The incorporation of exogenous lactate into cardiac tissues
is
a regenerative strategy that is rapidly gaining attention. In this
work, two polymeric platforms were designed to achieve a sustained
release of lactate, combining immediate and prolonged release profiles.
Both platforms contained electrospun poly(lactic acid) (PLA) fibers
and an alginate (Alg) hydrogel. In the first platform, named L/K(x)/Alg-PLA, lactate and proteinase K (x mg of enzyme per 1 g of PLA) were directly loaded into the Alg hydrogel,
into which PLA fibers were assembled. In the second platform, L/Alg-K(x)/PLA, fibers were produced by electrospinning a proteinase
K:PLA solution and, subsequently, assembled within the lactate-loaded
hydrogel. After characterizing the chemical, morphological, and mechanical
properties of the systems, as well as their cytotoxicity, the release
profiles of the two platforms were determined considering different
amounts of proteinase K (x = 5.2, 26, and 52 mg of
proteinase K per 1 g of PLA), which is known to exhibit a broad cleavage
activity. The profiles obtained using L/Alg-K(x)/PLA
platforms with x = 26 and 52 were the closest to
the criteria that must be met for cardiac tissue regeneration. Finally,
the amount of lactate directly loaded in the Alg hydrogel for immediate
release and the amount of protein in the electrospinning solution
were adapted to achieve a constant lactate release of around 6 mM
per day over 1 or 2 weeks. In the optimized bioplatform, in which
6 mM lactate was loaded in the hydrogel, the amount of fibers was
increased by a factor of ×3, the amount of enzyme was adjusted
to 40 mg per 1 g of PLA, and a daily lactate release of 5.9 ±
2.7 mM over a period of 11 days was achieved. Accordingly, the engineered
device fully satisfied the characteristics and requirements for heart
tissue regeneration.