Fabrication of Cell-Laden AME-Loaded Collagen-Based Hydrogel Promotes Fibroblast Proliferation and Wound Healing In Vitro

Document Type : Original Article

Authors

1 Department of Tissue Engineering, Faculty of Basic Sciences and Advanced Technologies in Medicine, Royan Institute, ACECR, Tehran, Iran

2 Department of Tissue Engineering, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran

3 Department of Mathematics, Statistics, and Computer Science, Faculty of Science, University of Tehran, Tehran, Iran

4 Department of Stem Cells and Developmental Biology, Cell Science Research Center, Royan Institute for Stem Cell Biology and Technology, ACECR, Tehran, Iran

5 Department of Regenerative Medicine, Cell Science Research Center, Royan Institute for Stem Cell Biology and Technology, ACECR, Tehran, Iran

6 Department of Cell Engineering, Stem Cells and Developmental Biology, Cell Science Research Center, ACECR, Royan Institute, Tehran, Iran

Abstract

Objective: The biological factors secreted from cells and cell-based products stimulate growth, proliferation, and
migration of the cells in their microenvironment, and play vital roles in promoting wound healing. The amniotic membrane
extract (AME), which is rich in growth factors (GFs), can be loaded into a cell-laden hydrogel and released to a wound
site to promote the healing of the wound. The present study was conducted to optimize the concentration of the
loaded AME that induces secretion of GFs and structural collagen protein from cell-laden AME-loaded collagen-based
hydrogels, to promote wound healing in vitro.
Materials and Methods: In this experimental study, fibroblast-laden collagen-based hydrogel loaded with different
concentrations of AME (0.1, 0.5, 1, and 1.5 mg/mL, as test groups) and without AME (as control group), were incubated
for 7 days. The total proteins secreted by the cells from the cell-laden hydrogel loaded with different concentrations of
AME were collected and the levels of GFs and type I collagen were assessed using ELISA method. Cell proliferation
and scratch assay were done to evaluate the function of the construct.
Results: The results of ELISA showed that the concentrations of GFs in the conditioned medium (CM) secreted from the
cell-laden AME-loaded hydrogel were significantly higher than those secreted by only the fibroblast group. Interestingly,
the metabolic activity of fibroblasts and the ability of the cells to migrate in scratch assay significantly increased in the
CM3-treated fibroblast culture compared to other groups. The concentrations of the cells and the AME for preparation
of CM3 group were 106 cell/mL and 1 mg/mL, respectively.
Conclusion: We showed that 1 mg/ml of AME loaded in fibroblast-laden collagen hydrogel significantly enhanced the
secretion of EGF, KGF, VEGF, HGF, and type I collagen. The CM3 secreted from the cell-laden AME-loaded hydrogel
promoted proliferation and scratch area reduction in vitro.

Keywords

Main Subjects


  1. Erickson JR, Echeverri K. Learning from regeneration research organisms: the circuitous road to scar free wound healing. Dev Biol. 2018; 433(2): 144-154.
  2. Yamakawa S, Hayashida K. Advances in surgical applications of growth factors for wound healing. Burns Trauma. 2019; 7: 10.
  3. Barrientos S, Stojadinovic O, Golinko MS, Brem H, Tomic-Canic M. Growth factors and cytokines in wound healing. Wound Repair Regen. 2008; 16(5): 585-601.
  4. Gainza G, Villullas S, Pedraz JL, Hernandez RM, Igartua M. Advances in drug delivery systems (DDSs) to release growth factors for wound healing and skin regeneration. Nanomedicine. 2015; 11(6): 1551-1573.
  5. Blitstein-Willinger E. The role of growth factors in wound healing. Skin Pharmacol Physiol. 1991; 4(3): 175-182.
  6. Park JW, Hwang SR, Yoon IS. Advanced growth factor delivery systems in wound management and skin regeneration. Molecules. 2017; 22(8): 1259.
  7. Behm B, Babilas P, Landthaler M, Schreml S. Cytokines, chemokines and growth factors in wound healing. J Eur Acad Dermatol Venereol. 2012; 26(7): 812-820.
  8. Helary C, Zarka M, Giraud-Guille MM. Fibroblasts within concentrated collagen hydrogels favour chronic skin wound healing. J Tissue Eng Regen Med. 2012; 6(3): 225-237.
  9. Motamed S, Taghiabadi E, Molaei H, Sodeifi N, Hassanpour SE, Shafieyan S, et al. Cell-based skin substitutes accelerate regeneration of extensive burn wounds in rats. Am J Surg. 2017; 214(4): 762-769.
  10. Snyder DL, Sullivan N, Schoelles KM. Skin substitutes for treating chronic wounds. Rockville (MD): Agency for Healthcare Research and Quality (US); 2012.
  11. Sharma P, Kumar A, Dey AD, Behl T, Chadha S. Stem cells and growth factors-based delivery approaches for chronic wound repair and regeneration: a promise to heal from within. Life Sci. 2021; 268: 118932.
  12. Hur W, Lee HY, Min HS, Wufuer M, Lee CW, Hur JA, et al. Regeneration of full-thickness skin defects by differentiated adipose- derived stem cells into fibroblast-like cells by fibroblastconditioned medium. Stem Cell Res Ther. 2017; 8(1): 92.
  13. Wong T, McGrath JA, Navsaria H. The role of fibroblasts in tissue engineering and regeneration. BJD. 2007; 156: 1 149-1155.
  14. Kubo K, Kuroyanagi Y. A study of cytokines released from fibroblasts in cultured dermal substitute. Artif Organs. 2005; 29(10): 845-849.
  15. Yildirimer L, Thanh NT, Seifalian AM. Skin regeneration scaffolds: a multimodal bottom-up approach. Trends Biotechnol. 2012; 30(12): 638-648.
  16. Boateng J, Catanzano O. Advanced therapeutic dressings for effective wound healing--a review. J Pharm Sci. 2015; 104(11): 3653-3680.
  17. Eming SA, Martin P, Tomic-Canic M. Wound repair and regeneration: mechanisms, signaling, and translation. Sci Transl Med. 2014; 6(265): 265sr6.
  18. Koizumi N, Inatomi T, Sotozono C, Fullwood NJ, Quantock AJ, Kinoshita S. Growth factor mRNA and protein in preserved human amniotic membrane. Curr Eye Res. 2000; 20(3): 173-177.
  19. Elkhenany H, El-Derby A, Abd Elkodous M, Salah RA, Lotfy A, El-Badri N. Applications of the amniotic membrane in tissue engineering and regeneration: the hundred-year challenge. Stem Cell Res Ther. 2022; 13(1): 8.
  20. Mahmoudi-Rad M, Abolhasani E, Moravvej H, Mahmoudi-Rad N, Mirdamadi Y. Acellular amniotic membrane: an appropriate scaffold for fibroblast proliferation. Clin Exp Dermatol. 2013; 38(6): 646-651.
  21. Sadeghi A, Zare-Gachi M, Najjar-Asl M, Rajabi S, Fatemi MJ, Forghani SF, et al. Hybrid gelatin-sulfated alginate scaffolds as dermal substitutes can dramatically accelerate healing of fullthickness diabetic wounds. Carbohydr Polym. 2022: 120404.
  22. Sahraneshin-Samani F, Kazemi-Ashtiani M, Karimi H, Shiravandi A, Baharvand H, Daemi H. Regioselective sulfated chitosan produces a biocompatible and antibacterial wound dressing with low inflammatory response. Biomater Adv. 2022; 139: 213020.
  23. Sangwan VS, Basu S. Antimicrobial properties of amniotic membrane. Br J Ophthalmol. 2011; 95(1): 1-2.
  24. Zheng Y, Zheng S, Fan X, Li L, Xiao Y, Luo P, et al. Amniotic epithelial cells accelerate diabetic wound healing by modulating inflammation and promoting neovascularization. Stem Cells Int. 2018; 1082076.
  25. Azimi Alamouti M, Shayan N, Momeni M, Nouri M, Koohkan A, Hajizadeh-Saffar E, et al. Investigation on the safety of amniotic membrane extracts in improving diabetic foot ulcers (phase 1 clinical trial study). Iran J Endocrinol Metab. 2019; 18(3): 126-134.
  26. Momeni M, Zarehaghighi M, Hajimiri M, Khorasani G, Dinarvand R, Nekookar A, et al. In vitro and in vivo investigation of a novel amniotic-based chitosan dressing for wound healing. Wound Repair Regen. 2018; 26(1): 87-101.
  27. Asl NS, Nejat F, Mohammadi P, Nekoukar A, Hesam S, Ebrahimi M, et al. Amniotic membrane extract eye drop promotes limbal stem cell proliferation and corneal epithelium healing. Cell J. 2019; 20(4): 459-468.
  28. Zaulyanov L, Kirsner RS. A review of a bi-layered living cell treatment (Apligraf) in the treatment of venous leg ulcers and diabetic foot ulcers. Clin Interv Aging. 2007; 2(1): 93-98.
  29. Hadjizadeh A, Doillon CJ. Directional migration of endothelial cells towards angiogenesis using polymer fibres in a 3D coculture system. J Tissue Eng Regen Med. 2010; 4(7): 524-531.
  30. Sarrigiannidis SO, Rey JM, Dobre O, González-García C, Dalby MJ, Salmeron-Sanchez M. A tough act to follow: collagen hydrogel modifications to improve mechanical and growth factor loading capabilities. Mater Today Bio. 2021; 10: 100098.
  31. Cen R, Wang L, He Y, Yue C, Tan Y, Li L, et al. Dermal fibroblast migration and proliferation upon wounding or lipopolysaccharideexposure is mediated by stathmin. Front Pharma. 2021; 12: 781282.
  32. Yeh MK, Liang YM, Cheng KM, Dai NT, Liu CC, Young JJ. A novel cell support membrane for skin tissue engineering: Gelatin film cross-linked with 2-chloro-1-methylpyridinium iodide. Polymer (Guildf). 2011; 52(4): 996-1003.
  33. Maarof M, Mh Busra MF, Lokanathan Y, Bt Hj Idrus R, Rajab NF, Chowdhury SR. Safety and efficacy of dermal fibroblast conditioned medium (DFCM) fortified collagen hydrogel as acellular 3D skin patch. Drug Deliv Transl Res. 2019; 9(1): 144-161.
  34. Kim MH, Wu WH, Choi JH, Kim JH, Hong SH, Jun JH, et al. Conditioned medium from the three-dimensional culture of human umbilical cord perivascular cells accelerate the migration and proliferation of human keratinocyte and fibroblast. J Biomater Sci Polym Ed. 2018; 29(7-9): 1066-1080.
  35. Kraskiewicz H, Hinc P, Krawczenko A, Bielawska-Pohl A, Paprocka M, Witkowska D, et al. HATMSC secreted factors in the hydrogel as a potential treatment for chronic wounds-in vitro study. Int J Mol Sci. 2021; 22(22): 12241.
  36. Iijima E, Daichi Toyoda D, Yamamoto A, Kuroyanagi M, Yoshimitsu Kuroyanagi Y. In vitro analysis of VEGF and HGF production by fibroblast in cultured dermal substitute combined with eEFG-incorporating top dressing. Open J Regen Med. 2014; 3(1): 13-21.
  37. Chopra A, Thomas BS. Amniotic membrane: a novel material for regeneration and repair. J Biomim Biomater Tissue Eng. 2013: 18(1): 1000106.
  38. Anitua E, Pino A, Orive G. Plasma rich in growth factors promotes dermal fibroblast proliferation, migration and biosynthetic activity. J Wound Care. 2016; 25(11): 680-687.
  39. Murphy SV, Skardal A, Song L, Sutton K, Haug R, Mack DL, et al. Solubilized amnion membrane hyaluronic acid hydrogel accelerates full-thickness wound healing. Stem Cells Transl Med. 2017; 6(11): 2020-2032. 8( 8(12): 2083. 8(12): 2083.
  40. Urciuolo F, Casale C, Imparato G, Netti PA. Bioengineered Skin substitutes: the role of extracellular matrix and vascularization in the healing of deep wounds. J Clin Med. 2019; 8(12): 2083.