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J. Joseph, R.P. Kumar, A. John, A. Abraham / Trends Biomater. Artif.

Organs, 34(3), 75-83 (2020)

Original Article www.sbaoi.org/tibao

Phytochemical Incorporated Spunned Nanofibrous


Polycaprolactone Scaffold for Stem Cell Loading and Drug
Delivery Applications
Josna Joseph1,2, R. Pradeep Kumar1,3, Annie John1, Annie Abraham1*
1
Advanced Centre for Tissue Engineering, Department of Biochemistry, University of Kerala, Thiruvananthapuram 695581, India
2
Christian Medical College, Vellore 632004, Tamil Nadu, India
3
Marshall Institute for Interdisciplinary Research, Marshall University, West Virginia 25755, Unites States

Received 6 April 2020 The merging of traditional medicine with modern technology in the building up of novel scaffold devices, is of
Accepted 11 May 2020 additional relevance in this era of regenerative medicine. Hence, the aim of this study is to fabricate and test the
Published online 15 July 2020 safety and efficacy of the flavonoid Naringenin, incorporated Polycaprolactone (Nar-PCL) electrospun nano
fibrous scaffolds intended for drug delivery and as stem cell loading stations. Electro spun mats of 5 % and 20%
wt/wt Naringenin-PCL was fabricated and physico-chemically characterisated by FTIR, NMR spectroscopy, XRD
analysis and SEM. In vitro drug release of Naringenin from spun mats were studied in PBS for 3, 6, 12 days
spectrophotometrically at 292 nm. L929 fibroblasts were grown over Nar-PCL and control PCL scaffolds and Cell
adhesion was demonstrated by SEM,viability by Calcien AM- Ethidium homodimer staining, and proliferation by
MTT and LDH assay. Simultaneously, viability and adhesion of isolated rat Adipose derived Mesenchymal stem cells
(ADMSCs) on different scaffolds were also assessed. Antibacterial activity of Naringenin against Psuedomonas Aeruginosa
and Staphylococcus aureus was analysed by Kirby-Bauer method. Finally, the combination product of 5% wt/wt Nar-
PCL portrayed better cytocompatible, regenerative and antibacterial properties of Naringenin, proving as a prospective
candidate for stem cell loading and drug delivery.

© (2020) Society for Biomaterials & Artificial Organs #20039120

Introduction could easily enable the generation of tissue-engineered products.


Various well-standardised phytochemicals have been used for
Drug delivery scaffolds incorporating synthetic stimulants such as medical applications. Naringenin (4, 5, 7- trihydroxyflavanone,
growth factors and cytokines for stem cell growth and tissue NAR), a natural flavonoid aglycone of naringin, is widely
induction are used in regenerative medicine. The high cost and distributed in citrus fruits, tomatoes, cherries, grapefruit and cocoa
side effects of these growth factors [1] and mitogens necessitate [3] and has well-known antioxidant bioactivity. Reports prove
the need for the search of alternatives like clinically well-proven, that Naringin, which is the main component of the Rhizoma
indigenous Phyto-factors in tissue engineering [2]. Their expected Drynariae extract, enhanced the proliferation and osteogenic
role is chemotactic recruitment of endogenous stem cells and their differentiation of BM-derived hMSCs [4]. It has also been
further differentiation in special microniches like phytochemical extensively investigated for its pharmacological activities, including
incorporated novel scaffold systems, which is a leap in the realm antioxidant [5], antitumor [6], anti-inflammatory [7] and
of tissue regeneration. hepatoprotective [8] effects. Utilising the anti-inflammatory, anti-
microbial and cholesterol-lowering [9] effects of bioflavonoids
Phytochemicals used in traditional medicine are treasure houses like Naringenin, novel phytochemical incorporated constructs
which have a wide range of biochemical and functional activities could be synthesised for tissue engineering applications to aid
that are yet to be explored and if tagged to innovative technologies ailing tissues/organs.
Though various scaffold manufacturing processes are practised,
*Coresponding author
E-mail address: annieab2013@gmail.com (Prof. Annie Abraham, Advanced Centre for
electrospinning has proved to be a simple and useful technique
Tissue Engineering, Department of Biochemistry & Director of Research, University of for fabricating nanofibers from a rich variety of materials [10].
Kerala, Kariavattom, Thiruvananthapuram, Kerala, India) Electrospun fibres possess a high surface area to volume or mass
75
J. Joseph, R.P. Kumar, A. John, A. Abraham / Trends Biomater. Artif. Organs, 34(3), 75-83 (2020)

ratio, high porosity and vast possibilities for surface Physico-chemical characterisations of the Scaffold
functionalization [11]. Several research groups have formulated
electrospun scaffolds from various natural and synthetic polymers, Morphology and chemical composition of the scaffold was
for potential use in human healthcare [12.13]. The high cost of characterised by Scanning Electron Microscopy (SEM), Fourier
growth factor laden scaffolds necessitates the search for cost-effective Transform Infra-Red (FTIR) spectroscopy, X-ray Diffraction
indigenous phytofactors added scaffolds for tissue engineering Analysis (XRD) and Nuclear Magnetic resonance (NMR)
applications. In the pioneering research, [14] Suganya et al. have spectroscopy analysis respectively.
successfully synthesised Aloe vera incorporated PCL nanofibrous The spun scaffolds were gold coated and surface observed under
scaffolds incorporated with silk fibroin-hydroxyapatite by the scanning electron microscope (FEI, Nova NanoSEM 450). The
electrospinning method for bone tissue engineering applications average fiber diameters from five different view fields (magnification
[15]. Similarly, phytochemical extracts with known osteogenic -50,000x) of three different scaffolds, namely PCL (control scaffold),
properties like Cissus quadrangularis[16] have been loaded in chitosan/ Nar-PCL (5% wt/wt) (T5) (B), Nar-PCL (20% wt/wt) (T20) were
carboxymethylcellulose scaffolds. Again, curcumin eluting PCL measured using the software XT Microscope.
nanofibers possessing osteogenic properties have been
electrospinned [17] too. Recently, Carica papaya loaded poly (vinyl The surface functional groups of PCL scaffolds with and without
alcohol)-gelatin nanofibrous scaffold were used for wound healing drug incorporation was studied by NICOLET 5700 FTIR in the
applications [18]. range of 400- 4500 cm-1 at room temperature in ATR mode. Change
in the spectral pattern was noted.
Also, Polycaprolactone (PCL) is a biodegradable and biocompatible
FDA approved polymer used in several products for clinical use The XRD pattern of the samples was recorded on Bruker D8
[19]. Hence, this study aims to fabricate Naringenin incorporated Advanced X-Ray Diffractometer with CuKα radiation at an angular
PCL (Nar-PCL) electrospun scaffold for stem cell loading and drug incidence of 10-80o (2θ angle range). The analysis of the samples
delivery for tissue regeneration applications. was carried out by a computer software MDI-JADE and MAUD
(Material Analysis using Diffraction).
Materials and Methods
Also, a single pulse 1H nuclear magnetic resonance spectro-
Naringenin, ≥ 95% and polycaprolactone, avg.mn.80,000 (Sigma-
photometer (1H NMR, AVANCE III, Bruker) was used to study
Aldrich), dimethylformamide (Spectrochem), tetrahydrofuran
the chemical integrity of Naringenin in the PCL solution before
(Spectrochem), dulbecco’s modified eagle’s medium (Himedia), electrospinning. Deuterated chloroform (CDCl3) was used for
foetal bovine serum (Gibco), penicilillin-streptavidin (Invitrogen),
dissolving the polymer.
Ezcount MTT(3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-
tetrazolium bromide) assay kit, Himedia, LDH (Lactate De- Contact angle and mechanical strength testing
hydrogenase) cytotoxicity kit, Cayman Ltd., live-dead kit, Molecular
Probes. The water contact angle measurement was made using a standard
contact angle analysis system in the air surrounding with a water
Fabrication of phytochemical incorporated scaffold drop. Contact angle values indicate the hydrophobic/hydrophilic
nature of the biomaterials. The greater the water contact angle the
An initial screening of various phytochemicals was carried out and
greater the hydrophobic nature of the material. The scaffolds (n =
Naringenin, a natural flavonoid found widely in citrus fruits was
6) were cut to the dimensions 4 cm × 1.5 cm. The contact angle was
selected as the phytochemical of choice due to its pharmacological determined in water using the Sessile drop technique using KSV
activity. 10% wt/v PCL solution was prepared in Dimethyl
Sigma 701 tensiometer. The volume of the water drop was 10 µl.
formamide (DMF) and Tetrahydrofuran (THF) at 4:1 ratio reported
Six measurements from each sample were recorded, and the average
accordingly by Remya et al. [20]. Then, 5 % wt/wt and 20% wt/wt of consecutive three values from each sample was taken.
Polycaprolactone-Naringenin (weight of Naringenin concerning the
weight of PCL) solution was prepared in this solvent mixture. The
mixture was stirred in an RB flask at 200 rpm for 2 hours on a The mechanical properties of scaffolds were assessed using Tritec
magnetic stirrer. 20ml of this solution was electrospun at a flow 2000B (Triton Technology Limited, UK). Rectangular specimens
rate of 1ml/h at 12 kV from a spinneret (20 ml BD BioSciences with dimensions (10 mm × 4 mm) were tested under tensile mode
syringe, internal diameter ~19 mm) and the fibres were collected at a frequency of 1 Hz and a temperature range from -100°C to
on a rotating drum, rotating at a speed of 500 rpm (Holmarc Pvt 40°C.
Ltd, Kochi). Neat-PCL electrospun mats (10%PCL) were fabricated In vitro drug release study
using similar spinning parameters. The electrospun mats were dried
at room temperature and dipped in 70% alcohol and UV sterilised In vitro drug release was carried according to ISO 10993-13:2010
for further experiments. Similarly, control PCL electrospun bare [21] (ISO 10993 13:2010) which provides general requirements for
mats alone was also synthesised at the same flow conditions. The the design of tests in a simulated environment for identifying and
spinning conditions were optimised after following five different quantifying degradation products from finished polymeric medical
sets of spinning conditions as shown in table 1. devices ready for clinical use. Drug release was studied by incubating

Table 1: Optimisation conditions of Electrospinning of Nar-PCL and PCL mats


Condi tion I Condition II Condition III Condition IV Condition V
Flow rat e 1 ml/hr 1 ml/hr 1 ml/ hr 1 ml/ hr 1 ml/hr
Voltage 10 kV 10 kV 13 kV 11 kV 12 kV
Tip to c ollector distance 13 cm 16 cm 16 cm 13 cm 16 cm
Speed of rotating drum 500 rpm 500 rpm 500 rpm 500 rpm 500 rpm

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J. Joseph, R.P. Kumar, A. John, A. Abraham / Trends Biomater. Artif. Organs, 34(3), 75-83 (2020)

the 5% wt/wt Nar-PCL mat (1 x 1cm) in 10 ml phosphate buffered From the media collected from cells seeded over Nar-PCL (T5,
saline (PBS) at a pH of 7.4. at 37oC incubator for 3, 6, 12 days. At T20) and PCL, 100 µl of the supernatant was added to 96 well cell
specific periods, the PBS was collected and the nanofibrous sample culture plates. Then added LDH assay buffer and incubated plates
was replenished with fresh PBS. The UV absorbance of Naringenin with gentle shaking for 30 minutes at room temperature. Read the
in PBS was determined using a UV spectrophotometer (Biotek, absorbance at 490 nm using a plate reader (BioRad, USA). LDH
USA) at λmax=292 nm. The rate of drug release over the different activity was determined by plotting a graph against absorbance in
period was inferred from the absorbance curve the y-axis and different experimental groups in the x-axis. The
results were analysed statistically by one way ANOVA.
Cellular adhesion on scaffolds by SEM studies
Cell viability: Live-Dead Staining
Cells (L929 fibroblasts) were seeded over the scaffolds at a cell
density of 1x104 /ml and grown in DMEM with 10% FBS, 1% Cell viability on the scaffold was analysed by Calcein AM- Ethidium
Penicillin-Streptavidin. Then the culture supernatant was removed homodimer Live Dead staining. Cell seeded constructs were
and cells were fixed with 4% paraformaldehyde. After overnight incubated in DMEM containing 4mM Calcein-AM and 2mM
fixation at 4oC, the cells were washed with phosphate buffered Ethidium homodimer-1 for 30 min. Live cells are permeable to the
saline and dehydrated in ascending grades of ethanol (50%, 70%, nonfluorescent Calcein AM which is converted into fluorescent dye
90%, 100%) and isoamyl acetate, critical point dried and sputter Calcein by the cytoplasmic esterase present in living cells. On the
gold-coated before viewing under the scanning electron microscope. other hand, Ethidium homodimer-1 enters the cell if there is
damage to the membrane integrity and is fluorescent when bound
Cytocompatibility evaluation- L929 fibroblasts to the nucleic acid. The imaging was done using a Zeiss fluorescence
MTT Assay [22] microscope.
Cells were seeded over Nar-PCL (T5, T20) and PCL at 1*104/ml in Cytocompatibility-adipose-derived mesenchymal stem cells
24 well plates and incubated for 24 hours and examined under a (ADMSCs)
phase-contrast microscope. Cells treated with 10mM concentration Isolation of ADMSC
of Cisplatin were taken as a positive control. After incubation, the
medium was removed and stored at -200C for further LDH assay. Adipose tissue was collected aseptically from cadaver rats (IAEC
Then the cells were added with 500µl MTT solution (50 µl reagent approval No. IAEC-KU-2/2016-17-BC-AA (49)). About 2g of
+ 450 µl serum-free media) and incubated for 3hours at dark. The adipose tissue retrieved from the suprascapular subcutaneous site
yellowish MTT is reduced to dark coloured formazan by viable cells of animal model, retrieved aseptically, was minced manually and
only. The formazan crystals formed were solubilized with MTT mixed with an equal volume of 0.2% collagenase (Invitrogen)
lysis buffer. The colour developed was quantitated with ELISA solution, digested at 37ºC for 30 mins and filtered. The digest was
plate reader (BioRad systems, USA) measuring at wavelength 570 centrifuged at 15º C for 10 mins at 2500 rpm & pellet re-suspended
nm. in DMEM – HG, seeded into T25cm 2 flask (NUNC) and
maintained in culture with DMEM - HG containing 10% fetal
The cells survival (CS) expressed as a percentage was calculated as bovine serum (FBS) and 50 units/ml of penicillin and 50 mg/ml
follows. of streptomycin (Gibco, Anti – Anti Mix) at 37ºC under 5% CO2
CS = (OD drug exposed cell / Mean OD control wells) x 100 atmosphere. The medium was changed every three days until
confluency. On confluency, the cells were trypsinised by adding
The graph was plotted by taking percentage viability in the y-axis 0.25% Trypsin EDTA in the culture dish for 5 minutes. Fresh
and different sample groups in the x-axis. The results were analysed medium was added to stop the action of trypsin, the trypsinised
statistically by one way ANOVA. cell suspension was then centrifuged at 2500 rpm for 5 minutes to
collect the pellet. The pellet was re-seeded again (P1) and further
Lactate Dehydrogenase (LDH) Assay cultured and passaged, with medium renewal alternate day, until
This is a colourimetric assay that quantitatively measures LDH, a the desired passage is reached.
stable cytosolic enzyme that is released into the culture medium Characterisation by Immunofluorescence
upon cell damage or lysis occurs during both apoptosis and necrosis
[23]. LDH catalyses the reduction of NAD+ to NADH and H+ by P3 ADMSCs, which were isolated as mentioned above, was
oxidation of lactate to pyruvate, which in turn catalyse the reduction observed and photographed by Phase Contrast Microscope for its
of a tetrazolium salt to a coloured formazan and the absorbance fibroblast-like morphology and confirmed by immunofluorescent/
of the formazan developed can read at 490 nm. The amount of immunocytochemical staining with FITC labelled CD 90 antibody
formazan produced is proportional to the amount of LDH released (ab226, Abcam). To evaluate the morphology of isolated ADMSCs,
into the culture medium. the cells in the P3 passage were cultured on sterile coverslips for 24

Table 2: Antibacterial effect of Naringenin on Staphylococcus aureus and


Psuedomonas aeruginosa (inhibition zone is indicated in mm in the table)
Zone of inhibition (mm) against Zone of inhibition (mm) against
Drug Conc. Staphylococcus aureus MTCC 96 Pseudom onas aeruginosa MTCC 96
Plate I Plate II Plate III Plate I Plate II Plate III
Naringenin
R R R 17 16 18
(10 mg/ml)
Naringenin
R R R 15 14 16
(5 mg/ml)
Naringenin
R R R 10 9 11
(2.5 mg/ml)
Amoxyc illin (Am)
19 20 18 20 18 22
30 mcg/disc

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J. Joseph, R.P. Kumar, A. John, A. Abraham / Trends Biomater. Artif. Organs, 34(3), 75-83 (2020)

Figure 1: Scanning Electron Micrographs of PCL (A) Nar-PCL (5% wt/wt) (B), Nar-PCL (20% wt/wt)(C). Morphology of
Nano fibrous electro spun mats (magnification-800x) along with their respective higher magnification (D, E, F 50,000x).. The
mean diameter of the fibres depict their nano-submicron range size and show significant difference(p÷d”0.01),a-PCL and T20,
b-T5 and T20, with their respective Contact angle measurement (G) PCL, (H) 5% wt/wt and (I) 20% wt/wt

Figure 2: FTIR Spectra of standard Naringenin, Nar-PCL (5% wt/wt) and PCL
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J. Joseph, R.P. Kumar, A. John, A. Abraham / Trends Biomater. Artif. Organs, 34(3), 75-83 (2020)

Figure 3: NMR Spectra of Naringenin-PCL solution prior to electro spinning of fibres showing the incorporation of drug to
PCL

hours and then fixed in 3.7% paraformaldehyde. The cell-seeded SEM revealed the random aligned fibrous nature of the neat-PCL
coverslips were given three washes of PBS for 5 minutes before (figure 1A) scaffold whereas there were precipitates (likely of the
chemical fixation and also before fluorescent staining. The fixed drug, Naringenin) over the Nar loaded PCL (figure 1B,1C,1F). There
cells were then permeabilized using 0.1% Triton (Sigma chemicals, was a significant increase in the diameter of 20%wt/wt Nar-PCL,
India) for 5 minutes and protein blocked for 5 minutes and treated ~840 nm (figure 1C, F) with a considerable increase in the precipitates
with FITC labelled CD 90 primary antibody overnight. After PBS of Naringenin over the fibres when compared to neat-PCL.
washing three times, the stained coverslips were then mounted
using fluorescent mounting media (Dako Ltd.) and viewed under The contact angle of the different scaffold surfaces, measured by a
fluorescent microscope TCS SP8 (Leica, Germany). goniometer revealed the increase in hydrophilicity of the
phytochemical incorporated group ((132.3ο(T5) 103.3ο(T20)) in
Anti-bacterial activity of Naringenin comparison to the neat-PCL (137.8ο) (figure 1).
Antibacterial activity of Naringenin against Pseudomonas aeruginosa Physico-chemical characterisation of the phytochemical
and Staphylococcus aureus was analysed by Kirby- Bauer disc diffusion incorporated scaffold
method. Briefly, overnight bacterial cultures were diluted in the
Nutrient broth to obtain a bacterial suspension of 108 CFU/ml. FTIR Spectroscopy
Filter paper discs of Whatman no.1 (6 mm diameter) saturated The characteristic peaks of Naringenin indicating C-OH stretching,
with extract of Naringenin (50, 100µg) was placed on bacterial C-Br strong bond at 1054, 718 cm-1 (benzene derivative), was found
suspension smeared plate. The 70% ethanol solution was placed in Nar-PCL scaffold (1048, 730 cm-1 ) with a relative shift (figure 2)
as control. The plates were incubated at 37 °C for 24 h. The
antibacterial activity was assessed by measuring the zone of
inhibition around the drug incorporated disc.
Statistics
All the quantitative tests were evaluated statistically by one way
ANOVA test using the vasserstat online statistical program. The
results are represented as mean ± SD.
Results
Morphological analysis of Phytochemical incorporated
scaffolds by SEM
Naringenin incorporated Polycaprolactone mats consisting of nano-
to submicron-sized fibres were synthesised (figure 1). Electron
micrographs showed that the electrospun mats (5% wt/wt) were
composed of nano-sized fibres (~290 nm) (figure 1B,1E) and is
thinner than the fibres in the PCL mats (~310nm)(figure 1A,1D), Figure 4: In vitro drug release profile from 5% wt/wt Nar-
which is ideal for better cell attachment and proliferation. PCL at pH7.4. The results are mean ± SD, n=4, p < 0.05
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J. Joseph, R.P. Kumar, A. John, A. Abraham / Trends Biomater. Artif. Organs, 34(3), 75-83 (2020)

Figure 5. Cell adhesion by SEM evaluation of L929 cells grown over PCL (A) T5(B) and
T20(C) after 24 hours of culturing (magnification-3000x)

and confirmed the incorporation of Naringenin compound to the In vitro drug release
PCL scaffold. PCL shows the characteristic peaks at 1744 cm-1 (C=0
In vitro drug release carried out according to ISO guidelines showed
ester bond), 1188 cm-1 (C-O-C stretching) and 2917 cm-1 (C-H
that the maximum rate of Naringenin was released on 6th day (figure
stretch).
4) when the drug release was studied in PBS- pH of 7.4 at 370C.
XRD analysis The absorbance of Naringenin was read at 292 nm based on the
earlier published study [24]. This data showed there was a continued
From the XRD pattern, the characteristic peak of PCL is presented release of Naringenin even at 12 days as revealed by in vitro drug
clearly (figure not included) at diffraction angles of 2θ, 21.65ο, 23.25ο, release study warranting the sustained drug release potential of
47.49ο and 48.52ο respectively. Similar peaks were identified in Nar- these scaffolds.
PCL scaffolds whereas PCL scaffold and Nar-PCL scaffolds did not
show much difference in the crystalline structure. Cell adhesion studies
NMR Spectroscopy L929 cells showed more attachment and spreading on Nar-PCL
scaffold (T5&T20) (figure 5B, 5C) than the control (figure 5A) after
FTIR spectroscopy combined with NMR spectroscopy has an incubation of 24 hours. There was a change in the usual
confirmed the loading of the drug to PCL scaffolds with standard morphology of L929 cells observed generally, from their normal
peaks of Naringenin in Nar-PCL. fusiform shape to round shape as seen in the SEM photographs.
The chemical shifts of these are identical to that of Naringenin and In vitro cytotoxicity
PCL suggesting that Naringenin is distributed in the PCL fibres. MTT assay
The right-hand side of the spectrum shows peaks corresponding
to PCL (figure 3) with chemical shifts at δ 1.36-1.42 ppm and in the The cell viability, inferred from MTT Assay at 24h was high (99%)
range of δ 1.6-1.69 ppm are attributable to the -(CH2)3; δ 2.2-2.31 for Nar-PCL - 5%, T5 when compared to Nar-PCL - 20%, T20,
ppm is associated with the -CH2 protons adjacent to the carbonyl PCL and lowest (54%) on cisplatin added group (figure 6A). There
group and δ 4.02 ppm corresponds to the methylene protons was a statistically significant difference between cisplatin (positive
adjacent to the oxygen moieties of the ester linkage, whereas the control for cytotoxicity) and all other experimental groups(T5, T20,
left-hand side of the spectrum corresponds to characteristic peaks PCL) and between the different experimental groups.
of Naringenin.

Figure 6: Cell proliferation of L929 fibroblasts grown over Nar-PCL(T5, T20), PCL and Cisplatin
control group analysed by A) MTT assay; B) LDH assay, n=3, *p < 0.001, mean ± SD
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J. Joseph, R.P. Kumar, A. John, A. Abraham / Trends Biomater. Artif. Organs, 34(3), 75-83 (2020)

Figure 7: Fluorescence Micrographs of cell viability over the different scaffolds demonstrated by Live- Dead
staining of ADMSC’s grown over A) neat PCL B) T5 and C) T20 (10 X magnification). Cell adhesion over the
scaffolds shown by SEM of ADMSC seeded over D) neat PCL E) T5 and F) T20 (Magnification 1000x)

LDH Assay Adipose-Derived Stem cells- cell adhesion and viability over
scaffolds
Similarly, the highest LDH release was observed on cisplatin added
group when compared to other groups (figure 6B), confirming the Similar to L929 fibroblasts, when ADMSC’s (positive for CD90 &
observation from MTT assay. There was a statistically significant CD105 markers-data not shown) were cultured over the different
difference between cisplatin (positive control for cytotoxicity) and electrospun scaffolds, cell viability was found high on T5 (figure
all other experimental groups(T5, T20, PCL) and between the 7B), when compared to ADMSC on T20 (figure 7C) and Neat PCL
different experimental groups. (figure 7A). A similar trend was observed for the ADMSC adhesion
over the Nar-PCL scaffolds (figures 7E,7F) when examined by
Cell viability – Live Dead staining.
SEM. Interestingly, more cellular adhesion and spreading of
The cellular viability evaluation by Calcein AM-Ethidium ADMSCs were observed when compared to L929 fibroblasts when
Homodimer staining showed corroborating results with that of grown over the PCL scaffolds. This is promising, paving way for
MTT and LDH assays. More viable cells with normal phenotype future endeavours of exploiting the proven osteoregenerative
were observed on Nar-PCL-T5, when compared to the control potential of Naringenin for the creation of stem cell-seeded
PCL scaffold alone and Nar-PCL-T20 (figure not shown). osteoregenerative constructs for implantation in bone injury models.

Figure 8: Anti-bacterial activities of Naringenin against S. aureus MTCC 96 and P. aeruginosa MTTC 424
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J. Joseph, R.P. Kumar, A. John, A. Abraham / Trends Biomater. Artif. Organs, 34(3), 75-83 (2020)

Antibacterial activity of the phytochemical as the typical peaks of Naringenin at 292 nm was observed clearly at
all measured period. The wettability studies by contact angle
The anti-bacterial effect of Naringenin against common skin measurement have revealed the increase in hydrophilicity of the
pathogens was also confirmed by disc-diffusion method (figure 8 scaffold surface upon the incorporation of phytochemical (Fig 1).
and table 2). These results are significant to avoid iatrogenic In this study, we could observe that the L929 fibroblast cells showed
infections, which is a common type of infection, associated with more adhesion, viability and proliferation on Nar-PCL scaffold
implantation procedures. Naringenin extract showed a zone of when compared to the neat PCL. The lack of expected spread
inhibition against common skin pathogens such as Staphylococcus morphology might be attributed to two main factors, the shorter
aureus and Pseudomonas aeruginosa in comparison with that of the incubation time as well as the wettability of the PCL scaffold. Poly
standard antibiotic, streptomycin (table 2). Since Staphylococcus aureus Capro Lactone scaffolds are hydrophobically proven by the
[25] is one of the most common implant-associated pathogens, wettability measurements (data from contact angle). Also, some
the potent antibacterial effect of Naringenin loaded scaffolds would earlier reports with L929 cells seeded PCL scaffolds showed similar
be beneficial in wound healing. cell attachment records with the morphology of fibroblast cells
Discussion over the PCL scaffolds as round and spherical in contrast to the
fusiform shape. Hence, they have attempted to create co-blend
Biologically derived matrices are preferred choices over synthetic scaffolds with more hydrophilic polymers like PLGA and PVA [31,
ones for tissue repair due to their biocompatible nature, tissue 32]. Similarly, in the current study, we have attempted to incorporate
integration abilities and their matching mechanical properties with a well-known anti-oxidant, anti-bacterial phytochemical, Naringenin
tissue [26,27]. The advent of stem cells, with their self-renewing to PCL scaffold to enhance its wettability, cell adhesion, proliferation
and differentiation characteristics, offer a therapeutic promise of properties (Fig 1, 5). This has been proved successful from the
high potential. Replenishing stem cells from exogenous or increase in hydrophilicity of the Nar-PCL scaffold favouring more
endogenous sources to the site of injury is the most challenging cellular adhesion.
task in tissue regeneration. The general practice in induced cellular
differentiation and proliferation is the usage of high-cost growth The isolated ADMSCs were positive for stem cell markers, CD90
factors of animal origin. This necessitates the search for an alternate and CD 105 (images not included), proving their stemness. In
source of inducing factors and phytochemicals with inherent tissue contrast to the cytocompatibility studies with L929 fibroblasts,
regenerative properties, less toxicity and affordable cost to emerge ADMSCs showed better adhesion, viability and proliferation over
as potential candidates. Well characterised Phyto-factors are treasure Nar-PCL scaffolds than on neat PCL (Fig 7). One plausible reason
houses yet to be explored, though used from time immemorial is the MSCs acquiring an elongated spindle-shape morphology,
for tissue regeneration in traditional medicine. The regulation of faster than fibroblasts when exposed to tumour secreted soluble
β-catenin, which is involved in osteoblastogenesis via Akt (protein factors [33]. Further, this might also be attributed to the reported
kinase B) and AMPK (AMP-activated protein kinase) signalling, proliferative effects of Naringenin on Mesenchymal stem cells [4].
has been demonstrated as a possible mechanism for the osteogenic Also, previous studies have proven the osteogenic differentiation
properties of Naringin [28]. The outcome of this study, if translated potential of mesenchymal stem cells when seeded over neat
to the clinical setting would help in the development of economic, polycaprolactone nanofiber scaffold [34] and PEG-PCL copolymeric
indigenous healthcare products like osteoinductive scaffolds. nanofiber scaffolds [35]. Thus, these synthesised drug delivery
scaffolds have novel multivariate applications like stem cell loading
Nanotechnology and advanced fabricating techniques like for exogenous supply to the site of injury as well as the drug
electrospinning offer abundant possibilities in the development delivery capability for attracting endogenous stem cells for further
of new generation biomaterials and tissue-engineered products initiation of the regenerative and reparative processes.
due to the varied biological responses to nano and micro
dimensional matrices. Further, electrospinning is a technique that Earlier studies from our group confirmed that poly Vinyl
can be used to fabricate continuous fibres from micrometre to pyrrolidone (PVP) coated Naringenin nanoparticle exerts significant
nanometer diameter structures. Suitable polymer formulation with antioxidant and anti-inflammatory potential, without altering any
or without drug incorporation fed through a spinneret and high biochemical and haematological parameters [24, 36]. Hence, through
voltage is applied to the tip for producing a thin fibrous stream this study, we have attempted to create a novel drug-loaded
[29, 30]. The simplicity of the electrospinning process itself can electrospun scaffold that has great potential in tissue engineering
also provide the ability to conveniently incorporate therapeutic applications. Cell adhesion, proliferation and viability studies have
compounds into the electrospun fibres for preparing useful drug proved that 5 % wt/wt in comparison to 20% wt/wt PCL-
delivery systems. Electrospun drug delivery systems combine the Naringenin electrospun scaffold showed better cytocompatibility
ideal nanosize properties with physical entrapment of drug/ and this has been selected for further studies. Future in vivo studies
phytochemical moieties resulting in the continued release of drug could further warrant the osteogenic regeneration potential of these
molecules to the target site. Thus, this study was carried out to novel hybrid scaffolds. To our knowledge, this is the first attempt
fabricate a polymer-phytochemical hybrid electrospun scaffold to synthesise the well standardised phytochemical, Naringenin
incorporated with an osteogenic, anti-atherogenic, anti-inflammatory incorporated electrospun scaffolds for stem cell loading and drug
natural flavonoid, Naringenin for tissue engineering applications. delivery applications.
Though various groups have formulated electrospun scaffolds from
different polymer sources, attempts to incorporate standardised Conclusions
phytochemicals to electrospun scaffolds are very few and nil with
the flavonoid compound, Naringenin emphasising the relevance Novel electrospun biodegradable PCL scaffolds possessing
of this study. antibacterial effects of bioflavonoid, Naringenin proved to support
the cellular attachment, viability and proliferation of adipose-derived
SEM images (Fig 1) and FTIR (Fig 2) spectroscopy have confirmed stem cells and normal fibroblasts. The findings of this study could
the morphology and the drug incorporation into the scaffolds elicit a future stream of investigations probing the usage of Phyto-
respectively. The in vitro drug release also confirms the stability of factors as safer, economic alternatives to synthetic growth factors
Naringenin drug released into PBS from the electrospun scaffold and mitogens. Considering the anti-atherogenic and osteoinductive
82
J. Joseph, R.P. Kumar, A. John, A. Abraham / Trends Biomater. Artif. Organs, 34(3), 75-83 (2020)

properties of Naringenin, these electrospun scaffolds could be 29(1), 46-58 (2014).


further developed as cost-effective, indigenous and 16. S. Tamburaci, C. Kimna, F. Tihminlioglu, Novel phytochemical Cissus
quadrangularis extract–loaded chitosan/Na-carboxymethyl cellulose–
osteoregenerative scaffolds. based scaffolds for bone regeneration, Journal of Bioactive and
Compatible Polymers., 33(6), 629-646 (2018).
Acknowledgement 17. S. Jain, S.R. Meka, K. Chatterjee, Curcumin eluting nanofibers augment
osteogenesis toward phytochemical based bone tissue engineering.
The authors sincerely thank Dr Rahul Mahadevan Pillai for the Biomed Mater. 11(5), 055007 (2016).
technical help. The authors would like to acknowledge the 18. J. Ahlawat, V. Kumar, P. Gopinath. Carica papaya loaded poly (vinyl
Sophisticated Instrumentation & Computation Centre of the alcohol)-gelatin nanofibrous scaffold for potential application in
University of Kerala and testing facility at BMT wing, SCTIMST, wound dressing, Materials Science and Engineering: C, 103, 109834
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Kerala Biotechnology Commission, KSCSTE and Emeritus UGC 1256 (2010).
Fellowship for AJ. 20. K.R. Remya, J. Joseph, Mani S, et al. Nanohydroxyapatite incorporated
electrospun polycaprolactone/polycaprolactone–polyethyleneglycol–
Data Availability Statement polycaprolactone blend scaffold for bone tissue engineering
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