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Janine M. Orban,1 Lorri B. Wilson,1 Jessica A. Kofroth,2 Mohammed S. El-Kurdi,1 Timothy M. Maul,2
David A. Vorp1,2
1
Department of Surgery, University of Pittsburgh, Room 236, Cellomics Bldg., McGowan Institute for Regenerative
Medicine, 100 Technology Drive, Pittsburgh, Pennsylvania 15219
2
Department of Bioengineering, University of Pittsburgh, Pittsburgh, Pennsylvania 15219
Received 21 February 2002; revised 14 October 2003; accepted 15 October 2003
Abstract: Collagen is commonly used as a tissue-engineering scaffold, yet its in vivo applications are limited by a
deciency in mechanical strength. The purpose of this work
was to explore the utilization of a unique enzymatic
crosslinking procedure aimed at improving the mechanical
properties of collagen-based scaffold materials. Type I bovine collagen gel was crosslinked by transglutaminase,
which selectively mediates the chemical reaction between
glutamine and lysine residues on adjacent protein bers,
thus providing covalent amide bonds that serve to reinforce
the three-dimensional matrix. The degree of crosslinking
was veried by thermal analysis and amine group content.
The denaturation temperature of crosslinked collagen
reached a maximum of 66 1C. The chemical reaction was
INTRODUCTION
imide,18 dimethylsuberimidate,19 and nordihydroguaiaretic acid20 impart some degree of cytotoxicity when
prepared prior to cell seeding. Furthermore, the chemical reaction that occurs between amine or carboxylic acid
groups is characteristic of xing techniques, and must
be averted in the case of in situ crosslinking of cellseeded gels. To date, the only recognized mechanisms
for strengthening collagen constructs in the presence of
cells are nonenzymatic glycation10 and enzyme-mediated crosslinking techniques.22,24 We postulate that enzymes can be used to crosslink cell-seeded collagen gels
in situ, thereby enhancing mechanical strength while
remaining benign toward the cells.
Transglutaminases (TG), calcium-dependent enzymes distributed intra- and extracellularly throughout the body, are responsible for tissue stabilization
through formation of high molecular weight complexes via chemical crosslinking.21 The reaction has
been identied to catalyze the formation of the amide
crosslink from -carboxamide and primary amine
functionalities.22,23 In vivo, this reaction characteristically takes place between the glutamine and lysine
residues of collagen (Fig. 1). In addition to TG, the
lysyl oxidase family of enzymes is also known to
catalyze the crosslinking of elastin and collagen bers.
Collagens comprise the majority of proteins in connective tissue such as skin, bone, cartilage, and tendons, and are therefore popular candidates for biomedical materials. However, the effectiveness of
collagen-based tissue engineered materials has been
severely limited by their lack of mechanical strength.
To contend with this issue, collagen-based materials
can be strengthened utilizing chemical crosslinking
agents such as glutaraldehyde,1 4 acyl azides,5 glycidyl ethers,6 diisocyanates,7 and other methods.8 14
Such crosslinking treatments have also been shown to
reduce biodegradation.4,13,14 Traditional collagen
crosslinking reagents, for example, glutaraldehyde,15
hexamethylenediisocyanate,16 bis-epoxide,17 carbodiCorrespondence to: D.A. Vorp; e-mail: VorpDA@upmc.edu
Contract grant sponsor: the Pittsburgh Tissue Engineering
Initiative (PTEI; to D.A.V.).
Contract grant sponsor: a PTEI summer internship (to
L.B.W.).
Contract grant sponsor: NIH; contract grant number: R01
HL069368-01A1
2004 Wiley Periodicals, Inc.
757
Cell culture
Thermal analysis
Thermal analysis was exploited in the assessment of collagen gel strength, by measuring the denaturation temper-
758
Cell viability
The toxicity of TG crosslinking technique with regard to
BMSCs was measured using the MTT assay. The number of
viable cells was assayed over a period of 14 days, assuming
that any toxic effects would be manifested within that period
of time. The MTT chromophore represents the number of
viable cells by measuring the amount of formazan generated
by the mitochondrial enzymes of metabolically active cells.36
Thus, the number of viable cells can be correlated with the
absorbance at 540 nm (max). To quantify BMSC viability,
MTT (50 L, 5 mg/mL PBS) was added to each well and the
plate incubated for 3 h at 37C. After the MTT treatment, the
plates were centrifuged at 800 g for 5 min, the supernatant
removed, and the pellet washed once with PBS. To each well
was added extraction buffer (250 L, 20% SDS/50% DMF,
pH 7.4) and the gels kept at 37C overnight. After solubilization, each well was diluted 10-fold, and aliquotted into
one column of 96-well plate. The absorbance was measured
at 0, 2, 6, 9, and 14 days using a microplate spectrophotometer (Molecular Devices) at 550 nm, with the extraction
buffer as the blank.
Burst pressure
Double-layer tubular constructs were fashioned as described34 from crosslinked and noncrosslinked BMSC-con-
ORBAN ET AL.
Data analysis
Statistical analysis was performed using Statistica 98
software (Statsoft, Inc., Tulsa, OK). All data is presented as
mean SEM. Assessment of burst strength was resolved
using one-tailed Students t-test assuming two samples of
unequal variance. For all other experiments, one-way analysis of variance (ANOVA) was executed to determine differences among collagen:enzyme treatment groups, assuming a 95% condence interval. Signicance was assumed for
p 0.05. When signicance was observed, the Sheffe post
hoc multivariable test was used to determine variance
among groups.
RESULTS
Extent of crosslinking
The extent of crosslinking was measured both by
amine group quantication and by thermal analysis.
As the ratio of collagen:enzyme was varied between
50,000:1, 5000:1, 500:1, 50:1 (w/w), including a noncrosslinked control, the TNBS absorbance decreased
thereby signifying a decrease in amine groups present
with increasing enzyme concentration (Fig. 2). Analyses indicate a signicant difference in number of
amine groups present between the noncrosslinked
and all of the crosslinked samples. However, there
was not a signicant change in the number of amine
groups as enzyme concentration was varied between
5000:1 and 50:1 (w/w).
The denaturation temperature (Td) was used as a
relative measure of tissue strength. In the case of col-
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Figure 4. Cell viability as measured by average MTT absorbance (SEM) over a 14-day culture period for noncrosslinked and crosslinked (5000:1 collagen:enzyme) samples (N 4 for each data point). *p 0.05 for comparison of
crosslinked and noncrosslinked samples. There is no statistical difference at any other time points.
Cytotoxicity
lagen gels, as the sample becomes progressively more
crosslinked, and accordingly stronger, the temperature required to denature the gel, increased. This trend
is evident in Figure 3 as the mean Td increases from
38 1C to 66 1C between the control and foremost crosslinked sample. Statistical analysis revealed
a signicant increase in average denaturation temperature between the noncrosslinked and each
crosslinked group (p 0.05). In addition, the denaturation temperature of samples crosslinked with
50,000:1 was signicantly different (p 0.05) from
5000:1, 500:1, and 50:1.
Burst strength
During in vitro culture, the construct underwent
compaction (remodeling) as evidenced by longitudinal contraction of the gel on the mandrel. This contraction was not quantied here, nor was the effect of
crosslinking. However, controls typically contract
30% in length at 7 days, and we did not note (qualitatively) any differences between the controls and
crosslinked constructs. The average burst pressures
between crosslinked (5000:1 collagen:TG) and noncrosslinked samples were determined to be 71 4 and
46 3 mmHg, respectively (p 0.01, Fig. 5). The
mode of failure for all samples was a pinhole rupture
in the center of the construct.
Figure 3. Mean denaturation temperature (SEM) in C of
crosslinked collagen gels measured by differential scanning
calorimetry (N 3 for each group). The value at 0 collagen:
enzyme represents the noncrosslinked control. A signicant
difference (p 0.05) is noted between all crosslinked samples and the control, and between 50,000:1 collagen:enzyme
and higher enzyme concentrations.
DISCUSSION
In this article, structurally robust collagen matrices
were prepared via enzyme-mediated crosslinking us-
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Figure 5. Mean burst pressure of tube-shaped cellular constructs (SEM) as measured by peak pressure (mmHg) attained prior to specimen failure. p 0.01 between control
(N 8) and samples crosslinked with 5000:1 collagen:TG
(N 10).
ing TG. The chemical reaction (Fig. 1) was characterized by amine group quantication, which conrmed
the presence of amide functionality. Cellular viability
was revealed to be unaffected by the crosslinking reaction over a 14-day period. Finally, tube-shaped cellular constructs fashioned from crosslinked gels possessed signicantly higher burst strengths than
noncrosslinked counterparts.
Evaluation of chemical crosslinking is commonly
performed by end group analysis because it probes
the consumption of functional groups. When collagen
is used as the substrate, lysine residues participate in
the reaction to produce the amide bond, and therefore
a decrease in the number of amine groups is anticipated. The TNBS chromophore (max 405 nm) is
commonly used in such analyses, and has indeed been
utilized to determine the extent of collagen crosslinking.6,35 Figure 2 reveals that after 30 min, the extent of
reaction reaches a plateau at 5000:1 collagen:TG. From
this data, it is established that 5000:1 is the optimal
enzyme concentration for such conditions, and was
employed as the standard enzyme concentration in
this investigation.
Thermal transitions have been documented for various types of tissues and gels, providing adequate
reference for the strength of TG-crosslinked collagen
gels. For example, bovine dermal collagen denatures
at 44C,5 while diphenylphosphorylazide-crosslinked
collagen exhibits a denaturation temperature as high
as 62C.5 This value approaches the value reported for
calf pericardium (68C),37 and is direct evidence of a
highly strengthened collagen-based construct. Our
thermal analyses of collagen gels crosslinked with TG
are consistent with these literature values (Fig. 3).
The presence of cells within a collagen matrix in
some applications, such as tissue engineering, requires
that the crosslinking techniques be noncytotoxic. In
situ preparation of engineered tissue is benecial because it eliminates complexity in the fabrication se-
ORBAN ET AL.
quence and provides a homogeneously seeded, threedimensional construct when compared with
conventionally seeded scaffolds. The MTT assay was
chosen for cell viability analysis because it is frequently used for this purpose and because it has been
found to correspond closely to values obtained using
tritiated thymidine uptake.38,39 Our results suggest
that, unlike various chemical methods, the enzymemediated reaction is benign and may be successfully
utilized in applications such as tissue engineering (Fig.
4). Although a statistical difference does exist in the
number of viable cells present in the crosslinked and
noncrosslinked gels at the rst and last time points,
the data suggests that crosslinked gels promote cell
viability, if anything. The statistical difference in viable cells between crosslinked and noncrosslinked gels
at t 0 is likely due to experimental error in preparing
a homogeneous collagen-cell suspension.
Although the burst pressures of the tissue engineered tubular constructs are remarkably low (46 and
71 mmHg), compared with the saphenous vein (1680
mmHg),40 and other constructs with polymer scaffolding,41 the statistically signicant improvement in burst
pressure due to crosslinking (Fig. 5) suggests an advancement provided by this technique. These results
might have implications for other tissue engineering
approaches that result in insufcient tissue strength.
For example, Hirai and Matsuda reported burst pressures of just over 100 mmHg for collagen/smooth
muscle cell (SMC) tubular constructs incubated for 7
days.42
There are certain limitations to this work that
should be kept in mind. For example, preparation of
cell seeded gels was performed in serum containing
media (15% FCS). The presence of serum proteins
introduces a potentially reactive species, capable of
quenching the crosslinking reaction. The rationale for
including serum was that maintaining a positive cellular environment took precedence over elimination of
small quantities of reactant moieties. In other words, a
higher degree of crosslinking may be established
through the exclusion of serum, although the burst
strength data indicates a signicant difference without
compromising cellular metabolism. Additionally, the
measurement of a true burst strength should be
made with consideration of construct dimensions
(e.g., thickness, inner diameter). However, the burst
pressure measurement made in this work was intended to serve as a simple comparison between the
strength of crosslinked and noncrosslinked constructs
examined in this study. This is a reasonable comparison because the tubular constructs were made in the
same fashion, in like molds, and were of similar dimensions. Uniaxial tensile testing was attempted on
the constructs, but such tests were deemed unsuccessful due to difculty in gripping the small, fragile,
circumferentially aligned tissue specimens. Nonethe-
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