Abstract
Although poly(
Introduction
The current challenge in bone tissue engineering is to fabricate effective artificial bone grafts for the regeneration of fractured or diseased bones. Biomaterial surface properties have been reported to play a pivotal role in the regulation of cell behavior and the subsequent determination of their value in this application.1,2 The chemical, mechanical, and architectural cues of biomaterials can lead to specific cell responses and direct the osteogenic differentiation of mesenchymal stem cells (MSCs).3–6
Electrospun nanofibrous membranes are considered to have great potential in the field of tissue engineering since they can closely mimic the extracellular matrix architecture.7–11 A number of reports have shown that scaffolds with randomly oriented nanofibers had proven favorable for the osteogenesis of bone marrow stromal cells (BMSCs) and stimulated bone formation.12,13 Previously, we had used poly(
Low-temperature plasma treatment has been shown to be a convenient and effective way to modify surfaces to improve the hydrophilicity of biomaterials, and so increasing biocompatibility and facilitating cell attachment.16,17 Wan et al. 15 reported that ammonia plasma treatment significantly increased the hydrophilicity of poly(lactic acid) (PLA) scaffolds and resulted in enhancement of cell adhesion and proliferation of mouse 3T3 fibroblasts. D’Sa et al. 18 reported that improved hydrophilicity of poly(methyl methacrylate) (PMMA) surfaces by plasma treatment increased adsorption of proteins and promoted actin stress fiber formation. Moreover, plasma technique was found to modify levels of chemical groups, such as –COOH, –OH, or –NH2 on scaffold surfaces, and so influence the cell–substrate interactions. For example, human umbilical vein endothelial cell (HUVEC) adhesion was improved by plasma treatment of PLA through the control of carbon and oxygen concentration, 19 and human embryonic palatal mesenchyme (HEPM) cell proliferation was increased by plasma-treated poly(ether ether ketone) (PEEK) through assembling amino groups on the surface. 20 Amino-rich PLA surfaces created by plasma treatment were also reported to promote osteogenic differentiation of MC3T3-E1 cells. 17 These results support the feasibility of plasma technology to regulate the biological functions of biomaterials. However, the effects of plasma treatment on the surface of PLLA nanofibrous membranes, and the subsequent dose-dependent cellular response and osteogenesis of MSCs, are yet to be clarified.
Herein, the physicochemical properties and biological functions of PLLA nanofibers after low-temperature atmospheric plasma treatment over periods of 1, 5, or 10 min were explored. We have characterized the hydrophilicity and chemical changes on the surfaces of these nanofibers, as well as the ability of these nanofibers to promote the adhesion, proliferation, and differentiation of BMSCs.
Materials and methods
Preparation of electrospun PLLA nanofibers scaffold
PLLA powder (0.7 g) was added to 10 mL of trifluoroethanol (TFE) and stirred overnight to ensure the solution was completely dissolved. The PLLA/TFE solution was ejected using a 20-mL syringe with a steel needle (inner diameter of 0.5 mm) at a rate of 0.7 mL/h via a programmable syringe pump (Top 5300, Japan). A metal plate (20 cm × 25 cm) was placed 18 cm from the tip of the needle and used to collect the randomly arranged nanofibers. During ejection, a constant voltage (15 kV; DW-P303-1AC, Tianjin Dongwen High-voltage Power Supply Plant, China) was applied between the metal plate and the needle tip. Nanofibers were then incubated in a vacuum oven (DZF-6210; Bluepard Instruments Co., China) at room temperature for 2 weeks to remove residual solvent.
Plasma treatment of PLLA nanofibers
PLLA nanofibrous membranes were cut into disks (diameter 2.5 cm), placed into a low-temperature plasma cleaner (Harrick Plasma PDC32G, USA) and maintained at 18 W for periods of 1, 5, or 10 min. After treatment, samples were sealed in an airtight argon-filled chamber. The morphology of the nanofibers was observed by scanning electron microscopy (SEM), and the fiber diameter was measured from the SEM photographs using image analysis software (Image J; National Institutes of Health, USA).
Water contact angle measurement
To evaluate the hydrophilicity of the nanofibrous membranes, static water contact angles of each sample were measured at 25°C and 65% humidity using a Cam 200 Optical Contact Angle Meter (KSV Instruments, USA). Approximately 5 µL of distilled water was dropped onto each sample, and images of the droplet were recorded after 5 s. The contact angles were calculated by computer analysis of the acquired images.
X-ray photoelectron spectroscopy
Surface chemical changes were determined by X-ray photoelectron spectroscopy (XPS; Thermo V6 Escalab 250; Thermo VG Scientific, UK) in a vacuum chamber with an anode voltage of 15 kV and a current of 10 mA. High-resolution spectra of regions of interest were recorded, at a pass energy of 20 eV.
Cell culture and seeding
Rat BMSCs were obtained from Cyagen Biosciences, Inc. (China). The culture medium contained rat MSC basal medium supplemented with 10% MSC-qualified fetal bovine serum (FBS), 100 IU/mL penicillin–streptomycin, and 2 mM glutamine (all from Cyagen Biosciences, Inc.). The medium was changed every 2–3 days. Once BMSCs reached 80–90% confluence, cells were detached with 0.25% trypsin/EDTA (Gibco, Life Technologies, USA) and subcultured at a density of 5 × 105 cells in a T75 flask BMSCs were passaged three times before being used. Untreated or plasma-treated PLLA nanofibrous membranes were placed into six-well plates and sterilized with ultraviolet (UV) light for 1 h. Cells were cultured on these membranes in media containing osteogenic additives, including 50 mg/mL ascorbic acid, 10 mM sodium β-glycerol phosphate, and 10−8 M dexamethasone. Control cells were cultured on TCPs without any osteogenic additives. All experiments were done in triplicate.
Cellular morphology observation
One day after cell seeding, the cellular morphology was observed by SEM (Top 5300) with an accelerating voltage of 15 kV. BMSCs were washed with phosphate-buffered saline (PBS) and fixed with 2.5% glutaraldehyde for 2 h and then treated with 0.18 M sucrose solution. The samples were rinsed three times with water, and then dehydrated through a series of graded alcohol solutions before being air-dried overnight. The scaffolds were coated with gold using a sputter coater (Jeol JFC-1200 Fine Coater; Jeol, Japan) before observation.
Cell proliferation
Cell proliferation was evaluated using a Cell Counting Kit (Dojindo, Japan), based on based on a water-soluble tetrazolium salt (WST-8). After cells were cultured on nanofibrous membranes for periods of 1, 3, 5, or 7 days, the WST-8 reagent was added and incubated for another 4 h protected from light. Then, 200 µL of each sample was added to a 96-well plate, and the absorbance was measured at 450 nm using a microplate reader (Bio-Rad 680; Microplate Master, USA).
Real-time quantitative reverse transcription–polymerase chain reaction analysis
To assess the change in expression of various osteogenic-specific marker genes, real-time quantitative reverse transcription–polymerase chain reaction (qRT-PCR) on BMSCs cultured on untreated or plasma-treated nanofibers for selected times were performed. These genes included COL1A1, osteopontin (OPN), OCN, ALP, bone morphogenetic protein 2 (BMP2), and runx2 (RUNX2). The fold change in expression of these genes during differentiation was determined after 4 or 7 days of culture.
BMSCs were seeded at a concentration of 5.0 × 104 cells per wafer, and cultured for the indicated times. Total RNA was then extracted using RNeasy Mini Kit (Qiagen, Hilden, Germany), following the manufacturer’s instructions.RNA (1 µg) was added to a 20-µL RT reaction mixture containing 10× RT buffer, 25 mM MgCl2, 10 mM dNTPs, recombinant RNasin ribonuclease inhibitor, 15 U AMV (Avian Myeloblastosis Virus) Reverse Transcriptase (Promega, Madison, USA) and 0.5 µg oligo (dT) primer.SYBR green-based RT-PCR was performed with an ABI PRISM 7500 RT-PCR System (Applied Biosystems, Life Technologies, USA) under the following conditions: 45 cycles of 95°C for 30 s, 60°C for 30 s, and 72°C for 30 s.Glyceraldehyde-3-phosphate dehydrogenase (GAPDH) was used as the housekeeping gene. Quantification of gene expression was based on the CT value, which was calculated as the average of three replicate measurements for each sample analyzed. All primers were synthesized based on the sequences of the corresponding rat mRNAs (messenger RNAs) in GenBank. The primers used are as follows: RUNX2, 5′-TTC TGTCTGTGCCTTCTTG-3′, 5′-AATGCCTCCGCTGTTATG-3′; BMP2, 5′-GCT TCCGCTGTTTGTGTTTG-3′, 5′-TAGTGACTTTTGGCCACGACG-3′; ALP, 5′-AGGGAAGGGTCAGTCAGGTT-3′, 5′-TACTCGGACAATGAGATGC-3′; COL1A1, 5′-CCACCCCAGGGATAAAAACT-3′, 5′-GGAGAGAGTGCCAACTC CAG-3′; OPN, 5′-ATCGGACTCCTGGCTCTTC-3′, 5′-GCTTGGCTTACGGAC TGAG-3′; and OCN, 5′-CTAGCTCGTCACAATTGGGGTT-3′, 5′-ATGAGGACCC TCTCTCTGCTCA-3′.
ALP activity
ALP activity of BMSCs cultured for periods of 2, 4, and 7 days were measured using the ALP Assay Kit (Abcam, Cambridge, UK) according the manufacturer’s instructions. The kit had p-nitrophenyl phosphate (pNPP) as the phosphatase substrate as it turns yellow when dephosphorylated by ALP. Culture supernatants (30 µL) were collected from each well. Samples were put in alkaline buffer, and added with 50 µL pNPP solution. After incubating for 60 min, the reaction was stopped with 20 µL stop solution: the absorbance at 405 nm was then measured. This experiment was based on standard curve which from Kit itself to quantify ALP activity. ALP activity of the test samples can then be calculated as follows:
Statistical analysis
All experimental results and measurements were performed in triplicate and expressed as the mean ± standard deviation (SD). Statistical analysis was performed using the Student’s paired t-test, and p values less than 0.05 were considered significant.
Results
Characterization of PLLA nanofibers
SEM was used to identify plasma treatment-induced changes on the PLLA nanofibers. As shown in Figure 1, untreated nanofibers were predominantly straight, while treated nanofibers exhibited slight curvature. We could identify crosslinking between nanofibers after plasma treatment as well as a decrease in the fiber diameter.

SEM images of (a) untreated PLLA nanofibers and plasma-treated for (b) 1, (c) 5, and (d) 10 min. (e) The fiber diameter (nm) of untreated and plasma-treated nanofibers (n = 100).
Plasma treatment increased the hydrophilicity of PLLA nanofibers
Images of water droplets on the various samples are shown in Figure 2. The water contact angle on untreated nanofibers was 115.3°. On treated nanofibers, the contact angle decreased inversely to the time of plasma treatment. Nanofibers treated for 1 min had a water contact angle of 96°, and it was significantly reduced to 53.8° after a 5-min treatment. After 10 min, we observed very pronounced surface hydrophilicity. Because of this, stable water droplets could not be maintained on the surface and infiltrated into the membranes immediately: therefore, no data from this group of samples are presented here.

Typical water droplet images of distilled water 5 s after being dropped onto an (a) untreated or plasma-treated PLLA nanofibers surface for (b) 1 and (c) 5 min. (d) The water contact angle measured from the indicated samples (n = 30).
Plasma treatment-induced chemical changes of PLLA nanofibers
XPS was performed to measure the surface chemical characteristics of nanofibers before and after plasma treatment. The results depicted in Figure 3 indicate that the nitrogen content in the surface of PLLA nanofibers was increased significantly after plasma treatment. The group treated for 10 min had the highest nitrogen content, followed by the groups treated for 5 and 1 min. This nitrogen content was considered to represent the existence of amino groups on the surface of plasma-treated PLLA nanofibers. It demonstrates that plasma treatment can increase amino content on the surface of PLLA nanofibers in a time-dependent manner.

X-ray photoelectron spectroscopy (XPS) analysis of the nitrogen content of PLLA nanofibers before and after plasma treatment.
BMSCs morphology and proliferation
Rat BMSCs were used as model cells because of their well-documented osteogenic differentiation and their sensitive response to the culture environment. As shown in Figure 4, cells cultured on nanofibers treated for 1 min spread more than those cultured on untreated nanofibers. Cells cultured on the nanofibers treated for 5 min showed the greatest extent of spreading among all the groups. Unexpectedly, cells cultured on nanofibers treated for 10 min did not spread as well as those on the samples treated for 1 or 5 min. Quantitative measurements of the cell areas confirmed our observations, where cell areas were greatest on samples treated for 5 min, followed by those treated for 1, 10 min, and finally, untreated samples.

SEM images of BMSCs after 1 day of culture on (a) untreated or plasma-treated PLLA nanofibers for (b) 1, (c) 5, and (d) 10 min. (e) The cell spreading area measured from the indicated samples (n = 20).
Using a CCK-8 proliferation assay, as shown in Figure 5, we demonstrated that plasma treatments of 1 and 5 min significantly increased BMSC proliferation.However, cells cultured on nanofibers treated for 10 min had no increase in proliferation compared with those cultured on untreated nanofibers.

Cell proliferation analyzed by the absorbance measured at 450 nm for the indicated samples for 1, 3, 5, and 7 days.
Expression profiles of osteogenic-specific genes
We analyzed the expression level of osteogenic-specific genes including RUNX2, BMP2, ALP, COL1A1, OPN, and OCN by qRT-PCR. As shown in Figure 6, RUNX2 was most highly expressed in BMSCs cultured on nanofibers treated for 5 min, with 5-fold (after 4 days) and 7-fold (7 days). Cells cultured on 10-min-treated samples showed less expression of RUNX2 than the 1-min-treated samples, but higher expression than those on the untreated nanofibers. BMP2 expression in BMSCs cultured on 5-min-treated nanofibers was increased to 2-fold and 4-fold after 4 and 7 days, respectively. Little difference in BMP2 expression was observed between the 1- and 10-min groups at 4 days, but its expression at 7 days in the 1-min group was much higher than the 10-min group. The expression of ALP, a marker of early osteogenic differentiation, reached up to 20-fold (4 days) and 32-fold (7 days) in the 5-min group. BMSCs cultured on the 1-min-treated nanofibers showed slightly higher ALP expression at 7 days (20-fold) than those on the untreated group, which was similar to the 10-min group (18-fold). The COL1A1, one of the major components of extracellular matrix and an early marker of osteogenic differentiation of BMSCs expression, was increased 16-fold in the 5-min group at 4 days and maintained a similar level (17-fold) at 7 days. At 4 days, COL1A1 expression was similar (12-fold) in BMSCs cultured on untreated, 1-, and 10-min groups. After 7 days, COL1A1 levels in the untreated and 10-min groups were similar to those in the 5-min group, but it was still relatively lower (14-fold) in the 1-min-treated samples. OPN is associated with cell proliferation and differentiation. The expression level of OPN at 4 days in untreated, 1-, 5-, and 10-min groups showed a 6-, 8-, 10-, and 8-fold up-regulation, respectively. After 7 days, OPN was up-regulated by 15-, 20-, 22-, and 18-fold. OCN is regarded as a crucial protein for mature osteoblasts. OCN expression in the 5-min group showed the highest increases (6-fold for 4 days and 10-fold for 7 days). After 7 days, the expression in the 1-min group was increased 6-fold, while it only increased 2-fold in the untreated group. Together, we found that OPN, OCN, RUNX2, and BMP2 showed similar trends in their increase in expression levels, while COL1A1 and ALP were more distinct. As shown in Figure 7, 2.5% agarose gel electrophoresis was performed to confirm the products of PCR.

Cells cultured on untreated or plasma-treated PLLA nanofibers for 1, 5, and 10 minutes under osteogenic conditions.

Images of the PCR products after electrophoresis through a 2.5% agarose gel.
ALP activity
As shown in Figure 8, the 5-min group had the highest ALP activity, which reached up to 4, 9, and 14 mU/mL after 2, 4, and 7 days, respectively. ALP activity in the 1-min group showed slightly lower activities of 3, 7, and 11 mU/mL, while there was no significant difference between the 10-min and untreated groups.

Quantification of ALP activity in culture supernatants of BMSCs after 2, 4, and 7 days cultured with osteogenic differentiation medium in the indicated groups.
Discussion
Surface energy is considered to be an important surface feature of biomaterials, affecting the cellular response. It is clear that hydrophilic surfaces promote better cell adhesion, spreading, and function compared to hydrophobic surfaces. Although electrospun PLLA nanofibers have been shown to be useful in tissue engineering and regenerative medicine, 14 their hydrophobic properties and surface inertia might limit their biomedical applications. 15 Low-temperature plasma treatment provides an effective method to modify the surface chemistry/energy of polymeric biomaterials, 21 and many reports have indicated that these modifications can affect cellular functions. 22
It was found that a low-temperature atmosphere plasma improved the surface hydrophilicity of electrospun PLLA nanofibers, and subsequently, played time-dependent effects on rat BMSCs osteogenic differentiation. The amino content on the surface of PLLA nanofibers was increased by plasma treatment in a time-dependent manner, which then proportionately increased the hydrophilicity of the surface. The BMSCs cultured on plasma-treated nanofibers spread better with a larger cellular area and proliferated faster compared with those on untreated ones. Unexpectedly, however, these cellular responses were not proportional to treatment times. In all cases, BMSCs cultured on nanofibers treated for 5 min exhibited the greatest spreading extent and the fastest growth. qRT-PCR analysis further confirmed that 5-min treatment group led to the highest expression of selected osteogenic marker genes. We also found ALP activity to be highest in BMSCs cultured on nanofibers with 5-min plasma treatment.
Therefore, low-temperature plasma is an effective strategy for modifying the surface features of PLLA nanofibers, which results in significant enhancement in cellular functions. Atmospheric oxygen and nitrogen were ionized through an electric discharge process, and active molecules such as O3, NO, and NO2 were abundantly produced. 23 These active molecules interacted with the nanofiber surfaces and generated functional groups, which can affect surface properties such as wettability. 17
It is widely held that the surface hydrophilicity of biomaterials is a property crucial to the governance of their biological activities. 15 Protein adhesion plays a pivotal role in the regulation of subsequent cell behaviors, 24 and this process of adhesion can be effected by the hydrophilicity of the biomaterial surface. 25 D’Sa et al. 18 reported that albumin binds to hydrophobic surfaces very strongly and irreversibly, preventing further attachment of other proteins, such as the extracellular matrix components, which are required for cell attachment. Andrade and Hlady 26 showed that cell adhesion and spreading involved a series of competitive protein adsorption events. They demonstrated that the adsorption of these proteins on the substrate was a prerequisite for cell adhesion, spreading, and proliferation. Hydrophilic surfaces contain a water layer and promotes reversible albumin adsorption, facilitates the attachment of proteins to the surface, and increases cell attachment and actin stress fiber formation. 18
Although low-temperature plasma treatment of PLLA nanofibers increased cell spreading and proliferation and the 10-min treatment of nanofibers generated the highest hydrophilicity, however, the cells cultured on these nanofibers had reduced spreading and proliferation compared to the 5-min-treated nanofibers. It is possible that plasma treatment for 5 min may only modify the outer surface of nanofibrous membranes, leading to protein enrichment where the membrane contacts with the cells. Longer treatment times might also modify the inner part of the membranes, which is a likely explanation of the immediate disappearance of the water droplet in the contact angle assay. This could lead to an accumulation of adsorbed protein in the interior of the membranes, effectively reducing their exposure to the cells.
The expression level of osteogenic-specific genes including RUNX2, BMP2, ALP, COL1A1, OPN, and OCN, and the activity of ALP were closely related to the morphological phenotypic behavior of the cells. BMSCs in the 5-min group exhibited the highest expression of all the selected genes and the highest ALP activity at the early differentiation stages of 4 and 7 days. This indicated that the 5-min plasma treatment of PLLA was the most effective to promote osteogenic differentiation of BMSCs. Aspects of BMSC morphology such as size and shape are closely related to the extent of BMSC differentiation and lineage determination.27–29 Peng et al. 30 reported that small BMSCs were associated with adipogenic differentiation of MSCs and large sizes favored osteogenic differentiation. Kumar et al. 13 illustrated that an elongated and highly branched shape is characteristic of osteogenic morphology, and this morphology could commit the BMSC differentiating into an osteogenic lineage. From 4 to 7 days, the expression level of all the selected genes in all the plasma treatment groups increased significantly, except for COL1A1, whose expression level was more static. This might be because COL1A1 is an early marker of BMSC differentiation, and its expression might be fully increased before 4 days in our system.
In addition to improved hydrophilicity, plasma treatment-induced chemical changes on the surfaces of PLLA nanofibers might also contribute to the enhanced behavior of rat BMSCs.31–36 Curran et al. 21 reported that amino-rich surfaces could promote osteogenic differentiation of MSCs both in basic and osteogenic induction conditions, and chondrogenesis was promoted by –COOH and –OH groups. Barradas et al. 17 also reported that amino assembled on the surface of biomaterials could improve osteogenesis of MC3T3-E1 cells. In short, the promotion of osteogenesis by amino-modified surfaces has been widely reported,37,38 and these were consistent with the enhanced osteogenic behavior of BMSCs in our study.
Conclusion
In conclusion, low-temperature atmosphere plasma treatment is an effective method to improve hydrophilicity of the electrospun PLLA nanofibers and to enrich amino groups on their surface. Optimization of plasma treatment time led to significant enhancement of cell behaviors, such as adhesion, proliferation, and osteogenic differentiation of BMSCs. Thus, low-temperature plasma treatment is a feasible technology for the improving the biocompatibility and osteogenic function of PLLA nanofibers, and is an exciting potential strategy for the surface modification of biomaterials.
Footnotes
Declaration of conflicting interests
The authors declare that there is no conflict of interest.
Funding
This study was supported by the National Basic Research Program of China (2012CB933900), National Natural Science Foundation of China (81171000), and the National High Technology Research and Development Program of China (2012AA022501).
