Homogenized Porcine Extracellular Matrix Derived Injectable Tissue Construct with Gold Nanoparticles for Musculoskeletal Tissue Engineering Applications

A unique porcine extracellular matrix (ECM) derived injectable tissue construct with 100 nm or 20 nm gold nanoparticles (AuNP) was developed for musculoskeletal tissue engineering applications. ECM has been shown to encourage cellularity and tissue remodeling due to its release of growth factors while AuNP have been shown to reduce reactive oxygen species (ROS) levels. Injectable tissue constructs were created by homogenizing decellularized porcine diaphragm tendon conjugated with 100 nm or 20 nm AuNP at 1x, 4x, and 8x concentrations. Extrusion force testing demonstrated that homogenized tissue constructs were injectable at an appropriate cannula size and force. L-929 murine fibroblasts were used to measure cell viability, cell proliferation, intracellular ROS levels, and cell migration in response to constructs. Enhanced cell viability and proliferation are observed on 1 × 20 nm AuNP constructs. ROS assays demonstrate reduced cellular ROS concentrations from all 20 nm AuNP constructs and from 8 × 100 nm AuNP constructs compared with constructs without nanoparticles. Cellular migration is higher towards 4 × 20 nm AuNP constructs compared with constructs without nanoparticles. Results support the potential use of a porcine ECM derived injectable tissue construct with AuNP as an injectable tissue construct to reduce inflammation and to promote tissue remodeling in musculoskeletal tissue engineering applications. How to cite this paper: Smith, S.E., Snider, C.L., Gilley, D.R., Grant, D.N., Sherman, S.L., Ulery, B.D., Grant, D.A. and Grant, S.A. (2017) Homogenized Porcine Extracellular Matrix Derived Injectable Tissue Construct with Gold Nanoparticles for Musculoskeletal Tissue Engineering Applications. Journal of Biomaterials and Nanobiotechnology, 8, 125-143. https://doi.org/10.4236/jbnb.2017.82009 Received: December 28, 2016 Accepted: April 23, 2017 Published: April 26, 2017 Copyright © 2017 by authors and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/


Introduction
ECM based scaffolds are becoming increasingly popular in musculoskeletal tissue engineering [1].These decellularized scaffolds have a lower inflammatory response and improved cellular integration compared with synthetic materials [2].In addition, the ECM contains cytokines and growth factors such as transforming growth factor beta, keratinocyte growth factor, and platelet derived growth factor that promote constructive tissue remodeling as the ECM naturally degrades [1].Degraded ECM products have also been shown to have chemotactic properties for fibroblasts and for some macrophages which may enhance ECM production [3] [4] [5].ECM contains points of cellular attachment providing an ideal environment for proliferation [1].
While there are many benefits of using ECM based graft materials, their application can be limited due to their form as a graft material.Creating an ECM based material that can be delivered by injection expands the benefits of ECM to a wider variety of applications including myocardial infarction [6], reconstruction of skeletal muscle [7], and musculoskeletal applications [8], urinary incontinence [9], adipose tissue engineering [10], and orthopaedic applications such as meniscus repair [11].Here we developed an injectable ECM-based tissue construct for musculoskeletal tissue engineering applications such as post-traumatic osteoarthritis (PTOA), rheumatoid arthritis, and osteoporosis.In these diseases, there is wear in the cartilage of the joint that causes painful bone on bone wear.
Therapies to address short-term symptoms include intra-articular injections of pain killers, anti-inflammatory agents, corticosteroid, or hyaluronic acid.Unfortunately, these therapies only offer temporary pain relief.There is little midterm or long-term benefit due to the rapid breakdown of the therapeutic agents and the failure to alleviate the cause of symptoms.None of these treatments provide effective long-term relief while maintaining natural joint functionality.The use of an injectable ECM scaffold may be used to fill cartilage defects, mitigate cartilage degradation and promote remodeling.
An ideal tissue construct for musculoskeletal applications should provide an environment that reduces inflammation and promotes tissue remodeling in order to repair tissue defects.Inflammation can cause damage to tissue in the form of reactive oxygen species (ROS).Reducing ROS levels may mitigate the damaging effects to the tissue and prevent the quick break down of remodeled tissue.Tissue remodeling requires cell migration, attachment, and proliferation to remodel tissue.An ideal construct would provide an environment that stimulates cellularity in order to repair tissue defects.
AuNP have been increasingly used in tissue engineering due to myriad bene-fits including biocompatibility, promotion of remodeling, and ability to reduce inflammation [12] [13] [14].It has also been shown that the conjugation of AuNP to ECM tissue scaffolds enhances remodeling in vivo [15].This remodeling influence can be attributed to an increase in cellularity and GAG production in the presence of AuNP [16].AuNP can increase migration and adhesion of cells to tissue scaffolds due to AuNP' increased surface energy or due the creation of a topography favoring cell attachment [16].In addition, it is suggested that AuNP may block binding sites for collagenase, slowing in vivo degradation [16].Gold and specifically AuNP have been used as an anti-inflammatory agent for many years [17] [18] [19].AuNP are zerovalent, have high surface reactivity, and are resistant to oxidation.Studies have demonstrated gold's usefulness as a therapeutic treatment for diseases such as chronic inflammation and rheumatoid arthritis [20].This reduction in inflammation may be attributed to anti-oxidative effects of AuNP.Several studies have shown the effectiveness of using AuNP as a free radical scavenger [21] [22].It was determined that AuNP act as antioxidative agents by inhibiting the formation of ROS and scavenging free radicals, which lowered oxidative stress levels in mice [22].The mechanism by which AuNP inhibit oxidative stress has not been completely determined.One theory suggests that AuNP inhibit lipids from peroxidation [23] [24]; other theories state that AuNP can restore metabolic enzymes damaged by hyperglycemia [22], normalize bile action [25], and interact with thioredoxin, a conserved thiol reductase that participates in the regulation of cellular redox balance [26].
Here we developed an ECM-AuNP based tissue construct for musculoskeletal tissue engineering applications with the hypothesis that the presence of AuNP will promote cellularity while mitigating inflammation.AuNP were aminefunctionalized and conjugated to decellularized porcine diaphragm tendon.The tissue was then homogenized into an injectable form to be delivered to the defect.In addition to the benefits of ECM and AuNP as previously discussed, there are several benefits to using a combined ECM/AuNP construct.By conjugating the AuNP to the ECM, the native microstructure of the ECM is maintained while enhancing stability and allowing cellular integration.The crosslinking treatment used in the conjugation of AuNP slows tissue degradation which allows additional time for neo-cartilage formation and longer lasting anti-inflammatory effects.AuNP are conjugated to tissue to prevent "wash-out" and to maintain effectiveness for longer periods of time compared to attachment by nanoparticle adsorption to the tissue.By homogenizing the tissue, the benefits of ECM and AuNP can be delivered to the defect site in an injectable form.

Tissue Harvest and Decellularization
Porcine tissue (diaphragm) was harvested immediately after euthanization at the University of Missouri, School of Medicine (Columbia, MO).The central diaph-ragm tendon was dissected from surrounding tissue and stored in Tris Buffer solution consisting of 5 mM ethylenediaminetetraacedic acid (EDTA), 0.4 mM phenylmethylsulfonyl (PMSF), and 0.2% (w/v) sodium azide (pH = 8.0) at 4˚C.Tissue was decellularized in a 1% (v/v) tri(n-butyl) phosphate (TnBP) and Tris buffer solution for 24 h at room temperature according to previously established protocol [27].This was followed by two 24 h rinses in deionized water and a 24 h rinse in 70% (v/v) ethyl alcohol.

Conjugation of Nanomaterials
Nanoparticles were purchased from Ted Pella, Inc. (Redding, CA).Concentrations refer to concentration of nanoparticles used in crosslinking procedure relative to the initial concentration given by the supplier.1x concentration refers to 7.0 × 10 11 for 20 nm AuNP and to 5.6 × 10 9 for 100 nm AuNP.4x and 8x concentration are 4 and 8 times as concentrated as 1x concentrations, respectively.
Attachment of AuNP to tissue was conducted according to a previously established protocol [15].AuNP were functionalized with 15 μM 2-mercaptoethylamine (MEA) prior to conjugation.Tissue was incubated for 15 min in crosslinking solution containing 50:50 (v/v) solution of acetone and 1x phosphate buffered saline (PBS) (pH = 7.5) with 2 mM 1-ethyl-3- [3-dimethylainopropyl] carbodiimide (EDC) first dissolved in 0.1 M 2-(N-Morpholino) ethanesulfonic acid (MES) in 0.5 M sodium chloride (NaCl) (pH = 6.0) and 5 mM N-hydroxysuccinimide (NHS) first dissolved in dimethylformamide (DMF).Tissue was removed from crosslinking solution and specified concentration of AuNP was added to cover tissue (1x, 4x, and 8x as described above).After 2 h, tissue was rinsed twice in 1x PBS for 24 h each.The tissue group denoted as "crosslinked" received crosslinking treatment without the addition of the nanoparticle solution.The tissue group denoted as "decellularized" did not receive crosslinking treatment.Tissue groups are labeled according to their crosslinking treatment, AuNP size, and AuNP concentration.For example, tissue constructs conjugated with 20 nm AuNP at a 4x concentration are referred to as 4 × 20 nm constructs.

Tissue Homogenization
Tissue sections in 1x PBS were placed in a Tissue Lyser II (Qiagen, Hilden, Germany) with stainless steel beads for 15 min at 30 Hz at room temperature.Tissue was further homogenized using a blade homogenizer on ice for another 15 min.Homogenized tissue was stored in 1x PBS at 4˚C.When ready for analysis, tissue was centrifuged to sediment tissue at bottom of tube and supernatant was removed.Centrifugation and decanting were repeated and homogenized tissue was stirred.

Sterilization
Homogenized tissue was sterilized in sterilization solution containing 0.1% (v/v) peracetic acid (pH~7) at room temperature.Sterilization solution was passed through a 0.22 μm sterile filter unit before being added to homogenized tissue.Tissue was incubated with sterilization solution for 30 min with agitation (225 rpm).Samples were centrifuged and the supernatant was removed to remove sterilization solution.To rinse, sterile PBS was added to the tissue, samples were centrifuged, and supernatant was removed.Rinsing was repeated 3 times.

Differential Scanning Calorimetry
Differential Scanning Calorimetry (DSC) was performed using a Q2000 DSC (TA Instruments, New Castle, DE).Approximately 9 -14 mg of homogenized tissue sample was sealed with 2 μL of deionized water in aluminum pans with a hermetic lid.Samples were run in triplicate (n = 3) from −5˚C to 120˚C at a rate of 3˚C per minute modulation every 80 seconds ±0.64˚C.Universal Analysis software integration tool was used to determine the onset denaturation temperature and denaturation temperature from the non-reversing heat flow signal.

Extrusion Force Testing
Each construct group was loaded into a syringe connected to a 20-gauge cannula.The syringes were secured into an Instron 584 Universal Testing Machine (Instron, Norwood, MA) in compressive mode.Force was measured over a constant rate of displacement.The syringes were run for 30 mm at a rate of 0.167 mm/sec with force measurements taken every 0.1 sec.Maximum extrusion force was taken from all compressive force data points over the 30 mm extension.

Cell Culture
L-929 murine fibroblast cells were purchased from ATCC (Manassas, VA) and cultured at 37˚C and 5% CO 2 in Eagle's Minimum Essential Medium (EMEM) supplemented with 10% (v/v) horse serum and 200 U/mL Penn Strep.Cells were subcultured and given fresh cell media as needed.All assays were conducted using L-929 murine fibroblast cells, and all assays were performed in a biological safety cabinet under sterile conditions.

Cell Viability and Proliferation Assay
A Quant-iT TM dsDNA® Pico Green assay (Life Technologies, Grand Island, NY) was performed using the manufacturer's protocol to measure cell proliferation.
Homogenized tissue was added to a 96-well plate and seeded with 0.75 × 10 4 cells/mL with four replicates for each sample type (n = 4).Cells were cultured for 3, 7, and 10 days with media changes every other day.Samples were removed from well plate, lyophilized, and digested with papain digestion buffer containing 125 μg/mL papain in PBE buffer containing sterile PBS with 5 mM cysteine-HCl and 5 mM Na 2 EDTA.The resulting digest, 1x TE buffer in DNase-free water, and the Quant-iT TM PicoGreen ® dsDNA reagent (Invitrogen Corporation, Carlsbad, CA) were incubated away from light for 5 min.A Synergy H-1 Multi-Mode microplate reader (Biotek Instruments, Inc., Winooski, VT) was used to measure fluorescence intensity at 520 nm emissions with 480 nm excitation.Double-stranded DNA (dsDNA) concentration was determined by interpolation from linear regression analysis using a five point lambda DNA standard.

ROS Assay
ROS activity was measured following the manufacturer's protocol for an OxiSe-lect™ ROS Assay kit (Cell Biolabs, Inc., San Diego, CA).Fibroblasts were seeded onto a 96-well plate at 3.7 × 10 4 cells/well in 200 μL of supplemented EMEM with five replicates for each sample type (n = 5).Cells we allowed to become confluent overnight at 37˚C and 5% CO 2 .Each well was rinsed with DPBS and 1x 2',7'-Dichlorodihydrofluorescin diacetate (DCF-DA)/EMEM was added.The plate was incubated for 1 h at 37˚C and 5% CO 2 .The 1x DCF-DA/EMEM was removed and wells were rinsed twice with DPBS.Each well had 50 μL of lyophilized homogenized tissue and 100 μL of EMEM added before incubation at 37˚C and 5% CO 2 for 12 h.Cell lysis buffer was added to each well and incubated at room temperature for 5 min.Solution was transferred to a new 96-well plate and fluorescence intensity was read on a Synergy H-1 Multi-Mode microplate reader (Biotek Instruments, Inc., Winooski, VT) at 480 nm excitation and 530 nm emission.DCF concentration was determined by interpolation from linear regression analysis using an eight point DCF standard.

Cell Migration Assay
A CytoSelect TM Cell Migration assay (Cell BioLabs, San Diego, CA) was conducted according to the manufacturer's protocol.50 μL of homogenized tissue and 100 μL serum-free media were added to each well of the lower chamber of a 96-well plate using a sterile 18-gauge cannula with eight replicated for each sample type (n = 8).Fibroblasts were suspended in serum-free media and 2.5 × 10 4 cells were added to the upper chamber of each well with 100 μL of serum-free media.Cells were allowed to migrate across the membrane for 24h at 37˚C and 5% CO 2 .Media was removed from the upper chamber and the upper chamber Cell migration is presented as the relative fluorescence intensity of a sample compared to wells with serum-free media only.

Statistical Analysis
Statistical analyses were conducted using SAS 9.4 software.A one-way analysis of variance (ANOVA) with a pair-wise Tukey test using the PROC GLM procedure was conducted to determine significant differences at a p < 0.05 significance level.Linear regression analysis with a standard curve was to interpolate fluorescence intensity values and was conducted using the PROC REG procedure.Values from DSC, cell proliferation assays, ROS assays, and cell migration assays are presented as mean values +/− standard error of the mean calculated using Origin 9.1 software.

Electron Microscopy
SEM and EDS analysis were conducted to confirm attachment of AuNP to homogenized tissue and to ensure that the treatment processes did not damage tissue.The open microstructure of constructs was maintained during crosslinking and homogenization as seen in Figure 1.Attachment of AuNP to tissue is confirmed in Figure 2. AuNP can be seen as small, bright circular features within fainter ECM.Features are confirmed to be AuNP by observing energy peaks at 2.1 keV and at 9.7 keV from EDS analysis (results not shown).

Extrusion Force Testing
Extrusion force measurements of syringes filled with constructs were measured every 0.1 sec at a constant rate of displacement over 30 mm.Maximum extrusion forces were taken from all compressive force data points over the 30 mm extension and are presented in Table 1.The lowest maximum compressive force value is 1.72 N and the highest is 3.82 N.

Cell Viability and Proliferation Assay
Results of the 3, 7, and 10 day cell viability and proliferation assay are given in Figure 4.A PicoGreen dsDNA assay was used to determine dsDNA content of tissue constructs.The only significant difference within a single group between different days is that 1 × 20 nm constructs have a significantly higher mean dsDNA content (n = 4) at 10 days compared to 1 × 20 nm constructs at both 3 and 7 days.At 3 days, crosslinked, 4 × 20 nm, 8 × 20 nm, 4 × 100 nm, and 8 × 100 nm constructs have significantly higher mean dsDNA contents than decellularized constructs.Crosslinked, 1 × 20 nm, 4 × 20 nm, 8 × 20 nm, 4 × 100 nm, and 8 × 100 nm constructs have a significantly higher mean dsDNA content than 1 × 100 nm constructs at 3 days.At 7 days, 1 × 20 nm constructs have a significantly higher mean dsDNA content than decellularized, crosslinked, 4 × 20 nm, 8 × 20 nm, and 1 × 100 nm constructs.8 × 100 nm constructs have a significantly higher mean dsDNA content than decellularized constructs at 7 days.

ROS Assay
ROS assay results are given in Figure 5.An OxiSelect™ ROS Assay kit was used calculate the relative DCF concentration of cells cultured with tissue constructs that directly correlates to ROS concentration. 1 × 20 nm, 4 × 20 nm, 8 × 20 nm, and 8 × 100 nm constructs have significantly lower mean DCF concentrations than decellularized constructs (n = 5).Additionally, 4 × 20 nm constructs have a significantly lower mean DCF concentration compared to 1 × 100 nm constructs.

Cell Migration Assay
Migration assay results are given in Figure 6.A Cyto Select TM Cell Migration assay was conducted using homogenized tissue constructs as a chemoattractant and the relative amount of migrated cells was measured by fluorescence intensity.There is a significantly higher mean fluorescence intensity on 4 × 20 nm constructs compared to crosslinked, 1 × 100 nm, 4 × 100 nm, and 8 × 100 nm constructs (n = 8).important for cellular infiltration.Excessive crosslinking may limit the porosity of the constructs, reducing the ability for cells to infiltrate and remodel the tissue potentially leading to poor in vivo performance [28].It is also important to ensure that the processes of decellularization, crosslinking, homogenization, and sterilization do not damage the construct.SEM images reveal that the integrity of the ECM is retained through these processes.

Discussion
DSC testing was performed to analyze the thermal stability and degree of crosslinking of the constructs (Figure 3).Notable significant differences include crosslinked, 1 × 20 nm, 1 × 100 nm, 4 × 100 nm, and 8 × 100 nm constructs having significantly higher mean denaturation and onset denaturation temperatures compared to decellularized constructs.This difference confirms successful crosslinking since higher denaturation temperatures indicate a higher degree of crosslinking.Crosslinking may improve construct stability since low degrees of crosslinking are associated with more rapid in vivo degradation [28] [29].On the other hand, excessive crosslinking can impede cell migration and cellular infiltration [28] [30].It is important that the degree of crosslinking is sufficient enough to prevent quick degradation while still allowing cellular infiltration.
Together, SEM images combined with denaturation temperatures confirm successful crosslinking while maintaining an open microstructure.
Crosslinked constructs have significantly higher mean denaturation and onset denaturation temperatures than 1 × 20 nm, 4 × 20 nm, and 8 × 20 nm constructs.This indicates that the addition of nanoparticles may ameliorate the potential excessive crosslinking that may occur during the crosslinking procedure.
In addition, 8 × 20 nm constructs have significantly lower denaturation and onset denaturation temperatures than many of the other groups and were not statistically different than the decellularized group.This suggests that the larger 8x concentration of 20 nm AuNP further reduces crosslinking in the construct.
This may be due to additional conjugation of 20 nm AuNP compared with 100 nm AuNP due to size differences between the AuNP.
Extrusion force testing was performed to evaluate the ease of injection of the construct under forces and cannula gauges typically used for steroid injections into the knee (Table 1).A 20-gauge cannula was used to measure the extrusion force of all constructs.A gauge of 18 -23 is commonly used for intra-articular injections of steroids into the knee [31] [32].It is important to have a cannula that is large enough for the material to pass through while small enough for the physician to have control.In addition, the force required to eject the material should be minimal.If the size of the cannula is too small for the material to expel easily, it will require high forces to expel which may be dangerous to patients and physicians.Studies have shown that increasing the cannula size and the required force for injection has a negative effect on the physician's ability to control the syringe [33] [34].A study was conducted on the extrusion forces of syringes expelled by rheumatoid arthritis patients with hand impairment [35].The average maximum force patients were able to apply during the injection was 33.21 N and 45.34 N for two different syringe types.The values found in our study of ~1 N to 4 N are much less than those found in the cited study.In addition, the mean extrusion forces of porcine-collagen dermal fillers were measured to evaluate injectability [33].The study found that the lowest collagen dermal filler had a mean extrusion force of 7.7 ± 0.5.This extrusion force was at an acceptable level to decrease clinician hand fatigue and to improve clinician hand control.All extrusion forces in this study were found to be less than the acceptable mean extrusion force found in the cited study.It is concluded that homogenized construct could be safely delivered using a 20-gauge cannula.
A cell viability and proliferation assay was performed to test the ability of fibroblasts to proliferate on the tissue constructs (Figure 4).Cell proliferation is seen as viability increases from progressive time points.The fact that only 1 × 20 nm constructs showed a significant increase in cell viability from 3 to 7 and 3 to 10 days demonstrates that less cell proliferation occurred on other groups compared to the 1 × 20 nm constructs (Figure 4).Cell viability can be interpreted from the PicoGreen dsDNA assay by comparing the dsDNA content of construct groups at individual time points.At 3 days, crosslinked constructs and 4x and 8x concentrations of both 20 nm and 100 nm AuNP constructs have a higher cell viability than decellularized constructs.This indicates a potential benefit of crosslinking the tissue and well as using higher concentrations of both 20 nm and 100 nm AuNP.In addition, at 3 days, 4 × 100 nm and 8 × 100 nm constructs have a significantly higher cell viability than 1 × 100 nm constructs.This result also suggests a possible cell viability benefit of using higher concentrations of 100 nm AuNP.At 7 days, 1 × 20 nm had a significantly higher cell viability than decellularized, crosslinked, 4 × 20 nm, 8 × 20 nm, and 1 × 100 nm constructs leading to several conclusions.First, at 7 days the 1 × 20 nm constructs maintained the higher cell viability compared with decellularized and crosslinked constructs present at 3 days.Second, at the same concentration, 1 × 20 nm constructs have a higher cell viability than 1 × 100 nm constructs demonstrating superior performance of 20 nm AuNP constructs compared to 100 nm AuNP constructs at a 1X concentration.The benefit of 20 nm AuNP may occur at a lower concentration than for 100 nm AuNP.In addition, the use of higher concentrations of 20 nm AuNP on constructs does not increase cell viability.Lastly, 8 × 100 nm constructs had a significantly higher cell viability than crosslinked constructs at 7 days.This indicates that it may take higher concentrations of 100 nm AuNP to see an improvement in cell viability.At 10 days, 1 × 20 nm constructs had a significantly higher cell viability compared to decellularized, crosslinked, 4 × 20 nm, 8 × 20 nm, 1 × 100 nm, 4 × 100 nm, and 8 × 100 nm constructs.The 10 day time point builds on the 7 day time point that 1 × 20 nm constructs show an increase over all other tissue constructs and there may be an advantage to using this 1 × 20 nm constructs to increase cell viability.
There are several reasons why the 1 × 20 nm constructs showed superior cell viability and were the only constructs to demonstrate cell proliferation.Cell adhesion is necessary for fibroblast proliferation.The topography of a surface will affect the degree of adhesion of the cells to a surface.It has been shown that AuNP of particular sizes affect cell adhesion by creating a topography favoring cellular adhesion [36].The 1 × 20 nm constructs in this study may have provided a more favorable surface for cellular adhesion compared to other constructs.In a recent study by Zhu et al., mouse fibroblasts favored adhesion on surfaces containing 35 nm AuNP [37].Both the size and concentration of AuNP will affect the surface that the cell interacts with which ultimately affects cell adhesion.
Oxidative stress has the potential to induce cell and tissue damage by activating cellular pathways leading to inflammation, apoptosis, and negative effects on remodeling and cell proliferation [38].The reduction of damaging ROS is important for the promotion of remodeling.AuNP have been used as an anti-inflammatory agent due to AuNP's ability to act as free radical scavengers [17] [18] [19] [21].Reduction in cellular ROS due to AuNP has been shown to be concentration dependent [22].Similar to the effects of proliferation and migration, the concentration and size of the nanoparticle affects how the cells interact with the particles [39].Previous studies of cellular ROS concentrations on collagen-100 nm AuNP constructs have shown a concentration dependent decrease in ROS production [16].Too high of a concentration of nanoparticles may induce toxicity or disruptive effects to cellular events.Too low of a concentration of nanoparticles may not be sufficient for cells to recognize or to have a beneficial effect.This study showed a reduction in ROS levels for constructs at all concentrations of 20 nm AuNP and for 1 × 100 nm constructs compared to decellularized constructs (Figure 5).It is possible that using a 1x concentration of 100 nm AuNP is the upper concentration limit for free radical scavenging ability of 100 nm AuNP constructs.20 nm AuNP showed decreased ROS at all concentrations suggesting that even at higher concentrations, 20 nm AuNP can still provide anti-oxidative effects.More studies need to be conducted to investigate the exact mechanism of the reduction of ROS by AuNP to more effectively tune the size and concentration of AuNP to be used for anti-inflammatory agents.all concentrations of 100 nm AuNP constructs (Figure 6).It may be possible that the 4 × 20 nm constructs promote a more favorable point of contact for cells compared with the 100 nm AuNP, increasing attachment to facilitate migration [41].
In summary, results support that constructs conjugated with AuNP demonstrate superior in vitro performance over constructs without nanoparticles.Further, 20 nm AuNP appear to have enhanced cell viability, cell proliferation, ROS reduction and cell migration induction over 100 nm AuNP at varying concentrations.Future studies involve further optimization of nanoparticle concentration and evaluation of in vivo performance.

Conclusion
Constructs proposed for intra-articular injection for musculoskeletal tissue engineering applications were fabricated from ECM and 100 nm or 20 nm AuNP.
Results confirm the successful AuNP attachment, thermal stability, and injectability of the constructs.

List of Abbreviations
was removed from the bottom plate.The upper chamber was placed in the harvesting tray containing cell detachment solution and incubated for 30 min at 37˚C.Cells were dislodged by gently tilting tray.Lysis Buffer/CyQuant GR dye solution was added to each well containing cells and detachment solution and incubated for 20 min at room temperature.Solutions were transferred to a new 96-well plate and read on a Synergy H-1 Multi-Mode microplate reader (Biotek Instruments, Inc., Winooski, VT) at 480 nm excitation and 520 nm emission.

Figure 2 .
Figure 2. SEM image of 1 × 100 nm construct confirming presence of AuNP by the presence of small, bright spheres within fainter ECM.

Figure 3 .
Figure 3. DSC results showing onset denaturation temperature and denaturation temperature.*Indicates constructs with significantly lower mean temperatures compared to crosslinked constructs.**Indicates constructs with significantly higher mean temperatures than decellularized and 8 × 20 nm constructs.n = 3. Error bars are given as standard error of the mean.p < 0.05.
Injectable tissue constructs fabricated from ECM and AuNP are developed for potential musculoskeletal tissue engineering applications.Amine-functionalized AuNP of 20 nm or 100 nm were conjugated to decellularized porcine diaphragm tendon and homogenized into an injectable form.Tissue constructs were analyzed by SEM/EDS, DSC, extrusion force testing, cell viability and proliferation assays, ROS assays, and cell migration assays.

Figure 5 .
Figure 5. Intracellular ROS assay results for constructs.DCF concentration directly corresponds to intracellular ROS levels.*Indicates significantly lower DCF concentration compared to decellularized constructs.n = 5.Error bars are given as standard error of the mean.p < 0.05.

Figure 6 .
Figure 6.Migration assay results for constructs.Fluorescence intensity directly corresponds to migrated cell concentration.*Indicates constructs with significantly lower fluorescence intensity compared to 4 × 20 nm.n = 8.Error bars are given as standard error of the mean.p < 0.05.
Cell migration is influenced by a variety of factors including cell type and nanoparticle characteristics.ECM has been shown to be a chemoattractant for cells as part of a constructive remodeling process[3] [40].To further enhance the cell migration potential of the construct, AuNP were conjugated to the ECM prior to homogenization.It is known that the migration of cells to nanoparticles depends on the nanoparticle size as well as cell type[41] [42].A recent study by Hung et al. demonstrated that nanocomposites of collagen and 5 nm AuNP promoted enhanced migration of MSC's although it is not well known how AuNP modulate the effect[43].In a study by Yang et al., migration of human dermal fibroblasts in the presence of 90 nm AuNP was increased compared to cells without[41].Fibroblast cells have complex cytoskeletal networks that use lamellipodia to adhere to surfaces and regulate cell migration.These types of cells are more susceptible to differences in AuNP charge, size and shape due to the microtubule networks.Cell migration assay results demonstrated a higher indica-tion of migrated cells towards 4 × 20 nm constructs compared to crosslinked and Fibroblast cell assays demonstrate enhanced cell viability and proliferation on 1 × 20 nm constructs.ROS assays indicate a reduction in ROS on constructs with all concentrations of 20 nm AuNP and on constructs with the highest concentration of 100 nm AuNP.Migration assays indicate enhanced fibroblast migration towards 4 × 20 nm constructs.These results supported the hypothesis and demonstrated possible benefits to utilize AuNP and particularly 20 nm AuNP, in an ECM construct for the use as an injectable tissue construct for musculoskeletal tissue engineering applications.
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Table 1 .
Extrusion force of homogenized tissue constructs through a 20 gauge cannula.