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Scanning electron microscope images of decellularized airway tissue or immunohistological images from airway biopsies identified desirable characteristics of the airway ECM we wished to introduce into electrospun scaffold topographies: Native RBM matrix consists of fibers approximately 153 nm ± 30.6 nm (mean ± SD n=50 measurements) in diameter (Figure 3A & 5A), whilst the matrix surrounding the RBM was more porous in nature (Figure 3C). Immunohistological sections through smooth muscle bundles show ASM present as aligned sheets of cells21 (Figure 3E). This information was used to guide the characteristics introduced into the electrospun scaffolds. A rotating mandrel was able to stably rotate at high speeds (>2,000 rpm/ 440 m·min-1) to produce scaffolds with aligned fibers. Slow mandrel rotation (60 rpm 13.2 m·min-1) did not affect the fiber orientation, but produced scaffolds with more uniform thickness than when electrospinning onto a static plate. By altering the electrospinning parameters (PET concentration and solution flow rate), it was possible to create scaffolds fibers with diameters of several micrometers or hundreds of nanometers (electrospinning parameters are stated in Table 1).
Electrospun fibers with equivalent fiber diameters to natural RBM fibers (150 nm) were produced using a 6% PET solution, however at such low PET concentrations, beading of the fibers occurred (Figure 4A). This was eliminated by increasing the concentration of the PET solution to 8% which produced uniform nanofibers possessing an average diameter of 255 nm ± 2.4 nm (mean ± SEM) and average pore size of 1.43 µm ± 0.02 µm (Figures 4B, 5A&B). To electrospin nanofibers it was necessary to reduce the needle size from 18 G to 23 G, allowing slower flow rates whilst maintaining a higher flow velocity and reducing needle blockage, a recurring problem with the larger needle. When electrospinning microfibers, an increase in PET solution to >30 % PET lead to a lack of uniformity in fiber diameter (Figure 4F) in addition to multiple blockages at the needle tip due to the high solution viscosity. Uniform microfiber mats possessing an average fiber diameter of 2.50 µm ± 0.02 µm (mean ± SEM) and average pore size of 10.45 µm ± 0.13 µm were produced when electrospinning a 30% wt/vol PET solution at a flow rate of 2 mL/h-1 (Figures 4F, 5A&B). Sequential electrospinning of the nanofiber scaffold directly onto a microfiber scaffold (still attached to the mandrel) created a biphasic scaffold (Figure 3D). The average fiber diameters were 280 nm ± 20 nm and 2.30 µm ± 0.06 µm for the nanofiber and microfiber phases respectively, comparable to dimensions of individual nanofiber and microfiber scaffolds. Additionally, the thickness of the biphasic scaffold was similar to the sum of the individual nanofiber and microfiber scaffolds (Figure 5C). Through increasing the mandrel speed (2,000 rpm/440 m·min-1), highly aligned nano- or microfiber scaffolds were produced. The 8% wt/vol PET solution was not optimal for producing aligned nanofibers and produced fibers possessing a wave-like morphology (Figure 3F). An increase to 10% PET nullified this effect, but still resulted in a reduced fiber diameter (216 nm ± 2.2 nm (mean ± SEM)) compared to the randomly aligned nanofiber scaffolds. Fiber alignment was calculated by determining the deviation of each fiber’s angle from the mean fiber angle. In aligned nanofiber scaffolds 79% of fibers were aligned (± 10° mean fiber angle) compared to 10.2% of fibers in randomly aligned nanofiber scaffolds (Figure 5D).
The 8% nanofiber scaffold was used to recapitulate the RBM on which epithelial cells reside, and was used to support the culture of CALU3 cells (an airway epithelial cell-line). The 30% wt/vol microfiber scaffold, being more porous in nature was used to mimic the sub-mucosal region, and was cultured with MRC5 cells (an airway fibroblast cell-line). The 10% wt/vol aligned nanofiber scaffold provided topological referencing to ensure ASM cell alignment when cultured on the scaffold. All three cell-types showed an increase in viability when cultured on their individual scaffolds over a 2 week period (Figure 6A), and expressed cell-type specific proteins after the 2 week culture period (Figure 6B, 6C, & 6D). Further characterization of individual cell-scaffold interactions have been reported elsewhere21,. The sequential electrospinning of the nanofiber scaffold onto the microfiber scaffold produced a biphasic scaffold for the coculture of the CALU3 epithelial cells and MRC5 fibroblast cells onto the nanofiber and microfiber phases respectively. The culturing of the two cells together under static conditions has been reported elsewhere22. Further work attempting to add other cell layers or extend biphasic culturing times beyond 2 weeks under static conditions proved unsuccessful (data not shown). To culture a tri-layered model over an extended period, we used a perfusion flow bioreactor. The CALU3 and MRC5 cells were seeded onto the biphasic scaffold, and ASM cells seeded onto an aligned scaffold, and both were cultured separately for 2 days. The two scaffolds were then bought together to form a tri-layer model of the airway wall within the bioreactor (Figure 7). Both chambers were perfused with media for 7 days before the apical epithelial chamber had its media removed, and the epithelial cells were cultured at the ALI for a further 7 days. Scaffolds were fixed and either sectioned and stained, or whole scaffolds were immunostained for cell-specific markers. Sections through the tri-layer culture showed cell nuclei distributed through all three layers of the coculture (Figure 8B). When cells were immunostained for cell-specific markers, epithelial cells populated the apical nanofiber phase as a confluent cell-layer and stained positive for cytokeratin (Figure 8C), on the microfiber phase, fibroblasts stained positive for S100A4 (Figure 8D), and on the aligned 10% scaffold ASM cells stained positive for SM22α (Figure 8E), indicating good survival of each cell-type within the 3D model of the airway wall.

Figure 1. The airway bronchiole. Bronchial biopsy from a severe asthmatic airway showing the epithelium on the reticular basement membrane (RBM), with the underlying submucosal region populated with mesenchymal cells, and the surrounding smooth muscle bundles populated with smooth muscle cells stained for smooth muscle alpha-actin (brown). Scale bar indicates 200 µm. Please click here to view a larger version of this figure.

Figure 2. A schematic of the electrospinning equipment. A syringe containing the polymer/solvent solution (with needle attached) is placed on a syringe pump facing the mandrel. An electric potential is established between the needle and mandrel causing fibers to be ejected from the needle tip and deposited on the rotating mandrel. As the fiber passes through the atmosphere, the solvent evaporates causing deposition of polymer fibers on the mandrel. Please click here to view a larger version of this figure.

Figure 3. Comparison of electrospun scaffolds to native airway ECM. Scanning electron microscope images of decellularized basement membrane (A), decellularized airway bronchiole cross section (C) and a histological section of an airway smooth muscle bundle (stained with haematoxylin and eosin, scale bar 40 µm) (E) compared with nanofiber (B) biphasic (D) and aligned (F) PET scaffolds. Please click here to view a larger version of this figure.
Table 1. Parameters used for electrospinning the microfiber, nanofiber and aligned scaffolds individually and for the biphasic scaffold.

Figure 4. Alteration in PET concentrations affects fiber characteristics. Scanning electron microscope images of electrospun scaffolds spun from 6%, 8%, 10% (A-C), 25%, 30% and 35% (E-G) (wt/vol) PET solutions. Also shown are aligned scaffolds produced from 8% (D) and 30% (H) wt/vol PET solutions. A-D imaged at 5,000X magnification, E-H imaged at 1,000X magnification. Please click here to view a larger version of this figure.

Figure 5. Properties of electrospun PET scaffolds. (A) Distribution curves showing fiber diameter distribution from the reticular basement membrane extracellular matrix (RBM ECM), randomly aligned nano- and micro-fiber scaffolds, and the aligned nanofiber scaffold. (B) Histogram showing the relative pore size distribution in nano- and micro-fiber scaffolds. (C) Average thickness of the nanofiber, microfiber, biphasic and aligned scaffolds (mean±standard deviation, n=6). (D) Histogram plot showing the deviation from mean fiber orientation in random or aligned nanofiber scaffolds Scaffold fiber analysis was carried out using ImageJ software. Please click here to view a larger version of this figure.

Figure 6. The culture of the individual cell types on the individual scaffolds. (A) alamarBlue cell viability assay results for ASM cells on aligned scaffolds, CALU3 cells on nanofiber scaffolds and MRC5 cells on microfiber scaffolds (mean±SEM, n=3-20). Scanning electron microscope images of the nanofiber, microfiber and aligned fiber scaffolds (B,C and D respectively) and immunofluorescent images of CALU3 cells stained for E-cadherin (red), MRC5 cells stained for vinculin (red) and ASM cells stained for SM22α (red) all on their specialised scaffold (E, F and G respectively). Hoechst was used to stain nuclei (blue), scale bar indicates 40 µm. Please click here to view a larger version of this figure.

Figure 7. Perfusion system for tri-layer airway wall model. (A) Photograph of bioreactor vessel connected to peristaltic pump and 2x media reservoirs. (B) Schematic of the tri-layered scaffolds. (C) Schematic of the two bioreactor circuits when the airway model is held at the air-liquid interface. Please click here to view a larger version of this figure.

Figure 8. Complete 3D airway wall model. (A) Bronchial biopsy of airway wall with the mucosal layer highlighted in red, the submucosal region highlighted in green, and the smooth muscle bundle highlighted in gold. (B) Section through tri-layered airway wall consisting of biphasic and aligned scaffolds populated with epithelial, fibroblast and smooth muscle cells fixed after 2 weeks coculture. Cell nuclei were stained with DAPI (blue) with scaffold reflectance (grey) concurrently imaged. Scaffolds were also fixed and immunostained for cell specific markers after 2 weeks, with CALU3 cells stained for cytokeratin (green) (C), MRC5 cells stained for S100A4 (green) (D), and smooth muscle cells stained for SM22α (red) (E). Scale bar indicates 200 µm. Please click here to view a larger version of this figure.

Table 1.