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Journal of Polymer Research (2020) 27: 169

https://doi.org/10.1007/s10965-020-02112-6

MANUSCRIPT

Reinforcement of hydroxyethyl cellulose / poly (vinyl alcohol)


with cellulose nanocrystal as a bone tissue engineering scaffold
Nor Sarahtul Nadirah Hairol Nizan 1 & Farah Hanani Zulkifli 1

Received: 13 August 2019 / Accepted: 6 April 2020 / Published online: 20 May 2020
# The Polymer Society, Taipei 2020

Abstract
In this present work, a porous three-dimensional (3D) scaffold of HEC/PVA and HEC/PVA/CNC were successfully fabricated by
freeze-drying technique. HEC (5 wt%) and PVA (15 wt%) were dissolved and blended at a ratio of 50:50 and incorporated with
CNC (3 wt%) as nanofillers to obtain a highly porous scaffolds. The morphology, chemical and thermal properties of scaffolds were
characterized by SEM, ATR-FTIR, and TGA. Meanwhile, cytotoxicity studies on both porous scaffold biomaterials were carried
out by utilizing human fetal osteoblast (hFOB) cells using MTT assays. Incorporated HEC/PVA with CNC were exhibited superior
functionality which resulted in decreasing average pore size from ~54.1 μm to ~33.4 μm. There were slightly changes in the
chemical structure as determined by FTIR spectra. Thermal studies revealed that the melting temperatures of HEC/PVA/CNC
scaffold were slightly shifted to a higher value. It was observed that hFOB cells were able to attach and spread on both scaffolds and
supported the cell adhesion and proliferation. Due to its biocompatible and biodegradable properties, these newly developed highly
porous scaffolds may provide a promising alternative scaffolding matrix for bone tissue engineering regeneration.

Keywords Freeze-dry . Biomaterials . Scaffold . Cellulose nanocrystal . Bone tissue engineering

Introduction the living tissues like bone using biomaterials, cells, and
growth factors, alone or in combination [2]. It is worth to
Orthopedic medication becomes one of the major health is- mention that as a result of various contributions from expertise
sues for senior citizens across the world. Besides the incre- and researchers to the new processing methodologies, design
ment of aging population, lifestyle and rise in prevalence of principles and surgical techniques in the last 50 years, today,
trauma, and fracture has driven the tremendous interest among people gain the benefit of many excellent biomaterials and
researcher to acknowledge the best medicals practices to treat surgical implants that improved the quality of lives of many
patients with bone injury [1]. Nowadays, the emerging of people each year around the world. In recent years, nanotech-
tissue engineering has surpassed autograft, allograft and xeno- nology, biomimetics and tissue engineering concepts are gen-
graft approaches by replace, repair or restore the tissue func- erating a new phase of challenges in the development of bio-
tionality through mimicking the native extracellular matrix materials at nanoscale levels.
(ECM) in human body. ECM consists of fibrous collagen Scaffolds, which made from synthetic or/and natural poly-
and proteoglycans. Proteoglycans are made of proteins and mers, are commonly serves as temporary support for the cell
polysaccharide chains known as glycosaminoglycans growth in a three-dimensional (3D) platform for assistance of
(GAGs). Tissue engineering promises to solve problems in new tissue regeneration [3]. An ideal scaffold should be bio-
organ transplantation by utilized the application of chemical, degrade parallel with the integration of redevelopment tissue
biological and engineering principles in replacing or repairing as these criteria become the main key factors for designation
and fabrication of biomimetic scaffolds in tissue engineering
applications. Other than that, an excellent scaffold should pro-
* Farah Hanani Zulkifli mote desirable physiological responses without loss of bioac-
farahhanani@ump.edu.my tivity and able to deliver bioactive molecules in a controlled
fashion to accelerate healing. In tissue engineering, scaffold
1
Faculty of Industrial Sciences & Technology, Universiti Malaysia plays an important role as artificial ECM in which they should
Pahang, Lebuhraya Tun Razak, 26300 Gambang Kuantan, Pahang,
Malaysia
mimic the structure and biological functions of natural ECM
169 Page 2 of 9 J Polym Res (2020) 27: 169

as closely as possible to create conducive living substrates that tissue engineering. Up to now, there is no report on the effect
will induce cells to function naturally by promoting cell adhe- of CNC within HEC/PVA polymer matrices has been con-
sion while maintaining their differentiated function without ducted. Herein, the morphology, chemical and thermal prop-
hindering the proliferation [4]. erties of scaffolds will be characterized by SEM, ATR-FTIR
Although there is a wide range of biomaterials used as and TGA. Next, the cell studies will be carried out to investi-
scaffolds, only a few biopolymers closely mimic the chemical gate the biocompatibility of the scaffolds by utilized the hFOB
structure of ECM by having polysaccharide chains in them cells for bone tissue engineering applications.
[5]. HEC is a non- ionic with β (1 → 4) glycosidic linkage
held together with H-bonds and it is biocompatible water sol-
uble polysaccharide material with protective colloidal action.
It is less expensive and commonly used in various pharma- Experimental
ceutical compositions, wound dressing and wound healing
applications [6]. Previous studies has shown that the blended Materials
of HEC and PVA provide better platform for cell proliferation
[7]. PVA is a polyhydroxy water soluble polymer that used HEC and analytical reagent grade glutaraldehyde (GA) solu-
water as the only solvent. It has become a considerable choice tion (25%) were purchased from Merck-Schuchardt,
due to its excellent biocompability, mechanical properties and Germany. PVA (molecular weight, Mw of 95,000 g mol−1)
widely used in biomedical applications which include drug was obtained from ACROS, New Jersey, USA. Meanwhile,
delivery reservoirs, orthopaedic stabilization splints, and phosphate buffer saline (PBS) was purchased from Gibco Life
blood contacting material [8] [9]. Technologies, USA. Human fetal osteoblast (hFOB), SV4D
Nanofillers has been widely applied as additive to be uni- large T antigen transfected and all materials used for cell cul-
formly distributed within polymer matrices in order to in- ture study were supplied from American Type Culture
crease the performance of a material [10]. Cellulose Collection (ATCC), USA. All the chemicals were of highest
nanocrystals (CNCs) are defect-free, rod-like crystalline resi- purity and used without further purification. Note that, all the
dues obtained from acid hydrolysis process from wide variety solutions were prepared using only deionized water.
of natural sources such as wood, grass stalks, bacteria and alga
[11]. CNCs have attracted great attention due to their high
aspect ratio (i.e., ~3 to 5 nm wide and ~50 to 500 nm in length) Preparation of aqueous polymeric solution
and high crystallinity index (~54 to 88%) [12]. Combination
of HEC with other hydrogel like PVA improves the mechan- HEC solution with a concentration of 5 wt% was prepared by
ical properties such as Young’s modulus and elongation at dissolving 5 g of HEC powder in 100 ml of Millipore water
break value [13]. In general studies, CNCs are used in order and stirred for 12 h at room temperature until a clear solution
to improve various mechanical and barrier properties of bio- was obtained with a slight increase in viscosity. Meanwhile,
polymers [14]. PVA solution with a concentration of 15 wt% was prepared by
The fabrication of biopolymeric scaffolds that could mimic dissolving 15 g of PVA granules in 100 ml of Millipore water
the natural ECM structure has been extensively explored for and stirred at 80 °C for 2 h and stirred continuously for another
decades. Preparation of porous scaffolds involved some 12 h at room temperature. HEC was then blended in PVA
methods such as gas-forming foam, freeze-drying and solution with ratios 50:50 and then stirred overnight to get a
electrospinning [4]. Lyophilization or known as freeze- homogeneous mixture. For ternary blend system, cellulose
drying technique has been widely used to fabricate polymer suspension with concentration of 3 wt% was added into the
scaffolds with high porosity and pore interconnectivity as long HEC/PVA solution and stirred until completely blended.
as to improve the long-term stability of polymeric nanoparti-
cles for many applications by avoiding their instability in sus-
pension [15]. Even though the dehydration process that takes Freeze-drying
place may induce stresses to nanoparticles, this technique has
been considered as an excellent technique to efficiently pre- The scaffolds were fabricated by pouring the aqueous
vent aggregation and preserve the re-dispersibility of nanopar- polymeric solutions into falcon tube and kept in a deep
ticles [16]. Other advantages of using freeze-drying method freezer at −80 °C for 24 h and followed by lyophilized
were it is very inexpensive and only requires basic laboratory them in a freeze-dryer (FreeZone 6 Liter Benchtop Freeze
equipment. Dry System, Labconco), at −50 °C for 72 h. Thereafter,
The aim of this study are to synthesis and fabricate the the produced scaffolds underwent crosslinking via heat
HEC/PVA incorporated with CNC by using freeze-drying treatment at 80 °C in 30 min and kept in dry cabinet for
technique and its performance as potential substrate for bone further use.
J Polym Res (2020) 27: 169 Page 3 of 9 169

Characterizations of the scaffolds (DMEM) solution. Then, the scaffolds were kept in incubator
at 37 °C in 5% carbon dioxide (CO2) humidified atmosphere.
Scanning electron microscope (SEM) study All changes were observed including the pH of media before
and after five days in the incubator. Finally, the scaffolds were
The morphology of the scaffolds was examined using SEM washed thrice with sterile PBS and transferred into a 24-well
(FEI QUANTA 450) at an accelerating voltage of 15 kV. To tissue culture plate.
obtain sharp and clear images, the scaffolds were fractured in Human fetal osteoblast cell (hFOB) cell lines were propa-
the liquid nitrogen and sputter coated with a thin layer of gated in Dulbecco’s modified Eagle’s medium (DMEM) in a
platinum in double 30 s consecutive cycles at 45 mA. The cell culture flask, all supplemented with 10% fetal bovine
average pore size was analyzed using image visualization soft- serum and 5% penicillin/ streptomycin and maintained at
ware, ImageJ. 37 °C in 5% carbon dioxide (CO2) humidified atmosphere.
Subculture of hFOB cells were carried out by passaged the
Porosity study cells when they have reached 80–90% confluence of the sur-
face area of a flask. DMEM solutions were removed and
The porosity of scaffolds was measured by using liquid dis- TrypLE solutions were added and swirled across the adhered
placement method. All samples were cut 1 cm × 1 cm × 1 cm, cells to ensure it reaches all cells so that the cells will detached.
weighed and then immersed in deionized water as the dis- The detachments of the cells were checked by using micro-
placement liquid for 30 min in a falcon tube. This method is scope after being incubated for 5 min. Once the cells were
based on the known volume before immersed of sample (V1) detached, the cell suspensions were transferred into 15 mL
in a falcon tube, the unknown volume after 30 min immersed tube and centrifuged at 800 rpm for 5 min. TrypLE solution
sample (V2) and the volume after removing of impregnated was removed and fresh DMEM solution containing serum
sample (V3). was then added to inactivate the TrypLE solution in the cell
The porosity of the sample can be calculated by the equa- suspension. Finally, the aliquot of cell suspensions were
tion below; placed into a new flask containing 5 mL of DMEM solution
and stored in the incubator.
V1 −V3
Porosity ð100%Þ ¼  100%
V2 −V3
Cell proliferation study

Attenuated total reflection-Fourier transform infrared hFOB cells were distributed in 24-well cell culture
(ATR-FTIR) study plates containing scaffolds at a concentration of approx-
imately 10 × 103 cells/well in each different well with
Structural analysis of the scaffolds was carried out using FTIR DMEM solution. The proliferation test was observed
spectrophotometer from Spectrum One, (Perkin–Elmer, USA) via MTT assay test by measuring the reduction of the
coupled with ATR. ATR-FTIR spectroscopic analysis of scaf- yellow tetrazolium salt to purple formazan crystals by
folds was performed on over a range of 700 to 4000 cm−1 at a dehydrogenase enzymes secreted from the mitochondria
resolution of 2 cm−1 with 10 scans per sample. of metabolically active cells. The amount of the purple
formazan crystals formed is proportional to the number
Thermogravimetric analysis (TGA) study of viable cells. For this study, 150 μL of Dimethyl
sulfoxide (DMSO) solvent was added into each of the
Thermal degradation of 5 mg of each sample was analysed cell-scaffolds to dissolve the MTT formazon crystal.
under a nitrogen flow (purge gas) at 10 °C min−1 (heating rate) After that, the well plate was placed in a NanoQuant
using Toledo STAR-1 (Mettler, Switzerland). The test tem- micro plate reader (infinite M200PRO) to detect biolog-
peratures were ranged from 30 to 750 °C. ical, chemical or physical events of samples by using
emitting light. The absorbance was recorded at 570 nm
with background 630 nm representing the number of
Cell culture studies
viable cells was measured. For data analysis, the cell
proliferation is calculated using the following formula:
Cell expansion and seeding

Asample −Ablank −ðAcontrol −Ablank Þ
Firstly, both scaffolds were punched into small disks with Cell viability ð%Þ ¼
ðAcontrol −Ablank Þ
10 mm diameter, soaked in 100% ethanol for 24 h, and then
sterilized under UV light for 3 h and subsequently immersed where Asample = absorbance at 570 nm of the sample,
in cell culture medium, Dulbecco’s modified Eagle’s medium Acontrol = absorbance at 570 nm of the positive control
169 Page 4 of 9 J Polym Res (2020) 27: 169

which is cells in complete medium incubated in the Both scaffolds showed highly porous structure with pore
absence of the scaffolds and Ablank = background absor- channels and interconnected pore structures. Adding CNC in
bance of the blank wells. An average of triplicate read- the blended polymer solution increased the reaction sites (–
ing was calculated for each sample. OH groups), hence the structure become more porous. The
average pore size for HEC/PVA scaffolds and HEC/PVA/
CNC was ~54.1 μm and ~33.4 μm, respectively. The average
Cell morphology study pore size of HEC/PVA/CNC scaffolds decreased due to the
greater influence of the cross-linking mechanism among –OH
hFOB cells grown on scaffolds were rinsed twice with PBS groups of HEC, PVA and CNC.
and fixed in 3% GA for 30 min. Thereafter, the scaffolds were It is worth mentioning that an ideal scaffold should have (i)
dehydrated with increasing concentrations of alcohol (20, 40, macro- (pore size >100 μm) and microporosity (pore size
60, 80 and 100%). The samples were air dried by keeping the <20 μm); (ii) interconnected open porosity for successful dif-
samples in a fume hood. Lastly, the morphology of cell- fusion of essential nutrients and oxygen for cell survivability
scaffolds were observed using SEM at an accelerating voltage [17].
of 10 kV.
Porosity study

Porosity is one of the important features to evaluate the scaf-


Results and discussion folds properties for bone tissue engineering. It is well-known
that HEC, PVA and CNC are water-soluble biopolymers,
Morphology of scaffolds
which are not favorable for cell culture studies. Hence,
cross-linking these materials is a must to decrease their solu-
The morphology and pore size of three-dimensional porous
bility as well as to give mechanical strength for cell culture
scaffolds were examined by SEM and ImageJ respectively. In
studies. In this study, porosity measurements of cross-linking
tissue engineering, the scaffolds should have high porosity
scaffolds were completed by using liquid displacement meth-
and sufficient distribution of pore size. Figure 1 shows the
od with deionized water as the displacement liquid.
image of CNC suspension which is spherical with diameter
As illustrated in Fig. 3, all porous scaffolds show high
of ~30 nm. Meanwhile, Fig. 2 shows the SEM images of (a)
porosity with percentage value above 77.5% at a maximum
HEC/PVA and (b) HEC/PVA/CNC scaffolds.
of 99.6% for pure HEC freeze-dried scaffolds. The results
pointed that porosity of scaffold containing CNC decreases
with the addition of CNC content. The morphology of 3D
scaffold structure should possess high porosity to support
the cell.

ATR-FTIR study

ATR-FTIR spectroscopy was conducted to enlighten the pres-


ence of HEC, PVA, and CNC and figure out the interaction
occurs among them. FTIR spectra in the 4000 to 700 cm-1
spectral range of pure HEC, PVA, and CNC, HEC/PVA and
HEC/PVA/CNC scaffolds were illustrated in Fig. 4.
From the results, the similar strong broad bond was obtain-
ed by all samples between 3320.28 and 3370.13 cm−1 region
due to the O-H stretching vibration and C-H stretching ap-
peared between 2898.15 and 2923.08 cm −1. Pure HEC
showed peak absorption at 1644 cm−1indicates the O-H vibra-
tion of absorbed water. CH2-symmetrical bending appeared at
1050.10 cm−1. Similar peak absorptions also reported which
were assigned at 2909 and 1438 cm−1 [18]. For pure PVA, the
absorption spectra presented specific bands in 1665.04
cm−1(C=C stretching), 1420.38 cm−1(O-H bending) of alco-
Fig. 1 FESEM micrographs of CNC nanoparticle at (a) low hol, 1094.97 cm−1(C-O stretching) of secondary alcohol and
magnification (50,000 ×) and (b) high magnification (130,000 ×) 855.65 cm−1(C-H bending). Meanwhile, for pure CNC, the
J Polym Res (2020) 27: 169 Page 5 of 9 169

Fig. 2 SEM images of (a) HEC/PVA and (b) HEC/PVA/CNC scaffolds

absorption at 2898.15 cm−1refers to the aliphatic saturated C- 839.03, 1078.35, 1425.69, 2914.77 and 3328.59 cm−1. The
H stretching, associated with methylene groups in cellulose. ratio of absorption intensities of O-H stretching increased as
Ring stretching vibrations (C=C stretching) occurs at 1576.92 well as shifted to left with the addition of CNC. The broad
cm−1. At FTIR spectra of 1410.73 cm−1, O-H bending occurs pattern observed at ~3320 cm−1 indicates stretching vibrations
and C-O stretching of alcohol at 1043.45 cm−1. of the hydroxyl groups due to the intramolecular and intermo-
Referring to previous studies, a few characteristic peaks lecular hydrogen bands of the OH groups of PVA, HEC and
were reported in the neat PVA systems which are at CNC. The peaks at ~2900 cm−1are due to CH2 stretching
3339 cm−1 (O-H stretching) from inter and intra- molecular vibrations. The presence of peaks at ~1420 cm-1 indicates
hydrogen bonding, 2919 cm−1 (C-H stretching), 1719 cm−1 presence of O-H bending. At FTIR spectra of ~1070 cm−1,
(C=O stretching), 1251 cm−1 (C-O bending) and 1071 cm−1 C-O stretching were assigned and C=C bending were assigned
(C-O stretching) can be related to the crystallinity of the sys- at ~839 cm−1 . After all, it is found that by adding CNC to the
tem [19]. blended scaffolds, the absorption peaks increased but has no
From Fig. 4, it is clearly can be seen that the FTIR spectra significant effect on the overall infrared spectra. The intensity
for HEC/PVA/CNC scaffolds showed the combination of ma- of the absorption band increased due to the substantial intro-
jor peaks of HEC, PVA and CNC. The absorption peaks of duction of –OH groups from CNC [2].
HEC/PVA were assigned at 839.01, 1070.04, 1417.38,
2906.46 and 3320.28 cm−1, while for HEC/PVA/CNC at
TGA measurements

The porous scaffolds of HEC/PVA and HEC/PVA/CNC were


analyzed using TGA to compare the degradation characteris-
tics among them. The derivative thermogravimetric analysis

Fig. 3 Porosity of CNC, HEC and PVA alone, HEC/PVA and HEC/ Fig. 4 ATR-FTIR analysis for (a) CNC, (b) PVA, (c) HEC alone and (d)
PVA/CNC scaffolds HEC/PVA and (e) HEC/PVA/CNC scaffolds
169 Page 6 of 9 J Polym Res (2020) 27: 169

Fig. 5 TGA and DTA curve for (a) HEC/PVA and (b) HEC/PVA/CNC scaffolds

(DTA) illustrates the detection of maximum weight loss rate degradation of HEC and PVA polymer and hence give effects
for the components. The thermograms and DTA curves of to the thermostability of the scaffolds.
scaffolds were represented in Fig. 5. The details of the decom-
position step and percentage mass loss were summarized in Cell scaffold interaction study
Table 1.
From the results, both curves exhibited three major weight Cell proliferation on scaffolds
losses. The first stage of weight loss which is ~4% starting
from 25 °C to 197 °C due to the presence of a thermal process Cell adhesion and proliferation are important criterion for
where the removal of absorbed water occurs. At second de- evaluating the biocompatibility of biomaterials. Figure 6 pre-
composition stage, there was more significant weight loss sents the proliferation of hFOB cells cultured on scaffolds as
range from 72.0 to 78.90% at 197 °C until 378 °C, proving determined by MTT assay. The cell viability of HEC/PVA/
the degradation reaction of C-OH groups in PVA where the CNC scaffold shows the higher numbers of cells compare to
side chain of PVA decomposed, loss of CO2 in HEC and HEC/PVA scaffold. The cell viability on both scaffolds in-
degradation of CNC [20]. The temperature was shifted to creased significantly from 1 to 7 days but there is some reduc-
higher values when CNC is added. The onset temperature of tion in cell numbers at 3 days. This might be due to the cell
CNC was reported at slightly lower temperature (~200 °C) cultured is dependent on temperature during incubation peri-
due to higher surface area [21]. od. It is worth to mention that hFOB cells proliferate rapidly
The weight loss for third stage of decomposition starts from with a doubling time of ~36 h at permissive temperature
387 °C to 494 °C was due to the by-products generated by (33.5 °C). hFOB cells cultured at the restrictive temperature
PVA during thermal degradation process attributed to decom- (39.5 °C) do not proliferate, whereas cells cultured at 38.0 °C
position of the main chain of PVA. It can be seen that the proliferate very slowly, with a doubling time of more than
thermal stability increased and the total weight loss of scaf- 96 h. When the cells are switched back to 33.5 °C, prolifera-
folds decreased when CNC is added. After all, adding CNC tion resumes and attains a rate similar to those grown contin-
into blended polymer of HEC/PVA will enhance the uously at 33.5 °C [22].

Table 1 TGA and DTA for both


scaffolds Sample Region of decomposition Temperature (°C) Weight loss (%)

Tstart Tend Tpeak Partial Total

HEC /PVA 1st 26 175 46 4.100 98.43


2nd 175 378 304 72.00
3rd 378 465 400 22.33
HEC/PVA/CNC 1st 25 197 75 3.860 94.77
2nd 197 360 280 78.90
3rd 360 494 412 12.01
J Polym Res (2020) 27: 169 Page 7 of 9 169

scaffold and have polygonal morphology with the cell mem-


brane being somewhat flattened onto the rough surface of the
scaffold, created by HEC, PVA and CNC particles. At 7 days
of cell culture, more flat osteoblast cells were produced indi-
cating that the osteoblast cell proliferation had begun. SEM
image of osteoblast cell-scaffolds depicts that osteoblast cells
have spread all around the porous structure of the scaffold and
covered almost the entire scaffold’s surface at 7 days. The
cells on the HEC/PVA/CNC scaffolds spread better than on
HEC/PVA scaffolds as the incubation time increased.
After all, HEC/PVA/CNC scaffold demonstrates greater
response towards hFOB cells with highest number of viable
cells where the cells endorse good biocompatibility, non-
toxicity and could be potential substrates for bone tissue en-
gineering. Overall, both freeze-dried scaffolds show excellent
cell attachment, adherence and proliferation. Incorporated
Fig. 6 Graph showing hFOB cell viability after 1, 3, 5 and 7 days of CNC with HEC/PVA blended polymer gives a great influence
incubation for HEC/PVA and HEC/PVA/CNC scaffolds towards scaffolds especially in tissue engineering.

From the results, it can be said that adding CNC to HEC/


PVA blended polymer will make the scaffolds become more Conclusions
comparable to promote cell adhesion with hFOB cell. This
could be attributed to the rougher surfaces with smaller pore The research and development of work brought in important
size, whereas the lower amount of cells on HEC/PVA was results, which would eventually help the industry to develop
attributed to the bigger pore size, where the cell suspension new biocompatible scaffolds that offer rapid healing response
was more easily deposited to the bottom of the culture plate for tissue engineering applications. In this study, 3D highly
through the hole. porous and well-interconnected scaffolds were fabricated suc-
cessfully by freeze-drying technique and subsequently
crosslinking via heat treatment. The SEM images displayed
Cell morphology study of hFOB cell interconnected porous structure ranging from ~33.4 μm to
~54.1 μm. All scaffolds exhibited porosity above 77% which
hFOB cells cultured for 3 and 7 days on the samples were also revealed their suitability in cell-scaffold environment. The Tg
observed by SEM. Figure 7 and Fig. 8 present the SEM im- values were found in the range of HEC, PVA and CNC pure
ages of cells cultured on the samples at 3 and 7 days. Round scaffolds, emphasizing the miscibility of all polymers. The
shape morphology of osteoblast cells adhered on the surface Young’s modulus of HEC/PVA which varied from 14.7–
of the all scaffolds. It is proven that the cells exhibited slightly 22.46 MPa indicated better mechanical properties of blend
rough surface for HEC/PVA/CNC scaffolds. After 3 days of polymers compared to single polymer. In vitro cell culture
cell culture, it was observed that cells get adhered to the with hFOB cells demonstrated that the incorporation of

Fig. 7 SEM micrographs of hFOB cells attached on HEC/PVA scaffolds at (a) day 3 and (b) day 7
169 Page 8 of 9 J Polym Res (2020) 27: 169

Fig. 8 SEM micrographs of hFOB cells attached on HEC/PVA/CNC at (a) day 3 and (b) day 7

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