Immunomodulatory and Regenerative Synthetic Scaffolds for Wound Healing

(Substitutes for Bioengineered Skin)

The Joy Lab designs polyesters capable of directing immune cell polarization, thereby influencing the immune response. Such biomaterials, independently or in synergy with immune directing agents, are being used for the design of scaffolds for wound healing applications.

Chronic non-healing wounds, such as diabetic foot ulcers (DFUs), are a significant healthcare cost. About 30% of the 500 million diabetic patients worldwide will experience such ulcers in their lifetime. Diabetic wounds heal poorly due to a disruption in the normal progression from inflammation to proliferation and remodeling, which is caused by immune and cellular dysfunction, resulting in chronic wounds. The intricate coordination of cytokines, growth factors, and immune cells is crucial for effective healing, making the replication of this process in a medical product challenging. Current treatments for chronic wounds are cheap but ineffective cotton dressings, or expensive biological substitutes with good functionality but limited accessibility because of the high cost. Therefore, there is a significant unmet need for affordable, effective alternatives to support natural healing and tissue regeneration.

We are designing 3D-printed polyester scaffolds as substitutes for bioengineered skin, such as Apligraf. These scaffolds are designed to have the same wound healing and tissue regenerative capabilities as bioengineered skin but at a fraction of the cost. This can transform the management of diabetic wounds, infected wounds, and burn wounds.    

We have designed low-modulus polyesters that can be printed at low temperatures without the use of solvents, diluents, etc. We use Extrusion-based direct-write 3D printing (EDP) of therapeutic-encapsulated polyesters to create scaffolds tailored with multiple therapeutics that are released temporally and spatially to address the challenges of bacterial colonization, biofilms, and non-healing chronic wounds. Due to the tunability and ability to functionalize our polymers through chemical modifications, we have created scaffolds with high shape fidelity and printability of 3D printing scaffolds.

Beyond wound healing applications, we are utilizing our insight into the design of immunomodulatory biomaterials to address other challenges in tissue engineering and regenerative medicine. There is a significant need for soft, elastic, biodegradable biomaterials that can align with the native immune response and promote tissue regeneration. Our research examines the impact of these materials on immune cell interactions and applies our insight into various tissue engineering and drug delivery applications, including vascular function, hemostasis, neural interfaces, etc. 

Relevant publications from our lab:

Synergistic Effect of Physical and Chemical Cross-Linkers Enhances Shape Fidelity and Mechanical Properties of 3D Printable Low-Modulus Polyesters

Deliris N. Ortiz-Ortiz, Abdol Hadi Mokarizadeh, Maddison Segal, Francis Dang, Mahdi Zafari, Mesfin Tsige*, and Abraham Joy*. Biomacromolecules 2023, 24(11), 5091-5104

Synthesis, Rheology, and Assessment of 3D Printability of Multifunctional Polyesters for Extrusion-Based Direct-Write 3D Printing

Jain, Tanmay; Tsen, Yen-Ming; Tantisuwanno, Chinnapatch; Menefee, Joshua; Shahrokhian, Aida; Isayeva, Irada; Joy, Abraham*. ACS Appl.Polym. Mater. 2021, 3 (12), 2910-2920

Thread Size and Polymer Composition of 3D Printed and Electrospun Wound Dressings Affect Wound Healing Outcomes in an Excisional Wound Rat Model

Nun, Nicholas; Cruz, Megan A.; Jain, Tanmay; Tseng, Yen-Ming; Menefee, Joshua; Jatana, Samreen; Patil, Pritam S.; Leipzig, Nic D.; McDonald, Christine; Maytin, Edward; Joy, Abraham*.  Biomacromolecules 202021 (10), 4030-4042.

Introduction of Hydrogen Bonds Improves the Shape Fidelity of Viscoelastic 3D Printed Scaffolds While Maintaining Their Low-Temperature Printability

Liu, Qianhui; Jain, Tanmay; Peng, Chao; Peng, Fang; Narayanan, Amal; Joy, Abraham*;  Macromolecules 202053 (10), 3690-3699

Role of pendant side-chain length in determining polymer 3D printability

Jain, Tanmay; Clay, William; Tseng, Yen-Ming.; Vishwakarma, Apoorva; Narayanan, Amal; Ortiz-Ortiz, Deliris; Liu, Qianhui; Joy, Abraham*; Polym. Chem. 201910 (40), 5543-5554

Effect of Dexamethasone on Room Temperature Three-Dimensional Printing, Rheology, and Degradation of a Low Modulus Polyester for Soft Tissue Engineering

Jain, Tanmay; Saylor, David M.; Piard, Charlotte M. Liu, Qianhui; Patel, Viraj; Kaushal, Rahul; Choi, Jae-Won; Fisher, John P.; Isayeva, Irada; Joy, Abraham*; ACS Biomater. Sci. Eng. 2019, 5 (2), 846-858