Anisotropically aligned electrospun nanofibrous scaffolds based on natural/synthetic polymer blends have been established as a reasonable compromise between biological and biomechanical performance for tendon tissue engineering (TE) strategies. However, the limited tensile properties of these biomaterials restrict their application in this field due to the load-bearing nature of tendon/ligament tissues. Herein, the use of cellulose nanocrystals (CNCs) as reinforcing nanofillers in aligned electrospun scaffolds based on a natural/synthetic polymer blend matrix, poly-ε-caprolactone/chitosan (PCL/CHT) is reported. The incorporation of small amounts of CNCs (up to 3 wt%) into tendon mimetic nanofiber bundles has a remarkable biomaterial-toughing effect (85% ± 5%, p < 0.0002) and raises the scaffolds mechanical properties to tendon/ligament relevant range (σ = 39.3 ± 1.9 MPa and E = 540.5 ± 83.7 MPa, p < 0.0001). Aligned PCL/CHT/CNC nanocomposite fibrous scaffolds meet not only the mechanical requirements for tendon TE applications but also provide tendon mimetic extracellular matrix (ECM) topographic cues, a key feature for maintaining tendon cell's morphology and behavior. The strategy proposed here may be extended to other anisotropic aligned nanofibrous scaffolds based on natural/synthetic polymer blends and enable the full exploitation of the advantages provided by their tendon mimetic fibrous structures in tendon TE.
Regeneration of the tendon/ligament-to-bone interphase (enthesis) is of significance in the repair of ruptured tendons/ligaments to bone to improve implant integration and clinical outcome. This study proposes a novel approach for enthesis regeneration based on a biomimetic and integrated tendon/ligament-to-bone construct, stem cells and heparin-based delivery of growth factors. We show that heparin can keep growth factors local and biologically active at low doses, which is critical to avoid supraphysiological doses and associated side effects. In addition, we identify synergistic effects of biological (growth factors) and structural (pore alignment) cues on stem cells. These results improve current understanding on the combined impact of biological and structural cues on the multi-lineage differentiation capacity of stem cells for regenerating complex tissue interphases.
Solid fibroin is a bulk nonporous material that can be prepared with two methods: a liquid-gel-solid transition from a fibroin solution or a sintering procedure starting from silk powder. Both methods have their own disadvantages: the first requires several weeks and the process is size dependent; the second requires high temperatures. To overcome these limitations, a lowtemperature sintering procedure based on a thermal-reflow is proposed in this work to produce in fast-fashion monoliths of solid fibroin. Thermal-reflow is a well-known mechanism that takes place when the glass transition temperature of the material is lower than the temperature used to process it. Water plays an important role decreasing the glass transition temperature down to 40 °C. For the first time, a thermal reflow is conducted on lyophilized silk fibroin at 40 °C, associating to the water addition a high-pressure compression. To optimize the process, a full factorial design of experiment is used. The material is then studied in the crucial phases by digital scanning calorimetry, Fouriertransform infrared spectroscopy, and scanning electron microscopy. Finally, a mechanical characterization and a preliminary in vitro test are conducted.
Face masking proved essential to reduce transmission of COVID-19 and other respiratory infections in indoor environments, but standards and literature do not provide simple quantitative methods for quantifying air leakage at the face seal. This study reports an original method to quantify outward leakage and how wearing style impacts on leaks and filtration efficiency. The amount of air leakage was evaluated on four medical masks and four barrier face coverings, exploiting a theoretical model and an instrumented dummy head in a range of airflows between 30 and 160 L/min. The fraction of air leaking at the face seal of the medical masks and barrier face coverings ranged from 43% to 95% of exhaled air at 30 L/min and reduced to 10–85% at 160 L/min. Filter breathability was the main driver affecting both leak fraction and total filtration efficiency that varied from 5% to 53% and from 15% to 84% at 30 and 160 L/min, respectively. Minor changes were related to wearing style, supporting indications on the correct mask use. The fraction of air leaking from medical masks and barrier face coverings during exhalation is relevant and varies according to design and wearing style. The use of highly breathable filter materials reduces air leaks and improve total filtration efficiency.
Surgical and community face masks are used worldwide to reduce the transmission of respiratory infections in indoor environments. Performance parameters for these loosefitting devices are mainly focused on material filtering efficiency, while, differently from face respirators, there are no standards methods for measuring the fraction of air leaking at the face seal. This study quantifies the total filtration efficiency (TFE), a parameter based both on filter efficiency and air leakage, of 50 face mask models with the aim of understanding the role of several mask design features on TFE performance. An instrumented head form equipped with sensors for measuring volumetric airflow and differential pressure was used to simulate the air exhalation from the mouth of a person wearing a face mask. A Response Surface Method (RSM) was used to model the TFE experimental data.Results showed that TFE values ranged over a wide interval (from 5 % to 73 %), with better values at higher flowrates. A significant positive correlation was found between TFE and filter breathability. The presence of a nosepiece showed to increase the TFE on average from 4 % to 6 %, according to the flowrate. Significant improvements were associated only to nosepieces incorporating a metallic wire. The RSM model evidenced that the increase in the number of the filter layers, and the use of a meltblown layer, result in higher TFE only when a nosepiece is in place. Differently, the benefit of the nosepiece is less marked for masks made of highly breathable filters.To improve overall mask performance, the design of loosefitting face masks should carefully compromise between breathability and filtration efficiency of the filter materials. The addition of a metallic nosepiece help improving the TFE by limiting the air leaking at the face seal.
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