Silk fibroin, a structural protein of the Bombyx mori cocoons, is widely studied for biomedical applications because of its strong mechanical... Show moreSilk fibroin, a structural protein of the Bombyx mori cocoons, is widely studied for biomedical applications because of its strong mechanical property, biocompatibility, low degradation rate and ease of processing. In this study, we incorporated functionalized CNT in silkworm silk proteins to generate biocomposite fibers by electrospinning. The electro-spun (E-spun) fibers were unidirectionally aligned with a diameter at the sub-micrometer scale, mimicking the locally oriented ECM proteins in native tissues. The addition of a minute amount of CNT not only reinforced the stability and the mechanical strength of the flexible scaffolds, but also rendered the fibers electrical conductivity to not only facilitate the E-spun fiber formation but also grant the fibers an additional functionality that can be utilized for cell stimulation. It is known that endogenous electric field is present in the human body at various locations and plays critical physiological roles through its effect on cell proliferation, migration and activation mediated by its interference with growth factor secretion and intracellular signaling pathways. Electrical stimulation (ES) has been widely investigated as a potential method to regulate cell functions for the treatment of a number of diseases. It has been reported that in dermal fibroblasts, ES induces the secretion of FGF-1 and FGF-2 which promotes cell proliferation, contraction, migration, and activation/differentiation into myofibroblasts for increased collagen synthesis in favor of tissue repair. In this work, the modulation effect of the aligned E-spun SWS-CNT fibers was examined by their application in inducing polarization and activation of fibroblasts with cellular deficit, like those from pelvic organ prolapse (POP) patients. These cells are characterized by low productivity of collagen with abnormally high COLI/COLIII ratio, leading to a loose and fragile collagen network, decreased integration among the tissue constituents and reduced tissue strength. Electrical stimulation boosted the collagen productivity by 20 folds in cells on silk-CNT than on pure silk due to silk-CNT’s high electrical conductivity. The developed approach can be potentially utilized to remedy the dysfunctional fibroblasts for therapeutic treatment of diseases and health conditions associated with collagen disorder. Show less
