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International Journal of Bioprinting                                Bioactive scaffold for necrosis bone repair




            of osteoinductive activity, it is also susceptible to immune   as a novel method for preparing tissue engineering
            rejection.  On the other hand, bioceramics exhibit low   scaffolds. 19,20  Unlike traditional fused deposition 3D
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            immune rejection and are broadly available and affordably   printing technology,   LTD  3D  printing  technology
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            priced, but they lack osteoinductive activity.  Therefore,   prevents  high temperatures  or  hazardous  solvents  from
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            there is an imperative need to develop a bioactive   destroying the activity of bioactive factors when printing
            material for bone repair. Researchers have created a   scaffolds, thereby ensuring the functionality of bioactive
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            variety of bioactive bone repair materials in response to   factors.  Moreover, by homogeneously premixing the
            these increasing demands. Chen et al. designed a complex   bioactive factors with the bioink, the bioactive factors
            hydrogel containing  bone morphogenetic protein    can be uniformly distributed within and on the surface
            (BMP)-2 for the treatment for rat cranium defects.  For   of the scaffold, thereby imparting the whole scaffold with
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            bone regeneration, Hong et al. designed a novel hybrid   bioactivity. In  addition,  while  conventional  3D  printing
            membrane composed of collagen and nano-bioactive   can only retain macroscopic pores bigger than 100 μm,
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            glass containing basic fibroblast growth factor.  The high   LTD 3D printing retains interconnected cellular-level
            cost of most osteoinductive factors and the demanding   microscopic pores (10–100 μm) that facilitate the growth
            storage conditions have limited the clinical application of   of cells and the interchange of metabolic substances within
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            a majority of bioactive scaffolds, although encouraging   the scaffold.  Many researchers have used LTD 3D-printed
            results  from  different studies  have  shown that  the  new   bioactive scaffolds to treat bone defects. Gao  et al.
            materials  made  have  beneficial  effects  on  bone  repair.   prepared hierarchical porous induced biomineralization
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            Consequently, we have committed ourselves toward   scaffolds using LTD 3D printing technology.  Lian et al.
            finding an osteoinductive factor capable of overcoming   designed LTD 3D-printed layered porous spongy scaffold
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            these drawbacks and preparing bioactive bone repair   for vascularized bone regeneration.  Hence, bioactive
            materials for clinical applications.               scaffolds prepared by LTD 3D printing technology offer an
                                                               ideal strategy for repairing bone defects.
               Biotin, also known as vitamin H, is a water-soluble B
            vitamin required for vitamin C synthesis.  In addition,   In this study, different mass fractions of biotin were
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            biotin is an essential nutrient for normal  growth,   added  to  poly(lactic-co-glycolic  acid)/β-tricalcium
            development, and health that is consumed daily by the body.   phosphate (PLGA/β-TCP) bioink as osteoinductive factors
            A shortage of biotin is associated with a variety of maladies,   and then  bone repair bioactive  scaffolds were created
            including dysbiosis of the intestinal flora, neurological   using the LTD 3D printing technique. Superior biotin-
            disorders, multiple sclerosis, and bone metabolism   doped scaffolds used in in vitro experiments were selected
            disorders. 13-15  Besides, biotin can be found in a wide range   for  in vivo  testing  after  characterization, compatibility,
            of foods and readily extracted from a variety of sources.   and osteogenesis studies; subsequently, an ONFH-type
            Since it is inexpensive and safe for consumption, biotin   bone defect rabbit model was established to evaluate the
            has  the potential  to  be applied in  medical  applications.   reparative effect of a bone repair scaffold on bone defect.
            We have previously conducted a preliminary study on   We demonstrated that biotin-doped bone repair
            biotin’s ability to promote bone repair, a research area that   scaffolds were effective in repairing ONFH-type bone
            has received less attention.  By enhancing the expression   defects, and these encouraging results further strengthen
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            of proteins such as BMP-2 and runt-related transcription   the potential of biotin-doped scaffolds for wider
            factor 2 (Runx2), the deposition of biotin powder on the   applications since they are inexpensive and easy to prepare
            surface  of  titanium  rods  using  the  low-energy  electron   (Scheme 1).
            beam deposition technique achieves a greater bone repair
            effect.  However, the coating procedure can only modify   2. Materials and methods
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            the surface of the material, and the lack of growth factors   2.1. Materials and regents
            may compromise the replacement of the bone through   Biotin, dexamethasone, ascorbic acid, β-glycerol sodium
            crawling.  Moreover, the coating procedure generates high   phosphate, cell counting kit 8 (CCK8), and cytoskeleton
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            heat at temperatures that cannot be withstood by many   kit were purchased from Solarbio Science & Technology
            osteoinductive factors. Therefore, a new technique that   Co. (Beijing, China). PLGA and β-TCP powder were
            can homogeneously incorporate osteoinductive factors   purchased from Regenovo Co. (Hangzhou, China).
            into the bone repair material to compensate for the lack of   α-MEM was purchased from Biological Industries (Israel).
            surface modification is urgently needed.
                                                               Fetal bovine serum (FBS), phosphate-buffered saline (PBS),
               In recent years, low-temperature deposition (LTD)   penicillin–streptomycin solution, Live/Dead staining
            three-dimensional (3D) printing technology has emerged   kit, and alkaline phosphatase (ALP) staining kit were


            Volume 10 Issue 1 (2024)                       434                          https://doi.org/10.36922/ijb.1152
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