of the cell suspension into a hemocytometer and perform a cell count to determine the cell density. As previously described, preserve a target concentration of 1 x 10⁶ cells/ml. Centrifuge the HEK-293 cells at 400 x g and resuspend the cell pellet in the corrected volume of media accordingly.
7. Gently vortex the cell suspension and evenly distribute the cell mix into four separate 15 ml conical tubes for the following test conditions: positive control monolayer, negative killed control in PNIPAAm-g-CS using 70% (v/v) methanol, HEK-293 cells encapsulated in PNIPAAm-g-CS, and HEK-293 cells encapsulated in PNIPAAm-g-CS with alginate microparticles.
8. Create positive control monolayers by pipetting 300 µl of the cell mix into a 24-well plate to generate 4 - 6 replicate samples.
9. Remove the media from the conical tubes pertaining to the killed control, PNIPAAm-g-CS, and PNIPAAm-g-CS with alginate microparticles.
   1. Centrifuge the conical tubes for 5 min at 400 x g and remove the supernatant.
   2. Maintain the same cell concentration by resuspending the cells in the same volume of PNIPAAm-g-CS as the removed media. Pipette the cell mix up and down using a serological pipette until homogenous.
      1. If seeding with alginate microparticles, transfer the PNIPAAm-g-CS-cell suspension into a 35 mm culture dish and introduce the particles into the mix. Pipette the cell mix up and down using a serological pipette until homogenous.
   3. Using the serological pipette, dispense 300 µl of the polymer cell mix into each of the wells for killed control, PNIPAAm-g-CS, and PNIPAAm-g-CS with alginate microparticles to generate 4 - 6 replicate samples.
10. Once all of the cell-containing samples have been added to the 24-well plate, dispense multiple 300 µl volumes of PNIPAAm-g-CS and PNIPAAm-g-CS with alginate microparticles without cells in adjacent wells to generate 4 - 6 replicate samples.
11. Incubate the 24-well plate at 37 °C for 10 to 15 min and allow the PNIPAAm-g-CS to transition from a liquid to a gel (the polymer forms an opaque, white disc).
12. Position a slide warmer in the hood and set the temperature to 37 °C. Use the slide warmer to maintain well plate temperature and pipette 600 µl of pre-warmed clear DMEM into each well. To further prevent the transitioning of the polymer to a liquid state, position a lamp with a fluorescent bulb above the dish to warm up the air above it.
13. Incubate the cells for 5 days at 37 °C at 5% CO₂.
14. After five days have elapsed, prepare the 2,3-bis-(2-methoxy-4-nitro-5-sulfophenyl)-2H-tetrazolium-5-carboxanilide (XTT) reagent from the manufacturer. The XTT reagent is light sensitive and prepared on the day of use.
    1. Remove the amber bottle containing the XTT powder from the refrigerator. Using a sterile syringe and needle, inject 5 ml of clear DMEM (no phenol red) through the rubber septum into the amber bottle.
    2. Heat the reagent to 56 °C in a water bath for 10 min or until dissolved.
    3. Further dilute the XTT reagent to 20% (v/v) in a 15 ml conical tube wrapped in aluminum foil. Aliquot the excess XTT reagent in microcentrifuge tubes and place them in the -20 °C freezer for long term storage.
15. Remove the media from the killed cell wells (negative control) and add 300 µl of 70% (v/v) methanol to each well. Incubate for 45 min at 37 °C and remove the methanol from the wells.
16. Remove the media from the remaining wells of the monolayer (positive control), PNIPAAm-g-CS, and PNIPAAm-g-CS with alginate microparticles. Wash all of the wells thoroughly, but gently, with PBS and then remove the PBS.
17. Add 300 µl of the 20% XTT reagent to each of the wells. Wrap the 24-well plate in aluminum foil and incubate for 24 hr on a rocker at RT.
18. After 24 hr, add 200 µl of 50 mM sodium citrate to all of the wells and incubate on the rocker for one additional hr.
19. Transfer all of the polymer suspensions to microcentrifuge tubes and centrifuge at 2,000 x g for 10 min at RT. 
20. Transfer 200 µl of the supernatant from each microcentrifuge tube to a 96-well plate. Using a microtiter plate reader, obtain specific absorbance readings at 450 nm and non-specific absorbance readings at 690 nm.

Results

A thermally responsive grafted co-polymer was successfully synthesized and characterized for its bioadhesive strength, swelling properties, and in vitro cytocompatibility. We chose to investigate alginate due to its well-established mucoadhesive properties. Alginate microparticles, with an average diameter of 59.7 ± 14.9 µm, were blended with 5% (w/v) PNIPAAm-g-CS at concentrations of 25, 50, and 75 mg/ml. These concentrations were based on one-half, equal to, and twice...

Discussion

There are several critical steps in synthesizing the hydrogel-microparticle composite and evaluating its adhesive strength, swelling ability, and cellular biocompatibility. Free radical polymerization of PNIPAAm-g-CS requires successful methacrylation of chondroitin sulfate, complete dissolution of monomer components, and oxygen-free reaction conditions. The ratio of NIPAAm monomer to methacrylated chondroitin sulfate in the reaction mixture was chosen because it has been demonstrated, in our previous work, to generate c...

Materials

Name	Company	Catalog Number	Comments
N-isopropylacrylamide, 99%, pure, stabilized	Acros Organics	2210-25-5	Refrigerate and remove stabilier with hexane
Chondroitin sulfate A sodium salt (from bovine trachea)	Sigma-Aldrich	39455-18-0	Refrigerate
Hexanes	Fisher Scientific	H302-4	Store in a flammable cabinet
50% (w/w) sodium hydroxide	Fisher Scientific	SS254-1	Caustic in nature
Methacrylic anhydride	Sigma-Aldrich	276685	Strong fumes; use in a fume hood
Acetone	Fisher Scientific	A18-4	Chill in a refrigerator prior to use
Nitrogen Gas	Praxair	7727-37-9	Part Number: NI 4.8, cylinder style T, 99.998% pure nitrogen (Argon may be used as an alternative inert gas)
Tetramethylethylenediamine, 99% extra pure	Acros Organics	110-18-9
Ammonium persulfate	Sigma Aldrich	A3678	Hygroscopic and degrades in the presence of water
Phosphate buffered saline tablets	Fisher Scientific	BP2944	Keep dry
Alginic acid, sodium salt	Acros Organics	177775000	Use heat to aid in dissolving
Calcium chloride dihydrate	Fisher Scientific	C79
Canola oil	Local store		Obtain from a local store
Tween 20	Sigma-Aldrich	93773
70% (v/v) Isopropoanol	Fisher Scientific	A416-4
Porcine ears	Haine's Pork Shop		Obtain from a local butcher
Sodium Chloride	Fisher Scientific	S271-3
Human embryonic kidney 293 cells	ATCC	ATCC CRL-1573	Store in liquid nitrogen for long-term use
DMEM: 1x, high glucose, no pyruvate	Life Technologies	11965126	Refrigerate
Fetal bovine serum	Life Technologies	10082-147	Refrigerate
Penn Strep: 10,000 U/ml	Life Technologies	15140-122	Refrigerate
Trypsin-EDTA: 0.5%, 10x	Life Technologies	15400-054	Refrigerate
Methanol	VWR	AAA44571-K7
Live/Dead Cell viability kit	Life Technologies	L3224	Light sensitive, keep frozen
XTT cell viability kit	Sigma Aldrich	TOX2-1KT	Light sensitive, keep frozen
Clear DMEM: 1x, high glucose, no phenol	Life Technologies	21063-029	Refrigerate
Dulbecco's PBS: 1x	Life Technologies	14190136	Refrigerate
Sodium citrate	EMD	SX0445-1
Positive displacement pipette	BrandTech Scientific, INC	2702904	Dispenses 100 - 500 µl and comes with attachable tips
No 3. Stainless Steel scalpel handle	Sigma Aldrich	S2896
Miltex sterile surgical blades	Fisher Scientific	12-460-440	Size 10
Power gem homogenizer	Fisher Scientific	08-451-660	Model # 125
Porcelain mortar and pestle	Sigma Aldrich	Z247464	Holds 50 ml
FreeZone 1 L benchtop freeze dry system	Labconco	7740020	Freeze samples prior to use
Oil sealed rotary vane pump	Edwards	A65301906	Model # RV5
Incubating orbital shaker	VWR	12620-946	Model # 980153
Benchtop refrigerated centrifuge	Forma Scientific, INC		Model # 5682
Heated ovens	VWR		Model # 1235PC
2 N force gauge	Shimpo	FGV-0.5XY	Model # FGV-0.5XY
E-force test stand	Shimpo	FGS-200PV	Model # FGS-200PV
Tissue culture swinging bucket centrifuge	Beckman Coulter	366830	Model #6S-6KR
Tissue culture microcentrifuge	Eppendorf		Model #5415C
Hemacytometer set	Hausser Scientific	3720	Requires replacement cover glass slips
Slide warmer	Lab Scientific	XH-2022	Model # XH-2002
Portable heating lamp	Underwriters Laboratories		Helps to maintain polymer temperature at 37 °C
Inverted fluorescent microscope	Zeiss		Model Axiovert 25 CFL
Heated water bath	VWR		Model # 1235PC
Rocking platform	VWR		Series 100
Multiskan FC microtiter plate reader	Thermo Scientific		Type 357
Cell culture incubator	VWR		Model # 2350T
Purifier class II biosafety cabinet	Labconco		Delta Series