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International

                                                                         Journal of Bioprinting



                                        RESEARCH ARTICLE
                                        Low-temperature deposition 3D printing biotin-

                                        doped PLGA/β-TCP scaffold for repair of bone
                                        defects in osteonecrosis of femoral head



                                        Peng Xue , Xiaoxue Tan , Hongzhong Xi , Hao Chen , Shuai He ,
                                                1,2
                                                             3
                                                                                      1,2
                                                                                                1,2
                                                                           1,2
                                        Guangquan Sun , Changyuan Gu , Xiaohong Jiang , Bin Du 1,2* , and Xin Liu 1,2*
                                                      1,2
                                                                     1,2
                                                                                     3
                                        1 Department  of  Orthopedics,  The Affiliated  Hospital  of  Nanjing  University  of  Chinese  Medicine,
                                        Nanjing 210029, China
                                        2 Jiangsu Province Hospital of Chinese Medicine, Nanjing, Jiangsu 210029, China
                                        3 International Chinese-Belorussian Scientific Laboratory on Vacuum-Plasma Technology, Nanjing
                                        University of Science and Technology, Nanjing 210094, China
                                        (This article belongs to the Special Issue: Biomedical Application of 3D Bioprinting)
                                        Abstract
                                        The removal of necrotic bone and implantation of bone repair materials is an effective
                                        treatment for osteonecrosis of the femoral head (ONFH)-type bone defects, but there
                                        are currently no clinically applicable bone repair materials. In this study, a biotin-
                                        doped bone repair scaffold was created using low-temperature deposition (LTD)
                                        three-dimensional (3D) printing technology, and its ability to repair bone defects in
                                        ONFH was evaluated. The scaffold was characterized in vitro, and its cytotoxicity and
            *Corresponding authors:     osteogenic capacity were assessed by co-culturing the scaffold with rat bone marrow
            Xin Liu                     mesenchymal stem cells. The scaffolds were implanted in an animal model of ONFH-
            (liuxinsurg@163.com)        type bone defects, and the effect of scaffolds on promoting bone repair was evaluated
            Bin Du
            (fsyy00608@njucm.edu.cn)    by means of radiology and histopathology. LTD 3D-printed biotin-doped scaffolds
                                        showed cancellous bone-like structures without inducing cytotoxicity, whereas
            Citation: Xue P, Tan X, Xi H, et al.   high-biotin β-TCP scaffolds (HBPT; containing 2% biotin) promoted osteogenic
            Low-temperature deposition 3D
            printing biotin-doped PLGA/β-TCP   differentiation more effectively. Experiments on animals revealed that the effect of
            scaffold for repair of bone defects in   HBPT on bone repair was significantly superior to that of other groups. The in vivo
            osteonecrosis of femoral head. Int J   biocompatibility of HBPT was confirmed by blood analysis and hematoxylin and eosin
            Bioprint. 2024;10(1):1152.
            doi: 10.36922/ijb.1152      staining of the main organs. In conclusion, biotin-doped scaffolds can be used to treat
                                        ONFH-type bone defects by virtue of their ability in promoting bone regeneration.
            Received: June 26, 2023
            Accepted: August 10, 2023
            Published Online: September 12,
            2023                        Keywords: Biotin; Low-temperature deposition; Bone repair; Osteonecrosis of the
                                        femoral head; Bone tissue engineering scaffold
            Copyright: © 2023 Author(s).
            This is an Open Access article
            distributed under the terms of the
            Creative Commons Attribution
            License, permitting distribution,   1. Introduction
            and reproduction in any medium,
            provided the original work is   Osteonecrosis of the femoral head (ONFH) is a common orthopedic condition that,
            properly cited.
                                        if left untreated, can contribute to hip disability by causing hip pain and dysfunction
            Publisher’s Note: AccScience    as  the  disease  progresses.   Removal  of  necrotic  bone  and  implantation  of  bone
                                                              1-3
            Publishing remains neutral with
                                                                                 4
            regard to jurisdictional claims in   repair materials are standard clinical procedures.  Allogeneic bone or bioceramics
            published maps and institutional   are currently utilized as bone repair materials, but both have numerous drawbacks.
                                                                                                            5-7
            affiliations.               Homogeneous allogeneic bone is a scarce and costly material; in addition to the lack

            Volume 10 Issue 1 (2024)                       433                          https://doi.org/10.36922/ijb.1152
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