Reduced Graphene Oxide Incorporated GelMA Hydrogel Promotes Angiogenesis For Wound Healing Applications

Abstract

Purpose

Non-healing or slow healing chronic wounds are among serious complications of diabetes that eventually result in amputation of limbs and increased morbidities and mortalities. Chronic diabetic wounds show reduced blood vessel formation (lack of angiogenesis), inadequate cell proliferation and poor cell migration near wounds. In this paper, we report the development of a hydrogel-based novel wound dressing material loaded with reduced graphene oxide (rGO) to promote cell proliferation, cell migration and angiogenesis for wound healing applications.

Methods

Gelatin-methacryloyl (GelMA) based hydrogels loaded with different concentrations of rGO were fabricated by UV crosslinking. Morphological and physical characterizations (porosity, degradation, and swelling) of rGO incorporated GelMA hydrogel was performed. In vitro cell proliferation, cell viability and cell migration potential of the hydrogels were analyzed by MTT assay, live/dead staining, and wound healing scratch assay respectively. Finally, in vivo chicken embryo angiogenesis (CEO) testing was performed to evaluate the angiogenic potential of the prepared hydrogel.

Results

The experimental results showed that the developed hydrogel possessed enough porosity and exudate-absorbing capacity. The biocompatibility of prepared hydrogel on three different cell lines (3T3 fibroblasts, EA.hy926 endothelial cells, and HaCaT keratinocytes) was confirmed by in vitro cell culture studies (live/dead assay). The GelMA hydrogel containing 0.002% w/w rGO considerably increased the proliferation and migration of cells as evident from MTT assay and wound healing scratch assay. Furthermore, rGO impregnated GelMA hydrogel significantly enhanced the angiogenesis in the chick embryo model.

Conclusion

The positive effect of 0.002% w/w rGO impregnated GelMA hydrogels on angiogenesis, cell migration and cell proliferation suggests that these formulations could be used as a functional wound healing material for the healing of chronic wounds.

Keywords:

• GelMA hydrogel
• reduced graphene oxide
• nanocomposite hydrogel
• angiogenesis
• wound healing

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Reduced Graphene Oxide Incorporated GelMA Hydrogel Promotes Angiogenesis for Wound Healing Applications [Corrigendum]

Introduction

Delayed wound healing is a common complication of diabetes mellitus affecting about 15% of the diabetes patients which can often result in the development of diabetic foot ulcers (DFUs).¹ This usually leads to repeated hospitalizations, higher healthcare cost, poor quality of life and in some extreme cases amputation of the affected organ or limb.² The major reasons for the persistent delay in the wound healing are chronic inflammation, disturbed growth factor secretion, recurrent microbial infections and disrupted angiogenesis.^3–7 Another reason related to the delay in healing process is the decrease in the proliferation, migration, and relocation of native cells including fibroblasts and keratinocytes which are needed for the development of a functional skin.⁸ In addition, other factors such as excessive secretion of tissue degrading enzymes, prolonged microbial/bacterial infections and absence of vascularization play a prominent role in the occurrence of non-healing wounds. Currently, there is no fully effective therapy for managing diabetic wounds. Some potential solutions that were proposed and are being investigated by researchers include the use of tissue engineering techniques, improving the angiogenic activity within damaged tissues, and supplying growth factors necessary for wound healing.^9–11 Current techniques for enhancing the formation of vascular networks can be categorized into three types: microengineering techniques,¹² cell-based techniques,^13–15 and biochemical approaches.¹⁶ Microengineering techniques involve the use of microfabrication techniques for the formation of new blood vessels within the polymeric scaffolds. Whereas cell-based techniques use the progenitor or mature endothelial cells, co-cultured within the polymeric scaffolds for promoting angiogenic activity, while biochemical techniques involve the incorporation of the small bioactive molecules or growth factors within scaffolds for promoting formation of the blood vessels. However, there are some limitations in all of these approaches. For example, the micro-engineering technique suffers from problems of host-implant integrations, and cell-seeded skin substitutes lack proper control over the integration of the host cells and differentiation of the seeded cells.¹⁷ However, biochemical approaches suffer due to the short half-life of the growth factors in physiological conditions.¹⁷ Therefore, effective strategies are needed to facilitate the regeneration of damaged tissues and reverse the factors that hamper angiogenic activity which is considered as one of the major requirement for promoting wound healing.

Several wound dressing materials have been used from ancient times to provide protection to the wounds from various types of pathogens by acting as a barrier from the outer environment.^4,6,18 However, the advanced and functional wound coverage materials are expected to have remarkable wound healing properties.¹⁹ For instance, it’s a common observation that wounds generally heal faster in the presence of moist and porous dressings.^20,21 An ideal wound dressing should be able to manage excess exudates produced by the wounds.²² Hydrogels are cross-linkable synthetic or natural polymers that can absorb a large amount of water.²³ Moreover, hydrogels mimic the properties of natural extracellular matrix (ECM) as well as control the release of active ingredients to the tissues.^24,25 They have been widely applied in numerous biomedical applications such as controlled drug delivery systems, regenerative medicine, and tissue engineering.^26–35 Their excellent hydrophilic property due to the existence of hydrophilic groups, such as hydroxyl, carboxyl, amino, and amido groups in the polymer chains, makes them more feasible for wound healing applications. They can be fabricated as highly porous, soft and flexible structures which permeable to water vapors. Furthermore, hydrogels can securely cover the wounds and prevent the infection by microorganisms. Liang et al developed a conductive injectable nanocomposite hydrogel with photothermal antibacterial activity and sustained drug release to promote full-thickness skin regeneration.³⁶ Injectable hydrogels were also fabricated with multifunctional properties for localized drug delivery in wounds.^37–39 Majumder et al have developed a multicompartment hydrogel material that allows the time-independent release of small molecules.³⁹ However, the selection of right biopolymers and the agents that can facilitate angiogenic activity in the healing process is highly important.

Gelatin Methacryloyl (GelMA) hydrogels are prepared from porcine-derived gelatin crosslinked with methacrylic anhydride.⁴⁰ GelMA hydrogels have highly tunable physical characteristics and suitable biological properties. Some cell attachment and matrix metalloproteinase responsive peptide motifs are present in GelMA hydrogel, which allow the cells to proliferate and spread well in the scaffold. Due to this property, GelMA based hydrogel closely resembles some important properties of natural ECM.⁴¹ GelMA hydrogels can be crosslinked using relatively a very low concentration of photo-initiator within a minute or even seconds.⁴² Additionally, GelMA hydrogels are less expensive, non-immunogenic and possess excellent biocompatibility due to the presence of gelatin.⁴³ Moreover, the degradation, mechanical and biological properties of GelMA hydrogel can easily be modified by varying the concentration of GelMA prepolymer, methacrylation degree or photo-polymerization time.^44,45

Nanomaterials are being loaded in polymeric wound coverage matrices to provide antibacterial property, enhancing cell proliferation, improving the angiogenic potential and facilitating rapid wound healing.^46,47 Recently, graphene, graphene oxide (GO) and reduced graphene oxide (rGO) nanostructures have attracted great deal of attention as an inorganic additive in biopolymers for the development of novel composite biomaterials.⁴⁸ Their excellent properties such as the ability to promote angiogenesis,⁹ relatively high biocompatibility,⁴⁹ unique chemical and physical properties.⁴⁸ make them one of the most favorable materials for many biomedical applications.⁵⁰ Graphene derivatives have significant potential in nanomedicines,^51,52 anticancer drug delivery systems,⁵³ biological sensors,⁵⁴ as cancer biomarkers,⁴⁰ as catalysts,^51,55 and as better antibacterial agents.⁵⁶ Furthermore, a recent work reported that graphene oxide (GO) and reduced graphene oxide (rGO) display a considerable angiogenic activity in a dose-dependent manner.⁹ It was reported that the rGO has the ability to increase the concentration of reactive oxygen species (ROS)⁹ in biological systems and can play an important role in angiogenesis.⁵⁷ ROS can also act as a signalling molecule in many aspects of growth factor-mediated physiological responses such as cell proliferation and wound healing.⁵⁷ Earlier studies demonstrated that incorporation of nanomaterials that can generate ROS in polymeric biomaterials can enhance cell proliferation and blood vessel formation.⁵⁸ Reduced graphene oxide induces angiogenesis by stimulating cell proliferation and migration.^9,59 Based on this observation, we hypothesized that developing rGO impregnated GelMa hydrogel could be a useful strategy for accelerating the healing of chronic wounds.

In this work, we developed a novel rGO impregnated GelMa hydrogel as a functional dressing material to promote cell proliferation, cell migration and angiogenesis for achieving rapid wound healing. GelMA hydrogel with varying concentration of rGO was synthesized to get an optimum concentration of rGO to enhance angiogenesis. The developed nanocomposite hydrogel was characterized using various physical characterization methods. The biocompatibility of GelMA hydrogel and nanocomposite hydrogels was tested on three different cell lines. The ability of the nanocomposite hydrogel to promote cell proliferation and cell migration were evaluated in-vitro. Finally, the potential of the nanocomposite hydrogel to promote angiogenesis was demonstrated through in vivo angiogenesis assay. To the best of our knowledge, this is the first time that is being reported the use of rGO within GelMa hydrogel for wound healing applications. We believe that this work will help in advancing the management of trauma care where promoting angiogenesis is crucial, particularly in chronic diabetic wounds.

Materials And Methods

Materials

Gelatin (Type A) from porcine skin and methacrylic anhydride (MA) were purchased from Sigma-Aldrich. Reduced graphene oxide powder was purchased from Graphitene, UK. The dialysis tubings and Live/Dead cell Imaging kit were purchased from Thermo Fisher Scientific. The phosphate buffer saline (PBS), Dulbecco’s modified eagles medium (DMEM), Fetal bovine serum, Penicillin-streptomycin solution, and trypsin-EDTA solution were obtained from Gibco, USA. N-Methyl-2-pyrrolidone (NMP) was purchased from VWR, USA. The fibroblasts, keratinocytes and endothelial cells were kindly received as a gift from Dr. Su Ryon Shin from Shin Laboratory, Birmingham and Women’s Hospital, Cambridge, MA, USA. Biological experiments were performed with the approval of Institutional Biosafety Committee, Qatar university (QU-IBC-2018/053).

Preparation Of Nanocomposite GelMA Hydrogel

Porcine-derived gelatin was dissolved in PBS at 60° C and 8 mL MA was added for every 100 mL of gelatin solution under vigorous stirring (50° C) at 0.5 mL/min until completely dissolved. The mixture was then reacted for 3 hrs. The reaction was stopped by adding 400 mL of preheated PBS (50° C). The solution was then dialyzed against distilled water for 1 week at 40° C and then freeze-dried to obtain white porous foam-like GelMA prepolymer.

5 mg of rGO was added in 1 mL of N-Methyl-2-pyrrolidone (NMP) and dispersed very well using ultrasonicator (Model 150VT, Ultrasonic Homogenizer, at 100 W for 1 hr). The suspension was then diluted to 0.5µg/10µl, 1µg/10µl, and 2µg/10µl and added in 1ml of PBS to make 0.001% w/w (GrG1), 0.002% w/w (GrG2) and 0.004% w/w (GrG4) nanocomposite hydrogels respectively. The required amount of freeze-dried GelMA polymer and photoinitiator was mixed with PBS containing rGO separately for each set and vortexed until the GelMA polymer dissolved completely. The concentration of GelMA prepolymer and photoinitiator (Irgacure 2959) in the nanocomposites were maintained as 5% w/v and 0.5% w/w, respectively. The prepared solutions (50 µl) were placed on round glass coverslips and exposed to UV light (500 nm, 7 mwWcm⁻²) for 10 seconds for crosslinked as shown in Figure 1.^45,60 Control GelMA hydrogels without rGO was also prepared. The compositions of GelMA hydrogel of nanocomposite hydrogels are demonstrated in Table 1.

Table 1 The Composition Of Hydrogels

Samples	Abbreviations	GelMA % (w/v)	rGO % (w/w)
GelMA	GelMA	5	0
GelMA 5% rGO 0.001%	GrG1	5	0.001
GelMA 5% rGO 0.002%	GrG2	5	0.002
GelMA 5% rGO 0.004%	GrG4	5	0.004

Figure 1 Schematic representation for the fabrication of nanocomposite GelMA hydrogel by UV crosslinking method.

Physical Characterizations

Scanning Electron Microscopy (SEM)

The surface morphology of GelMA and nanocomposite hydrogels were observed using an SEM. Samples were freeze-dried to completely remove the water, affixed on carbon stubs and sputter-coated with a thin layer of gold. The GelMA samples and rGO were observed using a SEM (FEI, Nova NanoSEM, 450 FE-SEM) under an accelerating voltage of 20kv, and a Field Emission Transmission Electron Microscope (HF-3300) respectively.

X-Ray Diffraction Analysis (XRD)

The XRD pattern of rGO, GelMA and nanocomposite samples (GrG1 and GrG2) were obtained using Empyrean, Malvern Panalytical XRD system (40 kV voltage, 30 mA current, the scanning rate of 5°/min with a step size of 0.032°) from 2θ range from 0° to 60°.

Degradation Study

GelMA hydrogel and nanocomposite hydrogels samples were freeze-dried for 24 hrs. Initial weight (W₀) of all the samples were measured and then kept in PBS in an incubator at 37° C. The PBS was refreshed weekly. The specimens were taken out and dried under vacuum at 50° C at predetermined time intervals and final weight (W_t) were observed. The degradation rates were calculated using Equation (1)(1) .

(1)

Swelling Percentage

The swelling properties of GelMA hydrogel and nanocomposite hydrogels were investigated by using the gravimetric technique.⁶¹ Firstly, the dried samples were weighed (W_dry) and then placed in Petri dishes filled with distilled water (DW). The Petri dishes were then placed in a temperature-controlled water bath at the room temperature. Finally, the samples were taken out at different time intervals and weighed. Before weighing, the samples were rubbed with a filter paper to remove the excess water. The swelling property was then calculated by using Equation (2)(2) .

(2)

Where is the weight of dry samples before immersed in water and is the weight of the hydrogel after being submersed in DW.

Release Study

Release of rGO from nanocomposite GelMA hydrogel was performed in PBS. Each sample of GelMA hydrogel loaded with three different concentrations of rGO (GrG1, GrG2, and GrG4) and blank GelMA hydrogel was kept in Petri dishes containing 1mL of PBS at 37ᵒ C. The average weight of each sample (freeze-dried) was 4 mg. Samples were then withdrawn from the Petri dishes after 1 day, 3 days, and 5 days, respectively. Then, the release of rGO from the GelMA hydrogel was detected by UV-Vis spectrophotometer (PerkinElmer Uv Lambda 25) from the absorbance value at 226 nm. Amount of rGO released from hydrogel samples was calculated from a standard plot of rGO suspensions.

Biological Characterizations

MTT Assay

MTT colorimetric assay was used to analyze the proliferation of the cells on GelMA hydrogel and nanocomposite hydrogels after 1, 3 and 5 days of incubation. The endothelial cells (EA.hy926), HaCat keratinocytes, and 3T3 fibroblasts were seeded on the hydrogel in 24 well plates at the density of 50x10³ cells/well. Before adding the samples to the 24 well plates it was sterilized with the UV irradiation for 20 min. For determining the cell viability, the culture media was changed and then, 50 µl of MTT dye was added. After 4 hr incubation, the supernatant was discarded. Then, 200 µl of DMSO (dimethyl sulfoxide) solution was added to dissolve the formazan crystals. Finally, 30 µl of the solution from each well was transferred into 96 well plates. The absorbance was read at 570 nm by using Epoch 2 microplate reader. Cell viability was calculated using Equation (3)(3) .

(3)

All the experiments were repeated 3 times and absorbance were measured in triplicates.

Live/Dead Assay

The cell viability of GelMA hydrogel and nanocomposite hydrogels has been investigated by Live/Dead assay on 3T3 fibroblasts, HaCat keratinocytes, and endothelial cells. The cells were cultured in DMEM medium in the 24 well plates for 24 hrs as explained in the previous section. The hydrogels were then added in each well after changing the medium and kept in the incubator for another 24 hrs. Following the manufacturer protocols, cells were then stained with Live/Dead assay kit (Invitrogen R37601). The images were taken using an Olympus fluorescent microscope (Olympus, FV300).

Cell Migration

Scratch assay was used for the cell migration study by using endothelial (EA.hy926), hacat keratinocyte, and 3T3 fibroblast cells. The cells were seeded on the 12 well plates at the density 50x10³ cells/well. The culture media was changed after 24 hrs of incubation. When the cells reached 90% of confluency, a scratch was made using a pipette tip of 100 µl. Cells were washed with PBS to remove died cells. GelMA hydrogels and nanocomposite hydrogels (GrG1, GrG2, and GrG4) was placed in the wells and allowed to incubate for 24 hrs. Time-dependent bright-field images were taken using an Olympus (X53) microscope. Experiments were performed in triplicates. Wound contraction was quantified from the images using Equation (4)(4) .

(4)

Whereas Wd0 is the distance between wound boundaries immediately after wounding procedure and Wdt is the distance between wound boundaries after time “t” of sample treatment.

CEA Assay

The chicken embryo angiogenesis (CEA) assay has been performed to determine the effect of GelMA hydrogels and nanocomposite hydrogels on angiogenesis using a reported protocol.⁶⁰ The fertilized chicken eggs (Gallus domesticus) were purchased from Arab Qatari for Poultry Production, Shamal Road, Farm Street, Qatar and incubated for 4 days before experiments with a 65% of relative air humidity and at a temperature of 37° C. One hour before experiments, a hole was carefully made of 4mm diameter and covered with parafilm to prevent dehydration. The eggs were then kept in the incubator for one hour at a static position. A window was carefully created on the top of the eggshell to provide access to the chorioallantoic membrane. Sterile samples of GelMA hydrogel and nanocomposite hydrogels were deposited on the chorioallantoic membrane. The eggs were kept in the incubator for 24 hrs in a static position. The eggs were then observed for angiogenesis and photographs were taken using a Zeiss stereomicroscope (Stemi 508). The thickness and the length of the blood vessel were then quantified using ImageJ software.

Statistical Analysis

All the experiments were repeated three to four times for each type and data were represented as means and standard deviation (SD). Student’s t-test and ANOVA was performed between different groups using Minitab statistical software. A p-value less than 0.05 was considered as statistically significant.

Results And Discussions

In the present work, rGO loaded GelMA hydrogels were developed to assess their effects on the formation of new blood vessels in the chorioallantoic membrane of chick embryo model. The stimulation and acceleration of the angiogenic activity is a major requirement for enhancing the diabetic and burn wound healing. Moreover, proliferation and migration of native cells are hampered by multiple sets of factors in such chronic wounds. It was hypothesized that incorporation of rGO nanoparticles in GelMA hydrogel could trigger the angiogenesis, cell migration and cell proliferation which will enhance the healing process. A brief description of results obtained from the various parameters used to assess the suitability of developed GelMA hydrogels loaded with different concentrations of rGO is described below.

Physical Characterizations

Surface Morphology

The images of surface morphology of GelMA hydrogel obtained by Scanning Electron Microscopy (SEM) displayed enormous porous structure both on the surface and in the inner structure. Figure 2A–C shows the surface and inner morphology of GelMA hydrogel. The average pore size of GelMA hydrogel was 50 µm, as shown in cross-sectional images of Figure 2B and C. The porous nature of the hydrogels allows the cells to migrate and proliferate in the hydrogel. Since the amount of rGO inside GelMA hydrogel was very small, the internal structure and pore size of the nanocomposite GelMA hydrogel was not significantly affected by the addition of rGO. The addition of rGO was further confirmed by XRD analysis. Furthermore, the average particle size of rGO was 30–40 nm from transmission electron microscopy (TEM) (Figure S1) and dynamic light scattering (DLS) analysis (data not shown). Zeta potential of the rGO was −10.8 mV.

Figure 2 SEM micrograph at 10000X magnification of the surface of (A) GelMA hydrogel, (B) Cross-sectional image of GelMA hydrogel at 2500X, & (C) Cross-sectional image of GelMA hydrogel at 5000X magnification. (D) XRD curves of blank GelMA hydrogel, rGO nanoparticles, 0.001 wt% rGO loaded GelMA hydrogel (GrG1), 0.002 wt% rGO loaded GelMA hydrogel (GrG2) respectively.

X-Ray Diffraction Pattern

The XRD pattern of the nanocomposite hydrogels was used to determine the nanoparticle formations in GelMA hydrogel networks. The XRD patterns of GelMA hydrogel, rGO, 0.001% w/w rGO loaded GelMA hydrogel (GrG1) and 0.002% w/w rGO loaded GelMA hydrogel (GrG2) is given in Figure 2D. The blank hydrogel samples did not exhibit any sharp peak in XRD pattern, with only a broad peak at 2θ = 32° attributed to the polymer networks as reported in the study of Lei Zhou et al.⁶² In the case of rGO, two peaks were observed. These two diffraction peaks in the XRD patterns of nanoparticles, at an angle 2θ = 34° and 2θ = 44° are ascribed to Bragg reflections corresponding to (002) and (100) planes as reported in the study of.⁶³ The peak of rGO (002) is present in both GrG1 & GrG2 hydrogels which were absent in blank GelMA hydrogels pattern as expected. The presence of diffraction patterns of rGO in the XRD patterns of nanocomposite hydrogels indicates the successful loading of rGO in the GelMA hydrogel.

Degradation Study

The degradation study of blank GelMA hydrogels and nanocomposite hydrogels were performed to confirm its biodegradability in PBS as shown in Figure 3A. Unlike the unmodified gelatin which dissolves within a few hours in PBS and loose its three-dimensional structure, GelMA could maintain its three-dimensional structure in PBS for 28 days. This also fulfills the requirement of wound healing and several tissue engineering applications. Moreover, the incorporation of rGO in GelMA hydrogel has slightly decreased the degradation rate of the hydrogel. Biodegradability of the prepared GelMA hydrogel has a significant role in wound healing. In general, by hydrolysis and enzymolysis, gelatin can be converted into aminophenol and then absorbed by the body which avoids the production of toxic by-products. The biodegradable hydrogel can provide sufficient space for tissue ingrowths, cell growth as well as on cell rearrangement when implanted into the body or during wound healing.⁶⁴

Figure 3 (A) Degradation curve of blank GelMA hydrogel and nanocomposite hydrogels with respect to time. Error bars represent the SD of measurements performed on at least 5 specimens. (B) The swelling percentage of blank GelMA hydrogel and nanocomposite GelMA hydrogel after 0, 15, 30, 60 and 120 mins respectively (*P <0.05). (C) Cumulative Release of rGO from the nanocomposite GelMA hydrogel (GrG1, GrG2, and GrG4) and blank GelMA hydrogel after 1, 3, and 5 days in PBS.

Swelling Properties

The swelling ability of the GelMA hydrogel and nanocomposite hydrogels were studied to analyze the exudate uptake capacity of the hydrogels. The swelling percentage of both GelMA hydrogel and nanocomposite hydrogels has significantly increased within the first 15 mins of immersion in PBS as shown in Figure 3B. However, the differences in swelling percentage within GelMA hydrogel and nanocomposite hydrogels were not significant. And within 30 mins of immersion, the swelling equilibrium was reached. The incorporation of rGO has not affected the swelling behavior of the hydrogel.

The ability of the prepared GelMA hydrogel to absorb a large quantity of water (almost 1000%) within a few minutes of immersion, make them one of the best candidate for developing wound dressings. The water-absorbing ability of the hydrogel provides a moist environment for the cells to grow. Furthermore, it helps to hydrates the wound, re-hydrate eschar and aid in autolytic debridement and also in absorbing excess wound exadute.⁶⁵

Cumulative Release Of rGO

The release profile of rGO from nanocomposite GelMA hydrogel is given in Figure 3C. The concentration of rGO, measured after each time interval (1 day, 3 days, and 5 days) clearly depicts the release of rGO in PBS. Results have shown a sustained and prolonged release of rGO from GelMA hydrogel. The release of rGO from GrG4 is comparatively higher than GrG1 and GrG2. However, both GrG1 and GrG2 has shown a uniform and steady release of rGO throughout the experiment. The swelling and degradation of GelMA hydrogel could be the reason of slow release of rGO from the hydrogel. Whereas, GrG4 showed burst release of rGO within 1 day and the release process was slowed down after 1 day. The initial burst release of rGO from GrG4 could be associated with the higher concentration of rGO present in the hydrogel. Such a higher release of nanoparticles from polymeric nanocomposite biomaterials is observed in other studies also.⁵ The traces of rGO was not observed in case of blank GelMA hydrogel, as expected. The slow release of rGO form GelMA hydrogel may stimulate the proliferation of the cells and eventually enhance the formation of new blood vessels.

Biological Characterizations

Live/Dead Assay

Altough, rGO have potential beneficial effects on the biological system, some studies have also reported their adverse effects on cell viability.⁶⁶ In order to visualize the cell viability by the distribution of live and dead cells after 24 hrs of incubations, the Live/Dead cell assay on three different cell lines (3T3 fibroblasts, EA.hy926 endothelial cells, HaCat keratinocytes) was performed. The cell viability on culture media (control), blank GelMA hydrogel and nanocomposite hydrogels containing 0.001% w/w (GrG1), 0.002% w/w (GrG2), and 0.004% w/w (GrG4) of rGO were evaluated and given in Figure 4A–O. The cells remained alive and no significant cytotoxic effect was observed in all samples up to 0.002% w/w concentration of rGO. However, the percentage of dead cells was increased at higher concentration of rGO (0.004% w/w) as shown in Figure 4P. Overall results depict that the reduced graphene oxide up to 0.002% w/w concentration in GelMA hydrogel has almost no toxic effect on studied cells. However, at higher concentration, the viability of the cells was significantly reduced. Furthermore, the morphology of the cells was not changed after the treatment of GelMA hydrogel and nanocomposite hydrogels.

Figure 4 (A–E) Cell viability (Live/Dead assay) on Endothelial cells, (F–J) 3T3 fibroblast cells and (K–O) HaCat keratinocyte cells for control, blank GelMA hydrogel, 0.001 wt% rGO loaded GelMA hydrogel (GrG1), 0.002 wt% rGO loaded GelMA hydrogel (GrG2) and 0.004 wt% rGO loaded GelMA hydrogel (GrG4) respectively. Green channel depicts live cells, while red channels depict dead cells. (P) Quantitative comparison of the percentage of dead cells. The scale bar at the right lower corner is 1000 µm.

The cell viability and cell attachment study of GelMA hydrogel and nanocomposite hydrogels have demonstrated the biocompatibility of the hydrogels.⁹ However, in this study, it has not shown any toxic effect at a concentration higher than its cytotoxic level as reported in the previous literature.⁵⁹ The slow release of rGO from the hydrogel could be the reason for this observation where the cells might have exposed to a lower concentration than the cytotoxic level.

MTT Assay

In order to investigate the proliferation of 3T3 fibroblasts, EA.hy926 endothelial cells, HaCat keratinocytes on GelMA hydrogel and nanocomposite hydrogels quantitatively, the MTT assay was implemented after 1, 3 and 5 days in culture. A significant effect of rGO concentration (*p < 0.05) on cell metabolic activity has demonstrated in Figure 5A–C. These results revealed all three cell lines has increased metabolic activity on rGO loaded GelMA hydrogel up to 0.002% w/w (GrG2) concentration compared to the control and blank GelMA hydrogel. However, increasing the concentration of rGO up to 0.004% w/w has reduced the proliferation of the cells. Particularly, after 1 day and 5 days in culture, MTT assay had shown the highest cellular metabolic activity of 3T3 fibroblasts and Hacat keratinocytes when 0.002% w/w rGO loaded GelMA hydrogel (GrG2) was used. The changing of the medium after 2 days of incubation, has reduced the amount to rGO in the medium. This might be the reason for less proliferation of cells in nanocomposite hydrogels compared to the controls at 3rd day of incubation. However, the release profile has shown that the rGO continues to release from the hydrogel after 3 days. Which proves that the new particles released from the hydrogel will again enhance the proliferation of the cells, as we can see in 5 days MTT assay results.

Figure 5 The histogram of MTT assay, comparing the proliferation of (A) endothelial cells, (B) 3T3 fibroblasts, and (C) HaCat keratinocytes after 1 day, 3 days, and 5 days of incubations. by the treatment of blank GelMA hydrogel, 0.001 wt% rGO loaded GelMA hydrogel (GrG1), 0.002 wt% rGO loaded GelMA hydrogel (GrG2) and 0.004 wt% rGO loaded GelMA hydrogel (GrG4) and control (untreated). (*P < 0.05, **P < 0.02).

The MTT assay can measure the reduction of MTT dye depending upon the activity of mitochondrial dehydrogenase enzyme. Therefore, the higher metabolic measurement from the assay indicates the higher cell proliferation on the hydrogel surface. The release of rGO from the swollen or degrading hydrogels and its influence on cells could be the reason for the increased proliferation of the cells.

Wound Healing Assay

Wound healing assay or scratch assay is a standard in vitro technique for the cell migration study.⁶⁷ In order to evaluate the potential of prepared nanocomposite hydrogels to enhance the migration of 3T3 fibroblasts, EA.hy926 endothelial cells, and Hacat keratinocytes, a time-dependent experiment (0–24 hrs) was carried out, as shown in Figure 6A–C. In the case of fibroblasts, a significant wound healing (** = P < 0.01) was observed with the treatment of 0.001% w/w and 0.002% w/w rGO loaded GelMA hydrogel. Also, the endothelial cells and keratinocytes treated with 0.002% w/w rGO loaded GelMA hydrogel have migrated significantly (* = P < 0.05) compared to the control (untreated) cells. However, at higher concentration, there is a significant reduction in cell migration (** = P < 0.01).The results depict that, GelMA hydrogel incorporated 0.002% w/w rGO (GrG2) induced the wound closure compared to control (untreated) and blank GelMA treated cells in all three cell lines (Figure 6A–C). However, rGO has not shown wound healing property (wound closure) at higher concentration (0.004% w/w) compared to untreated control cells. Particularly, 3T3 fibroblast cells have shown maximum cell migration (85%). In Figure 6D the extent of wound healing was quantified and presented in a histogram. The results altogether demonstrated that the cells at 0.002% w/w concentration of rGO could enhance the migration of the cells which indicates their wound healing property.

Figure 6 Results of wound healing scratch assay using (A) 3T3 fibroblast cells, (B) Endothelial Cells, (C) HaCat Keratinocyte cells for control (untreated), blank GelMA hydrogel, 0.001 wt% rGO loaded GelMA hydrogel (GrG1), 0.002 wt% rGO loaded GelMA hydrogel (GrG2), & 0.004% rGO loaded GelMA hydrogel (GrG4) treated cells. (D) Percentage of wound healing was measured and presented on a histogram using ImageJ software. (*P < 0.05, **P < 0.01). The scale bar at the right lower corner is 1000 µm.

The migration of native cells from the wound boundary is one of the key steps in the wound healing process.⁶⁸ Recently, rGO has been reported to enhance the migration of endothelial cells at a concentration of 1–50 ng mL⁻¹ indicating their pro-angiogenic potential.⁹ Improved migration of fibroblasts in the wound area will play a key role in replacing the inflammatory cells (formed during the inflammatory process) with collagen and native tissue.⁶⁹ The endothelial cell migration will help in the formation of new blood vessels from the existing vasculature during angiogenesis.⁷⁰ Furthermore, the migration of keratinocytes will enhance the re-epithelization process, which is critical and essential for successful wound healing.⁷¹ Thus, an optimal concentration of rGO in GelMA hydrogel could enhance the wound healing process by promoting the migration of different types of cells which are important in wound healing.

In Vivo Chicken Embryo Angiogenesis (CEO) Study

In order to evaluate the angiogenic potential of biomaterials, the chicken embryo angiogenesis (CEA) assay was used as a standard assay. It was carried out to understand the ability of the nanocomposite hydrogel to induce angiogenesis. The results of CEA assay are described in Figure 7A where the control, blank GelMA hydrogel, and 0.001% w/w (GrG1) and 0.002% w/w (GrG2) rGO loaded GelMA hydrogel were used. The number of branching points was also counted, change in length and thickness of blood vessels were measured using ImageJ software after 24 hrs of incubation and presented in the histogram as shown in Figure 7B–D respectively. A significant increase (* = P < 0.005) in matured vascular sprouting was observed in GelMA hydrogel incorporated with 0.001% w/w (GrG1), and 0.002% w/w (GrG1) rGO treated samples compared with the control (untreated) and blank GelMA hydrogel. The highest number of a matured blood vessels with highly branched capillary networks (1.7 times higher than the control) were observed at 0.001% w/w rGO loaded GelMA hydrogel (GrG1). The 0.002% w/w rGO loaded GelMA hydrogel (GrG2) treated sample has shown 1.6 and 1.7 times higher length and thickness of blood vessels, respectively than the control. The increase in vessel thickness is a sign of the maturation of nascent blood vessels and is possibly an outcome of superior angiogenesis. Thus, the obtained results suggested that the nanocomposite hydrogel has successfully enhanced the angiogenesis. The blank GelMA hydrogel treated samples did not show any significant angiogenic activity when compared with the control, as expected. Whereas, the untreated samples did not considerably increase the angiogenesis. Thus, with the increase of rGO concentration up to 0.002% w/w in GelMA hydrogel the angiogenic potential of nanocomposite hydrogel was increased.

Figure 7 (A) Results of in vivo CEA assay of control (untreated samples), in the presence of the blank GelMA hydrogel, 0.001 wt% rGO loaded GelMA hydrogel (GrG1), and 0.002 wt% rGO loaded GelMA hydrogel (GrG2). Increase of matured blood vessel formation (marked by black arrows) was observed in embryo treated with GelMA hydrogel with 0.002 wt% rGO nanoparticles (GrG2). Several angiogenic parameters such as blood vessel junction, length, and thickness were quantified and presented as a histogram (B–D respectively). Statistical significance was calculated by using t -test. All data are statistically significant (*P < 0.05).

Earlier studies demonstrated that rGO has the ability to increase the intercellular concentration of ROS.⁹ The biomechanical machinery which is responsible for angiogenesis could be triggered by the transient increase of ROS concentration in the cells. However, further studies need to be performed to invariably confirm the molecular mechanism behind our observation.

Conclusions

In this study, we have successfully developed rGO incorporated GelMA hydrogel wound coverage materials with the pro-angiogenic property. Our prepared GelMA hydrogel displayed highly porous morphology. The XRD analysis confirmed the presence of rGO in GelMA hydrogels. In vitro cell viability assay (Live/Dead and MTT assay) demonstrated the biocompatibility of the hydrogel. Moreover, the developed material exhibited remarkable in vitro wound contraction potential in terms of improved fibroblast, keratinocytes, and endothelial cell proliferation. In addition, GelMA hydrogel containing 0.002% w/w rGO produced a large number of blood vessels with a highly branched capillary network in the chick embryo model compared to the blank GelMA hydrogel. We highly believe that our study on rGO/GelMA hydrogel will put forward the insight for the advancement of angiogenic treatment strategies for several diseases where angiogenesis plays a significant role.

Disclosure

The authors declare no competing interests in this work.

Acknowledgments

This article was made possible by the NPRP12S-0310-190276 and NPRP9-144-3-021 grants funded by the Qatar National Research Fund (a part of Qatar Foundation). We also acknowledge the support provided by the Central Laboratories Unit (CLU), Qatar University, Qatar. The publication of this article was funded by the Qatar National Library.