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    Functional composite nanofibers of poly(lactide–co-caprolactone) containing

    gelatin–apatite bone mimetic precipitate for bone regeneration

    Seung-Hwan Jegal a,c, Jeong-Hui Park a,c, Joong-Hyun Kim c, Tae-Hyun Kim c, Ueon Sang Shin c,Tae-Il Kim d, Hae-Won Kim a,b,c,⇑

    a Biomaterials and Tissue Engineering Laboratory, Department of Nanobiomedical Science and WCU Research Center, Dankook University, South Koreab Department of Biomaterials Science, School of Dentistry, Dankook Universitsy, South Koreac Institute of Tissue Regeneration Engineering, Dankook Universitsy, South Koread Department of Periodontology, College of Dentistry, Seoul National University, South Korea

    a r t i c l e i n f o

     Article history:

    Received 6 September 2010

    Received in revised form 28 October 2010

    Accepted 1 December 2010

    Available online 8 December 2010

    Keywords:

    Electrospun matrix

    Apatite–gelatin

    Polymer nanofiber

    Osteoblastic responses

    Bone regeneration

    a b s t r a c t

    Functional nanofibrous materials composed of gelatin–apatite–poly(lactide–co-caprolactone) (PLCL)

    were produced using an electrospinning process. A gelatin–apatite precipitate, which mimicked bone

    extracellular matrix, was homogenized in an organic solvent using various concentrations of PLCL. A

    fibrous structure with approximate diameters of a few hundred nanometers was successfully generated.

    Apatite nanocrystallines were found to be effectively distributed within the polymeric matrix of the gel-

    atin–PLCL. The addition of a small amount of gelatin–apatite into PLCL significantly improved the tensile

    strength of the nanofiber by a factor of 1.8. Moreover, tissue cell growth on the composite nanofiber was

    enhanced. Osteogenic differentiation of the cells was significantly stimulated by the composite nanofiber

    compared with the pure PLCL nanofiber. When implanted in a rat calvarium for 6 weeks the composite

    nanofiber supported defect closure and new bone formation better than the pure PLCL nanofiber, as

    deduced from micro-computed tomography and histological analyses. Based on these results, the gela-

    tin–apatite–PLCL composite nanofiber developed in this study is considered to be potentially useful as

    a bone tissue regeneration matrix.  2010 Acta Materialia Inc. Published by Elsevier Ltd. All rights reserved.

    1. Introduction

    The reconstruction of damaged hard tissues using biomedical

    materials has shown some promise in the field of regenerative

    medicine   [1,2]. Recently, nanofibers have been developed as a

    new type of scaffolding material via an electrospinning technique

    [3–5]. A range of biopolymers, including poly(a-hydroxyl acids),natural proteins and polysaccharides, have been produced as nano-

    fibrous structures with sizes of tens to hundreds of nanometers [6–

    13]. The fiber morphology obtained has been considered far too

    difficult to achieve by other conventional processing techniques.

    Moreover, many biological tests have shown the merits of nanofi-

    brous structures in the adhesion and growth of cells and further

    tissue development [14,15].

    For the regeneration of hard tissues, including bone and tooth,

    the recent research focus has been on composites combining poly-

    meric matrices with inorganic components [16–20]. Bone matrix is

    a type of nanocomposite consisting of apatite nanocrystallites and

    collageneous fibrous protein, therefore, the composite approach is

    considered to mimic the native bone structure   [5]. Studies have

    shown that nanocomposite biomaterials induced better bone cell

    responses  in vitro  and bone formation in vivo  compared with indi-

    vidual polymers   [21–26]. Specifically, porous scaffolds made of 

    hydroxyapatite-precipitated gelatin showed significantly en-

    hanced bone cell responses   [21]. Bioactive glass components in

    composites containing degradable polymers have also been shown

    to stimulate the gene expression and differentiation of osteogenic/

    stem cells   [25–27]. Moreover, synthetic degradable polymeric

    films filled with an inorganic calcium phosphate phase have shown

    better resistance to the rapid degradation associated with acidic

    environments [24]. However, only limited studies have been made

    on the production of nanofibrous matrices composed of compos-

    ites by the electrospinning process  [16–20].  This is because it is

    far more difficult to construct a nanofibrous networkfrom compos-

    ites than from the individual polymers [5].

    Recently, a nanofibrous membrane composed of apatite and

    gelatin was produced by electrospinning   [17]. The apatite nano-

    crystals were found to be evenly distributed within the gelatin ma-

    trix when the precipitated product was dispersed within an

    organic solvent. In practice, this idea provides an important insight

    into the fabrication of composite nanofiber systems. However, the

    1742-7061/$ - see front matter     2010 Acta Materialia Inc. Published by Elsevier Ltd. All rights reserved.doi:10.1016/j.actbio.2010.12.003

    ⇑ Corresponding author at: Biomaterials and Tissue Engineering Laboratory,

    Department of Nanobiomedical Science and WCU Research Center, Dankook

    University, South Korea. Tel.: +82 41 550 1926.

    E-mail address: [email protected] (H.-W. Kim).

    Acta Biomaterialia 7 (2011) 1609–1617

    Contents lists available at   ScienceDirect

    Acta Biomaterialia

    j o u r n a l h o m e p a g e :   w w w . e l s e v i e r . c o m / l o c a t e / a c t a b i o m a t

    http://dx.doi.org/10.1016/j.actbio.2010.12.003mailto:[email protected]://dx.doi.org/10.1016/j.actbio.2010.12.003http://www.sciencedirect.com/science/journal/17427061http://www.elsevier.com/locate/actabiomathttp://www.elsevier.com/locate/actabiomathttp://www.sciencedirect.com/science/journal/17427061http://dx.doi.org/10.1016/j.actbio.2010.12.003mailto:[email protected]://dx.doi.org/10.1016/j.actbio.2010.12.003

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    stiff nature of the product and premature dissolution must be over-

    come to obtain a scaffold suitable for cell cultivation and hard tis-

    sue formation. Within this context we utilized the mechanical

    benefits of a synthetic polymer, poly(lactide–co-caprolactone)

    (PLCL), within a bone-mimicking gelatin–apatite system to pro-

    duce a functional composite membrane composed of gelatin–apa-

    tite–PLCL. This composite nanofibrous membrane is also

    considered to provide better biological properties than PLCL bio-

    polymer nanofiber. Herein, fabrication methods to produce com-

    posite membranes and their mechanical properties are described

    and the biological performances in the presence of bone cells

    in vitro  and rat calvarium tissues  in vivo  are examined.

    2. Materials and methods

     2.1. Preparation of composite nanofibers

    The gelatin–apatite solution was prepared through a precipita-

    tion reaction of Ca(NO3)24H2O and (NH3)2HPO4   within gelatin

    (Type B, bovine skin), as described previously [17]. Briefly, two sep-

    arate solutions of calcium-containing gelatin (Ca-gelatin) and phos-

    phate-containing gelatin (P-gelatin) were mixed at a ratio of [Ca]/[P] of 1.67, with vigorous stirring at 40 C and a constant pH of 

    10, maintained using NH4OH. The apatite to gelatin ratio was main-

    tained at an equivalent weight (apatite/gelatin = 1) in consideration

    of the complete reaction of calcium and phosphate to form apatite.

    The apatite-precipitated gelatin sol was frozen at –20 C and then

    freeze-dried under vacuum. Next, the dried sample was washed

    thoroughly with distilled water/ethanol to remove any salt byprod-

    ucts, after which it was again freeze-dried. The freeze-dried sample

    was then dispersed in trifluoroethanol (TFE) (Aldrich) at 15% w/v

    with ultrasonic vibration for a few minutes and then stirred vigor-

    ously for 24 h. Next, PLCL (Boelinger Ingelheim) dissolved in TFE at

    15 wt.% was mixed with the gelatin–apatite solution at two differ-

    ent mixing ratios (gelatin–apatite:PLCL = 1:4 (high) or 1:6 (low)).

    Each solution was then loaded into a syringe and injected onto amandrel rotating at a speed of 140 rpm under a high d.c. voltage

    of 10 kV at a distance of 15 cm at an injection speed of 0.4 ml h–1.

     2.2. Characterizations

    The morphology of the electrospun nanofibers was evaluated by

    scanning electron microscopy (SEM), and the fiber diameter was

    measured from the images. The phase of the apatite generated

    within the gelatin matrix was confirmed by X-ray diffraction

    (XRD). Transmission electron microscopy (TEM) was used to deter-

    mine the presence and distribution of apatite nanocrystallines

    within the nanofiber. The tensile mechanical properties of the

    nanofibrous membrane were measured using an Instron 3344.

    Membranes were prepared with a thickness of  

    150–200 lmand then cut to a size of 30 4 mm (gauge length 10 mm), afterwhich a tensile load was applied. Stress–strain curves were re-

    corded and the maximum tensile stress, elastic modulus and elon-

    gation at failure were determined. The thickness of each

    membrane was determined from the average value observed in

    the SEM images and a total of five samples were tested for each

    group. The water affinity of the nanofiber membrane was exam-

    ined by measuring the water contact angle (contact angle analyzer

    Phoenix300). Data were recorded for up to 1 h and five samples

    were tested for each group.

     2.3. In vitro osteoblast responses

    The in vitro   biocompatibility of the composite nanofibers wasobserved using pre-osteoblast cells (MC3T3-E1, ATCC). The cells

    were sub-cultured in culture medium, consisting of   a-minimalessential medium supplemented with 10% fetal bovine serum

    (FBS), 2 mM L-glutamine, 50 IU ml–1 penicillin and 50lg ml–1

    streptomycin. Electrospun nanofibrous webs (pure PLCL as a con-

    trol and two different composites) were prepared with dimensions

    of 10 10 mm and placed in 24-well plates, after which the cell

    suspension (at a density of 3 104 cells ml–1) was plated on each

    sample. The samples were then incubated at 37 C and the cell

    growth level was assessed by MTS method at days 3 and 7. Next,

    the cells were fixed, dehydrated in a graded series of ethanol, trea-

    ted with hexamethyldisilazane and coated with gold, after which

    the cell morphology was observed by SEM. Osteoblastic differenti-

    ation of the cells was then observed by measuring the production

    of alkaline phosphatase (ALP). Cells cultured on each nanofibrous

    sample for 7 and 14 days were assessed using an ALP activity kit

    (Sigma), as described previously   [17]. Triplicate samples in each

    group were used for all cellular tests and groups were compared

    by analysis of variance (ANOVA). Significance was considered at

    P  < 0.05 and P  < 0.01.

     2.4. In vivo implantation in rat calvarium

    Six 10-week-old male Sprague–Dawley rats were used in this

    study. The animal surgery protocol was performed in accordance

    with the Animal Care and Use Committee, Dankook University,

    South Korea.

    The animals were anesthetized by means of intramuscular

    injection using ketamine (80 mg kg–1) and xylazine (10 mg kg–1).

    The prepared membranes with dimensions of 10 10 mm were

    sterilized prior to use. The skin hair on the cranium was shaved

    and the surgical region was aseptically treated using povidone/

    70% ethanol. A 15 mm skin incision was made and the periosteum

    was elevated for trephining. Two critical sized full thickness bone

    defects (5 mm diameter) were prepared in each rat at the center

    of each parietal bone using a saline-cooled trephine drill. Care

    was taken not to damage the underlying sagittal sinus and dura

    matter. Each defect was randomly implanted with the two typesof membranes or kept empty as a negative control. The subcutane-

    ous tissue was closed and the skin incisions sutured.

    The animals were sacraficed 6 weeks after implantation. The

    skin was removed and the samples and the surrounding tissues

    were withdrawn en bloc and fixed in 10% neutral buffered formalin

    solution for 24 h at room temperature and prepared for micro-

    computed tomography (micro-CT) analysis and histomorphometry.

    Micro-CT (Skyscan 1072, Skyscan, Aartselaar, Belgium) was

    used to observe the formation of new bone within the defect re-

    gion. The harvested specimens were scanned, with each frame ex-

    posed for 20 ms. Scanning was performed in a direction parallel to

    the coronal aspect of the calvarial bone surrounding the defect

    area. A cylindrical region of interest (ROI) was precisely positioned

    over the center of each defect, encompassing all new bone withinthe defect site. Micro-CT images were reconstructed over the ROI

    using a CTAn (Skyscan) and the data analyzed. The total volume

    of newly formed bone within the ROI was measured using three-

    dimensional (3-D) images by assigning a threshold for total bone

    content (including trabecular and cortical bone) and subtracting

    any contribution of the scaffold (determined previously). Four

    samples for each group were measured and total volume of bone

    is reported (mm3).

    For histomorphometric analysis the fixed samples were decalci-

    fied, dehydrated and embedded in paraffin, then serially sectioned

    with a microtome (LEICA) at 4–5 lm thickness and finallymounted on microscope slides. Slides with tissue sections were

    deparaffinized and dehydrated with xylene and an ethanol series.

    The slides were stained with hematoxylin and eosin (H&E) andMasson’s trichrome (MT) and examined using a light microscope.

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    3. Results and discussion

     3.1. Generation of composite nanofibers

    Fig. 1 shows a schematic illustration of the experimental steps

    used to fabricate the functional composite membrane made of gel-

    atin–apatite–PLCL. Although synthetic polymer nanofibers such as

    PLCL are good candidates for tissue regeneration, the addition of agelatin–apatite composite improves the biocompatibility with

    bone tissue. In addition, the apatite inorganic phase can stimulate

    osteogenic differentiation and calcification when combined with

    biopolymers  [16–18,28]. Moreover, calcium phosphate inorganics

    are known to be highly effective in reducing the problems associ-

    ated with the acidic products formed during polymer degradation,

    such as a decrease in pH and inflammation  [29,30]. Additionally,

    because the major weaknesses of synthetic polymers are hydro-

    phobicity and poor cell affinity, adding a gelatin component should

    improve the properties of synthetic polymers such as PLCL  [31,32].

    To introduce the gelatin and apatite compositions within the

    PLCL phase we first synthesized a gelatin–apatite precipitate and

    Fig. 1.  Schematic showing the experimental steps used to fabricate the gelatin–

    apatite–PLCL composite nanofiber by electrospinning.

    Fig. 2. (a–c) SEMmorphologyof theelectrospunnanofibrous sheets: (a, b) PLCL containing gelatin–apatiteprecipitateat (a)low (1/6) and(b) high (1/4) concentration, and(c)

    pure PLCL. (d) TEM morphology of the composite nanofiber in (a) showing the precipitated apatite nanocrystallites dispersed in the polymeric matrix. (e) XRD analysis toconfirm the phase development of apatite formed in the presence of gelatin matrix (s, hydroxyapatite).

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    then homogenized it with PLCL within a co-solvent, TFE. When

    compared with directly adding the individual components (gelatin

    and apatite) [33,34] the approach used herein, as developed in our

    previous work [17], could produce a composite solution with im-

    proved mixing. The results of our previous study revealed that ami-

    no acid groups in gelatin facilitated the spatial and homogeneous

    nucleation of apatite, which resulted in more uniform and finer

    sized nanocrystallites [17]. As a result, the electrospun nanofibers

    produced from the precipitates had a better fibrous morphology

    than those made by the direct mixing approach  [17]. In practice,

    during the electrospinning of inorganic–organic composites it is

    important to utilize a solution with the appropriate mixing proper-

    ties to ensure the production of uniform and bead-free nanofibers

    [5].

    Herein, addition of the gelatin–apatite precipitate to PLCL was

    conducted at two different concentrations with respect to the

    PLCL: low (1/6 ratio 14.3 wt.%) and high (1/4 ratio 20 wt.%).

    The consequent levels of apatite were  7.2 and 10 wt.% with re-

    spect to the PLCL–gelatin polymer phase.

     3.2. Morphology and mechanical properties of membranes

    The morphology of the generated gelatin–apatite–PLCL com-

    posite nanofibers is shown in Fig. 2. At both concentrations of gel-

    atin–apatite spinning into a fiber was possible under the adjusted

    conditions. When a low concentration of gelatin–apatite was used

    (14.3 wt.%, Fig. 2a) a well-developed non-woven fibrous web with

    fibers a few hundreds of nanometers in size were produced. The

    electrospun fiber was continuous with no discrete beads, but some

    regions appeared to be heterogeneous with a slightly thicker diam-

    eter. The hydrophilic gelatin–apatite may become segregated to

    some extent within the PLCL matrix during the electric field-driven

    process. When a high concentration (20 wt.%) of gelatin–apatite

    was used some discrete beads were noticed and the fiber size be-

    came relatively non-uniform (Fig. 2b). Compared with the pure

    PLCL nanofibers (Fig. 2c) the composite nanofibers had relatively

    smaller diameters (average fiber size 310 ± 103 nm for the high

    concentration and 291 ± 51 nm for the low concentration of gela-

    tin–apatite vs. 517 ± 232 nm for PLCL), moreover, some microfibers

    were noticed in the PLCL. The existence of an apatite inorganic

    phase is evident in the TEM image (Fig. 2d). Additionally, highly

    elongated apatite nanocrystallites were well distributed within

    the PLCL–gelatin matrix, and there appeared to be no sign of phase

    separation between the gelatin and PLCL. The apatite phase pro-

    duced in the presence of the gelatin matrix was confirmed by

    XRD (Fig. 2e). The homogeneity of the gelatin–apatite precipitate

    was shown to be well preserved within the PLCL matrix. Thus,

    the addition of gelatin–apatite to PLCL is an effective method of 

    obtaining nanofibers with well-homogenized inorganic–organic

    components within the biopolymer matrix.

    The mechanical properties of the composite nanofibers are

    compared with those of pure PLCL nanofiber in Fig. 3. The stress–

    strain curves of the nanofiber membranes were recorded on five

    individual samples, and a characteristic curve for each composition

    is shown in Fig. 3a. All nanofibrous membranes showed an initial

    rapid increase in stress, which became less rapid as the maximum

    stress value was approached, and then failure. The maximum

    stress value (tensile strength), the initial slope (elastic modulus)

    Fig. 3.  Tensile mechanical tests of the nanofibrous composite membranes and pure PLCL for comparison: (a) representative stress–strain curves of each membrane, (b)

    maximum tensile stress, (c) elastic modulus, and (d) elongation at failure, as determined in 5 individual samples (mean ± SD for  n = 5). The value obtained in the compositenanofibers was significantly different from that in pure PLCL (⁄P  < 0.05, by ANOVA).

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    and the percentage elongation (strain) at failure were obtained

    from the stress–strain curves, as shown in Fig. 3b–d. The composite

    membrane with a low gelatin–PLCL content showed the highest

    strength (mean 10.1 MPa), which was almost double that of the

    PLCL nanofiber (mean 5.7 MPa). However, the strength of the com-

    posite with a high gelatin–apatite content was slightly lower

    (mean 4.3 MPa) than that of pure PLCL. The elastic modulus of 

    the nanofibers was also measured (Fig. 3c). The addition of gela-

    tin–apatite dramatically increased the elastic modulus of purePLCL, and the increase was more significant with addition of the

    low concentration of gelatin–apatite (5.2 MPa for PLCL vs.

    51 MPa for low and 25 MPa for high concentration composite).

    While the percentage elongation at failure of the pure PLCL nano-

    fiber was as high as   330%, the addition of gelatin–apatite de-

    creased this value in a concentration-dependent manner, as

    indicated by elongation values of  230% and 90% for nanofibers

    that contained low and high concentrations of gelatin–apatite,

    respectively. In our previous study of a gelatin–apatite nanofiber

    system gelatin composite fibers containing 20 and 40% apatite

    had tensile strengths and elongations of approximately 4–5 MPa

    and 4–7%, respectively, which are significantly lower than the val-

    ues obtained for the gelatin–apatite–PLCL composite fiber [17]. The

    addition of low concentration of gelatin–apatite significantly en-hanced the strength (an approximately two times increase) and

    stiffness (an approximately ten times increase) but simultaneously

    slightly reduced the elongation rate (approximately 30% decrease).

    However, the elongation obtained in the composite was high en-

    ough that the addition of gelatin–apatite is not considered to

    diminish the elongation property that is not appropriate for bone

    regeneration.

    In practice, the addition of inorganic particles to the polymeric

    phase is known to enhance the mechanical strength when the inor-

    ganic particles are fine and evenly dispersed [35]. In biological sys-tems such as bone the apatite nanocrystallites embedded in the

    collagen fibers strengthen and harden the bone tissue  [36]. In the

    present study the addition of a small amount of apatite–gelatin

    was found to be highly effective in improving the mechanical

    strength of the PLCL nanofibers. This was probably because the

    ultrafine apatite crystallites were evenly dispersed in the nanofi-

    bers, which should have enabled the polymer to resist extension

    in response to an applied load. However, the addition of a high con-

    centration of apatite–gelatin was found to decrease the strength of 

    the PLCL. This was believed to be due to agglomeration of the apa-

    tite nanocrystallites, which was revealed as the presence of some

    large beads on the nanofibers (as seen in Fig. 2b). The agglomerated

    beads probably lead to premature failure rather than resistance to

    an applied load, although some stiffening effect of the inorganicphase was noticed, as determined from the initial slope of the

    Fig. 4.  Osteoblastic cell responses to the composite nanofibrous membranes: (a) cell growth morphology on the composite containing a low level of gelatin–apatite at 3 and7 days, (b)cell proliferation level for up to 7 days, as determined by MTS, and(c) ALPosteogenic differentiationon thenanofibers at days 7 and14. A significant difference was

    noticed on thecomposite nanofiber with respect to PLCL (⁄P  < 0.05 and ⁄⁄P  < 0.01, by ANOVA, n  =3). A significant increase in ALPactivity wasobserved on the composite with

    a low content of gelatin–apatite with respect to culturing time ( ++P  < 0.01, 7 vs. 14 days).

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    curve. Conversely, the composite nanofibers with low gelatin–apa-

    tite content showed a greater elongation, almost comparable with

    that of pure PLCL. Apart from a strengthening effect, the mainte-

    nance a high degree of flexibility should favor the use of this com-

    posite as a tissue regeneration membrane or a scaffold for cell

    growth.

    The affinity to water of the composite membranes was shown

    to be significantly higher than that of PLCL. The initial water con-

    tact angle to the nanofiber surface was   80   for PLCL and   70

    for both composites. Additionally, the water droplet was shown

    to spread completely over the composites, penetrating into the

    nanofiber matrix within   1 (high gelatin–apatite content) and

    5 min (low gelatin–apatite content). However, no such water per-

    meation was observed when the pure PLCL nanofiber was evalu-ated, even after 1 h. This high water affinity of the PLCL 

    nanofibers containing gelatin–apatite should allow effective and

    rapid fluid contact with the material surface, thereby enhancing

    the reaction with biological molecules and cells.

     3.3. In vitro cellular responses

    The biological role of the gelatin–apatite within the PLCL nanof-

    ibers was addressed in terms of cell growth and osteogenic devel-

    opment   in vitro. MC3T3-E1 murine-derived pre-osteoblast cells

    were cultured on the nanofibrous membranes and cell prolifera-

    tion of and ALP activity in the cells were then examined.  Fig. 4a

    shows the morphology of cells grown on the composite (low con-

    tent gelatin–apatite) and PLCL nanofibrous substrates. On the com-posite nanofibers the cells were very viable initially (at day 3) with

    good cytoplasmic extensions, and the cells almost reached conflu-

    ence, forming a thick cell layer by day 7. On the pure PLCL the cells

    on day 3 exhibited less spreading than those on the composite, but

    showed similar behavior on day 7. The level of cell growth on the

    nanofibers was also measured by MTS assay (Fig. 4b). At day 3 cell

    proliferation was significantly higher on the composite membranes

    than on the pure PLCL (P  < 0.01). No significant difference was ob-

    served between the two composite nanofibers. It is believed that

    the increase in initial cell spreading and growth on the composites

    was primarily due to the enhanced hydrophilicity, which allowed

    the rapid adsorption of proteins and facilitated the cell adhesion

    process   [10]. Moreover, ion (such as calcium and phosphate) re-

    lease from the apatite component within the nanofiber can alter

    cell behavior, such as cell proliferation and osteoblastic differenti-ation [37,38].

    It is important to note that the ALP level was significantly great-

    er on the composite nanofibers (Fig. 4c). ALP enzymatic activity

    produced by cells on the nanofiber membranes was measured dur-

    ing culture for 7 and 14 days. The ALP activity of cells grown on the

    composite nanofibers was significantly higher than that of cells

    grown on pure PLCL at day 7, while no significant difference was

    observed between the two composite nanofibers. At this point

    the cells had reached confluence and formed a thick layer, there-

    fore, they may have undergone osteoblastic differentiation, which

    is generally associated with the saturated proliferative potential

    of MC3T3-E1 cells. After prolonged culture for 14 days ALP stimu-

    lation on the composite with a low content of gelatin–apatite was

    significant (almost double), while only a slight increase was no-ticed on the other membranes. As a result, the ALP level in cells

    Fig. 5.  Micro-computed tomography (micro-CT) analyses of the harvest samples at 6 weeks post-operation. Sample groups are (a) blank control, (b) PLCL nanofiber, and (c)

    composite nanofiber. To the right of the image of the surgical operation is a 2-D reconstructed micro-CT image including the 5 mm initial defectzone shown in yellow. Below

    the image is a 3-D reconstructed micro-CT image, showing more clearly the formation of hard tissues within the defect region. (d) Bone volume determined from the 3-D

    micro-CT data. A significant difference was noticed on the PLCL and composite nanofibers with respect to the blank control ( ⁄P  < 0.05 and   ⁄⁄P  < 0.01, by ANOVA).

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    on the composite with a low content of gelatin–apatite was signif-

    icantly higher (by a factor of  2) than that in other membranes.

    The apatite dispersed within the PLCL–gelatin matrix in the nano-

    fiber should enhance osteogenic differentiation, particularly during

    culture for 7–14 days. It is also believed that apatite synthesized inthe presence of a gelatin network largely mimics native bone

    [33,39]. Previous studies have shown that apatite created within

    gelatin greatly enhances bone cell differentiation and ALP produc-

    tion  [17]. Furthermore, the added gelatin may also improve the

    biological potential of the PLCL polymer during osteoblast growth

    and matrix synthesis [8]. An increase in the initial event can leadto increases in the overall processes, including cell division and

    Fig. 6.  Hematoxylin and eosin (H&E) and Masson’s trichrome (MT) staining of the tissues formed within the defect with the help of the nanofibrous membranes: (a) H&E

    stain, PLCL nanofiber, (b) H&E stain, composite nanofiber, (c) MT stain, PLCL nanofiber and (d) MT stain, composite nanofiber. Defect margins are indicated by arrows. (e)

    Enlarged image of inset in (d) showing the formation of bony tissue. Defect closure was significantly different between the groups based on the histomorphometric analysis

    (64.7% for composite >57.7% for PLCL >40.4% for control,  P  < 0.01, by ANOVA, n  = 4). Scale bars: (a–d) 500lm; (e) 30 lm.

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    differentiation. The   in vitro  biological stimulation by the apatite

    and gelatin within the PLCL composition appeared to be similar

    for both composite nanofibers. Although the nanofibers containing

    the high concentration of gelatin–apatite can stimulate biological

    activity, the large beads formed at this concentration may have

    an adverse effect on cellular events  [17].

     3.4. In vivo bone regeneration ability

    After calvarial implantation rats were killed at 6 weeks and de-

    fect sites were harvested to evaluate tissue recovery and bone

    regeneration.   Fig. 5   shows micro-CT analyses of the samples.

    Two-dimensional (2-D) and 3-D images were constructed for a

    blank control without the membrane (Fig. 5a) and for the mem-

    brane groups: PLCL nanofiber (Fig. 5b) and composite nanofiber

    (Fig. 5c). Based on the 2-D images, hard tissue formation occurred

    from the outer margin to the central region. In the blank control

    the defect region remained primarily empty throughout the study,

    demonstrating the negative control as a critical size defect. How-

    ever, when the PLCL or composite nanofibrous membrane was im-

    planted there was considerable in-growth of hard tissue. The 3-D

    images show more clearly the bone in-growth and the effective-ness of the membranes. As summarized in Fig. 5d, hard tissue for-

    mation was better in the order composite membrane > PLCL 

    membrane >> blank control.

    The newly formed tissues within the calvarium defect were fur-

    ther analyzed by histological staining, as shown in   Fig. 6. H&E

    staining was first carried out to reveal cell or/and tissue in-growth

    within the defect region (Fig. 6a and b). In both the PLCL nanofiber

    (Fig. 6a) and composite nanofiber membranes (Fig. 6b) the defect

    site was observed to be almost completely filled with dense con-

    nective tissue. The defect closure measured from the histological

    images was in the order composite nanofiber (64.7 ± 3.6) > PLCL 

    nanofiber (57.7 ± 1.6) > blank control (40.4 ± 5.1), with significant

    differences between the groups (P  < 0.01, one-way ANOVA, n  = 4).

    After Masson’s trichrome staining the formation of bony tissue

    was more clearly revealed (Fig. 6c and d). Compared with the PLCL 

    nanofiber (Fig. 6c), the composite nanofiber (Fig. 6d) showed a

    much thicker layer of new bone formation. The newly formed bone

    was well integrated with the edge of the host bone. In contrast to

    these membrane groups, the control group showed the formation

    of very thin and loose connective tissue with little new bone for-

    mation originating from the defect margins (not shown here), sup-

    porting the micro-CT data. A higher magnification of the newly

    formed bone revealed osteoid regions, appearing pale blue, and

    mineralized bone regions, showing much darker blue in color

    (Fig. 6e).

    The results on the in vitro  and in vivo behaviors combined with

    the mechanical properties suggest that a small content of gelatin–

    apatite should provide the optimal substrate conditions for

    osteogenic differentiation and bone tissue regeneration, and the

    composite nanofibers could find practical application in orthope-

    dics and dentistry, such as guided bone regeneration membranes

    in periodontal pockets.

    4. Conclusions

    Composite nanofibers made of gelatin–apatite–PLCL were pro-

    duced by electrospinning. A precipitate of gelatin–apatite was

    added to the PLCL in TFE solvent to prepare a homogeneous precur-

    sor solution. At a low concentration of gelatin–apatite (14.3 wt.%) a

    bead-free, non-woven nanofibrous web was produced, while a

    considerable number of beads were noticed with a high concentra-

    tion of gelatin–apatite (20 wt.%). Apatite nanocrystallites were ob-served to be well distributed within the gelatin–PLCL organic

    matrix. Moreover, the addition of a small amount of gelatin–apa-

    tite led to fibers with a significantly improved tensile strength

    (nearly double) when compared with those composed of pure

    PLCL, without considerable loss in flexibility. Additionally, cell pro-

    liferation and osteogenic development were significantly higher on

    the composite nanofibers than on the pure PLCL nanofiber. When

    the composite nanofiber membrane was implanted in a rat calvar-

    ium defect new bone formation and defect closure were signifi-

    cantly enhanced with respect to pure PLCL or a negative control.

    Overall, the results demonstrate that the gelatin–apatite–PLCL 

    nanofibrous matrix developed here could potentially be useful in

    the regeneration of hard tissues, such as a guided bone regenera-

    tion membrane in periodontology.

     Acknowledgements

    This work was supported by the Priority Research Centers Pro-

    gram (grant no. 2009-0093829) and the World Class University

    Program (grant no. R31-10069) through the National Research

    Foundation funded by the Ministry of Education, Science and

    Technology.

     Appendix A. Figures with essential colour discrimination

    Certain figures in this article, particularly Figures 3, 5, and 6, are

    difficult to interpret in black and white. The full colour images can

    be found in the on-line version, at doi: 10.1016/j.actbio.2010.

    12.003.

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