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Chitin Fulfilling a Biomaterials Promise Chitin Fulfilling a Biomaterials Promise Second Edition By Eugene Khor Chiticore Enterprises Inc. with Andrew C.A. Wan Institute of Bioengineering and Nanotechnology AMSTERDAM • BOSTON • HEIDELBERG • LONDON • NEW YORK • OXFORD PARIS • SAN DIEGO • SAN FRANCISCO • SINGAPORE • SYDNEY • TOKYO Elsevier 225, Wyman Street, Waltham, MA 01803, USA The Boulevard, Langford Lane, Kidlington, Oxford, OX5 1GB, UK Second edition 2014 Copyright © 2014, 2001 Eugene Khor. Published by Elsevier Ltd. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise without the prior written permission of the publisher. Permissions may be sought directly from Elsevier's Science & Technology Rights Department in Oxford, UK: phone (+44) (0) 1865 843830; fax (+44) (0) 1865 853333; email: [email protected]. Alternatively you can submit your request online by visiting the Elsevier web site at http://elsevier.com/locate/permissions, and selecting Obtaining permission to use Elsevier material Notice No responsibility is assumed by the publisher for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions or ideas contained in the material herein. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging-in-Publication Data A catalog record for this book is available from the Library of Congress ISBN: 978-0-08-099939-5 For information on all Elsevier publications visit our web site at store.elsevier.com This book has been manufactured using Print On Demand technology. Each copy is produced to order and is limited to black ink. The online version of this book will show color figures where appropriate. Acknowledgments I was a member of the academic research community for 27 years, and for more than 20 of those years, involved with chitin. The latter 15 years were also intermingled with starting and growing a commercial biomedical enterprise (while I remained in academia). These experiences have provided the academic research and industry/ commercial perspectives presented in this book. This would not have been possible without the goodwill extended to me throughout these years by so many. I am truly grateful to the persons and organizations mentioned below. It is without doubt that I might never have entered the research field of chitin and chitosan if it were not for the challenge in artificial seeds posed to me by my former colleague, C.S. Loh, of the Department of Biological Sciences, National University of Singapore. The funding and extensive research facilities including library resources for my academic research in chitin and chitosan as well as support (institutional approval and seed-funding) for my entrepreneurial endeavors were provided by the National University of Singapore. I gained medical products testing and business perspectives from my interactions with BRASS P.L., NAMSA®, and Charles River Laboratories-EMD. I received a tremendous kick start in chitin and chitosan research from the inspir- ing mentorship of the late Professor Shigehiro Hirano, at Tottori University in 1992 through a JSPS1 visiting fellow award. JSPS also sponsored a second fellowship in 2000 at Fukui University under the fine tutelage of Professor K. Sakurai. The interactions with faculty and students of the chitin and chitosan research com- munity through the years have been one of cordial learning and warm respect. My best wishes to all of you as you continue to push chitin forward. Ms. Erin Hill-Parks, Ph.D. (Associate Acquisitions Editor, Elsevier) was resource- ful in finding me after I had retired from NUS; her persistence secured my com- mitment for this project; and facilitated my other book project through the Elsevier system. My wife Val provided the primary assistance and support on these two book pro- jects (June 2012–March 2014). My God, the God of the Bible, has blessed me with the talent appropriate for the tasks, provided the circumstances and trials to gain the skills required, and bestowed the opportunities to participate and contribute. This was the life He planned and I lived. My God has been the constant throughout my life that continues until the day I am called into His presence. To God be the Glory. 1 JSPS: Japanese Society for the Promotion of Science. About the Author Dr. Eugene Khor received his B.Sc. in Chemistry from Lakehead University, Thunder Bay, ON, Canada and his Ph.D. in Chemistry from Virginia Tech, Blacksburg, VA. Dr. Khor joined the NUS1 in April 1984 as a member of its Academic Staff in the Department of Chemistry. Dr. Khor’s principal research program at NUS was on chitin materials: their production, characterization, and biomedical applications. At the end of November 2011, after 27 years of service to NUS, Dr. Khor retired from academia, trading in his chemistry lab coat for a fishing vest and has gone fishing. Dr. Khor was also the principal cofounder of BRASS,2 a Singapore Medical Technology Tests Services company. He guided BRASS from its humble beginnings to profit in 2005. He relinquished his responsibilities at BRASS in January 2007 but returned briefly in mid-2009 to November 2010, at the request of his major share- holders to steer the company forward in a changed business environment. He updated the company’s name to its acronym BRASS P.L. and put in place a strong board of directors and management team that resulted in progressive and continual growth in revenue, profit, and market presence (www.brass-asiapacific.com). Charles River Laboratories acquired BRASS P.L. in October 2013 (http://www.criver.com/about-us/ news-events/featured-stories/2013/brass). 1 NUS: National University of Singapore. 2 BRASS: Biomedical Research and Support Services Limited. Preface to the Second Edition Background My first encounter with the chitin1 research field transpired in 1989 when I received a request from a colleague in the Botany Department at the National University of Singapore to assist him in improving the seed coat for his artificial seed research. After a literature survey and evaluation, I recommended the chitosan-alginate coac- ervation system to produce a two-coat artificial seed that proved useful for my col- league [1]. This introduction to the world of chitin led to a long-term chitin research program as it pertained to my interests in biomaterials and biomedical applications at the National University of Singapore. Many fruitful years of chitin research ensued that culminated in my writing the first edition of this book in 2001. The main purposes that prompted me to write the first edition were: 1. To organize in a general way the growing amount of information as it pertained in one way or another of chitin as biomaterials and to biomedical applications. 2. To present the material in a perspective for academic and applied research of chitin to pro- gress into true and mainstream biomedical applications. 3. To summarize some of the challenges that had to be met for chitin to be biomaterials at par with some of the other more successful (in terms of biomedical applications) biomaterials from nature, collagen, and hyaluronan in particular. In the second half of 2012, I was approached by Elsevier Science to update Chitin: Fulfilling a Biomaterials Promise as a second edition. While I remain satisfied with the first edition, about a dozen years had elapsed since the first edition was published. The passage of time in the modern world present the following realities: 1. A lot has taken place in the research field of chitin, chitosan, and their derivatives as bio- materials and for biomedical applications since 2001, both in subject matter as well as participants. 2. The success of chitin and chitosan in biomedical applications is becoming more of a reality. Consequently, it is now more critical than ever to firmly establish chitin and chitosan as biomaterials whose promise will be fulfilled. Accordingly, I embarked on preparing a second edition to expand what was pre- sented in the first edition and discuss on the vital link to bring chitin, chitosan, and their derivatives, from the research lab bench to commercialization since 2001. 1 The term chitin is used to denote chitin, chitosan, and their derivatives when italicized. xiv Preface to the Second Edition Format In many ways, writing a second edition is tricky. There is a greater degree of difficulty in improving on the original effort to make it interesting to justify the work because the obvious and straightforward aspects have been covered. Providentially, science is not stagnant. Any researcher in the field knows the tremendous progress made in chitin and chitosan research, especially in the bio-frontiers such as tissue engineering, stem cells, gene and drug delivery, and nanotechnology. In addition, you are provided an opportunity to incorporate aspects you may have chosen to omit in the first edition but now feel worthy of inclusion. Furthermore, your knowledge and understanding of the subject matter matures, offering plausibly a more objective and unbiased, suitably informed and perhaps better-rounded veteran’s perspective. The main goals for this second edition were to: 1. Review some of the work that is ongoing as it pertains to chitin as biomaterials and their biomedical applications. A thorough review of the field was deemed unnecessary in light of the comprehensive topical reviews available in the scientific literature. Therefore, a high- lighting strategy with examples on some of the fascinating progress made with chitin as a biomaterial has been used. 2. Present some of the trends, challenges, and concerns of biomaterials as discussed by thought leaders and the place of chitin amidst these exciting activities. 3. Present some of the commercial (product development and manufacturing) and regulatory aspects of biomedical products and chitin’s biomaterials role in this undertaking. To retain the original chapter format of the first edition would disregard the advances made and insights gained since. Therefore, this second edition adopts a more updated format with specific biomedical applications topics covered in their own chapters. While this may make reference back to the original first edition more challenging, it recognizes the importance of maintaining currency. An overview chapter on chitin research in perspective lays the groundwork for the biomedical focus of this book. This leads into a presentation on the status of the bio- medical commercialization of chitin to provide the impetus for the research content that follow. Four chapters survey the use of chitin, chitosan, and their derivatives in specific biomedical research topics: 1. For “traditional” biomedical applications 2. In tissue engineering and stem cell research 3. In nanotechnology 4. The relationship between chitin and chitosan to collagen and hyaluronan complete the research survey In most instances, each chapter contains a preview section on the specific topic, followed by a literature research roundup, and concludes with a “Trends” section focusing on a discussion of the potential and issues of the chapter content. Finally, two chapters highlight some of the further considerations for biomedical commercialization that leads to the final chapter on “what next” for chitin and chitosan. This second edition remains essentially my effort. However, I have been blessed to procure the assistance of one of my former graduate students, Dr. Andrew C.A. Preface to the Second Edition xv Wan to participate in this update, as well as pass on the mantle to him for posterity’s sake. Among Dr. Wan’s current research interests are tissue engineering and stem cell applications. He provided vital background literature searches and critical comments on my draft chapters, invaluable to the integrity of this book’s content. His contribu- tions despite his busy schedule as a principal research scientist at the Institute of Bioengineering and Nanotechnology, Singapore, are gratefully noted. Comments on literature survey and references A project of this magnitude typically requires a comprehensive review of the scientific literature published. Since 2001, the year the first edition was published, new journal titles have come about, and existing journals have increased their number of annual issues and/or created subspecialty areas. The outcome of all this is an overwhelm- ing amount of information that has to be evaluated for their relevance to the matter at hand. For example, a search of the terms chitin and chitosan of the ScienceDirect database yields upwards of 11,000 citations. Limiting the search to the years from 2002 to 2013 reduces the number to around 8400. Similarly, more than 4000 citations were obtained for the John Wiley online library search for the same period. The reality is that while the task of sifting through the citations is surmountable with effort, it is more appropriately (and has been) covered by invited or self-initiated review articles in many journals and, specialty books that are compilations of expert papers on the research topics put together by an editor. Therefore, to duplicate such effort here is redundant and counterproductive. In contrast, this book adopts a strategic approach of surveying a limited number of relevant key journals and articles, especially reviews mentioned in the previous paragraph. The rationale for this tactic was based on the following: 1. This book presents a research that can more readily lead into commercialization perspective rather than the traditional research overview reports. 2. Most germane topics found in any specialty journal would be represented in the major established journals referenced in this work. 3. Elsevier publications dominate the reference lists because of the ready access to their exten- sive database provided to the lead author. 4. Where a reference transcends two or more topics, it was the lead author’s judgment to place it where relevant and/or duplicate its placement. The survey covers publications that appeared between the years 2002 and 2013 (June as cutoff). References to publications prior to 2002 or after June 2013 may appear based on the relevance of the information. Each chapter’s references are com- piled when used for completeness and convenience. Duplication of the same reference in other chapters where they occur is believed a worthwhile expediency. It is within these defined scope and boundaries in mind that this second edition came to its completion. Eugene Khor February 28, 2014 xvi Preface to the Second Edition Reference [1] (a) L.F. Tay, L.K. Khoh, C.S. Loh, E. Khor, Alginate-chitosan coacervation in produc- tion of artificial seeds, Biotechnol. Bioeng. 42 (4) (1993) 449–454. (b) C.S. Loh, W. Shu, E. Khor, High frequency production of embryos from liquid flask cultures of oilseed rape, Biotechnol. Bioeng. 54 (3) (1997) 231–238. (c) E. Khor, W.F. Ng, C.S. Loh, Two-coat systems for encapsulation of Spathoglottis plicata (Orchidaceae) seeds and protocorms, Biotechnol. Bioeng. 59 (5) (1998) 635–639. (d) T.K. Tan, W.S. Loon, E. Khor, C.S. Loh, Infection of Spathoglottis plicata (Orchidaceae) “artificial seeds” by mycorrhizal fungus, Plant Cell Rep. 18 (1–2) (1998) 14–19. Preface to the First Edition The incessant search for alternative and better ways to treat bodily ills is filled with challenges and opportunities. When it concerns replacement of body parts with artifi- cial substitutes, state-of-the art technology developments such as Tissue Engineering are fueling the quest for better biomaterials that can meet a myriad of challenges. Central to this issue is the potential for the utilization of materials from nature. Among the candidates, chitin has been poised to be one such natural material that can be the answer to a variety of needs in the biomedical field. Ask any chitin researcher about the benefits of chitin and you will receive an earful of its capabilities as wound dressings, in bone substitutes, and as drug delivery carriers, conveyed in a manner that is almost magical. Such is the passion, yet more is the accompanying confusion and lack of consensus that confronts chitin as it strives to be a fully qualified member of the biomaterials club. Why is the situation unclear as to whether chitin will blossom into a fully accepted medical material? The ever-looming impediment to the full-scale launch of chitin as a biomaterial remains the production of high-purity grades of the material and the daunting requirements of regulatory approval. Chitin biomedical products have appeared, and there has been a noticeable effort toward the introduction of biomedi- cally suitable chitin. Nonetheless, the widespread proliferation of chitin-based medi- cal products has not really taken off. The key question now is whether chitin will be a contender that truly makes it! With so much information amassed from chitin research over the past 40 years, what more can and should be done with or for chitin? For all its purported therapeutic benefits, can chitin succeed in vying for a market share in niches already occupied by cellulose, collagen, hyaluronic acid, and the up- and-coming chondroitin and keratan sulfates. Will chitin be sidelined by these other biopolymers or newer technologies on the horizon? Will chitin, having exploded with promise, find itself falling short of erupting with profits? So far, little has been discussed on the groundwork necessary for chitin to claim its rightful place as a biomaterial. This book is written with the aim to underscore the factors that must increasingly transpire in standardizing chitin processing and characterization. It attempts to capture the essential interplay between chitin’s assets and limitations as a biomaterial, placing the past promises of chitin in perspective, addressing its present realities and offers insight into what is required to realize chi- tin’s destiny (that includes its derivative, chitosan) as a biomaterial of the twenty-first century. For both the industrialists and researchers with a vested interest in commer- cializing chitin, I hope this book will serve as a primer toward this goal.

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