Change in Collagen Fibril Diameter Distribution of Bovine Anterior Cruciate Ligament Upon Injury Can Be Mimicked in a Nanostructured Scaffold

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Change in Collagen Fibril Diameter Distribution of Bovine Anterior Cruciate Ligament Upon Injury Can Be Mimicked in a Nanostructured Scaffold molecules Article Change in Collagen Fibril Diameter Distribution of Bovine Anterior Cruciate Ligament upon Injury Can Be Mimicked in a Nanostructured Scaffold Zhuldyz Beisbayeva 1, Ainur Zhanbassynova 1, Gulzada Kulzhanova 2, Fariza Mukasheva 1 and Cevat Erisken 1,* 1 Department of Chemical and Materials Engineering, School of Engineering & Digital Sciences, Nazarbayev University, 53 Kabanbay Batyr, Nur-Sultan 010000, Kazakhstan; [email protected] (Z.B.); [email protected] (A.Z.); [email protected] (F.M.) 2 Department of Biological Sciences, Nazarbayev University, 53 Kabanbay Batyr, Nur-Sultan 010000, Kazakhstan; [email protected] * Correspondence: [email protected] Abstract: More than 200,000 people are suffering from Anterior Cruciate Ligament (ACL) related injuries each year in the US. There is an unmet clinical demand for improving biological attachment between grafts and the host tissue in addition to providing mechanical support. For biological graft integration, it is important to provide a physiologically feasible environment for the host cells to enable them to perform their duties. However, behavior of cells during ACL healing and the mechanism of ACL healing is not fully understood partly due to the absence of appropriate environ- ment to test cell behavior both in vitro and in vivo. This study aims at (i) investigating the change Citation: Beisbayeva, Z.; in fibril diameter of bovine ACL tissue upon injury and (ii) fabricating nanofiber-based scaffolds Zhanbassynova, A.; Kulzhanova, G.; to represent the morphology and structure of healthy and injured ACL tissues. We hypothesized Mukasheva, F.; Erisken, C. Change in that distribution and mean diameter of ACL fibrils will be altered upon injury. Findings revealed Collagen Fibril Diameter Distribution of Bovine Anterior Cruciate Ligament that the collagen fibril diameter distribution of bovine ACL changed from bimodal to unimodal upon Injury Can Be Mimicked in a upon injury with subsequent decrease in mean diameter. Polycaprolactone (PCL) scaffold fiber Nanostructured Scaffold. Molecules diameter distribution exhibited similar bimodal and unimodal distribution behavior to qualitatively 2021, 26, 1204. https://doi.org/ represent the cases of healthy and injured ACL, respectively. The native ACL tissue demonstrated 10.3390/molecules26051204 comparable modulus values only with the aligned bimodal PCL scaffolds. There was significant difference between mechanical properties of aligned bimodal and unaligned unimodal PCL scaffolds. Academic Editor: We believe that the results obtained from measurements of diameter of collagen fibrils of native Matthias Schnabelrauch bovine ACL tissue can serve as a benchmark for scaffold design. Received: 20 January 2021 Keywords: injury; anterior cruciate ligament; bovine; collagen; fibril; diameter Accepted: 2 February 2021 Published: 24 February 2021 Publisher’s Note: MDPI stays neutral 1. Introduction with regard to jurisdictional claims in published maps and institutional affil- Anterior cruciate ligament (ACL) injuries have an estimated annual incidence of iations. more than 200,000 in the United States alone [1]. ACL injuries cannot regenerate but heal slowly, resulting in scar tissue formation due to their poorly vascularized nature and frequency of motion. Unfortunately, currently available clinical procedures are not able to fully repair ACL injuries, mainly because of the absence of biological integration between grafts and the host tissue [2]. Reports reveal that females carry three to five times Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. higher risk [3] and that more than one-third of the people with injured ligament tissue This article is an open access article undergo reconstruction surgery each year [1], with an estimated annual cost of more than distributed under the terms and 4 billion dollars for nonsurgical management of ACL injuries, and about 3 billion dollars conditions of the Creative Commons for surgical reconstruction of ACL [4]. Obviously, increased ACL loading stretches the Attribution (CC BY) license (https:// collagen bundles/fibers, a major constituent of the tissue, until partial or complete ligament creativecommons.org/licenses/by/ rupture occurs as a result of disruption of individual collagen fibrils [5–7]. A schematic of 4.0/). the ACL injury is given in Figure1. Molecules 2021, 26, 1204. https://doi.org/10.3390/molecules26051204 https://www.mdpi.com/journal/molecules Molecules 2021, 26, x FOR PEER REVIEW 2 of 19 complete ligament rupture occurs as a result of disruption of individual collagen fibrils Molecules 2021, 26, 1204 2 of 17 [5–7]. A schematic of the ACL injury is given in Figure 1. Figure 1. Schematic of a torn/ruptured anterior cruciate ligament (ACL) tissue. Figure 1. Schematic of a torn/ruptured anterior cruciate ligament (ACL) tissue. Structurally, ACL is a poorly vascularized connective tissue composed mainly of elastin,Structurally, glycoproteins, ACL is glycosaminoglycans,a poorly vascularized and connective aligned collagentissue composed fibers (mostly mainly type of I) elastin,surrounded glycoproteins, by fibroblast glycosaminoglycans, cells. It connects and the aligned femur andcollagen tibia fibers with a (mostly basic function type I) of surroundedstabilizing by the fibroblast knee joint cells. through It connects resisting the anterior femur tibialand tibia translation with a andbasic rotational function loads. of stabilizingDuthon the et al. knee reported joint through on the anatomical resisting anterior structure tibial and translation properties and of the rotational ACL in loads. a review Duthonstudy et [8 al.]. Their reported report on defines the anatomical the cross-section structure of and the humanproperties ACL of as the an ACL irregular in a review geometry, studyhaving [8]. anTheir area report of approximately defines the 34 cross mm‐2sectionat the femurof the and human 42 mm ACL2 at theas an tibia irregular junctions. geometry,ACL is composedhaving an area of small of approximately entities called 34 fascicles, mm2 at whichthe femur contain and fibrils42 mm and2 at the fibroblasts. tibia junctions.Fibrils withACL diametersis composed of upof small to 500 entities nm are called formed fascicles, from subfibrils, which contain and consequentlyfibrils and fibroblasts.form microfibrils. Fibrils with diameters of up to 500 nm are formed from subfibrils, and consequentlyFibroblasts form microfibrils. are ligament cells that produce components of the tissue extracellular matrixFibroblasts (ECM) are and ligament form about cells 20% that of totalproduce tissue components volume. The of remaining the tissue proportion extracellular is the matrixECM, (ECM) which and in turn form contains about 60–80%20% of total water. tissue Collagens, volume. mainly The typesremaining I and proportion III, form 70–80% is theof ECM, the dry which volume in turn of the contains ligament 60–80% [9]. A water. summary Collagens, of ACL mainly tissue composition types I and isIII, provided form 70–80%in Table of 1the. dry volume of the ligament [9]. A summary of ACL tissue composition is provided in Table 1. Table 1. Typical composition of ACL tissue [9]. Table 1. Typical composition of ACL tissue [9]. Cellular Materials (20%) Extracellular Materials (80%) Cellular Materials Water (60–80%)Extracellular Materials (80%) Solids (20–40%) (20%) Collagen 70–80% Elastin Fibroblasts Water (60–80%) Solids (20–40%) CollagenType 70–80% I—90% Elastin Fibroblasts Type I—90%Type III—10% Type III—10% ACL composition and structure are distorted upon injury, and its function is thus compromisedACL composition as indicated and structure by inferior are mechanical distorted upon properties. injury, The and arrangement its function of is collagen thus compromisedfibers in ACL as tissue indicated plays aby key inferior role in loadmechanical distribution properties. since wavy The parallel arrangement arrangement of collagenof fibrils fibers provides in ACL mechanical tissue plays resistance a key to role tension in load force distribution along the fiber since axis. wavy During parallel tensile arrangementstretch, a small of fibrils part provides of exerted mechanical load on ACL resistance first flattens to tension the crimp force fibers, along while the fiber application axis. Duringof additional tensile stretch, load stretches a small thepart flattened of exerted fibers load [8 on]. The ACL mechanical first flattens properties the crimp of fibers, ACL are whiledirectly application related toof ultrastructureadditional load of collagenstretches fibers, the flattened therefore fibers an irregular [8]. The arrangement mechanical of propertiescollagen of fibers ACL in are ACL directly can lead related to decreased to ultrastructure mechanical of resistance collagen fibers, to the load,therefore leading an to irregularligament arrangement rupture. In thisof collagen regard, diameter fibers in and ACL density can oflead collagens to decreased are critical mechanical attributes of ACL because they ultimately determine mechanical strength of the tissue [10]. Previously published studies about the dependence of mechanical properties on fibril diameter state that proper functioning of ACL requires multimodal distribution of fibril diameter [9]. In such an arrangement, collagen fibrils with smaller diameters are packed into the voids Molecules 2021, 26, 1204 3 of 17 generated by packing of larger fibrils, thus increasing the packing density reflected into increased mechanical
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