In general, bioscaffolds derived from decellularized tissues can more closely approximate the complex 3D composition and structure of the ECM in the native cellular microenvironment as compared to synthetic scaffolds or standard culture models based on 2D TCPS. As previously discussed, cell-ECM interactions are critically important in mediating cellular behavior both in culture and in the body1. Recognizing that the biochemical, biophysical, and biomechanical properties of the ECM are unique to each tissue, there is increasing evidence to support the rationale for applying tissue-specific approaches in the design of biomaterials for tissue engineering, as well as in the development of more physiologically relevant culture models for in vitro experiments20. Utilizing decellularized tissues as a starting material, our methods can incorporate the complex composition of the tissue-specific ECM within more customizable scaffold formats. While the mechanical and enzymatic processing steps will result in a loss of the native ECM ultrastructure, previous studies with DAT have demonstrated that the instructive effects of the adipose-derived ECM are conserved in these scaffold formats, suggesting that the bioscaffold composition is a key mediator of cell function11,29. A significant advantage to using the ECM-derived foams and microcarriers as cell culture substrates as compared to the intact decellularized tissues is that they are more homogeneous, which can improve uniformity in cell distribution and cell-cell/cell-ECM interactions.
The methods described here can be utilized to generate a broad array of tissue-specific bioscaffolds for use in cell culture and tissue-engineering applications. For example, in addition to the DAT, DDT, and DLV, our lab has successfully applied these techniques to generate 3D porous foams using decellularized bone, cartilage, nucleus pulposus, and annulus fibrosis, as well as commercially-available, insoluble collagen derived from bovine tendon. From an in vitro perspective, these bioscaffolds could be used as a basis for higher-fidelity 3D culture models for investigating cellular biology, physiology or disease pathology38, as bioactive substrates in high-throughput drug screening platforms39, or as instructive matrices for stem cell differentiation40,41. DAT, DDT and DLV foams fabricated at concentrations of 25 - 50 mg/mL are stable in long-term in vitro culture (tested up to 28 days). Further, all three types of microcarriers can support cell attachment and proliferation under dynamic conditions in a low-shear spinner culture system (10 - 15 rpm) for at least 2 weeks. For in vivo applications, the biocompatible and biodegradable ECM-derived foams and microcarriers hold promise as off-the-shelf products to stimulate constructive tissue remodeling and regeneration11,29. Further, the cell-adhesive scaffolds could be used as cell therapy delivery systems42,43. As an example, DAT foams were shown to promote angiogenesis and adipogenesis when seeded with allogeneic ASCs and implanted subcutaneously in an immunocompetent rat model29. Relative to the intact DAT, the more highly processed DAT foams degraded much more rapidly, with a 50% reduction in volume noted at 3 weeks as they became integrated with the host tissues, and almost complete resorption by 12 weeks. However, the foams also induced a more potent angiogenic response, suggesting that the enzyme-digested ECM had unique pro-regenerative effects. Similarly, the ECM-derived microcarriers could be used as in vitro cell culture substrates within dynamic culture systems and as injectable cell delivery vehicles11,30,44. More specifically, the small diameter and large surface area of the microcarriers could enable the delivery of a large quantity of cells in a small volume, while providing a matrix that may help to support cell viability and increase cell retention at the site of injection30. Prior to use in any living system, it is critical to ensure that the source ECM is substantially devoid of antigenic cellular components and/or potentially cytotoxic decellularization reagents that could trigger a negative host response7.
The proteolytic enzyme pepsin is commonly used in the preparation of ECM-derived hydrogels15. Pepsin is a non-specific protease that will digest collagen and other ECM proteins into small fragments45. While hydrogels fabricated from pepsin-digested ECM have been reported to have cell-instructive effects, a limitation is that these materials tend to be extremely mechanically weak46. In our initial development of the DAT microcarriers, we utilized a composite approach in which pepsin-digested DAT was combined with alginate and added dropwise into CaCl2 to form spherical beads30. The beads were subsequently photo-crosslinked and the alginate was extracted using sodium citrate. In addition to the requirement for chemical crosslinking, a key limitation was that the microcarriers fabricated with this approach had poor stability below a size range of 900 - 950 µm30. In place of pepsin, the methods presented here utilize a more mild digestion of the ECM with the glycolytic enzyme α-amylase, which is postulated to cleave carbohydrate groups from the telopeptide regions of collagen, thereby increasing solubility in acetic acid37. This approach enables the isolation of highly polymerized collagen that can be used to generate pure ECM-derived foams and microcarriers without the need for chemical crosslinking or other additives. These bioscaffolds are stabilized through physical interactions and hydrogen bonding between well-preserved collagen fibrils, similar to the collagen in the native ECM microenvironment.
The foams are a highly flexible platform that can be fabricated in a wide range of geometries depending on the specific mold selected. For cell culture studies, the foams may be cast directly in TCPS well plates, to form coatings or 3D scaffolds of varying thickness. To fabricate 3D foams with very uniform surfaces, it is recommended that a custom mold is designed that can be sealed on both sides with plastic or glass slides. Either minced or cryomilled ECM can be used to synthesize the foams. In general, we have found that the cryomilled foams tend to be macroscopically softer and have a more disrupted ultrastructure at lower concentrations31,36. Depending on the tissue source, the additional mechanical processing steps may cause alterations in the ECM composition that could impact cell function. For example, in our previous work, laminin was detected in minced DLV foams, but not cryomilled DLV foams31. In contrast, collagen I, collagen IV, laminin, and fibronectin were detected in both minced and cryomilled DAT foams36. In addition to the mechanical processing steps, the porosity and pore size of the foams can be tuned to some extent by varying the ECM suspension concentration and the freezing temperature47. In general, lower concentration foams (~ 10 - 15 mg/mL) are qualitatively more porous, but may contract rapidly and have poor stability in long-term culture31,36. Similarly, a slower freezing rate, typically achieved by a higher freezing temperature, can result in larger pores in the foams due to the size of the ice crystals formed during fabrication29. All of these parameters may influence cell interactions with the materials, including attachment, infiltration, and remodeling. For example, cell growth on foams that are fabricated with higher ECM concentrations may be limited to the surface regions, particularly with minced ECM sources and under static culture conditions36.
For the microcarriers, the key parameters that can be tuned are the ECM suspension concentration, needle gauge, and applied voltage, with higher concentrations typically yielding microcarriers that are more stable under long-term dynamic culture. Following the initiation of electrospraying, the ECM suspension droplets should quickly fall into the center of the flask, towards the direction of the aluminum foil collector. To prevent aggregation, it is important that the beads contact the liquid nitrogen prior to the foil. The distance between the needle and the surface of the liquid nitrogen can be adjusted to meet these requirements. It is important to note that optimization may be required depending on the properties of each specific ECM source, in particular in selecting the concentration range that will generate stable bioscaffolds. Another key factor is the decellularization protocol that is used to generate the starting materials, as decellularization methods that degrade the ECM or the presence of residual reagents (e.g., surfactants) may negatively impact the stability of the resultant foams and microcarriers. If challenges are encountered with bioscaffold stability, options that can be investigated include using a more gradual rehydration process, increasing the ECM suspension concentration, and exploring minced versus cryomilled ECM. Should all of these options fail to resolve the issue, it may be necessary to explore alternative decellularization protocols or ECM sources.
To ensure reproducibility during scaffold production, special care must be taken at certain steps in the protocol. When cryomilling the decellularized tissues, it is recommended that milling be conducted immediately after lyophilization in a dry environment to reduce the likelihood of particle aggregation due to the absorption of moisture from the environment. During microcarrier fabrication, it is suggested that the suspension is electrosprayed in small batches, with a maximum volume of 3 mL, to avoid issues with sample cooling that can result in clogging of the needle. Further, it is essential that the microcarriers are not permitted to thaw after the electrospraying process. To maintain their spherical geometry and mechanical stability, the microcarriers should be collected from the liquid nitrogen, transported in a liquid nitrogen-filled container, and immediately lyophilized. Finally, for both the foams and microcarriers, it is critical that the rehydration steps are performed slowly over a period of multiple days. Rapid rehydration can result in structural collapse on the macro- and/or micro-scale. Further, rehydration must occur slowly to prevent the formation of small air bubbles within the scaffold, which can require a significant amount of time to degas under light vacuum.
In conclusion, the methods presented in this paper can be used to fabricate a diverse array of tissue-specific foams and microcarriers comprised of pure, non-chemically crosslinked ECM. An advantage for biological researchers is that the bioscaffolds are easy to handle and can be processed similarly to tissues when performing analyses with techniques such as histology, immunohistochemistry, or gene and protein expression assays. In addition, the ECM-derived scaffolds can be enzymatically degraded to extract seeded cell populations or can be used directly as biodegradable and biocompatible cell delivery vehicles. Overall, this flexible platform technology holds great utility for numerous applications including for 3D cell culture studies investigating cell function, as cell expansion substrates, and as pro-regenerative bioscaffolds.