Mechanical stimulation plays a crucial role in promoting cell differentiation. However, applying physical force directly to cells requires complex equipment and a sterile environment, posing challenges. To overcome this, stimuli-responsive biomaterials or 4D scaffolds can serve as an alternative platform for mechanical stimulation. These scaffolds, fabricated using advanced 3D printing techniques, can apply the necessary force to cells. To optimize their functionality, bioactive molecules or extracellular matrices can be incorporated or decorated on their surfaces. This thesis proposal focuses on developing a versatile material platform that allows customization through systematic composition adjustment and on-demand printing, while also offering surface modification capabilities. The primary objective is to create a novel cell carrier platform using thermo-responsive polymers. By manipulating the additive monomer compositions, we can finely adjust properties such as the transition temperature of the polymers, tailoring them to specific requirements. Furthermore, this platform will enable the fabrication of complex three-dimensional biomaterial structures with controllable porosity, a critical aspect of biomaterial design. Leveraging the capabilities of three-dimensional printing technology, we can program and achieve desired porosity levels in the printed structures, providing enhanced flexibility for biomaterial design. The development of thermo-responsive scaffolds involved three distinct stages aimed at designing an optimized platform that effectively operates within the physiological range while ensuring cell viability. One of the key challenges was to achieve a balance between thermoresponsive behavior and biocompatibility. In the initial stage, we investigated the interplay between a crosslinkable three-armed macromer (trimethylolpropane triacrylate-TMPTA) and various monomers (N-isopropylacrylamide-NiPAAm, methyl methacrylate-MMA, dimethylaminoethyl acrylate-DMAEA, 4-acryloylmorpholine-AMO) using thermally induced solution polymerization. NiPAAm, known for its thermoresponsive properties, was selected despite its limited biocompatibility. DMAEA was chosen to adjust the polymer network transition temperature by introducing cationic charge, which disrupts the coil-globule effect of PNiPAAm and provides cell adhesiveness of the composition. Additionally, the hydrophilic monomer AMO was incorporated to further fine-tune the polymeric network. We examined the behavior of these components within the physiological range and their integration into the PNiPAAm network, establishing significant correlations between the transition temperature of the polymer and the crosslinker and monomers in their soluble condition. In the second stage of our research, we introduced photo-induced polymerization to enhance the crosslinking ratio. By utilizing this method, we successfully fabricated photo-polymerized mixtures (photoresists) into thermo-responsive discs, enabling us to study their swelling behavior between 37℃ and 25℃. Our findings revealed that the swelling behavior could be adjusted by varying the ratios of the crosslinker and monomers in the experimental groups. Through careful experimentation, we identified a suitable composition (3% w/w TMPTA, 80% w/w NiPAAm, 15% w/w DMAEA, 5% w/w AMO, and 4% w/w photo-initiator(PI)) that required minimal crosslinking incorporation while still retaining thermo-responsiveness. Furthermore, we conducted a preliminary biocompatibility study by fabricating the mixture into thin-films and cultivating them with L929 fibroblast cells. In the third and final stage, we utilized the optimized formulations from the previous stage to build thermo-responsive 3D scaffolds using continuous Digital Light Processing (cDLP) printing. We investigated the effects of various parameters, such as curing time and monomer composition, on the swelling property of the scaffolds. Additionally, we introduced glycofurol (GF) as a photo-polymerization solvent, which allowed us to produce scaffolds with improved resolution and reduced printing time. The resulting optimized scaffolds, with a composition of 3% w/w TMPTA, 80% w/w NiPAAm, 15% w/w DMAEA, 5% w/w AMO, 4% w/w PI, and 10 seconds per layer, exhibited the desired thermo-responsiveness. To further understand the mechanical properties and thermal dependencies of these scaffolds, we conducted rheological analysis. This analysis helped establish a relationship between the mechanical properties of the scaffolds and their response to temperature changes. To investigate the potential of cell stimulation through periodic changes, we conducted an experiment involving the seeding of L929 fibroblasts and C2C12 myoblasts on thermo-responsive 3D scaffolds. Our objective was to assess the ability of cells to proliferate on scaffolds with different compositions. Specifically, we examined two types of scaffolds: lattice scaffolds, characterized by a porous structure with a periodic network that enables cells to inhabit a 3D environment, and raft scaffolds, which feature a dense 3D structure designed for cells to reside on the surface for observation and evaluation. The lattice scaffolds were composed of ≥2% w/w DMAEA, while the raft scaffolds consisted of ≥5% w/w DMAEA. To evaluate cell proliferation, we conducted direct contact experiments and employed live/dead assays, subjecting the scaffolds to temperature switching conditions at 31℃ and 37℃. These experimental setups aimed to provide insights into the response and behavior of cells in the presence of thermo-responsive scaffolds with varying compositions. The results revealed favorable adhesion and spreading of the cells on the scaffolds. Interestingly, in our dynamic temperature experiment, we observed that myoblasts seeded on the scaffolds exhibited both proliferation and spreading, whereas myoblasts subjected to constant-temperature conditions did not show the same behavior. This suggests that the expansion and contraction of the scaffold, observed in previous experiments, may impact cell viability. Further investigation is needed to better understand this phenomenon. Additionally, we enhanced cell adhesiveness of the scaffolds by impregnating the scaffolds with poly-L-lysine and tested them with hASCs (human adipose-derived stem cells). Significant differences were observed between scaffolds with and without poly-L-lysine, highlighting the effectiveness of this approach. In conclusion, we have successfully developed a thermo-responsive 3D scaffold that exhibits a transition temperature within the physiological range, ensuring cell survival, and provides mechanical stimulation to the cells through the coil-globule effect without causing cell detachment. Among the formulations tested, the GF-printed formulation (3% w/w TMPTA, 80% w/w NiPAAm, 15% w/w DMAEA, 5% w/w AMO, and 4% w/w photo-initiator) with an exposure time of 10 seconds per layer showed the most promising results for cell cultivation under periodic changes in temperature, with a transition temperature of 36.3 °C ± 0.9 °C. Furthermore, we conducted direct cell contact experiments and confirmed the biocompatibility of the thermo-responsive macromer-based scaffolds. These findings demonstrate that this material platform offers a versatile and responsive material for mechanical stimulation of cells on three-dimensional scaffolds. These promising results suggest that this approach holds significant potential for tissue engineering applications and can be utilized to develop mechanical stimulation devices for various biomedical applications.:CHAPTER 1……………………..……………...…………………………..…4 Introduction CHAPTER 2……………………..…………………………..……………….29 Material and Methods CHAPTER 3……………………………………..…..……………………….52 Thermo-Responsive Polymer from Thermal Synthesis Studies CHAPTER 4…………………………………..……………………………...70 An Adjustable Thermo-Responsive Polymer from Photo Synthesis CHAPTER 5……………………………………………………………....….88 Fabrication of Thermo-Responsive Scaffolds from DLP Printing CHAPTER 6…………………...…………………………………………....107 3D Scaffold Biocompatibility Studies CHAPTER 7…………………...……………………………………………139 Discussions CHAPTER 8…………………...……………………………………………161 Summery APPENDIX…………………...………………………………………….…166 Bibliography, List of Publications, CV, Declaration of Authorship, Acknowledgements, Related publication

Pharmaceutical companies and FDA (Federal Drug Administration) rules rely heavily on crystalline active pharmaceutical ingredients delivered as tablets and powders in the form of neutral compounds, salts and solvates of neutral compounds and salts. About half of all drugs sold in the market are in the form of salts which are held together by ionic bonds along with some other forces. Recently, Ionic liquids (ILs) an interesting class of chemical compounds have offered potential opportunity for exploration as novel drug ionic liquid salts, particularly in the field of transdermal/topical drug delivery. Due to the multifunctional nature of these salts they could allow generation of new pathway to manipulate the transport and deposition behaviour of the drug molecule. It is this modular approach of IL that forms the basis of the research presented here, in which pharmaceutically acceptable compounds are combined with selected drugs with known problems. IL salts were generated by combining at least one drug molecule with FDA approved compounds and were assessed for physicochemical properties, skin deposition and permeation studies. Skin deposition data suggested that these systems exhibit high skin retention, which was found to correlate with the molecular weight. On the other hand, permeation data displayed an inverse relationship between flux values and molecular weight of the permeant. Similar work was extended with ILs with mixed anions containing two drugs. The benzalkonium-sulfacetamide ILs were investigated for synergism and the biological studies data display no synergistic effect. It was also illustrated that in-situ IL based ibuprofen hydrogels systems could be manipulated via IL approach for topical application. These findings suggest the potential applicability of IL based formulations for topical delivery of drugs.

El manuscrito versa sobre el desarrollo y caracterización de materiales híbridos basados en poliacrilato de hidroxietilo (a partir de ahora PHEA) reforzado por la inclusión de una fase amorfa de sílice. Ambas fases fueron sintetizadas simultáneamente: la fase orgánica se obtiene a través de una reacción de polimerización radicalaria inducida por la pequeña adición de un iniciador térmico (peróxido de benzoilo); además, la sílice (SiO2) fue polimerizada a través de una reacción sol-gel catalizada en medio ácido del alcóxido de silicio tetraetoxisilano (en adelante TEOS). Las condiciones del proceso sol-gel donde el retículo de dióxido de silicio se forma condicionan la estructura final de la sílice: grado de condensación, especies intermedias lineales frente a ramificadas, tamaños promedio, Algunos de los parámetros fundamentales que controlan la topología de la sílice en materiales compuestos derivados de reacciones sol-gel incluyen a la naturaleza del catalizador usado para aumentar la reactividad del alcóxido (así como su cantidad, pH), el agua disponible para hidrolizar al precursor de la sílice (referido a la cantidad estequiométrica necesaria para hidrolizar completamente a una molécula de TEOS) y la relación entre los porcentajes de las fases orgánica e inorgánica en el material híbrido final. El primer parámetro (el catalizador) y el segundo (el agua) se fijaron para de este modo sintetizar materiales con tamaños de sílice alrededor de las decenas de nanómetros (materiales nanocompuestos); el último de ellos, el ratio relativo entre las fases orgánica e inorgánica, se cambió sistemáticamente. Para caracterizar algunas propiedades físicas y químicas de los materiales nanocompuestos se utilizaron varias técnicas, entre las que se incluyen: microscopías, espectroscopía infrarroja, calorimetría, análisis dinámico mecánico, termogravimetría, hinchado en disolventes. / Rodríguez Hernández, JC. (2008). Acrylate-silica polymer nanocomposites obtained by sol-gel reactions. Structure, properties and scaffold preparation [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/3798

[EN] Articular cartilage is a tissue with low capacity for self-restoration due to its avascularity and low cell population. It is located on the surface of the subchondral bone covering the diarthrodial joints. Degeneration of articular cartilage can appear in athletes, in people with genetic degenerative processes (osteoarthritis or rheumatoid arthritis) or due to a trauma; what produces pain, difficulties in mobility and progressive degeneration that finally leads to joint failure. Self-restoration is only produced when the defect reaches the subchondral bone and bone marrow mesenchymal stem cells (MSCs) invade the defect. However, this new formed tissue is a fibrocartilaginous type cartilage and no a hyaline cartilage, which finally leads to degeneration. Transplantation of autologous chondrocytes has been proposed to regenerate articular cartilage but this therapy fails mainly to the absence of a material support (scaffold) for the adequate stimulation of cells. Matrix-induced autologous chondrocyte implantation uses a collagen hydrogel as scaffold for chondrocytes; however, it does not have the adequate mechanical properties, does not provide the biological cues for cells and regenerated tissue is not articular cartilage but fibrocartilage. Different approaches have been done until now in order to obtain a scaffold that mimics better articular cartilage properties and composition. Hydrogels are a good option as they retain high amounts of water, in a similar way to the natural tissue, and can closely mimic the composition of natural tissue by the combination of natural derived hydrogels. Their three-dimensionality plays a critical role in articular cartilage tissue engineering to maintain chondrocyte function, since monolayer culture of chondrocytes makes them dedifferentiate towards a fibroblast-like phenotype secreting fibrocartilage. Recently, injectable hydrogels have attracted attention for the tissue engineering of articular cartilage due to their ability to encapsulate cells, injectability in the injury with minimal invasive surgeries and adaptability to the shape of the defect. Following this new approach we aimed at synthesizing two new families of injectable hydrogels based on the natural protein gelatin for the tissue engineering of articular cartilage. The first series of materials consisted on the combination of injectable gelatin with loose reinforcing polymeric microfibers to obtain injectable composites with improved mechanical properties. Our results demonstrate that there is an influence of the shape and distribution of the fibers in the mechanical properties of the composite. More importantly bad fiber-matrix interaction is not able to reinforce the hydrogel. Due to this, our composites were optimized by improving matrix-fiber interaction through a hydrophilic grafting onto the microfibers, with very successful results. The second series of materials were inspired in the extracellular matrix of articular cartilage and consisted of injectable mixtures of gelatin and hyaluronic acid. Gelatin molecules in the mixtures provided integrin adhesion sites to cells, and hyaluronic acid increased the mechanical properties of gelatin. This combination demonstrated ability for the differentiation of MSCs towards the chondrocytic lineage and makes these materials very good candidates for the regeneration of articular cartilage. The last part of this thesis is dedicated to the synthesis of a non-biodegradable material with mechanical properties, swelling and permeability similar to cartilage. This material intends to be used as a platform in a bioreactor in which the typical loads of the joint are simulated, so that the hydrogels or scaffolds would fit in the recesses in the platform. The function of the platform is to simulate the effect of the surrounding tissue on the scaffold after implantation and could reduce animal experimentation by simulating in vivo conditions. / [ES] El cartílago articular es un tejido con baja capacidad de auto-reparación debida a su avascularidad y baja población celular. Se encuentra en la superficie del hueso subcondral cubriendo las articulaciones. La degeneración del cartílago articular puede aparecer en atletas, en personas con procesos genéticos degenerativos o debido a un trauma; lo que produce dolor, dificultades en la movilidad y degeneración progresiva que lleva al fallo de la articulación. La auto-reparación sólo se produce cuando el defecto alcanza el hueso subcondral y las células madre (MSCs) de la médula ósea invaden el defecto. Sin embargo, este nuevo tejido es un cartílago de tipo fibrocartilaginoso y no un cartílago hialino, el cual finalmente lleva a la degeneración. El trasplante de condrocitos autólogos ha sido propuesto para regenerar el cartílago articular pero esta terapia falla principalmente por la ausencia de un material soporte (scaffold) que estimule adecuadamente a las células. El implante de condrocitos autólogos mediante un hidrogel de colágeno no tiene las propiedades mecánicas apropiadas, no proporciona las señales biológicas a las células y el tejido regenerado no es cartílago articular sino fibrocartílago. Se han realizado diferentes enfoques para obtener un scaffold que mimetice mejor las propiedades y la composición del cartílago articular. Los hidrogeles son una buena opción ya que retienen elevadas cantidades de agua, de forma similar al tejido natural, y pueden imitar de cerca la composición del tejido natural mediante la combinación de derivados de hidrogeles naturales. Su tridimensionalidad juega un papel crítico para mantener la función de los condrocitos, ya que el cultivo en monocapa de los condrocitos hace que desdiferencien hacia un fenotipo similar al fibroblasto secretando fibrocartílago. Los hidrogeles inyectables han acaparado la atención en la ingeniería tisular de cartílago articular debido a su capacidad para encapsular células, su inyectabilidad en el daño con cirugías mínimamente invasivas y su adaptabilidad a la forma del defecto. Siguiendo este nuevo enfoque hemos sintetizado dos nuevas familias de hidrogeles inyectables basados en la proteína natural gelatina para la ingeniería tisular del cartílago articular. La primera serie de materiales combina una gelatina inyectable con microfibras poliméricas sueltas de refuerzo para obtener composites inyectables con propiedades mecánicas mejoradas. Nuestros resultados demuestran que hay una influencia de la forma y la distribución de las fibras en las propiedades mecánicas del composite. Además, la mala interacción entre las fibras y la matriz no es capaz de reforzar el hidrogel. Debido a esto, nuestros composites han sido optimizados mediante la mejora de la interacción fibra-matriz a través de un injerto hidrófilo sobre las microfibras, con resultados muy exitosos. La segunda serie de materiales se ha inspirado en la matriz extracelular del cartílago articular y ha consistido en mezclas inyectables de gelatina y ácido hialurónico. Las moléculas de gelatina proporcionan los dominios de adhesión mediante integrinas a las células, y el ácido hialurónico aumenta las propiedades mecánicas de la gelatina. Esta combinación ha demostrado la habilidad para la diferenciación de MSCs hacia el linaje condrocítico y convierte a estos materiales en buenos candidatos para la regeneración del cartílago articular. La última parte de esta tesis se dedica a la síntesis de un material no biodegradable con propiedades mecánicas, hinchado y permeabilidad similar al cartílago. Este material pretende ser empleado como plataforma en un biorreactor en el que se simulan las cargas típicas de las articulaciones, de forma que los scaffolds encajarían en los huecos de la plataforma. Su función es simular el efecto del tejido circundante en el scaffold después de su implantación y podría reducir la experimentación anim / [CA] El cartílag articular es un teixit amb baixa capacitat d'auto-reparació deguda a la seua avascularitat i baixa població cel·lular. Es troba en la superfície de l'ós subcondral cobrint les articulacions. La degeneració del cartílag articular pot aparèixer en atletes, en persones amb processos genètics degeneratius o degut a un trauma; produeix dolor, dificultats a la mobilitat i degeneració progressiva que finalment porta a la fallida de l'articulació. L'auto-reparació es produeix quan el defecte arriba fins a l'ós subcondral i les cèl·lules mare (MSCs) de la medul·la òssia envaeixen el defecte. No obstant això, aquest nou teixit format es un cartílag de tipus fibrocartilaginós i no un cartílag hialí, el qual finalment porta a la degeneració. El transplantament de condròcits autòlegs ha sigut proposat per a regenerar el cartílag articular però aquesta teràpia falla principalment per la absència d'un material de suport (scaffold) que estimuli adequadament a les cèl·lules. L'implant de condròcits autòlegs en un hidrogel de col·lagen per als condròcits no té les propietats mecàniques apropiades, no proporciona les senyals biològiques a les cèl·lules i el teixit regenerat no és cartílag articular sinó fibrocartílag. Diferents enfocs han sigut realitzats fins ara per a obtenir un scaffold que mimetitzi millor les propietats i la composició del cartílag articular. Els hidrogels son una bona opció ja que retenen elevades quantitats d'aigua, de forma similar al teixit natural, i poden imitar acuradament la composició del teixit natural mitjançant la combinació d'hidrogels naturals. La seua tridimensionalitat juga un paper crític per a mantenir la funció dels condròcits, ja que el cultiu en monocapa dels condròcits fa que aquests desdiferencien cap a un fenotip similar al fibroblàstic secretant fibrocartílag. Recentment, els hidrogels injectables han acaparat l'atenció en l' enginyeria tissular de cartílag articular degut a la seua capacitat per a encapsular cèl·lules, la seua injectabilitat en el dany amb cirurgies mínimament invasives i la seua adaptabilitat a la forma del defecte. Seguint aquesta nova aproximació hem sintetitzat dues noves famílies d'hidrogels injectables basats en la proteïna natural gelatina per a l'enginyeria tissular del cartílag articular. La primera sèrie de materials combina una gelatina injectable amb microfibres polimèriques soltes de reforç per a obtenir compòsits injectables amb propietats mecàniques millorades. Els nostres resultats demostren que hi ha una influència de la forma i la distribució de les fibres en les propietats mecàniques del compòsit. Més importantment, la mala interacció entre les fibres i la matriu no és capaç de reforçar l'hidrogel. Degut a això, els nostres compòsits han segut optimitzats mitjançant la millora de la interacció fibra-matriu a traves d'un empelt hidròfil sobre les fibres, amb resultats molt exitosos. La segona sèrie de materials està inspirada en la matriu extracel·lular del cartílag articular i ha consistit en mescles injectables de gelatina i àcid hialurònic. Les molècules de gelatina proporcionen els dominis d'adhesió mitjançant integrines a les cèl·lules, i l'àcid hialurònic augmenta les propietats mecàniques de la gelatina. Esta combinació ha demostrat l'habilitat per a la diferenciació de MSCs cap al llinatge condrocític i converteix a aquests materials en bons candidats per a la regeneració del cartílag articular. L'última part d'aquesta tesi és dedicada a la síntesi d'un material no biodegradable amb propietats mecàniques, inflat i permeabilitat similar al cartílag. Aquest material pretén ser utilitzat com a plataforma a un bioreactor que simula les cargues típiques de les articulacions, de manera que els hidrogels o scaffolds encaixarien als buits de la plataforma. La seua funció es simular l'efecte del teixit circumdant al scaffold després d / Poveda Reyes, S. (2016). Protein-based injectable hydrogels towards the regeneration of articular cartilage [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/61392 / Premios Extraordinarios de tesis doctorales

Tesis por compendio / [ES] El cartílago hialino es un tejido conectivo denso con poca capacidad de auto regeneración cuando es afectado por patologías degenerativas. Por lo tanto, la estimulación eléctrica se ha propuesto como una terapia alternativa no invasiva para mejorar la reparación del cartílago hialino. De acuerdo con esto, este trabajo presenta un enfoque computacional y experimental combinado para entender mejor la biología del cartílago hialino y su respuesta a la estimulación eléctrica usando diferentes modelos in vitro. En primer lugar, se ha desarrollado un modelo mecanobiológico para simular el proceso de osificación endocondral. Por otro lado, se ha evaluado el efecto de la estimulación eléctrica sobre el cartílago hialino en tres escenarios diferentes. Inicialmente se ha analizado la proliferación celular y la síntesis de glicosaminoglicanos de condrocitos cultivados en monocapa y estimulados con campos eléctricos. Luego, se ha realizado un análisis histomorfométrico a explantes de condroepífisis que fueron estimulados eléctricamente. Por último, se ha evaluado el efecto de los campos eléctricos sobre la diferenciación condrogénica de células madre mesenquimales cultivadas en hidrogeles. Los resultados indican que la estimulación eléctrica es un estímulo biofísico prometedor, ya que este tipo de estimulación mejora la viabilidad y la proliferación celular, induce cambios morfológicos en los condrocitos, y estimula la síntesis de las principales moléculas que componen el cartílago hialino, tales como SOX-9, glicosaminoglicanos y agrecan. Además, este proyecto es el primer paso hacia la implementación de un estímulo biofísico alternativo que modifica la dinámica celular de los condrocitos de la placa de crecimiento en condiciones ex vivo. Adicionalmente, este estudio resalta el efecto potencial de los campos eléctricos para inducir el proceso de condrogénesis de células madre mesenquimales cultivadas en condiciones basales. En general, la evaluación de la estimulación eléctrica sobre condrocitos, tejidos y andamios es una herramienta útil que puede contribuir al conocimiento actual de las terapias regenerativas enfocadas en la regeneración del cartílago hialino. / [CA] El cartílag hialí és un teixit connectiu dens amb poca capacitat d'auto regeneració quan es veu afectat per patologies degeneratives. Per tant, l'estimulació elèctrica s'ha proposat com una teràpia alternativa no invasiva per millorar la reparació del cartílag articular. D'acord amb això, aquest treball presenta un enfoc computacional i experimental combinat per entendre millor la biologia del cartílag hialí i la seva resposta a l'estimulació elèctrica usant diferents models in vitro. En primer lloc, s'ha desenvolupat un model mecanobiològic per simular el procés d'ossificació endocondral. D'altra banda, s'ha avaluat l'efecte de l'estimulació elèctrica sobre el cartílag hialí en tres escenaris diferents. Inicialment s'ha analitzat la proliferació cel·lular i la síntesi de glicosaminoglicans de condròcits cultivats en monocapa i estimulats amb camps elèctrics. Després, s'ha realitzat una anàlisi histomorfomètrica a explants de condroepífisis que van ser estimulats elèctricament. Finalment, s'ha avaluat l'efecte dels camps elèctrics sobre la diferenciació condrogénica de cèl·lules mare mesenquimals cultivades en hidrogels. Els resultats indiquen que l'estimulació elèctrica és un estímul biofîsic prometedor, ja que aquest tipus d'estimulació millora la viabilitat i la proliferació cel·lular, indueix canvis morfològics en els condròcits, i estimula la síntesi de les principals molècules que componen el cartílag hialí, com ara SOX-9, glicosaminoglicans i agrecan. A més, aquest projecte és el primer pas cap a la implementació d'un estímul biofísic alternatiu que modifica la dinàmica cel·lular dels condròcits de la placa de creixement en condicions ex vivo. Addicionalment, aquest estudi ressalta l'efecte potencial dels camps elèctrics per induir el procés de condrogènesi de cèl·lules mare mesenquimals cultivades en condicions basals. En general, l'avaluació de l'estimulació elèctrica sobre condròcits, teixits i scaffolds és una eina útil que pot contribuir al coneixement actual de les teràpies regeneratives enfocades a la regeneració del cartílag hialí. / [EN] Hyaline cartilage is a dense connective tissue with low self-healing capacity when is affected by degenerative pathologies. Therefore, electrical stimulation has been proposed as a possible non-invasive alternative therapy to enhance the restoration of the cartilaginous tissue. Accordingly, this work presents a combined computational and experimental approach to understand better the hyaline cartilage biology and its response to electrical stimulation using different in vitro models. On the one hand, a mechanobiological model was developed to simulate the endochondral ossification process. On the other hand, the electrical stimulation on hyaline cartilage was evaluated in three different scenarios. Initially, cell proliferation and glycosaminoglycans synthesis of chondrocytes, cultured in monolayer and stimulated with electric fields, was analyzed. Then, a histomorphometric analysis was performed to chondroepiphysis explants that were electrically stimulated. Finally, the effects of the electric fields on chondrogenic differentiation of mesenchymal stem cells cultured in hydrogels was assessed. The results indicated that electrical stimulation is a promising biophysical stimulus, due to the fact that this type of stimulation enhances the viability and the proliferation of cells, induces morphological changes in the chondrocytes, and stimulates the synthesis of the main molecules that compose the hyaline cartilage, such as SOX-9, glycosaminoglycans and aggrecan. Moreover, this project is the first step towards the implementation of an alternative biophysical stimulus that modifies the cellular dynamics of growth plate chondrocytes in ex vivo conditions. Additionally, this study highlights the potential effect of electric fields to induce the chondrogenesis process of mesenchymal stem cells cultured in basal conditions. Overall, the assessment of electrical stimulation on chondrocytes, tissues and scaffolds is a useful tool that may contribute to the current knowledge of regenerative therapies focused on hyaline cartilage healing. / To the financial support from COLCIENCIAS – COLFUTURO through the fellowship No. 647 for national doctorates. To the financial support from COLCIENCIAS through the research grant 712-2015 No. 50457. To the financial support from the Spanish Ministry of Economy and Competitiveness through the MAT2016-76039-C4-1-R project. / Vaca González, JJ. (2019). The effect of electric fields on hyaline cartilage: an in vitro and in silico study [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/120023 / Compendio

An ink made of alginate and methylcellulose with embedded magnetite microparticles was developed for extrusion printing. Constructs, so-called scaffolds, are colonised with cells which can be activated by mechanical stimulation. In this work, a defined magnetic field gradient is applied to achieve non-contact deformation. However, the deformation behaviour or relevant material parameters of the hybrid material are unknown. While the properties were determined with experiments adapted to hydrogels, a separate experimental set-up for micro-computed tomography, adapting the Maxwell configuration, was developed to investigate the deformation behaviour. These analyses were performed depending on ageing and particle concentration. For these tests, strands were used as bending beams, since these are simple and well known systems. Firstly, a model for the bending curve was erected, which defines a range in which the real bending curve would be expected. It was compared with the measured bending curves. There was very good agreement for the first days. On day 14, the measured bending curves were still within the calculated range, but at the lower limit due to the shortcomings of the model as the violation of the small deformations condition at this point. Secondly, the bending as a function of incubation duration was observed by a series of radiograms when a magnetic field gradient was applied. From this, a functional approach was formulated to describe the system response. Some parameters have already been identified, for others a proposal is given. Thirdly, microscopic analyses were carried out to observe the effects of the field gradient on particle distribution and structure. It was revealed that a homogeneous particle distribution was found even after 2.5 h. Also, in the direction of the field gradient, no chains were formed and no damage of the network could be detected. The obtained results show, that the material is suitable for mechanical stimulation.

<p dir="ltr">Maxillofacial and oral defects originate from congenital conditions such as cleft palate, diseases such as osteosarcoma that cause malignancies, and from injuries due to blasts or vehicular accidents. These defects lead to complications for the patient, including challenges with speech, infections, as well as damaging psychological effects owing to the patient’s distorted physical appearance. The current standard of care uses particulates of freeze-dried auto- or allografts covered by a titanium mesh secured in place by screws. This approach is limited by: 1) variability; 2) the length of time the patient is exposed to potential infection during surgery; and 3) overpacking, often leading to diminished bone regeneration as blood vessels may fail to form. Prior research has demonstrated the benefits of using 3D printed titanium covers to protect the core particulate. Benefits such as reduction in surgical times, more reproducible than an in vitro human design, and patient specific. However, these covers do lead to an increased degree of stress shielding, since 3D printed titanium covers are thicker than the current titanium meshes on the market. Additionally, this does not address the issues that can occur with an overpacked core. To address these fallbacks, we designed a 3D printable, biodegradable, and implantable device with patient-specific shape and a porous core-cover structure. We hypothesized that a 3D printed porous cover-core bone graft, with controlled porosities, would enhance infiltration and osteointegration. By using finite element analysis and in vitro modeling, we fine-tuned the design to withstand possible masticatory forces while designing the hydrogel to maximize cell viability. First, we optimized the FEA model and demonstrated the feasibility of 3D printing the cover and core design. Our results demonstrated that a polycaprolactone (PCL) cover with 1 mm pores, secured with buccal screws, minimized stress shielding while providing stresses within a range that would promote osteogenesis. Additionally, we developed a hybrid core composed of methacrylated alginate, methacrylated gelatin (AlgGelMa), and tricalcium phosphate (TCP), which provided elastic properties within the range of the FEA model, promoted cell infiltration, supported growth factor sequestration and demonstrated osteogenesis through RT-PCR. Overall, we demonstrated the feasibility of a patient-specific resorbable osteoprotective cover with a hydrogel core that facilitates stress propagation and improves bone healing outcomes.</p>

Wenn erworbene oder angeborene Knochendefekte aufgrund überkritischer Größe oder krankhafter Störungen nicht durch natürliche Regenerationsprozesse geheilt werden können, ist der Einsatz von Knochenersatzmaterialien notwendig. In der vorliegenden Arbeit ist es gelungen ein neuartiges Knochenersatzmaterial zu entwickeln und eingehend zu charakterisieren. Dazu wurden die Phasen Silikat und Kollagen in einem biomimetisch inspirierten Prozess zu einem Anorganik/Organik-Komposit verbunden. Calciumphosphatphasen konnten darüber hinaus als dritte Komponente hinzugefügt werden. Dafür wurden Herstellungsstrategien entwickelt, die Silikat in Form von Kieselsäure, Kollagen als hochkonzentrierte Suspension und gegebenenfalls Calciumphosphat als Pulver zu homogenen Mischungen vereinten. Als Zwischenprodukte wurden Komposithydrogele erhalten, deren Überführung in Xerogele in der Literatur als kritischer Schritt gilt, weil die dabei auftretenden Kapillarspannungen die Gelstruktur in der Regel irreversibel zerstören, wodurch das Material als Pulver oder Fragmente erhalten wird. Im vorliegenden Fall aber konnte die Gelfestigkeit in einem definierten Zusammensetzungsbereich durch die Kompositbildung und die kontrollierte Trocknung der Hydrogele so gesteigert werden, dass monolithische Proben von bis zu mehreren Kubikzentimetern Größe erhalten wurden. Diese konnten ohne weitere Verarbeitungsschritte einer Reihe von Untersuchungen zu mechanischen Eigenschaften, Bioaktivität, Degradabilität und Biokompatibilität unterzogen werden.

Dans le domaine de l'ingénierie du cartilage, les hydrogels à base d'alginate (Alg) et de cellules souches mésenchymateuses (CSM) sont utilisés comme biomatériaux pouvant être utilisés pour combler des lésions cartilagineuses plus ou moins profondes. Cependant, pour reproduire l’organisation zonale du cartilage, des biomatériaux multiphasiques sont nécessaires. Afin de guider la différenciation des CSM dans les différentes strates du biomatériau, sans apports de facteurs de croissance, des composants naturels du cartilage (acide hyaluronique, HA) ou de la matrice osseuse (hydroxyapatite, Hap) peuvent être ajoutés à l’alginate. L’objectif de ce travail de thèse consiste à analyser l’impact de la composition de biomatériaux à base d’alginate enrichi soit en HA soit en Hap sur le comportement des CSM. La première partie de notre travail à consister à évaluer le comportement des CSM issues de la gelée de Wharton dans ces hydrogels. Nos résultats mettent en évidence que les hydrogels d’Alg/Hap possèdent non seulement de meilleures propriétés mécaniques que les hydrogels Alg/HA et favorisent la viabilité des CSM ainsi que leur différenciation par rapport aux CSM ensemencées dans un hydrogel d’Alg/HA. La méthode de stérilisation du biomatériau représente une étape incontournable, dont on doit impérativement évaluer les multiples effets, en particulier pour ce qui touche au comportement des cellules, mais aussi au maintien de l’intégrité des propriétés physicochimiques de l'hydrogel. Ainsi, dans une seconde partie du travail, nous avons montré que le traitement de stérilisation par autoclave induisait un effet négatif sur les caractéristiques initiales de l'hydrogel à base d'alginate. Il ressort également de cette investigation sur les modes de stérilisation, que la stérilisation des hydrogels avec des UV est plus efficace et permet de préserver au mieux les propriétés spécifiques de l'hydrogel, notamment de l’Alg/HA. Enfin, dans une troisième partie de notre travail, nous avons évalué l’évolution des propriétés mécaniques au cours de la différenciation et l’impact de celles-ci sur la différenciation des CSM ainsi que sur leurs propriétés immunomodulatrices. À partir de ces résultats, nous avons montré que les caractéristiques physico-chimiques des hydrogels d’Alg/ha et Alg/hap influençaient non seulement le potentiel de différenciation des CSM-GW mais également la sécrétion des facteurs solubles impliqués dans l’immunomodulation. Ces propriétés physico-chimiques étant influencées dès le procédé de stérilisation, il est alors conseillé de les prendre en compte dans toutes les étapes de l’ingénierie tissulaire / In the field of cartilage engineering, alginate (Alg)-based hydrogels and mesenchymal stem cells (MSC) are widely used as raw biomaterials and stem cells which can be used to fill cartilage lesions of varying depth. However, to reproduce the zonal organization of articular cartilage, a graft multilayer is necessary. In order to guide the differentiation of MSCs in different strata of the biomaterials, without input of growth factors, natural cartilage components (hyaluronic acid, HA) or bone matrix (hydroxyapatite, Hap) can be added into the alginate. The aim of this work is to analyze the impact of the composition of alginate enriched either in HA or in Hap on the behavior of MSCs. The first part of our work is to evaluate the behavior of WJ-MSCs into these hydrogels. Our results have shown that Alg/ Hap hydrogels not only possess better mechanical properties than Alg/HA hydrogels, but also promote the viability of MSCs and their differentiation from MSC seeded into the Alg/HA hydrogel. The sterilization method of biomaterial is an essential step, the multiple effects of which must be evaluated, in particular as regards the behavior of the cells, but also to maintain the integrity of the physicochemical properties of hydrogel. Thus, in a second part of this work, we showed that the autoclave sterilization treatment induced a negative effect on the initial characteristics of alginate hydrogel. It is also apparent from this investigation of the sterilization modes that the sterilization of hydrogels with UV is more efficient and makes it possible to preserve the specific properties of the hydrogel as best as possible, in particular Alg/HA. Finally, in a third part of our work, we also evaluated the evolution of the mechanical properties during the differentiation and the impact of these on the differentiation of MSCs and their immunomodulatory properties. From these results, we have shown that the physico-chemical characteristics of Alg / ha and Alg/hap hydrogels influence not only the differentiation potential of WJ-MSC but also the secretion of soluble factors involved in immunomodulation. Since these physicochemical properties are influenced by the sterilization process, it is advisable to take them into account in all stages of tissue engineering

Depuis plus d’une cinquantaine d’années, de formidables avancées ont été initiées dans le domaine de l’ingénierie tissulaire cutanée menant à la reconstruction in vitro de substituts de peau. La plupart sont des substituts dermiques destinés à être utilisés comme aide à la cicatrisation des plaies aigües et chroniques en complément des traitements de greffes conventionnels ainsi que pour l’augmentation des tissus mous. Bien qu’un nombre croissant de patients aient pu bénéficier de ces matrices dermiques, leur application clinique reste encore restreinte, en raison de leur coût élevé mais également à cause de résultats cicatriciels parfois peu satisfaisants. Par conséquent, il reste un défi de taille, celui de développer des substituts dermiques stimulant activement la cicatrisation, présentant un faible coût de production, sans propriétés antigéniques et possédant des propriétés mécaniques adaptées. Dans ce cadre, les hydrogels à base de fibrine constituent des candidats prometteurs, en particulier en raison du rôle central de cette protéine dans la cicatrisation. Le principal inconvénient est qu’à concentration physiologique, ces hydrogels sont faibles mécaniquement, ce qui les rend difficilement manipulables. L’objectif de cette thèse a été la mise au point ainsi que la caractérisation de différents hydrogels destinés à être utilisés comme substituts dermiques. Ces derniers présentent l’avantage d’associer les propriétés biologiques de la fibrine avec les propriétés mécaniques d’un polymère synthétique, le polyéthylène glycol dans une architecture de réseaux interpénétrés de polymères (RIP). Les résultats obtenus ont permis : - de confirmer les propriétés physico-chimiques des RIP développés initialement par nos collaborateurs de l’université de Cergy-Pontoise, - de valider en trois étapes (in vitro, ex vivo puis in vivo) la biocompatibilité de ces nouvelles matrices, destinées à être utilisées comme supports de culture 2D et pour l’augmentation des tissus mous, - d’élaborer et de caractériser des matrices macroporeuses, optimisées pour la culture 3D de fibroblastes de dermes humains. / Over the past five decades, we assisted in extraordinary advances in the field of skin tissue engineering which led to the in vitro reconstruction of a wide range of skin substitutes. Most of them are dermal substitutes: Their clinical application ranges from treating acute and chronic wounds to soft tissue augmentation. Although increasing numbers of patients have been treated with dermal substitutes, their clinical application has been limited by their substantial cost and some poor healing outcomes. Hence, there is still a challenge to produce a dermal substitute which enhance sufficiently wound healing. To this end, the substitute should exhibit suitable properties for enabling the repair process. Other requirements such as excellent biocompatibility, minimal antigenicity, ease to handle and cost-effective production are also essential. In this context, fibrin hydrogels constitute promising candidates for skin tissue engineering since fibrin fibers form a physiological and provisional backbone during wound healing. However, the poor mechanical properties of fibrin-based hydrogels at physiological concentration are an obstacle to their use. In this study, our aim was to design and characterize mechanically reinforced fibrin-based hydrogels by combining the intrinsic properties of a fibrin network with the mechanical features of a polyethylene glycol network using an interpenetrating polymer network (IPN) architecture. They are intended to be used as dermal scaffolds. The results obtained in this thesis: - Confirmed the suitable physico-chemical properties of IPN, first developed by our partner of the University of Cergy-Pontoise. - Validated their biocompatibility using a three-step approach (in vitro, ex vivo and in vivo assays). - Led to the synthesis and characterization of a new type of fibrin-based macroporous matrices, optimized for 3D dermal fibroblast culture.