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International Journal of Bioprinting                                Property of scaffolds with different lattices




            largest proportion of shear stress at 0–20 MPa. Therefore,   types of unit cell structures in porous titanium alloy
            despite the fact that the average shear stress of the diamond   scaffolds can impact the number of adhered cells but have
            scaffold is lower than that of the CPL and cuboctahedron   minimal effect on the state of cell adhesion. The growth
            scaffolds, the diamond scaffold has a more concentrated   of MC3T3-E1 cells on the cuboctahedron  scaffolds was
            shear stress distribution and is more effective in promoting   the lowest after 3 days of culture. Cuboctahedrons did not
            cell differentiation. ALP activity and calcium deposition on   demonstrate evident advantages in terms of specific surface
            the diamond scaffold were considerably more pronounced   area  and  permeability,  which  are  linked  to  additional
            than those on the other two groups 14 and 30 days after   space and nutrients for cell proliferation. ALP activity
            induction,  showing  that  the  diamond  scaffold  was  more   detection is useful for assessing the functional condition
            favorable to fostering osteoblast development. The results   of osteoblasts. At the earliest stage of differentiation, we
            demonstrated that with the same porosity and pore size,   found no statistically significant variation in ALP activity
            the CPL scaffold had a greater specific surface area than the   between titanium alloy scaffolds with different pore shapes
            cuboctahedron scaffold, while the diamond scaffold had   (P > 0.05). At 14 days, the ALP activity of the diamond
            the smallest specific surface area. Theoretically, a larger   scaffold was substantially greater than that of CPL and
            specific surface area endows more space for cell adhesion.   cuboctahedron (P  < 0.05). Mineralized nodules are the
            However, there are some discrepancies between our in vitro   ultimate manifestation of the osteogenic phenotype of
            cell tests and theoretical prediction. After 3 h of culture, the   osteoblasts in vitro, as well as a sign of mineralized matrix
            number of adhered cells on the diamond scaffolds was only   development. The mineralized nodules could be dissolved
            marginally higher than that on the CPL scaffolds (P > 0.05)   by 10% cetyl pyridine chloride, and the absorbance value
            but significantly higher than that on the cuboctahedron   was proportional to the calcium ion content. After the
            scaffold (P  < 0.05). Despite the bigger specific surface   dissolution of mineralized nodules, the diamond scaffold
            area, the lower permeability of CPL scaffold limits the   exhibited the highest OD value, which was much higher
            cells from entering the scaffold for adherence, explaining   than those of CPL and cuboctahedron scaffolds (P < 0.05).
            the insignificant difference in cell adherence between the
            two scaffolds.                                        Consistent with the results of our fluid simulation
                                                               research, it can be extrapolated that the diamond
               In a study about local curvature and pore shape, Bael   scaffold has a greater influence on inducing osteogenic
            et al.  determined that obtuse angles were more likely to   differentiation of MC3T3-E1 cells. To further elucidate
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            obstruct cells than acute angles. According to Urda et al.,    the aforementioned impacts, the expression levels of
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            straight edges and convex surfaces in pore structure are   osteogenesis-related genes, namely  ALP,  Runx2, and
                                                27
            detrimental to cell development. Huang et al.  discovered   OCN, were measured quantitatively. In the process of bone
            that the porous titanium alloy scaffold with dodecahedron   matrix mineralization, OCN expression is the primary
            unit cell exhibited superior osseointegration performance   indication of osteogenic differentiation, and Runx2 is
            after studying the osseointegration performance of titanium   one of the most significant transcription factors for
            alloy scaffolds with two unit cells (diamond and rhombic   osteoblast differentiation. The results demonstrated that
                                23
            dodecahedron). Xu et al.  compared the osseointegration   the expression of osteogenic genes on the diamond scaffold
            properties of two unit cells (a hollow hexagonal prism and   was superior to that on the cuboctahedron scaffold, while
            a hollow triangular prism) through animal experiments.   expression was lowest on the CPL scaffold. We expected
            They found that a hollow hexagonal prism had more new   that the diamond porous titanium alloy scaffold would
            bone ingrowths. Changes in pore shape have a significant   promote osteogenic differentiation more effectively.
            effect on the osseointegration efficiency of porous titanium   The lateral femoral epicondyle of rabbits was implanted
            alloy scaffolds.                                   with three types of Ti6Al4V scaffolds with various unit
               In this study, the effects of the three pore configurations   cells. Three months after feeding, an X-ray inspection
            on  the  adhesion,  proliferation, and  differentiation  of   revealed that all scaffolds had successfully fused with the
            MC3TE-E1, a mouse osteoblast precursor cell line, were   surrounding bone, and there was no evidence of prosthesis
            compared. Staining with acridine orange revealed that   loosening or displacement. Micro-CT 3D reconstruction
            a substantial percentage of MC3T3-E1 cells adhered   also confirmed the creation of new bone inside and around
            to  the  three  titanium  alloy  scaffolds.  The  percentage  of   the scaffold. Quantitative research revealed that the amount
            MC3T3-E1 cells attached to scaffolds can be ranked in the   of new bone surrounding the three scaffolds did not differ
            following order: diamond > CPL > cuboctahedron. Using   significantly; however, the amount of new bone inside the
            SEM and phalloidin/DAPI labeling, it was determined   scaffolds is ranked in this order: diamond > cuboctahedron
            that MC3T3-E1 cells adhered well to all three scaffolds,   > CPL, and the difference was statistically significant (P <
            with no significant differences between them. Different   0.05). Titanium alloys are inert materials and do not release


            Volume 10 Issue 2 (2024)                       223                                doi: 10.36922/ijb.1698
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