1. Introduction
One of the best designers in tissue engineering is nature. In this regard, there are multiple examples of natural designs that range from osseous structures, with high strength and sufficient flexibility without becoming brittle, to veins and arteries, which are elastomeric and flexible without being feeble. However, despite the healing capacity of the human body, the appearance of lesions and pathologies cannot be excluded. In this context, the field of research of tissue engineering must be highlighted, whose general purpose is to improve the quality of life in human beings, together with other more relevant aspects such as the reduction in costs when treating diseases, and the improvement, in general, of health care. An important approach in this area is the use of polymers as biomaterials to regenerate functional tissues or medical devices for implants. From the first syringe made with synthetic materials in 1955 [
1] to the more and more sophisticated complex polymeric materials, this interdisciplinary field has experienced exponential growth since the 1990s, but much more still needs to be accomplished through the development of new materials with potential applications in regenerative tissue engineering in general, and, in particular, for bone regeneration. It must be noted that, since the early 1960s, synthetic polymers have been an important part of contemporary society. In addition to the well-known applications in multiple fields of daily life of polymers, it is necessary to point out that one of the greatest revolutions has transpired in the field of medicine [
2].
Polymers used as biomaterials must possess a combination of specific features, such us adequate mechanical properties and convenient topography, all directed towards the improvement of cell adhesion. Furthermore, biomaterials must have the ability to stimulate the cell diversity and differentiation for renewing damaged tissues, avoiding harmful effects in living tissues along with good long-term biocompatibility in vivo [
3,
4,
5]. In summary, the main purpose of this field is to develop functional substitutes for injured tissues with a specific criterion in terms of biocompatibility, biodegradability, maintaining suitable mechanical properties and, overall, allowing adhesion, cellular growth and proliferation followed by differentiation of cells on their surfaces, to achieve the possibility to be fused with the body’s own tissue in combination with nontoxicity [
6].
One of the most popular synthetic biocompatible polymers is polycaprolactone (PCL) [
7,
8]. This polymer, defined as a semi-crystalline aliphatic biodegradable polyester [
9,
10], can be found in a long number of medical devices, and it is considered as one of the most investigated biocompatible synthetic aliphatic polyesters due to its excellent properties, which allows its application in the biomedical field, such as for drug delivery systems or tissue engineering [
11]. Among its properties, its biocompatibility and ductility should be highlighted due to a low glass transition temperature (Tg) of −60 °C, which results in easy processability by extrusion, melt spinning or injection moulding. In contrast, it has relatively low mechanical strength, which can be a limiting factor in some practical applications. Nevertheless, it must be pointed out that applications of PCL [
12] could be limited in terms of its degradation and resorption kinetics in a physiologic environment, showing a relatively low weight loss (<5%) in the first 25 weeks [
13], which is considerably slower than other aliphatic polyesters on account of their hydrophobic character and high crystallinity index that limit the capacity of water to enter in the polymer network. This fact implies that its potential applications in a biomedical field overall are restricted [
14,
15,
16].
Despite this, there are multiple studies where PCL is used as a biomaterial for bone repair itself or following the strategy of blending with another biocompatible synthetic polymer [
17,
18]. This is a useful method for obtaining a desirable combination of properties that are often missing in the single polymers individually or together with other advantages in terms of cost effectiveness and low preparation time by changing the blend composition. An example of this strategy is the obtention of PCL and PMMA (polymethyl methacrylate) blends when considering biomedical applications [
19], that make use of the properties of PMMA, a rigid polymer with good biocompatibility, and one of the often-used polymers in biomedical engineering (contact lenses or bone implants) [
20] with successful cell migration and proliferation [
21]. This is frequently used for permanent tissue substitution surgery, despite not being biodegradable.
In recent years, another biocompatible polymer, PEC, has emerged as an alternative biodegradable polymer. PEC is an aliphatic polycarbonate that possesses good biodegradability and biocompatibility in the in vivo environment which has been extensively studied [
22], and it is one of the few polymers reported which exhibits a rapid bio absorption in vivo through enzymatic activity without undesirable side effects [
23,
24]. This indicates that PEC and its degradation subproducts are biocompatible and induce wound healing responses [
25]. An absence of any commercial medical application of PEC can be observed, which must be attributed to several factors such as their physical properties and difficulties in the polymer processing. For this reason, PEC is presented as an alternative biodegradable polymer, forming blends with other biocompatible polymers, such as polylactic acid (PLA) [
26].
Considering all the data described above, this work has been approached as a proof of concept by preparing new polymeric blends based on PCL/PEC, by varying the proportion between them through the easy means of the casting method, since molecular structures of PCL and PEC are similar, which could enhance their miscibility and therefore compatibility. This work involves the preparation of new blends, so far unexplored to the best of our knowledge, and presents a basis of concept for future work with other functionalized polycarbonates. In this manner, it has been possible to study, firstly, the influence of PEC addition to the proposed blends by analyzing the changes in the physical and thermal properties, along with the study of the hydrolysis of the blends in alkaline solutions.
The study of the variation in these properties is of great importance since they are key aspects in their biological properties towards different cell lines. It must be stressed that each one has specific characteristics in terms of its expression of cell surface markers, long-term in vitro culturing, in vitro differentiation, potential, immunomodulatory features, and its homing capacity, among others. Therefore, this fact means that the same biomaterial can present different cellular responses depending on the cell type used. For this reason, it is important to carry out comparative studies using different cell types related to the final biomedical application, for which the candidate biomaterial will be intended. Therefore, in a second stage of this work, a comparative study of the cellular response to different compositions of blends obtained has been carried out using MC3T3-E1 osteoblastic cell line and hMSCs. Specifically, the viability, proliferation, and differentiation through the intracellular activity alkaline phosphatase (ALP) at different culture times have been studied to uncover their potential as new biomaterial and their possible implementation in tissue regeneration engineering for bone regeneration as an initial “in vitro” test.
2. Materials and Methods
2.1. Materials and Reagents
All materials and solvents were commercially available and used as received unless otherwise indicated. The following materials and solvents were used: QPAC®25 poly (ethylene carbonate) (PEC, Empower Materials, New Castle, DE, USA, Granulate form), sodium hydroxide pellets (PanReac, 100%), polycaprolactone pellets (PCL, Sigma-Aldrich, Darmstadt, Germany, Mn average 80,000), chloroform (Scharlau, reagent grade), MilliQ water.
In this study, two different cell lines were used. They were obtained from two sales companies: Mouse osteoblastic cell line (MC3T3-E1) were obtained from Sigma-Aldrich and were isolated from mouse bone (Mouse C57BL/6 calvaria, Phenotype: Adherent, Karyotype: Not specified, Morphology: Fibroblast-like). hMSCs were obtained from Lonza Sales Ltd. (Basel Stücki, Switzerland), material number PT-2501 and Batch N°: 19TL168853.
2.2. Membrane Preparation
Membranes with different percentages of PCL/PEC (ranging from 50 wt% to 10 wt% of PEC together with neat polymers, PCL and PEC,
Table 1) were prepared by casting (solvent evaporation at controlled temperature).
For this purpose, 200 mg of polymer mixture, dissolved in 1.5 mL of chloroform, was used. This mixture was placed in Teflon molds and allowed to evaporate at rt to obtain the final materials. In each material evaluated, the indicated amount of each of the polymers was weighed to obtain a total weight of 200 mg (
Table 1). The general procedure for the preparation of the materials was as follows:
First, the appropriate amount of PEC was dissolved in 1.5 mL of chloroform. To achieve a homogeneous solution of the polymer, heating and sonicating cycles were combined until the total dissolution of the polymer. Once the PEC was dissolved and the solution was cold, the required quantity of PCL was added to prepare each membrane. After sonicating for 10 min, a homogeneous and transparent solution of both polymers was obtained. This solution was poured over into a Teflon mold and the solvent was allowed to evaporate in these controlled conditions for 24 h at room temperature. In this manner, both the solid and manageable materials were obtained. Finally, the membranes were demolded and stored for further analysis. A brief narrative summary of all materials obtained, along with their compositions and preparation conditions, is showed in
Table 1.
2.3. Membrane Characterization: Instrumentation and Methods
Attenuated total reflectance/FT-infrared spectroscopy (ATR-FTIR) was used to characterize PCL/PEC membranes of different compositions. ATR-FTIR spectra were registered using a Perkin Elmer BXFTIR Spectrometer coupled with a MIRacle™ ATR accessory, from PIKE Technologies.
Thermal properties of PCL/PEC blends were analyzed by differential scanning calorimetry (DSC) and thermogravimetric analysis (TGA). DSC was performed on a METTLER DSC-823e instrument which was previously calibrated with an indium standard. Membrane samples (4 mg) were placed in aluminum DSC pans, and the thermal history was erased by heating to 100 °C at 10 °C/min in a first scan and maintaining the temperature for 7 min. Then, the samples were cooled to −60 °C and the temperature was increased to 100 °C at a rate of 10 °C/min under a nitrogen atmosphere in a second scan to determine the melting temperature and crystallinity index of the PCL/PEC membranes. Crystallinities of the blends were calculated using the standard enthalpy of PCL (ΔHm = 139.5 J/g) with the following equation: χc = (ΔHm/ΔHm0) × 100. TGA was carried out in a TA Q-500 TA Instrument under a nitrogen atmosphere, from 25 to 800 °C at a heating rate of 10 °C/min. The T5 (defined as the temperature of degradation with a weight loss of 5%) and Tmax degradation temperature were determined.
Surface characterization was undertaken using contact angle and atomic force microscopy. The contact angle on the surfaces was measured by the “sessile drop” method using milliQ water as the wetting solvent at 25 °C and a CAM200 KSV tensiometer. Sessile drop contact angle measurements were performed dynamically; an initial liquid drop of a radius of about 0.3 cm was carefully deposited on the surface using a motor-driven syringe to pump liquid steadily into the sessile drop from below the surface, and to ensure that the drop will increase in the center of the image field. Tapping-mode atomic force microscopy (TM-AFM) measurements were conducted in air with a Nanoscope IV system (Digital Instruments) with a triangular micro-fabricated cantilever with a length of 115–135 μm, 1–10 Ohm cm phosphorous (n)-doped Si pyramidal tip, and a nominal spring constant of 20–80 Nm−1. A resonance frequency of the cantilever typically at 275 KHz was chosen for the tapping mode oscillation. Moderate tapping forces were used by setting the set-point ratio between 0.6 and 0.7. The AFM images were obtained with a maximum scan range of 20 × 20 μm2.
An alkaline hydrolysis test was performed using films of controlled thickness of approximately 500 μm in 20 mL 1M NaOH aqueous solution. The films were placed in a glass vial filled with this NaOH solution, and the vial was covered. Hydrolysis was performed at 37 °C for a predetermined period of 96 h. After hydrolysis, the films were washed with distilled water at room temperature and the NaOH solution was wiped off the surface, then the film was quickly weighed. The resulting films were dried at room temperature for 24 h, then they were weighed (W
dried). The weight loss (W
loss) was calculated using Equation (1).
Film surfaces before and after hydrolysis treatment were coated with approximately 3 nm of gold/palladium using a PolaronSC7640 sputter coater and examined by scanning electron microscopy (SEM), employing a SEM Philips XL30 model.
2.4. In Vitro Biocompatibility Assays
In vitro biocompatibility assays were carried out in terms of viability, cellular proliferation and differentiation of all blends obtained. First, membranes were immersed in the cultured medium so that the materials can be swelled and cleaned (37 °C and 5% CO2). After 16 h, the medium was removed, and membranes were washed with PBS. For cell viability and proliferation assays, the MC3T3-E1 osteoblastic cell line was seeded at a density of 105 cells/mL. Then, they were cultured in 2 mL/well of alpha-Minimum Essential Medium (alpha-MEM, Sigma Chemical Company, St. Louis, MO, USA). Cells were maintained for 1 and 7 days at 37 °C under a 5% CO2 atmosphere. After 1 and 7 days, materials with cells on the surface were treated with 0.25% EDTA-trypsin solution for 10 min. Cell number and viability percentages were obtained from cell counter equipment using trypan blue.
hMSCs were seeded at a density of 105 cells/mL. Then, they were cultured in 2 mL/well of Mesenchymal Stem Cell Growth Medium BulletKit (Lonza) and maintained for 1 day and 7 days at 37 °C under a 5% CO2 atmosphere. Proliferation was measured using the WST-8 Cell Proliferation Kit by obtaining the values of absorbance at 450 nm. Colorimetric measurement at 450 nm allows quantification of viable cells. The WST-8 Cell Proliferation Kit is a colorimetric assay for the determination of viable cell number and for studying induction or inhibition of cell proliferation in vitro. This assay kit is based on the cellular reduction in the tetrazolium salt WST-8 (2-(2-methoxy-4-nitrophenyl)-3-(4-nitrophenyl)-5-(2,4-disulfophenyl)-2H-tetrazolium, monosodium salt) into a highly water-soluble, orange-colored formazan dye upon reduction in the presence of an electron carrier. As opposed to the MTT assay, no solubilization process is required since this formazan does not require solvation: the WST-8 is soluble in the tissue culture medium.
For differentiation cell assays, MC3T3-E1 osteoblastic cell line and hMSCs were seeded at a density of 105 cells/mL. Then, MC3T3-E1 pre-osteoblasts were cultured in 2 mL/well of differentiation culture medium: alpha-Minimum Essential Medium (alpha-MEM, Sigma Chemical Company, St. Louis, MO, USA) supplemented with 10% FBS, 50 g/mL β-glycerolphosphate, 10 mM L-ascorbic acid, 1 mM L-hglutamine, penicillin, and streptomycin and human mesenchymal stem cells were cultured in 2 mL/well of Human Mesenchymal Stem Cell Osteogenic Differentiation Medium BulletKit (Lonza). Then, cells were maintained for 7 days at 37 °C under a 5% CO2 atmosphere. The alkaline phosphatase (ALP) activity was used as the key differentiation marker in assessing expression of the osteoblast phenotype. After 7 days of culture, cells were lysed by 3 consecutive freezing/thawing cycles. Lysates were incubated with 10 mM pNPP solution in the culture conditions and then the reactions were stopped by adding 2 M NaOH. Cellular ALP activities were measured spectrophotometrically, by measuring the increase in absorbance at 405 nm accompanying the production of p-nitrophenol and normalized by the cell protein content, which was determined by measuring the absorbance at 540 nm.
For matrix mineralization assay, the detection of calcium deposits was performed in MC3T3-E1 preosteoblasts by alizarin red staining. After 10 days of culture, cells were washed with PBS and then fixed with glutaraldehyde (10% PBS) for 1 h. Cell cultures were stained with 40 mM alizarin red in distilled water (pH 4.2) for 45 min at room temperature. Subsequently, cell monolayers were washed gently with distilled water and the calcium deposits were dissolved with 10% cetylpyridinum chloride in 10 mM sodium phosphate, pH 7.0, and absorbance was measured at 620 nm.
In general, for all biological assays, polymer materials were placed in 6-well plates previously and finally, in a new 6-well plates after cell exposure, for ensuring that we only considered cells which have growth in the material surface.
4. Discussion
The FTIR analysis of neat polymers, PEC, and PCL, allowed us to identify their characteristic bands. It can be noted that if two polymers of the blend are compatible, this would be due to several chemical interactions, such us hydrogen bonding or dipolar interaction between the functional groups present in both polymers, which is reflected in band shifts or broadening of the peaks [
33]. Then, the FTIR spectra of blends should show significant changes in their characteristic bands with respect to the spectra of the different components [
34,
35]. Here, it has been observed that the increasing addition of PCL in the blends was reflected in the progressive shift to lower wavenumber of PEC carbonyl peak, and when the PEC increased in the blend the PCL carbonyl peak shifted to a higher wavenumber. Additionally, the displacement of stretching bands of O-C-O and C-O-C groups in blends was observed with respect to the neat polymers. That effect would suggest intramolecular interactions between carbonyl groups of polymers and their compatibility in blends [
5].
The thermal stability was studied by thermogravimetric analysis. The T
max was determined for neat PCL and PEC membranes at 398 °C and 210 °C, respectively, which agrees with previous reports, where the thermal degradation in the case of PEC is associated with the polymer principal chain unpacking [
36]. For all blends, the T
max takes place between those of pure PCL and PEC. The addition of increasing the amount of PCL in blends improves the thermal stability of PEC, which is in accordance with results obtained by other authors concerning polycarbonate blends and the compatibility of their components [
35]. Moreover, the interactions between PCL and PEC polymers that were described in FTIR analyses are therefore confirmed, something that is reflected in the compatibility of the PEC and PCL polymers.
The Tg of PEC was determined by differential scanning calorimetry analysis. It was seen to increase in PCL50/PEC50, and for higher percentages of PCL it was not negligible. It is associated with the lower amount of amorphous PEC in blends and the restricted chain mobility by the crystalline phase of PCL, which increased up to 47.5% in PCL90/PEC10. Additionally, the melting temperature (Tm) and crystallization temperature (Tc) of PCL decreased slightly with the addition of PEC. This effect would be related to the influence of the flexible PEC phase added in blends, which could affect both the crystallization temperature and the size of crystalline entities and support the miscibility of polymers, at least at the percentages used in this study. Those results are in accordance with AFM analysis, which showed the compatibility in the blends. The membranes exhibited low roughness and continuous morphology with the absence of microstructures and phase separation. The growth of PCL crystals was influenced by the incorporation of PEC in blends, and in the case of PCL70/PEC30, the crystal size decreases and smaller homogeneously dispersed crystalline entities are observed with respect to those in PCL90/PEC10.
Polymer surface wettability is known to affect cell attachment and it is one of the key factors in cell attachment and colonization. Cell adhesion to biomaterials is crucial for subsequent cellular processes to occur. Good cell adhesion is expected when the surface provides multiple cell-binding points, which enhances the surface of the cellular interfacial area [
37]. To correlate the cell adhesion with the hydrophilicity of the membranes, their water contact angles were analyzed. A considerable decrease was observed from 94° to 40° for PCL and PEC, respectively, and their hydrophilicity was modified by blending the polymers. In this way, although PEC is a biocompatible and degradable polymer, highly hydrophobic blends would lead to inefficient cell colonization [
30]. Therefore, achieving polymer blends with suitable cell attachment by varying their hydrophilic/hydrophobic characteristics is essential. In general, it can be observed that contact angle values range from 94° to 65° for neat PCL to PCL
60/PEC
40 blends. The addition of increasing amounts of PEC to blends obtained led to improvement in the hydrophilic character of blends and, finally, their biocompatibility. Otherwise, the hydrolytic degradation of PCL is usually low in the first stages [
12,
13], and it has been accelerated by adding PEC, which is almost completely hydrolyzed in alkaline solution after 96 h, which will improve its degradation and resorption kinetics in a physiologic environment. It is well known that a key parameter in tissue engineering is the degradation rate and the evolution of material properties during degradation, since the effect of changes in surface chemistry are crucial in cell adhesion and its integration with the host tissue with the purpose of finding a way to initiate the ideal condition of the degradation rate of related material similar to the regeneration rate of the tissue associated with the biomaterial in order to sustain the biomechanical integrity of the regenerating place, and to optimize the body repair response. Thus, two decisive crucial parameters are present in polymer blends after the addition of increasing PEC amounts: the enhancement of hydrophilicity together with the possibility of faster resorption by the organism of PCL/PEC blends.
Several biological parameters such as cell viability, proliferation, and differentiation in both MC3T3-E1 preosteoblasts and human mesenchymal cells were addressed to evaluate their cell response to different polymer membranes aimed at bone tissue regeneration. The MC3T3-E1 cell type is a murine calvaria-derived pre-osteoblastic cell line used as an archetypal model of in vitro osteoblast development [
38]. Human mesenchymal stem cells are non-hematopoietic, multipotent stem cells with the capacity to differentiate into mesodermal lineage such as osteocytes, adipocytes, and chondrocytes, as well as ectodermal (neurocytes) and endodermal lineages (hepatocytes) when they are cultured in their specific differentiation mediums [
39,
40]. These two cell types have different characteristics in terms of expression of cell surface markers, long-term in vitro culturing, in vitro differentiation, among others, and for these reasons have been chosen for this comparative study.
Cell viability is an important biological parameter related to the integrity of the cell membrane, which allows evaluating the biocompatibility or cytotoxicity of any biomaterial. In addition to cell viability, another biological parameter widely used to test the cellular response to biomaterials is cell proliferation, which reflects the growth capacity of cells in the presence of such materials. With respect to the cellular proliferation, the results shown in this study highlight a different cell response to the polymer films depending on the cell type tested. Specifically, the MC3T3-E1 preosteoblast proliferation was affected depending on whether they are cultured on one polymeric film or another different blend composition. However, human mesenchymal stem cells proliferated in a similar way in all the films tested.
The osteoblastic cell line MC3T3-E1 is characterized by having high alkaline phosphatase (ALP) activity in the resting state. ALP is a glycoprotein present on the surface of the cell that is detected in the early stages of the differentiation process, and is involved in the mineralization process. These cells have also the capacity to differentiate into osteoblasts and osteocytes [
41]. The differentiation process of osteoprogenitor cells is a critical stage for which premature osteoblasts (preosteoblasts) must be transformed into mature osteoblasts, starting with ALP expression and ending with mineralized nodule formation [
42]. It has been already described by different authors that the cell differentiation is a complex process by which cells go through different cell stages; thus, a high cell proliferation rate is associated with low levels of intracellular ALP activity, and vice versa [
43,
44]. In this sense, our MC3T3-E1 preosteoblast results agree with the literature, as has been described above. Thus, the PCL
90/PEC
10 and PCL
70/PEC
30 films mainly favour the active replication of MC3T3-E1 cells (
Figure 8), and hence, the intracellular ALP activity of these cells is low (
Figure 9). On the other hand, higher ALP activity of preosteoblasts cultured on PCL
80/PEC
20 and PCL
60/PEC
40 films is related with their lower cell proliferation rate,
Figure 10. hMSCs proliferated in a similar way on all the polymeric films tested. However, although no significant differences were observed, there is an evident tendency to decrease ALP as PCL content decreases. In this case, we could affirm that the PCL/PEC content of the different films studied mainly affects the ALP enzymatic activity. As shown, although MC3T3-E1 preosteoblasts present good cell viability when cultured on PCL
0/PEC
100 blends, in terms of proliferation, these values show the worst data, which agree with the lower values of the contact angle. Regarding PCL/PEC blends, general improvements in proliferation and differentiation data can be observed, that imply that PEC addition to blends enhances cell biocompatibility. This finding indicates that PCL/PEC blends appear to affect the osteoblastic maturation by up-regulating local cellular processes in response to cell–material interactions. With respect to human mesenchymal stem cells, the proliferation and differentiation results obtained with the different PCL/PEC blend shows similar results in comparation with neat PCL
100/PEC
0 blends, although it should be noted that the results obtained show that PEC addition improves the hydrolytic degradation of materials, as already seen.
Overall, it is important to highlight the obtention of materials with good compatibility and homing properties to promote bone cell growth. In this regard, the interactions of biomaterials with bone tissue involve a broad range of cellular events, which are closely related to several parameters that will be described. Thus, it is well known that osteoblasts, which must be differentiated from their precursors, are cells that play important roles in bone tissue repair since they increase bone growth at the defect area by synthesizing the bone matrix, which is subsequently mineralized [
45], as shown in the works of Khotib et al. [
46,
47], where biomaterials based in hydroxyapatite (HA) that promote bone cell growth are described. These are osteoinductive, and can induce osteogenesis, and thus, new bone growth. However, there are other parameters that influence osteoinductive properties. In terms of mechanical properties, it is key to obtain materials with a similar compressive and tensile strength to that of human bones, which translates into the achievement of manageable materials as described above in the characterization of materials. Against this background, there are several factors which can be modulated, such as surface chemistry, surface topography (including roughness and patterning), wettability and surface mechanical characteristics. These parameters will have a decisive influence in the cell–matrix interactions and subsequent responses [
48]. In this work, two dimensional materials haven been constructed, i.e., as polymer surfaces colonized by cells, through non-specific cell–material interactions, through the so-called weak chemical bonding, such as, for example, hydrogen bonding or another interaction (electrostatic, polar, or ionic) between molecules on cell membrane and functional chemical groups on the polymers, and with an adjustment of their surface wettability, as shown in the results obtained by contact angle measurements [
49].
Additionally, in relation to homing properties, the surface roughness is a parameter which can be adjusted. For example, in relatively rough surfaces, cell adhesion is relatively low and irregular due to the presence of irregularities on the surface. In contrast, in more polished surfaces, the number of initially adhered cells, as well as its further growth, significantly increased [
50,
51]. However, otherwise, very smooth surfaces cannot guarantee a firm and strong cell adhesion. This is in agreement with the results obtained by AFM in roughness values for the polymer blends obtained. Taking into consideration the surface polarity and wettability, the parameters of the surface roughness also have their optimum range, according to the type of material and the type of cells. In this manner, although the height and depth of the surface irregularities and distances between them will be decisive, their shape, especially their sharpness, must be taken into consideration as it may mechanically damage the cells.
Therefore, the results presented in this study show that distinct cell types respond differently to the same biomaterial; thus, special care must be taken when choosing one cell type or another when it comes to studying the biocompatibility of any new material.
Considering all the data, we can say that these new polymer blends based in PCL/PEC are biocompatible, non-cytotoxic, and promote cell proliferation and differentiation. Due to the adequate cellular response obtained, this makes them promising candidates as biomaterials. Once their properties have been evaluated by in vitro assays, there are enough results to raise their potential application in tissue engineering and bone regeneration in a second stage of “in vivo” analysis. In this sense, the future research lines will be focused on study of their real applicability as biomaterials for tissue engineering in bone regeneration. For this purpose, in a later work, scaffolds will be made by 3D forming with the mixtures that have shown the best results, i.e., with PEC percentages between 30% and 10%. In this sense, when a new material is proposed as a potential candidate for a certain biomedical application, the in vitro methodology allows scientists to evaluate various biological phenomena in specific cells without potentially confounding variables present in whole organisms. In vitro testing is a straightforward research methodology, with a relatively low cost and faster time than the in vivo tests. Moreover, researchers can perform more detailed analyses and examine biological effects in a larger number of in vitro replica than they would in animal or human trials, which would be related to the regulations in experimental models.