Skip to main content

Advertisement

Log in

A novel personalized 3D injectable protein scaffold for regenerative medicine

  • Tissue Engineering Constructs and Cell Substrates
  • Original Research
  • Published:
Journal of Materials Science: Materials in Medicine Aims and scope Submit manuscript

Abstract

Biomaterials should be designed to closely resemble the characteristics and functions of the native extracellular matrix to provide mechanical support and signals to direct biological events. Here we have developed a novel injectable plasma rich in growth factors (PRGF-Endoret)-based formulation that combines a thermal-denaturation step of plasma with an autologous fibrin crosslinking. Rheological and mechanical properties were evaluated. Additionally, the microstructure and biological capacity of the biomaterial was also characterized. This novel formulation exhibited ideal mechanical properties and a gel-like behavior with the ability to progressively release its growth factor load over time. The results also suggested that the novel injectable formulation is non-cytotoxic, biocompatible and suitable for cell ingrowth as it is deduced from the fibroblast proliferation within the scaffold. Finally, stimulation of both cell proliferation and matrix proteins synthesis demonstrated the regenerative potential of this autologous protein based injectable scaffold.

Graphical abstract

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

Similar content being viewed by others

References

  1. Davidenko N, Schuster CF, Bax DV, Raynal N, Farndale RW, Best SM, et al. Control of crosslinking for tailoring collagen-based scaffolds stability and mechanics. Acta biomaterialia. 2015;25:131–42. https://doi.org/10.1016/j.actbio.2015.07.034.

    Article  Google Scholar 

  2. Garg T, Singh O, Arora S, Murthy R Scaffold: a novel carrier for cell and drug delivery. Critical Reviews™ in Therapeutic Drug Carrier Systems. 2012;29:1–63

  3. Yue K, Trujillo-de Santiago G, Alvarez MM, Tamayol A, Annabi N, Khademhosseini A. Synthesis, properties, and biomedical applications of gelatin methacryloyl (GelMA) hydrogels. Biomaterials. 2015;73:254–71. https://doi.org/10.1016/j.biomaterials.2015.08.045

    Article  Google Scholar 

  4. Paluch EK, Nelson CM, Biais N, Fabry B, Moeller J, Pruitt BL, et al. Mechanotransduction: use the force(s). BMC biology. 2015;13:47. https://doi.org/10.1186/s12915-015-0150-4

    Article  Google Scholar 

  5. Carey SP, Charest JM, Reinhart-King CA. (2010). Forces during cell adhesion and spreading: Implications for cellular homeostasis. In: Gefen A, editors. Cellular and biomolecular mechanics and mechanobiology. New York: Springer; 2010. p. 29–69. https://doi.org/10.1007/8415_2010_22

  6. Lee K, Silva EA, Mooney DJ. Growth factor delivery-based tissue engineering: general approaches and a review of recent developments. Journal of the Royal Society, Interface / the Royal Society. 2011;8:153–70. https://doi.org/10.1098/rsif.2010.0223

    Article  Google Scholar 

  7. Whitaker M, Quirk R, Howdle S, Shakesheff K. Growth factor release from tissue engineering scaffolds. Journal of Pharmacy and Pharmacology. 2001;53:1427–37.

    Article  Google Scholar 

  8. Bellas E, Lo TJ, Fournier EP, Brown JE, Abbott RD, Gil ES, et al. Injectable silk foams for soft tissue regeneration. Advanced healthcare materials. 2015;4:452–9. https://doi.org/10.1002/adhm.201400506

    Article  Google Scholar 

  9. Solouk A, Mirzadeh H, Amanpour S. Injectable scaffold as minimally invasive technique for cartilage tissue engineering: in vitro and in vivo preliminary study. Progress in Biomaterials. 2014;3:143–51. https://doi.org/10.1007/s40204-014-0031-x

    Article  Google Scholar 

  10. Lee JH, Oh H, Baxa U, Raghavan SR, Blumenthal R. Biopolymer-connected liposome networks as injectable biomaterials capable of sustained local drug delivery. Biomacromolecules. 2012;13:3388–94. https://doi.org/10.1021/bm301143d

    Article  Google Scholar 

  11. Pierre S, Liew S, Bernardin A. Basics of dermal filler rheology. Dermatologic surgery. 2015;41(Suppl 1):S120–S126. https://doi.org/10.1097/DSS.0000000000000334.

  12. Gutowska A, Jeong B, Jasionowski M. Injectable gels for tissue engineering. The Anatomical record. 2001;263:342–9.

    Article  Google Scholar 

  13. Kretlow JD, Klouda L, Mikos AG. Injectable matrices and scaffolds for drug delivery in tissue engineering. Advanced Drug Delivery Reviews. 2007;59:263–73. http://dx.doi.org/10.1016/j.addr.2007.03.013

    Article  Google Scholar 

  14. Anitua E, Muruzabal F, Tayebba A, Riestra A, Perez VL, Merayo-Lloves J, et al. Autologous serum and plasma rich in growth factors in ophthalmology: preclinical and clinical studies. Acta ophthalmologica. 2015;93:e605–14. https://doi.org/10.1111/aos.12710

    Article  Google Scholar 

  15. Anitua E, Alkhraisat MH, Orive G. Perspectives and challenges in regenerative medicine using plasma rich in growth factors. Journal of controlled release: official journal of the Controlled Release Society. 2012;157:29–38. https://doi.org/10.1016/j.jconrel.2011.07.004

    Article  Google Scholar 

  16. Anitua E. Plasma rich in growth factors: preliminary results of use in the preparation of future sites for implants. International journal of Oral and maxillofacial Implants. 1999;14:529–35.

    Google Scholar 

  17. Spicer PP, Mikos AG. Fibrin glue as a drug delivery system. Journal of controlled release: official journal of the Controlled Release Society. 2010;148:49–55. https://doi.org/10.1016/j.jconrel.2010.06.025

    Article  Google Scholar 

  18. Li Y, Meng H, Liu Y, Lee BP. Fibrin gel as an injectable biodegradable scaffold and cell carrier for tissue engineering. TheScientificWorldJournal. 2015;2015:685690. https://doi.org/10.1155/2015/685690

    Google Scholar 

  19. Ahmed TA, Dare EV, Hincke M. Fibrin: a versatile scaffold for tissue engineering applications. Tissue engineering Part B, Reviews. 2008;14:199–215. https://doi.org/10.1089/ten.teb.2007.0435

    Article  Google Scholar 

  20. Eyrich D, Brandl F, Appel B, Wiese H, Maier G, Wenzel M, et al. Long-term stable fibrin gels for cartilage engineering. Biomaterials. 2007;28:55–65. http://dx.doi.org/10.1016/j.biomaterials. 2006.08.027

    Article  Google Scholar 

  21. Wang X, Luo Y, Masci PP, Crawford R, Xiao Y. Influence of Interleukin-1 Beta on Platelet-Poor Plasma Clot Formation: A Potential Impact on Early Bone Healing. PloS one. 2016;11:e0149775. https://doi.org/10.1371/journal.pone.0149775

    Article  Google Scholar 

  22. Anitua E, Sanchez M, Zalduendo MM, de la Fuente M, Prado R, Orive G, et al. Fibroblastic response to treatment with different preparations rich in growth factors. Cell proliferation. 2009;42:162–70. https://doi.org/10.1111/j.1365-2184.2009.00583.x

    Article  Google Scholar 

  23. Anitua E, Zalduendo M, Troya M, Orive G. PRGF exerts a cytoprotective role in zoledronic acid-treated oral cells. Clinical oral investigations. 2016;20:513–21. https://doi.org/10.1007/s00784-015-1528-y

    Article  Google Scholar 

  24. Colella AD, Chegenii N, Tea MN, Gibbins IL, Williams KA, Chataway TK. Comparison of Stain-Free gels with traditional immunoblot loading control methodology. Analytical biochemistry. 2012;430:108–10. https://doi.org/10.1016/j.ab.2012.08.015

    Article  Google Scholar 

  25. Ma L, Gao C, Mao Z, Zhou J, Shen J, Hu X, et al. Collagen/chitosan porous scaffolds with improved biostability for skin tissue engineering. Biomaterials. 2003;24:4833–41.

    Article  Google Scholar 

  26. Sundaram H, Voigts B, Beer K, Meland M. Comparison of the rheological properties of viscosity and elasticity in two categories of soft tissue fillers: calcium hydroxylapatite and hyaluronic acid. Dermatologic Surgery. 2010;36(s3):1859–65.

    Article  Google Scholar 

  27. Anitua E, Sánchez M, Orive G, Andia I. Delivering growth factors for therapeutics. Trends in pharmacological sciences. 2008;29:37–41.

    Article  Google Scholar 

  28. Qiu M, Chen D, Shen C, Shen J, Zhao H, He Y. Platelet-Rich Plasma-Loaded Poly (D, L-lactide)-Poly (ethylene glycol)-Poly (D, L-lactide) Hydrogel Dressing Promotes Full-Thickness Skin Wound Healing in a Rodent Model. International journal of molecular sciences. 2016;17:1001.

    Article  Google Scholar 

  29. Lu B, Wang T, Li Z, Dai F, Lv L, Tang F, et al. Healing of skin wounds with a chitosan–gelatin sponge loaded with tannins and platelet-rich plasma. International journal of biological macromolecules. 2016;82:884–91.

    Article  Google Scholar 

  30. Almeida H, Eswaramoorthy R, Cunniffe G, Buckley C, O’Brien F, Kelly D. Fibrin hydrogels functionalized with cartilage extracellular matrix and incorporating freshly isolated stromal cells as an injectable for cartilage regeneration. Acta biomaterialia. 2016;36:55–62.

    Article  Google Scholar 

  31. Russo F, D’Este M, Vadalà G, Cattani C, Papalia R, Alini M, et al. Platelet rich plasma and hyaluronic acid blend for the treatment of osteoarthritis: Rheological and biological evaluation. PloS one. 2016;11:e0157048.

    Article  Google Scholar 

  32. Lanza R, Langer R, Vacanti JP Principles of tissue engineering. Academic press; 2011.

  33. Ratner BD, Bryant SJ. Biomaterials: where we have been and where we are going. Annu Rev Biomed Eng. 2004;6:41–75.

    Article  Google Scholar 

  34. Clark A, Saunderson D, Suggett A. Infrared and laser‐Raman spectroscopic studies of thermally‐induced globular protein gels. International journal of peptide and protein research. 1981;17:353–64.

    Article  Google Scholar 

  35. Sullivan ST, Tang C, Kennedy A, Talwar S, Khan SA. Electrospinning and heat treatment of whey protein nanofibers. Food Hydrocolloids. 2014;35:36–50.

    Article  Google Scholar 

  36. Wetzel R, Becker M, Behlke J, Billwitz H, Böhm S, Ebert B, et al. Temperature behaviour of human serum albumin. European Journal of Biochemistry. 1980;104:469–78.

    Article  Google Scholar 

  37. Ferrero-Gutierrez A, Menendez-Menendez Y, Alvarez-Viejo M, Meana A, Otero J. New serum-derived albumin scaffold seeded with adipose-derived stem cells and olfactory ensheathing cells used to treat spinal cord injured rats. Histol Histopathol. 2013;28:89–100.

    Google Scholar 

  38. Gallego L, Junquera L, García E, García V, Álvarez-Viejo M, Costilla S, et al. Repair of rat mandibular bone defects by alveolar osteoblasts in a novel plasma-derived albumin scaffold. Tissue Engineering Part A. 2010;16:1179–87.

    Article  Google Scholar 

  39. Kretlow JD, Klouda L, Mikos AG. Injectable matrices and scaffolds for drug delivery in tissue engineering. Adv Drug Deliv Rev. 2007;59:263–73. https://doi.org/10.1016/j.addr.2007.03.013

    Article  Google Scholar 

  40. Wang H-M, Chou Y-T, Wen Z-H, Wang Z-R, Chen C-H, Ho M-L. Novel biodegradable porous scaffold applied to skin regeneration. PloS one. 2013;8:e56330.

    Article  Google Scholar 

  41. Fanali G, di Masi A, Trezza V, Marino M, Fasano M, Ascenzi P. Human serum albumin: from bench to bedside. Molecular aspects of medicine. 2012;33:209–90.

    Article  Google Scholar 

  42. Falcone SJ, Berg RA. Crosslinked hyaluronic acid dermal fillers: a comparison of rheological properties. Journal of biomedical materials research Part A. 2008;87:264–71. https://doi.org/10.1002/jbm.a.31675

    Article  Google Scholar 

  43. Jalowiec JM, D’Este M, Bara JJ, Denom J, Menzel U, Alini M, et al. An in vitro investigation of platelet-rich plasma-gel as a cell and growth factor delivery vehicle for tissue engineering. Tissue Engineering Part C: Methods. 2015;22:49–58.

    Article  Google Scholar 

  44. Nimal T, Baranwal G, Bavya M, Biswas R, Jayakumar R. Anti-staphylococcal Activity of Injectable Nano Tigecycline/Chitosan-PRP Composite Hydrogel Using Drosophila melanogaster Model for Infectious Wounds. ACS applied materials & interfaces. 2016;8:22074–83.

    Article  Google Scholar 

  45. Anitua E, Prado R, Azkargorta M, Rodriguez‐Suárez E, Iloro I, Casado‐Vela J, et al. High‐throughput proteomic characterization of plasma rich in growth factors (PRGF–Endoret)‐derived fibrin clot interactome. Journal of tissue engineering and regenerative medicine. 2015;9:E1–E12.

    Article  Google Scholar 

  46. Anitua E, Zalduendo M, Prado R, Alkhraisat M, Orive G. Morphogen and proinflammatory cytokine release kinetics from PRGF‐Endoret fibrin scaffolds: Evaluation of the effect of leukocyte inclusion. Journal of Biomedical Materials Research Part A. 2015;103:1011–20.

    Article  Google Scholar 

  47. Anitua E, Troya M, Zalduendo M, Tejero R, Orive G. Progress in the Use of Autologous Regenerative Platelet-based Therapies in Implant Dentistry. Current pharmaceutical biotechnology. 2016;17:402–13.

    Article  Google Scholar 

  48. Anitua E, Muruzabal F, Pino A, Merayo-Lloves J, Orive G. Biological stability of plasma rich in growth factors eye drops after storage of 3 months. Cornea. 2013;32:1380–6.

    Article  Google Scholar 

  49. Anitua E, Pino A, Orive G. Plasma rich in growth factors promotes dermal fibroblast proliferation, migration and biosynthetic activity. Journal of Wound Care. 2016;25:680–7.

    Article  Google Scholar 

  50. Anitua E, Troya M, Orive G. Plasma rich in growth factors promote gingival tissue regeneration by stimulating fibroblast proliferation and migration and by blocking transforming growth factor-β1-induced myodifferentiation. Journal of periodontology. 2012;83:1028–37.

    Article  Google Scholar 

  51. Anitua E, Pino A, Jaen P, Orive G. Plasma Rich in Growth Factors Enhances Wound Healing and Protects from Photo-oxidative Stress in Dermal Fibroblasts and 3D Skin Models. Current pharmaceutical biotechnology. 2016;17:556–70.

    Article  Google Scholar 

  52. Anitua E, Pino A, Orive G. Plasma Rich in Growth Factors Inhibits Ultraviolet B Induced Photoageing of the Skin in Human Dermal Fibroblast Culture. Current pharmaceutical biotechnology. 2016;17:1068–78.

    Article  Google Scholar 

  53. Wynn T. Cellular and molecular mechanisms of fibrosis. The Journal of pathology. 2008;214:199–210.

    Article  Google Scholar 

  54. Anitua E, Zalduendo M, Troya M, Padilla S, Orive G. Leukocyte inclusion within a platelet rich plasma-derived fibrin scaffold stimulates a more pro-inflammatory environment and alters fibrin properties. PloS one. 2015;10:e0121713.

    Article  Google Scholar 

  55. Vyas B, Ishikawa K, Duflo S, Chen X, Thibeault SL. Inhibitory effects of hepatocyte growth factor and interleukin-6 on transforming growth factor-beta1 mediated vocal fold fibroblast-myofibroblast differentiation. The Annals of otology, rhinology, and laryngology. 2010;119:350–7.

    Article  Google Scholar 

  56. Li ZJ, Choi HI, Choi DK, Sohn KC, Im M, Seo YJ, et al. Autologous platelet‐rich plasma: a potential therapeutic tool for promoting hair growth. Dermatologic Surgery. 2012;38(7pt1):1040–6.

    Article  Google Scholar 

  57. Tohidnezhad M, Wruck C-J, Slowik A, Kweider N, Beckmann R, Bayer A, et al. Role of platelet-released growth factors in detoxification of reactive oxygen species in osteoblasts. Bone. 2014; 65:9–17.

    Article  Google Scholar 

  58. Rastegar H, Ahmadi Ashtiani H, Aghaei M, Ehsani A, Barikbin B. Combination of herbal extracts and platelet‐rich plasma induced dermal papilla cell proliferation: involvement of ERK and Akt pathways. Journal of cosmetic dermatology. 2013;12:116–22.

    Article  Google Scholar 

  59. Shen H, Cheng H, Chen H, Zhang J. Identification of key genes induced by platelet-rich plasma in human dermal papilla cells using bioinformatics methods. Molecular Medicine Reports. 2017;15:81–8.

    Article  Google Scholar 

  60. Martínez CE, Smith PC, Palma Alvarado VA. The influence of platelet-derived products on angiogenesis and tissue repair: a concise update. Frontiers in physiology. 2015;6:290.

    Article  Google Scholar 

  61. Tang Y-Q, Yeaman MR, Selsted ME. Antimicrobial peptides from human platelets. Infection and immunity. 2002;70:6524–33.

    Article  Google Scholar 

  62. Yeaman MR. The role of platelets in antimicrobial host defense. Clinical infectious diseases. 1997;25:951–68.

    Article  Google Scholar 

  63. Anitua E, Alonso R, Girbau C, Aguirre J, Muruzabal F, Orive G. Antibacterial effect of plasma rich in growth factors (PRGF®‐Endoret®) against Staphylococcus aureus and Staphylococcus epidermidis strains. Clinical and experimental dermatology. 2012;37:652–7.

    Article  Google Scholar 

  64. Chen L, Wang C, Liu H, Liu G, Ran X Antibacterial effect of autologous platelet-rich gel derived from subjects with diabetic dermal ulcers in vitro. Journal of Diabetes Research. 2013;2013:269527. https://doi.org/10.1155/2013/269527.

Download references

Acknowledgements

This research has received specific grants from the funding agency of the Basque Country Government (Spain) under the research and development project Gaitek (IG-2015/00355) and Hazitek (ZL-2016/00411). Eduardo Anitua is the scientific director of, and Ander Pino, María Troya and Gorka Orive are researchers at BTI Biotechnology Institute, the company that has developed the PRGF-Endoret technology.

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Eduardo Anitua or Gorka Orive.

Ethics declarations

Conflict of interest

The authors declare that they have no competing interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Anitua, E., Pino, A., Troya, M. et al. A novel personalized 3D injectable protein scaffold for regenerative medicine. J Mater Sci: Mater Med 29, 7 (2018). https://doi.org/10.1007/s10856-017-6012-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s10856-017-6012-6

Navigation