Therapeutic silk fibroin-based systems for tissue engineering applications

Tissue engineering (TE) is an interdisciplinary field, in continuous evolution, that possesses as main goal the creation of efficient systems for tissues and organs healing and regeneration. For bone, TE strategies are typically based on the combined use of scaffolds, cells, and bioactive molecules. Different materials were successfully studied and proposed for the fabrication of scaffolds. Among them, silk fibroin (SF) was evaluated as particularly promising for different TE applications, especially for bone tissue regeneration. Silk fibroin, a natural protein forming the structural core of silk filaments, holds biocompatibility, mechanical properties and biodegradation rate suitable for applications in bone regeneration. However, in the past, SF has shown some limitations, especially in terms of bioactivity and effective differentiating ability of hMSCs in regenerating bone tissue. In this work, we wanted to demonstrate that SF, properly processed, chemically modified, and conjugated with selected bioactive species, can be used to prepare different systems: a functionalised scaffold; a bioresorbable material with mineralization ability; an implantable immunomodulatory material. The experimental activities performed and the deep investigation of the properties of the SF-based systems prepared, led to promising results, indicating that SF could be a flexible and powerful platform for the realization of different therapeutic tools. For some of the SF-based systems described in this dissertation, further studies are needed to assess the biological activity of the materials prepared.