Abstract
Low availability of oxygen can lead to stalled wound healing processes and chronic wounds. To address local hypoxia and to better understand direct cellular benefits, a perfluorocarbon conjugated chitosan (MACF) hydrogel that delivers oxygen was created and applied for the first time to in vitro cultures of human dermal fibroblasts and human epidermal keratinocytes under both normoxic (21% O2) and hypoxic (1% O2) environments. Results revealed that local application of MACF provided 233.8 ± 9.9 mmHg oxygen partial pressure at 2 h and maintained equilibrium oxygen levels that were approximately 17 mmHg partial pressure greater than untreated controls. Cell culture experiments showed that MACF oxygenating gels improved cellular functions involved in wound healing such as cell metabolism, total DNA synthesis and cell migration under hypoxia in both fibroblasts and keratinocytes. Adenosine triphosphate (ATP) quantification also revealed that MACF treatments improved cellular ATP levels significantly over controls under both normoxia and hypoxia (p < 0.005). In total, these studies provide new data to indicate that supplying local oxygen via MACF hydrogels under hypoxic environments improves key wound healing cellular functions.
Similar content being viewed by others
Abbreviations
- ATP:
-
Adenosine triphosphate
- BSA:
-
Bovine serum albumin
- DMEM:
-
Dulbecco’s modified eagle medium
- dsDNA:
-
Double-stranded DNA
- DTT:
-
Dithiothreitol
- ECM:
-
Extracellular matrix
- MAC:
-
Methacrylamide chitosan
- MACF:
-
Fluorinated methacrylamide chitosan
- nHDF:
-
Neonatal human dermal fibroblast
- nHEK:
-
Neonatal human epidermal keratinocytes
- NMR:
-
Nuclear magnetic resonance
- PO2 :
-
Oxygen partial pressure
- PBS:
-
Phosphate buffered saline
- PFCs:
-
Perfluorocarbons
- ROS:
-
Reactive oxygen species
References
Ahn, S. T., and T. A. Mustoe. Effects of ischemia on ulcer wound healing: a new model in the rabbit ear. Ann Plast Surg 24:17–23, 1990.
Baracca, A., G. Sgarbi, A. Padula, and G. Solaini. Glucose plays a main role in human fibroblasts adaptation to hypoxia. Int J Biochem Cell Biol 45:1356–1365, 2013.
Castro, C. I., and J. C. Briceno. Perfluorocarbon-based oxygen carriers: review of products and trials. Artif Organs 34:622–634, 2010.
Chang, N., W. H. Goodson, 3rd, F. Gottrup, and T. K. Hunt. Direct measurement of wound and tissue oxygen tension in postoperative patients. Ann Surg 197:470–478, 1983.
Cook, C. A., K. C. Hahn, J. B. Morrissette-McAlmon, and W. L. Grayson. Oxygen delivery from hyperbarically loaded microtanks extends cell viability in anoxic environments. Biomaterials 52:376–384, 2015.
Cory, G. Scratch-wound assay. Methods Mol Biol 769:25–30, 2011.
Falanga, V. Wound healing and its impairment in the diabetic foot. Lancet 366:1736–1743, 2005.
Flaim, S. F. Pharmacokinetics and side effects of perfluorocarbon-based blood substitutes. Artif Cells Blood Substit Immobil Biotechnol 22:1043–1054, 1994.
Gholipourmalekabadi, M., S. Zhao, B. S. Harrison, M. Mozafari, and A. M. Seifalian. Oxygen-generating biomaterials: a new, viable paradigm for tissue engineering? Trends Biotechnol 34:1010–1021, 2016.
Hohn, D. C., R. D. MacKay, B. Halliday, and T. K. Hunt. Effect of O2 tension on microbicidal function of leukocytes in wounds and in vitro. Surg Forum 27:18–20, 1976.
Kalani, M., K. Brismar, B. Fagrell, J. Ostergren, and G. Jorneskog. Transcutaneous oxygen tension and toe blood pressure as predictors for outcome of diabetic foot ulcers. Diabetes Care 22:147–151, 1999.
Kean, T., and M. Thanou. Biodegradation, biodistribution and toxicity of chitosan. Adv Drug Deliv Rev 62:3–11, 2010.
Khattak, S. F., K. S. Chin, S. R. Bhatia, and S. C. Roberts. Enhancing oxygen tension and cellular function in alginate cell encapsulation devices through the use of perfluorocarbons. Biotechnol Bioeng 96:156–166, 2007.
Kim, J. W., I. Tchernyshyov, G. L. Semenza, and C. V. Dang. HIF-1-mediated expression of pyruvate dehydrogenase kinase: a metabolic switch required for cellular adaptation to hypoxia. Cell Metab 3:177–185, 2006.
Krafft, M. P. Fluorocarbons and fluorinated amphiphiles in drug delivery and biomedical research. Adv Drug Deliv Rev 47:209–228, 2001.
Lawrence, P. G., P. S. Patil, N. D. Leipzig, and Y. Lapitsky. Ionically cross-linked polymer networks for the multiple-month release of small molecules. ACS Appl Mater Interfaces 8:4323–4335, 2016.
Li, H., A. Wijekoon, and N. D. Leipzig. Encapsulated neural stem cell neuronal differentiation in fluorinated methacrylamide chitosan hydrogels. Ann Biomed Eng 42:1456–1469, 2014.
Liang, C. C., A. Y. Park, and J. L. Guan. In vitro scratch assay: a convenient and inexpensive method for analysis of cell migration in vitro. Nat Protoc 2:329–333, 2007.
Lowe, K. C., M. R. Davey, and J. B. Power. Perfluorochemicals: their applications and benefits to cell culture. Trends Biotechnol 16:272–277, 1998.
Mallepally, R. R., C. C. Parrish, M. A. Mc Hugh, and K. R. Ward. Hydrogen peroxide filled poly(methyl methacrylate) microcapsules: potential oxygen delivery materials. Int J Pharm 475:130–137, 2014.
Martin, P. Wound healing–aiming for perfect skin regeneration. Science 276:75–81, 1997.
Mustoe, T. Understanding chronic wounds: a unifying hypothesis on their pathogenesis and implications for therapy. Am J Surg 187:65S–70S, 2004.
Niinikoski, J. H. Clinical hyperbaric oxygen therapy, wound perfusion, and transcutaneous oximetry. World J Surg 28:307–311, 2004.
Oberringer, M., C. Meins, M. Bubel, and T. Pohlemann. In vitro wounding: effects of hypoxia and transforming growth factor beta1 on proliferation, migration and myofibroblastic differentiation in an endothelial cell-fibroblast co-culture model. J Mol Histol 39:37–47, 2008.
Patil, P. S., N. Fountas-Davis, H. Huang, M. M. Evancho-Chapman, J. A. Fulton, L. P. Shriver, and N. D. Leipzig. Fluorinated methacrylamide chitosan hydrogels enhance collagen synthesis in wound healing through increased oxygen availability. Acta Biomater 36:164–174, 2016.
Patil, P. S., and N. D. Leipzig. Fluorinated methacrylamide chitosan sequesters reactive oxygen species to relieve oxidative stress while delivering oxygen. J Biomed Mater Res A 105(8):2368–2374, 2017.
Pedraza, E., M. M. Coronel, C. A. Fraker, C. Ricordi, and C. L. Stabler. Preventing hypoxia-induced cell death in beta cells and islets via hydrolytically activated, oxygen-generating biomaterials. Proc Natl Acad Sci USA 109:4245–4250, 2012.
Riess, J. G., and M. P. Krafft. Fluorinated materials for in vivo oxygen transport (blood substitutes), diagnosis and drug delivery. Biomaterials 19:1529–1539, 1998.
Schreml, S., R. M. Szeimies, L. Prantl, S. Karrer, M. Landthaler, and P. Babilas. Oxygen in acute and chronic wound healing. Br J Dermatol 163:257–268, 2010.
Sen, C. K. Wound healing essentials: let there be oxygen. Wound Repair Regen 17:1–18, 2009.
Sen, C. K., G. M. Gordillo, S. Roy, R. Kirsner, L. Lambert, T. K. Hunt, F. Gottrup, G. C. Gurtner, and M. T. Longaker. Human skin wounds: a major and snowballing threat to public health and the economy. Wound Repair Regen 17:763–771, 2009.
Siddiqui, A., R. D. Galiano, D. Connors, E. Gruskin, L. Wu, and T. A. Mustoe. Differential effects of oxygen on human dermal fibroblasts: acute versus chronic hypoxia. Wound Repair Regen 4:211–218, 1996.
Spahn, D. R. Current status of artificial oxygen carriers. Adv Drug Deliv Rev 40:143–151, 2000.
Tandara, A. A., and T. A. Mustoe. Oxygen in wound healing–more than a nutrient. World J Surg 28:294–300, 2004.
Thackham, J. A., D. L. McElwain, and R. J. Long. The use of hyperbaric oxygen therapy to treat chronic wounds: a review. Wound Repair Regen 16:321–330, 2008.
Tremper, K. K., and S. T. Anderson. Perfluorochemical emulsion oxygen transport fluids: a clinical review. Annu Rev Med 36:309–313, 1985.
Ward, C. L., B. T. Corona, J. J. Yoo, B. S. Harrison, and Christ G.J. Oxygen generating biomaterials preserve skeletal muscle homeostasis under hypoxic and ischemic conditions. PLoS ONE 8:e72485, 2013.
Wijekoon, A., N. Fountas-Davis, and N. D. Leipzig. Fluorinated methacrylamide chitosan hydrogel systems as adaptable oxygen carriers for wound healing. Acta Biomater 9:5653–5664, 2013.
Winter, G. D. Formation of the scab and the rate of epithelization of superficial wounds in the skin of the young domestic pig. Nature 193:293–294, 1962.
Xia, Y. P., Y. Zhao, J. W. Tyrone, A. Chen, and T. A. Mustoe. Differential activation of migration by hypoxia in keratinocytes isolated from donors of increasing age: implication for chronic wounds in the elderly. J Invest Dermatol 116:50–56, 2001.
Acknowledgments
We would like to acknowledge funding from the National Institute of General Medical Sciences of the National Institutes of Health under award number R15GM104851. We would like to thank Steve Roberts for design and construction of the tri-gas incubator, Judy Fulton from Akron General Hospital/Serena Group for tissue donation and valuable feedback, as well as thank group members Ashley Wilkinson, Andrew McClain, Mahmoud Farrag, Pritam Patil and Trevor Ham for assistance with various techniques, biomolecular assays and interpretation.
Conflict of interest
Sridhar Akula, Ivy Brosch and Nic D. Leipzig declare that they have no conflicts of interest.
Author information
Authors and Affiliations
Contributions
S.A. and N.D.L. designed the study, analyzed data, and wrote the manuscript. S.A. performed all experiments, while I.K.B. established techniques and performed initial experiments for PrestoBlue, PicoGreen, and microBCA experiments.
Corresponding author
Additional information
Associate Editor Michael S. Detamore oversaw the review of this article.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Akula, S., Brosch, I.K. & Leipzig, N.D. Fluorinated Methacrylamide Chitosan Hydrogels Enhance Cellular Wound Healing Processes. Ann Biomed Eng 45, 2693–2702 (2017). https://doi.org/10.1007/s10439-017-1893-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10439-017-1893-6