Ari Karchin

Melt electrospinning of biodegradable polyurethane scaffolds.

Electrospinning from a melt, in contrast to from a solution, is an attractive tissue engineering scaffold manufacturing process as it allows for the formation of small diameter fibers while eliminating potentially cytotoxic solvents. Despite this, there is a dearth of literature on scaffold formation via melt electrospinning. This is likely due to the technical challenges related to the need for a well-controlled high-temperature setup and the difficulty in developing an appropriate polymer. In this paper, a biodegradable and thermally stable polyurethane (PU) is described specifically for use in melt electrospinning. Polymer formulations of aliphatic PUs based on (CH(2))(4)-content diisocyanates, polycaprolactone (PCL), 1,4-butanediamine and 1,4-butanediol (BD) were evaluated for utility in the melt electrospinning process. The final polymer formulation, a catalyst-purified PU based on 1,4-butane diisocyanate, PCL and BD in a 4/1/3M ratio with a weight-average molecular weight of about 40kDa, yielded a nontoxic polymer that could be readily electrospun from the melt. Scaffolds electrospun from this polymer contained point bonds between fibers and mechanical properties analogous to many in vivo soft tissues.

Matricellular hevin regulates decorin production and collagen assembly.

Matricellular proteins such as SPARC, thrombospondin 1 and 2, and tenascin C and X subserve important functions in extracellular matrix synthesis and cellular adhesion to extracellular matrix. By virtue of its reported interaction with collagen I and deadhesive activity on cells, we hypothesized that hevin, a member of the SPARC gene family, regulates dermal extracellular matrix and collagen fibril formation. We present evidence for an altered collagen matrix and levels of the proteoglycan decorin in the normal dermis and dermal wound bed of hevin-null mice. The dermal elastic modulus was also enhanced in hevin-null animals. The levels of decorin protein secreted by hevin-null dermal fibroblasts were increased by exogenous hevin in vitro, data indicating that hevin might regulate both decorin and collagen fibrillogenesis. We also report a decorin-independent function for hevin in collagen fibrillogenesis. In vitro fibrillogenesis assays indicated that hevin enhanced fibril formation kinetics. Furthermore, cell adhesion assays indicated that cells adhered differently to collagen fibrils formed in the presence of hevin. Our observations support the capacity of hevin to modulate the structure of dermal extracellular matrix, specifically by its regulation of decorin levels and collagen fibril assembly.

A noncontact sensor for measurement of distal residual-limb position during walking

A simple noncontact device was implemented for measuring the position of the distal residual limb relative to the prosthetic socket during ambulation. The device was a small and lightweight photoelectric sensor positioned within a frame mounted immediately beneath the socket. Calibration tests showed that the sensor had a displacement range of 60.0 mm. The root-mean-square error for all sources of error considered (different reflective surfaces, peak-to-peak signal noise, drift, nonlinearity, different surface tilt angles, surface curvature, and wetness [simulating sweating]) was <1.95% full-scale output. We used the sensor in a preliminary study on a unilateral, transtibial amputee with diabetes to assess pistoning during ambulation. Results showed an average 41.7 mm proximal displacement during swing phase relative to stance phase. When the subject was walking on a flat surface, pistoning was significantly less (p = 0.000) with a supracondylar strap compared with no supracondylar strap, although the difference was not substantial (0.8 mm). A 5 min rest period caused the limb to displace proximally in the socket approximately 4.8 mm during subsequent walking trials, possibly reflecting limb enlargement and thus a more proximal position in the socket after the rest period. The device can potentially be used in prosthetics research for evaluating clinical features that may affect limb position and pistoning and thus fit.

Testing of elastomeric liners used in limb prosthetics: classification of 15 products by mechanical performance.

The mechanical properties of 15 elastomeric liner products used in limb prosthetics were evaluated under compressive, frictional, shear, and tensile loading conditions. All testing was conducted at load levels comparable to interface stress measurements reported on transtibial amputee subjects. For each test configuration, materials were classified into four groups based on the shapes of their response curves. For the 15 liners tested, there were 10 unique classification sets, indicating a wide range of unique materials. In general, silicone gel liners classified within the same groups thus were quite similar to each other. They were of lower compressive, shear, and tensile stiffness than the silicone elastomer products, consistent with their lightly cross-linked, high-fluid content structures. Silicone elastomer products better spanned the response groups than the gel liners, demonstrating a wide range of compressive, shear, and tensile stiffness values. Against a skin-like material, a urethane liner had the highest coefficient of friction of any liner tested, although coefficients of friction values for most of the materials were higher than interface shear:pressure ratios measured on amputee subjects using Pelite liners. The elastomeric liner material property data and response groupings provided here can potentially be useful to prosthetic fitting by providing quantitative information on similarities and differences among products.

Amputee socks: how does sock ply relate to sock thickness?

Background: The term ‘sock ply’ may be a source of confusion in prosthetics practice because there may not be a consistent relationship between sock ply and sock thickness. Objectives: The purpose of this study was to characterize how sock ply related to sock thickness for different sock materials commonly used in limb prosthetics. We also evaluated how sock thickness changed under loading conditions experienced while wearing a lower limb prosthesis compared with unstressed conditions. Study Design: Experimental. Mechanical assessment. Methods: Seven sock materials of varying ply and sheaths were tested using a custom instrument. Sock thickness under eight different compressive stress conditions and two different biaxial in-plane tensile strain conditions were measured. Results: For socks woven from a single material, thickness under walking stance phase conditions averaged 0.7, 1.2 and 1.5 mm for 1, 3 and 5-ply, respectively. For socks woven from several materials, the corresponding results were 0.4, 0.7 and 0.8 mm, respectively. Sock ply did not sum, e.g. a 3-ply sock was not three times the thickness of a 1-ply sock. Conclusions: Sock thickness and compressive stiffness are strongly dependent upon sock material, interface pressure, and in-plane biaxial strain. Clinical relevance Data may be useful towards selecting socks during fitting and towards understanding volume changes induced by adding socks. An alternative nomenclature for thickness based on sheath equivalence may be more intuitive to practitioners and to the industry.

Modulation of gene expression using electrospun scaffolds with templated architecture.

The fabrication of biomimetic scaffolds is a critical component to fulfill the promise of functional tissue-engineered materials. We describe herein a simple technique, based on printed circuit board manufacturing, to produce novel templates for electrospinning scaffolds for tissue-engineering applications. This technique facilitates fabrication of electrospun scaffolds with templated architecture, which we defined as a scaffolds bulk mechanical properties being driven by its fiber architecture. Electrospun scaffolds with templated architectures were characterized with regard to fiber alignment and mechanical properties. Fast Fourier transform analysis revealed a high degree of fiber alignment along the conducting traces of the templates. Mechanical testing showed that scaffolds demonstrated tunable mechanical properties as a function of templated architecture. Fibroblast-seeded scaffolds were subjected to a peak strain of 3 or 10% at 0.5 Hz for 1 h. Exposing seeded scaffolds to the low strain magnitude (3%) significantly increased collagen I gene expression compared to the high strain magnitude (10%) in a scaffold architecture-dependent manner. These experiments indicate that scaffolds with templated architectures can be produced, and modulation of gene expression is possible with templated architectures. This technology holds promise for the long-term goal of creating tissue-engineered replacements with the biomechanical and biochemical make-up of native tissues.