Abstract
Tissue engineering applications need a continuous development of new biomaterials able to generate an ideal cell–extracellular matrix interaction. The stem cell fate is regulated by several factors, such as growth factors or transcription factors. The most recent literature has reported several publications able to demonstrate that environmental factors also contribute to the regulation of stem cell behavior, leading to the opinion that the environment plays the major role in the cell differentiation.
The interaction between mesenchymal stem cells (MSCs) and extracellular environment has been widely described, and it has a crucial role in regulating the cell phenotype. In our laboratory (Tecnologica Research Institute, Crotone, Italy), we have recently studied how several physical factors influence the distribution and the morphology of MSCs isolated from dental pulp, and how they are able to regulate stem cell differentiation. Mechanical and geometrical factors are only a small part of the environmental factors able to influence stem cell behavior, however, this influence should be properly known: in fact, this assumption must be clearly considered during those studies involving MSCs; furthermore, these interactions should be considered as an important bias that involves an high number of studies on the MSCs, since in worldwide laboratories the scientists mostly use tissue culture plates for their experiments.
Keywords
Introduction
The development of biomaterials for tissue engineering applications is continuously improving, accordingly to the needs to generate an ideal cell–extracellular matrix interaction.
1
Generally, stem cell fate,
Stem cells seem to remember past physical signals: Yang et al. found that the human mesenchymal stem cells (hMSCs) cultured on soft poly-ethylene glycol (PEG) hydrogel were stimulated in the activation of Yes-associated protein (
Also Gilbert et al. achieved similar results, working on stem cells from muscle: the authors confirmed that cells remember the past mechanical signals derived from the
The recent literature has reported many studies focused on the influence of the extracellular matrix (ECM) on stem cell fate, with particular regard to the ECM geometry/topography, to the ECM mechanical properties, and to the transmission of mechanical or other biophysical factors to the cells.
4
Nevertheless, many questions still remain to be addressed; in fact, another set of studies reported a critical link between the ECM mechanical influence and intracellular signaling. Dupont et al. and Halder et al. analyzed the transduction of mechanical cues by
On the bases of these data, Yang et al. began to investigate the effects of standard methods of culturing and expanding the MSCs into TCPs, by analyzing the implications of this environment on stem cell plasticity and by investigating whether or not stem cell fate is affected by all the physical signals they have previously interacted. They assayed the hMSC behavior when they were cultured on substrates of different stiffness, ranging between 3 GPa (tissue culture plates [TCPS]) and 2 kPa (soft hydrogel). In this way, they tested whether the past physical environment of TCPS, able to activate YAP and RUNX2, could override new mechanical signals coming from the soft hydrogel where hMSCs were plated. They observed that YAP remained nuclear (activated), even after the transfer from the TCP to the hydrogel. Furthermore, the authors used a photodegradable hydrogel, able to change its rigidity during the cell culturing: this new experiment confirmed that hMSCs can remember such important mechanical information. YAP/TAZ act as an intracellular mechanical rheostat, modulating the cell plasticity by a persistent presence in the nucleus: this work has shown that the mechanical influence effected by TCPS biases the hMSC behavior, even if stem cells are cultured on soft hydrogel, and makes these cells basically committed towards the osteogenic lineage.
Recently, it was shown that the stiffness of a flat surface regulates the stem cell differentiation, independently from the protein tethering and porosity. Wen et al. showed that by modulating the porosity of a substrate made of polyacrylamide gel without altering its stiffness, it did not significantly change the protein tethering, the substrate deformation, or the osteogenic and adipogenic differentiation of adipose-derived and marrow-derived hMSCs seeded on this substrate. 7 Furthermore, they showed that a different protein–substrate density changed tethering, but it did not influence the osteogenesis or the adipogenesis. Cell differentiation was also unaffected by the absence of protein tethering.
Banks et al. highlighted the need to selectively manipulate the biomaterial microenvironment, thus to identify the right synergies between biochemical and mechanical cues, for regenerative medicine applications. 8 They reported an approach based on carbodiimide cross-linking and benzophenone photo-immobilization chemistries. They orthogonally modified the stiffness in a way to immobilize the GFs content of a collagen-GAG (CG) biomaterial. Moreover, they observed the single and combined effect of bone morphogenetic protein (BMP-2), a platelet-derived GF (PDGF-BB), together with the CG membrane on the bioactivity and osteogenic/adipogenic lineage-specific gene expression of adipose derived stem cells. They discovered that the stiffest substrates induced the osteogenic commitment of adipose-derived stem cells (ASCs), regardless of the presence of osteogenic growth factors, while a softer substrate needed a biochemical cues to modify the cell fate.
Yim et al. examined the cell signaling in stem cell differentiation, with a focus on stem cell interactions with biochemical and biophysical signals present in their extracellular environment. 9 The biophysical signals are transferred to the stem cells, by both the ECM and the externally applied forces. The authors investigated the mechanism of the differentiation induced by different ways of adhesion, different cytoskeletal contractility, and different Rho-guanosine triphosphatase (Rho-GTPase) signaling and nuclear regulation related to these biophysically induced differentiations.
Human embryonic stem cells (hESC) are able to sense the mechanical properties of their microenvironment. Eroshenko et al. tested the hypothesis that hESCs accept mechanical cues for differentiation from the substrate by culturing them on flexible polydimethylsiloxane (PDMS) of varying stiffness, prepared using available commercial formulations and characterized for stiffness, surface properties, and efficiency of cell attachment and proliferation. 10 They evaluated the utility of PDMS substrates for stem cell development and if those substrates mediated the cell differentiation. They concluded that PDMS substrates could be used to direct hESC fate towards early mesodermal lineages.
All these studies have differently enhanced the hypothesis that artificial substrate and ECM play a key role in regulating MSC fate during regenerative events.
Discussion
Stem cells regulate their fate by binding to the extracellular environment, where they may be exposed to various chemicals, and physical and mechanical signals.
4
Previous studies showed that these signals can be transduced and they can deeply influence the stem cell growth and differentiation,
Interaction between MSCs and ECM is also recognized to have a crucial role in regulating stem cell phenotype. In our laboratory (Tecnologica Research Institute, Crotone, Italy), we recently observed that physical factors of the cell–culture environment were able to influence the distribution and shape of mesenchymal stem cells isolated from dental pulp (DPSC), and were able also to regulate the stem cell differentiation. By using hydrogel scaffolds derived from bovine bone extracellular matrix (bECM), we observed that cell distribution and cell morphology were influenced by the matrix stiffness, and this feature also promoted the odontogenic and osteogenic differentiation (data not yet published). Cells seeded on bECM tended to grow in clusters, creating a circular structure that caused the hydrogel contraction. Moreover, DPSCs cultures in ECM hydrogels exhibited an increased level of osteogenic specific genes and odontogenic specific genes, if compared to polystyrene tissue culture plates. Moreover, we found that DPSCs seeded on bECM, when exposed to growth factors such as epidermal growth factor (EGF) and fibroblast growth factor (FGF), yielded the most significant contractility (Figure 1) and showed a higher expression of the osteo/odontogenic specific genes (data not shown). Furthermore, DPSCs exhibited elongated spindle-shape morphology and no dead cells were observed all over the experiment. Confocal microscopy images showed that DPSCs were initially randomly distributed on the hydrogel surface, instead after the proliferation, cells were connected in order to stabilize the hydrogel contraction (Figure 2). Our studies have been mainly focused on the use of MSCs in bone regeneration, taking into account that osteogenic differentiation of hMSCs is guided by various physical and biochemical factors. Jha et al. first highlighted the physical osteoinductive signals of the ECM niche, able to contribute to endochondral ossification of a cartilaginous skeleton template.
15
In particular, they evaluated the osteogenic differentiation of hMSCs cultured on low stiffness

Schematic distribution of dental pulp stem cells on bECM 3 mg/mL.

Dental pulp stem cells on 3 mg/mL bECM at day 21 (Undiff.) - CMFDA (Living Cells).
Sharma et al. investigated a substrate-dependent paracrine signaling, between the sub-populations of bone marrow stromal cells (BMSCs), able to alterate the neoformation of a new tendon at the bone enthesis.
16
They used fibronectin (Fn) and type-I collagen (Col) to functionalize the polyacrylamide substrates and to approximate the elastic
Tilghman et al. analyzed how the cancer cells respond to changes in the mechanical properties (rigidity/stiffness) of the microenvironment and how this response varies among cancer cell lines.
17
In this study, they used a 96-well plate system with the wells filled with ECM-conjugated polyacrylamide gels, to increase the stiffness to at least 50-fold across the plate. They determined how the changes in the rigidity of the extracellular matrix modulated the biological properties of tumor cells. They demonstrated the
All these studies could lead to different considerations about the role of the environment on the cell fate. The cell niche is a concept relatively new 18 and many authors have demonstrated that a scaffold can be multipotent 19 and can induce different phenotypes. On the other hand, cells can follow their own basal commitment 20 or they can be induced to differentiate into a phenotype definitely different from the biological niche where they were harvested.21,22
Conclusions
The literature has reported several high-quality studies that clearly demonstrated the correlation between the change in cell shape and lineage commitment, between the cell–matrix interaction and the cell adhesion, particularly during the osteogenic and odontogenic differentiation. Furthermore, our results reported in this paper also indicate that this correlation could be explained by the physical cues of matrix stiffness, as well as biochemical signals.
Often the behavior of a cell line is determined by numerous co-factors: the ECM, the cellular memory, the substrates, the presence of different temperatures and pressures, and recently, also acoustic waves have been investigated as potential factors capable of inducing a cellular response. Of course, these growth conditions must be carefully standardized; when performing proper studies it is first important to know how these co-factors modify the growth and behavior of cells.
Recently, the concept of “cell niche” was widely studied: it defines the behavior of a cell line, based on environment where cells are grown. This concept is supported by recent papers describing how different parameters can lead to differentiation into different cell lineages.
Mechanical and geometrical factors are surely able to influence MSC behavior and fate, a fact to be carefully considered during further investigations into MSCs. Finally, these interactions should be considered as a very important bias that involves a lot of studies on MSCs, since in worldwide laboratories scientists routinely use TCPS for cell culture.
Footnotes
Declaration of conflicting interests
The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
