Electroactive environments for mesenchymal stem cells osteogenic differentiation

Abstract

Life expectancy increase entails the presence of musculoskeletal disorders producing a substantial impact on patient's quality of life. New bone regenerative therapies are focused on the use of mesenchymal stem cells (MSCs), the main effectors of bone regeneration in vivo. Over the years, it has been demonstrated that the induction of a pre-differentiated phenotype in vitro, before MSCs implantation, results in a better capacity for bone tissue regeneration. For this purpose, biochemical approaches based on the use of osteogenic differentiation medium containing dexamethasone have traditionally been used. These methods are not efficient, which has favoured the use of physical methods as an alternative. Bone is a piezoelectric tissue due to the collagen fibres that conform its extracellular matrix. This stimulus has been related to its ability to respond to mechanical stress and self-regenerate, a process in which MSCs play a key role. MSCs are subjected to an electroactive environment. It is hypothesised that these physical signals may influence their osteogenic differentiation process and be used to effectively pre-differentiate them in vitro. To test this hypothesis, along this Doctoral Thesis, piezoelectric cell culture supports have been designed in 2 and 3 dimensions based on the use of the piezoelectric polymer poly(vinylidene) fluoride (PVDF) combined with magnetostrictive cobalt ferrite oxide (CFO) nanoparticles. This combination allows the stimulation of culture supports by applying a magnetic field with a bioreactor. This magnetic field induces the deformation of the magnetostrictive component, which is transmitted to the polymeric matrix, generating a deformation and producing an electric field, which is transmitted to the MSCs to study its effect on their osteogenic differentiation. In the first chapter, electroactive PVDF membranes manufactured by the non-solvent induced phase separation technique were developed and characterised. Ethanol was used as a non-solvent, which gave rise to highly porous homogeneous membranes crystallised in the  phase. A coating protocol based on the layer-by-layer (LbL) technique, using elastin-like recombinamers (ELRs) containing RGD cell adhesion sequences, was optimised. MSCs' initial cellular response was studied and compared with the membranes coated with adsorbed fibronectin. The presence of the ELRs was necessary to promote MSCs' initial adhesion in this type of support. In the second chapter, PVDF was combined with CFO, using water as a non-solvent. The membranes were not symmetrical, with a smooth surface used for cell culture, with a majority in phase b, the most electroactive. Membranes were coated and characterised by LbL with type I collagen and heparin. The behaviour of MSCs on LbL was studied, essential for cell proliferation in the case of PVDF-CFO membranes. In chapter three, PVDF and PVDF-CFO films crystallised in the presence of the ionic liquid [Bmim][Cl] were developed. The presence of ionic liquid induced PVDF nucleation in the b phase. MSCs were able to adhere and proliferate. Piezoelectric stimulation tests were performed using a magnetic bioreactor. MSCs responded to stimulation by increasing the length of their focal adhesions and reducing vimentin in the cytoplasm. Finally, 3D piezoelectric culture supports were designed. For this, PVDF and PVDF-CFO microspheres were developed using the electrospray technique. The microspheres were encapsulated in gelatin hydrogels together with the MSCs. They were stimulated, and after 7 days, an increase in the expression of the transcription factor RUNX2 was observed in the stimulated samples, demonstrating that piezoelectric stimulation is capable of activating the differentiation of MSCs to a greater extent.