Non-exhaustive directory from literature of saccharides used in cryopreservation procedures.
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Despite the progress achieved these last decades, the improvement of cryopreservation procedures is still desired by the scientific community [1, 2]. A possible improvement is the decrease of the penetrating cryoprotective agents (CPA). The small and osmotically active penetrating molecules used as penetrating CPA in cryopreservation present risks of cytotoxicity for cells [3, 4, 5, 6]. These molecules penetrate easily into tissues and, after impregnation, are difficult to fully extract from biological systems. Among the different penetrating CPA, Me2SO is a penetrating CPA especially efficient to promote successful cryopreservation. However, the Me2SO molecule presents risks of toxicity to biological materials [7, 8, 9, 10, 11, 12, 13, 14]. It is also suspected to be an intercalator of DNA [15]. In this chapter, we propose to study the possibility to reduce the use of the Me2SO molecule while maintaining the survival rate of cells in slow-freezing cryopreservation.
A challenge of modern cell cryopreservation is to propose procedures in which CPA concentration is as little as possible:
In vitrification procedures, the techniques seek to obtain the glassy state with very small amounts of penetrating CPA (less than 25% (w/w)) by replacing them with non-penetrating CPA [3, 16, 17, 18]. Accordingly, the cooling must be applied as quickly as possible so that the cells do not suffer the damage associated with excessive dehydration and/or volume loss at room temperature. They also require the use of particularly small sample volumes (<1 μL) to reach high cooling rate that will prevent ice crystallization. These procedures are particularly delicate and require a certain dexterity of the experimenter [19, 20].
In slow-freezing procedures, reducing the initial amount of penetrating CPA significantly increases the stresses and risks experienced by cells during cryopreservation. It is therefore difficult to propose an excessive reduction in the initial concentration of penetrating CPA. Indeed, it has been theoretically demonstrated, through mathematical modeling, that it is impossible to cryopreserve cells with initial Me2SO concentrations below 1 mol.L−1 [21].
We assume, however, that a good combination of penetrating and non-penetrating CPA and an adaptation of the slow-freezing protocols could provide satisfactory survival rates, despite a reduction in the initial proportion of Me2SO used. This chapter investigates an alternative to the current slow-freezing procedures using Me2SO and proposes procedures where the initial and necessary amount of Me2SO is lowered.
Decreasing the Me2SO proportion in solution will modify the couple “protocol/solution” within the cryopreservation procedure since it is necessary to counterbalance the loss of the cryoprotective effect of the removed Me2SO molecules. To that end, this chapter studies the possibility to use chitooligosaccharide (COS) compounds in solution. The role of extracellular CPA is discussed, and the effect of the COS in solution is thermodynamically evaluated.
Even if common characteristics of various CPA can be defined, the substances currently used as CPA have different chemical structures and sizes, so it is still difficult to predict the cryoprotective properties of substances from their basic chemical structures. The modes of action of cryoprotectants have not yet been fully elucidated. Thus, the development of effective cryopreservation solutions remains primarily based on empirical considerations. Consequently, studying the potential cryoprotective characteristics of new compounds serves a dual purpose: (1) propose new cryoprotectants and (2) understand the mechanisms of cryoprotection. It makes possible to better classify the molecules according to their modes of action regarding cellular cryoprotection.
This chapter aims to assess the use of COS to fulfill part of the cryoprotective role of the Me2SO. It presents first, from the cellular cryopreservation point of view, the interesting properties of saccharides (Part 2). It discusses next the optimization of the procedures required to replace a part of the penetrating CPA by using non-penetrating saccharides (Part 3). The use of COS to realize this optimization is explained (Part 4). Then, COS synthesis is presented from a physicochemical point of view (Part 5). The biocompatibility of COS on mouse embryos is questioned (Part 6), and a first understanding of the action of COS as cryoprotectants is quantified by DSC analysis (Part 7), before a conclusion on the possibility of using these compounds as non-penetrating CPA.
The cryoprotective role of saccharide compounds (mono-, di-, tri-, oligo-, or polysaccharides) is known for a long time. Some of them are secreted by certain cold-blooded organisms that withstand harsh winters [22, 23]. Several saccharides are water soluble, have a high osmotic effect, and have many influences on the solutions’ properties: they can bind part of the water and make it non-crystallizable [24, 25, 26, 27, 28, 29]; their action on viscosity [30, 31] has been highlighted, as well as their ability to disrupt the organization of water molecules in the liquid phase [32, 33, 34, 35]. In a mixture of “H2O/saccharide compound,” the proportion of water has an influence on the properties of the saccharide compound and therefore on the properties of the mixture [29, 36].
These compounds are known to be unable to penetrate passively through most cell membranes. From the cryoprotective point of view, they act outside the cells, giving them limited action on cell protection. This is the reason why the standard in cryopreservation procedures remains the massive use of penetrating CPA that possess a high osmotic effect in both extra- and intracellular solutions. However, the beneficial use of saccharides to substitute penetrating CPA compounds has been proven in recent years. Indeed, saccharides have been used for cell cryopreservation in slow-freezing [37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51] or vitrification procedures [16, 17, 18, 39, 52, 53, 54, 55]. A non-exhaustive overview from the literature of the use of the saccharides is displayed in Table 1.
Monosaccharides | Disaccharides | Trisaccharide |
---|---|---|
Glucose [56, 57, 58, 59, 60, 61, 62, 63] | Sucrose [61, 64, 65, 66, 67] | Raffinose [14] |
Fructose [14] | Maltose [35] | |
Sorbitol [14] | Trehalose [16, 35, 39, 40, 41, 42, 43, 49, 50, 51, 61, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79] | Dextran [1, 2, 17, 18, 54, 67, 80, 81] |
Mannitol [14] | ||
Galactose [64] | Ficoll [1, 17, 18, 54, 64, 66, 81] |
Non-exhaustive directory from literature of saccharides used in cryopreservation procedures.
Using empirical methods, it has been shown that these compounds allow the improvement of the post-cryopreservation survival rates of certain cell types [3, 37, 38, 44, 45, 46, 47, 48, 82]. Some authors have discussed the benefits of using them:
Meryman was the first to propose that the presence of large polymers in solutions prevents the risks of osmotic shocks (when the penetrating CPA are released from the intracellular medium) as well as the denaturation of cell membranes [83].
In cryopreservation of spermatozoa, small saccharides are often used as substituents for penetrating CPA [42, 49, 50, 61]. The advanced argument of their use is that they increase the viscosity, increase the glass-forming tendency, and protect the cellular lipid membranes [42, 61, 82].
In cryopreservation by vitrification, Kuleshova et al. [17] proposed to replace a large portion of penetrating CPA by large extracellular polysaccharides (Ficoll and dextran).
In slow-freezing cryopreservation, saccharides have also been used [84]. For the cryopreservation of human or mouse embryos, Dumoulin et al. [81] highlighted the ability of large molecules (e.g., dextran) to reduce damage to zona pellucida when added in small amounts (i.e., less than 10% (w/v)). For the cryopreservation of cat embryos, Gómez et al. [67] were able to obtain interesting survival rates (>80%) by combining propylene glycol (1.4 M), sucrose (0.125 M), and dextran 10% (w/w). Slow-freezing procedures for some weak cellular systems have been proposed, without recourse to CPA penetrants [43]. This strategy is based on the induction, prior to ice formation, of cellular dehydration using osmotically active extracellular compounds (e.g., trehalose).
For the slow-freezing cryopreservation of human red blood cells, Bailey et al. [85] reported the possibility to reduce the use of Me2SO from 10% (w/w) to 2.5% (w/w) through the use of high concentration of copolymers (polyampholytes). These authors concluded that because no ice recrystallization inhibition (IRI) activity could be seen, the interaction of those copolymers with cells’ membranes should be the reason that increases the cell recovery.
From these readings, mechanisms can be advanced to explain how the addition of saccharides in solution improves cell survival:
Saccharides have a cryoscopic influence in the extracellular medium [86]. It reduces the damage associated with the formation and growth of the crystalline phase.
Saccharides promote cell dehydration on cooling [17]. This aspect is ambivalent because, on the one hand, it allows to promote intracellular vitrification, but on the other hand, it increases the risks associated with cellular dehydration.
Saccharides reduce the cellular rehydration during warming [19, 83]. By having an osmotic effect from the extracellular medium, they limit the osmotic gap (appeared during cooling, due to the difference between the intra- and the extracellular vitrification temperature [87]) between intra- and extracellular media. During warming and during the ice melting, saccharides guarantee a smoother return of water into the cells [19, 83].
Saccharides participate in the evolution of extracellular viscosity. This reduces the kinetics of crystal growth and favors the deviation of the system from its equilibrium position. This effect has the consequence of improving the extracellular vitreous state achievement [17].
Saccharides allow to “encapsulate” cells. Thus, the presence of large molecules in solution protects the zona pellucida of embryos during slow-freezing procedures [81]. Likewise, the presence of these large molecules can move the cells away from the ice in the overconcentrated amorphous phase [82]. It has been also reported that the presence of mono- or disaccharides in solution improves sperm motility after cryopreservation [88]. Finally, it has been proposed to create hydrogel-based microspheres to encapsulate cellular systems in small volumes [89].
Saccharides promote the lipid transition of phospholipids from cell membranes. By interacting with cell membranes, saccharides have an effect on the fluidity of lipidic membranes [82, 83]. Interactions between membrane phospholipids and saccharides in solution have also been advanced as a method of promoting the success of cryopreservation procedures [90, 91].
Saccharidic CPA are used in different ways depending on their physicochemical characteristics. In general, the polysaccharides are added in solution to increase the viscosity while having a weak osmotic activity. On the contrary, the small saccharide molecules (such as glucose) are added in solution to have high osmotic activity within the solution (this favors and induces the cellular dehydration), without changing the viscosity too much.
Models showed that the improvement of cryopreservation procedures is impossible if it implies an excessive reduction in the use of penetrating CPA (<1 mol.L−1) [21]. But these models studied this reduction without trying to use other CPA compounds with completely different properties than those currently used. Me2SO is certainly one of the best compounds to fulfill the roles that are required to a CPA (apart from its cytotoxicity), but it is conceivable that a combination of different CPA may also be compatible with cell survival.
To reduce the use of Me2SO in slow-freezing cryopreservation procedures, several assumptions were considered, based on results published in the literature:
The slow-freezing procedures have been optimized according to some parameters, but new optimizations are possible.
Other combinations of the parameters may be better than the currently used. The search for new CPA is still ongoing, and the cryopreservation procedures are better understood. The discovery of intracellular vitreous transitions [87], the control of the IRI process [92], the development of new cooling or warming techniques [93], etc. may suggest that optimization of the procedure is still possible.
The optimization of the proportion of penetrating CPA in the cryopreservation solution is considered in order to find a formulation offering good vitrification conditions for the remaining solution.
It has been shown that the proportion of penetrating CPA necessary to lead to a cellular vitrification can be reduced if there is a high cellular dehydration [16]. Indeed, the intracellular cytoplasmic medium has a great glass-forming tendency because of the presence of many macromolecules [87, 94, 95, 96]. The presence in intracellular solution of a large proportion of proteins and other organic compounds (macromolecules), accompanied by dehydration of the medium, is sufficient to promote vitrification [87, 94]. In addition, experiments have shown the existence of colloidal glass transitions in cells during their dehydration [96, 97]. These transitions can promote intracellular vitrification and potentially protect cells (since cell cytoplasm is often heavily loaded with large molecules, it can easily vitrify [17, 59, 96]). In a vitrification procedure, using successive baths of osmotic equilibration, the cells are placed in solutions containing penetrating CPA. It was proposed by Kuleshova et al. [17] to replace, in those procedures, a large proportion of penetrating CPA with non-penetrating polymers (PVP, dextran, Ficoll, etc.). In the last osmotic equilibration bath, non-penetrating CPA (sugars or polymers) are added to promote cell dehydration just before the plunge into liquid nitrogen (LN2). The osmotic effect of these non-penetrating CPA promotes the vitrification of the intracellular medium and ensures the success of the procedure with a lower amount of penetrating CPA [16]. By adaptation to slow-freezing procedures, we assume that it is possible to force the intracellular colloidal glass transition to the correct temperature by suitably combining temperature lowering and cellular dehydration. However, cellular dehydration is not possible over long periods when the temperature remains high. During a vitrification procedure, the dehydration time is short (primarily applied during the last osmotic bath, a few seconds before the plunge into LN2). During slow-freezing, if the dehydration intervenes too extremely, it could lead to cellular collapse [83, 98, 99]. To solve this problem, we rely on the work of Mazur et al. [100] who proposed an alternative to conventional cellular cryopreservation protocols by rapidly bringing the cells to a temperature low enough to make the effects of cell dehydration less deleterious. This temperature must, however, remain above the nucleation temperature of the intracellular medium. A temperature stabilization is then carried out at this intermediate temperature to allow the equilibration of the media. Then, the cooling continues at a slow cooling rate until the plunge into LN2. This type of protocol is called “rapid cooling interrupted” [100]. It should be noted that this protocol also possesses a seeding step in order to control the extracellular ice growth. We assume that, when using this type of protocol, it would be possible to allow faster cell dehydration already biologically tolerated in the case of vitrification procedures.
The use of non-penetrating CPA can allow reducing the necessary proportion of penetrating CPA by optimizing the procedure of cooling and warming.
For a slow-freezing procedure, in which ice formation is allowed and desired, the osmotic effect of a non-penetrating CPA becomes increasingly important as the proportion of water in the remaining extracellular medium decreases. Conversely, in the intracellular medium, it is mainly the penetrating CPA that participates in the osmotic balance. There is therefore a gap between these two media in the osmolality evolution, which accentuates cellular dehydration and increases cell contraction at a given cooling rate. The use of an osmotically active non-penetrating CPA in solution may induce a significant change in the osmolality difference between the intra- and the extracellular media.
The toxicity of the cryopreservation solutions is related to the CPA concentration reached in the remaining solution to enable the vitrification of the intracellular medium. Moreover, to protect the cells, the vitrification must also be carried out in the noncrystalline extracellular medium in contact with the cells. Intracellular vitrification is dependent on the presence of penetrating CPA and on the cellular dehydration. In consequence, the intracellular vitrification is dependent on the diffusion of materials across the cellular membrane. That is why cryopreservation procedures are time dependent. Indeed, an ideal cooling rate exists at which, for a specific cell (i.e., a specific permeability and cell size), the cellular dehydration is ideally compensated by the CPA penetration. This rate deals with the two major risks of the slow-freezing procedures, the “solute effect,” which occurs at low cooling rate, and the intracellular nucleation, which occurs at high cooling rate [101].
The addition of penetrating CPA in a solution, in a reasonable proportion (> 1 mol.L−1 for slow-freezing and > 3 mol.L−1 for vitrification), is considered essential for the survival of mammalian embryo type cells [21]. Very few studies have been published on attempts to reduce the amount of Me2SO in solution during slow-freezing cryopreservation [43, 84]. This strategy was evaluated by relying on modeling arguments, showing that it seems complicated to reduce this initial proportion of penetrating CPA [21]. We make a proposal for slow-freezing procedure optimization using a reduced initial proportion of penetrating CPA, supplemented with non-penetrating CPA.
The decrease of the initial proportion of penetrating CPA implies an increase in the amount of crystallizable water, a stronger evolution of the crystal/liquid ratio in the solution with temperature, a higher amount of penetrating CPA needed to diffuse through the membrane, more risks of contact between cells and ice crystals, etc. Thus, penetrating CPA play a cryoprotective role that cannot be fully reproduced in the extracellular environment by non-penetrating CPA. Moreover, the stresses and risks associated with the ice formation must be limited or prevented until the plunge to LN2. It is therefore necessary to continue to use penetrating CPA, but their amount in the initial solution should be limited to reduce cytotoxicity. In addition to the presence of penetrating CPA, the vitrification of the extracellular remaining solution depends on the presence of non-penetrating CPA that limit the evolution of penetrating CPA concentrations and reduce the risks associated with the ice formation in solution. The reduction of penetrating CPA implies to control the damages related to the ice formation in solution by replacing a large part of the initial extracellular water by non-crystallizable substances, which offer favorable conditions for cryopreservation. However, the biocompatibility of these compounds on the cellular systems must be guaranteed.
Because the proportion of CPA in the intracellular medium has a lighter impact than the cellular dehydration on the intracellular vitrification [16, 87, 94, 95, 96], we assume that the proportion of penetrating CPA may be limited. In that case, it is then necessary to reduce the deleterious effects related to the cellular dehydration by using non-penetrating CPA that are not highly osmotically active and whose molar concentrations slightly change during cooling (i.e., compounds with a large molar mass). It is also necessary to employ the “fast interrupt protocol” by suitably combining dehydration and lowering temperature so that the colloidal intracellular transition occurs before cell dehydration becomes too important.
Finally, it is necessary to verify that the extracellular remaining solution can vitrify easily so that the cryopreservation procedure can be interrupted at a higher plunge temperature into LN2. Thus, the use of cryostabilizer CPA that facilitate the achievement of the vitreous state, without binding a significant amount of water, may promote the stabilization of the system “ice/remaining solution” (by reducing the risk of recrystallization of the intercrystalline remaining solution).
We chose to study the possibility to cryopreserve mouse embryos with 5% (v/v) of Me2SO in the initial solution, supplemented with non-penetrating CPA (COS).
The idea of using COS compounds in cell cryopreservation is supported by:
An absence of toxicity, an ability to degrade without toxic residues, and a biocompatibility [102].
Bacteriological, fungistatic, and antitumor properties [102, 103, 104, 105, 106].
An ability to be soluble in aqueous solutions at physiological pH [107].
A tendency to form aggregates in aqueous media [108].
A chemical structure of oligosaccharide type close to molecules currently used in cryobiology.
Potential interactions with water and consequently a potential effect on the properties of aqueous solutions (like that proposed by mono-, di-, and oligosaccharides).
In addition, because of the length of their chains, the COS propose intermediate properties between the polymers and the mono- or disaccharides. These properties are adjustable since the length of the chains can be selected during their synthesis using degree of polymerization (DP) parameter as well as the nature of the monomers present on the chain using the degree of acetylation (DA) parameter. These modular characteristics let us hope for the attainment of physicochemical properties that are adjustable for use as a CPA. Furthermore, they are particularly biocompatible and nontoxic. As a result, addition of COS to some penetrating CPA appears to be a relevant choice to reduce the needed amount of CPA during slow-freezing.
Assuming that a use of COS would reduce the use of Me2SO, this work proposes to look for a composition of COS-based solution that can reproduce, in the extracellular medium, some effects of Me2SO (favor the vitrification of the intracellular medium, promote the vitrification of the intercrystalline remaining solution, reduce the cell dehydration, etc.).
Our current procedure used for mouse embryo cryopreservation has been optimized for the “IMV” holding medium (embryo-holding medium, IMV® Technologies, L’Aigle, France) supplemented with approximately 10% (v/v) Me2SO [109]. We set the goal of reducing by 50% the proportion of Me2SO, to successfully cryopreserve mouse embryos using an IMV + 5% (v/v) Me2SO solution containing a certain amount of COS.
The basic compound used to synthesize COS is chitosan supplied by the Indian company Mahtani Chitosan®. This chitosan (batch 244/020208) is produced from chitin extracted from shrimp shells. The chitosan provided was almost completely deacetylated (DA < 0.5%) by deacetylation reaction. This chitosan has a number-average molecular weight of 115 kg.mol−1 and dispersity of 2.3. For the preparation of COS, the macromolecular chitosan chains are depolymerized according to a nitrous acid deamination reaction using sodium nitrite (NaNO2) in acidic conditions [110]. It is only possible to obtain a statistical average chain length distribution around a mean DP value. To control the DA parameter, it is possible to perform an N-acetylation reaction of the D-glucosamine units with acetic anhydride as acetylation agent. In this chapter, DP and DA parameters have been used to name the COS as follows: COSDP_DA, with DP = “the average number of monomers per COS chain” and DA = “the average degree of acetylation of the chains of this COS.”
To estimate the residual hydration rate in purified COS, we used data from the literature. A previous study of the same types of chitosan chains, but in a polymeric form, evaluated these hydration levels [111]. This study performed by thermogravimetric analysis has shown that there are residual hydration levels after synthesis, purification, and lyophilization, which are variable according to the DA parameter of the chitosan polymers chains. From this data, we extrapolated the hydration levels of the COS compounds according to the DA parameter. For a DA ≈ 0%, we considered a residual hydration value of the COS compound equal to 6.5% (w/w). This is consistent with other results published in the literature where a value of 6% (w/w) was obtained [112].
Before considering the use of COS in cryopreservation solutions, an evaluation of its biocompatibility is necessary. It ensures that their presence will not be deleterious to the future survival and development of the cryopreserved biological system. By their nature and chemical composition, the biocompatibility of COS has already been emphasized [113]. However, the molecular interactions between all the compounds in extracellular solution and the cell membranes are complex. There are, for example, interactions between COS molecules and cell membranes that are invoked to explain their fungistatic and bacteriostatic properties [113]. It is therefore not excluded that interactions may exist with eukaryotic cells. In addition, the cell system chosen for this study, the mouse embryo, is a fragile system whose development can be disrupted by the presence of harmful materials. Consequently, deleterious influence on this cellular system, linked to COS, must be excluded.
The biocompatibility of COS was evaluated with mouse embryos. A procedure identical to that presented in a previous team article [109] was applied for the production of embryos used in this study. To study the biological action of COS on mouse embryos, a large quantity of COS10_0 (150 mg.mL−1) was dissolved in the cryopreservation solution (IMV + 5% (v/v) Me2SO) and in the “IMV” holding medium. One hundred twenty-six embryos (morula stage) were collected and were then mixed and divided into five groups (cf. Table 2): (1) “IMV,” a control group placed in a solution without CPA; (2) “IMV + 10% (v/v) Me2SO,” a control group placed in the solution conventionally used for cryopreservation of mouse embryos; (3) “IMV + 5% (v/v) Me2SO,” a control group placed in the solution in which COS are diluted; (4) “IMV + 5% (v/v) Me2SO + (150 mg.mL−1) COS10_0,” a test group placed in a tested cryopreservation solution with COS; and (5) “IMV + (150 mg.mL−1) COS10_0,” a second test group, without Me2SO, studied to highlight the effect of COS and avoid the potentially cross-cutting effects between COS and Me2SO.
Groups | pH | Number of embryos in culture | Young blastocysts | Expanded blastocyst | Hatching | ||||
---|---|---|---|---|---|---|---|---|---|
1 | IMV | 7.29 | 25 | 23 | 92% | 23 | 92% | 23 | 92% |
2 | IMV + 10% (v/v) Me2SO | 7.29 | 25 | 20 | 80% | 18 | 72% | 14 | 56% |
3 | IMV + 5% (v/v) Me2SO | 7.30 | 25 | 23 | 92% | 20 | 80% | 20 | 80% |
4 | IMV + 5% (v/v) Me2SO + (150 mg.mL−1) COS10_0 | 7.32 | 25 | 25 | 100% | 22 | 88% | 20 | 80% |
5 | IMV + (150 mg.mL−1) COS10_0 | 7.34 | 26 | 24 | 92% | 23 | 88% | 23 | 88% |
Compilation of embryonic developments observed by groups.
The stage reached by the embryos was evaluated under a binocular microscope every 24 hours for 4 days. For each embryonic stage, the number of embryos observed at this stage is indicated in the left column and, on the right, the corresponding percentage in relation to the initial number of cultured embryos.
The embryos were placed in these solutions at room temperature for 10 minutes. They were rinsed with M16 culture medium (IMV® Technologies, L’Aigle, France) and then placed in a culture chamber. The culture medium was equilibrated in the incubator (+37°C; 5% (v/v) CO2; humid atmosphere), and then the embryos were introduced therein. The culture was maintained and supervised for 4 days. The development of embryos was then compared (every 24 hours) with other control groups to assess the state of the embryonic stage reached by each embryo. These comparisons can highlight certain harmful effects related to the presence of the different products on cellular development.
After 24 hours, 20% of the embryos in the 10% (v/v) Me2SO group failed to reach the “young blastocyst” stage. For groups with 5% (v/v) Me2SO, the development stage remains similar to the solution without Me2SO. The presence of COS does not appear to have a deleterious effect on the development of embryos at this stage, and the reduction in the proportion of Me2SO in solution seems to be beneficial.
After 48 hours, it is possible to compare the number of embryos which reached the “expanded blastocyst” stage to the number of embryos which previously reached the “young blastocyst” stage. The numbers are the same for group 1 (control without CPA and COS), while an embryo did not develop in group 5 (with COS but without CPA), and more than one embryo did not develop in the other groups (2, 3, and 4). By comparing the results for groups 3 and 4, the effect of COS presence on embryo development may be considered minimal. Conversely, the decrease in the number of living embryos in groups 2, 3, and 4 seems to be directly associated with the presence of Me2SO in the solution where embryos are bathed at room temperature.
After 72 hours, the number of embryos that reached the hatching stage is the least important for group 2 (with 10% (v/v) Me2SO). There is no difference according to the presence or absence of COS in the IMV, and the final percentage in each case is very close. It is the same in solutions with 5% (v/v) Me2SO, where the number of embryos which reached this stage of development is equivalent, with or without COS.
According to this study repeated only once, a negative effect of Me2SO on the development of mouse embryos is highlighted. However, a negative effect of COS on this cellular development is discarded. These results should be repeated but seem to demonstrate the biocompatibility of COS for the mouse embryos. We conclude that COS can be used in the cryopreservation solutions in contact with cells.
The strategy outlined in Part 3 aims to reduce by 50% the initial volume proportion of Me2SO in slow-freezing solutions with the help of COS. It is thus necessary to know more precisely their mode of action in aqueous solutions. Several studies have already proposed the thermodynamic characterization of chitosan or chitosan derivatives [26, 112, 114, 115, 116]. However, these studies have focused on the thermodynamic characterization of polymer chains. To our knowledge, the characterization of the thermodynamic properties of aqueous solutions formulated with soluble oligosaccharide derivatives of chitin or chitosan has not yet been done.
The objective of this study is to evaluate the impact of COS on the thermodynamic properties of aqueous solutions and to put forward a potential action of these products on water and other properties of the solutions (viscosity, gelling, etc.). It will help to evaluate the cryoprotection effect of COS.
A differential scanning calorimeter (DSC Diamond; Perkin Elmer) with power compensation was used in this study. The previously described procedures [117] have been applied, with the same methods of sample preparation, calibration of the DSC calorimeter, and precautions for use. COS were added in the IMV + 5% (v/v) Me2SO solution, with different mass concentrations (mg.mL−1) of hydrated powder of COS (per unit volume of the IMV + 5% (v/v) Me2SO solution), as listed in Table 3.
Products | Averaged DP | Averaged DA (%) | Residual hydration ratio after purification% (w/w) | Powder mass concentrations studied (mg.mL−1) | Real mass concentrations studied (mg.mL−1) | DSC sample mass (mg) |
---|---|---|---|---|---|---|
COS7.5_0 | 7.5 | 0 | 6.5 | 30; 60; 90; 150 | 28.05; 56.1; 84.15; 140.3 | ∼5 |
COS10_0 | 10 | 0 | 6.5 | 0; 25; 50; 100; 150; 200 | 0; 23.38; 46.75; 93.5; 140.3; 187 | ∼10 |
Table of the studied products, with their characteristics (DP, DA, and residual hydration ratio after purification) and their studied mass concentrations.
To study the cryoprotective capability of COS as a substitute for Me2SO, the solutions were studied by DSC using a protocol described elsewhere [117]. This protocol starts with a cooling from +10°C to −150°C at −100°C.min−1, a warming from −150°C to +10°C at +2.5°C.min−1, a cooling from +10°C to −150°C at −2.5°C.min−1, and a warming from −150°C to +20°C at +20°C.min−1. The experiments were repeated three times (n = 3) for each concentration.
The studied COS have a residual moisture content. Thus, the mass concentration of the added powder is not equivalent to the real mass concentration of the added product. Correction is made according to Eq. (1):
Real mass concentration of COS (mg.mL−1), powder mass concentration of hydrated COS (mg.mL−1),
The actual mass concentrations of COS in the solutions that were studied are presented in Table 3. In the following analyses, only the actual mass concentration of COS is considered for a given compound. However, to simplify the notation in thermograms, the hydrated powdered mass concentration of COS is used to designate the solutions.
The amounts of ice formed in solution were estimated using the determination of the crystallization enthalpy (ΔHc) and the melting enthalpy (ΔHm). To estimate these amounts, the peak areas were calculated using a sigmoidal curve baseline (with the Pyris software 11.1.1). During warming the tangents, allowing the calculation of the sigmoidal line, were positioning, respectively, just before the colloidal transition and just after the melting peak.
In order to compare the transition enthalpies, a normalization of the measured values to a specified temperature of 0°C was made. As the enthalpy value of the transition of water to ice evolves as a function of temperature, the “latent heat of solidification of supercooled water” (Lf) was obtained at the measured phase change temperature from Boutron’s [118] data interpolation. His data were calculated [119] from Angell’s [120] specific heat capacity (Cp) of supercooled water and from Weast’s Hand Book’s [121] Cp of ice at different temperatures.
The normalization of the measured values to the expected values at the specified temperature of 0°C considers that the same proportion of solution transits at the transition temperature (Tt) (ΔHmeas(Tt)/Lf(Tt)) and at 0°C (ΔHnormalized(0°C)/Lf(0°C)). This equality leads to Eq. (2):
where ∆Hnormalized(0°C) is the transition enthalpy of the sample normalized to 0°C (J.g−1), ∆Hmeas(Tt) is the transition enthalpy of the sample measured at a transition temperature Tt (J.g−1), Lf(Tt) is the transition enthalpy of a pure water sample measured at a transition temperature Tt (J.g−1), and Lf(0°C) is the transition enthalpy of a pure water sample measured at 0°C (= 333.4 J.g−1) (J.g−1).
During cooling, to analyze the crystallization enthalpies, the nucleation temperature (Tn) was considered as the transition temperature (i.e., Tt = Tn). During warming, to analyze the melting enthalpies, the temperature of the summit of the melting peak (Tmax) was considered as the transition temperature (i.e., Tt = Tmax). These are approximations because for a mixture there is not only one transition temperature.
When a non-hydrated inert mass is added in a solution, a lowering of the enthalpies of crystallization and melting is expected since this addition decreases, in proportion, the mass of water present in solution. The term “inert” refers to a product that does not influence the transition enthalpies (i.e., a product that does not transit and does not influence the transition of other products). The theoretical link between the decrease of the transition enthalpies and the decrease of the mass proportion of water in solution is given by Eq. (3). The comparison of a theoretical value with a measured one allows estimating the mass of water which transits in comparison to the mass of water present within the solution. Experimental values lower than the theoretical ones materialize an evolution of the proportion of solution which is crystallized. Indeed, it materializes a deviation in the evolution of the compound concentrations within the remaining solution (according to the lever rule).
where ∆Hcalculated with an inert mass([c]) is the calculated specific enthalpy for the transition of liquid water to ice for an IMV + 5% (v/v) Me2SO solution with a concentration [c] of inert mass (J.g−1), ∆Hmeasured([c] = 0) is the experimentally measured specific enthalpy for the transition of liquid water to ice for a IMV + 5% (v/v) Me2SO solution = 265.68 ± 3.2 J.g−1 (this specific enthalpy value corresponds to the average of the three measurements with the IMV + 5% (v/v) Me2SO solution without COS) (J.g−1), and
Eq. (4) allows estimating the initial mass proportion of the IMV + 5% (v/v) Me2SO solution in the prepared IMV + 5% (v/v) Me2SO solution containing an inert mass such as COS.
where
A cryoscopic depression indicates the action of a dissolved product on the properties of water molecules in solution, providing information on interactions that occur between this product and the water molecules. The estimation of the maximal equilibrium temperature (Tm), for different concentrations of the same COS introduced in the IMV + 5% (v/v) Me2SO solution, informs about the cryoscopic depression induced by the oligosaccharide. Moreover, knowing the temperature (Tm) of a solution allows to estimate, as a function of the temperature, the supercooling magnitude reached in this mixture (before crystallization).
Due to the kinetic phenomena of heat transfer, it is often imprecise to confuse the temperature recorded at the maximum of the endothermic melting peak (Tmax) with the maximum melting point temperature of the ice in solution, because Tm is less or equal to Tmax [119]. In the kinetic phenomena being influenced by the mass involved in the melting process, the comparison of the Tmax values becomes difficult between the series for which the mass of sample studied is different and in which the mass of water in solution concerned by the melting is different.
Since the Tmax values cannot be compared and can hardly be associated only with a cryoscopic phenomenon, we have not realized this comparison. We used an alternative method for estimating the cryoscopic effect based on the shape of the thermograms. It consists in the comparison of the size and the peaks spread with temperature [119].
The calculated values of the crystallization and melting enthalpies of the solutions were normalized to 0°C and represented in Figure 1. The calculation of the phase change enthalpy expected following the addition of an inert mass was performed in the range of the concentrations studied, using Eqs. (3) and (4). These values were plotted (Figure 1), with measured enthalpy values (normalized to 0°C), as a function of the initial COS concentration.
Crystallization and melting enthalpies, normalized to 0°C, for the different solutions containing COS. Here the calculated transition enthalpies are also materialized in the case of the addition of a non-hydrated inert mass in solution. The standard deviations are calculated according to the three data obtained for each value. The standard deviation of the calculated enthalpy is the standard deviation of the measured value without COS.
A sharp decrease in the ΔHc and ΔHm values is observed as a function of the mass concentration of COS introduced, and this decrease seems affine. For the same mass concentration of non-hydrated powder studied, the differences between ΔHc and ΔHm are small. Until 50 mg.mL−1, a good correlation is observable between the calculated mass enthalpies following the addition of a non-hydrated inert mass and the measured mass enthalpies in the presence of COS (cf. Figure 1). COS molecules added in the solution can replace part of the water molecules present in the solution and thus reduce the amount of crystallizable water in mass proportion (as materialized by the orange line in Figure 1). To play an additional role, the CPA molecules must either bind to a portion of the water molecules to prevent their crystallization or promote the glass-forming tendency of free water during cooling. Based on Figure 1, COS do not seem to have significant effects, although these effects increase for the higher COS concentration (> 100 mg.mL−1).
For the smallest COS concentrations, if the COS could bind to a part of the water, or highly favor the vitrification, then a difference between calculated enthalpies and experimental enthalpies or a difference between the crystallization enthalpies and the melting enthalpies (for a nominative mass of COS introduced in solution) would have been expected. These results imply that the addition of COS in the solution does not disturb further the ability of water molecules to crystallize. Thus, the COS presence does not alter either the amount of bounded water or the quantity of bulk water that vitrified.
For the highest COS concentrations, the amount of water that can crystallize is reduced, as indicated by the smaller normalized values of ΔHc and ΔHm. This decrease in crystallization and melting enthalpies implies a decrease in the amount of ice formed. Because normalized values are lower than the calculated, we argue that it is the materialization of the capability of COS to stabilize the remaining solution and to limit the crystallization of a part of the water molecules in the remaining solution.
COS, therefore, serve the purpose of reducing ice formation during cryopreservation procedures. However, their mode of action and its consequences for cells deserve to be studied deeper.
As could be seen in Figure 2, when COS is added, the maximum of the heat flow related to the melting endothermic peaks appears to be smaller, and the peaks are shifted toward the low temperatures.
Zoom on the bottom of the melting peaks obtained for the mixture: IMV + 5% (v/v) Me2SO + [COS10_0]. Observation of the COS influence on the shape of the melting peaks. Protocol, 2. Sample volume = 10 μL. Warming rate = +2.5°C.min−1. Data range, normal. All cooling and warming thermograms were straightened up from −100 to −80°C and then lined up at 0.0 mW. The mass concentrations of the studied hydrated powder are equal to 0, 12.5, 25, 100, and 200 mg.mL−1. Two endothermic peaks are observable on each of these thermograms, a large one which is associated to the melting of the ice previously crystallized within the sample and a small one which is an anomaly. This anomaly of melting is systematically present during the analysis of slow-freezing solutions, linked to the melting of the previously condensed and crystallized ambient humidity of the air encapsulated within the sample pan. This humidity could be from the previous ambient air in the laboratory or from the equilibration at the vapor pressure of water between the encapsulated air and the sample aqueous solution or from a combination of both.
When there is little ice in the sample, the effects responsible for the temperature difference between Tm and Tmax decrease. Thus, the decrease in the amount of ice formed when the amount of COS increases (cf. Figure 1) could explain the lowering of Tmax (cf. Figure 2) without cryoscopic effect. When there is a smaller amount of ice and fewer phenomena that may imply the shift of the temperature of the melting peak summit, the melting peak is smaller, and then, the temperature of the peak’s summit is shifted toward low temperatures.
However, the offset that is observed at the onset of the peaks cannot be associated with a reduction in the amount of ice that melts during warming. This shift indicates that there is a change in the amount of ice transiting at lower temperatures. The amount of water that melts as a function of temperature is greater at lower temperatures for the solutions with COS (cf. Figure 2), even if, in the presence of COS, the total amount of ice previously formed is lower. This phenomenon is the materialization of a slight cryoscopic effect linked to the addition of COS in solution. This effect is, however, difficult to quantify and remains below 0.5°C (cf. Figure 2).
The presence of a weak cryoscopic depression associated with the addition of COS in the IMV + 5% (v/v) Me2SO solution involves the addition of COS having little or no influence on the osmolality of the studied solutions. Further verifications will nevertheless have to be made to verify these results, especially by studying the characteristics of the mixture: “H2O-COS.” Based on these preliminary findings, we will consider that COS compounds can be added to cryopreservation solutions without fear of a significant increase or acceleration of cell dehydration.
According to this first thermodynamic characterization, the use of COS as CPA is debatable, as are their cryoprotective capabilities.
COS appear to be biocompatible in solution, and no disruption to mouse embryo development has occurred when COS were evaluated. COS have a significant influence on lowering the amount of crystallizable ice in solution, without participating in cell dehydration. Indeed, their addition in solution replaces a significant part of water, without significant osmotic effect. This is an interesting use in slow-freezing cryopreservation since it makes it possible to reduce the mechanical damage associated with the formation of ice, without change in the equilibrium of the osmotic balance with the intracellular media. We can thus assume that the use of such a product does not promote the mechanisms of dehydration of the intracellular medium.
However, COS do not seem able to influence the proportion of IMV + 5% (v/v) Me2SO solution remaining liquid during freezing. As a result, they cannot participate in the main protections associated with CPA. Using these compounds without any other CPA has, therefore, to be discarded. COS do not participate in the equilibration of osmotic pressures between intra- and extracellular media. Thus, they dehydrate the overconcentrated residual solution, without modifying the mass proportion of crystallized water and without dehydrating the cells. They act only in the extracellular medium by inducing a steric hindrance and by increasing the solution viscosity. They seem to contribute to the stabilization of the extracellular noncrystalline medium.
Combined with penetrating cryoprotectants, we assume that COS can promote a decrease in the use of penetrating CPA while ensuring the successful vitrification of intercrystalline spans. Nevertheless, several questions remain about the action of COS in solution. It is particularly possible to question their interactions with water molecules. Similarly, it is difficult to know how these compounds interact with Me2SO. In order to further characterize the role of these compounds in water solution, it will be necessary to characterize them in simpler binary solutions composed of COS and water. It would also be necessary to study the influence of COS on the ice crystal organization in cryopreserved samples (notably to study the influence of COS on the average size of intercrystalline spans). Further experiments, particularly on their ability to increase the glass-forming tendency of the remaining solution, should be conducted in the future.
This work was supported by a grant from the Veterinary Campus of Lyon (VetAgro Sup, Marcy l’Etoile, France) and the infrastructure project CRB-Anim (ANR11-INBS-0003).
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After finishing his P. hD degree in 1992, he served in the Industry as a Scientific Officer and continued his academic career as a visiting scholar for a number of educational institutions. In 1996 he joined National University of Science & Technology Pakistan (NUST) as an Associate Professor; NUST is one of the top few universities in Pakistan. In 1999 he joined an International Company Lineo Inc, Canada as Manager Compiler Group, where he headed the group for developing Compiler Tool Chain and Porting of Operating Systems for the BLACKfin processor. The processor development was a joint venture by Intel and Analog Devices. In 2002 Lineo Inc., was taken over by another company, so he joined Aalborg University Denmark as an Assistant Professor.\nProfessor Akbar has truly a multi-disciplined career and he continued his legacy and making progress in many areas of his interests both in teaching and research. 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Angel Catalá belongto the Editorial Board of Journal of lipids, International Review of Biophysical ChemistryFrontiers in Membrane Physiology and Biophysics, World Journal oExperimental Medicine and Biochemistry Research International, W orld Journal oBiological Chemistry, Oxidative Medicine and Cellular Longevity, Diabetes and thePancreas, International Journal of Chronic Diseases & Therapy, International Journal oNutrition, Co-Editor of The Open Biology Journal.",institutionString:null,institution:{name:"National University of La Plata",institutionURL:null,country:{name:"Argentina"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"186048",title:"Prof.",name:"Ines",middleName:null,surname:"Drenjančević",slug:"ines-drenjancevic",fullName:"Ines Drenjančević",profilePictureURL:"https://mts.intechopen.com/storage/users/186048/images/5818_n.jpg",institutionString:null,institution:{name:"University of Osijek",institutionURL:null,country:{name:"Croatia"}}},{id:"187859",title:"Prof.",name:"Kusal",middleName:"K.",surname:"Das",slug:"kusal-das",fullName:"Kusal Das",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSBDeQAO/Profile_Picture_1623411145568",institutionString:"BLDE (Deemed to be University), India",institution:null},{id:"79615",title:"Dr.",name:"Robson",middleName:null,surname:"Faria",slug:"robson-faria",fullName:"Robson Faria",profilePictureURL:"https://mts.intechopen.com/storage/users/79615/images/system/79615.png",institutionString:null,institution:{name:"Oswaldo Cruz Foundation",institutionURL:null,country:{name:"Brazil"}}},{id:"84459",title:"Prof.",name:"Valerie",middleName:null,surname:"Chappe",slug:"valerie-chappe",fullName:"Valerie Chappe",profilePictureURL:"https://mts.intechopen.com/storage/users/84459/images/system/84459.jpg",institutionString:null,institution:{name:"Dalhousie University",institutionURL:null,country:{name:"Canada"}}}]},{id:"12",title:"Human Physiology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/12.jpg",editor:{id:"195829",title:"Prof.",name:"Kunihiro",middleName:null,surname:"Sakuma",slug:"kunihiro-sakuma",fullName:"Kunihiro Sakuma",profilePictureURL:"https://mts.intechopen.com/storage/users/195829/images/system/195829.jpg",biography:"Professor Kunihiro Sakuma, Ph.D., currently works in the Institute for Liberal Arts at the Tokyo Institute of Technology. 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She is now a lecturer at the University of Witwatersrand, South Africa, and a principal researcher at the Health Economics and Epidemiology Research Office (HE2RO), South Africa. Dr. Moolla holds a Ph.D. in Psychology with her research being focused on mental health and resilience. In her professional work capacity, her research has further expanded into the fields of early childhood development, mental health, the HIV and TB care cascades, as well as COVID. She is also a UNESCO-trained International Bioethics Facilitator.",institutionString:"University of the Witwatersrand",institution:{name:"University of the Witwatersrand",country:{name:"South Africa"}}},{id:"419588",title:"Ph.D.",name:"Sergio",middleName:"Alexandre",surname:"Gehrke",slug:"sergio-gehrke",fullName:"Sergio Gehrke",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000038WgMKQA0/Profile_Picture_2022-06-02T11:44:20.jpg",biography:"Dr. Sergio Alexandre Gehrke is a doctorate holder in two fields. The first is a Ph.D. in Cellular and Molecular Biology from the Pontificia Catholic University, Porto Alegre, Brazil, in 2010 and the other is an International Ph.D. in Bioengineering from the Universidad Miguel Hernandez, Elche/Alicante, Spain, obtained in 2020. In 2018, he completed a postdoctoral fellowship in Materials Engineering in the NUCLEMAT of the Pontificia Catholic University, Porto Alegre, Brazil. He is currently the Director of the Postgraduate Program in Implantology of the Bioface/UCAM/PgO (Montevideo, Uruguay), Director of the Cathedra of Biotechnology of the Catholic University of Murcia (Murcia, Spain), an Extraordinary Full Professor of the Catholic University of Murcia (Murcia, Spain) as well as the Director of the private center of research Biotecnos – Technology and Science (Montevideo, Uruguay). Applied biomaterials, cellular and molecular biology, and dental implants are among his research interests. He has published several original papers in renowned journals. In addition, he is also a Collaborating Professor in several Postgraduate programs at different universities all over the world.",institutionString:null,institution:{name:"Universidad Católica San Antonio de Murcia",country:{name:"Spain"}}},{id:"342152",title:"Dr.",name:"Santo",middleName:null,surname:"Grace Umesh",slug:"santo-grace-umesh",fullName:"Santo Grace Umesh",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/342152/images/16311_n.jpg",biography:null,institutionString:null,institution:{name:"SRM Dental College",country:{name:"India"}}},{id:"333647",title:"Dr.",name:"Shreya",middleName:null,surname:"Kishore",slug:"shreya-kishore",fullName:"Shreya Kishore",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/333647/images/14701_n.jpg",biography:"Dr. Shreya Kishore completed her Bachelor in Dental Surgery in Chettinad Dental College and Research Institute, Chennai, and her Master of Dental Surgery (Orthodontics) in Saveetha Dental College, Chennai. She is also Invisalign certified. She’s working as a Senior Lecturer in the Department of Orthodontics, SRM Dental College since November 2019. She is actively involved in teaching orthodontics to the undergraduates and the postgraduates. Her clinical research topics include new orthodontic brackets, fixed appliances and TADs. She’s published 4 articles in well renowned indexed journals and has a published patency of her own. Her private practice is currently limited to orthodontics and works as a consultant in various clinics.",institutionString:null,institution:{name:"SRM Dental College",country:{name:"India"}}},{id:"323731",title:"Prof.",name:"Deepak M.",middleName:"Macchindra",surname:"Vikhe",slug:"deepak-m.-vikhe",fullName:"Deepak M. Vikhe",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/323731/images/13613_n.jpg",biography:"Dr Deepak M.Vikhe .\n\n\t\n\tDr Deepak M.Vikhe , completed his Masters & PhD in Prosthodontics from Rural Dental College, Loni securing third rank in the Pravara Institute of Medical Sciences Deemed University. He was awarded Dr.G.C.DAS Memorial Award for Research on Implants at 39th IPS conference Dubai (U A E).He has two patents under his name. He has received Dr.Saraswati medal award for best research for implant study in 2017.He has received Fully funded scholarship to Spain ,university of Santiago de Compostela. He has completed fellowship in Implantlogy from Noble Biocare. \nHe has attended various conferences and CDE programmes and has national publications to his credit. His field of interest is in Implant supported prosthesis. Presently he is working as a associate professor in the Dept of Prosthodontics, Rural Dental College, Loni and maintains a successful private practice specialising in Implantology at Rahata.\n\nEmail: drdeepak_mvikhe@yahoo.com..................",institutionString:null,institution:{name:"Pravara Institute of Medical Sciences",country:{name:"India"}}},{id:"204110",title:"Dr.",name:"Ahmed A.",middleName:null,surname:"Madfa",slug:"ahmed-a.-madfa",fullName:"Ahmed A. Madfa",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/204110/images/system/204110.jpg",biography:"Dr. Madfa is currently Associate Professor of Endodontics at Thamar University and a visiting lecturer at Sana'a University and University of Sciences and Technology. He has more than 6 years of experience in teaching. His research interests include root canal morphology, functionally graded concept, dental biomaterials, epidemiology and dental education, biomimetic restoration, finite element analysis and endodontic regeneration. Dr. Madfa has numerous international publications, full articles, two patents, a book and a book chapter. Furthermore, he won 14 international scientific awards. Furthermore, he is involved in many academic activities ranging from editorial board member, reviewer for many international journals and postgraduate students' supervisor. Besides, I deliver many courses and training workshops at various scientific events. Dr. Madfa also regularly attends international conferences and holds administrative positions (Deputy Dean of the Faculty for Students’ & Academic Affairs and Deputy Head of Research Unit).",institutionString:"Thamar University",institution:null},{id:"210472",title:"Dr.",name:"Nermin",middleName:"Mohammed Ahmed",surname:"Yussif",slug:"nermin-yussif",fullName:"Nermin Yussif",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/210472/images/system/210472.jpg",biography:"Dr. Nermin Mohammed Ahmed Yussif is working at the Faculty of dentistry, University for October university for modern sciences and arts (MSA). Her areas of expertise include: periodontology, dental laserology, oral implantology, periodontal plastic surgeries, oral mesotherapy, nutrition, dental pharmacology. She is an editor and reviewer in numerous international journals.",institutionString:"MSA University",institution:null},{id:"204606",title:"Dr.",name:"Serdar",middleName:null,surname:"Gözler",slug:"serdar-gozler",fullName:"Serdar Gözler",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/204606/images/system/204606.jpeg",biography:"Dr. Serdar Gözler has completed his undergraduate studies at the Marmara University Faculty of Dentistry in 1978, followed by an assistantship in the Prosthesis Department of Dicle University Faculty of Dentistry. Starting his PhD work on non-resilient overdentures with Assoc. Prof. Hüsnü Yavuzyılmaz, he continued his studies with Prof. Dr. Gürbüz Öztürk of Istanbul University Faculty of Dentistry Department of Prosthodontics, this time on Gnatology. He attended training programs on occlusion, neurology, neurophysiology, EMG, radiology and biostatistics. In 1982, he presented his PhD thesis \\Gerber and Lauritzen Occlusion Analysis Techniques: Diagnosis Values,\\ at Istanbul University School of Dentistry, Department of Prosthodontics. As he was also working with Prof. Senih Çalıkkocaoğlu on The Physiology of Chewing at the same time, Gözler has written a chapter in Çalıkkocaoğlu\\'s book \\Complete Prostheses\\ entitled \\The Place of Neuromuscular Mechanism in Prosthetic Dentistry.\\ The book was published five times since by the Istanbul University Publications. Having presented in various conferences about occlusion analysis until 1998, Dr. Gözler has also decided to use the T-Scan II occlusion analysis method. Having been personally trained by Dr. Robert Kerstein on this method, Dr. Gözler has been lecturing on the T-Scan Occlusion Analysis Method in conferences both in Turkey and abroad. Dr. Gözler has various articles and presentations on Digital Occlusion Analysis methods. He is now Head of the TMD Clinic at Prosthodontic Department of Faculty of Dentistry , Istanbul Aydın University , Turkey.",institutionString:"Istanbul Aydin University",institution:{name:"Istanbul Aydın University",country:{name:"Turkey"}}},{id:"256417",title:"Associate Prof.",name:"Sanaz",middleName:null,surname:"Sadry",slug:"sanaz-sadry",fullName:"Sanaz Sadry",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/256417/images/8106_n.jpg",biography:null,institutionString:null,institution:{name:"Istanbul Aydın University",country:{name:"Turkey"}}},{id:"240870",title:"Ph.D.",name:"Alaa Eddin Omar",middleName:null,surname:"Al Ostwani",slug:"alaa-eddin-omar-al-ostwani",fullName:"Alaa Eddin Omar Al Ostwani",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/240870/images/system/240870.jpeg",biography:"Dr. Al Ostwani Alaa Eddin Omar received his Master in dentistry from Damascus University in 2010, and his Ph.D. in Pediatric Dentistry from Damascus University in 2014. Dr. Al Ostwani is an assistant professor and faculty member at IUST University since 2014. \nDuring his academic experience, he has received several awards including the scientific research award from the Union of Arab Universities, the Syrian gold medal and the international gold medal for invention and creativity. Dr. Al Ostwani is a Member of the International Association of Dental Traumatology and the Syrian Society for Research and Preventive Dentistry since 2017. He is also a Member of the Reviewer Board of International Journal of Dental Medicine (IJDM), and the Indian Journal of Conservative and Endodontics since 2016.",institutionString:"International University for Science and Technology.",institution:{name:"Islamic University of Science and Technology",country:{name:"India"}}},{id:"42847",title:"Dr.",name:"Belma",middleName:null,surname:"Işik Aslan",slug:"belma-isik-aslan",fullName:"Belma Işik Aslan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/42847/images/system/42847.jpg",biography:"Dr. Belma IşIk Aslan was born in 1976 in Ankara-TURKEY. After graduating from TED Ankara College in 1994, she attended to Gazi University, Faculty of Dentistry in Ankara. She completed her PhD in orthodontic education at Gazi University between 1999-2005. Dr. Işık Aslan stayed at the Providence Hospital Craniofacial Institude and Reconstructive Surgery in Michigan, USA for three months as an observer. She worked as a specialist doctor at Gazi University, Dentistry Faculty, Department of Orthodontics between 2005-2014. She was appointed as associate professor in January, 2014 and as professor in 2021. Dr. Işık Aslan still works as an instructor at the same faculty. She has published a total of 35 articles, 10 book chapters, 39 conference proceedings both internationally and nationally. Also she was the academic editor of the international book 'Current Advances in Orthodontics'. She is a member of the Turkish Orthodontic Society and Turkish Cleft Lip and Palate Society. She is married and has 2 children. Her knowledge of English is at an advanced level.",institutionString:"Gazi University Dentistry Faculty Department of Orthodontics",institution:null},{id:"202198",title:"Dr.",name:"Buket",middleName:null,surname:"Aybar",slug:"buket-aybar",fullName:"Buket Aybar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/202198/images/6955_n.jpg",biography:"Buket Aybar, DDS, PhD, was born in 1971. She graduated from Istanbul University, Faculty of Dentistry, in 1992 and completed her PhD degree on Oral and Maxillofacial Surgery in Istanbul University in 1997.\r\nDr. Aybar is currently a full-time professor in Istanbul University, Faculty of Dentistry Department of Oral and Maxillofacial Surgery. She has teaching responsibilities in graduate and postgraduate programs. Her clinical practice includes mainly dentoalveolar surgery.\r\nHer topics of interest are biomaterials science and cell culture studies. She has many articles in international and national scientific journals and chapters in books; she also has participated in several scientific projects supported by Istanbul University Research fund.",institutionString:null,institution:{name:"Marmara University",country:{name:"Turkey"}}},{id:"178412",title:"Associate Prof.",name:"Guhan",middleName:null,surname:"Dergin",slug:"guhan-dergin",fullName:"Guhan Dergin",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/178412/images/6954_n.jpg",biography:"Assoc. Prof. Dr. Gühan Dergin was born in 1973 in Izmit. He graduated from Marmara University Faculty of Dentistry in 1999. He completed his specialty of OMFS surgery in Marmara University Faculty of Dentistry and obtained his PhD degree in 2006. In 2005, he was invited as a visiting doctor in the Oral and Maxillofacial Surgery Department of the University of North Carolina, USA, where he went on a scholarship. Dr. Dergin still continues his academic career as an associate professor in Marmara University Faculty of Dentistry. He has many articles in international and national scientific journals and chapters in books.",institutionString:null,institution:{name:"Marmara University",country:{name:"Turkey"}}},{id:"178414",title:"Prof.",name:"Yusuf",middleName:null,surname:"Emes",slug:"yusuf-emes",fullName:"Yusuf Emes",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/178414/images/6953_n.jpg",biography:"Born in Istanbul in 1974, Dr. Emes graduated from Istanbul University Faculty of Dentistry in 1997 and completed his PhD degree in Istanbul University faculty of Dentistry Department of Oral and Maxillofacial Surgery in 2005. He has papers published in international and national scientific journals, including research articles on implantology, oroantral fistulas, odontogenic cysts, and temporomandibular disorders. Dr. Emes is currently working as a full-time academic staff in Istanbul University faculty of Dentistry Department of Oral and Maxillofacial Surgery.",institutionString:null,institution:{name:"Istanbul University",country:{name:"Turkey"}}},{id:"192229",title:"Ph.D.",name:"Ana Luiza",middleName:null,surname:"De Carvalho Felippini",slug:"ana-luiza-de-carvalho-felippini",fullName:"Ana Luiza De Carvalho Felippini",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/192229/images/system/192229.jpg",biography:null,institutionString:"University of São Paulo",institution:{name:"University of Sao Paulo",country:{name:"Brazil"}}},{id:"256851",title:"Prof.",name:"Ayşe",middleName:null,surname:"Gülşen",slug:"ayse-gulsen",fullName:"Ayşe Gülşen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/256851/images/9696_n.jpg",biography:"Dr. Ayşe Gülşen graduated in 1990 from Faculty of Dentistry, University of Ankara and did a postgraduate program at University of Gazi. \nShe worked as an observer and research assistant in Craniofacial Surgery Departments in New York, Providence Hospital in Michigan and Chang Gung Memorial Hospital in Taiwan. \nShe works as Craniofacial Orthodontist in Department of Aesthetic, Plastic and Reconstructive Surgery, Faculty of Medicine, University of Gazi, Ankara Turkey since 2004.",institutionString:"Orthodontist, Assoc Prof in the Department of Aesthetic, Plastic and Reconstructive Surgery, Faculty of Medicine, University of Gazi",institution:null},{id:"255366",title:"Prof.",name:"Tosun",middleName:null,surname:"Tosun",slug:"tosun-tosun",fullName:"Tosun Tosun",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/255366/images/7347_n.jpg",biography:"Graduated at the Faculty of Dentistry, University of Istanbul, Turkey in 1989;\nVisitor Assistant at the University of Padua, Italy and Branemark Osseointegration Center of Treviso, Italy between 1993-94;\nPhD thesis on oral implantology in University of Istanbul and was awarded the academic title “Dr.med.dent.”, 1997;\nHe was awarded the academic title “Doç.Dr.” (Associated Professor) in 2003;\nProficiency in Botulinum Toxin Applications, Reading-UK in 2009;\nMastership, RWTH Certificate in Laser Therapy in Dentistry, AALZ-Aachen University, Germany 2009-11;\nMaster of Science (MSc) in Laser Dentistry, University of Genoa, Italy 2013-14.\n\nDr.Tosun worked as Research Assistant in the Department of Oral Implantology, Faculty of Dentistry, University of Istanbul between 1990-2002. \nHe worked part-time as Consultant surgeon in Harvard Medical International Hospitals and John Hopkins Medicine, Istanbul between years 2007-09.\u2028He was contract Professor in the Department of Surgical and Diagnostic Sciences (DI.S.C.), Medical School, University of Genova, Italy between years 2011-16. \nSince 2015 he is visiting Professor at Medical School, University of Plovdiv, Bulgaria. \nCurrently he is Associated Prof.Dr. at the Dental School, Oral Surgery Dept., Istanbul Aydin University and since 2003 he works in his own private clinic in Istanbul, Turkey.\u2028\nDr.Tosun is reviewer in journal ‘Laser in Medical Sciences’, reviewer in journal ‘Folia Medica\\', a Fellow of the International Team for Implantology, Clinical Lecturer of DGZI German Association of Oral Implantology, Expert Lecturer of Laser&Health Academy, Country Representative of World Federation for Laser Dentistry, member of European Federation of Periodontology, member of Academy of Laser Dentistry. Dr.Tosun presents papers in international and national congresses and has scientific publications in international and national journals. He speaks english, spanish, italian and french.",institutionString:null,institution:{name:"Istanbul Aydın University",country:{name:"Turkey"}}},{id:"260116",title:"Dr.",name:"Mehmet",middleName:null,surname:"Yaltirik",slug:"mehmet-yaltirik",fullName:"Mehmet Yaltirik",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/260116/images/7413_n.jpg",biography:"Birth Date 25.09.1965\r\nBirth Place Adana- Turkey\r\nSex Male\r\nMarrial Status Bachelor\r\nDriving License Acquired\r\nMother Tongue Turkish\r\n\r\nAddress:\r\nWork:University of Istanbul,Faculty of Dentistry, Department of Oral Surgery and Oral Medicine 34093 Capa,Istanbul- TURKIYE",institutionString:null,institution:{name:"Istanbul University",country:{name:"Turkey"}}},{id:"171887",title:"Prof.",name:"Zühre",middleName:null,surname:"Akarslan",slug:"zuhre-akarslan",fullName:"Zühre Akarslan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/171887/images/system/171887.jpg",biography:"Zühre Akarslan was born in 1977 in Cyprus. She graduated from Gazi University Faculty of Dentistry, Ankara, Turkey in 2000. \r\nLater she received her Ph.D. degree from the Oral Diagnosis and Radiology Department; which was recently renamed as Oral and Dentomaxillofacial Radiology, from the same university. \r\nShe is working as a full-time Associate Professor and is a lecturer and an academic researcher. \r\nHer expertise areas are dental caries, cancer, dental fear and anxiety, gag reflex in dentistry, oral medicine, and dentomaxillofacial radiology.",institutionString:"Gazi University",institution:{name:"Gazi University",country:{name:"Turkey"}}},{id:"272237",title:"Dr.",name:"Pinar",middleName:"Kiymet",surname:"Karataban",slug:"pinar-karataban",fullName:"Pinar Karataban",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/272237/images/8911_n.png",biography:"Assist.Prof.Dr.Pınar Kıymet Karataban, DDS PhD \n\nDr.Pınar Kıymet Karataban was born in Istanbul in 1975. After her graduation from Marmara University Faculty of Dentistry in 1998 she started her PhD in Paediatric Dentistry focused on children with special needs; mainly children with Cerebral Palsy. She finished her pHD thesis entitled \\'Investigation of occlusion via cast analysis and evaluation of dental caries prevalance, periodontal status and muscle dysfunctions in children with cerebral palsy” in 2008. She got her Assist. Proffessor degree in Istanbul Aydın University Paediatric Dentistry Department in 2015-2018. ın 2019 she started her new career in Bahcesehir University, Istanbul as Head of Department of Pediatric Dentistry. In 2020 she was accepted to BAU International University, Batumi as Professor of Pediatric Dentistry. She’s a lecturer in the same university meanwhile working part-time in private practice in Ege Dental Studio (https://www.egedisklinigi.com/) a multidisciplinary dental clinic in Istanbul. Her main interests are paleodontology, ancient and contemporary dentistry, oral microbiology, cerebral palsy and special care dentistry. She has national and international publications, scientific reports and is a member of IAPO (International Association for Paleodontology), IADH (International Association of Disability and Oral Health) and EAPD (European Association of Pediatric Dentistry).",institutionString:null,institution:null},{id:"172009",title:"Dr.",name:"Fatma Deniz",middleName:null,surname:"Uzuner",slug:"fatma-deniz-uzuner",fullName:"Fatma Deniz Uzuner",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/172009/images/7122_n.jpg",biography:"Dr. Deniz Uzuner was born in 1969 in Kocaeli-TURKEY. After graduating from TED Ankara College in 1986, she attended the Hacettepe University, Faculty of Dentistry in Ankara. \nIn 1993 she attended the Gazi University, Faculty of Dentistry, Department of Orthodontics for her PhD education. After finishing the PhD education, she worked as orthodontist in Ankara Dental Hospital under the Turkish Government, Ministry of Health and in a special Orthodontic Clinic till 2011. Between 2011 and 2016, Dr. Deniz Uzuner worked as a specialist in the Department of Orthodontics, Faculty of Dentistry, Gazi University in Ankara/Turkey. In 2016, she was appointed associate professor. Dr. Deniz Uzuner has authored 23 Journal Papers, 3 Book Chapters and has had 39 oral/poster presentations. She is a member of the Turkish Orthodontic Society. Her knowledge of English is at an advanced level.",institutionString:null,institution:null},{id:"332914",title:"Dr.",name:"Muhammad Saad",middleName:null,surname:"Shaikh",slug:"muhammad-saad-shaikh",fullName:"Muhammad Saad Shaikh",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Jinnah Sindh Medical University",country:{name:"Pakistan"}}},{id:"315775",title:"Dr.",name:"Feng",middleName:null,surname:"Luo",slug:"feng-luo",fullName:"Feng Luo",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Sichuan University",country:{name:"China"}}},{id:"344229",title:"Dr.",name:"Sankeshan",middleName:null,surname:"Padayachee",slug:"sankeshan-padayachee",fullName:"Sankeshan Padayachee",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of the Witwatersrand",country:{name:"South Africa"}}},{id:"315727",title:"Ms.",name:"Kelebogile A.",middleName:null,surname:"Mothupi",slug:"kelebogile-a.-mothupi",fullName:"Kelebogile A. 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To tackle global challenges of development and environment, the United Nations General Assembly in 2015 adopted the 17 Sustainable Development Goals. SDGs emphasize that environmental sustainability should be strongly linked to socio-economic development, which should be decoupled from escalating resource use and environmental degradation for the purpose of reducing environmental stress, enhancing human welfare, and improving regional equity. Moreover, sustainable development seeks a balance between human development and decrease in ecological/environmental marginal benefits. Under the increasing stress of climate change, many environmental problems have emerged causing severe impacts at both global and local scales, driving ecosystem service reduction and biodiversity loss. Humanity’s relationship with resource exploitation and environment protection is a major global concern, as new threats to human and environmental security emerge in the Anthropocene. 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Recently, bioinspired systems have been successfully employing biomechanics to develop and improve assistive technology and rehabilitation devices. The research topic "Bioinspired Technology and Biomechanics" welcomes studies reporting recent advances in bioinspired technologies that contribute to individuals\' health, inclusion, and rehabilitation. 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Chapters exploring biomaterial approaches such as polymer synthesis and characterization, drug and gene vector design, biocompatibility, immunology and toxicology, and self-assembly at the nanoscale, are welcome. 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