Drug-Loaded Halloysite Nanotube-Reinforced Electrospun Alginate

Sep 16, 2018 - Sri Lanka Institute of Nanotechnology (SLINTEC) , Nanotechnology and Science Park, Mahenwatte, Pitipana, Homagama 10200 , Sri Lanka...
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Biological and Medical Applications of Materials and Interfaces

DRUG-LOADED HALLOYSITE NANOTUBES REINFORCED ELECTROSPUN ALGINATE-BASED NANOFIBROUS SCAFFOLDS WITH SUSTAINED ANTIMICROBIAL PROTECTION Rangika Thilan De Silva, Ranga K Dissanayake, M. M. M. G. Prasanga Gayanath Mantilaka, Sanjeewa Wijesinghe, Shehan Shalinda Kaleel, Thejani Nisansala Premachandra, Laksiri Weerasinghe, Gehan A J Amaratunge, and K.M. Nalin De Silva ACS Appl. Mater. Interfaces, Just Accepted Manuscript • DOI: 10.1021/acsami.8b11013 • Publication Date (Web): 16 Sep 2018 Downloaded from http://pubs.acs.org on September 16, 2018

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Drug-loaded Halloysite Nanotubes Reinforced

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Electrospun Alginate-based Nanofibrous Scaffolds

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with Sustained Antimicrobial Protection

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Rangika Thilan De Silva†, Ranga K. Dissanayake†, M. M. M. G. Prasanga Gayanath Mantilaka†,

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W. P. Sanjeewa Lakmal Wijesinghe†, Shehan Shalinda Kaleel†, Thejani Nisansala

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Premachandra‡, Laksiri Weerasinghe†, Gehan A. J. Amaratunga†ǁ, K. M. Nalin de Silva*†§

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Mahenwatte, Pitipana, Homagama, Sri Lanka.

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Sri Lanka Institute of Nanotechnology (SLINTEC), Nanotechnology and Science Park,

Department of Veterinary Pathobiology, Faculty of Veterinary Medicine, University of

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Peradeniya, Peradeniya, Sri Lanka

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§

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ǁ

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Thomson Avenue, Cambridge CB3 0FA, UK.

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KEYWORDS: halloysite nanotubes; electrospinning; artificial scaffolds; mechanical properties;

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sustained antimicrobial protection

Department of Chemistry, University of Colombo, Colombo 3, Sri Lanka.

Electrical Engineering Division, Department of Engineering, University of Cambridge, 9 J. J.

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ABSTRACT. Halloysite nanotubes (HNT) reinforced alginate-based nanofibrous scaffolds were

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successfully fabricated by electrospinning to mimic the natural extracellular matrix (ECM)

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structure which is beneficial for tissue regeneration. An antiseptic drug, cephalexin (CEF) loaded

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HNT, was incorporated into the alginate-based matrix in order to obtain sustained antimicrobial

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protection and robust mechanical properties, key criteria for tissue engineering applications.

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Electron microscopic imaging and drug release studies revealed that the CEF had penetrated into

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the lumen space of HNT and also deposited on the outer walls, with a total loading capacity of 30

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wt%. Moreover, the diameter of alginate-based nanofibers of the scaffolds ranged from 40-522 nm

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with well-aligned HNT, resulting in superior mechanical properties. For instance, the addition of

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5 (w/w %) HNT improved the tensile strength (σ) and elastic modulus by three-fold and two-fold,

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respectively, compared to those of the alginate-based scaffolds without HNT. The fabricated

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scaffolds exhibited remarkable antimicrobial properties against both gram-negative and gram-

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positive bacteria, while the cytotoxicity studies confirmed the non-toxicity of the fabricated

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scaffolds. Drug-release kinetics showed that CEF inside HNT diffuses within 24 hours and

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diffusion of the drug is delayed by 7 days once CEF loaded HNT are incorporated into the alginate-

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based nanofibers. These fabricated alginate-based electrospun scaffolds with enhanced mechanical

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properties and sustained antimicrobial protection hold great potential to be used as artificial ECM

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scaffolds for tissue engineering applications.

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1. INTRODUCTION

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In the recent past, biopolymeric nanofibrous scaffolds have become a suitable substitute for

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artificial scaffolds in tissue engineering applications due to their ability to mimic the spatial-

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porous-structured morphology of extracellular matrices (ECM) which can be found in native

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tissues and organs of the human body. These biopolymeric nanofibrous scaffolds facilitate cell

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growth and proliferation. With the development of such nanofibrous scaffolds with desired

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physical properties such as mechanical strength, biocompatibility and degradability, conventional

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membrane-removal surgeries may no longer be required 1. Moreover, these artificial scaffolds

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should have sufficient prolonged antimicrobial protection to inhibit secondary infections in order

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to prevent implant failures 2. Compared to many artificial ECM scaffold-fabricating techniques

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available such as wet-spinning 3, freeze-drying 4, template-based solution casting 5 and 3D printing

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, electrospinning is one of the most versatile and robust techniques.

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Electrospun scaffolds take a three-dimensional nanofibrous structure with nano/micro-scaled

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interfibre porosity, which resemble the natural ECM structure that help to promote cell adhesion

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and proliferation, and permit sufficient gases to exchange. Up to date, different biopolymers such

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as alginate 7, poly(lactic acid) 8, chitosan 9, polyvinyl alcohol 10, polycaprolactone 11, poly(ethylene

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oxide) 12 have been used to fabricate nanofibrous scaffolds. In particular, alginate has been deemed

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to be a promising biopolymer for artificial scaffolds due to its high biocompatibility,

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biodegradability and relatively low cost for mass production

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strength limit its use in tissue engineering applications. Artificial scaffolds should be mechanically

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robust and strong enough to withstand surgical procedures. Therefore attention needs to be directed

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to reinforcing alginate-based fibres/scaffolds. Although certain studies have been carried out to

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investigate the cell-adhesion

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, scaffold degradation

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, but its inadequate mechanical

and alteration of fibre dimensions

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in

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alginate-based electrospun scaffolds, only a limited number of studies have been carried out on the

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reinforcement of alginate-based electrospun scaffolds. To-date, range of micro/nano-fillers such

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as hydroxyapatite (HA) 17-18, chitin whiskers 19, ZnO 20 and Ag nanoparticles 21 have been used to

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reinforce electrospun alginate nanofibrous scaffolds. Apart from the mechanical inadequacy,

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alginate based-scaffolds are also not resistant to bacterial infections which is a major drawback for

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its use in artificial ECM scaffolds. Regenerative tissue scaffolds should prevent secondary

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infections in order for cells to adhere and proliferate during the required time period. One way to

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overcome this issue is by incorporating an antimicrobial drug. However, incorporation of drugs

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lead to burst release and may not provide sustained antimicrobial protection. Here, halloysite

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nanotubes (HNT) are used as multifunctional filler to mechanically reinforce and act as a carrier

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of an antimicrobial drug in order to achieve the desired characteristics of artificial ECM scaffolds.

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HNT are naturally occurring, tubular shaped aluminoslicate ((Al2Si2O5(OH)4.nH2O) nano-clay

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type, with an external diameter of 20-200 nm, internal diameter of 10-70 nm and length of 50-

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5000 nm

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biopolymers including alginate 24-25. Liu et al. fabricated alginate/HNT scaffolds by a freeze-dying

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method with a well interconnected pore structure (porosity of 100 – 200 μm), and obtained

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enhanced thermo-mechanical properties 26. HNT have also been used to reinforce other forms of

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alginate composites such as beads and hydrogels 27-28. In addition to the reinforcement, the lumen

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space of HNT have been used to encapsulate different types of organic drugs, metal oxides (Au,

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etc.), biocides, essential oils, natural compounds (curcumin, etc.) and inhibitors for various

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nanocomposite related engineering applications 29-32. Xue et al. encapsulated metronidazole inside

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the hollow space of HNT and incorporated drug-loaded HNT in poly(caprolactone)/gelatin

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electrospun nanofibers 2. These scaffolds exhibited sustained antimicrobial protection due the

22-23

. HNT have been proven as a successful reinforcing nano-filler for a range of

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control release of the drug. Similarly, HNT reinforced poly(lactic acid) electrospun nanofibrous

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scaffolds with gentamicin (as a third phase) has been fabricated for bone regeneration applications

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. pH sensitive HNT nanocomposite hydrogels have also been used for colon cancer drug delivery

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. Sustain release of drugs may also be achieved by synthesizing alginate-based nanohydrogels

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within the lumen space of HNT 35. Supramolecular functionalization or covalent modification of

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HNT have also been used for drug loading, and controlled and sustained drug release applications

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36-37

.

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In this work, an antiseptic drug, cephalexin, was loaded into HNT (CEF-HNT) and CEF-HNT is

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incorporated into alginate-based nanofibrous scaffolds to obtain sustained antimicrobial protection

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while enhancing mechanical properties simultaneously. Alginate-based nanofibrous scaffolds with

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varied HNT loadings (0 – 10 (w/w %)) were fabricated by electrospinning and their characteristics

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were systematically investigated. The CEF loading in HNT is confirmed with electron micrographs

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and drug-release kinetics. Morphological, mechanical, antimicrobial and thermal properties of the

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fabricated alginate-based nanocomposite scaffolds are also evaluated. Furthermore, the sustained

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protection of the fabricated scaffolds are confirmed with drug-release studies. These electrospun

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alginate-based scaffolds with CEF-HNT exhibit significant potential to be used as artificial

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scaffolds and as a substitute for ECM.

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2. EXPERIMENTAL SECTION

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Materials: Nano-filler carrier vessel, halloysite nanotubes (HNT) and the antiseptic compound,

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cephalexin monohydrate (CEF) were purchased from Sigma-Aldrich and Aurobindo Pharma-

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India, respectively. Electrospun polymer matrices, sodium alginate powder and poly(vinyl

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alcohol) (PVA) (with a Mw of 89,000), and the cross-linker, glutaraldehyde used in this study were

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purchased from Sisco Research Labs Pvt. Ltd. and Glochem Ltd. Muller Hinton agar (Hardy,

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USA) and phosphate buffer saline (Sigma, GmbH) were also used for microbiology studies.

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Fabrication of drug-loaded HNT incorporated alginate-based electrospun scaffolds: The

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antimicrobial drug, CEF was incorporated into the lumen space of HNT using a standard vacuum-

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evacuation process. 2 g of HNT and CEF (maintaining a 1:1 ratio) were dispersed in 30 mL of

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distilled water for 1 h at 600 rpm followed by ultrasonication for 15 min. The flask containing the

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resultant CEF-HNT suspension was evacuated using a vacuum pump for 10 min until a slight

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fizzing of the suspension was observed (as a removal of entrapped air). After the fizzing stopped,

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the suspension was kept uninterruptedly for 10 min to reach equilibrium and the entire vacuum-

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evacuation cycle was repeated thrice to promote CEF inclusion into the lumen space of HNT.

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Afterwards, the suspension was centrifuged and rinsed twice using distilled water to remove the

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excess CEF. UV absorbance of the supernatant of the rinsed solution of CEF-HNT was measured

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at 260 nm and the encapsulation percentage was calculated based on the standard calibration curve

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of CEF.

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Nanofibrous scaffolds were fabricated by electrospinning an alginate-based polymer solution

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comprising a secondary polymer PVA. 10 (w/w %) of secondary polymer solution was prepared

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by dissolving PVA in distilled water at 80 °C with continuous stirring for 1-2 h. Afterwards, 2 %

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(w/v) alginate solution was prepared by dissolving alginate in distilled water and corresponding

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amounts of drug-loaded HNT (2.5, 5, 7.5 and 10 (w/w %)) were incorporated and stirred for 1h.

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The resultant alginate-HNT and PVA solutions were mixed in 3:2 weight ratios for 2 h under

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vigorous stirring followed by ultrasonication for 15 min (at an amplitude of 80 Hz). It should be

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noted that the corresponding amounts of drug-loaded HNT were calculated based on the total

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weight of the final alginate/PVA polymer solution. The resultant solution was electrospun in a

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horizontal setup with a flow rate of 8-10 μL/min, voltage of 25-28 kV, needle to collector distance

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of 10 cm and needle diameter of 0.5 mm (electrospinning parameters (for selected compositions)

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are given in Table 1). Fabricated alginate-based scaffolds were chemically cross-linked using

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glutaraldehyde vapor for 24 h in order to improve the water insolubility. A control sample of

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alginate-based scaffolds without HNT were also fabricated according to the aforementioned

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method for comparison purposes.

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Table 1. The optimized values of the operating parameters for spinnability and brief highlights of

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the morphology of the fibers in the scaffolds Fibre

Viscosity (P); flow

composition

rate (μL/min);

Observed morphology

voltage (kV) Alginate/HNT 0

%

65-70; 10; 26

Diameter of 80-400 nm; randomly oriented and

(w/w)

continuous; wavy and smooth surface; beads-free; inter-fibre porosity of 1.1-6.7 μm

(control) Alginate/HNT

70-80; 10-12; 26

5 % (w/w)

Diameter: 40-484 nm; randomly oriented and continuous; ultrafine, wavy and smooth surface; beads-free; inter-fibre porosity of 0.96-7.2 μm

Alginate/HNT 10 % (w/w)

70-80; 10-12; 26

Diameter: 63-522 nm; randomly oriented and continuous; wavy and smooth surface; noticeable sized beads; inter-fibre porosity of 0.43-6.5 μm

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Characterization of drug-loaded HNT and alginate/HNT scaffolds:

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Morphological analysis: Morphology of the drug-loaded HNT as well the fabricated nanofibrous

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scaffolds were evaluated using field-emission scanning electron microscope (FE-SEM) (Hitachi

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SU6600) and transmission electron microscope (TEM) (Jeol 2100). SEM samples were gold

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sputtered to prevent electrostatic charging during the observation. Energy-dispersive X-ray (EDX)

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spectroscopy studies were carried out to confirm the antiseptic compound impregnation onto the

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inner and outer walls of HNT with a scanning rate of 192000 CPS for 4.5 min.

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Chemical properties: Fourier transform infrared (FTIR) spectroscopic studies were carried out to

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confirm the CEF attachment on to the inner and outer walls of HNT as well as to evaluate the

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chemical compositions of alginate/HNT scaffolds. All spectra were obtained within 500 – 4000

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cm-1 with 32 scans per measurement at 0.4 cm-1 resolution.

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Physical properties: Tensile testing was carried out to evaluate the mechanical properties such as

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tensile strength (σ), elastic modulus (E) and elongation at break (ɛ) of the electrospun alginate/HNT

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scaffolds, using an Instron Tensile Testing rig. All samples were tested according to ASTM D882-

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02 with a sample size of 40 x 10 mm at a strain rate of 5 mm/min. Statistical significance of the

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means of the respective σ, E and ɛ of tested samples was evaluated using one-way analysis of

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variance (ANOVA), complemented with the Tukey Post-Hoc test, using commercial software

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(OriginPro 8).

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The thermal stability of the electrospun scaffolds were determined by thermo gravimetric analysis

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(TGA) (STD Q600) from 25 to 1000 ˚C at a heating rate of 10 ˚C/min in nitrogen medium.

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In vitro antibacterial study: The antibacterial activity of drug-loaded scaffolds were tested against

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two Gram positive (Staphylococcus aureus (ATCC 25923), Staphylococcus epidermidis (Clinical

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isolate)) and two Gram negative bacteria (Pseudomonas aeruginosa (ATCC 9027) and

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Escherichia coli (ATCC 35218)) using disc diffusion method. The cell suspensions of the test

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microorganisms were prepared using 24 h old fresh culture and the turbidity was compared with

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0.5 McFarland standards. A volume 5 mL of each cell suspension was dispensed onto the surface

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of dried Mueller Hinton Agar (MHA powder (Hardy, USA ), 38.0 g in 1000 mL of distilled water)

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dishes, distributed all over the surface and the excess suspension removed.

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The alginate-based scaffolds with 5, 7.5 and 10 (w/w %) of CEF-HNT were cut in to 6 mm circular

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disc and placed on the prepared MHA medium. CEF soaked antimicrobial disc (20 µg/disc) was

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used as the positive control and scaffold without cephalexin was used the negative control. After

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the incubation period, the plates were checked for the inhibition zones and the diameters of those

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were measured. The procedure adopted was according that specified by the National Committee

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for Clinical Laboratory Standards (NCCLS).

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Drug release studies: The release profile of CEF was analysed for the CEF-HNT composite and

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the cross-linked alginate-based scaffold with 7.5 (w/w %) of CEF-HNT in phosphate buffer saline

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(PBS). An amount of 100 mg of CEF-HNT was added to 100 mL of PBS at 30 oC with 200 rpm

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stirring. At predetermined time points, 1 mL of the sample was taken and CEF concentration was

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determined by absorbance measurement at 260 nm (Shimadzu UV-3600 UV-Vis-NIR

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spectrophotometer) with respect to the standard curve. After the desired period, the mixture was

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sonicated for 2h at room temperature in order to get the loading capacity of CEF. Same procedure

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was followed for the final scaffold with some modifications (50 mg of scaffold, 5 mL of PBS and

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100 µL of withdrawing amount).

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Evaluation of In vitro Cytotoxicity of alginate/HNT scaffolds: The alginate-based scaffolds with

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5 (w/w %) HNT were sterilized using gamma irradiation (Co 60, 25 KGy). Mouse L929 cell line

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(ATCC) was used to determine the cytotoxicity of the test material. L929 cells were cultured and

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the evaluation was carried out under sterile conditions using a class 2 safety cabinet (Herasafe,

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Kendro Laboratory products, Germany).

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Sterilised 20 mg of scaffolds and controls were incubated with 3 mL Complete Dulbecco’s

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modified Eagale’s medium (DMEM + 10% FCS) (DMEM, USA), separately on a rotary mixture.

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Extracts were prepared by eluting test samples in complete medium at days 1, 2 and 3. After that,

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a concentration of 1.0×105 cells/ml was seeded in a 96-well culture plate (density of 1.0×104

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cells/well in 100 µl medium) and allowed to reach 90% of cell confluence. Then original medium

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was replaced with 100 µl of elucidates, separately and were incubated at 37 ºC in humidified air

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with 5% CO2 for 24 hours. Medium was removed and substituted with 10 μl of MTT diluted in the

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culture medium (DMEM) and incubated at 37 ºC for 4 hours. Finally, absorbance was measured

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by Dynatech MR 700 micro plate reader at a test wavelength of 570 nm with the reference

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wavelength of 630 nm. RPMI 1640 supplemented with 10% FBS was used as negative controls

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whereas ethanol was used as the positive controls. The percent viability is calculated using

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equation 1. Viability index of the cells is determined using difference between absorbance at 570

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nm (A570) and 630 nm (A630).

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𝐶𝑒𝑙𝑙 𝑣𝑖𝑎𝑏𝑖𝑙𝑖𝑡𝑦 =

(𝐴570 − 𝐴630) 𝑠𝑎𝑚𝑝𝑙𝑒 (A570 − A630) control

× 100%

− 01

200

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3. RESULTS AND DISCUSSION

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Morphological properties: Micrographs of the drug-loaded HNT are illustrated in Figure 1.

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Typically HNT have an internal diameter of 10 – 70 nm and external diameter of 20 – 200 nm with

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a length of 50 – 5000 nm, depending on the clay deposit

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CEF to be deposited on the outer and inner walls of HNT. CEF deposition on the outer surfaces of

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HNT were confirmed by EDX mapping (Figure 1 (b)), where traces of sulphur (a key element of

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CEF) can be seen on the surfaces of HNT. The hydroxyl groups of HNT which are available on

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the defected outer walls and edges of HNT, are very likely to chemically interact with N-H and O-

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H groups of CEF via non-covalent interactions such as hydrogen bond and electrostatic

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interactions. Moreover, TEM imaging showed the encapsulation of CEF within the lumen space

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of HNT (Figure 1 (C), lumen space is partially loaded) as well as CEF deposition on the outer

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walls of HNT (Figure 1 (d)). These results suggested that the antiseptic drug is grafted on the outer

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surface of HNT and also partially entrapped within the hollow tubular space. This was further

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confirmed by the drug release studies (Vide infra).

22-23

. The drug-loading process enabled

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a

b

218 219 220 221 222 223

c

d Loaded space

Unloaded lumen space

224 225 226 227

Figure. 1. (a) SEM image of CEF loaded HNT and (b) its EDX mapping (red denotes to sulphur

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element). (d) and (c) TEM images demonstrating the CEF deposition in HNT

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Figure 2 shows the morphology of electrospun alginate-based nanofibrous scaffolds. As prepared

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nanofibrous scaffolds yield e a white flexible substrate with a thickness ranging from 20 - 100 μm

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(Figure S1, in supplementary data). Electrospun alginate-based fibres with low HNT loadings are

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uniform, continuous and randomly oriented, and the morphology has does not differ from the

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control sample (alginate-based scaffolds without HNT) (Figure 2 (a) vs (b, C)). Although the

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addition of low loadings of HNT (2.5 - 5 (w/w %)) did not change the morphology of the alginate-

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based nanofibrous scaffolds, high HNT loadings (10 (w/w %)) led to formation of conical shaped

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beads within the fibres (Figure 2 (d)). The bead formation could be due to the increased polymer

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solution viscosity with the addition of HNT during the synthesis process. Additionally the high

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loadings of HNT create unfavourable electrospinning conditions as localized charge accumulates

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in the driven jet (at tailor cone) and leads to an inhomogeneous electric field. The interfibre

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porosity of the alginate-based nanocomposite scaffolds ranges from 0.43 – 7.2 μm (Table 1) and

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is well below an order-of-magnitude of the porosities of fibreblast cells (around 20 μm), which is

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as desired for better cell adhesion and proliferation. Furthermore, this interfibre

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porosity/nanofibrous structure of the electrospun scaffolds act as a barrier and would help to

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prevent the ingrowth of fibroblasts into the defected tissues 2. The diameter of electrospun alginate-

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based fibres (control sample) yielded to be 80-400 nm while the alginate-fibres with 5 (w/w %)

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and 10 (w/w %) of HNT were 40-484 nm and 63-522 nm, respectively. These electrospun alginate-

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based fibres resemble the collagen fibrils of tissues ranges from 30 to 350 nm 38. Moreover, the

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diameter of the collagens fibrils of acelular dermal matrix (ADM) (used as ECM scaffolds), ranges

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from 56 - 61 nm

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nanofibrous scaffolds are well within the required morphological parameters for artificial ECM

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scaffolds.

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. These findings suggest that the electrospun alginate-based nanocomposite

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Impregnation of HNT within the electrospun alginate-based nanofibers is illustrated in Figure 3.

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HNT exhibits a fairly good uniaxial alignment along the alginate nanofibers. This was further

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confirmed with TEM-EDX mapping as illustrated in FigureS2 (in supplementary data). The

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dispersion of 5 (w/w %) HNT within the alginate matrix is fairly good and minimum amount of

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agglomerations are detected. However, HNT aggregates are likely to form at high filler loadings

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(7 and 10 (w/w %)).

259 260

a

b

c

d

261 262 263 264 265 266 267 268 269

Figure 2. Morphology of electrospun alginate-based scaffolds with (a) 0, (b, C) 5 and (d) 10 (w/w

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%) of HNT

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Alginate nanofibre HNT

274 275 276 277 278

Figure 3. TEM of electrospun alginate-based nanofibrous scaffolds with 5 (w/w %) of HNTs

279

Chemical properties: As illustrated in FTIR spectra (Figure 4), characteristic peaks of alginate

280

such as hydroxyl groups at 3300 cm-1, asymmetric carboxyl at 1600 cm-1, symmetric carboxyl at

281

1400 cm-1 and carbonyl functional groups at 1015 cm-1 can be found in the spectra of alginate-

282

based electrospun scaffolds 19. O-H stretching at 3300 cm-1, C-H stretching of alkyl groups at 2933

283

cm-1, C=O and C-O stretching of acetate groups at 1730 cm-1 and C-C stretching at 1090 cm-1 34

284

can be attributed to the functional groups of PVA (scaffolds contain alginate to PVA weight ratio

285

of 3:2). Major functional groups of HNT such as O–H stretching of inner-surface hydroxyl groups

286

(3696 cm-1 and 3625 cm-1), Si–O in-plane stretching (1011 cm-1) and O–H deformation of inner

287

hydroxyl groups (911 cm-1) can be seen in the FTIR spectra of Alg/HNT 10 scaffolds. All the key

288

functional groups of CEF (aromatic ring stretch at 1455 cm-1, carboxylate C=O stretching at 1596

289

cm-1, amide C=O stretch at 1690 cm-1, β-lactam C=O stretch at 1758 cm-1 and N-H at 2614 cm-1)

290

could not be detected on the composite scaffolds due the overlap of those low intense peaks with

291

the dominant peaks of alginate and PVA. Presence of surfaces grafted CEF on inner and outer wall

292

of HNT was confirmed due to the appearance of the β-lactam C=O peak of CEF (stretch at 1758

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cm-1) in the FTIR spectra of CEF-HNT (Figure S3, in supplementary data). The proposed CEF-

294

HNT interaction model is illustrated in Figure 5. Hydroxyl groups present in the cavity of HNTs

295

will interact with the drug molecules via H-bond interactions to improve the drug-loading and it

296

was further confirmed with the shifts and intensity changes in the hydroxyl groups of CEF-HNT

297

(Figure S3, in supplementary data. CEF peaks at 3436 cm-1 and 1596 cm-1 had shifted to 3442 cm-

298

1

299

deprotonated and the overall charge of the drug molecule is negative. Hence there could be an

300

electrostatic interaction with HNT’s positive surfaces. The same non-covalent interaction model

301

will account for the extended drug release of cephalexin from nanotube (Figure 5). Moreover, the

302

presence of characteristic peaks of the polymer blend confirms that the addition of HNT did not

303

affect the structural integrity of the nanofinrous scaffolds.

and 1629 cm-1 of CEF-HNT, respectively). At pH 7.4, carboxylic moiety of cephalexin will be

304 305 306 307 308 309 310 311 312 313 314 315 316

Figure 4. FTIR spectrum of alginate, PVA, HNT and alginate-based scaffolds

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Figure 5. Proposed mode of drug binding with HNT

320 321

Tensile properties: Typical stress-strain curves of the electrospun alginate nanocomposite

322

scaffolds are illustrated in Figure 6(a). Tensile stress (σ) and elastic modulus (E) of the

323

nanocomposite scaffolds derived from the stress-strain curves are shown in Figure 6(b).

324

Statistical analysis (ANOVA together with Turkeys Post-Hoc) revealed that there is significant

325

difference of the mean σ among the (i) Alg/HNT 0 vs Alg/HNT 2.5 and 5, and (ii) Alg/HNT 2.5

326

and 5 vs Alg/HNT 7.5 and 10. Incorporation of low HNT concentrations such as 2.5 and 5 (w/w

327

%) into alginate fibres enhanced the mechanical properties significantly. For instance, σ

328

improved by three-fold with the addition of 2.5 (w/w %) and 5 (w/w %) of HNT compared to

329

that of the control sample (σ = 1 ± 0.2 MPa). These improvements could be due to the better

330

interfacial interaction between the polymer matrix and HNT (hydroxyl groups of HNTs are

331

likely to interact with the C-H functional groups of alginate and PVA) which can result in

332

effective stress transfer from the matrix to filler. Further, the alignment of HNT along the fibre

333

direction (at low loadings) could bare the longitudinally induced stress more effectively. The

334

addition of high HNT loadings (7.5 and 10 (w/w %)) led to inferior σ due to the possibilities of

335

HNT aggregation as well as bead formation along the fibres (Figure 2 (d)). HNT aggregates and

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beads can act as stress concentrated areas, and material will be easily ruptured under applied

337

tensile force. E of the nanofibrous scaffolds exhibits a similar trend as σ, where the optimum E

338

yielded at 2.5 and 5 (w/w %) HNT concentrations, and decreased thereafter (Figure 6(b)). The

339

stiffness of the material increased as a result of the reinforcing effect of HNT. The mechanical

340

properties of the composite scaffolds are summarized in Table S1, in supplementary data.

341

Fabricated alginate scaffolds with 2.5 and 5 (w/w %) of HNT had tensile strength of 3.8 ± 0.3

342

MPa and σ = 3.4 ± 0.3 MPa, respectively. These improved parameters are well above the guided

343

tissue regeneration (GTR) requirements of artificial scaffolds (σ should be more than 2-3 MPa) 2.

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345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364

Figure 6. (a) Selected stress-strain curves of alginate composite scaffolds. (b) Tensile strength and

365

elastic modulus of alginate-based scaffolds at varied HNT concentrations

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Antibacterial activities of the electrospun scaffolds: The antibacterial activities of the scaffolds

369

are given in the Table 2, Figure 7 and Figure S4 (in supplementary data). Most promising activities

370

were shown against tested Gram positive strains (S. aureus and S. epidermidis). All drug loaded

371

testing materials showed significant antibacterial activity, which is comparable to the inhibitory

372

activity of the positive control. Therefore, the cross linking and composite formation did not affect

373

the anti-bacterial activity of the loaded drug and its diffusion pattern. Alginate-based scaffolds

374

with 10 (w/w %) of CEF-HNT showed the highest activity against all tested bacteria strains.

375

Nevertheless, there is no significant difference between 5, 7.5 and 10 (w/w %) CEF-HNT loadings.

376

Table 2. Antimicrobial activity of CEF-HNT incorporated alginate-based scaffolds (mm). Alg/CEF-HNT

Alg/CEF-

Alg/CEF-

Positive

Negative

5

HNT 7.5

HNT 10

control

control

S. aureus

17.0 ± 0.4

24.1 ± 1.4

26.1 ± 1.7

28.4 ± 1.6

-

S. epidermidis

21.3 ± 1.1

26.3 ± 0.9

25.0 ± 1.1

27.1 ± 0.4

-

P. aeruginosa

15.6 ± 0.8

19.8 ± 0.5

20.3 ± 0.7

24.5 ± 0.8

-

E. coli

15.0 ± 0.7

18.6 ± 1.3

19.6 ± 0.9

22.2 ± 1.3

-

S. epidermidis

E. coli

377 378

S. aureus

P. aeruginosa

379 380 381 382 383

Figure 7. Antimicrobial activity of alginate-based scaffolds with 10 (w/w %) CEF-HNT

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Drug-release studies: The release profiles of CEF-HNT and alginate-based scaffolds with CEF-

385

HNT HNT-alginate scaffold are presented in Figure 8. The release of CEF is mainly due to the

386

passive diffusion. The trend of the graphs also fit with the typical diffusion of the small molecule.

387

The total entrapped CEF content within the lumen space of HNT from measurement is found as

388

30 wt %. This indicates that CEF molecules are not only encapsulated inside the nanotube (the

389

lumen capacity is 10 vol %), but also grafted on the outside of HNT. This is further evident from

390

the drug release profile, where the first release phase (up to 5 h) is ascribed to the rapid release of

391

surface grafted drug molecules and the second phase is attributed to the delayed release (up to 24

392

h) of the entrapped drug molecules within the lumen space of HNT. Drug-release kinetics revealed

393

that CEF inside HNT diffuses within 24 hours and the diffusion rate of CEF gets delayed by 7 days

394

when CEF loaded HNT is incorporated into the alginate-based nanofibrous scaffolds, exhibiting a

395

sustained release profile. The release percentage of the drug from CEF-HNT after 24 h was about

396

95%. The drug loaded electrospun scaffold showed a sustain release profile as a result of cross-

397

linking the polymer matrix of the nanofiber. The total released percentage of the drug after 8 h and

398

7 days was 76% and 89%, respectively. The release pattern is appropriate for the development of

399

artificial ECM scaffolds, since the initial rapid release would help to eradicate the growth of

400

bacteria and sustained release will prevent any further infection.

401 402 403 404 405

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Figure 8. CEF release profiles of (A) CEF loaded HNT, (B) alginate-based scaffolds with 7.5

418

(w/w %) of CEF-HNT and (C): percentage release of the drug from both pure HNT and the

419

scaffold

420

Cytotoxicity of the electrospun scaffolds: Cytotoxicity of the alginate-based scaffolds with 5

421

(w/w %) HNT was evaluated. Absorption values of MTT test elutions and those of both negative

422

and positive controls are shown in Figure 9 (a). According to these results, the test samples do

423

not release any toxic substance which would bring harmful effects to the cells and hence they do

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not affect cellular metabolism. These results are comparable to the negative control and do not

425

show any significant difference in the responses within three days of incubation (P< 0.01).

426

Moreover, the results of the test samples showed a significant difference to that of the positive

427

toxic control. Hence, the evaluations of the response of L929 cells to the prepared scaffolds

428

confirm the non-cytotoxicity of the material 2, 40-41.

429

Viability index of the cells is determined using the difference between absorbance at 570 nm and

430

630 nm. The percent viability is calculated using equation 1. According to the calculated values

431

for three days (Figure 9 (b)), all the percentage values are higher than the 100 % viability.

432

Therefore, toxicity level of the samples is “0”. This toxicity level is identified by considering

433

standard percentage viability range 42-44. According to the absorption cytotoxicity results of

434

prepared scaffolds, we can conclude that the scaffold is nontoxic to the human body.

435

Morphological images of the cells in samples are shown in Figure 10, which are taken from the

436

inverted optical microscope. There is no observable morphology change between control and

437

tested samples (day 3 samples) due to the non-toxicity to the cells.

438

Apart from cytotoxicity, cell adhesion and proliferation are also key factors in developing

439

artificial ECM. Shalumon et al. demonstrated that the alginate and PVA blends-based

440

electrospun nanofibrous membranes support cell adhesion and proliferation 20. For instance,

441

alginate-based electrospun scaffolds well adhered L929 cells in 48 hours and showed good

442

spreading after 96 hours. Further supporting evidence on the cell adhesion and proliferation on

443

alginate-based electrospun nanofibrous scaffolds can be found elsewhere 20, 45. As it is well

444

proven that the alginate/PVA electrospun scaffolds support cell adhesion, it can be postulated

445

that the scaffolds developed in this study are comparable to that of the other reported alginate-

446

based electrospun scaffolds. Jiajia et al. had investigated the cell adhesion on extract substrates

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447

of the electrospun HNT microfiber composite membranes using optical microscope which

448

demonstrated the cell adhesion and healthy-growth morphologies while having HNT 2. Their

449

micrographs are very similar to the micrographs of this study (Figure 10b) because of the

450

healthy-growth and adhesion of the L929 cells.

451 452 453 454 455 456 457

0.700

Absorbance at 570 nm

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60

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a

0.600 0.500 0.400

0.300 0.200 0.100 0.000

Day 1 Sample

Day 2 Negative

458

Day 3 Positive

b

459 460 461 462 463 464

Figure 9. (a) Graphs of absorption values of scaffold, negative control and positive control which

465

were obtained from MTT assay. (b) Percent cell viability of tested scaffolds

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466 467 468 469 470 471 472 473 474

Figure 10. Morphologies of L929 cells (a) day 3 negative control and (b) day 3 scaffold

475 476

Thermal characteristics: TGA curves of alginate-based scaffolds are illustrated in Figure 11. The

477

initial weight loss (10% of mass loss) of all alginate-based scaffolds has been occurred due to the

478

elimination of surface bound water molecules of nanofibers at temperature below 100 ˚C. The

479

mass loss due to the pyrolysis of alginate and PVA components of fibres initiates at 215 ˚C. C-H

480

bonds and C-O-C glycoside bonds of the backbone structure of alginate thermally decompose at

481

around 250 ˚C as a result of dehydration of saccharide chains 46. The addition of HNT enhances

482

the thermal stability of the scaffolds. For instance, at 400 ˚C, alginate-based scaffolds and their

483

composites with 5 (w/w %) of HNT showed 78% and 67% of mass loss, respectively. Moreover,

484

the temperatures at maximum mass loss rate of alginate-based scaffolds had shifted from 275 ˚C

485

to 285 ˚C with the addition of 5 (w/w % HNT). The thermal degradation rate had also reduced in

486

the composites (1.01 %/ ˚C) compared to that of the pure alginate-based scaffolds (1.14 %/ ˚C).

487

That signifies the thermal stability of the nanofibrous scaffolds, which has been increased due to

488

the presence of HNT and their high thermal stability.

489

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490 491 492 493 494 495 496 497 498 499 500

Figure 11. TGA (solid) and DTGA (dotted) curves of alginate-based scaffolds

501 502

4. CONCLUSIONS

503

Drug-loaded HNT-incorporated alginate-based nanocomposite fibrous scaffolds were successfully

504

fabricated by electrospinning. Alginate-based fibres ranged from 40 to 522 nm with an inter-fibre

505

porosity of 0.43-7.2 μm. Low HNT compositions (2.5 – 5 (w/w %)) yielded beads-free nanofibers

506

and a noticeable amount of beads was observed in the scaffolds with high HNT compositions (10

507

(w/w %)). An antiseptic drug, CEF, was loaded within the lumen space as well as the outer walls

508

of HNT using a vacuum-evacuation method. The CEF loading inside the HNT was confirmed

509

using SEM-EDX and TEM, and the UV-vis based drug release study revealed that the total CEF

510

loading capacity within the HNT was 30 wt%. It was further evident that HNT had dispersed well

511

within the alginate-based matrix with good uniaxial alignment, which resulted in significantly

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512

enhanced mechanical properties. For instance, the addition of 5 (w/w %) HNT improved the tensile

513

strength and elastic modulus by three-fold and two-fold, respectively, compared to those of the

514

alginate-based scaffolds without HNT. Alginate-based scaffolds with CEF-loaded HNT exhibited

515

superior antimicrobial properties against S. aureus, S. epidermidis, P. aeruginosa and E. coli with

516

inhibition zones ranging from 15 to 28 mm. Drug-release kinetics revealed that CEF inside HNT

517

diffuses within 24 hours and the diffusion rate of CEF gets delayed by 7 days when CEF loaded

518

HNT is incorporated into the alginate-based nanofibrous scaffolds, exhibiting a sustained release

519

profile. For instance, the total released percentage of the drug after 8 hours and 7 days was 76%

520

and 89%, respectively. This release profile would assist in eradicating the initial bacteria growth

521

and the sustained release would prevent any further infection. The cytotoxicity and cell viability

522

studies confirmed that the fabricated scaffolds are non-toxic to cells and human body. The

523

incorporation of HNT also improved the thermal stability of the scaffolds. These electrospun

524

alginate-based nanofibrous scaffolds with drug-loaded HNT satisfy the key criteria of artificial

525

ECM such as inter-fibre porosity (< 20 μm), mechanical robustness (σ >3 MPa), sustained

526

antimicrobial protection and non-toxicity, and hence, hold great potential to be used as an artificial

527

scaffold for tissue regeneration applications

528 529

AUTHOR INFORMATION

530

Corresponding Author

531

* E-mail: [email protected], [email protected], Phone no: +94 11 465 0531, Fax: +94 11

532

465 0532.

533

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Page 28 of 36

534

Author Contributions

535

The manuscript was written through contributions of all authors. All authors have given approval

536

to the final version of the manuscript.

537

Supporting Information

538

Supplementary document contains figures and plots related to morphological, physical and

539

chemical properties of the fabricated nanofibrous scaffolds.

540

Acknowledgments

541

Authors would like to thank Ms. Malini Damayanthi for her tremendous support in TEM

542

imaging. The cytotoxicity studies were supported by Prof. R.P.V.J. Rajapakse, Head,

543

Department of Veterinary Pathobiology, Faculty of Veterinary Medicine, University of

544

Peradeniya, Peradeniya, 20400, Sri Lanka.

545

Abbreviations

546

HNT, Halloysite nanotubes; ECM, extracellular matrix; CEF, cephalexin; PVA, poly(vinyl

547

alcohol).

548

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549

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