One of the ongoing challenges in neural tissue engineering is creating a nerve conduit (NC) that mimics the extra cellular matrix, where nerves grow naturally. Research has shown that cells respond to several factors in their environment including mechanical, topographical, adhesive and chemical signals1-3. One of the primary challenges in this field is determining the appropriate combination of signals and fabricating a system that can maintain cues for an extended period to support cell growth4. Peripheral neurons are known to prefer a soft substrate, be directed by aligned fibers, and respond to nerve growth factor (NGF)5-7. NCs that can provide chemical cues for weeks have been shown to provide improved functional recovery closer to that of allografts, the current gold standard for nerve repair8,9.
Various materials and production methods can be used to produce mechanical and topographical cues10-13. Mechanical cues are inherent to the material chosen, making selection of the appropriate material for the application critical1,13. Production methods to control topographical cues include phase separation, self-assembly and electrospinning1,13. For microscale applications, microfluidics, photopatterning, etching, salt leaches, or gas foams can also be used14-17. Electrospinning has emerged as the most popular way to engineer fibrous substrates for tissue culture due to its flexibility and ease of production13,18-23. Electrospun nanofibers are fabricated by applying a high voltage to a polymer solution causing it to repel itself and stretch across a short gap to discharge24. An aligned scaffold can be created by collecting the fibers on a grounded rotating mandrel and nonaligned scaffolds are collected on a stationary plate25. Adhesion signaling can be achieved by coating the fibrous scaffold with fibronectin or conjugating an adhesion peptide, such as RGD, to the HA before electrospinning26.
Chemical signals, such as growth factors, are the most difficult to maintain over extended periods because they need a source for controlled release. Many systems have been attempted to add controlled release to electrospun fibrous networks with varying levels of success. These methods include blend electrospinning, emulsion electrospinning, core shell electrospinning and protein conjugation27. Additionally, electrospinning is traditionally done in a volatile solvent, which can affect the viability of the protein28, therefore maintaining bioactivity of the protein must be considered.
This approach specifically addresses combining mechanical, topographical, chemical and adhesive signals to create a tunable scaffold for peripheral nerve growth. Scaffold mechanics is precisely controlled by synthesizing methacrylated Hyaluronic Acid (HA). The methacrylation sites are used to attach photo reactive crosslinkers. The crosslinked material is no longer water soluble and is exclusively broken down by enzymes29. The amount of crosslinking changes the degradation rate, mechanics and other physical properties of the material. Using HA with 30% methacrylation, which has a tensile modulus of ~500 Pa, creates a soft substrate that is close to the native mechanics of neural tissue and is typically preferred by neurons26,29. Electrospinning on a rotating mandrel is used to create aligned fibers for a topographical cue. Using electrospinning along with microspheres provides chemical signals within the scaffold over extended periods. To support neurite growth microspheres containing NGF are used to create the chemical signal. Unlike most electrospun materials HA is soluble in water so the NGF does not encounter harsh solvents during production. To add an adhesive signal, the scaffold is coated with fibronectin. The completed system contains all four types of signals described above: soft (mechanical) aligned (topographical) fibers with NGF releasing microspheres (chemical) coated with fibronectin (adhesive). Production and testing of this system is described in this protocol.
The process begins with the production of the microspheres with a Water-in-Oil-in-Water Double Emulsion. The emulsion is stabilized with a surfactant, Polyvinyl Alcohol (PVA). The inner water phase contains the protein. As it is added to the oil phase, containing the PLGA shell material dissolved in Dichloromethane (DCM), the surfactant creates a barrier between the phases protecting the protein from the DCM. This emulsion is than dispersed in another water phase containing PVA to create the outer surface of the microspheres. The stable emulsion is stirred to allow the DCM to evaporate. After rinsing and lyophilizing you are left with the dry microspheres containing the protein.
After the microspheres are completed they are ready to be electrospun into scaffolds. First you prepare the electrospinning solution. The viscosity of the solution is critical to proper fiber formation. Solutions of pure HA do not meet this requirement; PEO is added as a carrier polymer to allow for electrospinning. The microspheres are added to the solution and electrospun resulting in a fibrous scaffold with microspheres distributed throughout.
Once the production is complete, the protein should be tested to verify its viability. To do this, a primary cell that responds to NGF can be used. This protocol uses Dorsal Root Ganglia (DRG) from 8-10 day old chicken embryos. The cell bundles are seeded onto scaffolds containing microspheres filled with NGF or ones that are empty. If the NGF is still viable you should see enhanced neurite growth on the NGF containing scaffolds. If the NGF is no longer viable it will not promote neurites to extend and should appear similar to the control.
The exact procedure described herein is focused on neural support, however, with simple modifications to the material, electrospinning method, and proteins the system can be optimized for various cell and tissue types.