Angiography-Derived Index of Microcirculatory Resistance in the Assessment of Coronary Microvascular Status: A Systematic Review and Meta-Analysis

Physically cross-linked collagen hydrogel is a desirable scaffold for tissue engineering applications especially where 3D cell encapsulation is considered. To overcome its shortcomings such as weak mechanical properties and also provide additional benefits, nanofiller reinforcement could be applied. This study was conducted to compare physical properties and cellular performance of physically cross-linked collagen hydrogel reinforced with cellulose nanocrystals (CNCs) and cellulose nanofibrils (CNFs). Addition of both nanofillers drastically changed the hydrogel properties depending on the type and concentration. As a general trend, both CNCs and CNFs resulted in reduction in gelation time, enhancement in compressive strength, increase in swelling ratio, decrease in weight loss and improvement of injectability. The highest impact for CNCs was achieved when 5 % was applied, while the maximum impact for CNFs was observed for 3 % content (related to the collagen solid weight). By comparing two types of nanocellulose, CNCs showed higher impact on all properties. In-vitro cell compatibility with fibroblasts showed that CNFs did not adversely affected the viability and morphology of the cells while the CNCs improved cell viability and developed more elongated cell morphology.