Abstract
The application of barrier membranes in guided bone regeneration (GBR) has become a commonly used surgical technique in periodontal research. The objectives of this study were to evaluate the in vitro biocompatibility and osteogenic differentiation of mesenchymal stem cells (MSCs) on two different collagenous coatings (nano electrospun fibrous vs. solid wall) of bilayered collagen/chitosan membrane and their histological evaluation on bone regeneration in rabbit calvarial defects. It was found that chitosan-nano electrospun collagen (CNC) membranes had higher proliferation/metabolic activity compared to the chitosan-collagen (CC) and pristine chitosan membranes. The qRT-PCR analysis demonstrated the CNC membranes induced significant expression of osteogenic genes (Osteocalcin, RUNX2 and Col-α1) in MSCs. Moreover, higher calcium content and alkaline phosphatase activity of MSCs were observed compared to the other groups. Histologic and histomorphometric evaluations were performed on the uncovered (negative control) as well as covered calvarial defects of ten adult white rabbits with different membranes (CNC, CC, BioGide (BG, positive control)) at 1 and 2 months after surgery. More bone formation was detected in the defects covered with CNC and BG membranes than those covered by CC and the negative control. No inflammation and residual biomaterial particles were observed on the membrane surface or in the surrounding tissues in the surgical areas. These results suggest that bilayer CNC membrane can have the potential for use as a GBR membrane material facilitating bone formation.
Similar content being viewed by others
References
Allori, A. C., A. M. Sailon, and S. M. Warren. Biological basis of bone formation, remodeling, and repair-part II: extracellular matrix. Tissue Eng. B: Rev. 14:275–283, 2008.
Arpornmaeklong, P., P. Pripatnanont, and N. Suwatwirote. Properties of chitosan–collagen sponges and osteogenic differentiation of rat-bone-marrow stromal cells. Int. J. Oral Maxillofac. Surg. 37:357–366, 2008.
Arpornmaeklong, P., N. Suwatwirote, P. Pripatnanont, and K. Oungbho. Growth and differentiation of mouse osteoblasts on chitosan–collagen sponges. Int. J. Oral Maxillofac. Surg. 36:328–337, 2007.
Borges, G. J., A. B. Novaes, M. F. de Moraes Grisi, D. B. Palioto, M. Taba, and S. L. S. De Souza. Acellular dermal matrix as a barrier in guided bone regeneration: a clinical, radiographic and histomorphometric study in dogs. Clin. Oral Implant Res. 20:1105–1115, 2009.
Bottino, M. C., V. Thomas, and G. M. Janowski. A novel spatially designed and functionally graded electrospun membrane for periodontal regeneration. Acta Biomater. 7:216–224, 2011.
Bottino, M. C., V. Thomas, G. Schmidt, Y. K. Vohra, T.-M. G. Chu, M. J. Kowolik, and G. M. Janowski. Recent advances in the development of GTR/GBR membranes for periodontal regeneration—a materials perspective. Dent. Mater. 28:703–721, 2012.
Boynueğri, D., G. Özcan, S. Şenel, D. Uç, A. Uraz, E. Öğüş, B. Çakılcı, and B. Karaduman. Clinical and radiographic evaluations of chitosan gel in periodontal intraosseous defects: a pilot study. J. Biomed. Mater. Res. B Appl. Biomater. 90:461–466, 2009.
Bumgardner, J. D., B. M. Chesnutt, Y. Yuan, Y. Yang, M. Appleford, S. Oh, R. McLaughlin, S. H. Elder, and J. L. Ong. The integration of chitosan-coated titanium in bone: an in vivo study in rabbits. Implant Dent. 16:66–79, 2007.
Buser, D., C. Dahlin, and R. Schenk. Guided Bone Regeneration. Chicago: Quintessence, 1994.
Buser, D., K. Dula, D. Hess, H. P. Hirt, and U. C. Belser. Localized ridge augmentation with autografts and barrier membranes. Periodontology 2000(19):151–163, 1999.
Cai, Y. Z., L. L. Wang, H. X. Cai, Y. Y. Qi, X. H. Zou, and H. W. Ouyang. Electrospun nanofibrous matrix improves the regeneration of dense cortical bone. J. Biomed. Mater. Res. A 95:49–57, 2010.
Chen, J.-P., G.-Y. Chang, and J.-K. Chen. Electrospun collagen/chitosan nanofibrous membrane as wound dressing. Colloids Surf. A 313:183–188, 2008.
Chen, Z., X. Mo, C. He, and H. Wang. Intermolecular interactions in electrospun collagen–chitosan complex nanofibers. Carbohydr. Polym. 72:410–418, 2008.
Chen, V. J., L. A. Smith, and P. X. Ma. Bone regeneration on computer-designed nano-fibrous scaffolds. Biomaterials 27:3973–3979, 2006.
Chen, Z., P. Wang, B. Wei, X. Mo, and F. Cui. Electrospun collagen–chitosan nanofiber: a biomimetic extracellular matrix for endothelial cell and smooth muscle cell. Acta Biomater. 6:372–382, 2010.
Di Martino, A., M. Sittinger, and M. V. Risbud. Chitosan: a versatile biopolymer for orthopaedic tissue-engineering. Biomaterials 26:5983–5990, 2005.
Ducy, P., C. Desbois, B. Boyce, G. Pinero, B. Story, C. Dunstan, E. Smith, J. Bonadio, S. Goldstein, and C. Gundberg. Increased bone formation in osteocalcin-deficient mice. Nature 382(6590):448–452, 1996.
Dupoirieux, L., D. Pourquier, M. Picot, and M. Neves. Comparative study of three different membranes for guided bone regeneration of rat cranial defects. Int. J. Oral Maxillofac. Surg. 30:58–62, 2001.
Franceschi, R. T., B. S. Iyer, and Y. Cui. Effects of ascorbic acid on collagen matrix formation and osteoblast differentiation in murine MC3T3-E1 cells. J. Bone Miner. Res. 9:843–854, 1994.
Franceschi, R. T., and G. Xiao. Regulation of the osteoblast-specific transcription factor, Runx2: responsiveness to multiple signal transduction pathways. J. Cell. Biochem. 88:446–454, 2003.
Gomes, P., and M. Fernandes. Rodent models in bone-related research: the relevance of calvarial defects in the assessment of bone regeneration strategies. Lab. Anim. 45:14–24, 2011.
Jayaraman, K., M. Kotaki, Y. Zhang, X. Mo, and S. Ramakrishna. Recent advances in polymer nanofibers. J. Nanosci. Nanotechnol. 4:52–65, 2004.
Jung, U.-W., K.-Y. Song, C.-S. Kim, Y.-K. Lee, K.-S. Cho, C.-K. Kim, and S.-H. Choi. Effects of a chitosan membrane coated with polylactic and polyglycolic acid on bone regeneration in a rat calvarial defect. Biomed. Mater. 2:S101, 2007.
Kalajzic, I., Z. Kalajzic, M. Kaliterna, G. Gronowicz, S. Clark, A. Lichtler, and D. Rowe. Use of type I collagen green fluorescent protein transgenes to identify subpopulations of cells at different stages of the osteoblast lineage. J. Bone Miner. Res. 17:15–25, 2002.
Klokkevold, P. R., L. Vandemark, E. B. Kenney, and G. W. Bernard. Osteogenesis enhanced by chitosan (poly-N-acetyl glucosaminoglycan) in vitro. J. Periodontol. 67:1170–1175, 1996.
Komori, T. Regulation of osteoblast differentiation by transcription factors. J. Cell. Biochem. 99:1233–1239, 2006.
Komori, T. Regulation of bone development and extracellular matrix protein genes by RUNX2. Cell Tissue Res. 339:189–195, 2010.
Kumar, M. N. R. A review of chitin and chitosan applications. React. Funct. Polym. 46:1–27, 2000.
Kung, S., H. Devlin, E. Fu, K. Y. Ho, S. Y. Liang, and Y. D. Hsieh. The osteoinductive effect of chitosan–collagen composites around pure titanium implant surfaces in rats. J. Periodontal Res. 46:126–133, 2011.
Kuo, S. M., S. J. Chang, T. W. Chen, and T. C. Kuan. Guided tissue regeneration for using a chitosan membrane: an experimental study in rats. J. Biomed. Mater. Res. A 76:408–415, 2006.
Li, X., Q. Feng, Y. Jiao, and F. Cui. Collagen-based scaffolds reinforced by chitosan fibres for bone tissue engineering. Polym. Int. 54:1034–1040, 2005.
Liao, S., W. Wang, M. Uo, S. Ohkawa, T. Akasaka, K. Tamura, F. Cui, and F. Watari. A three-layered nano-carbonated hydroxyapatite/collagen/PLGA composite membrane for guided tissue regeneration. Biomaterials 26:7564–7571, 2005.
Long, M. W. Osteogenesis and bone-marrow-derived cells. Blood Cells Mol. Dis. 27:677–690, 2001.
Malette, W., H. Quigley Jr, and E. Adickes. Chitosan effect in vascular surgery, tissue culture and tissue regeneration. Chitin in Nature and Technology, New York: Springer, 1986, pp. 435–442.
Mathews, S., P. Gupta, R. Bhonde, and S. Totey. Chitosan enhances mineralization during osteoblast differentiation of human bone marrow-derived mesenchymal stem cells, by upregulating the associated genes. Cell Prolif. 44:537–549, 2011.
Newman, M. G., H. Takei, P. R. Klokkevold, and F. A. Carranza. Carranza’s Clinical Periodontology. Philadelphia: Elsevier Health Sciences, 2011.
Pajoumshariati, S., S. K. Yavari, and M. A. Shokrgozar. Physical and biological modification of polycaprolactone electrospun nanofiber by panax ginseng extract for bone tissue engineering application. Ann. Biomed. Eng. 2015. doi:10.1007/s10439-015-1478-1.
Park, Y. J., K. H. Kim, J. Y. Lee, Y. Ku, S. J. Lee, B. M. Min, and C. P. Chung. Immobilization of bone morphogenetic protein-2 on a nanofibrous chitosan membrane for enhanced guided bone regeneration. Biotechnol. Appl. Biochem. 43:17–24, 2006.
Park, H., J. S. Temenoff, Y. Tabata, A. I. Caplan, and A. G. Mikos. Injectable biodegradable hydrogel composites for rabbit marrow mesenchymal stem cell and growth factor delivery for cartilage tissue engineering. Biomaterials 28:3217–3227, 2007.
Retzepi, M., and N. Donos. Guided bone regeneration: biological principle and therapeutic applications. Clin. Oral Implant Res. 21:567–576, 2010.
Ryoo, H.-M., M.-H. Lee, and Y.-J. Kim. Critical molecular switches involved in BMP-2-induced osteogenic differentiation of mesenchymal cells. Gene 366:51–57, 2006.
Sell, S. A., M. J. McClure, K. Garg, P. S. Wolfe, and G. L. Bowlin. Electrospinning of collagen/biopolymers for regenerative medicine and cardiovascular tissue engineering. Adv. Drug Deliv. Rev. 61:1007–1019, 2009.
Shin, S.-Y., H.-N. Park, K.-H. Kim, M.-H. Lee, Y. S. Choi, Y.-J. Park, Y.-M. Lee, Y. Ku, I.-C. Rhyu, and S.-B. Han. Biological evaluation of chitosan nanofiber membrane for guided bone regeneration. J. Periodontol. 76:1778–1784, 2005.
Sionkowska, A., M. Wisniewski, J. Skopinska, C. Kennedy, and T. Wess. Molecular interactions in collagen and chitosan blends. Biomaterials 25:795–801, 2004.
Song, J. H., H. E. Kim, and H. W. Kim. Collagen-apatite nanocomposite membranes for guided bone regeneration. J. Biomed. Mater. Res. B Appl. Biomater. 83:248–257, 2007.
Spector, J. A., J. S. Luchs, B. J. Mehrara, J. A. Greenwald, L. P. Smith, and M. T. Longaker. Expression of bone morphogenetic proteins during membranous bone healing. Plast. Reconstr. Surg. 107:124–134, 2001.
Temenoff, J. S., H. Park, E. Jabbari, T. L. Sheffield, R. G. LeBaron, C. G. Ambrose, and A. G. Mikos. In vitro osteogenic differentiation of marrow stromal cells encapsulated in biodegradable hydrogels. J. Biomed. Mater. Res. A 70:235–244, 2004.
Teng, S. H., E. J. Lee, P. Wang, D. S. Shin, and H. E. Kim. Three-layered membranes of collagen/hydroxyapatite and chitosan for guided bone regeneration. J. Biomed. Mater. Res. B Appl. Biomater. 87:132–138, 2008.
Thein-Han, W., Y. Kitiyanant, and R. Misra. Chitosan as scaffold matrix for tissue engineering. Mater. Sci. Technol. 24:1062–1075, 2008.
Thirunavukkarasu, K., D. L. Halladay, R. R. Miles, X. Yang, R. J. Galvin, S. Chandrasekhar, T. J. Martin, and J. E. Onyia. The osteoblast-specific transcription factor Cbfa1 contributes to the expression of osteoprotegerin, a potent inhibitor of osteoclast differentiation and function. J. Biol. Chem. 275:25163–25172, 2000.
Timnak, A., F. Y. Gharebaghi, R. P. Shariati, S. Bahrami, S. Javadian, S. H. Emami, and M. Shokrgozar. Fabrication of nano-structured electrospun collagen scaffold intended for nerve tissue engineering. J. Mater. Sci. Mater. Med. 22:1555–1567, 2011.
Woo, K. M., J.-H. Jun, V. J. Chen, J. Seo, J.-H. Baek, H.-M. Ryoo, G.-S. Kim, M. J. Somerman, and P. X. Ma. Nano-fibrous scaffolding promotes osteoblast differentiation and biomineralization. Biomaterials 28:335–343, 2007.
Xianmiao, C., L. Yubao, Z. Yi, Z. Li, L. Jidong, and W. Huanan. Properties and in vitro biological evaluation of nano-hydroxyapatite/chitosan membranes for bone guided regeneration. Mater. Sci. Eng. C 29:29–35, 2009.
Young, M. F. Bone matrix proteins: their function, regulation, and relationship to osteoporosis. Osteoporos. Int. 14:35–42, 2003.
Zhang, C. Review: transcriptional regulation of bone formation by the osteoblast-specific transcription factor Osx. J Orthop Surg Res 5:37, 2010.
Zhu, J.-X., Y. Sasano, I. Takahashi, I. Mizoguchi, and M. Kagayama. Temporal and spatial gene expression of major bone extracellular matrix molecules during embryonic mandibular osteogenesis in rats. Histochem. J. 33:25–35, 2001.
Acknowledgements
This work was supported by research grant from Dental Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. The authors thank Dr. Davood Sharifi, an animal researcher at the faculty of Veterinary Medicine of Tehran University, for his assistance in the study.
Conflict of interest
The authors declare no conflicts of interest related to the study.
Author information
Authors and Affiliations
Corresponding author
Additional information
Associate Editor Mona Kamal Marei oversaw the review of this article.
Rights and permissions
About this article
Cite this article
Lotfi, G., Shokrgozar, M.A., Mofid, R. et al. Biological Evaluation (In Vitro and In Vivo) of Bilayered Collagenous Coated (Nano Electrospun and Solid Wall) Chitosan Membrane for Periodontal Guided Bone Regeneration. Ann Biomed Eng 44, 2132–2144 (2016). https://doi.org/10.1007/s10439-015-1516-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10439-015-1516-z