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See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/299498511 Polyol-based biodegradable polyesters: A short review Article in Reviews in Chemical Engineering · April 2016 DOI: 10.1515/revce-2015-0035 CITATION 1 READS 126 5 authors, including: Some of the authors of this publication are also working on these related projects: Graphene Reinforced Polymer Nanocomposites for Automotive Application View project Mat Uzir Wahit Universiti Teknologi Malaysia 107 PUBLICATIONS 892 CITATIONS SEE PROFILE Mohammed Rafiq Abdul Kadir Universiti Teknologi Malaysia 191 PUBLICATIONS 1,023 CITATIONS SEE PROFILE Tuck Whye Wong Universiti Teknologi Malaysia 9 PUBLICATIONS 55 CITATIONS SEE PROFILE Onn Hassan Universiti Teknologi Malaysia 11 PUBLICATIONS 36 CITATIONS SEE PROFILE All in-text references underlined in blue are linked to publications on ResearchGate, letting you access and read them immediately. Available from: Mat Uzir Wahit Retrieved on: 08 November 2016 Rev Chem Eng 2015; aop *Corresponding author: Mat Uzir Wahit, Enhanced Polymer Research Group (EnPRO), Faculty of Chemical Engineering, Department of Polymer Engineering, Universiti Teknologi Malaysia (UTM), 81300 Johor Bahru, Johor, Malaysia, e-mail: mat.uzir@cheme.utm.my; and Centre for Composites (CfC), Institute of Vehicle System and Engineering (IVeSE), Universiti Teknologi Malaysia (UTM), 81300 Johor Bahru, Johor, Malaysia Weng Hong Tham and Tuck Whye Wong: Enhanced Polymer Research Group (EnPRO), Faculty of Chemical Engineering, Department of Polymer Engineering, Universiti Teknologi Malaysia (UTM), 81300 Johor Bahru, Johor, Malaysia Mohammed Rafiq Abdul Kadir: Medical Implant Technology Group (MEDITEG), Faculty of Biomedical Engineering and Health Science, Universiti Teknologi Malaysia (UTM), 81300 Johor Bahru, Johor, Malaysia Onn Hassan: Faculty of Chemical Engineering, Universiti Teknologi Malaysia (UTM), 81300 Johor Bahru, Johor, Malaysia Weng Hong Tham, Mat Uzir Wahit*, Mohammed Rafiq Abdul Kadir, Tuck Whye Wong and Onn Hassan Polyol-based biodegradable polyesters: a short review DOI 10.1515/revce-2015-0035 Received May 30, 2015; accepted October 15, 2015 Abstract: Catalyst-free thermal polyesterification has recently emerged as a potential strategy for designing biodegradable thermoset polymers, particularly polyol- based polyesters for biomedical applications. These thermoset polyesters are synthesized through polycon- densation of polyol and polyacid without the presence of catalyst or solvents. The mechanical properties, deg- radation rates, crystallinity, hydrophilicity, and biocom- patibility can be controlled by adjusting the monomer feed ratios and curing conditions. These polyesters often degrade via surface erosion that allows the polymers to maintain structural integrity throughout hydrolysis. Additionally, polyol-based polyesters demonstrated good biocompatibility as non-toxic catalysts and/or sol- vents involved in the reaction, and the monomers used are endogenous to human metabolism which can be resorbed and metabolized in various physiological path- ways. This review summarizes the polyol-based biode- gradable polyesters that were synthesized by catalyst-free polyesterification. Keywords: biodegradable; elastomers; polyol; synthetic polyesters. 1 Introduction Tissue engineering offers a method to repair and/or replace damaged tissues through the combination of cells, scaffolds, and biomolecules (Langer and Vacanti 1993, Puppi et al. 2010, You and Wang 2011). Recent researches suggested that tissue engineering scaffolds should well match the mechanical properties of the corresponding natural tissues (Lee and Shin 2007, Barrett and Yousaf 2009, Chen et al. 2012). Research and development of syn- thetic polymers for potential use as scaffold materials is a challenging task because many diverse biological materi- als with unique mechanical characteristics exist through- out the human body (Chandran 1992, Dahms et al. 1998, Shepherd and Seedhom 1999, Gosline et al. 2002, Monson et al. 2003, Puskas and Chen 2004, Thambyah et al. 2006, Balguid et al. 2007, Tran et al. 2009, Bouten et al. 2011). In the past decade, thermoset biodegradable poly- esters have been extensively investigated due to their potential in soft-tissue engineering where the mechani- cal properties of the designed scaffolds can be tailored to mimic those of soft tissues (Table 1). The strength and flex- ibility of a scaffold have been shown to enhance cellular behavior and/or improve cell proliferation (Niklason et al. 1999, Kim and Mooney 2000, Seliktar et al. 2003). Since crosslinked polyesters have the ability to recover from deformation, the resulting scaffolds are expected to be able to transfer stress to the new developing tissues while maintaining structural integrity from deformation without mechanical irritation (Wang et al. 2002, Yang et al. 2004, Migneco et al. 2009, Tran et al. 2009). Additionally, among the synthetic polymers, thermoset polyesters are one such class of materials that are biocompatible, hydrolytically degradable, and elastomeric and have demonstrated tunable mechanical properties and rate of degradation (Webb et al. 2004, Amsden 2007, Barrett and Yousaf 2009, Shi et al. 2009, Serrano et al. 2010). It is well known that biodegradable polyesters can be prepared as either thermoplastic or thermoset mate- rials (Grijpma et al. 1991, Sipos et al. 1995, Jeong et al. 2004, Webb et al. 2004, Zhang et al. 2004, Amsden 2007, Barrett and Yousaf 2010). The traditional approach in Authenticated | mat.uzir@cheme.utm.my author's copy Download Date | 1/12/16 8:58 AM 2 W.H. Tham et al.: Polyol-based biodegradable polyesters Table 1: Mechanical properties of selected human tissues. Tissue Young’s modulus (MPa) Maximum strain (%) References Bovine elastin 1.1 – Gosline et al. (2002) Collagen fiber 100 50 Chandran (1992) Relaxed smooth muscle 0.006 300 Chandran (1992) Contracted smooth muscle 0.010 300 Chandran (1992) Human bladder 0.25 69 Dahms et al. (1998) Knee articular cartilage 2.1–11.8 – Shepherd and Seedhom (1999), Thambyah et al. (2006) Human ascending aorta 0.069 81 Puskas and Chen (2004) Human inferior cava vein 1.17 84 Puskas and Chen (2004) Ulnar peripheral nerve 9.8–21.6 8–21 Tran et al. (2009) designing thermoplastic polyesters such as polylactic acid involved the use of initiators, catalysts, and/or solvents which are usually toxic, and hence, these poly- esters cannot be considered as completely biocompat- ible (Orchel et al. 2013). On the other hand, catalyst-free polyesterification has recently become another attrac- tive route to develop biocompatible thermoset polyes- ters for soft tissue engineering applications (Barrett and Yousaf 2010). Polycondensation polymerization demon- strates a simpler, cost-effective, smaller-scale synthe- sis (requiring only a small amount of monomers) and does not require a complex experimental setup com- pared to ring-opening polymerization or an enzymatic polymerization. Thermoset polyesters can be synthesized by heating the monomers (polyol and polyacid) in normal atmosphere or partial vacuum, followed by a post curing procedure (durations vary depending on the type of monomers). The chances of the polyesters to induce a toxic response are minimized because no toxic catalyst or solvent is involved in the polymerization process. Also, the mechanical prop- erties and degradation rates can be tailored by manipu- lating the type of monomers, feed ratios, and curingconditions. Additionally, thermoset polyesters can be designed to be completely amorphous which can provide a more linear mechanical property loss with time and a more stable structure throughout the degradation process (Wang et al. 2003, Amsden 2007, Barrett and Yousaf 2010). In order to reduce the scope, this review will focus on bio- degradable polyol-based polyesters synthesized by cata- lyst- or solvent-free polycondensation. 2 Monomers From a soft tissue engineering standpoint, biodegradable polyesters should be totally amorphous and can exhibit rubberlike elasticity, biocompatibility, tunable mechani- cal properties, and degradation rates, have a glass tran- sition temperature below human body temperature, and can be easily processed into various shapes (Amsden 2007). Thermoset polyesters are capable of fulfilling these requirements by combining a wide range of polyol and polyacid monomers (Table 2). Monomers endogenous to human natural metabolism are selected to derive the polyesters to enhance the biocompatibility and minimize the toxic effects of the degradation products (Barrett and Yousaf 2009, 2010). A broad range of mechanical properties and degrada- tion rates can be covered by combining monomers with different chain lengths, by monomers stoichiometry, and by varying the curing conditions. Furthermore, the free alcohol groups after the reaction can be subjected to modification by biomolecules such as peptides (You et al. 2010). The unavoidable limitations of polyol-based biodegradable polyesters are the melting point and boiling point of the monomers. During synthesis, the monomer should be able to remain in liquid state where the reaction temperature is commonly between 100°C and 150°C. Some researchers used vacuum or nitrogen gas to remove the water vapor formed throughout the synthesis. Some of the monomers used in the synthesis of polyol-based biodegradable polyesters are discussed below. 2.1 Glycerol Glycerol is a basic building block for lipids and has been approved for use in medical applications by the US Food and Drug Administration (FDA) (Rai et al. 2012). The chemical structure of glycerol allows it to form three- dimensional crosslink structures when reacting with diacid monomers. Authenticated | mat.uzir@cheme.utm.my author's copy Download Date | 1/12/16 8:58 AM W.H. Tham et al.: Polyol-based biodegradable polyesters 3 Table 2: Types of polyols and their molecular structures. Polyols Molecular structure Glycerol Erythritol Threitol Xylitol Sorbitol Mannitol Maltitol Dicarboxylic acid Citric acid α-Ketoglutaric acid Authenticated | mat.uzir@cheme.utm.my author's copy Download Date | 1/12/16 8:58 AM 4 W.H. Tham et al.: Polyol-based biodegradable polyesters 2.2 Sugar alcohol Erythritol, threitol, xylitol, sorbitol, mannitol, and maltitol are commonly used as sugar substitutes that are approved by FDA due to their low caloric content (Bernt et al. 1996, Edgar 1998, Lynch and Milgrom 2003). These monomers can be metabolized in an insulin-independent manner (Ellwood 1995, Natah et al. 1997). 2.3 Adipic, sebacic, and dodecanedioic acid Adipic acid, sebacic acid, and dodecanedioic acid are the metabolic intermediates in ω-oxidation of medium- and long-chain fatty acids (Grego and Mingrone 1995, Liu et al. 1996, Shet et al. 1996) and have been shown to be non- toxic in vivo (Tamada and Langer 1992). The polymers containing sebacic acid have been approved for medical applications (Rai et al. 2012). 2.4 Citric acid, succinic acid, and α-ketoglutaric acid Citric acid, succinic acid, and α-ketoglutaric acid are Krebs cycle intermediates (Lowenstein 1967, Barrett and Yousaf 2009). Citric acid is also a natural preservative and has been widely used in the food industry as a flavoring agent. Succinic acid is widely used as an acidity regulator in the food and beverage industry. 2.5 Poly(glycerol sebacate) Poly(glycerol sebacate) (PGS) is a novel biodegrad- able polyester elastomer developed by Robert Langer’s groups in 2002 (Wang et al. 2002) and has been recently reviewed by Rai et al. (2012). PGS elastomers demon- strate attractive properties for soft tissue engineering applications. PGS has been investigated for myocar- dial (Chen et al. 2008, 2010, Engelmayr et al. 2008, Radisic et al. 2008, Jean and Engelmayr 2010), vascular (Motlagh et al. 2006, Gao et al. 2007, Crapo et al. 2008, Crapo and Wang 2010), cartilage (Jeong and Hollister 2010, Kemppainen and Hollister 2010), retinal (Neeley et al. 2008, Redenti et al. 2009, Pritchard et al. 2010a,b, Ghosh et al. 2011), and nerve tissue engineering (Sund- back et al. 2005) and also as a drug carrier (Sun et al. 2009a). This thermoset bioelastomer is synthesized by polycondensation between glycerol and sebacic acid. The degradation products of PGS are non-toxic as both glycerol and sebacic acid are natural metabolites (Grego and Mingrone 1995). The reaction yields an almost colorless elastomer, having a random crosslinked poly- ester network and pendant hydroxyl groups attached to the backbone. Covalent crosslink networks give PGS an elastic characteristic and better mechanical proper- ties, while the hydroxyl groups improve the mechanical strength by participating in hydrogen bonding interac- tions. These pendant hydroxyl groups also make the surface of the PGS hydrophilic. PGS showed both biocompatible in vitro and minimal inflammatory responses during subcutaneous implantation in vivo (Wang et al. 2002). Degradation of PGS was also compared with poly(lactide-co-glycolide) (PLGA). In vivo degradation studies found that PGS degraded through surface erosion (Wang et al. 2003). Throughout the 35-day testing period, PGS samples lost weight steadily while maintaining their geometries and mechanical strength with only 15% of water content (Wang et al. 2003). In contrast, the geometry of PLGA samples was distorted after 14 days. The surfaces of these PGS and PLGA samples were characterized by scanning electron microscopy after implantation. The surface of PGS maintained its integrity, while holes and crack for- mation were observed on the PLGA samples. PGS was estimated to be fully degraded after 2 months in vitro. Recent research also found that a commonly used drug, 5-fluorouracil (5-FU), can be chemically conjugated with PGS to form a biodegradable drug carrier. The in vitro drug release profiles of this drug-loaded PGS exhibited a biphasic release with an initial exponential phase in the first week followed by a constant linear phase. The in vivo degradation results showed that the release of 5-FU from the drug-loaded PGS lasted for a month (Sun et al. 2011). PGS is attractive in terms of its simple processing method. The prepolymer can be synthesized through heating a small amount of monomers (~100 g) without any harsh solvent or catalysts. Although PGS elastomer is a thermoset, the uncrosslinked prepolymer can be pro- cessed into various geometries by melting into liquid or dissolving in common organic solvents such as 1,3-diox- olane, tetrahydrofuran, ethanol, isopropanol, and N,N- dimethylformamide. Crosslinked PGS exhibits a Young’s modulus of 0.282 MPa with an ultimate tensile strength (UTS) > 0.5 MPa and strain to failure > 267%. Another advantage of PGS elastomers is that their mechanical and degradation properties can be tailored by manipulating the curing temperature, time, and molar ratio of the mon- omers. By varying these conditions such as increasing the Authenticated | mat.uzir@cheme.utm.my author's copy Download Date | 1/12/16 8:58 AM W.H. Tham etal.: Polyol-based biodegradable polyesters 5 curing duration (Pomerantseva et al. 2009), the crosslink density increased and the Young’s modulus of PGS elas- tomers rose from 0.28 to 1.50 MPa and UTS 0.28–0.70 MPa, but the strain to failure was reduced from 160% to 125%. PGS also has shown an excellent shape memory effect with a recovery ratio of above 99.5% (Cai and Liu 2008). When the deformed samples were cooled to -40°C, the shapes of the samples in deformed shape were very stable. The samples can return to initial shape in around 20 s after raising the temperature to 37°C. Liu et al. (2005, 2007a,b) reported a class of ther- moplastic PGS (TMPGS) elastomers (sol contents > 60%) synthesized from a two-step method. Basically, the prepolymer-synthesizing step remained the same, but the prepolymer was cured using hot-pressed technique. TMPGS elastomers with different molar ratio (glycerol/ sebacic acid: 2/2.5, 2/3, 2/3.5, and 2/4) were investigated, and the elastomers can be hot-pressed into various shapes. As the amount of sebacic acid in the polymer increased, the Young’s modulus improved from 0.0725 to 7.052 MPa, but the elongation at break decreased from 114% to 12%. In vitro degradation studies for TMPGS indi- cated that the mass losses of the samples were 10–15% after 1 day of degradation. However, the hydrolytic mech- anism of the samples involving both bulk and surface degradation resulted in poor dimension stability during degradation limiting their application in biomedicines (Liu et al. 2009). 2.6 Poly(glycerol sebacate citrate) Poly(glycerol sebacate citrate) (PGSC) was developed by Liu et al. (2009) with the purpose of improving the mechanical properties of PGS through incorporating citric acid. At the same time, the curing duration of pure PGS was reduced. PGSC prepolymers were prepared in two steps: first, an equimolar mixture of glycerol and sebacic acid was heated at 130°C under 1 kPa for 20 h to obtain the prepolymer, then a predetermined amount of citric acid was added into the PGS prepolymer followed by heating at 120°C for 1 h to obtain the moldable mixtures. These mixtures were cured at 120°C for 8 h–18 h to obtain a group of elas- tomers with different properties. The findings suggested that as the concentration of citric acid increases, elasto- mers will have higher crosslinking density and increased hydrogen bonding actions, and hence, the mechanical strengths were improved. Cured PGSC can be obtained in shorter curing duration (~8 h) compared to pure PGS which required more than 1 day (Wang et al. 2002). PGSC elastomers showed Young’s modulus, tensile strength, and elongation at break range from 0.61 to 3.26 MPa, 0.63–1.46 MPa, and 51%–170%, respectively. PGSC elasto- mers were hydrophilic, and in vitro degradation studies showed that the mass loss of the elastomers was < 20% after 28 days of testing. The samples preserved the dimen- sion stability throughout the degradation studies. 2.7 Poly(glycerol sebacate lactic acid) Sun et al. (2008, 2009b) investigated on modifying the degradation characteristics of PGS by doping lactic acid, which has both hydroxyl and carboxyl groups, into the backbone of PGS polymer. A series of poly(glycerol seba- cate lactic acid) (PGSL) was synthesized by reacting glyc- erol, sebacic acid, and lactic acid (ratio:1/1/0, 1/1/0.25, 1/1/0.5 and 1/1/1) at 150°C for 6 h followed by postpolym- erization at 140°C for 30 h under vacuum (40 mTorr). Degradation studies on PGSL samples showed that the mass losses of all the samples are < 25% after immersion for 80 days in phosphate buffered saline (PBS) solution except for PGSL (1/1/0.25) which is around 42% of mass loss. As the concentration of lactic acid increased, the ester groups formed in the polymer backbone increased, and therefore a longer degradation time is required to cleave these ester bonds. The morphology of PGSL during degra- dation studies was investigated, and it was found that the samples degraded through both surface erosion and bulk degradation. Initially, PGSL samples maintained their structure during the degradation process. However, after 30 days of study, minor crack formation was observed on the surface of the elastomers. The elastic modulus of PGSL elastomers increased from 6.5 to 21 MPa with increasing concentration of lactic acid. PGSL elastomers were then investigated as surgical sealants by Chen et al. (2011) with a slight modification in the synthesis procedures. Sealants prepared from PGSL demonstrated a significantly higher adhesive strength than either fibrin sealants of synthetic PleuraSealTM. Also, the sealants can be applied easily at 45°C, which subsequently solidified into a soft wax-like patch at body temperature. In vitro cytocompatibility tests using mouse STO-Neo-LIF (SNL) fibroblast cells showed that the addition of lactic acid into PGS significantly improved the cytocompatibility of PGSL compared with the pure PGS. 2.8 Poly(glycerol dodecanedioate) A novel biodegradable polyester elastomer with a glass transition temperature (Tg) of ~32°C was described by Authenticated | mat.uzir@cheme.utm.my author's copy Download Date | 1/12/16 8:58 AM 6 W.H. Tham et al.: Polyol-based biodegradable polyesters Migneco et al. (2009). This elastomer was synthesized from glycerol and dodecanedioic acid and is also known as poly(glycerol dodecanedioate) (PGD). Dodecanedioic acid, an intermediate from ω-oxidation of lauric acid, was chosen as difunctional acid because it can be metabo- lized in human metabolism (Grego and Mingrone 1995, Liu et al. 1996). The attractive characteristic of PGD is that it can change from a stiff material at room temperature into a soft and elastic material at body temperature. The synthesis of PGD elastomer was carried out by mixing the monomers for 24 h at 120°C under atmospheric pressure followed by further reaction in vacuum for another 24 h to prepare the prepolymer. Cured PGD was obtained after curing the prepolymer under vacuum at 90°C for 48 h. Mechanical properties of PGD showed a drastic change when the temperature was elevated. The Young’s modulus at 21°C and 37°C are 136.55 MPa and 1.08 MPa, respec- tively. The strain at break of PGD at 21°C is 225% and 123% at 37°C. After PGD elastomer was elongated to 60, 80, and 100%, the elastomer returned to its original length when heated to 32°C, indicating that PGD has shape memory features. The degradation rate of PGD is relatively slower compared to those of PGS and POC. PGD retained 87.4% of its total mass after 90 days of soaking in PBS solution at 37°C. PGD also showed acceptable in vitro biocompatibil- ity. PGD was able to be electrospun into fibrous scaffolds where the diameters of these fibers could be adjusted by manipulating the concentration of PGD (Dai and Huang 2014, Dai et al. 2014). The in vitro biocompatibility test results showed that cells derived from mouse embryonic stem cells could adhere to and grow on the PGD scaffolds. The cell adhesion and proliferation of this fibrous scaffold could be enhanced by blending PGD with gelatin. 2.9 Poly(1,3-diamino-2-hydroxypropane polyol sebacate) A new class of biodegradable thermoset elastomers, termed poly(1,3-diamino-2-hydroxypropane polyol seba- cate) (PAPS), synthesized from condensation polym- erization of sebacic acid, 1,3-diamino-2-hydroxypropane (DAHP), and either glycerol or D,L-threitol, was intro- duced by Bettinger et al. (2008, 2009). DHAP was chosen as monomer because it is non-toxic (Roy et al. 2005), mul- tifunctionally enables the formation of crosslink network, contains primary amines which participate in hydrogen bonding, and has the ability to form both amide and ester bonds for the purposeof altering the properties of the elastomers. Generally, the prepolymers were synthesized by heating sebacic acid, DAHP, and glycerol/D,L-threitol at 120°C for 3 h under a nitrogen blanket. The reaction was continued for another 9 h under vacuum. PAPS elastomers were obtained after curing the prepolymers at 170°C under vacuum for 24 h or 48 h. The elastomers achieved Young’s modulus, UTS, and rupture strain ranging from 1.45 to 4.34 MPa, 0.24–1.69 MPa, and 21%–92%, respectively. The degradation of PAPS elastomers in vitro was studied in the presence of sodium acetate buffer for 6 weeks. The elas- tomers experienced mass loss ranging from 42.8 to 97%. PAPS elastomers also showed biocompatibility both in vitro and in vivo, with projected degradation half-lives up to 20 months in vivo. 2.10 Xylitol-based elastomers The selection of suitable monomers is one of the critical tasks in developing biodegradable elastomers for poten- tial use in biomedical applications. Xylitol, a multifunc- tional monomer which is non-toxic and endogenous to the human metabolic system, is an excellent candidate in the synthesis of biodegradable elastomers. Bruggeman et al. (2008a, 2010) successfully synthesized xylitol-based elas- tomers via polycondensation between xylitol and citric acid, poly(xylitol citrate) (PXC), and between xylitol and sebacic acid, poly(xylitol sebacate) (PXS). The synthesis of PXC and PXS prepolymers were carried out at 150°C for 2 h followed by reaction under vacuum (50 mTorr). PXC is a biodegradable and water-soluble prepolymer. In order to crosslink PXC prepolymer, acrylation was carried out using methacrylic anhydride. Photopolymeri- zation of the resulting polymer yielded PXC-methacrylate (PXCma) hydrogel. On the other hand, PXS elastomers were obtained after post-polymerization at 120°C under vacuum for 4 days. PXS showed characteristics similar to those of PGS and POC elastomers which are tough, elastic, biodegradable, and tunable mechanical and degradation properties. By changing the initial monomer ratio of sebacic acid, PXS with a range of properties can be obtained while maintaining the elastic properties. For example, the Young’s modulus of PXS 1:2 (xylitol/sebacic acid) was up to 5.3 MPa with an elongation at break of 33%; the Young’s modulus PXS 1:1 was lower (0.8 MPa), but it was more elastic (205% elongation at break). However, as the concentration of sebacic acid increased, the elas- tomers became less hydrophilic and harder to degrade. The in vitro degradation results showed that PXS 1:1 was fully degraded after 7 weeks but PXS 1:2 lost only 13% of its mass after 25 weeks. The elastomers were degraded via surface erosion, and their structural integrity was highly Authenticated | mat.uzir@cheme.utm.my author's copy Download Date | 1/12/16 8:58 AM W.H. Tham et al.: Polyol-based biodegradable polyesters 7 maintained during the degradation process. Xylitol-based elastomers also exhibited excellent biocompatibility both in vitro and in vivo (Bruggeman et al. 2010). A family of polyesters, poly(xylitol dicarboxylates) (PXD), synthesized from xylitol with different diacids (succinic acid, adipic acid, suberic acid, or sebacic acid) by melt condensation, was reported by Dasgupta et al. (2014), who proposed a combinatorial approach where three independent parameters, namely, the chain length of the diacid, stoichiometric ratios, and curing durations, were varied to tailor the properties (degradation rates, mechanical properties, and release kinetics) of PXD poly- esters. PXD prepolymers were synthesized at 150–180°C for 2 h followed by another 14–24 h under vacuum to increase the prepolymer yield. Then, the postpolymeri- zation step was carried out at 120°C under vacuum for 3–14 days to obtain the cured PXD polyesters. It can be summarized that an increase in the diacid chain length, diacid feed mole ratio, or curing duration will increase the degree of crosslinking and storage modulus of the polyesters, whereas the degradation rate and dye release rate decrease. Moreover, by manipulating these para- meters, PXD polyesters with similar mechanical proper- ties but different degradation rates or vice versa can be developed. These findings showed that PXD polyesters are a more versatile class of polymers compared to tradi- tional polymers. 2.11 Poly(polyol sebacate) The combination of xylitol and sebacic acid yielded an elastomer with very good properties (Bruggeman et al. 2008a). Hence, a family of novel biodegradable polyes- ter elastomers, designated poly(polyol sebacate) (PPS), which were composed of various types of polyols, were also investigated by Bruggeman et al. (2008b). Four types of polyols were selected to form biodegradable polyesters, which include xylitol, sorbitol, mannitol, and maltitol. Generally, the mechanical properties and degradation rates of PPS elastomers were affected by the choice of polyol monomer and the molar ratio of sebacic acid. Poly- condensation between polyols and sebacic acid yielded PXS, poly(sorbitol sebacate) (PSS), poly(mannitol seba- cate) (PMS), and poly(maltitol sebacate) (PMtS). The pre- polymers were prepared by heating monomers at 150°C for 2 h under atmospheric pressure, and these reactions were continued for another 2–12 h under vacuum. PPS elastomers were obtained after curing the prepolymers at 120–150°C for 4 days under vacuum. These elastomers achieved Young’s modulus ranging from 0.37 to 378 MPa, UTS between 0.61 and 17.64 MPa, and ultimate elongation between 11 and 205%. Among the PPS elastomers, the formulation PSS 1:1 (sorbitol/sebacic acid) was the softest and most hydro- philic elastomer with a Young’s modulus, ultimate elon- gation, and contact angle of 0.37 MPa, 192%, and 9.6°, respectively. By increasing the concentration of sebacic acid, the Young’s modulus of PPS 1:2 was improved to 2.67 MPa; however, the ultimate elongation decreased to 65%. PMtS 1:4 on the other hand was the stiffest elasto- mer with a Young’s modulus of 378 MPa with only 10.9% ultimate elongation. The rates of degradation of the elas- tomers were also affected by the type of polyols and the concentration of sebacic acid. All the PPS elastomers were degraded in PBS at 37°C for 3 months. PSS 1:1 and PMS 1:1 showed the greatest mass loss of 15% and 21%, respectively. On the other hand, PMts 1:4 degraded < 1% of its original mass. PSS 1:1 and PSS 1:2 elastomers showed acceptable biocompatibility both in vitro and in vivo, and surprisingly, PPS 1:1 was completely degraded after 12 weeks during an in vivo biocompatibility study. Recently, Ning et al. (2011) developed a synthetic method for an effective preparation of PPS elastomers (PXS, PSS, and PMS). Water formed during the polycondensation reaction was removed by high flow rate of nitrogen gas rather than using high vacuum. Typically, PPS prepolymers were pre- pared from the reaction of polyols with sebacic acid under high flow rate of nitrogen gas (0.1 m3/h) at 160°C. The post- polymerization was carried out at 140°C up to 200°C with different curing duration. 2.12 Sorbitol- and mannitol-based polyesters Pasupuleti and Madras (2011) synthesized two new classes of polyester elastomers from the combination of sorbitol with citric, tartaric, and sebacic acids, designated as poly(sorbitol citric sebacate) (PSCS) and poly(sorbitol tartaric sebacate) (PSTS). All of these monomers can be metabolized in the human body: sorbitol can be com- pletely metabolized to carbon dioxide (Adcock and Gray 1956, Sestoft 1985); sebacic acid is an intermediate in fatty acid oxidation (Mortensen 1981); citric acid can be metab- olized in the Krebs cycle (Krebs and Johnson 1980); and tartaric acid is a natural product(Yokoe et al. 2005). PSCS and PSTS were synthesized using simple procedures. The monomers were mixed and reacted at 150°C for 2 h under atmospheric pressure without catalysts to get the prepoly- mers. Then, these prepolymers were post-polymerized in an oven at 80°C for 5 days to prepare the elastomers. Authenticated | mat.uzir@cheme.utm.my author's copy Download Date | 1/12/16 8:58 AM 8 W.H. Tham et al.: Polyol-based biodegradable polyesters Elastomers with a wide range of mechanical prop- erties were obtained by varying the feed mole ratio of the monomers. The Young’s modulus ranged from 1.06 to 462.65 MPa, tensile strength ranged from 0.45 to 20.32 MPa, and elongation at break ranged from 20% to 578%. In vitro degradation studies showed that the half- life of these elastomers ranged from 0.54 to 38.52 days. The degradation rates become more rapid with increased citric acid or tartaric acid concentration due to the release of more carboxyl groups, which autocatalyzed the hydrolytic reaction (Yao et al. 2003). The mechanical properties of PSCS were higher than PSTS, while the degradation rates of PSCS were lower than PSTS at any given composition due to the structural difference between citric and tartaric acids, which give different degrees of crosslinking. A family of novel polyesters, poly(mannitol citric dicarboxylate) (PMCD) (Table 3), were also developed from mannitol, citric acid, succinic acid, adipic acid, and sebacic acid (Pasupuleti et al. 2011). The result- ing polyesters were named as poly(mannitol citric suc- cinate) (PMCSu), poly(mannitol citric adipate) (PMCA), and poly(mannitol citric sebacate) (PMCS). The Young’s modulus of these polyesters varied from 12.25 to 660 MPa and elongation at break ranged from 14.2% to 180.7%. The degradation rates of the polyesters are in the follow- ing order: PMCSu > PMCA > PMCS. PMSCs were degraded more than 50% from its original mass after being incu- bated for 4 days in PBS solutions, while both PMCA and PMCSu were fully degraded within a day in a PBS envi- ronment. The polyesters demonstrated versatile drug delivery characteristics after testing with organic dyes (rhodamine B and orange G). 2.13 Castor oil-based and ricinoleic acid- based poly(mannitol citric sebacate) A family of castor oil-based PMCS (CoPMCS) was syn- thesized by introducing castor oil, a hydrophobic and biocompatible monomer, into PMCS polyesters with the target of developing a soft and flexible elastomer (Sathis- kumar and Madras 2011, Sathiskumar et al. 2012). The Young’s modulus of CoPMCSs ranged from 0.97 to 3.93 MPa, and the elongation at break ranged from 38% to 67%. CPMCS polyesters degraded by bulk erosion, and most of the polyesters were fully degraded within 21 days. All CoPMCSs polyesters were found to be non-cytotoxic after being studied using human foreskin fibroblast cell. CoPMCS loaded with 5-FU showed that the drug release has a biphasic nature, while polyesters with isoniazid showed a controlled release profile for a period of 16 days. Chandorkar et al. (2013) prepared a family of ricinoleic acid-based polyesters (RPMCS) from polycondensation of ricinoleic, sebacic, citric acids, and mannitol. Ricin- oleic acid is the only naturally occurring fatty acid with a hydroxyl and an acid group in the structure (Jain et al. 2008). It is known to exhibit a combination of an analge- sic and an anti-inflammatory effect when administered topically (Vieira et al. 2000). RPMCS exhibited a range of elastic modulus and rupture strain from 22 MPa to 80 MPa and 37%–82%, respectively. In vitro degradation in PBS showed that the polyesters were degraded completely within 300 h with a first-order reaction kinetics. The bio- compatibility of RPMCS tested with mouse myoblast cells revealed good cell attachment and growth. 2.14 Salicylic acid-based poly(mannitol sebacate) With the aim of developing biodegradable polymers which support sustained release of salicylic acid, Chandorkar et al. (2014) successfully developed PMS polyester with salicylic acid incorporated in the polymeric backbone also know as salicylic acid-based polyester (SAP). Salicylic acid and its derivatives are commonly used as low-cost drugs (Rosen- berg et al. 2008). The benefits of salicylic acid include the following: it may reduce risk of colorectal cancer (Bastiaan- net et al. 2012), it can be used as antibacterial agent and antibiofilm-forming agent (Price et al. 2000), and it can be used as an antifungal agent (Amborabé et al. 2002). Briefly, SAP prepolymer was prepared (diacid (COOH) groups/ mannitol (OH) groups ratio 0.66) by high vacuum at 180°C until its viscosity increased followed by postcuring at 130°C under vacuum for 24 h to obtain the cured SAP. SAP is a hydrophobic polyester with a contact angle of 102.7°. SAP polyester was degraded via surface erosion where the mass loss of the polyester was around 24% in 4 months during in vitro degradation studies. SAP polyester exhibited a sus- tained release rate, with 3.5% salicylic acid being released in 4 months. The cytocompatibility of SAP polyester was evaluated using C2C12 murine myoblast cells. It was found that SAP promotes cell proliferation and the cells adhere to the surface of the material. Although salicylic acid was released to the culture medium, no excess cell death as compared to control was observed. 2.15 Poly(triol α-ketoglutarate) A family of novel biodegradable elastomers, poly(triol α-ketoglutarate) (PTK), was reported by Barrett and Authenticated | mat.uzir@cheme.utm.my author's copy Download Date | 1/12/16 8:58 AM W.H. Tham et al.: Polyol-based biodegradable polyesters 9 Ta bl e 3 : Ch em ica l s tru ct ur e o f p ol yo l-b as ed b io de gr ad ab le p ol ye st er s. Po ly es te r St ru ct ur e Re fe re nc es Po ly (g ly ce ro l s eb ac at e) , P GS W an g et al . ( 20 02 ) Po ly (g ly ce ro l s eb ac at e c itr at e) , P GS C Liu et al . ( 20 09 ) Po ly (g ly ce ro l s eb ac at e l ac tic a cid ), PG SL Su n et al . ( 20 08 ) Po ly (g ly ce ro l d od ec an ed io at e) , P GD M ig ne co et al . ( 20 09 ) Po ly (1 ,3 -d ia m in o- 2- hy dr ox yp ro pa ne po ly ol se ba ca te ), PA PS Be tti ng er et al . ( 20 08 ) Po ly (x yl ito l s eb ac at e c itr at e) - m et ha cr yla te , P XC m a Br ug ge m an et al . ( 20 08 a) Authenticated | mat.uzir@cheme.utm.my author's copy Download Date | 1/12/16 8:58 AM 10 W.H. Tham et al.: Polyol-based biodegradable polyesters Po ly es te r St ru ct ur e Re fe re nc es Po ly (p ol yo l s eb ac at e) , P PS i. Po ly (x yl ito l s eb ac at e) , P XS ii. P ol y( so rb ito l s eb ac at e) , P SS iii . P ol y( m an ni to l s eb ac at e) , P M S iv. P ol y( m al tit ol se ba ca te ), PM tS Br ug ge m an et al . ( 20 08 b) Po ly (s or bi to l c itr ic se ba ca te ), PS CS Pa su pu le ti an d M ad ra s ( 20 11 ) Ta bl e 3 ( co nt in ue d) Authenticated | mat.uzir@cheme.utm.my author's copy Download Date| 1/12/16 8:58 AM W.H. Tham et al.: Polyol-based biodegradable polyesters 11 Po ly es te r St ru ct ur e Re fe re nc es Po ly (s or bi to l t ar ta ric se ba ca te ), PS TS Pa su pu le ti an d M ad ra s ( 20 11 ) Po ly (m an ni to l c itr ic di ca rb ox yla te ), PM CD Pa su pu le ti et al . ( 20 11 ) Ca st or o il- ba se d po ly (m an ni to l c itr ic se ba ca te ), Co PM CS Sa th is ku m ar a nd M ad ra s ( 20 11 ) Ri cin ol ei c a cid -b as ed p ol y( m an ni to l cit ric se ba ca te ), RP M CS Ch an do rk ar et al . ( 20 13 ) Sa lic yl ic ac id -b as ed p ol y( m an ni to l se ba ca te ) Ch an do rk ar et al . ( 20 14 ) Ta bl e 3 ( co nt in ue d) Authenticated | mat.uzir@cheme.utm.my author's copy Download Date | 1/12/16 8:58 AM 12 W.H. Tham et al.: Polyol-based biodegradable polyesters Po ly es te r St ru ct ur e Re fe re nc es Po ly (tr io l α -k et og lu ta ra te ), PT K Ba rre tt an d Yo us af (2 00 8) Po ly (e ry th rit ol d ica rb ox yla te ), PE rD Ba rre tt et al . ( 20 10 a) Po ly (s or bi to l i ta co na te -co -s or bi to l su cc in at e) , P SI -co -S S Ba rre tt et al . ( 20 10 b) Po ly (s or bi to l s eb ac at e m al at e) , P SS M Th am et al . ( 20 12 ) Po ly (x yl ito l d od ec an ed io at e) , P XD D W on g et al . ( 20 14 ) *R = h yd ro ge n (H ) o r p ol ym er Ta bl e 3 ( co nt in ue d) Authenticated | mat.uzir@cheme.utm.my author's copy Download Date | 1/12/16 8:58 AM W.H. Tham et al.: Polyol-based biodegradable polyesters 13 Yousaf (2008). PTK elastomers contained ketones in the polymers backbone formed by condensation polymeriza- tion of α-ketoglutaric acid with one of three triols (glycerol, 1,2,4-butanetriol, and 1,2,6-hexanetriol). The synthesis of prepolymers was carried out at 125°C for 1 h. Then, these prepolymers were precipitated in -78°C methanol and concentrated by rotary evaporation followed by drying under vacuum at room temperature. PTK elastomers were obtained after curing the prepolymers at 60–120°C for 6 h–7 days. Through changing the curing temperature, duration, and also the types of triols, PTK elastomers with a range of mechanical properties and degradation rates can be obtained. The Young’s modulus of various PTKs ranged from 0.1 to 657.4 MPa, ultimate stress between 0.2 and 30.8 MPa, and ultimate strain from 22% to 583%, which are similar to several types of natural tissues such as bovine ligament, collagen, arteries, and veins (Barrett and Yousaf 2008). PTKs synthesized under different condi- tions showed complete mass loss as fast as 2 days, and the slowest took 28 days during degradation in PBS solution at 37°C. Generally, all PTKs are non-toxic after evaluating using mouse fibroblast because the monomers are natu- rally occurring metabolites. However, the surfaces of PTKs required modification with peptide ligands for better cell attachment and proliferation. Therefore, a solution of bio- specific cell-adhesive peptides, glycine-arginine-glycine- aspartic acid-serine (H2NO-GRGDS), was added directly on the top of the elastomer films and reacted for 5 h with the purpose of functionalizing the elastomers surface. 2.16 Poly(erythritol dicarboxylate) The previously described PTK exhibited a range of mechan- ical properties that covered several types of natural tissues. However, the rapid degradation rates (2–28 days) of PTK elastomers limited their application in soft tissue engineering. Hence, another family of novel biodegrad- able polyester elastomers, poly(erythritol dicarboxylate) (PErD), was prepared by Barrett et al. (2010a). Erythritol is a human consumable sugar alcohol approved by the FDA. Erythritol was reacted with 5- to 10-, 12-, and 14-carbon dicarboxylic acids to form poly(erythritol glutarate) (PErG), poly(erythritol adipate) (PErGl), poly(erythritol pimelate) (PErPi), poly(erythritol suberate) (PErSu), poly(erythritol azelate) (PErAz), poly(erythritol sebacate) (PErSe), poly(erythritol dodecanedioate) (PErDo), and poly(erythritol tetradecanedioate) (PErTe), respectively. The polycondensation reaction was at 145°C for 2 h, con- tinued by further reaction for 7 h under vacuum (2 Torr). The prepolymers were then cooled to room temperature, dissolved in a minimal amount of tetrahydrofuran, puri- fied by precipitation in -78°C methanol, and dried by rotary evaporation. The elastomers were prepared by curing these prepolymers at 120°C for 3 days or 140°C for 4 days. Polymerization of erythritol with various dicarbo- xylic acids yield elastomers with ultimate tensile stress ranging from 0.14 to 16.65 MPa, Young’s modulus values of 0.08–80.37 MPa, and rupture strain of 22%–466%. Most of the PErD elastomers returned to their original dimension after elongation except for PErDo and PErTe. Both PErDo and PErTe must be heated above their glass transition temperature in order to recover its original shape. PErDs elastomers with longer carbon chains showed lower deg- radation rates due to the presence of more hydrophobic methylene groups in the matrix. PErDs degrade slower compared to PTKs. Degradation of PErDs in PBS solutions at 37°C showed that the rates of degradation of PErDs ranged from 100% mass loss in 3 weeks to 6.4% mass loss in 6 weeks. PErDs was non-cytotoxic after testing with Swiss albino 3T3 fibroblasts (SAFs) and human mesen- chymal stem cells. Additionally, PErDs elastomers can be fabricated into micro-patterned polyester films, indicating the ease of processing. 2.17 Poly(sorbitol itaconate-co-sorbitol succinate) Poly(sorbitol itaconate-co-sorbitol succinate) (PSI-co-SS) is a photocurable biodegradable polyester prepared from thermal polyesterification of itaconic acid, succinic acid, and sorbitol (Barrett et al. 2010b). Itaconic acid is a bio- compatible monomer with a carbon double bond (C = C) that can be used for photocrosslinking reaction. The polyester exhibited a Young’s modulus, UTS, and rupture strain of 11.22 MPa, 2.05 MPa, and 119%, respectively. As sorbitol contains six hydroxyl groups, the polyester is very hydrophilic with a contact angle of 29.4°. Thus, in hydrated state, the Young’s modulus, UTS, and rupture strain of the polyester changed to 0.88 MPa, 0.11 MPa, and 23%, respectively. The in vitro cytotoxicity test using SAFs showed that the polyester displayed moderate toxicity due to its high sol content (47.6%) that caused the culture medium to become acidic. 2.18 Poly(sorbitol sebacate malate) and poly(xylitol dodecanedioate) Two novel biodegradable polyesters synthesized from polyol monomers were studied by the author’s research Authenticated | mat.uzir@cheme.utm.my author's copy Download Date | 1/12/16 8:58 AM 14 W.H. Tham et al.: Polyol-based biodegradable polyesters group. Poly(sorbitol sebacate malate) (PSSM) was synthe- sized from sorbitol, sebacic acid, and malic acid (Tham et al. 2012). Both sorbitol and sebacic acid are biocompat- ible as previously discussed, whilemalic acid had been investigated as a biodegradable polymer for drug delivery applications (Ding et al. 2011, Lanz-Landázuri et al. 2014). The polyesters exhibited a Young’s modulus, tensile strength, and elongation at break of 626.96 MPa, 16.2 MPa, and 49%, respectively. Next, poly(xylitol dodecanedioate) (PXDD) is another novel biodegradable polymer inves- tigated by the author’s group (Wong et al. 2014). Both of these polyesters were mixed with hydroxyapatite (HA) to form composites. Surprisingly, a shape-memory behavior was detected after PXDD polyesters was incorporated with HA. The shape-memory property occurred at the tempera- ture of 48°C, which is near to human temperature. This showed that PXDD composites have a good potential in clinical applications. On the other hand, PSSM/HA com- posites demonstrated a significant improvement in the mechanical properties. 3 Scaffold fabrication techniques The main purpose of designing novel biodegradable pol- yol-based polyesters is to develop biomaterials for soft tissue engineering. These biomaterials must be developed as highly porous scaffolds to combine with cells from the body, which act as templates for tissue regeneration and to guide the growth of new tissue (O’Brien 2011). This section briefly discusses several techniques that are used to prepare scaffolds from polyol-based polyesters. 3.1 Salt leaching Salt leaching technique is the most commonly used tech- nique to develop three-dimensional scaffolds from pol- yol-based polyesters. Unlike thermoplastic, polyol-based polyester scaffolds must be prepared during the prepoly- mer stage. The prepolymer is dissolved in organic solvent such as tetrahydrofuran, 1,4-dioxane, or acetone to form a 20–25 wt% solution, followed by addition of sieved salt which acts as a porogen. The mixture is then cast into a mold. After the solvent evaporates, the mold is transferred into an oven for postcuring. The cured polyester is then immersed in distilled water until the salt was leached out followed by drying process. Porous scaffolds in flat and tubular shapes prepared from PGS polyester were investi- gated by Gao et al. (2006). These scaffolds were found to support adhesion and proliferation of fibroblasts within the porous structure and form three-dimensional tissue engineered constructs within 8 days. Porous scaffolds were also successfully fabricated from PSCS, PSTS (Pasu- puleti and Madras 2011), and PErD (Barrett et al. 2010a) polyesters. The advantages of this technique are as follows: simple, small quantity of polymers required to prepare the scaffolds; high degree of porosity (typically up to 90%); controllable pore size (depending on the porogen size); and random interconnected pore structure (Joerg et al. 2005, Kramschuster and Turng 2013), which are important for cell seeding, migration, growth, mass transport, gene expression, and new tissue formation in three dimensions (Ma and Choi 2001, Choi et al. 2009). However, the limi- tations of this method are that organic solvent residues might remain in the matrix (Liao et al. 2012), the thick- ness of the scaffold is limited, and the leaching step is time consuming. Also, this method is not suitable for fast-degrading polyesters discussed previously such as PMSC (Pasupuleti et al. 2011), CoPMSC (Sathiskumar and Madras 2011), RPMSC (Chandorkar et al. 2013), and PTK (Barrett and Yousaf 2008) due to the long exposure to aqueous medium in the leaching step. 3.2 Electrospinning Electrospinning is a convenient method for the fabrica- tion of ultrafine fiber including microfibers ( > 1 mm) or nanofibers ( < 1000 nm) from synthetic polymers and natural proteins (Matthews et al. 2002, Casasola et al. 2014). The major components in electrospinning setup are high voltage power supply, syringe, spinneret (conductive needle connected to syringe), syringe pump, and collec- tor. General electrospinning procedures are described below (Kumar et al. 2013, Vivekanandhan et al. 2014). Briefly, electrospinning solution is prepared dissolving the polymer with organic solvent. Then, the solution is transferred into a syringe that is installed to the syringe pump. The active lead of high voltage power supply is con- nected to the electrospinning solution, and the grounding lead is attached to the collector. A high voltage is applied to the polymer solution, which overcomes the surface tension to form a charge jet. Electrostatic repulsion occur- ring in the charged jet causes the jet to whip around, grad- ually eliminating solvent from the fibers via evaporation. The continuous thin fiber (after solvent evaporation) is deposited on the grounded collector where the fiber accu- mulates as non-woven randomly or uniaxially aligned sheets or arrays. The advantages of electrospun fibers Authenticated | mat.uzir@cheme.utm.my author's copy Download Date | 1/12/16 8:58 AM W.H. Tham et al.: Polyol-based biodegradable polyesters 15 include fiber diameters in the range of natural extracel- lular matrix (ECM) (Furth and Atala 2014), high surface area to volume ratio, and that nanofibrous scaffolds fab- ricated from electrospinning enhance cell attachment, proliferation, and differentiation (Smith et al. 2009). Also, a variety of natural materials (Sell et al. 2010) and thermo- plastic polymers such as poly(lactic acid) (Casasola et al. 2014), PLGA (Yu et al. 2014), and polycaprolactone (PCL) (Alves da Silva et al. 2010) can be used to fabricate fibrous scaffolds. Electrospinning of thermoset polyesters proves to be challenging because the postcuring step must be taken into consideration. Yi and LaVan (2008) reported on the fabrication of PGS nanofibers in random non-woven mats by coaxial core/shell electrospinning. Unlike ther- moplastic polyester, crosslink polyester cannot dissolve in solvent; therefore, the electrospinning solution is pre- pared from PGS prepolymer. There are several problems with prepolymer/solvent solution. First, the electrospin- ning of fibers cannot occur due to low solution viscosity caused by the low molecular weight prepolymer. Also, nanofibers made from the prepolymer would quickly coalesce and melt when they undergo thermal crosslink treatment. Therefore, Yi and LaVan (2008) used core/shell electrospinning to produce PGS fiber. In this method, a carrier polymer, poly(L-lactide), was added into the PGS prepolymer/solvent solution to facilitate fiber formation and to act as a protective shell that could be removed using organic solvent after the PGS fiber was cured. Human dermal microvascular endothelial cells (HDMEC) were seeded onto PGS nanofiber scaffolds. The scaffolds are biocompatible, and the HDMEC attached and spread out within the scaffolds. Other studies have also explored the use of PGS:PCL (Akhilesh et al. 2015, Rai et al. 2015), PGS:poly(vinyl alcohol) (PVA) (Jeffries et al. 2015, Xu et al. 2015), PGS:poly(3-hydroxybutyrate-co-3-hydroxyvalerate) (Kenar et al. 2011), PGS:gelatin (Ravichandran et al. 2011, Kharaziha et al. 2013), and PXS:PVA (Li et al. 2014, Li and Chen 2015) to prepare fibrous scaffolds. 4 Summary 4.1 Physical properties The chemical structure and physical properties of pol- yol-based biodegradable polyesters discussed in this review are summarized in Tables 3 and 4, respectively. In summary, thermoset polyol-based biodegradable polyes- ters demonstrate attractive properties and great potential to be used in soft tissue engineering. The mechanical properties of thermoset polyesters prepared from polyols and polyacids mimic the properties of diverse human soft tissues where this can be simply done by altering the syn- thesis parameters such as type of monomers, monomer stoichiometry, and reaction conditions. Also,most of the polyesters mentioned in this review have glass transition temperature below the human body temperature. The random crosslink network gives the polyesters flexibility and elasticity that resemble those of the ECM. 4.2 Biodegradability and biocompatibility The in vitro degradation rate and biocompatibility of polyol-based polyesters are listed in Table 5. Thermoset polyol-based polyesters can easily break down to natural metabolic products or monomers by simple hydrolysis. Most of these polyesters fully degraded within 1 month, while some required more than 3 months. The rate of degradation can be tailored by changing the synthesis parameters mentioned previously to match the healing kinetics of injured tissue. Polyol-based polyesters also showed good maintenance of geometry stability during degradation due to the polyesters degraded via surface erosion. Catalyst-free synthesis method and endoge- nous monomers are beneficial to the biocompatibility of polyol-based polyesters as the degradation products are non-cytotoxic and can be removed via human metabolic pathway. 4.3 Limitations of polyol-based polyesters The ideal biomaterial for tissue engineering application should be biocompatible and biodegradable, possess mechanical properties that mimic the host tissues, and support cell attachment and proliferation. However, efforts still need to be made to achieve this goal. Although polyol-based polyesters demonstrated attractive proper- ties, these polymers do have several drawbacks. First, the processability of these polyesters is relatively poor compared to thermoplastic polyesters. Once polyol-based polyesters are cured, the geometry cannot be changed. Limited information related to the mechanical properties of these polyesters after fabrication into porous scaffolds was found. Porous structure might decrease the mechani- cal properties of the polyesters, which will further restrict the applications of the polymers. Also, polyol-based poly- esters released acidic degradation products that could trigger unwanted inflammation to host tissue. Authenticated | mat.uzir@cheme.utm.my author's copy Download Date | 1/12/16 8:58 AM 16 W.H. Tham et al.: Polyol-based biodegradable polyesters Ta bl e 4 : Ph ys ica l p ro pe rti es o f p ol yo l-b as ed p ol ye st er s. Po ly m er E ( M Pa ) σ ( M Pa ) ε ( % ) T g (° C) Re fe re nc es Po ly (g ly ce ro l s eb ac at e) , P GS 0. 28 –1 .5 0 0. 28 –0 .7 0 12 5– 26 7 < - 80 W an g et al . ( 20 02 ), Po m er an ts ev a et al . ( 20 09 ) Th er m op la st ic po ly (g ly ce ro l s eb ac at e) , T M PG S 0. 07 –7 .0 5 0. 21 –0 .7 0 12 –2 36 -2 2. 5 to -3 2. 2 Liu et al . ( 20 05 , 2 00 7a ,b ) Po ly (g ly ce ro l s eb ac at e c itr at e) , P GS C 0. 61 –3 .2 6 0. 63 –1 .4 6 51 –1 70 -1 2 to -3 0 Liu et al . ( 20 09 ) Po ly (g ly ce ro l s eb ac at e l ac tic a cid ), PG SL 0. 76 –2 .9 4 0. 15 –0 .2 1 13 3– 20 7 NA Su n et al . ( 20 08 , 2 00 9) Po ly (g ly ce ro l d od ec an ed io at e) , P GD 1. 08 –1 36 .5 5 0. 46 –7 .2 0 12 3. 2– 22 5 32 .1 M ig ne co et al . ( 20 09 ) Po ly (1 ,3 -d ia m in o- 2- hy dr ox yp ro pa ne p ol yo l s eb ac at e) , P AP S 1. 45 –4 .3 4 0. 24 –1 .6 9 21 –9 2 33 .7 –4 8. 0 Be tti ng er et al . ( 20 08 , 2 00 9) Po ly (x yl ito l s eb ac at e c itr at e) -m et ha cr yla te , P XC m a 5. 80 NA 80 NA Br ug ge m an et al . ( 20 08 a) Po ly (x yl ito l d ica rb ox yla te ), PX D 0. 3– 14 .7 a -2 2 to 4 6 Po ly (p ol yo l s eb ac at e) , P PS 0. 37 –3 78 0. 57 –1 7. 64 11 –2 05 7. 3– 45 .6 Br ug ge m an et al . ( 20 08 a, b, 2 01 0) Po ly (s or bi to l c itr ic se ba ca te ), PS CS a nd p ol y( so rb ito l t ar ta ric se ba ca te ), PS TS 1. 06 –4 62 .6 5 0. 45 –2 0. 32 20 –5 78 4. 5– 26 .3 Pa su pu le ti an d M ad ra s ( 20 11 ) Po ly (m an ni to l c itr ic di ca rb ox yla te ), PM CD 8. 25 –6 60 .2 3 1. 20 –1 2. 52 14 –1 80 16 .1 –5 8. 5 Pa su pu le ti et al . ( 20 11 ) Ca st or o il- ba se d po ly (m an ni to l c itr ic se ba ca te ), Co PM CS 1. 60 –3 .9 3 0. 34 –0 .8 1 38 –6 7 -2 0 to -2 7 Sa th is ku m ar a nd M ad ra s ( 20 11 ) Ri cin ol ei c a cid -b as ed p ol y( m an ni to l c itr ic se ba ca te ), RP M CS 19 .9 0– 80 .1 0 0. 70 –3 .6 0 10 –5 1 -0 .4 2 to 6 .6 Ch an do rk ar et al . ( 20 13 ) Sa lic yl ic ac id -b as ed p ol y( m an ni to l s eb ac at e) n/ a n/ a n/ a 17 Ch an do rk ar et al . ( 20 14 ) Po ly (tr io l α -k et og lu ta ra te ), PT K 0. 10 –6 57 .4 0 0. 20 –3 0. 8 22 –5 83 NA Ba rre tt an d Yo us af (2 00 8) Po ly (e ry th rit ol d ica rb ox yla te ), PE rD 0. 08 –8 0. 37 0. 14 –1 6. 65 22 –4 66 -3 6 to 4 Ba rre tt et al . ( 20 10 a) Po ly (s or bi to l i ta co na te -co -s or bi to l s uc cin at e) , P SI -co -S S 11 .2 2 2. 05 11 9 4 Ba rre tt et al . ( 20 10 b) Po ly (s or bi to l s eb ac at e m al at e) -h yd ro xy ap at ite , P SS M -H A 62 7– 10 26 16 .2 0– 23 .9 6 10 –4 9 40 –4 3 Th am et al . ( 20 12 ) Po ly (x yl ito l d od ec an ed io at e) -h yd ro xy ap at ite , P XD D- HA NA NA NA 42 –4 5b /5 5c a S to ra ge m od ul us ; b cr ys ta lli za tio n te m pe ra tu re (T c); c m el tin g te m pe ra tu re (T m ). Authenticated | mat.uzir@cheme.utm.my author's copy Download Date | 1/12/16 8:58 AM W.H. Tham et al.: Polyol-based biodegradable polyesters 17 Ta bl e 5 : De gr ad at io n ra te s a nd b io co m pa tib ili ty o f p ol yo l-b as ed p ol ye st er s i n vit ro . Po ly m er M as s l os s Ce ll type M aj or re su lts Re fe re nc es Po ly (g ly ce ro l s eb ac at e) , P GS 17 % a fte r 6 0 da ys in P BS NI H 3T 3 fib ro bl as t Ce lls sh ow ed fa st p ro lif er at io n wi th n or m al m or ph ol og ie s co m pa re d to P LG A as p os iti ve co nt ro l W an g et al . ( 20 02 ) Th er m op la st ic po ly (g ly ce ro l s eb ac at e) , TM PG S 30 –3 6% a fte r 2 8 da ys in P BS n/ a n/ a Liu et al . ( 20 07 a, b) Po ly (g ly ce ro l s eb ac at e c itr at e) , P GS C 13 –1 8% a fte r 2 8 da ys in P BS n/ a n/ a Liu et al . ( 20 09 ) Po ly (g ly ce ro l s eb ac at e l ac tic a cid ), PG SL 22 –4 3% a fte r 8 0 da ys in P BS SN L m ou se fi br ob la st Si gn ifi ca nt im pr ov em en t i n ce ll pr ol ife ra tio n wi th n or m al m or ph ol og ie s c om pa re d wi th P GS Su n et al . ( 20 09 a, b) , C he n et al . (2 01 1) Po ly (g ly ce ro l d od ec an ed io at e) , P GD 87 % a fte r 9 0 da ys in P BS Hu m an a or tic fib ro bl as t Ce lls a dh er e, g ro w, a nd re m ai n m et ab ol ica lly a ct ive in cu ltu re M ig ne co et al . ( 20 09 ) Po ly (1 ,3 -d ia m in o- 2- hy dr ox yp ro pa ne po ly ol se ba ca te ), PA PS 43 –9 7% a fte r 6 w ee ks in so di um a ce ta te b uf fe r Hu m an fo re sk in fib ro bl as t Ce lls a tta ch ed a nd ex hi bi te d si m ila r m or ph ol og y t o ce lls gr ow n on P LG A co nt ro l Be tti ng er et al . ( 20 08 ) Po ly (x yl ito l s eb ac at e c itr at e) - m et ha cr yla te , P XC m a n/ a Hu m an fo re sk in fib ro bl as t No ce ll at ta ch m en t o n sp ec im en s, a nd ce lls w er e n ot co m pr om is ed in th ei r m ito ch on dr ia l m et ab ol is m Br ug ge m an et al . ( 20 08 a) Po ly (x yl ito l d ica rb ox yla te ), PX D 4– 10 0% a fte r 7 d ay s i n PB S Ce rv ica l c an ce r c el ls (H eL a) Su pp or t c el l a tta ch m en t a nd p ro lif er at io n Da sg up ta et al . ( 20 14 ) Po ly (p ol yo l s eb ac at e) , P PS 1– 22 % a fte r 1 05 d ay s i n PB S Hu m an fo re sk in fib ro bl as t PS S su pp or t c el lu la r a tta ch m en t e xc ep t f or P SS 1: 1 an d PM S1 :1 Br ug ge m an et al . ( 20 08 b) Po ly (s or bi to l c itr ic se ba ca te ), PS CS a nd po ly (s or bi to l t ar ta ric se ba ca te ), PS TS 56 –1 00 % a fte r 6 d ay s; 5 2– 10 0% a fte r 6 w ee ks in P BS n/ a n/ a Pa su pu le ti an d M ad ra s ( 20 11 ) Po ly (m an ni to l c itr ic di ca rb ox yla te ), PM CD 45 –1 00 a fte r 3 h ; 5 6– 84 % af te r 4 d ay s i n PB S n/ a n/ a Pa su pu le ti et al . ( 20 11 ) Ca st or o il- ba se d po ly (m an ni to l c itr ic se ba ca te ), Co PM CS 80 –1 00 % a fte r 2 1 da ys in PB S Hu m an fo re sk in fib ro bl as t Ce ll pr ol ife ra tio n wi th sp in dl e- sh ap e m or ph ol og y a nd co m pl et e c on flu en ce a fte r 7 d ay s Sa th is ku m ar a nd M ad ra s ( 20 11 ), Sa th is ku m ar et al . ( 20 12 ) Ri cin ol ei c a cid -b as ed p ol y( m an ni to l cit ric se ba ca te ), RP M CS Fu lly d eg ra de d wi th in 1 2 da ys in P BS C2 C1 2 m ou se fib ro bl as t Ce lls a dh er e a nd p ro lif er at ed w el l w ith sp in dl e- lik e m or ph ol og y Ch an do rk ar et al . ( 20 13 ) Sa lic yl ic ac id -b as ed p ol y( m an ni to l se ba ca te ), SA P 22 % a fte r 1 4 we ek s i n PB S C2 C1 2 m ou se fib ro bl as t SA P su bs tra te p ro m ot es ce ll pr ol ife ra tio n wi th sp in dl e- lik e m or ph ol og y Ch an do rk ar et al . ( 20 14 ) Po ly (tr io l α -k et og lu ta ra te ), PT K Fu lly d eg ra de d af te r 2– 28 d ay s i n PB S 3T 3 Sw is s A lb in o m ou se fi br ob la st PT K de gr ad at io n by pr od uc ts a re n on -to xic ; c el ls w er e un ab le to a tta ch o r p ro lif er at e o n sp ec im en s Ba rre tt an d Yo us af (2 00 8) Po ly (e ry th rit ol d ica rb ox yla te ), PE rD 6– 10 0% a fte r 4 w ee ks in P BS Hu m an m es en ch ym al st em ce lls St em ce ll cu ltu re d wi th p ol ym er ex tra ct s f ro m d ia cid s w ith an ev en n um be r o f c ar bo n ex hi bi te d m or e d iff er en tia tio n Ba rre tt et al . ( 20 10 a) Po ly (s or bi to l i ta co na te -co -s or bi to l su cc in at e) , P SI -co -S S n/ a 3T 3 Sw is s A lb in o m ou se fi br ob la st Di sp la ye d m od er at e t ox ici ty a fte r 3 d ay s d ue to de gr ad at io n pr od uc ts in cr ea se d th e a cid ity o f t he m ed iu m Ba rre tt et al . ( 20 10 b) Authenticated | mat.uzir@cheme.utm.my author's copy Download Date | 1/12/16 8:58 AM 18 W.H. Tham et al.: Polyol-based biodegradable polyesters 5 Conclusion Most of the biodegradable materials currently on the market are based on natural polymers such as collagen andsynthetic polymers such as poly(α-esters). Advances in biomedical research such as tissue engineering and drug delivery led to the development of a wide range of thermoset biodegradable polyesters synthesized from cat- alyst-free polyesterification in the past few years. Biocom- patible polyesters have been synthesized from monomers that are endogenous to human metabolism that reduce the toxicity of the degradation products. Thermoset polyes- ters developed from this method are simple, effective, and of low cost. These polyesters showed excellent properties such as biocompatibility, biodegradability, elastomeric- ity, and tunable mechanical properties and degradation rates. 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