Patent Application
20070213424
This invention relates to a method for obtaining a graded pore structure in scaffolds for tissue and bone, and to scaffolds for tissue and bone with a graded pore structure. Particularly, though not exclusively, the graded pore structure providing the initial structural strength and allows tissue growth with controlled degradation.
Tissue engineering techniques generally require the use of a temporary scaffold as a three-dimensional template for initial cell attachment and subsequent tissue formation. The ability of the scaffold to be metabolised by the body allows it to be gradually replaced by new cells to form functional tissue.
Many conventional techniques ranging from fibre bonding, solvent casting, and particulate leaching have been developed to design and fabricate scaffolds. Rapid prototyping technology has also enabled the design and fabrication of scaffolds using computer control technology.
Biodegradable polymers have been attractive candidates for scaffolding materials because they degrade as the new tissues are formed, eventually leaving nothing foreign to the body. A few techniques such as salt leaching, fibrous fabric processing, gas foaming, emulsion freeze-drying, three-dimensional printing, and phase separation have been developed to generate highly porous polymer scaffolds for tissues engineering. However, to engineer clinically useful scaffolds for bones, tissues and organs is still a challenge.
A scaffold is expected to possess the following characteristics for use in tissue engineering:
In addition to the above properties, the scaffold should be able to perform guided tissue regeneration. This requires functionally graded properties across the three dimensional network. Of this pore size, porosity, and surface area (surface-to-volume ratio) are widely recognized as important parameters for a scaffold for tissue engineering. Other architectural features such as pore shape, pore wall morphology, and interconnectivity between pores of the scaffolding material, are also suggested to be important for cell seeding, migration, growth, mass transport, gene expression, and new tissue formation in three dimensions.
Four types of biomaterials have been experimentally and/or clinically studied as scaffold material for tissue engineering applications:
In general, the scaffold should be fabricated from a highly biocompatible material that does not generate immunorejection upon being implanted in the human body.
Current technological restrictions with process and equipment pose serious limitations in achieving a scaffold design with the desired interconnectivity in pores. A simple example of process limitation is the use of stereolithography. This needs photo-curable polymers to obtain the required structure, and has limitations on the maximum strength attainable. Three-dimensional printing technologies depend on binder formulation for obtaining the required structure. Methodologies such as salt leaching and phase separation suffer from limitations in creating the necessary interconnectivity of pores.
Current scaffolds for tissue engineering use either a rapid prototyping technology or gas foaming/solvent leaching methodology for obtaining a porous structure.
According to a preferred aspect there is provided a scaffold for tissue regeneration or bone growth, the scaffold being fabricated from at least two polymers. The polymers are of differing rates of biodegradability. A first polymer of the at least two polymers may able to be leached (or removed) by a solvent, and all other polymers of the at least two polymers may be inert to the solvent or may have a lower dissolution rate in the solvent. The scaffold may have a graded porosity with high porosity at a surface of the scaffold, and low porosity at a core of the scaffold.
According to another aspect there is provided a scaffold for tissue regeneration or bone growth; the scaffold being fabricated from at least two polymers. A first polymer of the at least two polymers is able to be leached (or removed) by a solvent, and all other polymers of the at least two polymers are inert to the solvent or may have a lower dissolution rate in the solvent.
According to a further aspect there is provided a scaffold for tissue regeneration, or bone growth; the scaffold having a graded porosity with high porosity at a surface of the scaffold, and low porosity at a core of the scaffold. The scaffold may be fabricated from at least two polymers of differing rates of biodegradability. Additionally or alternatively, the scaffold may be fabricated from at least two polymers, a first polymer of the at least two polymers being able to be leached (or removed) by a solvent, and all other polymers of the at least two polymers being inert to the solvent or may have a lower dissolution rate in the solvent.
In a final aspect, there is provided a method of fabrication of a scaffold for tissue regeneration, or bone growth; the method comprising:
The polymers may be milled prior to blending. All polymers of the at least two polymers may have a different rate of biodegradability. The leaching may be for only a part of the scaffold. That part may be at or adjacent a surface of the scaffold, but not the core of the scaffold. Preferably, the first polymer has faster rate of bio-degradability.
Forming may be by at least one method selected from: compression moulding, injection moulding, rapid prototyping, and three-dimensional printing. Compression moulding may be at a pressure in the range 0 to 20 Mpa, and at a temperature in the range 25° C. to 80° C. Leaching may be in an ultrasonic bath of the solvent, the solvent preferably at a temperature in the range 25° C. to 50° C., frequencies preferably being in the range 1 KHz to 40 KHz, and exposure time preferably being in the range 5 minutes to 120 minutes. The at least two polymers may be milled in a cryogenic mill and blended or be milled and blended in a cryogenic mill to form a preferred particle size in the range 20 to 500 μm.
Milling may be for a cycle that may be dependent upon a desired particle size for the polymers, and the type of the polymers. Milling may be at a frequency in the range 15 to 30 cycles of one minute each, and the impaction rate may be 15 impacts/second.
For all aspects, at least two polymers may be purely synthetic polymers such as polyglycolide, poly L-lactide, poly DL-lactide, polylactide co-glycolide, polycaprolactone, or polyhydroxybutrate; or a blend of synthetic and natural polymers, or natural polymers. The solvent may be acetone, dichloromethane, hexfluoroisopropanol, chloroform, or alcohol or similar organic solvents.
There may be two polymers in a ratio in the range 60:40 to 30:70.
In order that the invention may be readily understood and put into practical effect, there shall now be described by way of non-limitative example only preferred embodiments of the present invention, the description being with reference to the accompanying illustrative drawings in which:
To refer to
In order to allow the scaffold 10 to closely mimic the tissue and to improve the quality of tissue regeneration/bone growth that occurs within the implant, the scaffold 10 has graded properties including graded porosity. This helps in obtaining optimum in-growth of different tissues and cells and enhances the ability of the implant to withstand varying mechanical loads at specific regions of the implant. The graded structure of pores 12 assists in delivering growth agents in a controlled manner. It would therefore assist in having controlled and guided osteogenesis and angiogenesis. A polymer blend is used, with the different polymers having different degradation rates that preferably correspond to the formation of the tissue, bone and blood vessels. This provides sufficient support and strength to the scaffold to assist the regeneration processes.
The pores 12 are graded so that as the growth initiates from the surface, the core 14 of the scaffold 10 provides the necessary support and retardation of tissue growth thus allowing the angiogenesis to take place in the core.
In one preferred form, two different polymers were used, although any required number of polymers may be used depending on the required characteristics of the scaffold to be constructed. For example, three or four different polymers may be used.
If two polymers are used, the ratio of the two polymers used may be in the range 60:40 to 30:70. Again, the exact ratio will depend on the required characteristics of the scaffold to be constructed. The polymers may be natural or synthetic polymers and may include, but are not limited to: polyglycolide, polylactide (including poly DL-lactide and poly L-lactide), polylactide co-glyclide, polycaprolactone, and polyhydroxylutrate.
To fabricate the scaffold 10, the polymers are selected and, in the correct ratio, milled to powder and blended to form a polymeric blend. The blended powder is sieved to size and the blend is used to fabricate the scaffold. The scaffold is then subjected to secondary processing. Milling may be in a cryogenic mill, and may include blending.
The secondary processing is controlled leaching of one of the polymers in the polymeric blend. Leaching may be by use of a solvent 20, preferably an organic solvent, to enhance the surface porosity, but with reduced concentration of pores 12 at the core 14 of the scaffold 10. By using a solvent that reacts with only a first of the polymers but not the other polymer(s), or has limited or slower reactivity with the other polymer(s), mainly the first polymer is removed by the leaching. This requires all other polymers to be either inert, have a lower rate of reaction to the solvent, or have a lower dissolution rate to the solvent. Leaching may be enhanced by controlling the temperature of the leaching solvent by use of heaters 16 and/or by agitation such as by ultrasonic agitation using ultrasonic table 18 or in a ultrasonicator.
By having different ratios of the polymers in different regions of the scaffold, different porosity will result from the leaching. Alternatively or additionally, the leaching process may be controlled so that the leaching will be of a greater extent at the surface of the scaffold, and of a lesser extent at the core 14 of the scaffold 10. This may be by controlling the rate of immersion of the scaffold 10 in a bath of the solvent, controlling the time of immersion so that the solvent will not fully complete the dissolving of the first polymer nearer the core, or otherwise. As leaching will start at the surface of the scaffold 10 and progress towards the core 14 through the pores 12 created by leaching, by controlling the duration, temperature and agitation of the solvent bath, the core 14 may be only partially leached, or there may be no leaching at the core 14 of the scaffold 10. In this way the pores 12 will reduce in number, size and connectivity from the surface 22 of the scaffold 10 to the core 14 of the scaffold 10.
Where the porosity is higher the rate of biodegradation will be faster, and where the porosity is lower, the slower the rate of degradation. By having a higher porosity at the surface 22, where tissue/bone regeneration/growth is earlier and fastest, the scaffold 10 will biodegrade as the regeneration/growth takes place. With lower porosity at the core 14, the scaffold will retain structural strength as the tissue/bone regenerates/grows such that the combined strength remains relatively uniform.
By having at least two different polymers with different rates of bio degradability, this can be enhanced. Also, the faster degrading polymer will progressively degrade towards the core 14 to thus enhance tissue/bone regeneration growth. It is preferred that the polymer that is leached by the solvent have the faster/fastest rate of biodegradability.
In one example, polyglycolide granules, poly L-lactide granules and polylactide co-glycolide granules were milled at a frequency of 15 to 30 cycles each for one minute. The exact cycle used depends on one or more of: the polymers used, particle size, and the glass transition temperature of the polymers. A particle size in the range 20-500 μm is preferred. An impact rate of 15 impacts/second was used.
The organic solvents used may be selected from: acetone, dichloromethane, hexfluoroisopropanol, chloroform, alcohol, or any other suitable organic solvent for selectively dissolving one of the polymers, and to which the other polymers are inert, or to which they have a lower dissolution rate.
Fabrication of the scaffold 10 may be by methods such as, for example, compression moulding, injection moulding, or rapid prototyping such as three-dimensional printing of the scaffold using a suitable binder system. For example, compression moulding at a pressure of 0 to 20 MPa and a temperature in the range 25 to 80° C. may be used.
The solvent may be in a bath into which the scaffold is placed. The temperature of the solvent in the bath may be in the range 25° C. to 50° C. The bath may be an ultrasonic bath using a frequency in the range 1 KHz to 40 KHz. The time of exposure of the scaffold in the bath may be in the range 5 minutes to 120 minutes.
As is clear from
(a) polyglycolide and polylactide co-glycolide in a ratio of 50:50 as leached in dichloromethane; and
(b) polyglycolide and polyhydroxybutrate in a ratio of 50:50 as leached in acetone.
(a) before [(a)];
and after leaching in:
(b) dichloromethane; and
(c) acetone;
and shows a uniform distribution of surface pores, and interconnectivity between them.
Whilst there has been described in foregoing description a preferred embodiment of the present invention, it will be understood by those skilled in the technology that many variation or modifications in details of design, construction or operation may be made without departing from the present invention.
| Number | Date | Country | Kind |
|---|---|---|---|
| 200401544-2 | Mar 2004 | SG | national |
| Filing Document | Filing Date | Country | Kind | 371c Date |
|---|---|---|---|---|
| PCT/SG05/00087 | 3/18/2005 | WO | 9/22/2006 |
