Attachment and Growth of Fibroblast Cells on Poly (2-Methoxyethyl Acrylate) Analog Polymers as Coating Materials

: The regulation of adhesion and the subsequent behavior of ﬁbroblast cells on the surface of biomaterials is important for successful tissue regeneration and wound healing by implanted biomaterials. We have synthesized poly( ω -methoxyalkyl acrylate)s (PMC x As; x indicates the number of methylene carbons between the ester and ethyl oxygen), with a carbon chain length of x = 2–6, to investigate the regulation of ﬁbroblast cell behavior including adhesion, proliferation, migration, differentiation and collagen production. We found that PMC2A suppressed the cell spreading, protein adsorption, formation of focal adhesion, and differentiation of normal human dermal ﬁbroblasts, while PMC4A surfaces enhanced them compared to other PMC x As. Our ﬁndings suggest that ﬁbroblast activities attached to the PMC x A substrates can be modiﬁed by changing the number of methylene carbons in the side chains of the polymers. These results indicate that PMCxAs could be useful coating materials for use in skin regeneration and wound dressing applications. induce a greater spreading of cells, protein adsorption, focal adhesion formation, migration, expression of α -SMA on NHDFs, and collagen production. By contrast, the activation of NHDF adhered to PMC2A was lower than that adhered to other PMC x As. According to the analysis of ﬁbroblast behavior regulation, PMC x As show promise as coating materials for biomaterials, such as biodegradable mesh-like materials for applications in wound healing.


Introduction
Coatings on implanted biomaterials play a pivotal role in regulating biological reactions after implantation [1,2]. Various coating approaches such as covalent and physically adsorbed coating have been developed to reduce biological reaction and improve biocompatibility [3,4]. To ensure biocompatibility, it is critical to control the contact between the biomaterial surface and biological components, including proteins and cells [5]. Cell adhesion and growth on biomaterials are indicators of biocompatibility, as these behaviors are involved in the adsorbed biological components and biological response on the surface of the biomaterial [6,7]. Therefore, in order to develop better biomaterials, it is necessary to understand the regulation of cell adhesion and its subsequent behavior on the implant surface. The selection of a suitable surface for the implanted biomaterials is also an important issue from the perspective of cell-material interactions. The interactions between the surface of biomaterials and cells are responsible for regulating cell fate and tissue regeneration.
Fibroblasts play an important role in tissue remodeling and wound healing [8,9]. Because their functions are related to the epidermal proliferation, differentiation, and formation of extracellular matrix (ECM), fibroblast regulation is linked to the integration or disintegration of biomaterials in tissue engineering and wound healing [8]. In the

Contact Angle Measurement
The contact angles of each prepared polymer substrate were measured using two techniques: sessile water droplet and captive air bubble. The droplet method was executed by placing 2 µ L of water droplets on the five positions of the substrate. For captive bubble measurement, the prepared polymer substrates were immersed in water for 24 h. Then, 2 μL of air bubbles were injected at the three positions beneath the substrate.

Cell Attachment and Proliferation Assays
Cell proliferation assays were performed using 24-well plates. For the proliferation assay, NHDFs were cultured on each PMCxA-coated PET substrate (φ = 14 mm) at a density of 5 × 10 3 cells/cm 2 for 24, 96, and 168 h. All substrates were pre-soaked in phosphatebuffered saline (PBS) () and incubated for 1 h at 37 °C prior to cell seeding. After the specified incubation time, the number of cells was determined from a standard curve prepared using the colorimetric WST-8 assay (Dojindo Laboratories, Kumamoto, Japan). The calcein reagent (Thermo Fisher Scientific, Rockford, IL, USA) was used to stain living cells after 24 h of cultivation. Fluorescence images were captured to observe living cells.

Contact Angle Measurement
The contact angles of each prepared polymer substrate were measured using two techniques: sessile water droplet and captive air bubble. The droplet method was executed by placing 2 µL of water droplets on the five positions of the substrate. For captive bubble measurement, the prepared polymer substrates were immersed in water for 24 h. Then, 2 µL of air bubbles were injected at the three positions beneath the substrate.

Cell Attachment and Proliferation Assays
Cell proliferation assays were performed using 24-well plates. For the proliferation assay, NHDFs were cultured on each PMCxA-coated PET substrate (ϕ = 14 mm) at a density of 5 × 10 3 cells/cm 2 for 24, 96, and 168 h. All substrates were pre-soaked in phosphate-buffered saline (PBS) (−) and incubated for 1 h at 37 • C prior to cell seeding. After the specified incubation time, the number of cells was determined from a standard curve prepared using the colorimetric WST-8 assay (Dojindo Laboratories, Kumamoto, Japan). The calcein reagent (Thermo Fisher Scientific, Rockford, IL, USA) was used to stain living cells after 24 h of cultivation. Fluorescence images were captured to observe living cells.

Quantification of Adsorbed Protein on Polymer Substrates
The amount of total adhered proteins was measured by performing a bicinchoninic acid assay with the micro-BCA protein assay kit (Thermo Fisher Scientific, Rockford, IL, USA) according to the manufacturer's instructions. All polymer substrates with a diameter of 30 mm were used in this experiment. First, the substrates were pre-soaked in PBS (−) for 1 h at room temperature. Then, protein solution (10 µg/mL in PBS (−)) was added to each well and incubated for 1 h at 37 • C. After protein adsorption, the substrates were rinsed three times with PBS. Next, 5% (w/v) sodium dodecyl sulfate (SDS) (Bio-Rad Laboratories, Tokyo, Japan) and 0.1 M NaOH solutions were added to 6-well plates and incubated at 37 • C for 2 h. The surface of the substrate was scratched using a cell scraper to peel off the adsorbed protein from the substrate. Finally, the extracted protein solution was mixed with BCA solution to measure the absorbance at a wavelength of 562 nm. The amount of adsorbed protein was calculated using the standard curve.

Cell Migration Test
Cell migration experiments were performed in 6-well plates. First, NHDFs were cultured on PMCxA-coated substrates (ϕ = 30 mm) at 1 × 10 4 cells/cm 2 in 6-well plates and incubated at 37 • C. Then, the cell monolayer surface was scratched using a rubber cell scraper. Finally, cell migration was observed at 0, 24, and 48 h after the scratch and the images were captured using a phase-contrast microscope. The migration area was determined using Image J software and estimated as (A 0 − A t ), where A 0 is the initial wound area and A t is the wound area at the desired time (t). Then, the migration area was plotted against migration time, and finally, the rate of migration was calculated from the slope of this curve as slope/2l, where l is the length of the wounded region [34].

Collagen Production Measurement
NHDFs-secreted collagen was quantified using a collagen assay kit. For this experiment, the cells were seeded at a density of 2 × 10 4 cells/cm 2 . L (+)-ascorbic acid sodium salt (1 mM) (Fujifilm Wako Pure Chemical Corporation, Osaka, Japan) was added as a supplement after 24 h of incubation at 37 • C to increase collagen production [35,36]. The media were collected after 7 days of cell culturing with supplements. The amount of collagen was normalized to the DNA concentration, as determined by the Picogreen assay (Thermo Fisher Scientific, Rockford, IL, USA).

Statistical Analysis
Data from at least three separate tests are presented as the mean ± standard deviation (SD). Significance tests were performed using one-way analysis of variance (ANOVA) followed by Tukey's post hoc test for multiple comparisons. Statistical significance was set at p < 0.05.

Physicochemical Properties of PMCxA-Coated Substrates
Poly(ω-methoxyalkyl acrylate)s (PMCxAs; where x indicates the number of methylene carbons between the ester and ether oxygen) was synthesized following a previously reported method [33]. PMCxAs with a carbon chain length of x = 2-6 were used. PMC2A has the same chemical structure as PMEA. As per the previous report, the physicochemical properties, including molecular weight (M n ), glass transition temperature (T g ), IW content, and NFW content, were determined (Table 1). T g , the transition temperature of the polymer from the glassy state to the rubbery state, is ascribed to the mobility of the polymer chain [37]. T g decreased with an increasing length of the alkyl side chain under both dry and wet conditions, suggesting that the mobility of the polymer chains increased with the length of the alkyl side chain. Under wet conditions, the T g values of PMCxAs were lower than those under dry conditions. The values of T g decreased in the following order: PMC2A > PMC3A > PMC4A > PMC5A > PMC6A. Because the hydration of the polymer influences T g , we calculated the hydration water content, such as IW and NFW, in PMCxAs [33]. The hydration water content of PMCxAs showed a steady decrease in the amount of IW along with the amount of NFW upon the introduction of the hydrophobic methylene carbon in the side chain.
To evaluate the cell adhesion behavior on PMCxAs, PMCxA-coated PET substrates were fabricated using spin-coating methods. Because the hydrophilicity on the surface is one of the parameters to modulate cell behavior, PMCxA-coated substrates were characterized by evaluating the contact angle to determine the hydrophilicity on the surface ( Table 2). The contact angle values derived from each polymer-coated substrate were distinct from those of the uncoated PET substrate (86.4 • in air and 129.2 • in water), indicating that every polymer was coated properly. In the case of the sessile drop technique, the water contact angle increased with an increasing side chain alkyl length, suggesting that the hydrophilicity of polymers decreased with increasing side chain alkyl length. The contact angle values obtained with the captive air bubble method showed similar tendencies as the sessile water drop, indicating that the hydrophilicity of the hydrated PMCxAs was similar before hydration. Therefore, the physicochemical properties of the PMCxAs showed that the side chain length affected the properties of the polymers.
a Sessile water drops method by placing a 2 µL water droplet for 30 s and a captive air bubble method by placing 2 µL air bubble on the substrates immersed in water for 24 h.

Cell Attachment and Proliferation Assay
In the field of designing and improving biomaterials, the capacity for cell attachment is considered an important factor. The physicochemical properties of the surface affect the behavior of adhered cells on the substrates, including proliferation, cell signaling pathways, and cell differentiation [38]. Initially, we examined NHDFs' morphology on each PMCxA substrate at 24 h. To visualize adhered NHDFs, they were stained using a calcein reagent, as shown in Figure 2a. Most of the adhered NHDFs on every substrate showed green fluorescence signals attributed to living cells. The cells were found to spread on uncoated PET substrate as well as on PMC4A, PMC5A, and PMC6A-coated substrates after 24 h of culture. In contrast, on the PMC2A-and PMC3A-coated substrates, cells retained their circular shape. In addition, the number of adhered cells on PMCxA substrates at a predetermined time was measured using the colorimetric WST-8 assay, as shown in Figure 2b. Over 60% of the initially seeded cells adhered to the uncoated PET, PMC4A, PMC5A, and PMC6A-coated substrates within 24 h. The number of adhered cells on the PMC4A was approximately 76% of initially seeded cells and the highest among all substrates. The PMC2A and PMC3A significantly reduced the number of attached cells compared to other substrates. After 96 h and 168 h of incubation, the number of cells on the substrates decreased in the following order: PMC4A > PMC6A > PMC5A > PET > PMC3A > PMC2A. Although there was an almost two-fold increase in the number of adhered cells on all substrates at 96 h, it showed a five-fold and a seven-fold increase on PMC2A and PMC4A at 196 h, respectively. Therefore, the proliferation of cells on PMC2A was significantly lower than that on PET and other substrates at all time intervals, while the proliferation of cells on PMC4A was significantly higher than that of other substrates. pared to other substrates. After 96 h and 168 h of incubation, the number of cells on the substrates decreased in the following order: PMC4A > PMC6A > PMC5A > PET > PMC3A > PMC2A. Although there was an almost two-fold increase in the number of adhered cells on all substrates at 96 h, it showed a five-fold and a seven-fold increase on PMC2A and PMC4A at 196 h, respectively. Therefore, the proliferation of cells on PMC2A was significantly lower than that on PET and other substrates at all time intervals, while the proliferation of cells on PMC4A was significantly higher than that of other substrates. Guerra et al. reported that the stiffness of the substrate has an impact on cellular behavior [39]. In their study, MC3T3-E1 cells were cultured on substrates coated with poly(n-alkyl acrylate)s with various lengths of side-chain alkyl groups with different mechanical stiffnesses. The substrate stiffness declined linearly with an increasing side chain alkyl length, leading to better cellular interactions on the stiffer substrate compared to the flexible substrate. In our results, we found that the cell adhesion and proliferation of Guerra et al. reported that the stiffness of the substrate has an impact on cellular behavior [39]. In their study, MC3T3-E1 cells were cultured on substrates coated with poly(n-alkyl acrylate)s with various lengths of side-chain alkyl groups with different mechanical stiffnesses. The substrate stiffness declined linearly with an increasing side chain alkyl length, leading to better cellular interactions on the stiffer substrate compared to the flexible substrate. In our results, we found that the cell adhesion and proliferation of NHDFs were modulated on the substrates coated with PMCxAs, of which the chemical structures were similar to the methoxy groups at the side chains. This suggests that the mechanical stiffness of substrates based on the side chain of PMCxAs might be one of the factors affecting cell adhesion and proliferation, although the stiffness of the surface of PMCxA coatings has not been measured in the present study. However, PMC4A exhibited excellent cell adhesion behavior and proliferation (Figure 2a). The physicochemical properties, such as wettability, surface energy, the balance of hydrophilicity and hydrophobicity, roughness, polymer chain mobility, chemical functionalities, and hydration water content, are known to affect cell behavior [16,40]. Since PMCxA altered these properties, the cells adhered to the PMCxAs would be influenced by the balance of the hydrophilicity and hydrophobicity of polymers, and the hydration water content of polymers.

Quantification of Adsorbed Protein on Polymer Substrates
The amount and conformational changes of adsorbed proteins, such as FN and vitronectin, are another important factor that may be involved in the cell attachment process [41,42]. The amount of adsorbed FN on the substrates is likely to affect NHDFs' adhesion. Therefore, the amount of adsorbed FN on the PMCxA-coated substrate was analyzed, as shown in Figure 3. The amount of adsorbed FN on the substrates increased with an increase in the carbon length up to PMC4A but decreased for PMC5A and PMC6A compared to PMC4A. The amount of adsorbed FN on PMC2A was significantly lower, while that on PMC4A was significantly higher than that on PET and other substrates, except for PMC6A. Considering the number of adhered NHDFs on the PMCxA substrates, the adsorbed FN on PMC4A enhanced the adhesion and proliferation of NHDFs, whereas PMC2A suppressed NHDFs' adhesion. Our group has previously clarified that the presence of IW within or on the hydrated polymer surface acts as a repulsive barrier between the proteins and the substrate, leading to poor interactions between them [9,10]. A previous study on a PMEA analog PMCxA-coated substrate demonstrated that the amount of adsorbed fibrinogen increased as the side chain increased, implying that hydrophobicity was an essential factor [33]. Moreover, another study indicated that the enhancement of the adsorbed protein layer was correlated with the mobility of the polymer surface [37]. Therefore, the FN adsorption was also modulated by hydration water, the balance of hydrophilicity and hydrophobicity, and polymer mobility.
PMCxA coatings has not been measured in the present study. However, PMC4A exhibited excellent cell adhesion behavior and proliferation (Figure 2a). The physicochemical properties, such as wettability, surface energy, the balance of hydrophilicity and hydrophobicity, roughness, polymer chain mobility, chemical functionalities, and hydration water content, are known to affect cell behavior [16,40]. Since PMCxA altered these properties, the cells adhered to the PMCxAs would be influenced by the balance of the hydrophilicity and hydrophobicity of polymers, and the hydration water content of polymers.

Quantification of Adsorbed Protein on Polymer Substrates
The amount and conformational changes of adsorbed proteins, such as FN and vitronectin, are another important factor that may be involved in the cell attachment process [41,42]. The amount of adsorbed FN on the substrates is likely to affect NHDFs' adhesion. Therefore, the amount of adsorbed FN on the PMCxA-coated substrate was analyzed, as shown in Figure 3. The amount of adsorbed FN on the substrates increased with an increase in the carbon length up to PMC4A but decreased for PMC5A and PMC6A compared to PMC4A. The amount of adsorbed FN on PMC2A was significantly lower, while that on PMC4A was significantly higher than that on PET and other substrates, except for PMC6A. Considering the number of adhered NHDFs on the PMCxA substrates, the adsorbed FN on PMC4A enhanced the adhesion and proliferation of NHDFs, whereas PMC2A suppressed NHDFs' adhesion. Our group has previously clarified that the presence of IW within or on the hydrated polymer surface acts as a repulsive barrier between the proteins and the substrate, leading to poor interactions between them [9,10]. A previous study on a PMEA analog PMCxA-coated substrate demonstrated that the amount of adsorbed fibrinogen increased as the side chain increased, implying that hydrophobicity was an essential factor [33]. Moreover, another study indicated that the enhancement of the adsorbed protein layer was correlated with the mobility of the polymer surface [37]. Therefore, the FN adsorption was also modulated by hydration water, the balance of hydrophilicity and hydrophobicity, and polymer mobility.

Immunocytochemical Assay
The physicochemical properties and adsorbed proteins on the biomaterial surface affect cell adhesion behavior, cell signaling pathways, and cell differentiation. Focal adhesion plays a crucial role in transmitting mechanochemical signals, together with integrin clusters, providing strength between integrin and actin connections, and is a crucial factor in tissue regeneration, maintenance, and repair via cell signaling for direct cell migration, proliferation, and differentiation [43]. Therefore, cell morphology and the formation of focal adhesions in cells are initial indicators of cell signaling pathways with cell adhesion on biomaterial surfaces. Immunocytochemical assays for F-actin and vinculin were conducted to evaluate the cellular functions of adhered NHDFs on the substrates (Figure 4a). Focal adhesions were identified via the localization of actin filaments and vinculin [44]. NHDFs were found to be entirely spread on PET, and several focal adhesions in the cells were observed on the PET through the thicker extension of actin filaments and the observation of vinculin localization at the tip of actin filaments as a dot. However, on the PMC2A-and PMC3A-coated substrates, actin, and vinculin were not fully developed, suggesting that very few focal adhesions were observed on PMC2A and PMC3A. Although the shape of the NHDFs showed spreading on PMC4A, PMC5A, and PMC6A, focal adhesion with denser actin filament extension and vinculin localization was significant on the NHDFs adhered to PMC4A compared to those on PMC5A and PMC6A. In addition, the cells adhered to a coated substrate of PMCxAs were calculated using confocal images for various parameters, including area, circularity, and aspect ratio (Figure 4b-d). The round shape of the cells was observed on PMC2A-and PMC3A-coated substrates because of the limited spreading area, high circularity, and low aspect ratio. Contrasting results, such as a larger spreading area, a low circularity, and a higher aspect ratio, were observed on the PMC4A-coated substrate. Typically, focal adhesions are known to occur through interactions between integrin and ECM proteins [45,46]. In our previous reports, protein adsorption has already been shown to be suppressed on PMEA analog-coated surfaces compared with tissue culture polystyrene (TCPS) [25,32]. Hence, because of the adsorption of a limited amount of ECM proteins, focal adhesion formation was suppressed on PMC2A-and PMC3A-coated substrates. In contrast, the strong focal adhesion of cells on the PMC4A-coated substrate was attributed to the higher amount of adsorbed FN (Figure 3).

Immunoblotting Studies
The adhesion of fibroblasts onto biomaterial surfaces is generally carried out through the interaction between α5β1 or αvβ3 integrins and the cell-binding motif of adhesive proteins [9,19]. Integrin signaling in fibroblasts is related not only to cell adhesion and proliferation but also to fibroblast differentiation. Fibroblasts differentiate into α-SMAexpressing myofibroblasts [47]. As a marker of fibroblast-to-myofibroblast differentiation, the expression of α-SMA has already been recognized, the differentiation of which plays a vital role in accelerating wound repair [21,48]. Snail and vimentin expression is also associated with fibroblast differentiation and proliferation [49,50]. To further clarify the cell behavior on the PMCxAs, we measured the differential expression of cytoskeletal proteins, which could be a phenotypic marker of myofibroblasts, such as Snail, α-SMA, and vimentin, by immunoblotting ( Figure 5). The ratio of band strength was calculated to assess the expression levels of proteins in cells (Figure 5b-d). Snail, α-SMA, and vimentin were more highly expressed in cells cultured on the PMC4A-coated substrate than in those cultured on other substrates. These results indicate that a robust integrin-dependent interaction between PMC4A and NHDF may induce myofibroblast differentiation. The function of FN in controlling cellular adhesion, migration, and differentiation has already been reported [42].

Cell Migration Test
The modulation of fibroblast-to-myofibroblast differentiation and fibroblast migration is essential for the development of wound dressing materials [51]. Cell migration is the directionality of cells migrating toward the wounded area. To evaluate whether PMCxA substrates could be utilized in wound healing, a migration test was performed using the scratch procedure. The migration of NHDFs, migration area, and healing rate in the wound region are shown in Figure 6a-c, respectively. Figure 6a shows that the area of the scratch was significant at 0 h, while the region decreased from 0 to 24 and 48 h. The migration area was found to increase over time (Figure 6b), which implies the migration of cells towards the wound via autocrine or paracrine mechanisms [51]. Figure 6c also shows that the migration rate of cells on the substrate coated with PMC2A (4.81 µm/h; slope from Figure 6b and PMC3A (5.72 µm/h) was lower than that on the other substrates. It is crucial that the cells on PMC4A substrates migrate rapidly to the scratched area, resulting in a rapid decline in the area (12.47 µm/h). For PMC5A-and PMC6A-coated substrates, cells also migrated to the scratched area. Although the migration rate was lower than that on PMC4A, the differences were not significant compared with those on PET and other substrates. The fibroblast-to-myofibroblast differentiation is attributed to the expression of a phenotypic marker of myofibroblasts and the increase in the migration of cells [49,50]. Therefore, it suggested that the increase in the migration of NHDFs on PMC4A was accompanied by the fibroblast-to-myofibroblast differentiation, whereas PMC2A suppressed the migration of NHDFs and the differentiation.

Immunoblotting Studies
The adhesion of fibroblasts onto biomaterial surfaces is generally carried out through the interaction between α5β1 or αvβ3 integrins and the cell-binding motif of adhesive proteins [9,19]. Integrin signaling in fibroblasts is related not only to cell adhesion and proliferation but also to fibroblast differentiation. Fibroblasts differentiate into α-SMAexpressing myofibroblasts [47]. As a marker of fibroblast-to-myofibroblast differentiation, the expression of α-SMA has already been recognized, the differentiation of which plays a vital role in accelerating wound repair [21,48]. Snail and vimentin expression is also associated with fibroblast differentiation and proliferation [49,50]. To further clarify the cell behavior on the PMCxAs, we measured the differential expression of cytoskeletal proteins, which could be a phenotypic marker of myofibroblasts, such as Snail, α-SMA, and vimentin, by immunoblotting ( Figure 5). The ratio of band strength was calculated to assess the expression levels of proteins in cells (Figure 5b-d). Snail, α-SMA, and vimentin were more highly expressed in cells cultured on the PMC4A-coated substrate than in those cultured on other substrates. These results indicate that a robust integrin-dependent interaction between PMC4A and NHDF may induce myofibroblast differentiation. The function of FN in controlling cellular adhesion, migration, and differentiation has already been reported [42].

Cell Migration Test
The modulation of fibroblast-to-myofibroblast differentiation and fibroblast migration is essential for the development of wound dressing materials [51]. Cell migration is the directionality of cells migrating toward the wounded area. To evaluate whether PMCxA substrates could be utilized in wound healing, a migration test was performed using the scratch procedure. The migration of NHDFs, migration area, and healing rate in the wound region are shown in Figure 6a-c, respectively. Figure 6a shows that the area of the scratch was significant at 0 h, while the region decreased from 0 to 24 and 48 h. The migration area was found to increase over time (Figure 6b), which implies the migration of cells towards the wound via autocrine or paracrine mechanisms [51]. Figure 6c also shows that the migration rate of cells on the substrate coated with PMC2A (4.81 μm/h; slope from Figure 6b and PMC3A (5.72 μm/h) was lower than that on the other substrates. It is crucial that the cells on PMC4A substrates migrate rapidly to the scratched area, resulting in a rapid decline in the area (12.47 μm/h). For PMC5A-and PMC6A-coated substrates, cells also migrated to the scratched area. Although the migration rate was lower than that on PMC4A, the differences were not significant compared with those on PET and other substrates. The fibroblast-to-myofibroblast differentiation is attributed to the expression of a phenotypic marker of myofibroblasts and the increase in the migration of cells [49,50]. Therefore, it suggested that the increase in the migration of NHDFs on PMC4A was accompanied by the fibroblast-to-myofibroblast differentiation, whereas PMC2A suppressed the migration of NHDFs and the differentiation.

Total Collagen Measurement
In wound healing, the function of collagen is associated with the attraction of fibroblasts and the secretion of new collagen at the injured location [52]. To verify the possibility of wound healing, it is important to determine whether the secretion of collagen from NHDFs is promoted on PMCxA-coated substrates. In this experiment, a comparatively higher density of NHDFs was plated on PMCxA-coated substrates to prevent prolifera-

Total Collagen Measurement
In wound healing, the function of collagen is associated with the attraction of fibroblasts and the secretion of new collagen at the injured location [52]. To verify the possibility of wound healing, it is important to determine whether the secretion of collagen from NHDFs is promoted on PMCxA-coated substrates. In this experiment, a comparatively higher density of NHDFs was plated on PMCxA-coated substrates to prevent proliferation and accelerate collagen growth. The concentration of secreted collagen from the cells was measured (Figure 7). Collagen secretion was significantly higher for substrates coated with PMC4A than for other substrates. Collagen secretion for PMC5A-and PMC6A-coated substrates was similar to that for PET. For PMC2A, however, a significantly lower collagen output was observed in NHDFs. Hence, it suggested PMC4A could recruit the fibroblast which secreted a large amount of collagen while the secretion of collagen from fibroblast was reduced by PMC2A. The regulation of the amount of collagen plays an important role in restoring the strength and function of wound tissue [52]. PMCxA may be utilized in the wound healing process to adjust the amount of collagen to be suitable for the tissue. In the present study, we revealed that PMC4A enhanced fibroblast-to-myofibroblast differentiation, cell migration, and collagen synthesis and secretion in adhered NHDFs, while PMC2A suppressed these functions in the cells. PMCxAs were polymers whose properties, such as hydrophobicity, Tg, and hydration water content, were modulated systematically with the change in the number of methylene carbons on the side chain. Several studies have reported that cell migration, proliferation, and differentiation are influenced by physicochemical properties such as stiffness and hydration water content on the substrates. Engler et al. demonstrated that mesenchymal stem cells migrated to stiffer regions on hydrogels with different degrees of stiffness, known as durotaxis [53,54]. Han et al. reported that vascular smooth muscle cells were perceived to migrate towards the low hydration side of poly(sodium 4-styrenesulfonate)/poly(diallyl dimethylammonium) chloride multilayers with swelling differences [55]. Evans et al. reported that cells can sense underlying stiff material through a soft layer at low (<10 µ m) thickness [56]. Because the thickness of the PMEA derivative polymer-coated layer, which was coated by almost the same procedure as used in the present study on the PET substrates and was determined to be around 80 nm, the effect of stiffness attributed to the PMCxA layer would not be predominant, but that of PET was [57]. Therefore, hydration water content, hydrophobicity, and mobility of PMCxAs might affect the NHDFs' behavior. We summarized the behavior of NHDFs adhered to the PMCxAs as shown in Figure 8. By changing the number of methylene carbons, PMCxAs-coating modulated the amount of adsorbed fibron- Figure 7. Total soluble collagen production by NHDFs on PMCxA substrates. The data represent the mean ± SD (n = 5, a p < 0.05 compared with PET, b p < 0.05 compared with PMC2A, c p < 0.05 compared with PMC3A, d p < 0.05 compared with PMC5A, e p < 0.05 compared with PMC6A; Tukey's multiple comparisons test).
In the present study, we revealed that PMC4A enhanced fibroblast-to-myofibroblast differentiation, cell migration, and collagen synthesis and secretion in adhered NHDFs, while PMC2A suppressed these functions in the cells. PMCxAs were polymers whose properties, such as hydrophobicity, T g , and hydration water content, were modulated systematically with the change in the number of methylene carbons on the side chain. Several studies have reported that cell migration, proliferation, and differentiation are influenced by physicochemical properties such as stiffness and hydration water content on the substrates. Engler et al. demonstrated that mesenchymal stem cells migrated to stiffer regions on hydrogels with different degrees of stiffness, known as durotaxis [53,54]. Han et al. reported that vascular smooth muscle cells were perceived to migrate towards the low hydration side of poly(sodium 4-styrenesulfonate)/poly(diallyl dimethylammonium) chloride multilayers with swelling differences [55]. Evans et al. reported that cells can sense underlying stiff material through a soft layer at low (<10 µm) thickness [56]. Because the thickness of the PMEA derivative polymer-coated layer, which was coated by almost the same procedure as used in the present study on the PET substrates and was determined to be around 80 nm, the effect of stiffness attributed to the PMCxA layer would not be predominant, but that of PET was [57]. Therefore, hydration water content, hydrophobicity, and mobility of PMCxAs might affect the NHDFs' behavior. We summarized the behavior of NHDFs adhered to the PMCxAs as shown in Figure 8. By changing the number of methylene carbons, PMCxAs-coating modulated the amount of adsorbed fibronectin, hydrophobicity, and hydration water content on the substrates, leading to the change in NHDFs' behavior. However, the cell behavior did not change with the increasing number of methylene carbons of PMCxAs, resulting in PMC4A bearing the intermediate properties among PMCxAs' significantly activated fibroblast behavior. Therefore, it suggested that there was an optimal value of parameters of polymer to activate the cells. The detailed mechanism of activation of cells by PMCxAs requires further investigation.

Conclusions
One aspect of modern medical treatment is the control of cellular behavior, including adhesion, recruitment, and differentiation on the implant surface to avoid biological rejection and accelerate tissue repair. Fibroblast cells have a variety of functions that are mainly involved in the secretion of several cytokines and matrix proteins in the regulation of the immune response and tissue regeneration [10]. Differentiated myofibroblasts from fibroblasts induce the production of matrix proteins that allow dermal regeneration [11]. In the present study, PMEA analog polymers (PMCxAs) were chosen as coating materials to control the cell adhesion and growth behavior of fibroblasts, as the series of polymers modulate hydrophobicity, hydration water content, and protein adsorption by increasing the number of methylene groups in the side chain. As a result, PMC4A coating was found to induce a greater spreading of cells, protein adsorption, focal adhesion formation, migration, expression of α-SMA on NHDFs, and collagen production. By contrast, the activation of NHDF adhered to PMC2A was lower than that adhered to other PMCxAs. According to the analysis of fibroblast behavior regulation, PMCxAs show promise as coating materials for biomaterials, such as biodegradable mesh-like materials for applications in wound healing.  The required function of wound healing materials is different for wound type, phase, and size [58]. In this regard, PMCxAs could tune the fibroblast behavior such as fibroblastto-myofibroblast differentiation, cell migration, and collagen synthesis and secretion with the number of methylene carbon on the side chain. Hence, PMCxAs are anticipated to be successful materials for use in wound healing, with the ability to modulate cellular function.

Conclusions
One aspect of modern medical treatment is the control of cellular behavior, including adhesion, recruitment, and differentiation on the implant surface to avoid biological rejection and accelerate tissue repair. Fibroblast cells have a variety of functions that are mainly involved in the secretion of several cytokines and matrix proteins in the regulation of the immune response and tissue regeneration [10]. Differentiated myofibroblasts from fibroblasts induce the production of matrix proteins that allow dermal regeneration [11]. In the present study, PMEA analog polymers (PMCxAs) were chosen as coating materials to control the cell adhesion and growth behavior of fibroblasts, as the series of polymers modulate hydrophobicity, hydration water content, and protein adsorption by increasing the number of methylene groups in the side chain. As a result, PMC4A coating was found to induce a greater spreading of cells, protein adsorption, focal adhesion formation, migration, expression of α-SMA on NHDFs, and collagen production. By contrast, the activation of NHDF adhered to PMC2A was lower than that adhered to other PMCxAs. According to the analysis of fibroblast behavior regulation, PMCxAs show promise as coating materials for biomaterials, such as biodegradable mesh-like materials for applications in wound healing.

Data Availability Statement:
The data presented in this study are available on request from the corresponding author.