Paul D.
Dalton
*,
Cédryck
Vaquette
,
Brooke L.
Farrugia
,
Tim R.
Dargaville
,
Toby D.
Brown
and
Dietmar W.
Hutmacher
*
Institute for Health and Biomedical Innovation, Queensland University of Technology, 60 Musk Avenue, Kelvin Grove 4059, Australia
First published on 22nd October 2012
A well-engineered scaffold for regenerative medicine, which is suitable to be translated from the bench to the bedside, combines inspired design, technical innovation and precise craftsmanship. Electrospinning and additive manufacturing are separate approaches to manufacturing scaffolds for a variety of tissue engineering applications. A need to accurately control the spatial distribution of pores within scaffolds has recently resulted in combining the two processing methods, to overcome shortfalls in each technology. This review describes where electrospinning and additive manufacturing are used together to generate new porous structures for biological applications.
Paul Dalton | Paul Dalton studied multidisciplinary science at Curtin University in Perth, Australia, and researched ophthalmic biomaterials at the Lions Eye Institute during his PhD. After graduating in 1999, he spent three years at the University of Toronto, followed by an Alexander Von Humboldt Fellowship at RWTH-Aachen, Germany, where he pioneered melt electrospinning in the biomedical sciences. In 2006 he received a Wellcome Trust Fellowship to perform experimental spinal cord surgery in Southampton (UK). From 2009 he continued in vivo research at Shanghai Jiao Tong University, China, while developing melt electrospinning at QUT, where he is an adjunct associate professor. |
Cédryck Vaquette | Cédryck Vaquette graduated from the European School of Materials Science in 2003 and completed his PhD in Tissue Engineering at the Laboratoire d'Energetique et de Mécanique Théorique et Appliquée. After graduating in 2008 he moved to the Australian Institute for Bioengineering and Nanotechnology at University of Queensland until 2010, when he joined the Institute of Health and Biomedical Innovation at QUT where he is developing biphasic structures for periodontal tissue engineering. His research interests are electrospinning, tissue engineering for orthopaedic applications and bone regeneration. |
Brooke Farrugia | Brooke Farrugia received her Bachelors in Chemical Engineering and a Masters in Biomedical Engineering in 2006 from the University of New South Wales, Australia. She completed her PhD under the supervision of Prof. Laura Poole-Warren in 2010. Since then, she has conducted her postdoctoral research at Queensland University of Technology as a member of an interdisciplinary team consisting of polymer chemists, cell biologists, engineers, and mathematicians, focusing on research into tissue repair and regeneration. |
Tim Dargaville | Tim Dargaville completed his PhD in polymer chemistry in 2003 at the University of Queensland under the supervision of David Hill. From 2003–2005 he was a research scientist at Sandia National Laboratories in Albuquerque, New Mexico, and in 2006 returned to Australia to take up a position at QUT. He is now a senior lecturer with research interests in novel polymers for biomaterial and sensor applications, especially related to wound healing. He is the recipient of a Queensland ‘Smart State’ Fellowship and is leader of the Tissue Repair and Regeneration program at QUT. |
Toby Brown | Toby Brown is an APA scholarship PhD student at the Institute of Health and Biomedical Innovation at QUT, after graduating in Engineering (Medical Honours First Class) in 2010. He was awarded an Australian Endeavour Research Fellowship and an ATN/DAAD grant for 2012 to continue his thesis work in the Department for Functional Materials in Medicine and Dentistry, University of Wuerzburg, Germany, with Juergen Groll. His research interest focuses on developing new methods to design and fabricate tissue engineering scaffolds based on the process of melt electrospinning. |
Dietmar W. Hutmacher | Dietmar W. Hutmacher is a multidisciplinary biomedical engineer and Chair of Regenerative Medicine at QUT. An educator, inventor, and a creator of new intellectual property opportunities, he obtained his MBA from Henley in 1999 and his PhD from the National University of Singapore in 2001. His successful research is through concerted and integrated leadership with colleagues in engineering (tissue engineering, biomaterials science, computational modelling, chemistry, nanotechnology), life sciences (molecular cell and developmental biology, medicine, stem cell research, genomics, proteomics, bioinformatics), and applied clinical research (orthopaedics, plastic surgery, radiology). He is one of the few academics with developed concepts from the bench to the bedside. |
This challenge of accurately controlling the spatial distribution of pores and structures within the scaffold has been met somewhat by additive manufacturing (AM) processes.8,9 This is a broad term for an increasing number of techniques in which complex structures are constructed in a layer-by-layer manner according to computer aided design. Although providing precise control over scaffold architecture, many current AM approaches involving biocompatible/degradable polymers lack the smaller filament resolution required to produce scaffolds for a range of tissues. AM approaches commonly used within TE include fused deposition modeling (FDM),10 selected laser sintering,11,12 stereolithography13 and inkjet printing.14,15
An alternative processing technique for the fabrication of scaffolds for TE applications is solution electrospinning,7,16,17 which is generally not considered as an AM technique due to the dynamic and chaotic nature of fiber deposition. Several groups including ourselves have used patterned collectors18,19 as well as rotating mandrels20,21 to better control and predict the deposition behavior of solution electrospun fibers, however this is not an AM approach. Therefore, both AM and electrospinning have independently attracted exponentially increasing interest in the design and fabrication of scaffolds over the past fifteen years. In our opinion, shortfalls within each technology could be solved by combining the two processing methods into one generic concept to design and fabricate scaffold morphologies unseen until now. In general, the limitations of AM include lower resolution fabrication limits, while electrospinning is unable to accurately reproduce structured 3D scaffolds.
Here we review papers where electrospinning (from both solution and melt) is used with AM principles. While not always produced for TE applications, combining aspects of electrospinning with AM can have a significant effect on future scaffold design. We also briefly describe bimodal and multiphasic TE scaffolds, as this is an emerging area that is already adopting both electrospinning and AM. We spend a significant time outlining melt electrospinning writing as an AM approach and describe the different TE scaffolds published using this technique. While journal articles describing melt electrospinning are limited (less than 0.5% of the total electrospinning literature),22 the more predictable nature of the electrified molten jet makes this process amenable to AM approaches.
After the electrified jet leaves the spinneret it is initially stable and travels directly towards the collector. The surface charge density of the liquid (which caused the ejection of the jet from the droplet) again increases with decreasing distance to the collector, and “twists” the jet, resulting in bending instabilities and a second zone of fiber formation.24 In this zone, the instabilities in the charged jet's path cause it to spiral or “whip”: where under the influence of the electric field it rapidly accelerates laterally to the flight path, leading to further stretching.
As the electrified jet passes through the air, the solvent evaporates or the molten polymer cools, depending on the mode of electrospinning (solution or melt). With solution electrospinning, there may be different levels of instability, and as such it is a highly dynamic process resulting in technical challenges to control the deposition of fibers so that they result in defined structures.25 Due to an inherent higher viscosity and typically lower conductivity, melt electrospinning can generate fibers without the dynamic bending of the electrified jet. Two studies in independent laboratories with different polymers showed that the direct path of an electrified melt electrospun jet is particularly long, with instabilities just at the collector surface or not at all.26,27 This phenomenon can be utilized in AM, as we will discuss later.
Since electrospinning requires a charged fluid jet to be drawn over a distance to a collector at a different electric potential, this allows limitless flexibility in the configuration of the collector, so long as the electric field gradient is maintained. There are numerous fiber collection techniques devised to improve the orderly placement of electrospun fibers, including the use of structured electro-conductive collectors,18,28 dynamic mechanical devices (e.g. rotating devices),29 fiber deposition onto liquid,30 manipulation of the electric field31 and guiding fibers across voids.32,33 None of these methods, however, offers the precise location of fibers, and thus control over scaffold architecture, as AM processes do. Further, charge accumulation with the deposited fibers restricts the number of layers which remain bound as one coherent structure. Thus, due to the scale of the fibers, the thickness of scaffolds achievable using these methods is limited to effectively two dimensions; even though the use of a secondary electrode elicits the deposition of thicker scaffolds, their thickness is still limited to 3–4 mm.34
Solution electrospun meshes have tightly packed fibers with a low porosity that is not readily controlled. This results in cells being unable to infiltrate the scaffolds and instead only grow on top of the electrospun fiber surface. The use of structured collectors is one simple way to generate open pore sizes within electrospun scaffolds. Zhang et al. and others found that structured collectors could greatly affect the resulting structures of the electrospun mats – essentially acting as a patterned template to influence electrospun fiber collection.18,19 Neves et al. also patterned solution electrospun meshes with shaped collectors with specific dimensions and designs, and evaluated the structures of fibers for biomedical applications.35 Wang et al. also found that electrospun fabrics with tailored architectures and patterns have potential for TE applications by inducing ordered cellular organization36 and locally increasing cell infiltration.18 Although structured collectors allow porous electrospun scaffolds, the process still relies on a chaotic deposition of fibers, and their accurate placement is fixed to the collector used in the experiments.
Fig. 1 Examples of bimodal scaffolds produced by combining solution electrospinning with (A) FDM, (B) melt spinning and (C) melt electrospinning to produce both nano- and micro-fibrous elements within a single TE construct. Figure (A) is reproduced from ref. 37, (B) from ref. 43 and (C) from ref. 42, all with permission. |
The larger structural component in a bimodal scaffold does not need to be produced by AM.41–44 For example, the different fiber diameters obtained from solution and melt electrospinning were used by Kim et al. to produce bimodal scaffolds. The simultaneous electrospinning of a PLGA melt (which produced micron-diameter fibers of 28.0 ± 2.6 μm) and a PLGA solution (which produced sub-micron diameter fibers of 530 ± 240 nm) onto a rotating mandrel produced a thick cell invasive scaffold containing both sub-micron and micron diameter elements (Fig. 1C).42 In another paper following bimodal scaffold principles, a tubular construct was manufactured by melt spinning larger fibers and using solution electrospun fibers as the smaller element (Fig. 1B).43
While bimodal scaffolds contain microfibrous and nanofibrous elements distributed throughout the architecture, multiphasic scaffolds contain different regions of pore size and porosity. These two trends in scaffold fabrication have come about due to the complexity of the tissues and organs that scientists are aiming to repair or replace with TE, and engineers are bound to develop even more elaborate structures in the future. Multiphasic scaffolds have different components that elicit successful regeneration of tissue interfaces, by providing an adequate environment for the different cells types in order to form a new functional tissue interface.
Our group has developed a multiphasic scaffold composed of a FDM scaffold and solution electrospun membrane to promote ectopic periodontal regeneration in an athymic rat subcutaneous model.45 The solution electrospun scaffold acted as a support membrane for permitting the adhesion of a periodontal ligament fibroblast cell sheet, while the FDM scaffold enabled space maintenance for bone regeneration to occur and biomechanical stability. Our group has also developed similar structures, utilizing a melt electrospun membrane for the same purpose of regenerating the periodontium complex (Fig. 2). In this strategy, the FDM scaffold (bone compartment) acts as a support for bone ingrowth. The melt electrospun scaffold (periodontal compartment), seeded with cells of interest (e.g. periodontal ligament cells or mesenchymal stem cells), enabled the formation of periodontal ligament fibers and the insertion of these fibers into newly formed cementum on the root surface. Further to this strategy, bone formation can be stimulated by the incorporation of bioactive molecules, such as bone morphogenic protein-7 (BMP-7) carried by a hydrogel injected into the bone compartment (Fig. 2). This concept was translated in our group as a proof of principle study, into which the biphasic scaffold was loaded with BMP-7 in the bone compartment and seeded with periodontal ligament cells in the periodontal compartment. It was then placed onto a dentin block and subcutaneously implanted in athymic rats for 8 weeks. The design of this biphasic scaffold permitted a high level of bone formation (see Fig. 2C–E) in the adjacent compartment, without any trace of mineralization in the periodontal compartment. The melt electrospun scaffold acted as a barrier for the hydrogel loaded with BMP, so that the soft ligamentous tissue would not be affected by the release of the drug (see Fig. 2F).
Fig. 2 Biphasic scaffold composed of a FDM and a melt electrospun scaffold for periodontal regeneration. (A) Morphology of the cross-section of the biphasic scaffold (SEM), (B) description of the strategy utilized in our proof of principle study, (C) 3D reconstruction of the mineralization construct 8 weeks post-implantation, and (D)–(F) histological analysis of the bone and periodontal compartment. Courtesy of S. Ivanovski, S. Hamlet and C. Vaquette from unpublished data. |
Electrospinning is therefore being combined with other AM approaches to produce bimodal or multiphasic scaffolds. While the smaller scale elements are usually produced with solution electrospinning, these could also be produced using melt electrospinning and combined with an AM approach such as FDM. Either way, combining different manufacturing processes is an effective approach to create scaffolds with high architectural complexity that more closely fulfill the requirements for the majority of TE applications.
Another approach involved electrospinning a PCL methylene chloride/dimethyl formamide solution into a 5% PEO coagulation bath, using a translating stage to control the deposition of the PCL solution (Fig. 3).50 After washing in deionized water, the scaffold had a porosity of 78%, and the scaffold struts were 205 ± 61 μm in diameter. The scaffold filament surface was quite roughened compared to a typical FDM-formed scaffold, due to involving the precipitation of a polymer solution in a coagulant bath. Osteoblast activity and mineralization was greater than for FDM-produced scaffolds with similar dimensions, perhaps due to the surface roughness.
Fig. 3 Solution electrospun fibers produced in a direct writing mode. One of the first demonstrations of electrospinning as an AM approach, “scanning tip electrospinning” (A) used short collection distances and small quantities of polymer solution deposited onto an atomic force microscope tip. This work was followed by Sun et al., who termed their process “near-field electrospinning” (B). Hellmann et al. produced even more complex structures, shown in (C). Recent work with coagulation baths precipitated out relatively large struts of PCL in another AM approach (D). In this instance, the benefit over FDM is the surface roughness, which promoted better compatibility with cells. Figure (A) was reproduced with permission from Sun et al., Nanoletters, 6, 839. Copyright 2006 American Chemical Society.47 Figure (B) is reproduced from ref. 49, C from ref. 48 and (D) from ref. 50, all with permission. |
Controlling the fiber deposition of solution electrospun fibers without coagulation baths or short gaps is also demonstrated by Lee et al.51 In this approach, a cylindrical side electrode is used in combination with a translating sharp tip that sits below a thin collector (Fig. 4). While the collector remains stationary, it is the translating sharp tip below the collector that controls deposition. An electrospun fiber is therefore produced in the conventional sense that the electrified jet passes through the air for significant distances to permit solvent evaporation. The resulting fibers are sub-micron in diameter and overall have a consistent morphology and uniform fiber diameter. A straight fiber could be drawn on the surface of the collector, although the translation speeds of the tip were relatively high at 50 cm s−1. However, the structures collected were complex and supported 3T3 fibroblast adhesion.
Fig. 4 Solution electrospinning in a direct writing mode based on work by Lee et al.51 In this configuration, shown in (A), the jet is controlled by a side-walled electrode, in combination with a moving sharp pin electrode beneath a thin-plate collector. The result is a controlled electrical field (B) that allows direct writing of structures with an example shown in (C) and magnified in an SEM image in (D). The diameter distribution (E) is typical for such electrospun fibers, and (F) supports the survival of 3T3 cells, as shown with the live-dead stain. Figures reproduced with permission from Lee et al., Langmuir, 28, 7267. Copyright 2006, American Chemical Society.51 |
Solution electrospinning is greatly influenced by the use of solvents and many of the AM approaches use very short collector distances to minimize electrified jet instabilities.46–49 The dynamic nature of the electrified jet is due to both low surface tensions of polymer solutions combined with high surface charges usually contributed by the solvent. The jet instabilities in solution electrospinning are the reason that the process generates nanofibers, yet it makes their deposition difficult to control. Within TE, there are also issues of cell toxicity due to residual solvent (more important for translation into the clinic) as well as solvent accumulation. The use of volatile, toxic solvents means that cells/tissues cannot be put in contact with solution electrospun materials without full solvent removal. To contrast this last point with melt electrospinning, a 2005 study showed that melt electrospun fibers could be deposited directly onto cells, without affecting their viability.52 Using organic solvents requires full extraction prior to biomedical use and therefore limits the full potential of solution electrospinning as part of a 3D scaffold-based TE concept.
Two important factors make melt electrospinning a viable AM approach. Firstly, the electrified molten jet is not subject to the dynamic motion seen with solution electrospinning (Fig. 5). Secondly, the deposited fibers do not appear to repel the next layer of fibers. While the first issue can be traced to both a higher viscosity and lack of charged solvent, the second phenomenon is a result of minimal residual charge on the deposited fiber, also due to no solvent use. The absence of significant “whipping” in melt electrospinning means that a straight fiber can be accurately drawn by moving the collector at a speed faster than the deposition rate. The electrified molten jet therefore behaves similarly to a viscous thread dropped from a height onto a moving platform. Fig. 6 shows the effect of moving the collector at different speeds under a melt electrospun spinneret.53 The lack of chaotic motion of the molten jet has a significant impact on the design of the x–y stage utilized in the direct writing process. Indeed, lower collector translational speeds are required in order to obtain straight fibers with melt electrospinning writing compared to near field electrospinning. In our recent publication53 we have shown that, depending on the polymer feed rate, straight fibers are obtained for speeds ranging from 8.3 to 16.6 mm s−1, whereas typical collector speeds in the near field (solution) electrospinning span from 50 to 150 mm s−1.47 This tremendous difference in the x–y stage capability undoubtedly increases both the cost and the technical complexity of engineering x–y stages with such high velocities.
Fig. 5 Comparison of the jet stabilities between solution and melt electrospinning. The electrified jet in solution electrospinning (A) often (but not always) has instabilities that result in a broad deposition area. In comparison, the molten electrified jet (shown in B) is often straight and visible to the eye right up to the collector. The molten jet also cools rapidly (C and D). Figure (A) is reproduced from ref. 60 and (B) is from ref. 26, while (C) and (D) are reproduced from ref. 59 with permission. |
Fig. 6 (A) Effect of stage movement speed on the shape of melt electrospun scaffolds. The collector speed (A) defines the straightness of the fiber, while the turning speed (B)–(E) is also important to ensure the fiber is not drawn prematurely (C) or forms coiled fibers at the turning point (D). A photograph of an interwoven melt electrospun scaffold with significant height (approx. 1 mm) formed in a direct writing mode is shown (F). The edge of the scaffold shown in (F) is shown in inset (G) and makes use of optimum turning speeds to minimize unwanted fiber deposition. A photograph of our university logo, written by stacking 20 μm fibers upon each other ten times can be accurately reproduced (H). Fig. (A)–(G) are from ref. 53 while (H) is from ref. 61, both reproduced with permission. |
By definition, AM requires a layer-by-layer construction where successive layers are bonded to create a whole structure. The opposite is commonly seen in solution electrospinning, where both shielding and charge repellency occurs, causing the deposited fibers to repel the next layer. The latter effect is particularly detrimental, and since solution electrospinning often uses a charged solvent the freshly deposited fibers usually retain some surface charge. Melt electrospinning polymers can result in minimal residual charges that lead to accurate stacking. Fig. 6H shows a photograph of our institutional and academic logo, where a fiber is accurately deposited upon another fiber ten times. Using a glass microscope as the collector, the 20 μm diameter fibers stack almost perfectly upon each other. Impressively, a total of 10 logos were written in total and were almost identical, demonstrating the reproducibility of melt electrospinning as an AM approach.
Since we are able to accurately stack new fibers upon deposited fibers in a direct writing mode, TE scaffolds from such an approach were fabricated (Fig. 7). Using a common AM approach of woodpiling,1,54,55 fibers were placed onto a collector at 90° and 120° orientations. One major difference between these scaffolds and FDM scaffolds is that the diameters of the fiber struts are over an order of magnitude smaller. Furthermore, the inter-fiber spacing relative to the fiber diameter is much higher in melt electrospinning writing. Since there is a significant gap (2–3 cm) between the spinneret and the collector, the viscous molten jet can partially cool before deposition. This means that a small filament can span across a larger air gap, effectively increasing the total porosity of the scaffold compared to FDM scaffolds.
Fig. 7 Melt electrospun scaffolds formed in direct writing mode using (A) 120 degree turns (B, magnified) and (C) 90 degree turns. Reproduced from ref. 53 with permission. |
This high porosity is demonstrated in another recent paper,56 where 180 ± 40 μm thick cell-invasive PCL scaffolds were manufactured through melt electrospinning writing for skin TE applications (Fig. 8). Micro-computed tomography (μCT) represented the electrospun written scaffolds in 3D, and applying a bone morphogenic analysis algorithm to the collected data showed a porosity of approximately 87%. This compares to the current limit of approximately 75% for FDM scaffolds.10,57 The fiber diameters of these particular melt electrospun PCL scaffolds were 7.5 ± 1.6 μm, and inter-fiber distances ranged from 8 μm to 133 μm with an average of 46 ± 22 μm, and were fully infiltrated by human dermal fibroblasts in vitro. A top-seeding method with fibroblasts was adequate to achieve this, with cells present throughout and underneath the scaffold. This was confirmed through SEM and histology. Following 7 days in vitro a cross section of the cell-scaffold construct (Fig. 8D) clearly showed evidence of ECM throughout the scaffold, as well as cellular anchorage to the scaffold fibers. Additionally, full cellular penetration, as indicated by the presence of fibroblast nuclei throughout the scaffold, occurred after 14 days in vitro (Fig. 8E and F). The orderly placement of fibers, in conjunction with low micron-diameter fibers, resulted in a 3D fibroblast-scaffold construct suitable for TE applications.
Fig. 8 Scanning electron microscopy of PCL scaffolds produced via (A) static conditions and (B) direct writing mode. Three dimensional visualization of a melt electrospun written scaffold using μCT is shown in (C). Fibroblast infiltration of the electrospun written scaffold after 14 days was assessed via SEM (D). Histological sections of a fibroblast seeded scaffold (E) show cells present within the scaffold, in (F). The white arrows in (F) indicate PCL fibers while the black arrows show fibroblast nuclei. Figures are reproduced from ref. 56 with permission. |
Fig. 9 Melt electrospinning writing onto a cylindrical collector to produce cell invasive tubular structures. Schematics of fiber deposition onto the cylindrical collector are shown (a, b) as well as a microscope image of the deposited fibers (c). Photographs (d)–(f) are of tubular scaffolds made using a deposition pitch of 30°, 45° and 60°. Human osteoblasts are seeded onto the scaffold and actin fibers imaged with confocal laser scanning microscopy (e), while live-dead imaging (f) shows that over 90% of osteoblasts are alive after 2 weeks in vitro. Figures reproduced from ref. 8. |
Unlike many other solution electrospun tubes, the melt electrospun PCL tube can truly be considered a scaffold, supporting the ingrowth of three different cell types in vitro. Using μCT measurements, a porosity of 86–87% and a pore area of 0.05 mm2 was calculated for the scaffolds. Prior to cell seeding, the PCL fibers were coated in CaP to enhance osteoinduction. Cell vitality and proliferation remained high for primary human osteoblasts as well as mouse osteoblasts, demonstrating good biocompatibility.
Fig. 10 Schematic highlighting some distinctions between FDM and melt electrospinning writing. For FDM (A), the polymer melt must be pushed through a fine nozzle to attain small diameter filaments, creating significant pressures due to melt flow. Melt electrospinning (B) can have a much larger diameter spinneret, since the diameter reduction of the filament takes place across a large air gap due to surface charges on the electrified jet. Due to this large air gap, melt electrospinning writing does not need stage movement in the z-direction. Ultimately the filaments are smaller—currently down to 5 μm, compared to a 100 μm limit for FDM systems. |
Applying AM principles to melt electrospinning for biomedical science is in its infancy, however initial outcomes suggest the approach is very promising. Firstly, the fiber placement is well controlled, and the filament diameters are usually in the low micron region. Pores are interconnected and sufficiently large (20 μm and above) to support cell and tissue growth throughout the scaffold architecture. As shown in this review, medical grade polymers such as PCL can be processed without adverse biological effects. It is important though, that cytotoxicity testing and investigation of the degradation properties of polymer melts is performed such that the different scaffold designs are studied for specific TE applications. Long-term preclinical animal studies, followed by in depth analysis of different orders of magnitude from macro- to micro- to nano-scale, using sophisticated methods to prove the outcome of highly organized and functional regenerated tissue, is crucial to the future development and optimization of melt electrospun scaffolds. Additionally, processes previously developed to surface modify polymers can be used with this process. As an example, CaP was deposited on melt electrospun fibers, resulting in improved osteoblast adhesion and mineralization. Finally, the rapid cooling of the polymer melt allows experiments where fibers are written directly upon cells or tissues. While this expands the capacity to assemble diverse TE constructs, there are still many biological experiments to determine the effects of fiber deposition (and electrostatics) upon cell viability and behavior.
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