Refine
Has Fulltext
- yes (2)
Is part of the Bibliography
- yes (2)
Year of publication
- 2021 (2) (remove)
Document Type
- Doctoral Thesis (2)
Language
- English (2) (remove)
Keywords
- Tissue Engineering (2) (remove)
This thesis encompasses the development of the additive manufacturing technology melt electrowriting, in order to achieve the improved applicability in biomedical applications and design of scaffolds. Melt electrowriting is a process capable of producing highly resolved structures from microscale fibres. Nevertheless, there are parameters influencing the process and it has not been clear how they affect the printing result. In this thesis the influence of the processing and environmental parameters is investigated with the impact on their effect on the jet speed, fibre diameter and scaffold morphology, which has not been reported in the literature to date and significantly influences the printing quality. It was demonstrated that at higher ambient printing temperatures the fibres can be hampered to the extent that the individual fibres are completely molten together and increased air humidity intensifies this effect. It was also shown how such parameters as applied voltage, collector distance, feed pressure and polymer temperature influence the fibre diameter and critical translation speed. Based on these results, a detailed investigation of the fibre diameter control and printing of scaffolds with novel architectures was made. As an example, a 20-fold diameter ratio is obtained within one scaffold by changing the collector speed and the feed pressure during the printing process. Although the pressure change caused fibre diameter oscillations, different diameter fibres were successfully integrated into two scaffold designs, which were tested for mesenchymal stromal cell suspension and adipose tissue spheroid seeding. Further design and manufacturing aspects are discussed while jet attraction to the printed structures is illuminated in connection with the fibre positioning control of the multilayer scaffolds. The artefacts that appear with the increasing scaffold height of sinusoidal laydown patterns are counteracted by layer-by-layer path adjustment. For the prediction of a printing error of the first deposited layer, an algorithm is developed, that utilizes an empirical jet lag equation and the speed of fibre deposition. This model was able to predict the position of the printing fibre with up to ten times smaller error than the of the programmed path. The same model allows to qualitatively assess the fibre diameter change along the nonlinear pattern as well as to indicate the areas of the greatest pattern deformation with the growing scaffold height. Those results will be used in the later chapters for printing of the novel MEW structures for biomedical applications. In the final chapter the concept of multimodal scaffold was combined with the suspended fibre printing, for the manufacturing of the MEW scaffolds with controlled pore interconnectivity in three dimensions. Those scaffolds were proven to be a promising substate for the control of the neurite spreading of the chick DRG neurons.
Articular cartilage damage caused by sports accidents, trauma or gradual wear and tear can lead to degeneration and the development of osteoarthritis because cartilage tissue has only limited capacity for intrinsic healing. Osteoarthritis causes reduction of mobility and chronic pain and is one of the leading causes of disability in the elderly population. Current clinical treatment options can reduce pain and restore mobility for some time, but the formed repair tissue has mostly inferior functionality compared to healthy articular cartilage and does not last long-term. Articular cartilage tissue engineering is a promising approach for the improvement of the quality of cartilage repair tissue and regeneration. In this thesis, a promising new cell type for articular cartilage tissue engineering, the so-called articular cartilage progenitor cell (ACPC), was investigated for the first time in the two different hydrogels agarose and HA-SH/P(AGE-co-G) in comparison to mesenchymal stromal cells (MSCs). In agarose, ACPCs´ and MSCs´ chondrogenic capacity was investigated under normoxic (21 % oxygen) and hypoxic (2 % oxygen) conditions in monoculture constructs and in zonally layered co-culture constructs with ACPCs in the upper layer and MSCs in the lower layer. In the newly developed hyaluronic acid (HA)-based hydrogel HA-SH/P(AGE-co-G), chondrogenesis of ACPCs and MSCs was also evaluated in monoculture constructs and in zonally layered co-culture constructs like in agarose hydrogel. Additionally, the contribution of the bioactive molecule hyaluronic acid to chondrogenic gene expression of MSCs was investigated in 2D monolayer, 3D pellet and HA-SH hydrogel culture. It was shown that both ACPCs and MSCs could chondrogenically differentiate in agarose and HA-SH/P(AGE-co-G) hydrogels. In agarose hydrogel, ACPCs produced a more articular cartilage-like tissue than MSCs that contained more glycosaminoglycan (GAG), less type I collagen and only little alkaline phosphatase (ALP) activity. Hypoxic conditions did not increase extracellular matrix (ECM) production of ACPCs and MSCs significantly but improved the quality of the neo-cartilage tissue produced by MSCs. The creation of zonal agarose constructs with ACPCs in the upper layer and MSCs in the lower layer led to an ECM production in zonal hydrogels that lay in general in between the ECM production of non-zonal ACPC and MSC hydrogels. Even though zonal co-culture of ACPCs and MSCs did not increase ECM production, the two cell types influenced each other and, for example, modulated the staining intensities of type II and type I collagen in comparison to non-zonal constructs under normoxic and hypoxic conditions. In HA-SH/P(AGE-co-G) hydrogel, MSCs produced more ECM than ACPCs, but the ECM was limited to the pericellular region for both cell types. Zonal HASH/P(AGE-co-G) hydrogels resulted in a native-like zonal distribution of ECM as MSCs in the lower zone produced more ECM than ACPCs in the upper zone. It appeared that chondrogenesis of ACPCs was supported by hydrogels without biological attachment sites such as agarose, and that chondrogenesis of MSCs benefited from hydrogels with biological cues like HA. As HA is an attractive material for cartilage tissue engineering, and the HA-based hydrogel HA-SH/P(AGE-co-G) appeared to be beneficial for MSC chondrogenic differentiation, the contribution of HA to chondrogenic gene expression of MSCs was investigated. An upregulation of chondrogenic gene expression was found in 2D monolayer and 3D pellet culture of MSCs in response to HA supplementation, while gene expression of osteogenic and adipogenic transcription factors was not upregulated. MSCs, encapsulated in a HA-based hydrogel, showed upregulation of gene expression for chondrogenic, osteogenic and adipogenic differentiation markers as well as for stemness markers. In a 3D bioprinting process, using the HA-based hydrogel, gene expression levels of MSCs mostly did not change. Nevertheless, expression of three tested genes (COL2A1, SOX2, CD168) was downregulated in printed in comparison to cast constructs, underscoring the importance of closely monitoring cellular behaviour during and after the printing process. In summary, it was confirmed that ACPCs are a promising cell source for articular cartilage engineering with advantages over MSCs when they were cultured in a suitable hydrogel like agarose. The performance of the cells was strongly dependent on the hydrogel environment they were cultured in. The different chondrogenic performance of ACPCs and MSCs in agarose and HA-SH/P(AGE-co-G) hydrogels highlighted the importance of choosing suitable hydrogels for the different cell types used in articular cartilage tissue engineering. Hydrogels with high polymer content, such as the investigated HA-SH/P(AGE-co-G) hydrogels, can limit ECM distribution to the pericellular area and should be developed further towards less polymer content, leading to more homogenous ECM distribution of the cultured cells. The influence of HA on chondrogenic gene expression and on the balance between differentiation and maintenance of stemness in MSCs was demonstrated. More studies should be performed in the future to further elucidate the signalling functions of HA and the effects of 3D bioprinting in HA-based hydrogels. Taken together, the results of this thesis expand the knowledge in the area of articular cartilage engineering with regard to the rational combination of cell types and hydrogel materials and open up new possible approaches to the regeneration of articular cartilage tissue.