Abstract
Mesenchymal stem cells (MSCs) have been extensively used in the field of tissue engineering and regenerative medicine. The effect of surface properties on the differentiation of MSCs is a very important issue for the design and fabrication of scaffolds or biomaterials. This review is mainly focused on the morphological or topographic characteristics of cell adhesion substrate, i.e. cell area and shape for individual cell, cell density and cell–cell contact for multiple cells, substrate roughness, ridge width, micropillar height, nanoparticle diameter and aspect ratio of nanowire. The results from different studies were quantitatively analyzed using comparable or unified parameters and definitions under the specific experimental conditions such as cell source, culture time, induction medium, matrix material and differentiation marker. Some interesting phenomena and properties were discovered by this integrated and systematic analysis, which might give insights into the regulatory mechanism of surface morphology or topography on MSCs differentiation.
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1 Introduction
Mesenchymal stem cells (MSCs) are the only reminiscence of mesenchyme still present in adult organisms [1]. They have high capability of self-renewal and differentiation into multiple lineages, including neurons, myoblasts, osteoblasts, chondrocytes and so on. Because of the extensive differentiation capabilities, MSCs have been widely used as the candidates of seed cells in tissue engineering or regeneration medicine [2]. MSCs differentiation responds to both chemical and physical cues generated in the extracellular environment [3]. Since 1990s, the interaction between stem cells and biomaterials has been extensively investigated. It has been well recognized that extracellular microenvironment plays important roles in growth and differentiation of stem cells. Apart from soluble chemical factor in the extracellular solution [4] and chemical composition of the substrate where cells adhere to also gets involved with the differentiation of MSCs [5, 6], physical and geometric properties of substrate surface influence MSC differentiation. One milestone of the fundamental works on physical properties of substrate is the discovery in 2006 performed by Discher et al., i.e. that substrate stiffness significantly regulates MSCs differentiation [7]. In addition, a number of researches showed that the geometric factors such as intercellular connection [8, 9], cell shape [9,10,11], cell area [9, 12,13,14] and substrate morphology [15,16,17,18,19] are also able to modulate the differentiation of MSCs.
Along with the continuous progress of microfabrication technology, researchers fabricated simple periodic microstructures and nanostructures on the substrate surface to study the effects of these periodic topological microstructures on the physiological state of the cells, including roughness, ridge-groove, micropillar, nanoparticle or nanowire to mimic the in vivo adhesion microenvironment. In the present study, we summarized the researches published during the past 20 years and tried to quantitatively analyze the relation between these topographic parameters and MSC differentiation.
2 Adhesion morphology of individual MSCs
It is known that the terminally differentiated MSCs have specific shape, thus it is reasonable to examine whether MSCs with predominantly constrained shape are able to differentiate into the specific lineage. To clarify the mechanism how the adhesion morphology of individual MSCs influence their differentiation will be helpful to deeply understand the developmental process of biological tissues.
2.1 Cell shape
Since 1980s it has been found that the increase of spreading area of individual keratinocytes [20], hepatocytes [21], endothelial cells [22, 23] promoted cell growth but inhibited cell differentiation. After 2000s, MSCs were extensively adopted to study the relation between spreading area and osteogenic or adipogenic differentiation [12, 14]. When MSCs were cultured on circular or square patterns, along with the increase of spreading area, osteogenic differentiation was significantly increased but adipogenic differentiation was reduced (Fig. 1a, b). The spreading area of 170–400 μm2, much less than the randomly cultured cell area of 1000 μm2, led to 10–30% osteogenic differentiation but to 70–80% adipogenic differentiation of individual rat MSCs (rMSCs) after 7-days culture [9]. Higher spreading area up to 5000–6000 μm2 significantly increased osteogenesis as 80% for rMSCs [9] or 40% for human MSCs (hMSCs) [13], and decreased adipogenesis as 18% for rMSCs [9] or 15% for hMSCs [13]. The above results suggest that when MSCs are constrained into small area by crowding or aggregating, adipogenesis may tend to occur, however the MSCs permitted to randomly spread might enter into osteogenesis.
Aspect ratio is defined as the ratio of maximal to minimal axis and is usually used as a typical geometric factor characterizing the rectangular adhesion shape of cells. When rMSCs were cultured onto 900 μm2 rectangular micropatterns for 7 days, the decrease of aspect ratio from 8 to 1 did not reveal coincident tendency of osteogenesis (Fig. 1c) [24], but the adipogenesis is significantly promoted when decreasing aspect ratio from 16 to 1 (Fig. 1d) [11, 24]. When hMSCs were cultured on 2500 μm2 rectangular micropatterns with aspect ratios of 1, 1.5 and 4 for 7 days [10], the results showed that the proportion of osteogenic differentiation decreased monotonously with the decrease of aspect ratio (Fig. 1c), while that of adipogenic differentiation had reversely trend (Fig. 1d). It should be noted that rMSCs with lower osteogenesis compared with hMSCs may be due to their smaller spreading area, additionally the adipogenesis for rMSCs is lower than hMSCs, which is independent of spreading area or aspect ratio.
Another geometric parameter to characterize the shape of individual cell is circularity (= 4π × Area/Perimeter2, Fig. 1e). Several studies adopted the flower-like, pentagonal and five-pointed star patterns with 2500 μm2 to culture hMSCs [10], or used the circular, square, triangular and star-like patterns with same area of 900 μm2 to culture rMSCs [11], or compared the circular, hexagonal, pentagonal, square and triangular patterns for hMSCs [25], or added different number of protrusions on circular pattern to seed hMSCs [26]. Combining the data of aspect ratio, higher circularity may inhibit the osteogenesis, but the results from hMSCs or rMSCs with the circularity around 0.7 show inconsistent tendency (Fig. 1c) [10, 24]. Compared with osteogenesis, the adipogenesis reveals more consistent relation with circularity, i.e. higher circularity promotes adipogenesis increasing with around 10–20% (Fig. 1d) [10, 11, 24,25,26]. Therefore, it is generally agreed that MSCs tend to be adipogenic for the higher circularity, whereas they are more likely to differentiate into osteoblasts for the lower circularity. But more systematic investigations should be performed to clarify the relation between osteogenic differentiation of MSCs and individual cells’ shape.
It can be concluded from the above studies that the MSCs freely spreading on the surface of bone matrix with large area and low circularity may differentiate into osteoblasts but those MSCs with confined area and round shape tend to differentiate into adipocytes. It has been found that this phenomenon is regulated by the structure of cytoskeleton. For example, large and circular MSCs revealed well-organized stress fibers, while those cells confined to the small circular island had thicker stress fibers at cell edge than in the internal region [13]. In addition, cytoskeleton-related protein Ras homolog family member A (RhoA) got involved with the regulation of cell shape on the differentiation of stem cells, i.e. the activity of RhoA and Rho kinase (ROCK) was greater in the well-spread cells than the unspread ones, indicating that RhoA may be an ubiquitous integrator of both structural and soluble cues in developmental processes [12]. The above results suggest that the mechanical signals transmitted by cell shape could affect the lineage of stem cells through the interaction between cell shape, cytoskeleton mechanics and developmental processes.
2.2 Cell–cell connection
Besides the adhesion morphology of individual MSCs, the intercellular connection of multiple MSCs was demonstrated to influence cell differentiation. When increasing the density of MSCs, the establishment of cell–cell contact has been demonstrated to be promoted with the formation of multicellular clusters, which is stabilized by a fibronectin mesh [27]. Some research results showed that higher cell density or more cell–cell contact reduced osteogenesis but enhanced adipogenesis [9, 12, 28] (Fig. 2a, b). For example, for hMSCs plated at different densities of 1000–25,000 cells/cm2 for 7 days or 28 days with both adipogenic and osteogenic induction medium, the cells with a large number of lipid droplets were found in high-density group, but the alkaline phosphatase (ALP), the osteogenic differentiation marker, was more expressive in low-density group [12]. Similar results was found in rMSCs with higher cell density up to 1.05 × 105 cells/cm2 for 7 days [9]. The above results revealed that when increasing cell density from 1000 to 1.05 × 105 cells/cm2, the osteogenic proportion could decrease from 95% to 20%, while the adipogenic proportion could increase from 1% to 51%. It is reasonable to conclude that increasing cell density may reduce their spreading area, thus the above relation between cell density and differentiation is similar to the results on the effect of cell area on the differentiation of individual cells. Contrast to 2D-cultrue results, however, when MSCs were cultured in 3D matrix, their osteogenic potential was enhanced but adipogenic potential was repressed with increasing 3D accumulation level [27, 29]. The intrinsic mechanism of different lineage commitment of MSCs in 2D or 3D culture condition is still unknown and needs to be clarified.
It should be noted that when increasing cell density, cell area becomes smaller and cell–cell contact is promoted [27]. To identify the separated contribution of cell–cell contact on cell differentiation, the micropatterned circular islands associated with each other by different average contacting number of 0, 1, 1.5, 2.5 and 3.5 were designed and fabricated (Fig. 2c) [10]. After rMSCs were cultured on these patterns with osteogenic or adipogenic medium for 6 days, either osteogenic or adipogenic differentiation was promoted along with the increase of average contacting number (Fig. 2e, f). To strictly control the contact number per island, Wang et al. designed another pattern in which each circular island was associated with constant numbers 0, 1, 2 and 3 of neighboring islands through the lines with the length 30 μm and the width 2 μm (Fig. 2d) [30]. When hMSC was cultured on the patterns with osteogenic medium for 14 days, the osteogenic differentiation was significantly enhanced along with the increase of contacting number for each cell (Fig. 2e). The above studies suggest that more gap junctions might be formed when increasing intercellular contact so as to allow the direct transmission of more signal factors and metabolites between adjacent cells, which finally regulate cell differentiation.
The above results showed that cell–cell connection could promote both osteogenic or adipogenic differentiation of MSCs (Fig. 2). The fluorescent images of F-actin exhibited that MSCs with cell–cell interaction exhibited concentrated stress fibers at the connecting line [30]. This was consistent with the conclusion that cell–cell contact could regulate cytoskeletal tension through adhesion junctions and alter actin structure via cadherin. In addition, intercellular junctions also allowed direct transmission of signaling molecules and metabolites to adjacent cells, which may also be an important factor in the regulation of differentiation. However, further researches still need to be performed for clarifying the mechanism that either osteogenesis or adipogenesis of MSCs was enhanced by cell–cell connections.
3 Effect of substrate topography on the differentiation of MSCs
3.1 Roughness
Surface roughness of implant or scaffold is an important parameter to control the in vivo integration in tissue regeneration or tissue engineering. For example, it is believed that surface roughness increases the surface area of the implant, allowing more initial substrate deposition and early bone growth [33]. The average roughness (\( R_{a}\)) has been generally adopted to characterize the surface roughness of biomaterials and is defined as
in which the surface height z(x, y) are measured at n × m sample points in x–y plane and \(\bar z\) denotes the average value of z(x, y). We normalized the gene expression in MSCs cultured on a plate surface with specific roughness relative to that for control group, i.e. the blank culture plate of polystyrene or hydroxyapatite. This relative expression of differentiation markers of ALP, runt-related transcription factor 2 (Runx2) and osteopontin (OPN) from several studies was summarized in Fig. 3. The experimental details for these studies can be found in Table 1.
For the roughness ranging from 120 to 1000 nm, the increase of substrate roughness promoted osteogenic differentiation of rMSCs [34] and hMSCs [5]. Briefly, the 3D porous graphene nanosheets synthesized on the titanium surface enhanced ALP activity, extracellular matrix mineralization and collagen secretion [34]. In addition, the polyurethane biomaterials with roughness 324–253 nm showed a significant increase of osteogenesis [5]. For the roughness larger than 1 μm, the expression of three osteogenic markers was significantly reduced when increasing substrate roughness for hMSCs on hydroxyapatite [31] or on polycaprolactone [33] or for rMSCs on titanium [32]. The above results indicate that the substrate roughness around 1 μm might be suitable for osteogenic differentiation of MSCs.
Some studies have confirmed that the surface roughness of extracellular substrates could affect the expression of osteogenic markers of stem cells (Fig. 3). It has been found that surface roughness altered the adhesion state and geometric shape of cells [5, 31]. The cytoskeleton of MSCs showed higher tension on the rougher surface by sensing the roughness gradient, which was further transferred to the nucleus and may regulate the expression of YAP/TAZ. Cytoskeletal filaments have been shown to pass through nuclear pores and connect with nuclear scaffolds, which may provide the pathways for mechanical signaling transduction. In addition to roughness, chemical properties of substrate materials may also influence cell behavior. For example, HCl-Ti substrate significantly enhanced cell attachment, and graphene nanosheets-modified titanium substrate enhanced the osteogenic differentiation of rBMSCs due to its superior protein adsorption capacity [32, 34].
3.2 Ridge-groove
To avoid the disadvantage that roughness is difficult to be characterized, the substrate with ordered surface topography, e.g. the ridge-groove structure with the scale of nanometer or submicron (Fig. 4a), was found to have a strong influence on osteogenic differentiation and to increase mineral deposition [35]. The ridge width has been proved to play an important role in regulating the lineage commitment of MSCs and the experimental details for several studies can be found in Table 2. Watari et al. found that the grooved substrate with the ridge width of 0.2 μm is suitable for the osteogenesis of hMSCs compared with the ridge width of 0.7 μm or 2 μm, regardless of the presence or absence of osteogenic induction medium (Fig. 4b) [36]. Abagnale et al. gave a similar conclusion that hMSCs cultured on the surface with smaller ridge width of 2 μm for 14 days tended to osteogenic differentiation compared with 3–15 μm ridge width, while the groove width did not have significant influence [37]. When the ridge width is further increased to be more than 20 μm, however, the higher ridge width of 30–180 μm gradually promoted the osteogenesis of hMSCs [38]. The above results imply that the ridge-groove substrate with about 10 μm of ridge width, similar to the cell size, or with the ridge width more than 150 μm, might be suitable for osteogenic differentiation of MSCs.
More evidences indicated that the transmembrane protein integrin gets involved the regulation of ridge-groove structure of substrate on osteogenic differentiation of stem cells. Integrin is usually regarded as a key mediator of mechanotransduction for extracellular signals. Cells could sense the morphology features of substrate surface through the aggregation of integrins and the formation of focal adhesions [36, 37]. The size of ridge had a direct effect on the morphology of MSCs, in which the elongated cells tended to be in osteogenesis, while the restricted spreading area promoted adipogenic differentiation.
3.3 Micropillar
Micropillar is one-dimensional structure perpendicular to substrate surface and is also usually adopted to study cell-material interaction. The experimental details and conclusions for some studies can be found in Table 3. Pan et al. cultured rMSCs on square micropillar with side length 3 μm and different heights of 0.2 μm, 1 μm or 5 μm for 10 days [41]. They found that the 5 μm-height pillar could severely deform the nucleus, which was inserted into the micropillars, but rMSCs still have the ability of osteogenic differentiation. The authors further studied the effect of micropillar height on the differentiation of rMSCs (Fig. 5a) [42]. The results showed that the higher micropillar of 4.6 μm or 6.4 μm promoted osteogenic differentiation, while the lower micropillar of 0.8 μm enhanced adipogenic differentiation. Some other studies demonstrated that the osteogenic differentiation of hMSCs cultured on 3 μm- [43] or 100 μm-height [44] micropillars was promoted compared with those on blank surface. However, Konttinen et al. found 5 μm-height square pillar might be best substrate for osteogenic differentiation of hMSCs compared with 0.2 μm- or 20 μm-height pillar [45]. These research results revealed that micropillar structure with large height might be better for osteogenic differentiation but more systematic investigation is still needed to be performed.
It has been found that the micropillar exceeding a critical height can significantly deform the nucleus, which may further cause the differentiation of stem cells. The micropillar structure reduces the projected area of cells and reduces cell tension, which may be similar to the adherent characters of MSCs on bone surface. The experimental observation showed that MSCs on a smooth substrate had a small amount of focal adhesions, while those cultured on the micropillar substrate displayed more dot-like vinculin structure, revealing that the microstructural feature could make more interactions between cells and substrate [41,42,43]. Moreover, the lower micropillar height leads to cytoskeleton tension, enhances the expression of ERK, and ultimately regulates bone formation [45].
3.4 Nanoparticle
There has been increasing evidence that nanomaterials can promote stem cell therapy and bone tissue engineering. The experimental details and conclusions for some studies can be found in Table 4. It has been confirmed that gold nanoparticles in sphere with 40 nm or 70 nm diameter and in rod with 70 nm diameter promoted osteogenic differentiation and inhibited adipogenic differentiation of hMSCs, in which the smaller gold nanoparticles lead to higher level of osteogenesis (Fig. 5b) [46, 47]. However, the rod-like nanoparticle with 40 nm diameter inhibited osteogenic differentiation. Yi et al. also found that 20 nm-gold nanoparticles upregulated the expression of osteogenic markers or mineralized nodule formation and inhibited adipogenic markers of rMSCs compared with NaF control substrate [48]. Similar to gold nanoparticles, silicon nanoparticles of 50 nm, 200 nm or 400 nm significantly promoted the expression of osteogenic markers and mineralization of hMSCs compared with control group, in which 50 nm- or 200 nm-particles had significantly higher osteogenesis than 400 nm-particles [49]. The results for hMSCs on silicon nanoparticles with same size showed that the formation of lipid droplets in the cytoplasm was less than those in the control group [50]. Moreover, iron oxide nanoparticles of 30 nm [51] or hydroxyapatite nanoparticles of 98 nm [52] have been shown to promote osteogenic differentiation of hMSCs. These results indicate that the nanoparticles could promote osteogenic differentiation but inhibit adipogenic differentiation.
The regulation of nanoparticles on MSCs differentiation is mainly through the typical signaling pathways of mechanotransduction. For instance, gold or iron oxide nanoparticles generated mechanical stress in MSCs and activated p38 mitogen-activated protein kinase (MAPK) pathway, which led to the upregulation of osteogenic genes and the downregulation of adipogenesis-specific genes [48, 51]. The nanaoparticles may be internalized into MSCs and induce the formation of actin stress fiber to stimulate osteogenesis as well as reduce adipogenesis [49]. The rigidity of nanoparticles is closely related to their translocation ability through cell membrane. The stiffer nanoparticles achieved a higher cellular uptake efficiency because they had full internalization by forming a complete double-layer endosome coating, while relatively soft nanoparticles only reached 40% surface coverage by membrane lipids. Whether the absorption rate of nanoparticles has a significant effect on the differentiation degree of stem cells still needs to be investigated [53].
3.5 Nanowire
Silicon nanowires are easily chemically modified to obtain controlled surface properties and their size is comparable to that of biomolecules, therefore they are used as scaffold materials in tissue engineering. The experimental details and conclusions for some studies can be found in Table 5. For the hMSCs cultured on the substrate aligned with silicon nanowire, high level of osteogenic differentiation was observed in the nanowire with the smaller aspect ratio of 54 (8.7 μm:162 nm) compared with other long nanowire (Fig. 6a) [54]. Another study confirmed that hydroxyapatite in porous ceramics with an aspect ratio of 46 (17.5 μm:380 nm) could regulate rMSCs to differentiate into the osteogenic lineage [55]. When rMSCs were cultured on the substrate with vertical array of TiO2 nanotubes, whose diameter influenced the cell fate, i.e. 15-nm nanotube significantly promoted the osteogenic differentiation compared with those on nanotube surface with larger diameter (Fig. 6b) [56]. Therefore, these results suggest that the nanowire substrate with smaller aspect ratio or the nanotube substrate with smaller diameter might direct the osteogenic lineage commitment of MSCs. The silicon nanowires with smaller aspect ratio have higher spring constants induces cytoskeleton remodeling by activating focal adhesion kinase through integrin-extracellular matrix interaction and finally enhances osteogenic differentiation [54].
4 Conclusion
In this review, we quantitatively summarized the results about the relation between the differentiation of MSCs and the morphological or topographical parameters of substrate. Regardless of the complex experimental conditions in different studies or groups, some interesting phenomena or properties have been given from this integrated and systematic analysis. The larger spreading area of individual cell, lower cell density or more cell–cell contact, higher micropillar, shorter nanowire and optimal roughness or ridge width might promote the osteogenic lineage commitment of MSCs. Cell shape (e.g. circularity of individual cell) or particle diameter also plays important role in regulating cell differentiation of MSCs, but the investigation considering more factors such as cell source, chemical composition of substrate should be performed in the future. We believe that this analysis could provide new insights into the regulatory mechanism of surface properties on the lineage commitment of MSCs and be helpful for guiding the design and fabrication of the scaffold in tissue engineering.
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This work was supported by the National Natural Science Foundation of China [Grants 11572043 and 11372043 (BH)].
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Huo, B., Zhao, Y., Bai, X. et al. Regulation of substrate surface topography on differentiation of mesenchymal stem cells. Acta Mech. Sin. 36, 1158–1169 (2020). https://doi.org/10.1007/s10409-020-00997-6
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DOI: https://doi.org/10.1007/s10409-020-00997-6