Tissue engineering represents
a new paradigm in medicine by seeking to regenerate missing or damaged
tissue. Developing, manufacturing, and regulating tissue engineered
medical products require proving the safety and efficacy of these
complex devices. This presents a significant measurement challenge
involving qualification of materials, cells, and delivery methods.
Tissue engineering is a rapidly growing field that presents a host
of new measurement problems for producers and regulators. Tissue
engineered medical products are typically hybrid devices that incorporate
materials and cells in order to regenerate damaged tissue. The safety
and efficacy of both materials and cells as well as their interactions
must be qualified in order for these to gain acceptance, and we
are developing a host of in vitro tests to assist in this process.
Events at the cell-material interface determine the performance
of these devices but the complexity of the interactions has prevented
development of a more rational approach to tissue engineering. In
the Polymers Division, we are extending the established program
in combinatorial methods to biomaterial interfaces. This will permit
rapid screening of material variables and evaluation of their effects
on cells.
The extracellular matrix (ECM) to which cells adhere can initiate
healing, direct cell migration, control cell cycle progression,
and determine cell differentiation. The scientific community is
just beginning to understand intracellular signaling networks but
it is clear that external stimuli participate in the cycle of cell
activity. The challenge of tissue engineering is to control cellular
behavior through the rational design of materials and culturing
conditions. The industry is years away from meeting this challenge
due, in part, to a void in the measurement infrastructure at the
cell-biomaterial interface. Efforts within the Polymers Division
to fill this void fall under three general topics: developing material
libraries, expanding imaging capabilities, and managing and analyzing
data.
Developing Material Libraries
We are developing a three-tiered material library for investigating
cell-material interactions; each tier represents an increased level
of complexity. The first tier comprises polymeric material surfaces
designed to mimic bulk material interfaces currently found in industrial
applications. The second tier contains material surfaces designed
to mimic the ECM through incorporation of cell-signaling molecules
such as peptides and oligosaccharides. While the first two tiers
describe pseudo-two-dimensional phenomena, the third tier includes
three-dimensional materials.
Current industrial applications, and those of the near future rely
on relatively simple materials such as poly(lactic acid) and poly(dimethylsiloxane).
Even so, variables such as composition and processing conditions
can drastically affect physical properties. Particular properties
of interest include: nanometer- and micrometer-scale topography,
hydrophilicity, charge, and mechanical rigidity. The Polymers Division
has established methods for preparing gradient material surfaces
encompassing this parameter space. As these methods are transferred
to biomaterial systems, the first tier of our library will develop.
From this tier, we will identify and develop SRMs that will assist
industry in developing products, assessing quality control, and
gaining regulatory approval.
The next generation of tissue engineered medical products will
incorporate cell-signaling molecules such as peptides and oligosaccharides.
These materials will be engineered to interact with specific receptors
and elicit selective cellular responses. Doing so requires fine-tuning
the stimuli offered to cells by presenting appropriate combinations
of signaling molecules. The cells then receive signals capable of
initiating more complex cascades ultimately leading to the desired
cellular response. This chain of events would emulate that which
occurs during natural tissue formation. A high-throughput approach
is uniquely qualified to characterize this complex, multi-dimensional
space of ECM cues and cellular responses. As methods for preparing
such materials are developed the second tier of our library will
emerge. From this tier, we will contribute to the general understanding
of intracellular signaling networks, groundwork necessary for the
development of new tissue engineered medical products.
Real tissues are inherently three-dimensional and realistic measurement
tools will need to be as well. We are currently developing three-dimensional
materials and associated measurement methods to begin a metrology
system complementary to the two-dimensional systems. Similar material
issues will be faced with the added complication of three-dimensional
architecture and its influence on cellular response. Such is the
scope of the third tier of our library. In addition, other issues
related to tissue engineered medical products will be investigated
with a goal of creating necessary measurement capabilities. The
devices being developed by tissue engineering companies have multiple
requirements in order for them to be safe and effective. They have
stringent mechanical requirements, which depend on the tissue being
engineered; they must allow infiltration by the necessary cells;
and the inflammatory responses they evoke must be minimized. Toward
this end we are developing in vitro testing protocols for these
performance requirements that will be used in screening tissue engineered
medical products.
Expanding Imaging Capabilities
The described three-tiered material library only has value if cell
response across the library can be well characterized. A host of
strategies exist for characterizing cell response; many fall beyond
the scope of the Polymers Division and are pursued through external
collaborators. On site, we have targeted visual imaging of cells
through conventional microscopy, fluorescence microscopy, confocal
microscopy, and optical coherence tomography (OCT). The OCT image
below shows pores in red and tissue scaffolding in blue.
The very nature of the combinatorial methodology will require that
image acquisition be well documented and unbiased in order to correlate
cell response to material properties. We envision a streamlined
process where cells are seeded onto a material, incubated, fixed,
and stained following an established experimental protocol. An array
of images would be collected and the entire surface mapped. Images
would then be reduced to quantitative measures of cell response.
Managing and Analyzing Data
The task of accurately overlaying data maps presents a significant
challenge. For example, a thin film could be prepared from a blend
of two polymers. The film might consist of a composition gradient
along one axis and might be annealed (processed) under a temperature
gradient orthogonal to the composition gradient. Characterization
of this film would begin by mapping processing conditions, i.e.,
composition and annealing temperature as a function of position.
An array of AFM images may be taken to map the surface topography.
An array of contact angles may be measured to map the surface energy.
Finally, an array of images would be collected and analyzed to measure
cell response. In order to identify correlations each of these data
maps must be in alignment.
Once data maps are aligned, a rigorous statistical analysis is
necessary to quantify correlations and make meaningful hypotheses
of causality. Material parameters can be analyzed following traditional
engineering statistics. Data from living organisms requires an alternative
strategy. Whether measuring general, morphological parameters such
as cell area upon spreading or more specific parameters such as
the regulation of gene expression, the cell response will fall within
a distribution defined by the cell line. Unlike measured material
parameters, variations from the mean may not be random, so reducing
data to a mean and standard deviation can result in a loss of critical
information.
As such, images of cells are collected, analyzed, and reported
in a manner that maintains the fullest description of a population
distribution. Furthermore, when investigating the cell response
to a variety of material scaffolds, evaluations are based on a statistical
comparison between corresponding cell populations.
For more information on this topic:
Please contact: Newell Washburn, Scott Kennedy, Eric Amis
Niklason LE, Langer R. "Prospects for Organ and Tissue Replacement"
JAMA, February 7, 2001.
NIST Material
Science & Engineering Laboratory - Polymers Division