Abstract
Fibrin has been used clinically for wound coverings, surgical glues, and cell delivery because of its affordability, cytocompatibility, and ability to modulate angiogenesis and inflammation. However, its rapid degradation rate has limited its usefulness as a scaffold for 3D cell culture and tissue engineering. Previous studies have sought to slow the degradation rate of fibrin with the addition of proteolysis inhibitors or synthetic crosslinkers that require multiple functionalization or polymerization steps. These strategies are difficult to implement in vivo and introduce increased complexity, both of which hinder the use of fibrin in research and medicine. Previously, we demonstrated that additional crosslinking of fibrin gels using bifunctionalized poly(ethylene glycol)-n-hydroxysuccinimide (PEG-NHS) slows the degradation rate of fibrin. In this study, we aimed to further improve the longevity of these PEG-fibrin gels such that they could be used for tissue engineering in vitro or in situ without the need for proteolysis inhibitors. It is well documented that increasing the salinity of fibrin precursor solutions affects the resulting gel morphology. Here, we investigated whether this altered morphology influences the fibrin degradation rate. Increasing the final sodium chloride (NaCl) concentration from 145 mM (physiologic level) to 250 mM resulted in fine, transparent high-salt (HS) fibrin gels that degrade 2-3 times slower than coarse, opaque physiologic-salt (PS) fibrin gels both in vitro (when treated with proteases and when seeded with amniotic fluid stem cells) and in vivo (when injected subcutaneously into mice). Increased salt concentrations did not affect the viability of encapsulated cells, the ability of encapsulated endothelial cells to form rudimentary capillary networks, or the ability of the gels to maintain induced pluripotent stem cells. Finally, when implanted subcutaneously, PS gels degraded completely within one week while HS gels remained stable and maintained viability of seeded dermal fibroblasts. To our knowledge, this is the simplest method reported for the fabrication of fibrin gels with tunable degradation properties and will be useful for implementing fibrin gels in a wide range of research and clinical applications.
Highlights
The development of thick tissues for the repair of large injuries or defects is a principal challenge for tissue engineering advancements [1,2,3,4]
We previously reported that increased fibrin gel crosslinking using homobifunctional poly(ethylene glycol) n-hydroxysuccinimide (PEG-NHS) slows fibrin degradation when placed in media alone [13,14], but our follow-up work reported here demonstrates that even these PEG-fibrin gels degrade within one week when seeded with amniotic fluid cells (AFC)
We investigated the ability of these gels to support encapsulated induced pluripotent stem cells and amniotic fluid cells (AFC) in vitro
Summary
The development of thick tissues for the repair of large injuries or defects is a principal challenge for tissue engineering advancements [1,2,3,4]. In vitro tissue engineering approaches face the challenges of nutrient diffusion and recapitulation of tissue-specific signaling outside of the body while in situ tissue engineering approaches must promote normal tissue regeneration while avoiding fibrosis and aberrant tissue growth [5] Both strategies must include scaffolds that support the proliferation and differentiation of tissue-specific stem cells while simultaneously degrading and being replaced with tissue-specific extracellular matrix [6,7]. Fibrin glues and gels have been extensively investigated for use in wound sealing and the delivery of growth factors and cells Despite this desirable bioactivity, the rapid degradation rate of fibrin has limited its usefulness as a scaffold for 3D cell culture and tissue engineering. We aimed to develop a slowly-degrading (“stable”) fibrin gel capable of supporting 1) the proliferation and differentiation of various stem cell types, 2) the development of a rudimentary capillary-like network in vitro, and 3) delivery and maintenance of cells in vivo without the need for degradation inhibitors
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