Skip to main content
Log in

Development and characterization of a suturable biomimetic patch for cardiac applications

  • Biomaterials Synthesis and Characterization
  • Original Research
  • Published:
Journal of Materials Science: Materials in Medicine Aims and scope Submit manuscript

Abstract

3D scaffolds used to repair damaged tissues should be able to mimic both composition and functions of natural extracellular matrix, which is mainly composed of polysaccharides and proteins. In our previous research new biomimetic sponges, based on blends of alginate with gelatin, were produced and characterized for myocardial tissue engineering applications. It was observed that these scaffolds can potentially function as a promising cardiac extracellular matrix substitute, but a reinforcement is required to improve their suturing properties. Aim of the present work was the development of a suturable biomimetic patch by the inclusion of a synthetic mesh within an alginate/gelatin scaffold. The mesh, produced by dry spinning, was made of eight superimposed layers of polycaprolactone microfibers, each one rotated of 45° with respect to the adjacent one. Reinforced scaffolds were obtained through the use of a mold, specially designed to place the fibrous mesh exactly in the center of the sponge. Both the reinforcement mesh and the reinforced scaffold were characterized. A perfect integration between the mesh and the sponge was observed. The fibrous mesh reduced the capacity of the sponge to absorb water, but the degree of hydrophilicity of the material was still comparable with that of natural cardiac tissue. The reinforced system showed a suitable stability in aqueous environment and it resulted much more resistant to suturing than not reinforced scaffold and even than human arteries. Polycaprolactone mesh was not cytotoxic and the reinforced scaffold was able to support cardiomyocytes adhesion and proliferation. Overall, the obtained results confirmed that the choice to modify the alginate/gelatin sponges through the insertion of an appropriate reinforcement system turned out to be correct in view of their potential use in myocardial tissue engineering.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9

Similar content being viewed by others

References

  1. Jawad H, Ali NN, Lyon AR, Chen QZ, Harding SE, Boccaccini AR. Myocardial tissue engineering: a review. J Tissue Eng Regen M. 2007;1:327–42.

    Article  CAS  Google Scholar 

  2. Massai D, Cerino G, Gallo D, Pennella F, Deriu MA, Rodriguez A, et al. Bioreactors as engineering support to treat cardiac muscle and vascular disease. J Health Eng. 2013;4:329–70.

    Article  Google Scholar 

  3. Massai D, Pennella F, Gentile P, Gallo D, Ciardelli G, Bignardi C, et al. Image-based three-dimensional analysis to characterize the texture of porous scaffolds. Biomed Res Int. 2014;2014:161437.

    Article  Google Scholar 

  4. Rosellini E, Zhang YS, Migliori B, Barbani N, Lazzeri L, Shin SR, et al. Protein/polysaccharide-based scaffolds mimicking native extracellular matrix for cardiac tissue engineering applications. J Biomed Mater Res A. 2018;106A:769–81.

    Article  Google Scholar 

  5. Pok S, Jacot JG. Biomaterials advances in patches for congenital heart defect repair. J Cardiovasc Transl. 2011;4:646–54.

    Article  Google Scholar 

  6. Hu M, Kurisawa M, Deng R, Teo C, Schumacher A, Thong YX, et al. Cell immobilization in gelatin-hydroxyphenylpropionic acid hydrogel fibers. Biomaterials. 2009;30:3523–31.

    Article  CAS  Google Scholar 

  7. Xing Q, Yates K, Vogt C, Qian Z, Frost MC, Zhao F. Increasing mechanical strength of gelatin hydrogels by divalent metal ion removal. Sci Rep. 2014;4:4706.

    Article  Google Scholar 

  8. Shapiro L, Cohen S. Novel alginate sponges for cell culture and transplantation. Biomaterials. 1997;18:583–90.

    Article  CAS  Google Scholar 

  9. Klock G, Pfeffermann A, Ryser C, Grohn P, Kuttler B, Hahn HJ, et al. Biocompatibility of mannuronic acid-riche alginates. Biomaterials. 1997;18:707–13.

    Article  CAS  Google Scholar 

  10. Leor J, Aboulafia-Etzion S, Dar A, Shapiro L, Barbash IM, Battler A, et al. Bioengineered cardiac grafts: a new approach to repair the infarcted myocardium? Circulation. 2000;102:56–61.

    Article  Google Scholar 

  11. Dvir T, Timko BP, Brigham MD, Naik SR, Karajanagi SS, Levy O, et al. Nanowired three dimensional cardiac patches. Nat Nanotechnol. 2011;6:720–5.

    Article  CAS  Google Scholar 

  12. Azimi B, Noupanah P, Rabiee M, Arbab S, Cascone MG, Baldassarre A, et al. Application of dry-spinning method to produce poly(e-caprolactone) fibers containing bovine serum albumin laden gelatin nanoparticles. J Appl Polym Sci. 2016;133:44233.

    Article  Google Scholar 

  13. Rosellini E, Cristallini C, Barbani N, Vozzi G, Giusti P. Preparation and characterization of alginate/gelatine blend films for cardiac tissue engineering. J Biomed Mater Res A. 2009;91:447–543.

    Article  Google Scholar 

  14. Ramires PA, Milella E. Biocompatibility of poly(vinyl alcohol)-hyaluronic acid and poly(vinyl alcohol)-gellan membranes crosslinked by glutaraldehyde vapors. J Mater Sci-Mater M. 2002;13:119–23.

    Article  CAS  Google Scholar 

  15. Saravanan S, Nethala S, Pattnaik S, Tripathi A, Moorthi A, Selvamurugan N. Preparation, characterization and antimicrobial activity of a bio-composite scaffold containing chitosan/nanohydroxyapatite/nano-silver for bone tissue engineering. Int J Biol Macromol. 2011;49:188–93.

    Article  CAS  Google Scholar 

  16. International Standards Organization. ISO 7198:2016. Cardiovascular implants and extracorporeal systems – Vascular prostheses – Tubular vascular grafts and vascular patches. 2016. https://iso.org/standard/50661.html.

  17. International Standards Organization. IS0 10993-5:2009. Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity. 2009. https://www.iso.org/standard/36406.html.

  18. Dunigan DD, Waters SB, Owen TC. Aqueous soluble tetrazolium/formazan MTS as an indicator of NADH- and NADPH-dependent dehydrogenase activity. Biotechniques. 1995;19:640–9.

    CAS  Google Scholar 

  19. Saarai A, Kasparkova V, Sedlacek T, Saha P. On the development and characterisation of crosslinked sodium alginate/gelatin hydrogels. J Mech Behav Biomed Mater. 2013;18:152–66.

    Article  CAS  Google Scholar 

  20. Tonsomboon K, Oyen ML. Composite electrospun gelatin fiber alginategel scaffolds for mechanically robust tissue engineered cornea. J Mech Behav Biomed Mater. 2013;21:185–94.

    Article  CAS  Google Scholar 

  21. Harley BA, Spilker MH, Wu JW, Asano K, Hsu HP, Spector M, et al. Optimal degradation rate for collagen chambers used for regeneration of peripheral nerves over long gaps. Cells Tissues Organs. 2004;176:153–65.

    Article  CAS  Google Scholar 

  22. Zhang L, Li K, Xiao W, Zheng L, Xiao Y, Fan H, et al. Preparation of collagen–chondroitin sulfate–hyaluronic acid hybrid hydrogel scaffolds and cell compatibility in vitro. Carbohyd Polym. 2011;84:118–25.

    Article  CAS  Google Scholar 

  23. Balakrishnan B, Joshi N, Jayakrishnan A, Banerjee R. Self-crosslinked oxidized alginate/gelatin hydrogel as injectable, adhesive biomimetic scaffolds for cartilage regeneration. Acta Biomater. 2014;10:3650–63.

    Article  CAS  Google Scholar 

  24. Liu X, Smith LA, Hu J, Ma PX. Biomimetic nanofibrous gelatin/apatite composite scaffolds for bone tissue engineering. Biomaterials. 2009;30:2252–8.

    Article  CAS  Google Scholar 

  25. Barbani N, Guerra GD, Cristallini C, Urciuoli P, Avvisati R, Sala A, et al. Hydroxyapatite/gelatin/gellan sponges as nanocomposite scaffolds for bone reconstruction. J Mater Sci-Mater M. 2012;23:51–61.

    Article  CAS  Google Scholar 

  26. Chen ZG, Wang PW, Wei B, Mo XM, Cui FZ. Electrospun collagen–chitosan nanofiber: a biomimetic extracellular matrix for endothelial cell and smooth muscle cell. Acta Biomater. 2010;6:372–82.

    Article  CAS  Google Scholar 

  27. Sang L, Luo D, Xu S, Wang X, Li X. Fabrication and evaluation of biomimetic scaffolds by using collagen–alginate fibrillar gels for potential tissue engineering applications. Mater Sci Eng C. 2011;31:262–71.

    Article  CAS  Google Scholar 

  28. Sarker B, Papageorgiou DG, Silva R, Zehnder T, Gul-E-Noor F, Bertmer M, et al. Fabrication of alginate–gelatin crosslinked hydrogel microcapsules and evaluation of the microstructure and physico-chemical properties. J Mater Chem B. 2014;2:1470–82.

    Article  CAS  Google Scholar 

  29. Han L, Mao Z, Wu J, Gao C. Influences of surface chemistry and swelling of salt-teated polyelectrolyte multilayers on migration of smooth muscle cells. J Roy Soc Interface. 2012. https://doi.org/10.1098/rsif.2012.0546.

  30. Kaiser NJ, Coulombe KLK. Physiologically inspired cardiac scaffolds for tailored in vivo function and heart regeneration. Biomed Mater. 2015;10:034003.

    Article  Google Scholar 

  31. Ye L, Zimmermann WH, Garry DJ, Zhang J. Patching the heart cardiac repair from within and outside. Circulation Res. 2013;113:922–32.

    Article  CAS  Google Scholar 

  32. Ozawa T, Mickle DA, Weisel RD, Koyama N, Ozawa S, Li RK. Optimal biomaterial for creation of autologous cardiac grafts. Circulation. 2002;106:I176–82.

    Article  Google Scholar 

  33. Soletti LI, Hong Y, Guan J, Stankus JJ, El-Kurdi MS, Wagner WR, et al. A bilayered elastomeric scaffold for tissue engineering of small diameter vascular grafts. Acta Biomater. 2010;6:110–22.

    Article  CAS  Google Scholar 

  34. Reis LA, Chiu LLY, Feric N, Fu L, Radisic M. Biomaterials in myocardial tissue engineering. J Tissue Eng Regen Med. 2016;10:11–28.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Maria Grazia Cascone.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Rosellini, E., Lazzeri, L., Maltinti, S. et al. Development and characterization of a suturable biomimetic patch for cardiac applications. J Mater Sci: Mater Med 30, 126 (2019). https://doi.org/10.1007/s10856-019-6327-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s10856-019-6327-6

Navigation