1. Introduction
Advances in the field of biomaterials and nanotechnology have revolutionized traditional therapeutic modalities to improve the functionality of drug delivery and tissue engineering [
1]. Biomaterials are a critical element in the development of scaffolds that provide a three-dimensional niche to mimic the extracellular matrix (ECM), and facilitate cell migration, proliferation, and vascularization, which are essential elements during tissue regeneration [
2]. An adequate scaffold for bone regeneration should possess several properties relating to biocompatibility, biodegradability, porosity, and osteoinductivity [
3] to promote bone growth, and to provide temporary mechanical support in the bone defect area. Biocompatibility allows the cells to adhere to a scaffold without stimulating an undesirable immune response, and to proliferate into regenerated functional tissue. That is a principal objective of tissue engineering wherein, over time, the human cells replace the implanted scaffold through the production of new tissue. A porous scaffold with adequate mechanical properties permits cell migration and the formation of a structure that can support manipulation during the surgical process and subsequently until tissue regeneration is complete [
4].
Poly(ε-caprolactone) (PCL) is a biocompatible and biodegradable polymer employed as a support matrix for the fabrication of scaffolds which encompass active adjuvants [
5]. It is widely used in tissue regeneration applications due to its ease of handling applying a variety of processing techniques [
6], however it possesses poor mechanical and osteoconductivity properties. To overcome these limitations, the incorporation of inorganic components into the polymeric matrices, such as bioactive glasses and ceramics, e.g., hydroxyapatite, improve the mechanical strength and foster osteoconduction during the bone regeneration processes [
7,
8,
9]. In addition, modification of the scaffolds through the incorporation of bioactive compounds improves their functionality [
10], and acts as a highly targeted delivery system for medicinal agents which stimulates and guides the cellular regeneration process, while concomitantly inhibiting both microbial infection and transplant rejection [
11].
Hydroxyapatite (Ca
10(OH)
2(PO
4)
6) provides important biological characteristics, including being a part of the bone matrix and promoting bone cell differentiation, which can assist during the mineralization process, and as an osteoconductive material can be used in the area requiring bone regeneration [
12,
13].
Bone loss in the oral cavity may occur as the result of trauma, cancer, congenital diseases, periodontal diseases, and caries [
14]. Periodontitis is an infectious and inflammatory disease caused mainly by the Gram-negative bacteria
Porphyromonas gingivalis and
Aggregatibacter actinomycetemcomitans. It is an important disease that causes tooth loss in humans through the progressive destruction of the tissues supporting the teeth [
15]. Caries, a multifactorial infectious disease results in the demineralization of dental hard tissues and the loss of teeth. The primary causative agent associated with dental caries is
Streptococcus mutans, a microorganism that can form biofilms [
16]. A common failure of the existing scaffolds for oral applications following surgery is subsequent microbial infection which inhibits tissue generation [
17]. One possible solution is to fabricate scaffolds that, through the incorporation of antimicrobial agents, have the capacity to inhibit microbial infection [
18].
Natural products incorporated into scaffolds have been investigated for their synergistic action in combination with biomaterials for bone regeneration and the prevention of infection [
18]. Due to the increase in microbial multidrug resistance (MDR) to many front-line antibiotics, the search for antimicrobial metabolites from plants has gained interest [
19].
Humulus lupulus L. (known as hops) is member of the Cannabaceae family and was originally from Western Asia. Now it is naturalized in central Europe and is widely cultivated in North and South America, South Africa, and Australia [
20]. The bitter metabolites produced by the flower-heads (cones) are used in the brewing industry for their organoleptic properties that improve the flavor and aroma of beer [
21]. Due to the rich composition of hop cones, they have long been used as a valuable raw material in a variety of applications. The secondary metabolites, the bitter acids, the polyphenols, and the essential oil components, have demonstrated anticancer and anti-inflammatory properties; antibacterial, antifungal, and anticancer activities; and anti-inflammatory, anticancer, and analgesic effects, respectively [
20].
Extracts of hop cones have been evaluated for their antimicrobial properties against oral Streptococci, particularly
S. mutans,
S. sanguis, and
S. salivarius [
22,
23]. The principal metabolites characterized from hops: humulone, isohumulone, lupulone, and xanthohumol, have demonstrated anti-inflammatory [
24], antimicrobial [
25], and anticancer activities, and inhibition of bone resorption [
26]. Xanthohumol, an important prenylated chalconoid derivative in the female inflorescence of hops, enhances osteoblast differentiation at concentrations of 0.001, 0.01, 0.1, and 1µg/mL [
27]. The extract used in the present research was a commercial CO
2-prepared hop extract (Hopsteiner).
Of the fabrication techniques employed to develop scaffolds, electrospinning is a simple process which produces nanofibers considered to be a highly effective platform for biomedical applications for drug release, wound healing, and tissue engineering [
28]. Electrospinning enables the combination of biomaterials to generate nanofiber membranes through the application of variable manufacturing parameters. In addition, it is a method for the fabrication of porous, three-dimensional, delivery systems of synthetic and natural compounds to introduce biological properties into the matrix for diverse applications [
29,
30].
This study was designed to fabricate and characterize membranes of PCL nanofibers loaded with nanohydroxyapatite and the hop extract, produced through electrospinning, and to evaluate their physicochemical, mechanical, and in vitro antimicrobial and cytotoxic properties, prior to consideration for the bone-targeted delivery of medicinal agents.
2. Materials and Methods
2.1. Materials
Poly(ε-caprolactone) pellets (Mw = 80,000 Da) and hydroxyapatite (nanopowder <200 nm particle size) were purchased from Sigma Aldrich (St. Louis, MO, USA). The Humulus lupulus L. extract containing mainly 83.2% of α-bitter acids (humulone) and 97.3% of β-bitter acids (lupulone), and 90% of xanthohumol was obtained from the Hopsteiner Company (New York, NY, USA). The hop extract was diluted in methanol to prepare the stock solution with a final concentration of 10 mg/mL. The extract was stored at 4°C in the dark until used. Acetone and methanol were purchased from CTR Scientific S.A de C.V (Monterrey, NL, Mexico), and syringes were purchased from Becton Dickinson (Franklin Lakes, NJ, USA).
2.2. Fabrication of Electrospun Nanofibers
The matrices were fabricated using an electrospinning apparatus composed of a high voltage source of power (Gamma High Voltage Research, Ormond Beach, FL, USA), a syringe infusion pump (KD Scientific, Holliston, MA, USA) fitted with a metallic blunt-tip 27G needle (CML Supply, Lexington, KY, USA), and a 5-mL plastic syringe (BD Plastipak™, Franklin Lakes, NJ, USA). The polymeric solutions were prepared with PCL 9% w/v, using acetone as the solvent and stirred overnight at room temperature. The different concentrations of nanohydroxyapatite were 1, 3, and 5% w/v, while the hop extract was added in concentrations of 1, 3, and 5% v/v. The solutions were stirred for 24 h at room temperature, individually transferred into the syringe, injected with the infusion pump, and electrospun under optimized parameters (0.4 mL/h flow rate, 15 cm distance from the needle tip to the collector, and 25 kV) at room temperature and at 50% relative humidity. The fibers were collected and deposited in a 10 x 10 cm metallic collector covered by non-stick aluminum foil. During the experiments, the relative humidity was 50% and the temperature was 25°C. The samples obtained from the electrospinning technique were dried under vacuum for 48 h to complete solvent removal. The conferred names for the samples are related to their composition. Thus, the PCL samples were composed of only PCL, the PCL+nHAp samples were composed of PCL and nanohydroxyapatite, and the PCL+nHAp+hop extract samples were composed of PCL, nanohydroxyapatite, and the hop extract.
2.3. Morphological Characterization
Examinations of the morphology and the overall fiber distribution of the electrospun matrices were carried out with a scanning electron microscope Philips XL30 SEM TMP (F.E.I. Company, Hillsboro, OR, USA). The samples were covered with a sputtered gold film (Polaron SC7640, Newhaven, UK) and observed in the SEM. The average fiber diameter and distribution were analyzed using ImageJ software (National Institutes of Health, Bethesda, MD, USA).
2.4. Thermogravimetric Analysis
Thermogravimetric analysis (TGA) of the electrospun matrices was carried out in a Thermogravimetric Analyzer TA Q500 (New Castle, DE, USA), from room temperature to 600°C, 10°C/min-1 under a nitrogen atmosphere.
2.5. Fourier-transform Infrared Spectroscopy (FTIR) Analysis
The functional groups present in the PCL, nHap, and hop extracts were analyzed by FTIR analysis using a Perkin Elmer FTIR spectrometer (Waltham, MA, USA) in the range 4000–400 cm-1.
2.6. Mechanical Characterization
The mechanical properties of the obtained matrices were determined with a universal testing machine (Instron 3345, Worthing, Sussex, UK). Rectangular samples (3 × 10 mm) were cut and mounted between holders and tested (n = 8) under dry conditions. The results were reported as mean ± standard deviation (SD).
2.7. In vitro Degradation Assays
The degradation tests were performed in accordance with ISO 10993-13: 2010 [
31]. Triplicate samples (~10 mg) of the electrospun matrices were immersed in sterile flasks with 100 mL of phosphate-buffered saline (PBS) at pH ~7.4 at 37°C, with constant agitation at 120 rpm for 8 weeks. After each immersion period was concluded, the samples were removed and washed three times with distilled water to remove salt residues, dried for under vacuum to constant mass and weighed.
The percentage weight loss was calculated using the following equation:
Where Wi is the initial sample weight and Wf is the final sample weight after degradation at different time periods.
2.8. Antibacterial Assay
The in vitro antibacterial activity of the acquired hop extract was evaluated against the oral pathogenic organisms
Streptococcus mutans (Sm) (ATCC 700610),
Porphyromonas gingivalis (Pg) (ATCC 33277), and
Aggregatibacter actinomycetemcomitans (Aa) (ATCC 43718) through measuring the zones of inhibition using the agar diffusion assay [
32].
S. mutans was cultured on brain heart infusion (BHI) (Becton Dickinson, Sparks, MD, USA) for 24 h at 37°C and 5% CO
2, while
P. gingivalis and
A. actinomycetemcomitans were cultured on tryptic soy broth (TSB) (Becton Dickinson, Monterrey, NL, Mexico) for 24 h at 37°C under anaerobic conditions. Microbial suspensions with an optical density of 0.5 McFarland standard at 1.5 × 10
8 CFU/mL (CFU: colony forming unit) were prepared in sterile 0.9% NaCl.
Before testing, the minimum inhibitory concentration (MIC) of the hop extract was determined using a turbidity assay by inoculating a bacterial suspension into BHI broth (10 mL) to provide an initial density of 1 x 105 CFU/mL. Concentrations of the hop extract ranged from 0.1 µg/mL to 150 µg/mL. The tubes with each strain were incubated at 37°C for 24 h and growth inhibition was determined by observing the change in turbidity. All experiments were performed in triplicate.
Determination of Growth Inhibition Zones of the Matrices
For the antibacterial activity of the matrices, disc samples (6 mm in diameter) were cut from the electrospun matrices and sterilized by UV radiation for 30 min before placing on the cultured agar plates. The discs of the PCL/nHAp/hop extract were placed on Petri dishes containing the requisite agar, inoculated with the corresponding microorganisms, S. mutans, P. gingivalis, or A. actinomycetemcomitans, and incubated at 35°C for 24 h under anaerobic conditions. The inhibition zones (mm) were measured for each sample. Chlorhexidine gluconate 0.12% was used as the positive control and saline solution as the negative control. All the tests were conducted independently in triplicate experiments.
2.9. Cell Culture and Cell Viability Assay
The viability test was carried out with the Detroit 548 CCL-116 cell line of human skin fibroblasts using the direct contact assay method and following the International Organization for Standardization (1993) protocols [
33]. Cells (1 x 10
4) were seeded in 96-well microplates and incubated for 24 h at 37°C in a 5% CO
2 atmosphere in DMEM (Dulbecco’s Modified Eagle Medium) (Gibco, Grand Island, NY, USA) supplemented with 10% fetal bovine serum (Gibco). All the processed matrices were cut into round discs of 5 mm and sterilized under UV light for 30 min, soaked in 70% ethanol for 30 min, then washed twice with PBS.
The sterile discs samples were placed in the 96-wells along with the fibroblasts cells and incubated in DMEM for 48 h at 37°C in a 5% CO2 atmosphere. After this period, nanofiber samples were removed from the wells and MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) reagent (10 µL) was added. After incubation of the cells with MTT for 4 h, the medium with the reagent was withdrawn, and DMSO (100 µL) was added to dissolve the formazan. The optical density (OD) was measured at 570 nm with a Biotek Synergy 2 plate spectrophotometer (Winooski, VT, USA). Cells in contact with the matrices were used as a positive control, and medium with untreated cells was the blank.
The cell viability was calculated according to the following equation:
Cell viability (%) = [(OD of treated cells (with the matrices) – OD of blank)/ (OD of untreated cells – OD of blank)] × 100.
All tests were performed five times in three independent experiments.
2.10. Statistical Analysis
Results are shown as the mean value ± the standard deviation (SD) of the mean. ANOVA analyses of variance followed by a Tukey test were used to compare the differences between groups. Probability values of p ≤ 0.05 were considered significant. The statistical analysis was performed using IBM SPSS 25.0 (Corporation Business Analytics Software, Chicago, IL, USA) software.