Type I collagen is a self-assembling fibrillar protein widely used in tissue engineering. An established paradigm utilizes ultrasound exposure during the fluid-to-gel phase transition of neutralized collagen solutions, producing site-specific changes in collagen fiber organization via both thermal and non-thermal acoustic mechanisms. In the present study, we investigated the temporal dependence of ultrasound bioeffects with respect to the progression of collagen assembly. Collagen solutions (0.8 mg/ml) were exposed to ultrasound (CW, 7.8 or 8.8 MHz, 0–10 W/cm2) for 5 min during three distinct stages of collagen self-assembly, which were monitored via both temperature and optical turbidity measurements. Assembly rate was manipulated by adjusting the collagen pH and the temperature at which acoustic exposures were performed. The results identify a critical window during which ultrasound exposure produces radially aligned collagen fibers via a non-thermal acoustic mechanism. This window coincides with a stage of collagen polymerization during which nanofibrils associate laterally into microfibril bundles, and a simultaneous increase in the acoustic absorption coefficient. These findings raise the possibility that ultrasound exposures of self-assembling collagen biomaterials in a point-of-care clinical setting can be timed to preferentially induce either thermal or non-thermal bioeffects, thereby enhancing the efficacy of therapeutic ultrasound for regenerative medicine applications.
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