Fabrication of Rosuvastatin-Incorporated Polycaprolactone -Gelatin Scaffold for Bone Repair: A Preliminary In Vitro Study

Document Type : Original Article

Authors

1 Student Research Committee, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran

2 Department of Tissue Engineering, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran

3 Tissue Engineering and Stem Cells Research Centre, Shahroud University of Medical Sciences, Shahroud, Iran

4 Sexual Health and Fertility Research Centre, Shahroud University of Medical Sciences, Shahroud, Iran

Abstract

Objective: Rosuvastatin (RSV) is a hydrophilic, effective statin with a long half-life that stimulates bone regeneration.
The present study aims to develop a new scaffold and controlled release system for RSV with favourable properties for
bone tissue engineering (BTE).
Materials and Methods: In this experimental study, high porous polycaprolactone (PCL)-gelatin scaffolds that contained
different concentrations of RSV (0 mg/10 ml, 0.1 mg/10 ml, 0.5 mg/10 ml, 2.5 mg/10 ml, 12.5 mg/10 ml, and 62.5 mg/10
ml) were fabricated by the thermally-induced phase separation (TIPS) method. Mechanical and biological properties of
the scaffolds were evaluated by Fourier transform infrared spectroscopy (FTIR), scanning electron microscope (SEM),
compressive strength, porosity, MTT, alkaline phosphatase (ALP) activity, water contact angle, degradation rate, pH
alteration, blood clotting index (BCI), and hemocompatibility.
Results: SEM analysis confirmed that the porous structure of the scaffolds contained interconnected pores. FTIR
results showed that the RSV structure was maintained during the scaffold's fabrication. RSV (up to 62.5 mg/10 ml)
increased compressive strength (16.342 ± 1.79 MPa), wettability (70.2), and degradation rate of the scaffolds. Scaffolds
that contained 2.5 mg/10 ml RSV had the best effect on the human umbilical cord mesenchymal stem cell (HUC-MSCs)
survival, hemocompatibility, and BCI. As a sustained release system, only 31.68 ± 0.1% of RSV was released from
the PCL-Gelatin-2.5 mg/10 ml RSV scaffold over 30 days. In addition, the results of ALP activity showed that RSV
increased the osteogenic differentiation potential of the scaffolds.
Conclusion: PCL-Gelatin-2.5 mg/10 ml RSV scaffolds have favorable mechanical, physical, and osteogenic properties
for bone tissue and provide a favorable release system for RSV. They can mentioned as a a promising strategy for bone
regeneration that should be further assessed in animals and clinical studies.

Keywords

Main Subjects


  1. Ranjbarnejad F, Khazaei M, Shahryari A, Khazaei F, Rezakhani L. Recent advances in gene therapy for bone tissue engineering. Tissue Eng Regen Med. 2022; 16(12): 1121-1137.
  2. Murugan S, Parcha SR. Fabrication techniques involved in developing the composite scaffolds PCL/HA nanoparticles for bone tissue engineering applications. J Mater Sci Mater Med. 2021; 32(8): 93.
  3. Gharibshahian M, Salehi M, Beheshtizadeh N, Kamalabadi-Farahani M, Atashi A, Nourbakhsh MS, et al. Recent advances on 3Dprinted PCL-based composite scaffolds for bone tissue engineering. Front Bioeng Biotechnol. 2023; 11: 1168504.
  4. Jang JW, Min KE, Kim C, Shin J, Lee J, Yi S. Scaffold characteristics, fabrication methods, and biomaterials for the bone tissue engineering. Int J Precis Eng Manuf. 2023; 24(3): 511-529.
  5. Malikmammadov E, Tanir TE, Kiziltay A, Hasirci N. Preparation and characterization of poly(ε-caprolactone) scaffolds modified with cell-loaded fibrin gel. Int J Biol Macromol. 2019; 125: 683-689.
  6. Hashemi SF, Mehrabi M, Ehterami A, Gharravi AM, Bitaraf FS, Salehi M. In-vitro and in-vivo studies of PLA/PCL/gelatin composite scaffold containing ascorbic acid for bone regeneration. J Drug Deliv Sci Technol. 2021; 61(4): 102077.
  7. Ren K, Wang Y, Sun T, Yue W, Zhang H. Electrospun PCL/gelatin composite nanofiber structures for effective guided bone regeneration membranes. Mater Sci Eng C. 2017; 78: 324-332.
  8. Sultana N, Hassan MI, Ridzuan N, Ibrahim Z, Soon CF. Fabrication of gelatin scaffolds using thermally induced phase separation technique. Int J Eng. 2018; 31(8): 1302-1307.
  9. Wang CY, Hong PD, Wang DH, Cherng JH, Chang SJ, Liu CC, et al. Polymeric gelatin scaffolds affect mesenchymal stem cell differentiation and its diverse applications in tissue engineering. Int J Mol Sci. 2020; 21(22): 8632.
  10. Akbari V, Rezazadeh M, Ebrahimi Z. Comparison the effects of chitosan and hyaluronic acid-based thermally sensitive hydrogels containing rosuvastatin on human osteoblast-like MG-63 cells. Res Pharm Sci. 2020; 15(1): 97-106.
  11. Türer A, Coşkun Türer Ç, Durmuşlar MC, Balli U, Önger ME. The influence of oral administration of rosuvastatin on calvarial bone healing in rats. J Craniomaxillofac Surg. 2016; 44(9): 1327-1332.
  12. Türer A, Türer ÇC, Balli U, Durmuşlar MC, Önger ME, Çelik HH. Effect of local rosuvastatin administration on calvarial bone defects. J Craniofac Surg. 2016; 27(8): 2036-2040.
  13. Monjo M, Rubert M, Wohlfahrt JC, Rønold HJ, Ellingsen JE, Lyngstadaas SP. In vivo performance of absorbable collagen sponges with rosuvastatin in critical-size cortical bone defects. Acta Biomater. 2010; 6(4): 1405-1412.
  14. Fan CH, Hao Y, Liu YH, Li XL, Huang ZH, Luo Y, et al. Anti-inflammatory effects of rosuvastatin treatment on coronary artery ectasia patients of different age groups. BMC Cardiovasc Disord. 2020; 20(1): 330.
  15. Rezazadeh M, Parandeh M, Akbari V, Ebrahimi Z, Taheri A. Incorporation of rosuvastatin-loaded chitosan/chondroitin sulfate nanoparticles into a thermosensitive hydrogel for bone tissue engineering: preparation, characterization, and cellular behavior. Pharm Dev Technol. 2019; 24(3): 357-367.
  16. Kalani MM, Nourmohammadi J, Negahdari B. Osteogenic potentialof Rosuvastatin immobilized on silk fibroin nanofibers using argon plasma treatment. Biomed Mater. 2018 Dec 7;14(2):025002.
  17. Ibrahim HK, Fahmy RH. Localized rosuvastatin via implantable bioerodible sponge and its potential role in augmenting bone healing and regeneration. Drug Deliv. 2016; 23(9): 3181-3192.
  18. Ehterami A, Abbaszadeh-Goudarzi G, Haghi-Daredeh S, Niyakan M, Alizadeh M, JafariSani M, et al. Bone tissue engineering using 3-D polycaprolactone/gelatin nanofibrous scaffold containing berberine: In vivo and in vitro study. Polym Adv Technol. 2022; 33(2):672-681.
  19. Kang YG, Wei J, Kim JE, Wu YR, Lee EJ, Su J, et al. Characterization and osteogenic evaluation of mesoporous magnesium-calcium silicate/polycaprolactone/polybutylene succinate composite scaffolds fabricated by rapid prototyping. RSC Adv. 2018; 8(59): 33882-33892.
  20. Chi Perera CJ, Castillo Baas MG, Alcocer Lara GA, Ramos BorgesSI, Rodríguez Guzmán AL, Fernández Cervantes I, et al. Characterization and hemocompatibility assessment of porous composite scaffolds with a biomimetic human clavicle macrostructure. Health Technol. 2020; 10: 423-428.
  21. Zhang D, Hu Z, Zhang L, Lu S, Liang F, Li S. Chitosan-based thermo- sensitive hydrogel loading oyster peptides for hemostasis application. Materials. 2020; 13(21): 5038.
  22. Park HJ, Lee OJ, Lee MC, Moon BM, Ju HW, Lee Jm, et al. Fabrication of 3D porous silk scaffolds by particulate (salt/sucrose) leaching for bone tissue reconstruction. Int J Biol Macromol. 2015; 78: 215-223.
  23. Ajami M, Soleimani M, Abroun S, Atashi A. Comparison of cord blood CD34 + stem cell expansion in coculture with mesenchymal stem cells overexpressing SDF-1 and soluble /membrane isoforms of SCF. J Cell Biochem. 2019; 120(9): 15297-15309.
  24. Monjo M, Rubert M, Ellingsen JE, Lyngstadaas SP. Rosuvastatin promotes osteoblast differentiation and regulates SLCO1A1 transporter gene expression in MC3T3-E1 cells. Cell Physiol Biochem. 2010; 26(4-5): 647-656.
  25. Novitskaya E, Chen PY, Lee S, Castro-Ceseña A, Hirata G, Lubarda VA, et al. Anisotropy in the compressive mechanical properties of bovine cortical bone and the mineral and protein constituents. Acta Biomater. 2011; 7(8): 3170-3177.
  26. Ait Said H, Noukrati H, Oudadesse H, Ben Youcef H, Lefeuvre B, Hakkou R, et al. Formulation and characterization of hydroxyapatite- based composite with enhanced compressive strength and controlled antibiotic release. J Biomed Mater Res A. 2021; 109(10): 1942-1954.
  27. Ghasemi-Mobarakeh L, Prabhakaran MP, Tian L, Shamirzaei- Jeshvaghani E, Dehghani L, Ramakrishna S. Structural properties of scaffolds: Crucial parameters towards stem cells differentiation. World J Stem Cells. 2015; 7(4): 728-744.
  28. Wang S, Hashemi S, Stratton S, Arinzeh TL. The effect of physical cues of biomaterial scaffolds on stem cell behavior. Adv Healthc Mater. 2021; 10(3): e2001244.
  29. Wang BX, Li KP, Yu T, Feng HY. Rosuvastatin promotes osteogenic differentiation of mesenchymal stem cells in the rat model of osteoporosis by the Wnt/β-catenin signal. Eur Rev Med Pharmacol Sci. 2019; 23(22): 10161-10168.
  30. Stewart SA, Domínguez-Robles J, McIlorum VJ, Gonzalez Z, Utomo E, Mancuso E, et al. Poly(caprolactone)-based coatings on 3D-printed biodegradable implants: a novel strategy to prolong delivery of hydrophilic drugs. Mol Pharm. 2020; 17(9): 3487-3500.
  31. Wu F, Wei J, Liu C, O’Neill B, Ngothai Y. Fabrication and properties of porous scaffold of zein/PCL biocomposite for bone tissue engineering. Compos B Eng. 2012; 43(5): 2192-2197.
  32. Sung HJ, Meredith C, Johnson C, Galis ZS. The effect of scaffold degradation rate on three-dimensional cell growth and angiogenesis. Biomaterials. 2004; 25(26): 5735-5742.
  33. Berkmann JC, Herrera Martin AX, Ellinghaus A, Schlundt C, Schell H, Lippens E, et al. Early pH changes in musculoskeletal tissues upon injury-aerobic catabolic pathway activity linked to inter-individual differences in local pH. Int J Mol Sci. 2020; 21(7): 2513.
  34. Archana D, Singh BK, Dutta J, Dutta PK. In vivo evaluation of chitosan-PVP-titanium dioxide nanocomposite as wound dressing material. Carbohydr Polym. 2013; 95(1): 530-539.
  35. Moghadasi M, Maghsoomi Z. Statins can lead to acute hemolysis. Cardiovasc Hematol Agents Med Chem. 2018; 16(2): 123.
  36. Sheikh-Hasani V, Babaei M, Azadbakht A, Pazoki-Toroudi H, Mashaghi A, Moosavi-Movahedi AA, et al. Atorvastatin treatment softens human red blood cells: an optical tweezers study. Biomed Opt Express. 2018; 9(3): 1256-1261.
  37. Milillo L, Cinone F, Lo Presti F, Lauritano D, Petruzzi M. The role of blood clot in guided bone regeneration: biological considerations and clinical applications with titanium foil. Materials (Basel). 2021; 14(21): 6642.
  38. Stępień K, Siudut J, Konieczyńska M, Nowak K, Zalewski J, Undas A. Effect of high-dose statin therapy on coagulation factors: Lowering of factor XI as a modifier of fibrin clot properties in coronary artery disease. Vascul Pharmacol. 2023; 149: 107153.
  39. Tran PA. Blood clots and tissue regeneration of 3D printed dual scale porous polymeric scaffolds. Mater Lett. 2021; 285: 129184.