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ORIGINAL ARTICLE
Study on the potential of RGD- and PHSRN-modified alginatesas artificial extracellular matrices for engineering bone
Ryusuke Nakaoka • Yoshiaki Hirano •
David J. Mooney • Toshie Tsuchiya •
Atsuko Matsuoka
Received: 15 November 2012 / Accepted: 4 March 2013
� The Japanese Society for Artificial Organs 2013
Abstract Alginate is a polysaccharide that can be
crosslinked by divalent cations, such as calcium ions, to
form a gel. Chemical modification is typically used to
improve its cell adhesive properties for tissue engineering
applications. In this study, alginates were modified with
peptides containing RGD (arginine–glycine–aspartic acid)
or PHSRN (proline–histidine–serine–arginine–asparagine)
sequences from fibronectin to study possible additive and
synergistic effects on adherent cells. Alginates modified
with each peptide were mixed at different ratios to form
gels containing various concentrations and spacing
between the RGD and PHSRN sequences. When normal
human osteoblasts (NHOsts) were cultured on or in the
gels, the ratio of RGD to PHSRN was found to influence
cell behaviors, especially differentiation. NHOsts cultured
on gels composed of RGD- and PHSRN-modified alginates
showed enhanced differentiation when the gels contained
[33 % RGD-alginate, suggesting the relative distribution
of the peptides and the presentation to cells are important
parameters in this regulation. NHOsts cultured in gels
containing both RGD- and PHSRN-alginates also demon-
strated a similar enhancement tendency of calcium depo-
sition that was dependent on the peptide ratio in the gel.
However, calcium deposition was greater when cells were
cultured in the gels, as compared to on the gels. These
results suggest that modifying this biomaterial to more
closely mimic the chemistry of natural cell adhesive
proteins, (e.g., fibronectin) may be useful in developing
scaffolds for bone tissue engineering and provide three-
dimensional cell culture systems which more closely
mimic the environment of the human body.
Keywords Bone tissue engineering � Polymeric scaffolds �Peptide modification � Cell differentiation � 3D Cell culture
Introduction
Scaffold materials are often critical for successful tissue
regeneration using tissue engineering techniques. The
scaffold materials should be designed as artificial extra-
cellular matrices that provide a space for transplanted cells
to attach, proliferate, and differentiate into a desired cell
phenotype in order to regenerate the target tissues. More-
over, the artificial extracellular matrices provide (1) a space
for cells to organize a three-dimensional (3D) structure, (2)
mechanical integrity, and (3) a hydrated space for the
diffusion of nutrients and metabolites to and from the cells
[1–7]. Hydrogels have been studied for their application in
R. Nakaoka (&) � T. Tsuchiya � A. Matsuoka (&)
Division of Medical Devices, National Institute of Health
Sciences, 1-18-1 Kamiyoga, Setagaya-ku,
Tokyo 158-8501, Japan
e-mail: [email protected]
A. Matsuoka
e-mail: [email protected]
Y. Hirano
Department of Chemistry and Material Engineering,
Faculty of Chemistry, Materials and Bioengineering,
Kansai University, 3-3-35 Yamate, Suita-shi,
Osaka 564-8680, Japan
D. J. Mooney
School of Engineering and Applied Sciences, Harvard
University, Pierce Hall 319, 29 Oxford Street, Cambridge,
MA 02138, USA
Present Address:T. Tsuchiya
Faculty of Medicine, Tokyo Medical and Dental University,
1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
123
J Artif Organs
DOI 10.1007/s10047-013-0703-7
many fields, such as medicine, pharmacy, tissue engi-
neering, and basic sciences [1, 2, 4]. The space for cell
organization, mechanical strength, and diffusion rate of
various molecules through hydrogels can be modified in
various manners, including altering the crosslinking den-
sity and chemically modifying the molecules composing
the hydrogels. In the context of bone regeneration, gels
cannot provide sufficient strength for load-bearing situa-
tions. However, they can be used in non-loaded situations
(e.g., as a component of a composite material containing
both a mechanically strong matrix and a space-filling gel).
Alginates are naturally derived polysaccharides com-
posed of (1-4)-linked beta-D-mannuronic acid (M units)
and alpha-L-guluronic acid (G units) monomers [8]. It is
well known that divalent cations cooperatively bind
between sequential G units of adjacent alginate chains,
resulting in ionic crosslinking that causes hydrogel for-
mation from alginate aqueous solutions. This crosslinking
mechanism allows alginate solutions containing cells to be
gelled under gentle conditions that do not harm the cells.
However, since alginate hydrogels absorb very few pro-
teins, mammalian cells cannot adhere to the hydrogels. Cell
adhesion is a major requirement for the survival of most
mammalian cell types. Therefore, modification of alginate
molecules is necessary for cells to adhere and proliferate on
or in the hydrogels. Modification of alginate molecules by
covalently attaching cell adhesion ligands, specifically
arginine–glycine–aspartic acid (RGD) peptides, has been
performed to improve cell anchorage and interaction with
the modified alginate hydrogels [9–13]. Although the
resultant alginate hydrogels have been found to be useful in
tissue engineering studies, it is unclear whether their
capability to mediate cell phenotype can be further
enhanced by additional modification.
RGD is a well-known peptide sequence found in fibro-
nectin, a major protein discovered almost two and half
decades ago [14] that has a variety of functions, including
adhesion. RGD peptides have been used to improve the cell
adhesion activity of many biomaterials [9–13, 15–17].
However, another important sequence for cell adhesion in
fibronectin, the proline–histidine–serine–arginine–aspara-
gine sequence (PHSRN), has been reported to markedly
improve cell adhesion strength due to the synergistic
interactions of this peptide and the RGD sequence with
integrin receptors [18]. Therefore, it is possibly that the
modification of alginate with both RGD and PHSRN may
change the strength of cell adhesion to the gels, resulting in
significant effects on cell functions, such as proliferation
and differentiation. As a first test of this possibility, we
made gels from RGD- or PHSRN-modified alginates and
their mixtures and then cultured normal human osteoblasts
on or in the gels in order to study the effect of these pep-
tides on cell behavior, especially on cell differentiation.
Materials and methods
Materials
ProNova MVG, an alginate with a high G content
(Mw = 3 9 105), was purchased from ProNova Biopoly-
mers (Oslo, Norway). The two cell adhesive peptides,
Gly-Gly-Gly-Gly-Arg-Gly-Asp-Ser-Pro (RGD) and
Gly-Gly-Gly-Gly-Pro-His-Ser-Arg-Asn (PHSRN) were
purchased from Cosmo Bio Co. Ltd (Tokyo, Japan). All
other chemicals (JIS special grade) were purchased from
Sigma (St. Louis, MO) and used without any further
purification step.
Chemistry
Alginate was chemically modified according to the
method of Rowley et al. [9]. Briefly, sulfo-NHS, water-
soluble carbodiimide, and the peptide were added to
100 ml of 1 % alginate solution in 0.1 M MES buffer (pH
6.5, NaCl 0.3 M), followed by continuous stirring at room
temperature to perform the coupling reaction. After dial-
ysis against ddH2O using a dialysis tube (MWCO 3500;
Spectrum Laboratories, Rancho Dominguez, CA), the
solution was sterilized by filtration and lyophilized. The
actual modification of alginates was estimated from the
results of amino acid analysis, using an amino acid ana-
lyzer (LC-10A; Shimadzu Co., Kyoto, Japan). Before the
amino acid analysis, the peak areas of each amino acid
were determined by analyzing an amino acid mixture
standard solution (Type H; Wako Pure Chemical Indus-
tries Ltd., Osaka, Japan). The weighed peptide-modified
alginates were hydrolyzed and analyzed to determine the
amount of each amino acid in the peptides from their
peak area. Based on the molecular weights of the alginate
and peptides, the number of the peptide per one alginate
molecule can be calculated from the results of the anal-
ysis. To form gels, peptide-modified alginates were
weighed and dissolved in ddH2O containing 0.2 %
(NaPO3)6 to obtain a 2 % solution. To prepare the algi-
nate hydrogels, 0.2 ml of a water-based slurry of calcium
sulfate (0.21 g/ml) was mixed for every 5 ml of the 2 %
alginate solution, and the mixture was cast between par-
allel glass plates with 1-mm spacers. A mixture of RGD-
modified and PHSRN-modified alginate solutions was
used to form gels made from the two alginates (MIX gels)
in the calcium sulfate slurry. Hydrogel discs were pun-
ched out of the film with a hole punch (diameter 13 mm)
and kept in medium without fetal calf serum (FCS)
overnight at 4 �C before seeding cells were added. The
hydrogel discs utilized throughout this study were 13 mm
in diameter with a thickness of 1 mm.
J Artif Organs
123
Cell studies
Normal human osteoblasts (NHOsts) were purchased from
Lonza Walkersville Inc., (Walkersville, MD) and main-
tained in alpha-MEM containing 10 % FCS.
The NHOsts were seeded on or in the alginate hydrogel
disks for estimating the effects of coupled peptides on their
behavior. To encapsulate cells in the alginate gels, we
suspended the NHOsts in medium containing 2 % alginate,
then mixed the mixture with the calcium sulfate slurry as
described in the previous section to form the gels. The
number of NHOsts seeded on top of the hydrogel discs or
in wells was 2.5 9 104, and the approximate cell number
encapsulated in each gel disc was calculated to be
2.4 9 104. Changes in the differentiation level of NHOsts
during the culture were determined from their alkaline
phosphatase (ALP) activity and osteocalcin production.
The NHOsts were cultured with osteogenic supplements,
10 mM beta-glycero phosphate, ascorbic acid (50 lg/ml),
and 10-8 M dexamethasone. After the NHOsts had been
cultured on alginate gels for 2 weeks, their ALP activities
were estimated using the original procedure of Ohyama
et al. [19]. Briefly, the NHOsts were first washed in
phosphate buffered saline (PBS), followed by the addition
of 1 ml of 0.1 M glycine buffer (pH 10.5) containing
10 mM MgCl2, 0.1 mM ZnCl2, and 8 mM p-nitrophenyl-
phosphate sodium salt. The cells were then incubated at
room temperature for 7 min, following which the absor-
bance of the added buffer was detected at at 405 nm using
a lQuant spectrophotometer (Bio-tek Instruments, Inc.,
Winooski, VT) to evaluate the alkaline phosphate activity
of the test cells. To estimate osteocalcin production from
the NHOsts, the culture medium was replaced with med-
ium without FCS 24 h before the medium was collected for
analysis. The amount of osteocalcin in each culture med-
ium was estimated using the Gla-osteocalcin ELISA kit
(Takara Bio Inc., Shiga, Japan). After measuring the ALP
activities of the NHOsts and collecting the supernatants for
an evaluation of osteocalcin production, we transferred the
gels to a plastic tube filled with 0.2 % Nonidet-P40 aque-
ous solution; this was followed by sonication to obtain cell
lysates. The amount of DNA in each lysate was measured
utilizing the PicoGreen dsDNA quantification kit (Invitro-
gen, Carlsbad, CA). Based on the DNA amount, the cell
number ratio on the respective alginate gel against that on a
normal culture dish was calculated and utilized for the
standardization of other data obtained.
The number of NHOsts encapsulated in the gels was
estimated utilizing the Tetracolor One assay (Seikagaku
Co., Tokyo, Japan), which incorporates an oxidation–
reduction indicator based on the detection of metabolic
activity. After adding 1 ml of the culture medium con-
taining 5 % of Tetracolor One to the medium, the
absorbance of the medium at 450 nm was estimated by the
lQuant after a 2-h incubation. After the assay, the ALP
measurements of the NHOsts were also performed by
incubating the gels in 1 ml of glycine buffer, followed by
the same procedure as described above. After the ALP
measurements, the buffer was discarded and the medium
with osteogenic supplements was added for further culti-
vation of the encapsulated cells. These measurements were
performed once a week during the 4-week culture period.
After the Tetracolor One assay and the ALP measurement
at the 4-week time point during the culture period of the
gels, the encapsulated NHOsts were collected by centri-
fugation after the gel had been dissolved in EDTA citrate
buffer (pH 6.8). The DNA content in the lysates prepared
from the collected NHOsts by sonication in the Nonidet
solution was determined by a PicoGreen kit and used to
estimate the DNA contents from the results from Tetra-
color One assay. The estimated DNA contents were uti-
lized for calculating the cell number ratio and normalizing
the ALP data to the DNA content in each culture. The
calcium deposited during osteogenesis of the NHOsts was
qualitatively evaluated by alizarin red staining. The amount
of osteocalcin secreted into the culture medium of the
encapsulated NHOsts was measured by the Gla-osteocalcin
ELISA kit.
Statistics
Each experiment was performed three times to verify its
reproducibility, and representative data are shown as fig-
ures. Data were expressed as the mean value ± the stan-
dard deviation of the obtained data. The Tukey criterion
was used to control for multiple comparisons after per-
forming analysis of variance and to compute the least
significant difference between means.
Results
An amino acid analysis was performed to estimate the
number of peptides coupled to alginate molecules. The
number of RGD and PHSRN peptides per alginate mole-
cule used in this study was found to be 1.4 and 2.8,
respectively. These modified alginates were used
throughout this study.
NHOsts were first seeded on top of gel discs or wells.
Microscopic study after 1 day of culture revealed that few
cells adhered to an alginate gel without peptide modifica-
tion, whereas cell adhesion was slightly improved on
alginate gels modified with peptides (data are not shown).
After a 2-week incubation, the NHOsts on a normal culture
dish became confluent and differentiated, but no cells were
observed on the alginate gel without peptide modification,
J Artif Organs
123
indicating that NHOsts could neither attach nor proliferate
on the gel without peptide modification (Fig. 1). Therefore,
the results of ALP activity and osteocalcin production from
NHOsts cultured on the unmodified alginate gel are not
shown in this study. When the NHOsts were seeded onto
RGD-modified alginate gel discs, they formed several
aggregates with a dark shadow after a 2-week incubation;
this shadow may be ascribed to a calcium deposition on the
aggregates. In contrast, few NHOsts were observed on
PHSRN-modified alginate gel discs, and those cells present
in this condition tended to form small aggregates without
the dark shadow after 2-week incubation. Culturing cells
on gels containing a mixture of PHSRN alginate and RGD-
modified alginate (MIX gels) led to an increase in the
number of NHOsts, and these NHOsts formed aggregates.
However, even though more cells were present on the MIX
gels than on the PHSRN gels, there were still large surface
regions on the MIX gels without adherent cells. Both the
size and the number of the cell aggregates changed with
changes in the ratio of RGD in the MIX alginate. The level
of the dark density of the shadows on the aggregates was
also affected by the RGD ratio.
Figure 2 shows the effects of the RGD ratio in MIX gels
prepared from RGD- and PHSRN-modified alginates. The
graphs are based on representative data from two inde-
pendent experiments after normalization against data from
a normal culture dish. The RGD ratio in the MIX gels
affected the cell number and the gels with 67 % RGD
showed the maximum cell number after a 2-week incuba-
tion (Fig. 2a). No cells were detected when NHOsts were
cultured on unmodified alginate gels after a 2-week incu-
bation as described above. The differentiation level of
NHOsts cultured on various peptide-modified alginate gels
was estimated using alkaline phosphatase (ALP) activity,
and the amounts of osteocalcin secretion into the medium
after a 2-week incubation. ALP activity of the NHOsts, and
the amounts of osteocalcin secreted from the NHOsts were
normalized by the cell number. When the NHOsts were
cultured on the gel, ALP activity after a 2-week incubation
was around 50 % of the value for NHOsts on a 24-well
tissue culture plate, irrespective of the RGD ratio in the gel
(Fig. 2b). In contrast, osteocalcin production was influ-
enced by the RGD ratio in the MIX alginates (Fig. 2c).
Similar to the cell number, osteocalcin production in the
medium was highest after a 2-week incubation when
NHOsts were cultured on the MIX gel with 67 % RGD.
Calcium deposition was too low to be estimated, possibly
due to the low cell number on the gels.
Studies with cells encapsulated within the various gels
were then performed. Since the cell number encapsulated
in each gel disc was calculated to be 2.4 9 104, the same
number of cells was seeded on a 24-well culture plate as a
control. Microscopic observation of NHOsts in alginate
gels after their encapsulation revealed that almost cells had
a round shape, irrespective of gel type. Even encapsulated
in a MIX gel with a 67 % RGD ratio, only a few spreading
cells were found by microscopic observation (data not
shown). Alizarin red staining indicated that (1) the white
deposits observed inside the gels contained calcium and (2)
NHOsts cultured in MIX-alginate gels deposited more
calcium than did NHOsts in unmodified- and PHSRN-
alginate gels. This latter finding was especially pronounced
in MIX gels with a 50 and 67 % RGD ratio (Fig. 3).
The numbers of NHOsts encapsulated in the various
alginate gels, expressed as normalized to the cell number,
following culture on a tissue culture plate were determined
after 4 weeks of culture. Twenty percent of the encapsu-
lated cells survived after 1 week, and the numbers were
largely unchanged at 2 weeks of culture (Fig. 4a). The cell
number decreased by 3 weeks, but the cell number in
Fig. 1 Light micrographs of
normal human osteoblasts
(NHOsts) cultured for 2 weeks
on various kinds of alginate
gels. RGD Arginine–glycine–
aspartic acid peptide, PHSRNproline–histidine–serine–
arginine–asparagine sequence
peptide, MIX alginate mixture
of RGD-modified and PHSRN-
modified alginate solutions
J Artif Organs
123
MIX-alginate gels and RGD-modified alginate gels
increased slightly after 4 weeks, with the exception of the
MIX gel with 50 % RGD-modified alginate. The maximum
cell number ratio was observed when the cells were cul-
tured in MIX gels with 67 % RGD-modified alginate,
which is similar to the finding in the twodimensional cul-
ture (Fig. 2a), although statistically significant differences
were not observed among the cell number ratios in the
various alginate gels tested. The cell number ratio within
gels after a 4-week culture was similar to that found for
cells cultured on top of gels (2D-culture experiments, as
shown in Fig. 2a). The maximum ALP activity was
observed for encapsulated cells after a 3-week culture,
while the ALP activity of NHOsts cultured on the tissue
culture plates peaked at the 2-week culture time point and
decreased to a constant value (about 70 % activity of its
maximum value) thereafter (Fig. 4b). Osteocalcin in the
culture medium from NHOsts encapsulated in the alginate
gels could not be detected even after 4 weeks of culture.
Discussion
Many mammalian cells have been reported to poorly
adhere to alginate gels [9]. This has led to efforts to
improve alginate’s cell adhesive property in order to use it
as a scaffold for tissue engineering. Modification with
RGD peptides has been useful to improve the cell adhesive
property of many biomaterials [9–13, 15–17], and it has
previously been applied to alginate. As previously repor-
ted, although few cells adhere to native alginate, RGD
modification has been found to improve the attachment of
cells [9–13].
In addition to the RGD sequence, the PHSRN sequence
has also been reported to play an important role in the cell
adhesion properties of fibronectin, as it works synergisti-
cally with RGD to increase the binding strength to integrin
molecules [18, 20]. Since interactions between fibronectin
and integrins have been reported to be required for osteo-
blast differentiation [21], we hypothesized that co-presen-
tation of RGD and PHSRN in the same material may
increase cell adhesion and enhance the cell response to the
material. Many researchers have reported the effects of
material modification by RGD and PHSRN peptides on
various cell behaviors, such as cell adhesion [22–24], for-
eign giant cell formation [25], and rat calvaria osteoblast
differentiation [26]. The results of our study also suggest
that a combination of RGD and PHSRN synergistically
affect normal human osteoblast behaviors. As shown in
Fig. 2, the number of cells on the alginate gels after a
Fig. 2 The cell number ratio,
calculated from the DNA
amounts in cell lysates relative
to those extracted from NHOsts
cultured on a 24-well tissue
culture plate (a), alkaline
phosphatase (ALP) activity
normalized by the DNA amount
(b), and total amount of
osteocalcin secreted into
medium in a 24-well plate (c),
after a 2-week incubation of
NHOsts on various kinds of
MIX alginate gels composed of
RGD- and PHSRN-modified
alginates. Closed circles in
b and c indicate values obtained
from NHOsts cultured on tissue
culture plates. All data are
expressed as the mean value ±
standard deviation (SD)
(n = 3–4)
J Artif Organs
123
2-week incubation was affected by the RGD/PHSRN ratio.
In addition, although the ALP activity of NHOsts adhering
to various alginate gels was about one-half that of cells
adherent to tissue culture plates, irrespective of gel com-
position, osteocalcin production from whole NHOsts was
enhanced when they were cultured on the MIX gels with a
67 % RGD ratio. Considering the cell number, it is to be
expected that NHOsts on the MIX gel with a 67 % RGD
ratio showed higher osteocalcin production than any other
gels tested. Consequently, the osteocalcin amounts were
normalized by the cell number ratio, and the results are
shown in Fig. 5. As expected, NHOsts on the MIX gels
with a RGD ratio of [33 % showed almost a similar
enhancement in osteocalcin production, i.e., tenfold higher
than that of control NHOsts and about 1.5- to twofold
higher than that from NHOsts on RGD-modified gels.
However, only NHOsts on the MIX gel with the 67 %
RGD ratio showed a statistical enhancement in osteocalcin
production. These findings suggest that RGD peptides
mainly play an important role in NHOst proliferation and
differentiation on the gels but that they require a synergistic
interaction with PHSRN peptides to enhance the prolifer-
ation and differentiation. These findings also suggest that
the probability of NHOsts recognizing both one RGD and
one PHSRN, similar to the recognition of a fibronectin
molecule by their integrins, increases when the RGD ratio
of the MIX gel is[33 % and may be highest when the ratio
is about 67 %. Calcium deposition, however, was not
observed after a 2-week incubation when NHOsts were
cultured on any of the gel types.
On the other hand, NHOsts in the MIX gel showed the
maximum ALP activity after a 3-week incubation and
qualitatively higher calcium deposition than unmodified or
PHSRN-alginate gels after a 4-week incubation, irrespec-
tive of gel composition. Although NHOsts in the MIX gel
with 50 % RGD showed the highest ALP activity, their
calcium deposition might be lower than that observed in
the NHOsts cultured in the MIX gel with 67 % RGD, as
qualitatively assessed on the basis of alizarin red staining
of the gels. The findings from the 2D culture and these
findings suggest that the MIX gel with 67 % RGD ratio is
adequate for enhancing both cell differentiation and cell
proliferation not only in 2D culture but also in 3D culture
of NHOsts when the alginate gels prepared in this study are
utilized. It is probable that the RGD and PHSRN peptides
in the MIX gel have synergistic effects on the number of
NHOsts and their differentiation level even when encap-
sulated in the ge, and that these effects may influence the
calcium deposition level observed after a 4-week incuba-
tion (Fig. 3).
Fig. 3 Photographs of various kinds of alginate gels encapsulating NHOsts after a 4-week incubation before and after alizarin red staining. For a
positive reference, NHOsts cultured on a collagen-coated culture plate is shown in the figure
J Artif Organs
123
The amino acid sequence of fibronectin suggests that the
appropriate RGD to PHSRN ratio in the MIX gel should be
50 %. However, the results of our study indicate that the
number of NHOsts and their differentiation may be at the
maximum when the RGD ratio is between 33 %
(RGD:PHSRN = 1:2) and 67 % (RGD:PHSRN = 2:1),
suggesting that NHOsts interacting with these gels can
simultaneously recognize both RGD and PHSRN peptides.
When the normal 3D structure of fibronectin in taken into
account, the appropriate distance between RGD and
PHSRN should be 3–4 nm. It has been previously reported
that adhesion of human endothelial cells is improved, and
similar to the level of fibronectin-covered surfaces, when
the surface presents RGD and PHSRN domains with a
spacing between 3 and 4 nm [27]. It has also been reported,
however, that the distance between RGD peptides in a 2 %
alginate gel prepared from RGD-alginate containing one
peptide per single alginate chain can be calculated to be
36 nm, assuming that a single alginate chain forms a single
domain in the gel [28]. As we prepared MIX-alginate gels
from RGD- and PHSRN-modified alginates, the MIX-
alginate gels had different total peptide amounts depending
on their RGD ratio. The initial distance between one
PHSRN peptide and a neighboring RGD peptide in the
MIX gels prepared in this study can be assumed to be
36 nm, which is about ninefold longer than the distance
between RGD and PHSRN in fibronectin. PHSRN did not
show any enhancing effects on the differentiation level of
NHOsts, but mixing the RGD with the PHSRN-coupled
alginate chains would increase the average spacing
between RGD peptides, which might offset the advantage
of adding the PHSRN and suppress the differentiation level
of the NHOsts. This analysis is further complicated by past
reports that adherent cells will cluster RGD peptides pre-
sented from the alginate, dramatically altering the initial
spacing [29]. However, the results of our study also suggest
that the differentiation level of NHOsts interacting with the
MIX gels was enhanced when their RGD ratio was[33 %
in the 2D culture. Ochsenhirt et al. [30] reported that
controlling not only the distance but also the secondary
structure of RGD- and PHSRN-modified surfaces is
important when the aim is to modulate cell behavior. It can
be assumed that a distance between RGD and PHSRN in
the gel is regulated by not only the molecular concentration
of the alginate and the extent of crosslinking but also by
interaction of the adhered NHOsts, which may cause
reorganization of alginate chain networks and the
Fig. 4 The cell number percentage ratio estimated from the results of
the Tetracolor One assay against those from NHOsts cultured on
tissue culture plates (a) and ALP activity ratio normalized by the
estimated DNA amounts (b) of NHOsts encapsulated in various kinds
of the MIX-alginate gels and incubated for 1 to 4 weeks. All data are
expressed as the mean value ± SD (n = 6–12)
Fig. 5 The ratio of osteocalcin production normalized by the cell
number ratio after NHOsts were incubated for 2 weeks on various
kinds of MIX-alginate gels composed of RGD- and PHSRN-modified
alginates. All data are expressed as the mean value ± SD (n = 3–4)
J Artif Organs
123
secondary structure of RGD and PHSRN peptides in the
gel. It will be necessary to determine the actual distance
between RGD and PHSRN in this system and, if possible,
observe the reorganization of the network by NHOsts,
which may make the cells recognizing both RGD and
PHSRN initially separate more than 4 nm in the gels (e.g.,
utilizing fluorescence resonance energy transfer (FRET)
techniques [29]). Currently, we are measuring the distance
between RGD and PHSRN in the MIX gel utilizing the
FRET technique to clarify the effect of their spacing on cell
behavior. The results will be reported in the near future.
The 3D culture of cells has been reported to affect cell
shape, gene expression, and protein and extracellular
matrix production and to lead to significant differences in
2D culture [31–33]. When NHOsts were cultured in algi-
nate gels, their behaviors, such as shape, proliferation, ALP
activity profiles, and calcium deposition, were different
from those observed in cells cultured on a normal culture
dish (2D culture). Although it was very difficult to clearly
observe NHOsts encapsulated in alginate gels by light
microscopy, our microscopic observation revealed that the
encapsulated NHOsts in all of the gels had a round shape,
indicating that it is very difficult for them to take on a
spreading shape as normally seen in 2D culture. This
finding suggests that encapsulated cells tend to acquire a
round shape because they are surrounded by alginate gels
that they can utilize as their scaffold, especially when the
gels are prepared with RGD or MIX-alginate. Since they
cannot take on a spreading shape in the gels, it is probable
that they have different proliferation profiles as compared
to those observed in our 2D culture study. In addition,
taking into consideration the ALP activity profiles (Fig. 4b)
and calcium deposition after the 4-week incubation
(Fig. 3), a decrease in the cell number ratio at the 3-week
culture time point suggests that changes in NHOsts, such as
osteoblastic maturation, may occur at this time point. This
may also be one explanation of why the proliferation
profiles of NHOsts in 3D culture differ from those of
NHOsts in the 2D culture.
Not only did the proliferation of NHOsts in 3D and 2D
culture differ, but also the ALP activity profiles. The
highest ALP activities of the encapsulated NHOsts were
observed after a 3-week incubation, while the ALP activity
of the 2D-cultured NHOsts showed the highest value after
a 2-week incubation. This difference in the ALP profiles
may be ascribed to a difference in the culture condition,
namely, 2D versus 3D. Irrespective of the ALP activity
profile, calcium deposition was observed in unmodified,
RGD-modified, and MIX gels which encapsulated NHOsts,
although a small level of calcium deposition was also
observed on the same gels with 2D-cultured NHOsts.
When gels were prepared from a MIX-alginate, the gels
showed a potential to enhance the differentiation level of
NHOsts in a 3D culture system, irrespective of the specific
gel composition tested. When NHOsts are cultured on a
gel, they can recognize the modified peptides only from the
one surface they utilize to adhere, whereas in a 3D culture
system they can recognize the peptides on all surfaces since
they are surrounded by the gel. The lack of calcium
deposition in PHSRN-modified alginate gels encapsulating
NHOsts suggests that PHSRN does not enhance the dif-
ferentiation level of the encapsulated NHOsts and may
suppress differentiation in 3D culture. Given the higher
ALP activities of NHOsts encapsulated in MIX gels com-
pared to those in RGD-alginate gels (Fig. 4b), these results
suggest that synergistic effects of RGD and PHSRN pep-
tides on osteoblastic differentiation occur even in the 3D
culture system. NHOsts are able to recognize the modified
peptides only from the one surface they utilize for adher-
ence in the 2D culture system, whereas they can recognize
the peptides on all surfaces in the 3D culture system since
they are surrounded by the gel. This difference between the
2D and 3D culture system potentially results in a different
synergistic effect of the RGD and PHSRN peptides on
osteoblastic differentiation as well as on their proliferation.
Interestingly, even when encapsulated in unmodified algi-
nate gels, NHOsts demonstrated calcium deposition after a
4-week culture (Fig. 3), while few cells were observed
when NHOsts were cultured on the same gel (Fig. 1). This
3D culture effect on the differentiation must be further
clarified, as must the synergistic effect of the two peptides.
It was surprising that no osteocalcin was detected from
culture medium of the 3D cultures. The ELISA kit used in
this study is for detecting active osteocalcin (gamma-car-
boxylated formed), and it is known that active osteocalcin
can bind hydroxyapatite. As calcium deposition was
observed in 3D cultures, we hypothesize that all secreted
active osteocalcin bound to the deposited calcium. Addi-
tional studies, such as RT-PCR measurements of osteo-
calcin mRNA, are needed to test this hypothesis. Moreover,
analysis of the mechanical properties of the mineralizing
alginate gels encapsulating the NHOsts (Fig. 3) should be
performed.
Conclusion
The results of this study demonstrate that co-presentation
of RGD and PHSRN peptides can be utilized to improve
various cell behaviors, especially differentiation. Mixed
gels formed from a combination of RGD-modified and
PHSRN-modified alginates enhanced the differentiation of
NHOsts when the RGD ratio was[33 %. In 3D culture, the
differentiation level of NHOsts was qualitatively enhanced
when they were encapsulated in the MIX gel with a 50 or
67 % RGD ratio. Synthesizing biomaterials mimicking the
J Artif Organs
123
chemistry of natural cell adhesive proteins, such as fibro-
nectin, may be a useful way to develop scaffolds for bone
tissue engineering. In addition, our results suggest that the
effects of 3D culture on cell behaviors should be studied in
more detail, since the differentiation level of the cell in 3D
culture may be more highly enhanced than that observed in
2D culture based on qualitative results of calcium deposi-
tion, whereas the cell number in 3D culture may be similar
to that in 2D culture. Further studies are necessary to
clarify the mechanism by which 3D culture utilizing the
MIX-alginate gel consisting of RGD- and PHSRN-modi-
fied alginates enhances cell differentiation and
proliferation.
Acknowledgments This work was partly supported by Health and
Labour Sciences Research Grants for Research on Regulatory Science
of Pharmaceuticals and Medical Devices by Ministry of Health,
Labour and Welfare (H24-Iyaku-Shitei-018). The authors are also
grateful to Dr. Kuen Yong Lee (Hanyang University, South Korea),
Dr. Hyun-Joon Kong (University of Illinois, USA), and Dr. Takuya
Matsumoto (Okayama University, Japan) for many helpful
discussions.
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