Controlled Delivery of Tissue Inductive Factors in a Cardiovascular

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Controlled Delivery of Tissue Inductive Factors in A Cardiovascular Hybrid Biomaterial Scaffold Laura G. Bracaglia, Michael J. Messina, Casey E. Vantucci, Hannah B. Baker, Abhay Pandit, and John P Fisher ACS Biomater. Sci. Eng., Just Accepted Manuscript • DOI: 10.1021/acsbiomaterials.6b00460 • Publication Date (Web): 27 Oct 2016 Downloaded from http://pubs.acs.org on October 30, 2016

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ACS Biomaterials Science & Engineering

Controlled delivery of tissue inductive factors in a cardiovascular hybrid biomaterial scaffold Laura G. Bracaglia1, Michael Messina1, Casey Vantucci1, Hannah B. Baker1, Abhay Pandit2, John P. Fisher1# 1

Fischell Department of Bioengineering, University of Maryland, College Park, MD 20742 Centre for Research in Medical Devices (CÚRAM), National University of Ireland Galway, Galway, Ireland 2

Short Title:

Controlled Delivery in Hybrid Scaffolds

Submitted To:

ACS Biomaterials Science & Engineering

Keywords:

PLGA, extracellular matrix, VEGF, directional delivery, vascular graft, biohybrid, biodegradable, PPF

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John P. Fisher Fischell Family Distinguished Professor & Department Chair Fischell Department of Bioengineering University of Maryland 3238 Jeong H. Kim Engineering Building College Park, Maryland 20742 Work: 301 405 8782 Fax: 301 314 6868 Email: [email protected]

Corresponding Author:

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ACS Biomaterials Science & Engineering

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Controlled Delivery in Hybrid Scaffolds Bracaglia, Messina, Vantucci, Baker, Pandit and Fisher August 8, 2016

Abstract Hybrid biomaterials, a combination of naturally derived tissue and polymer, offer a tissue engineering platform that can provide initial mechanical support from a synthetic biomaterial, as well as incorporate a viable, bioactive substrate to support native cell infiltration and remodeling. The goal of this work was to develop a directional delivery system for bioactive molecules that can be coupled with a hybrid biomaterial. It was hypothesized that by using poly(propylene fumarate) as a scaffold to encapsulate PLGA microparticles, a tunable and directional release can be achieved from the intact scaffold into the bioactive substrate, pericardium. Release will occur as poly(lactic-co-glycolic acid) microparticles degrade hydrolytically into biocompatible molecules, leaving the PPF scaffold unchanged within the release time frame and able to support the pericardium substrate through remodeling. This study evaluated the degradation and strength of the composite polymer layer, and determined the release of encapsulated factors to occur over eight days, while the bulk polymer remained intact with near 100% of its original mass. Next, this study demonstrated sustained bioactive molecule release into cell culture, causing significant changes to cellular metabolic activity. In particular, delivering vascular endothelial growth factor from the composite material to endothelial cells increased metabolic activity over the same cells with unloaded composite material. Additionally, delivering tumor necrosis factor α from the composite material to L929 cells significantly reduced metabolic activity compared to the same cells with unloaded composite material (p0.05) (Figure 2D). Elastic modulus in particular was found to be between 40 and 65 MPa for these materials, placing it at the high end of the range of moduli from previous engineered vascular graft material, and aligning with reported values of GA treated pericardium (the surgical gold standard for vascular repair)[22]. Furthermore, the adhesion between the PPF and the pericardium layer again are not significantly altered when PLGA microparticles are included in the material (Student’s t-test (p>0.05)). In this assessment, both combinations (PPF/pericardium and PPF/PLGA/pericardium) were found to have 0.05 MPa of 0.1% yield strength before the layers separated. These results suggest that the layered biohybrid material is still within a suitable range for compliant tissue approximation, and will resist delamination at a similar strength to other adhesive surgical glues. In previous studies, we have found the modulus of unaltered pericardium to be between 20-60 MPa, placing the modulus of the pericardium/PPF/PLGA material within an appropriate range to interact with the tissue [22]. Within this first objective to characterize the composite material, the expected release of proteins as the polymer components degrade was also assessed. The microparticle fabrication resulted in spherical particles with a mean diameter of 25 µm ± 11, which was assessed using light microscopy. The degradation of the PLGA microparticles over 21 days is shown in Figure 2A, as decreasing molecular weight from the starting number average molecular weight of 70,000 to an average of 20,000 Da by day 21. The average molecular weights between OVA loaded and blank microparticles do not differ statistically, as shown by a Student’s t-test (p>0.05) within each time point. The degradation of PPF thin films is also shown in Figure 2B, represented by retained mass % over 500 days. The degradation of PLGA is much faster than PPF, which confirms that the PLGA microparticles will be able to degrade into solution and release bioactive molecules while the PPF remains. The lasting PPF construct retains

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ACS Biomaterials Science & Engineering

Controlled Delivery in Hybrid Scaffolds Bracaglia, Messina, Vantucci, Baker, Pandit and Fisher August 8, 2016

strength and structure in order to hold PLGA microparticles in place while they completely degrade, as well as to maintain adherence to the pericardium substrate. The release of OVA from microparticles both free in solution and from within thin films is shown in Figure 2E. The amount of protein is normalized to the mass of PLGA microparticles tested in each experiment. The release of OVA from microparticles shows a constant initial release of protein until day three, at which point the rate of release slows and the concentration of protein in solution remains constant. This constant concentration is indicative of the maximal protein release from the microparticles. The release from composite thin films shows an initial release during the first three days, and then the concentration in solution remains constant. The initial release from composite thin films was recorded at lower concentrations than that of microparticles alone. This difference is expected due to the reduced surface area of microparticles that are exposed to the solution. The timeline of release observed is in line with other studies that suggest a quick influence of growth factors like VEGF (on the order of days) can affect vascular remodeling and influence the early formation of an endothelial layer, contributing to success of the graft [40-42]. In objective two, the bioactivity of encapsulated cargo was confirmed, to ensure that molecules are not altered in the encapsulation or release process. From the composite thin film, we confirmed that three possible bioactive factors retained functionality through the embedding and release process. First, TGFβ3 concentration was measured in cell cultures with the composite thin films, from cultures supplemented with TGFβ3 and from cultures containing blank polymer microspheres and films. Results first show a matching concentration between what was measured with the ELISA to the amount added into culture media (until the media change after day two) (Figure 3B). Concentration of TGFβ3 in cultures with the composite thin films maintained a moderate level throughout the study, even after the media change, indicating a constant release of the molecule from the composite thin films. The TGFβ concentration dips slightly after the media change between day one and day two, but composite films continue to release and sustain the concentration, creating a significantly higher concentration than the supplemented media samples, as determined with a one-way ANOVA and post hoc Tukey’s test (p