Carbon 44 (2006) 1106–1111 www.elsevier.com/locate/carbon In vitro studies of carbon nanotubes biocompatibility J. Chłopek a b a,* , B. Czajkowska b, B. Szaraniec a, E. Frackowiak c, K. Szostak c,d, F. Béguin d AGH University of Science and Technology, Faculty of Materials Science and Ceramics, Department of Biomaterials, al. Mickiewicza 30, 30-059 Krakow, Poland Collegium Medicum of the Jagiellonian University, Department of Immunology, ul. Czysta 18, 31-121 Krakow, Poland c Poznań University of Technology, ul. Piotrowo 3, 60-965 Poznań, Poland d CRMD, CNRS-University, 1B rue de la Férollerie, 45071 Orléans Cedex 02, France Received 17 November 2005; accepted 22 November 2005 Available online 6 January 2006 Abstract Cellular tests have been applied to study the biocompatibility of high purity multiwalled carbon nanotubes (MWNTs). The viability of fibroblasts, osteoblasts and osteocalcin concentrations in osteoblasts cultures in the presence of nanotubes has been examined, as well as the degree of cells stimulation, based on the amount of released collagen type I, IL-6 and oxygen free radicals. The high level of viability of the examined cells in contact with the nanotubes, the slight increase of collagen formation, the lack of pro-inflammatory IL-6 cytokine as well as the induction of free radicals, confirm a good biocompatibility of nanotubes, which is similar to that of polysulfone currently used in medicine. The collagen synthesis induced on nanotubes by both fibroblasts and osteoblasts may be significant for future medical applications of nanotubes, in particular as substrates for the regeneration of tissues. 2005 Elsevier Ltd. All rights reserved. Keywords: Carbon nanotubes; Biocompatibility 1. Introduction Carbon nanotubes, due to their specific structure/texture and properties, may play a significant role in the development of carbon materials for medicine, the main body of which includes pyrocarbons, glassy carbon, carbon fibers, carbon–carbon composites, and diamond-like layers [1– 4]. The medical applications of these materials are determined by the following properties: biocompatibility in contact with blood, bone, cartilage and soft tissues; biofunctionality understood as the ability of taking over certain functions of tissues by a mutual adjustment of implants and tissues properties [5–7]. Fields of current applications of carbon biomaterials are given in Table 1. * Corresponding author. Fax: +48 12 633 15 93. E-mail address: chlopek@uci.agh.edu.pl (J. Chłopek). 0008-6223/$ - see front matter 2005 Elsevier Ltd. All rights reserved. doi:10.1016/j.carbon.2005.11.022 The electronic structure and the surface morphology of carbon nanotubes, which probably determine their biocompatibility, are typical of graphite-like structures [11]. They can be distinguished by a tubular construction in the nanometer range and by high strength and Young modulus [12]. The combination of these properties may open new fields of application, including those in medicine. Like other fibrous materials, nanotubes can be used as substrates for the regeneration of tissue. Due to their high electrical conductivity, the latter process can be additionally assisted by electrostimulation during the cell cultures and the tissue formation [13]. Two forms of carbon nanotubes can exist: single-wall (SWNTs) and multiwalled (MWNTs) [14,15]. They can be open-ended after specific chemical treatments [16], or may have closed tips. In the latter case they may be used as biosensors [17]. The accessible canals of open-ended nanotubes may facilitate the migration of metabolites or J. Chłopek et al. / Carbon 44 (2006) 1106–1111 1107 Table 1 Examples of applications of carbon biomaterials [8–10] Type of material Function Type of implant Area of medicine Carbon–carbon composites Braided carbon fibers Bone fixation Tissue knitting, reconstruction of joint ligaments and tendons Filling bone and cartilage losses Coating of metal implants—corrosion protection Blood flow regulation Screws, plates, nails, stems of endoprosthesis Surgical sutures, ligament and tendon’s prosthesis Bone surgery Orthopedics Disks and rings Joint endoprosthesis, screws Bone surgery Bone surgery Heart valves Cardiology Unwoven carbon fabric Coatings of diamond-like carbon (DLC) Glassy carbon growth agents, and may also be used as a drug carrier [18]. Very good mechanical properties, the possibility of surface machining as well as the ability to form functional groups constitute good fundaments for the use of nanotubes in the fabrication of composite materials. The possibility of forming composites with polymer matrices, both biostable (polysulfone, PEEK), and bioresorbable (PLA, PGLA, co-polymers) is of particular importance in the case of medical applications [19–21]. This opens opportunities for the manufacture of multifunctional implants useful in many areas of medicine. However, with resorbable polymers, the relation between the resorption time and the time of tissue healing is of significant importance. A too high resorption rate may lead to a release of nanotubes from the composite materials into the living body. In the case of the ceramic matrix composites, an improvement of the fracture toughness can be expected, which may be particularly important in the case of manufacturing reinforced nanostructure ceramics. The nanocomposite system of nanotubes reinforced hydroxyapatite [22] may be included in this category. The use of the advantages of nanotubes in medical applications, particularly their tubular morphology and their excellent electrical and mechanical properties relies heavily on their biocompatibility. Although both the nature of carbon and positive experiences to date with various forms of carbon would suggest also a good biocompatibility of nanotubes, basic cellular tests must be performed in order to allow projects and application works to be opened in medicine. In the present work, the viability of fibroblasts, osteoblasts and osteocalcin concentrations in osteoblasts cultures in the presence of high purity multiwalled carbon nanotubes (MWNTs) has been examined, as well as the degree of cells stimulation, based on the amount of released collagen type I, IL-6 and oxygen free radicals. MWNTs, free of any disordered carbon, that makes the purification very easy by simple dissolution of the catalyst precursor in HCl. The elemental analysis on the purified material gives: C = 96 wt%, H = 0.85 wt%, Mg = 200 ppm and Co = 2 wt%. The low magnesium and cobalt content shows that the treatment in hydrochloric acid is very efficient. The structure and texture of the purified carbon nanotubes was controlled by scanning electron microscopy (SEM, Hitachi S 4200) and transmission electron microscopy (TEM, Philips CM 20). For the TEM observations, the samples were ground in ethanol and dropped over a copper holey grid covered by amorphous carbon. The SEM picture presented in Fig. 1 shows a very dense and entangled network of nanotubes, where graphitic particles, disordered carbon and nanocapsules are completely absent. The TEM observation (Fig. 2) demonstrates that this material consists exclusively of multiwalled nanotubes. The high-resolution images show that the central canal is quite well defined (from 2 to 5 nm in diameter) and the walls consist of an average number of 10–15 continuous layers oriented in parallel to the tube axis. Most of the carbon nanotubes have closed tips and for only few of them cobalt particles are encapsulated near the tip or inside the canal. The histogram of the outer diameters (Fig. 3) shows a good calibration of the carbon nanotubes, with outer diameters mostly in the range from 10 to 15 nm. The histogram of the inner diameters (diameters of the central canal), ranges mainly in a narrow range from 2 to 5 nm. 2. Experimental 2.1. Preparation and characterization of the nanotubes In our experiments, we used high purity multiwalled carbon nanotubes (MWNTs) prepared by catalytic decomposition of acetylene on a CoO/MgO solid solution catalyst, according to the process described in Refs. [23,24]. This process allows a large scale and selective production of Fig. 1. SEM micrograph of the purified nanotubes produced by the catalytic decomposition of acetylene at 600 C over the CoO/MgO solid solution. 1108 J. Chłopek et al. / Carbon 44 (2006) 1106–1111 with nanotubes. The level of secreted collagen type I, IL-6 and osteocalcine was also defined. The degree of macrophages activation to secrete free radicals under the influence of nanotubes was determined indirectly. The following cellular lines, from American Type Culture Collection (ATCC), and the media recommended by ATCC were used: Fig. 2. TEM image of the purified nanotubes produced by the catalytic decomposition of acetylene at 600 C over the CoO/MgO solid solution. Fig. 3. Histogram of the outer diameters of the purified carbon nanotubes produced by the decomposition of acetylene at 600 C over the CoO/MgO solid solution. Even if MWNTs with outer diameters up to 30 nm were observed during the TEM observations, it can be concluded that the inner diameter always remains in the same range, being probably more strictly controlled by the catalyst particle size. The above described nanotubes together with polysulfone PSU (C27H26O6S)n from Aldrich (molecular mass M = 26,000, glassy transition Tg = 190 C, density d = 1.24 g/cm3) have been used for the samples preparation. The choice of PSU resulted from its good biocompatibility (this polymer is currently used in medicine) and the necessity to manufacture a composite material, in which the nanotubes can modify the mechanical and biological properties. Polysulfone was dispersed in methylene chloride (CH2Cl2), poured onto a Petri platter and then covered with nanotubes. After solvent evaporation, a thin polymer film containing the nanotubes with a thickness of about 1.8 lm was obtained. A pure polysulfone film was used as a reference sample. 2.2. Cellular tests The cellular viability was determined after 24 h, 48 h and 7 day cultures in order to get an initial evaluation of the biocompatibility of pure polysulfone and polysulfone • Human osteoblastic line hFOB 1.19 ATCC CRL-11372 in 1:1 mixture of Ham’s F12 medium and Dulbecco’s modified Eagle’s medium with 2.5 · 10 3 mol l 1 L-glutamine and 0.3 mg/ml G418 with 10% of foetal bovine serum. • Human fibroblastic line HS-5 ATCC CRL-11882 in RPMI with 15% bovine serum. The cell cultures were run in 12-well plates at the bottom of which the samples of polysulfone and polysulfone with nanotubes were placed, and 2 cm3 of the cells suspension in the culture medium were added. The cultures were run in an incubator under 5% CO2/95% air atmosphere at 37 C (fibroblasts) or 34 C (osteoblasts) over 7 days. After 24 h, 48 h and 7 days, the viability of the cells was examined by Cell Titer 96 Aqueous One Solution Cell Proliferation Assay (Promega) [25]. The main reagent in this method contains a tetrazolium compound (MTS, 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)2-(4-sulfophenyl)-2H-tetrazolim, inert salt) and an electron coupling reagent (phenazin ethosulfate; PES). The MTS tetrazolium compound is bioreduced by the cells into a coloured formazan product which is soluble in the tissue culture medium. The quantity of formazan formed, measured by the absorbance at 490 nm, is directly proportional to the number of living cells in the culture. The results have been presented in percentage, adopting 100% of transmittance for reference cells, i.e. cultures without materials. The level of secreted collagen I (the protein constituting the building material of connective tissue as well as bones, skin and vessel walls) was determined together with the level of IL-6 cytokine (contributing in inflammation reactions) in the supernatant liquids over 7 day cultures of osteoblasts and fibroblasts. The ELISA (Enzyme-Linked Immunoabsorbent Assay) test was used with bioproducts and endogen reagents. In the case of 7-day cultures of osteoblasts, the level of osteocalcin, a protein specific of these cells contributing mainly in bone rearrangement, was determined in the supernatant liquids. The ELISA test was used, with the DSL10-7600 Active Human Osteocalcin Enzyme Linked Immunosorbant Assay Kit, produced by Diagnostic System Laboratories. The chemiluminescence of mouse peritoneum macrophages in RPMI with 15% foetal bovine serum was examined using a luminometer Lucy 1 (Anthos, Salzburg, Austria), in order to check if the tested nanotubes activate the macrophages to produce free radicals, which could prove their pathogenic character. 50 lg of nanotubes, 50 lg of carbon particles (carbonized phenol–formaldehyde J. Chłopek et al. / Carbon 44 (2006) 1106–1111 1109 resin) and opsonized with the mouse serum—zymosan— were added to the cells (at a concentration of 5 · 105), and photon emission was measured over a period of 60 min. 3. Results and discussion The examination of fibroblasts and osteoblasts viability on polysulfone films covered with nanotubes indicates a small decrease of the viability of all the examined cells, as compared to the viability obtained on pure polysulfone films (Fig. 4). This decrease may be related to the nature of the substance itself, as well as to its surface state. In the case of other carbon materials, the effect of their surface roughness on the cells viability was found to be of importance [26]. The same effect can be expected for the case of Fig. 4. Viability of fibroblasts and osteoblasts in contact with PSU and PSU + nanotubes: ((a) fibroblasts and (b) osteoblasts). The results represent the average ± SD of duplicates from 8 different experiments. Fig. 6. Production of collagen on PSU and PSU + nanotubes. The results represent the average ± SD of duplicates from 8 different experiments. polysulfone containing nanotubes. The profilographic tests presented in Fig. 5 confirm a higher degree of roughness for the samples covered with nanotubes. A similar good cellular behaviour of carbon nanofibers has already been observed [27,28]. The amount of collagen type I formed is slightly higher on PSU surfaces covered with nanotubes than on pure PSU, as particularly shown in Fig. 6 for fibroblasts and osteoblasts. These results are very encouraging for the application of nanotubes in tissue engineering. A more intensive collagen synthesis may lead to the regeneration of soft and bone tissues, where nanotubes may constitute an excellent substrate for their growth. The level of pro-inflammatory cytokine IL-6 has been also determined in the supernatants over the fibroblast cultures of the examined materials. The IL-6 can be characterized by multidirectional influences and is considered as one of the major factors regulating the defensive mechanisms. Its main role is to participate in the immune response, the blood formation and the inflammatory reactions, since it is the main stimulator for the generation of the acute phase proteins by liver. The IL-6 is generated mainly by macrophages, monocytes, and also by fibroblasts, endothelium cells and lymphocytes. An increased concentration of IL-6 in macrophages and fibroblasts cultures would point out a same level of stimulation of these cells as in the 50 pg/ml 40 30 20 10 0 Fb Fig. 5. Profilograms of PSU (a) and PSU + nanotubes (b). (Ra—Arithmetic mean roughness value.) PSU PSU+nanotubes Fig. 7. IL-6 release from fibroblasts cultured on PSU and PSU + nanotubes. The results represent the average ± SD of duplicates from 4 different experiments. 1110 J. Chłopek et al. / Carbon 44 (2006) 1106–1111 and osteoblasts may be significant for future medical applications of nanotubes, in particular as substrates for the tissue regeneration. The detrimental effects of a possible release of nanoparticles into the human body should be investigated in the future. References Fig. 8. Osteocalcin concentrations in osteoblasts culture. The results represent the average ± SD of duplicates from 4 different experiments. Fig. 9. Chemiluminescence of macrophages (Mf) stimulated with zymosan, carbon particles and nanotubes. inflammatory reaction [29]. In fact, Fig. 7 shows that there is not any induction of pro-inflammatory IL-6 by PSU and PSU with nanotubes. The same effect was observed for osteocalcin released from osteoblasts (Fig. 8). The presence of nanotubes does not affect the osteocalcin release. The amount of free radicals and the degree of cells stimulation has been measured by the chemiluminescence method. The aim of this test was to find out whether the macrophages might undergo activation and release free radicals in contact only with carbon nanotubes, or with carbon particles of size similar to nanotubes. As shown in Fig. 9, neither the nanotubes, nor the carbon particles of similar dimension which were obtained by carbonization of phenol–formaldehyde resin, can activate the macrophages to release free radicals, which under specific circumstances could be toxic for both the surrounding cells and tissues. 4. Conclusion The cellular tests performed in this study confirm a good biocompatibility of nanotubes, which is similar to that of polysulfone currently used in medicine. The high level of viability of the examined cells in contact with the nanotubes, the unchanged level of osteocalcin released from osteoblasts, the lack of pro-inflammatory IL-6 cytokine as well as free radicals induction, point out a good cellular biocompatibility of nanotubes. 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