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Polycaprolactone/starch Composite: Fabrication, Structure, Properties, and Applications
Polycaprolactone/starch Composite: Fabrication, Structure, Properties, and Applications
Polycaprolactone/starch Composite: Fabrication, Structure, Properties, and Applications
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Abstract: Interests in the use of biodegradable polymers as dation rate of PCL. Thus, by appropriate blending, SPCL can
biomaterials have grown. Among the different polymeric overcome important limitations of both PCL and starch com-
composites currently available, the blend of starch and poly- ponents and promote controllable behavior in terms of
caprolactone (PCL) has received the most attention since the mechanical properties and degradation which make it suita-
1980s. Novamont is the first company that manufactured a ble for many biomedical applications. This article reviewed
PCL/starch (SPCL) composite under the trademark Mater-BiV R. the different fabrication and modification methods of the
The properties of PCL (a synthetic, hydrophobic, flexible, SPCL composite; different properties such as structural, phys-
expensive polymer with a low degradation rate) and starch (a ical, and chemical as well as degradation behavior; and dif-
natural, hydrophilic, stiff, abundant polymer with a high deg- ferent applications as biomaterials. V
C 2014 Wiley Periodicals, Inc.
radation rate) blends are interesting because of the compos- J Biomed Mater Res Part A: 00B:000–000, 2014.
ite components have completely different structures and
characteristics. PCL can adjust humidity sensitivity of starch Key Words: polycaprolactone, starch, polymeric composite,
as a biomaterial; while starch can enhance the low biodegra- tissue engineering, degradation
How to cite this article: Ali Akbari Ghavimi S, Ebrahimzadeh MH, Solati-Hashjin M, Abu Osman NA. 2014. Polycaprolactone/
starch composite: Fabrication, structure, properties, and applications. J Biomed Mater Res Part A 2014:00A:000–000.
2 POLYCAPROLACTONE/STARCH COMPOSITE
REVIEW ARTICLE
FIGURE 3. (a) The rapid prototyped (three-dimensional blotting) SPCl patterns with 1 to 2 mm width in glass cover slip.111 (b) the co-extrude
device used for creating three layered film of starch/PCL/chitosan.109 (c) Tubular scaffolds produced through three-dimensional plotting rolled
up around a cylinder.110. [Color figure can be viewed in the online issue, which is available at wileyonlinelibrary.com.]
the processability of starch and reduce its high stiff- using co-extrusion. PCL/chitosan granulates corresponding
ness.101,102 On the other hand, starch can promote PCL bio- to the external layers of the film were applied to an
degradability for many bio-performance and reduce the high extruder, while TPS/PCL blends corresponding to the inter-
cost of the final products.4 As a result, blends of PCL and nal layer of the film were applied to another extruder. Silva
starch have controllable degradation and mechanical prop- et al.110 also obtained tubular scaffolds by rolling up porous
erties that are adjustable by changing their component sheets produced through three-dimensional plotting around
ratio.90 a cylinder and subsequent heat treatment for adhesion
Because of the high demand for low-cost degradable between filaments. At the same time, Salgado et al.111 pro-
polymers and the increasing interest in applications of bio- duced parallel SPCL filaments patterns on the surface of
compatible and biodegradable polymers as biomaterials,103 poly(D-lysine)-coated polystyrene coverslips using rapid pro-
we reviewed the available literature on the SPCL composite, totyping, three-dimensional bioplotting. Martins et al.112
its fabrication methods, structures, properties and its appli- produced hierarchical fibrous scaffolds using commercial
cation as biomaterial. SPCL powders. The nanofiber meshes were previously pro-
duced through electrospinning. Then, three-dimensional
rapid prototyping scaffolds were fabricated through a three-
FABRICATION OF SPCL COMPOSITES dimensional plotting technique. Production of hierarchical
Several studies have focused on the fabrication of SPCL fibrous scaffolds was achieved through integrating nanofiber
composites. Earlier works involved obtaining a simple blend meshes in every two consecutive layers of plotted microfib-
of starch and PCL. Then, a number of studies have concen- ers. Duarte et al.113 fabricated SPCL scaffolds using super-
trated on increasing the efficiency of blending of the two critical fluid technology. SPCL solution in chloroform was
polymers because poor compatibility between the two loaded in a stainless steel cap that was placed inside a high-
phases can have a negative effect on the physical properties pressure vessel. High-pressure carbon dioxide was pumped
of PCL when blended with starch.90,101,104,105 inside the vessel, and the system was closed for 45 min to
Simple methodologies were used by some research allow phase separation. Figures 3 and 4 demonstrate the
groups to fabricate SPCL constructs. Santos et al.106 fabri- methods and morphology of the scaffolds produced by sev-
cated scaffolds through fiber-bonding using fibers obtained eral research groups.
by melt spinning. The fibers were then placed in a glass To obtain more compatible polymeric systems, several
mold, heated in an oven, compressed using a Teflon cylin- researchers attempted to plasticize starch to enhance its
der, and then cooled. Gomes et al.107 produced SPCL-based processability and prepare SPCL blends. Matzinos et al.4
scaffolds through melt spinning followed by fiber-bonding. prepared TPS using glycerol; the PCL/TPS composite was
Vertuccio et al.108 produced SPCL scaffolds through ball produced through extrusion, injection molding, and film
milling; here, the milling jars were loaded with different blowing. Averous et al.28 obtained TPS by high-speed dis-
ratios of PCL, starch, and steel balls. The samples were then persion of glycerol and native potato starch in distilled
molded and air cooled. water. TPS and PCL were then extruded through a single
Efforts to obtain more complicated SPCL structures have screw extruder and injected into molds. Vikman et al.115
also been made. Alix et al.109 fabricated multilayered films added native potato starch, water, and glycerol to a mixer.
After starch gelatinization, PCL was added and the blends starch and PCL can form compatible blends by hydrogen
were compression molded. Shin et al.116 plasticized starch bonding interactions between the ester carbonyl of PCL and
with glycerol using a twin-screw co-rotating extruder. Then, the -OH groups of starch. Thus, many researchers have
PCL and TPS were blended using the same extruder; and reported the immiscibility and phase separation of the com-
then compression molded. Myllymaki et al.117 added PCL, ponents of SPCL composite. The morphology of SPCL com-
starch, and glycerol simultaneously in a co-rotating twin- posites indicates that the starch phase size increases with
screw extruder to obtain blends. increasing content, likely because of the poor compatibility
To enhance the blending process, some researchers between starch and PCL.104 Matzions et al.4 studied the pre-
dried starch prior to blending89,90,101 because moisture in cise morphology of SPCL (Fig. 5), and scanning electron
the starch can be trapped in the SPCL structure. Interfacial microscopy (SEM) results showed that, at up to 40% starch,
tension increases because of the hydrophobic nature of PCL, droplet-like particles with homogeneous dispersion through
which may cause composite failure. PCL matrix could be maintained. However, beyond 40%,
To improve blending efficiency and achieve more com- starch particles show a great tendency to form clusters.
patibility between the immiscible PCL and starch, different Rosa et al.132 showed that blending PCL with highly linear
research groups applied several modification methods to starch would form a well-dispersed two-phase structure.
starch, including adding a compatibilizer, physical modifica- Differential scanning calorimetry133 revealed that the melt-
tion of starch by coating the starch granules, crosslinking of ing and glass transition temperatures of PCL are almost
the starch granules, and chemical modification of starch by unchanged even after blending with starch. Thus, this blend
grafting reactions. Few studies are devoted to the modifica- is thermodynamically immiscible.28,116,134 Thermal gravi-
tion of PCL. Table I summarizes some of the methods used metric analysis (TGA) data also show that the maximum
by researchers. decomposition temperatures of PCL and TPS are about 430
and 320 C, respectively. This fact confirms the thermody-
namic immiscibility between PCL and TPS.116 Moreover, the
STRUCTURE OF SPCL COMPOSITE small decrease in the temperature of SPCL fusion in com-
Starch and PCL are completely different in nature. As dis- parison to that of PCL shows separation of the two poly-
cussed earlier, starch is highly hydrophilic whereas PCL is meric systems.22 Although most research groups report that
hydrophobic. This difference can cause phase separation SPCL melting and glass transition temperatures remain
during blending. However, many studies have proven that unchanged, Matzions et al.4 declared that addition of TPS
4 POLYCAPROLACTONE/STARCH COMPOSITE
REVIEW ARTICLE
causes a small decrease in PCL melting temperature. The are attributed to the different crystalline structures of PCL-
researchers proved that this slight decrease in melt tempera- g-acrylic acid caused by formation of ester-carbonyl func-
ture is caused by hydrogen bonding between the hydroxyls of tional groups. According to Kweon et al.,124 the enthalpy
starch and the carbonyl of PCL at the interface region. These values of chlorinated starch and PCL blends were about 50
observations could also be attributed to the presence of J/g, though the corresponding value for pure PCL and SPCL
starch and its effect on PCL crystallites. Spevaček et al.135 were 72.39 and 70.51 J/g. The decrease in the enthalpy
found out that blends of starch/PCL are phase-separated even value of chlorinated starch and PCL blends was due to
at a larger scale of 20 to 110 nm. NMR results show, however, improved miscibility caused by more efficient chemical reac-
that blending affects the molecular mobility of starch. This tions between the chloride groups of starch and the
indicates some miscibility in the amorphous channels of the hydroxyl groups of PCL.
starch, which are spacious enough (diameter, 100–300 nm) to Evaluations of the crystallinity and crystallization behav-
accommodate relatively large domains of PCL. ior of SPCL blends reveal that starch acts as an effective
Interfacial properties of PCL and starch can be improved nucleation agent for PCL that can speed up crystallization.
by addition of some compatibilizing agent to the composite. This finding indicates that the crystallinity of PCL within
Singh et al.125 reported better interfacial properties by add- SPCL is larger than that in pure PCL. The concentration of
ing poly(ethylene glycol) into PCL. Wu131 also reported bet- spherulites is higher in SPCL than in PCL; the size of spher-
ter dispersion and homogeneity of starch in the polymer ulites, however, is smaller in the former than in the lat-
matrix when PCL is replaced by PCL-g-acrylic acid, which ter.108,136,137 However, the crystallinity of the SPCL
results in lower melt viscosity and better mechanical and composite is lower than that of pure PCL. Moreover, the
thermal properties. In another study by Wu,104 they greater the starch ratio, the greater the decrease in crystal-
observed improved miscibility of starch in PCL-g-acrylic linity.22 Wu104 believed that the decrease in crystallinity is
acid, decreases in melting temperature, increases in fusion probably due to the starch prohibiting the movement of the
heat, and reduction of starch phase size. These observations polymer segment, which causes difficulty in rearranging the
polymer chain. The hydrophilic nature of starch and its it undergoes elastic deformation followed by plastic
poor adhesion with the hydrophobic PCL can motivate the deformation.
decrease in crystallinity of the blend. An increase in Young’s modulus was observed by
increasing the starch content of the composite; decreases in
PROPERTIES OF SPCL COMPOSITE tensile strength and elongation at break, however, were also
Mechanical properties of SPCL observed. Researchers agree that this behavior is due to the
Mechanical properties are of great importance for any appli- effect of rigid particles as fillers of thermoplastic poly-
cation because the construct must be able to maintain sta- mers.116,117 As PCL is flexible whereas starch is highly stiff,
ble conditions and withstand all loads from the starch high Young’s modulus can increase the resultant
environment. The law of mixtures states that when poly- Young’s modulus of the composite.101,138,139 Averous
mers are miscible, the resultant blend properties are close et al.28,140 evaluated the effect of adding PCL to TPS and
to the sum of the polymer properties (as a function of their observed that when the glycerol content is 10%, increasing
proportions); however, when polymers are not miscible, PCL contents decreased the Young’s modulus and tensile
their properties are even lower. Several researchers studied strength of the composite; at higher glycerol contents, how-
the mechanical behavior of SPCL composites, including the ever, the mechanical properties of PCL were enhanced. The
parameters that can influence this behavior. Several authors also found that when starch has a glassy behavior,
researchers also showed that low adhesion between starch addition of PCL can decrease the Young’s modulus of the
and PCL is due to poor interfacial interactions leading to a composite; by contrast, adding PCL to starch with a rubbery
decrease in mechanical properties. However, the SPCL com- behavior can improve the mechanical properties of the
posite obviously behaves as a thermoplastic polymer; thus, product. The same results were obtained by Lim et al.141
6 POLYCAPROLACTONE/STARCH COMPOSITE
REVIEW ARTICLE
Addition of large amounts of glycerol to highly thermoplas- SPCL fiber mesh, which significantly increased in compari-
tic causes a reduction in the Young’s modulus of the SPCL son with compact SPCL prepared under the same condi-
compared with that of pure PCL. Reductions in the tensile tions. The authors declared that improvements in water
strength of SPCL compared with that of PCL are explained uptake are due to the high surface-to-volume ratio of the
by increases in starch particle size, which causes coales- fiber meshes. Vikman et al.115 suggested that ball-milled
cence, as well as the low compatibility and interfacial adhe- SPCL samples show higher degradation rates because of
sion between PCL and starch.4,142 increases in surface area. Duarte et al.113 investigated the
As discussed earlier, starch and PCL are immiscible, and effect of surface porosity on water uptake and concluded
any changes affecting their compatibility will alter their that macroporosity can have a great influence on water
mechanical properties. Campos et al.143 observed increases uptake; in this experiment, the authors found that the scaf-
in tensile strength, elongation at break, and elasticity modu- fold they created through supercritical assisted phase inver-
lus of SPCL composites after UV irradiation. Sarka et al.122 sion has same water uptake as the fiber bonding scaffolds
reported an increase in elastic modulus and strength of PCL synthesized by Gomes et al.,107 likely because of the similar
composites with acetylated starch in comparison with those porosities and pore interconnectivities of the scaffolds.
of composites obtained from native starch. According to As described earlier, the orientation of the construct can
Yavuz and Babaç,121 crosslinked starch composited with change its water uptake capability. A precise study on SPCL
PCL shows improved tensile strength and elongation at surfaces was conducted by Pashkuleva et al.,147 who
break. Wu131 grafted PCL with acrylic acid and then blended revealed that the surface and bulk compositions of SPCL are
it with starch, thereby yielding greater tensile strength and completely different. The dominant presence of PCL may be
elongation at break compared with the ungrafted PCL-starch observed on the surface of constructs, which is caused by
composite. Odusanya et al.101 declared that pre-dried starch processing techniques that can reversely affect degradation.
mixed with PCL yields better tensile strength because the Alix et al.109 produced a three-layer film through extrusion
moisture of the native starch is trapped in the hydrophobic and found that the external layer is mainly composed of
PCL construct, which could act as a second filler or void PCL. Water penetration into this film was limited compared
that cause stress concentration and failure. Avella et al.119 with that in one-layer films. Myllymaki et al.117 blended
used a precompatibilizer while blending starch and PCL, sig- starch and PCL with glycerol and then oriented a film. In
nificantly increasing the modulus of the final product. Koe- this study, the water permeability decreased likely because
nig and Huang144 observed that PCL/HA-corn starch blends the PCL was oriented in such a way as to prevent water
have better mechanical properties than SPCL because of the uptake during processing. According to the literature, the
small granule size and good dispersion of HA-corn starch higher the miscibility of PCL in conventional plastics, the
granules in the PCL matrix. lower its degradation will be. As such, chemical modifica-
tions and additives that compatibilize the two phases of
Degradation of SPCL composite SPCL composite can have a great influence on SPCL degra-
As soon as the SPCL composite is immersed in an aqueous dation.115,148 Chemical manipulation of starch through chain
environment, its interaction with the surrounding fluid modification can change the kinetics and decrease the rate
begins and water uptake and degradation process take of SPCL degradation. DemirgoEz et al.2 found that cross-
place. Higher water uptake enhances the hydrolysis pro- linked starch can inhibit chains with low molecular weight
cess.145 Studying the water uptake of degradable SPCL is from diffusion from macromolecular domains to the film
important because the composite consists of both hydro- surface. Wu104 grafted PCL using maleic anhydride and
philic and hydrophobic components, which can affect the observed more water resistance. Due to poor adhesion of
degradation and susceptibility to hydrolysis of the compos- starch to PCL, water resistance in the SPCL composite is
ite. Many researchers have studied the biodegradation of less than that in PCL-g-maleic anhydride as the latter forms
SPCL in aqueous solution. Mano et al.146 described the deg- an ester carbonyl functional group, which causes lower
radation of SPCL in three phases: mass loss because of addi- water absorption. Di Franco et al.149 claimed that low fiber
tive leaching, degradation of starch, and degradation of PCL. contents improve water uptake in sisal fiber and SPCL
The most important factor influencing SPCL composite deg- blends; however, as the fiber content increased, this effect is
radation is the component ratio. According to Shin et al.,116 reversed. Cellulose fibers first act as channels that acceler-
the biodegradability of SPCL increases with increasing ate water penetration but then inhibit water penetration
starch content. Blends containing greater starch contents with increasing content because of strong fiber-fiber and
underwent more rapid degradation during the first few fiber matrix interactions.
days of immersion, which is due to starch degradation, Polymer degradation is known to be affected by several
which creates holes and speeds up blend degradation. Rosa specific enzymes depending on the interactions between the
et al.22 reported that by increasing the starch content of the enzymes and polymeric chains.150 In the case of SPCL, a-
blend, the extent of composite degradation can be increased. amylase151 and lipase152 are well known to accelerate deg-
Other factors crucial in controlling water uptake and SPCL radation of the composite by interacting with starch and
degradation include morphology of the component, orienta- PCL, respectively. Duarte et al.113 indicated that the mass
tion of the construct, porosity, additives used, and further loss of SPCL samples immersed in a solution containing
modification. Gomes et al.145 evaluated the water uptake of a-amylase and lipase noticeably increased. However,
8 POLYCAPROLACTONE/STARCH COMPOSITE
REVIEW ARTICLE
TABLE II. Composite of SPCL with Other Materials and the New Properties
subcutaneous and intramuscular implantation. More interest- enhance and stimulate osteoblast cell proliferation. SPCL
ingly, long-term implantation in subcutaneous tissues showed scaffolds are highly beneficial in bone engineering, as pro-
good integration of the SPCL scaffolds into the host tissue ven by several research groups.174–176 Wang et al.177 proved
and pro-wound healing cytokine profile expression. Silva that SPCL exhibits interesting damping properties at 37 C
et al.110 further evaluated the inflammatory response of SPCL that are relevant in orthopedic applications. This blend may
scaffolds and showed that hybrid three-dimensional tubular help in the dissipation of mechanical energy generated by
structures do not cause cell death among the L929 cells in patient movements. Pavlov et al.178 declared that fibers
vitro. No formation of fibrotic capsules was observed after made from SPCL composites possess appropriate mechani-
SPCL was subcutaneously implanted in Wistar rats, which cal properties for hard tissue engineering. Using different
supports the finding of lack of inflammatory response trig- method of scaffold fabrication and different cell types, many
gered by the implanted scaffolds. After implanting the scaf- researchers examined SPCL scaffolds capability for bone tis-
folds on a spinal cord injury (SCI) model, no major sue engineering.
inflammation processes around SPCL structures was Gomes et al.107,145,179 focused on the culturing of
observed. Salgado et al.111 reported that hippocampal neu- highly porous SPCL fiber mesh scaffolds with stromal cells,
rons and glial cells were viable after primary cultures on harvested from femoras and tibias of Wistar rats, under
SPCL linear parallel filaments deposited on polystyrene cov- both static and flow perfusion conditions. The results
erslips. The results proved low cytotoxicity of the tested showed the development of adequate in vitro engineered
SPCL based biomaterial on neurons and glial cells. substitutes for the repair of bone tissue. These scaffolds
Composite of starch and PCL was extensively used as were able to induce cell adhesion and proliferation and
biomaterials in different tissue engineering and several drug enhance the osteogenic differentiation of marrow stromal
delivery devices. cells. Their results demonstrated the potential of these
scaffolds as materials for regenerating bone tissue defects.
Tissue engineering Also, they investigated the in vitro localization of several
Extensive research has been conducted to evaluate the abil- bone growth factors that are usually associated with bone
ity of SPCL composite to enhance tissue repair. Scaffolds formation in vivo by culturing rat bone marrow stromal
made from SPCL blends have been used in different tissue cells seeded onto biodegradable fiber-mesh SPCL scaffolds
engineering applications.170 Figure 6 shows the morphology in a flow perfusion bioreactor. The growth factors includes
of some of the scaffolds made by SPCL. transforming growth factor-1, platelet-derived growth
factor-A, fibroblast growth factor-2, vascular endothelial
Bone tissue engineering. One of the most significant bio- growth factor, and bone morphogenetic protein-2. Their
logical specifications of SPCL composites is their ability to results show the presence of regions positively stained for
all the growth factors considered, except platelet-derived Martins et al.112 fabricated SPCL scaffolds by mimicking
growth factor-A. They declared that marrow stromal cells, the morphology of natural ECM using a combination of
combined with the use of appropriate biodegradable fiber micro and nano motifs for bone tissue engineering. Hier-
meshes, may constitute a useful model to study bone for- archical SPCL scaffold was seeded with human osteoblast-
mation and assess bone tissue engineering strategies in like cells. A homogeneous distribution of cells throughout
vitro.180 Also, Mendes et al.181 found that rat bone marrow the entire scaffold was observed, and osteoblastic cells pref-
cells are able to proliferate, differentiate, and form ECM on erentially adhered to the nanofibrous meshes. Significant
SPCL scaffolds. However, compared with hydroxyapatite, increments in cell proliferation and maturation, assessed by
they declared that SPCL still need to be modulated for DNA and ALP activity quantification, were observed along
higher osteoconductive capacity. the culture time. In another study, same research group
To mimic the biophysical structure of natural extracellu- seeded fiber-mesh SPCL scaffolds with rat marrow stromal
lar matrix (ECM), Tuzlakoglu et al.114 developed a nano- cells for further bone tissue engineering applications. The
and microfiber combined scaffolds from starch and PCL osteogenic media used in their research supplemented with
composite. The constructs were capable of supporting a-amylase, or with a-amylase and lipase together. It was
human osteoblast-like cell line and rat bone marrow stro- observed that SPCL fiber mesh scaffold/MSC constructs cul-
mal cells proliferation. They proved that the developed tured with osteogenic medium supplemented with lipase
structures have a great potential on the three-dimensional under flow perfusion were more mineralized, which indi-
organization and guidance of cells that is provided for engi- cates late stage osteoblastic differentiation of MSCs.183
neering of three-dimensional bone tissues. Also, SPCL scaf- Rodrigues et al.172,174 implanted SPCL scaffolds seeded
folds designed and fabricated using the wet-spinning with goat marrow cells and/or amniotic fluid stem cells into
technique by Tuzlakoglu et al.182 have been used for bone the femur of goat and/or rat and then observed bone neofor-
tissue engineering applications. They observed that SPCL mation. They, also, prepared a blend of corn starch with PCL
surfaces are completely covered by osteoblast cells, which to produce three-dimensional fiber meshes scaffolds by the
indicates the ability of SPCL scaffolds to enhance osteoblast wet-spinning technique. After in situ functionalization with
attachment and proliferation. The alkaline phosphatase Si–OH groups, in vitro assessment, using human adipose
(ALP) activity of cells cultured on SPCL fiber meshes also stem cells (ASCs), were conducted. The scaffolds proved to
increased with the culture period and modification with Ar exhibit the capacity to sustain cell proliferation and induce
plasma led to higher cell viability and ALP enzyme activity. their differentiation into the osteogenic lineage. The forma-
Alves et al.,171 also, evaluated the proliferation of tion of mineralization nodules was observed in cells cultured
osteoblast-like osteosarcoma cells on both untreated and on the SPCL scaffolds. Their results indicate the potential of
plasma-treated SPCL surfaces. Cell adhesion and prolifera- the scaffolds for bone tissue engineering applications.184,185
tion were promoted in both situations. Carvalho et al.186 studied bone regeneration potential of
10 POLYCAPROLACTONE/STARCH COMPOSITE
REVIEW ARTICLE
FIGURE 7. Different cell attachment and proliferation on SPCL substrate: (a) human osteoblast like cells (SAOS-2) seeded on nano- and micro-
fiber combined scaffolds.178 (b) SEM images of SPCL scaffolds which were seeded with bovine articular chondrocytes and cultured for 28
days.190 (c) SEM of rat bone marrow cells cultured on SPCL scaffolds.177 (d) SEM micrographs of HUVEC cells on SPCL nano/micro-fiber-com-
bined scaffold.194 (e) Confocal laser micrographs of stained neurons (left) and astrocytes (right). As indicated by arrows, neurons and astrocytes
were contacting the surface of SPCL directly.111. [Color figure can be viewed in the online issue, which is available at wileyonlinelibrary.com.]
undifferentiated human ASCs loaded in SPCL scaffolds, in a injuries and found that SPCL scaffolds strongly support the
critical-sized nude mice calvarial defect. Improved new bone growth and migration of olfactory ensheathing cells (OECs)
deposition and osseointegration was observed in SPCL loaded and Schwann cells (SCs). OECs and SCs successfully colon-
with human ASC engrafted calvarial defects. They declared ized on SPCL fibers were capable of migrating and growing
that human ASCs enhance ossification of nonhealing nude on SPCL scaffolds in a three-dimensional manner. These
mice calvarial defects, and wet-spun SPCL confirmed its suit- results indicate that the scaffolds are beneficial for SCI
ability for bone tissue engineering. Link et al.187 examined repair and motor skills improvements.189 In another
same fiber-mesh SPCL scaffolds in the regeneration of a research by the same group, three-dimensional tubular
critical-sized cranial defect in male Fisher rats. They reported structures of SPCL were developed and a polysaccharide-
high osteoconductivity of the scaffolds to use for bone regen- based hydrogel of Gellan Gum was injected into the central
eration purposes. area of the structures to encapsulate oligodendrocyte-like
Recently, Requicha et al.188 assessed the behavior of the cells. The resultant hybrid structures were very useful in
double layer scaffold, functionalized with silanol groups or promoting SCI repair as they integrated within the injured
without in a mandibular rodent model after 8 weeks of side of rat hemisection SCI models.110
implantation. The analysis revealed that the SPCL scaffolds
induced significantly high new bone formation. Cartilage tissue engineering. Research devoted to the
application of SPCL scaffolds in cartilage tissue engineering
Neural tissue engineering. SPCL composites enhance not has been reported. Oliveira et al.190 observed that SPCL
only bone cell proliferation and functionality but also the fiber-based scaffolds may serve as valid alternatives in carti-
viability of other types of cells. Salgado et al.111 evaluated lage tissue engineering; these authors proved that SPCL
the effect of SPCL scaffolds on hippocampal neurons and scaffolds can support bovine articular chondrocyte adhesion,
glial cells for SCI repair. They observed that both neurons proliferation, and presented homogeneous cell colonization
and astrocytes occasionally contacted the surface of SPCL throughout the scaffold structure and exhibited acceptable
filaments through their dendrites and cytoplasmatic proc- amounts of glycosaminoglycans. Da Silva et al.191 found that
esses, respectively, while microglial cells were unable to do bovine articular chondrocytes proliferate well in SPCL elec-
so. Besides hippocampal neurons were observed growing trospun nanofiber meshes and are able to produce ECM
within the patterned channels. Proliferation of both cell under static or dynamic conditions and are therefore appli-
populations was not negatively affected by the presence of cable for cartilage tissue engineering.
SPCL filaments which shows SPCL potential ability as a scaf-
fold in SCI regenerative medicine. Silva et al. also, conducted Vascularization in tissue engineering. Synthetic constructs
research on the fabrication of SPCL scaffolds for spinal cord for biomedical use must favor vascularization because
ingrowth of tissues can only take place when enough food attachments of some cell strains on SPCL substrates are
and waste transportation in cells are available. Numerous shown.
studies on SPCL scaffolds show that the composite can
enhance vascularization. Ghanaati et al.192 proved that sub-
Drug delivery
cutaneously implantation of SPCL can promote formation of
PCL have been widely used in drug delivery applica-
perfused vascular structure within 48 h. According to San-
tions.196–199 Starch and its blend, as well, drew so many
tos et al.,106 human dermal microvascular endothelial cells
attentions in drug delivery systems.200–205 But SPCL as drug
and human osteoblasts seeded in SPCL fiber-mesh scaffolds
and biological agent vehicles have only been sporadically
recreates a physical and chemical microenvironment favor-
studied. Balmayor et al.206 developed SPCL microparticles
able for the formation of vascular-like structures. They also
by using an emulsion solvent extraction/evaporation tech-
examined the co-culture of human umbilical vein endothelial
nique to produce spherical shape particles with size
cell (HUMVEC) together with HPMEC-ST1.6R as a model of
between 5 and 900 mm with different surface morphologies
macrovascular and microvascular endothelial cells on fiber
(Fig. 8). These microparticular systems appear to be very
mesh SPCL scaffolds, respectively. The results indicate that
promising for controlling the release of dexamethasone. The
endothelial cells growing on SPCL fiber-mesh scaffolds
drug release was proved to start with diffusion of dexa-
maintain a normal expression of EC-specific genes/proteins,
methasone, followed by release to do degradation of SPCL.
indicating a cell compatibility and potential suitability of
Thus, Balmayor et al. proved the functionality of SPCL to
these scaffolds for the vascularization process in bone tissue
carry differentiation agents in tissue engineering.
engineering in vivo.193 Finally they observed the endothelial
cells growth and proliferation on nano/micro-fiber com-
bined SPCL scaffolds. The architecture of the scaffolds eli- CONCLUSION
cited and guided the three-dimensional distribution of ECs This article reviews the fabrication methods, structures,
without compromising the structural requirements for bone properties, and applications of SPCL composites as biomate-
regeneration.194 Fuchs et al.195 evaluated the effect of SPCL rials. SPCL composites are fabricated using different simple
scaffolds on vascularization. Human outgrowth endothelial methods like mixing and molding or advanced method, such
cells cultured on SPCL fiber meshes supported the vascula- as rapid prototyping and electrospinning. PCL and starch
rization of a complex tissue-engineered construct for bone. are thermodynamically immiscible; however, they can form
Co-culture of outgrowth endothelial cells with human pri- compatible blend through hydrogen bonding interactions.
mary osteoblasts on SPCL induced angiogenic activation of Due to starch hydrophilic nature and weak phase interac-
OECs toward microvessel-like structures. In Figure 7, the tion between PCL and starch, the biodegradation rate of
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