Multiwalled carbon nanotubes (MWCNTs) are considered to be excellent reinforcements for biorelated applications, but, before being incorporated into biomedical devices, their biocompatibility need to be investigated thoroughly. We investigated the ability of films of pristine MWCNTs to influence human mesenchymal stem cells' proliferation, morphology, and differentiation into osteoblasts. Moreover, the selective integrin subunit expression and the adhesion mechanism to the substrate were evaluated on the basis of adherent cell number and adhesion strength, following the treatment of cells with blocking antibodies to a series of integrin subunits. Results indicated that MWCNTs accelerated cell differentiation to a higher extent than tissue culture plastic, even in the absence of additional biochemical inducing agents. The pre-treatment with anti-integrin antibodies decreased number of adherent cells and adhesion strength at 4-60%, depending on integrin subunit. These findings suggest that pristine MWCNTs represent a suitable reinforcement for bone tissue engineering scaffolds.

Carbon nanotubes have been proposed as fillers to reinforce polymeric biomaterials for the strengthening of their structural integrity to achieve better biomechanical properties. In this study, a new polymeric composite material was introduced by incorporating various low concentrations of multiwalled carbon nanotubes (MWCNTs) into chitosan (CS), aiming at achieving a novel composite biomaterial with superior mechanical and biological properties compared to neat CS, in order to be used in cardiovascular tissue engineering applications. Both mechanical and biological characteristics in contact with the two relevant cell types (endothelial cells and vascular myofibroblasts) were studied. Regarding the mechanical behavior of MWCNT reinforced CS (MWCNT/CS), 5 and 10 % concentrations of MWCNTs enhanced the mechanical behavior of CS, with that of 5 % exhibiting a superior mechanical strength compared to 10 % concentration and neat CS. Regarding biological properties, MWCNT/CS best supported proliferation of endothelial and myofibroblast cells, MWCNTs and MWCNT/CS caused no apoptosis and were not toxic of the examined cell types. Conclusively, the new material could be suitable for tissue engineering (TE) and particularly for cardiovascular TE applications.

A goal of current implantology research is to design devices that induce controlled, guided, and rapid healing. Nanoscale structured substrates [e.g., titania nanotubes (TNTs) or carbon nanotubes (CNTs)] dramatically improve the functions of conventional biomaterials. The present investigation evaluated the behavior of osteoblasts cells cultured on smooth and nanostructured substrates, by measuring osteoblasts specific biomarkers [alkaline phosphatase (AP) and total protein] and cells adhesion strength to substrates, followed by semi-empirical modeling to predict the experimental results. Findings were in total agreement with the current state of the art. The proliferation, as well as the AP and total protein levels were higher on the nanostructure phases (TNTs, CNTs) comparing to the smooth ones (plastic and pure titanium). Cells adhesion strength measured was found higher on the nanostructured materials. This coincided with a higher value of proteins which are directly implicated in the process of adherence. Results were accurately predicted through the Viscoelastic Hybrid Interphase Model. A gradual adherence of bone cells to implants using multilayered biomaterials that involve biodegradable polymeric films and a nanoscale modification of titanium surface is suggested to improve performance through an interphase-mediated osteointegration of orthopedic implants. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 106A: 621-628, 2018.

In this work, the structural, thermal, mechanical, and biocompatibility characteristics of biopolyester-based nanocomposites with phyllosilicate clays, namely those of poly(3-hydroxybutyrate) (PHB) with octadecylamine-modified montmorillonite (C 18 MMT), are reported. PHB/clay nanocomposites with various loadings were prepared by melt mixing. X-ray diffraction measurements and transmission electron microscopy images revealed the coexistence of intercalated and exfoliated states in the produced nanocomposites. Atomic force microscopy imaging also shed light to the morphological characteristics of the pure PHB and the prepared nanocomposites. The thermal stability of the nanohybrid materials was improved with the 5 wt % loading nanocomposite to show the best improvement. In addition, the nanohybrids have lower melting point compared to pure PHB and enhanced storage modulus (E 0 ). Finally, the biocompatibility of pristine PHB and the 5 wt % nanocomposite was assessed by studying the morphology and proliferation of osteoblast cells attached on their surfaces. The results after 3 and 7 days of cell culturing indicate the incorporation of nanoclays does not change the cell adhesion and spreading as compared to those on pure PHB.

Through mediation of integrin clustering, nanoscale surface structure of carbon nanotubes (CNTs) directly affects cell binding and subsequent behavior. The influence of morphological structures on proliferation, differentiation, and organization of focal adhesions and cytoskeleton of human mesenchymal stem cells (hMSCs) was studied. The following two surface morphologies were fabricated and examined: a random network multiwalled carbon nanotubes film (RNCNT) and a vertically aligned multiwalled carbon nanotube (VACNT) film. hMSCs adhered and spread earlier on both CNT surfaces than on control. A statistically significantly increased number of attached cells were observed on VACNT surfaces. No CNT substrate enhanced differentiation, but both maintained the differentiation property of hMSCs. VACNTs recruited vinculin from the cytoplasm for the formation of focal adhesion complexes earlier in comparison to RNCNT. There is still disparity on how nanostructures regulate the progression toward an osteoblastic phenotype. It is necessary to explore various architectures in order to understand how they initiate osteoinductive or proliferating signals.