EFFECT OF GELATINE SCAFFOLDS FABRICATION AS POLYPROPYLENE MESH COAT ON IMPLANT BIOCOMPATIBILITYSelestina Gorgieva
, 2014, doctoral dissertation
Abstract: This work presents the methodological study, processing and optimization of novel, technologically acceptable procedure for in situ coating of polypropylene (PP) mesh (used for hernia treatment) with physico-chemically, mechanically and micro-structurally different gelatin (GEL) scaffolds to assess implant composite biocompatibility impact. In order to systematically follow the experimental work progress and respective achievements, whole research path is subdivided into three main sections.
In the first section, the procedure for fabrication of gradiently micro-porous GELscaffolds on the cryo-unit’s cooling plate surface, using spatiotemporal and temperature- controlled gelation and freezing, followed by lyophylizaton was studied. Subsequently, cross-linking procedure using different molarities of reagents (EDC and NHS) and reaction media (100% PBS or 20/80% PBS/EtOH mixture) was performed for variable time extensions (1-24 h), rendering scaffolds physico-chemical properties. In this way, scaffolds with micro-structures having porosity gradient from 100 µm to 1000 µm and pores with rounded to ellipsoid morphology were formed, which, in combination with ethanol (EtOH) addition in cross-linking media modulates the swelling capacity towards twice lower percentages (~600%) comparing with scaffolds cross-linked in 100% PBS. Whilst the presence of EtOH reduce the cross-linking kinetic by retaining the scaffolds’ micro-structure formed during freezing, the 100% PBS and higher EDC molarity resulted in 40% cross-linking degree, being expressed as a thermal resistance up to 73 °C. The presented integral fabrication procedure was shown to allow tuning of both, the physical and micro-structural properties of scaffold, utilized in preparation of materials for specific biomedical applications.
In the second part, the complex relation between surface and interface-related physico-chemical properties and gradient micro-structuring of 3D GELscaffolds, being fabricated by simultaneous temperature- controlled freeze-thawing cycles and in situ cross-linking using variable conditions (pH and molarity of carbodiimide reagent) and fibroblast cells viability (by tracking of their spreading and morphology) was established. Rarely- populated cells with rounded morphology and small elongations were observed on scaffolds with apparently negatively- charged surface with a lower cross-linking degree (CD) and consequently higher molecular mobility and availability of cell-recognition sequences, in comparison with the prominently- elongated and densely- populated cells on a scaffold’s with positively- charged surface, higher CD and lower mobility. Surface micro-structure effect was demonstrated by cell’s vacuolization and their pure inter-communication being present on scaffold’s bottom side with smaller pores (25±19 µm) and thinner pore walls (9±5 µm), over the air- exposed side with twice bigger pores (56±38 µm) and slightly thicker pore walls (12±6 µm). Strong correlation of preparation conditions (pH and reagents molarity) with CD (r2=0.96) and moderate correlation with local molecular mobility (r2 =-0.44), as well as micro-structure features being related to temperature gradient, imply on possibility to modulate scaffold’s properties in a direction to guide cell’s viability and most likely its genotype development.
The third part presents an innovative strategy for the fabrication of bio-active PPmesh-GELscaffold composites with a potential for abdominal hernia treatment, where mesothelial cells in-growth have to be stimulated together with fibroblasts on-site proliferation, while formation of fibrin-developing, viscera-to-abdominal wall adhesions should be reduced, together with bacteria- related infections. In this respect, the plasma pre-activated PPmesh was coated with micro-structured GELscaffold, with pore size in 50 µm to 100 µm range at the upper-side and loosely- porous network at the composite bottom side, being modulated by sample thickness and freezing end- temperature applied. Simultaneously, the
Keywords: gelatin, targeted cross-linking, controlled freezing, gradiental micro-porosity, scaffold, surface and interface chemistry, physico-mechanical properties, polypropylene mesh, composite, biocompatibility.
Published: 07.05.2014; Views: 1093; Downloads: 80
Full text (4,98 MB)