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International Journal of Bioprinting                          Oozing 3D-printed scaffolds for tissue engineering




            demonstrated that NaOH solution erodes the surface of   of fibers per volume in the Os and Oc scaffolds. The
            the fibers. In addition, the hydrophilicity assay showed   immunofluorescence results (Figure 10B) were consistent
            statistically significant differences (* p < 0.05) between   with the metabolic activity, showing that scaffold walls of
            controls and NaOH-treated groups at each measuring point   Gy and Gof were mostly covered by spread cells at day 7.
            (day 0, day 1, day 2, and day 9), with a constant shift of ~9°   Similarly, fibers of Os, Or, and Oc were also completely
            to 15° observed between conditions. Similarly, statistically   covered by spread cells.
            significant differences in contact angle within time were
            separately found in both conditions. Additionally, the   4. Discussion
            contact angle in the controls was statistically significant   Oozing or stringing effect has been generally described
            ¶
            ( p < 0.05) between day 0 and day 1, and between day 0   as  a  non-desirable  drawback  in FDM. 38,62  Despite these
            and day 2. However, the NaOH-treated group showed   considerations, some recent studies have developed
            differences between day 0 and day 2, and between day 0   interesting approaches utilizing this effect to design
            and day 9 (Figure 8).                              environments with fibers in the range of microns (from a
            3.6 Compression study                              few tens up to hundreds). Various geometries have been
            Our results from the determination of elastic modulus (E),   studied by means of this technique, such as planar parallel
            maximum stress (Max stress), and maximum elongation at   arrangements, 44,63  3D parallel distributions, 51,59,64  and also
            maximum force (Max dL at F ) for all scaffolds in both   hybrid constructions, combining FDM with another
                                    max
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                                                                                        54
            experimental conditions (NaOH treatment and control)   technique, such as airbrushing  or electrospinning,  in
            demonstrated no statistically significant differences (p   order to create a stack of alternate layers. Nevertheless, these
            < 0.05) between conditions for any studied parameter,   approaches still fail to produce an improved biomimetic
            indicating that treatment does not affect mechanical   3D environment with randomly distributed fibers, as they
                                                                              66-68
            properties (Figure 9). Interestingly, Gy and Gof specimens’   all remain gridded.
            data showed a higher E modulus in both conditions (NaOH   Our study focused on developing a set of novel FDM-
            treatment and control) compared to the oozing groups,   printed constructs with random and gridded distributions
            with Gof’s being three or four times higher than that of   of microfibers that may better mimic those of the native
            Gy. Maximum stress values showed similar behavior in   ECM  niche.  In  addition,  we  analyzed the  potential  of
            both experimental conditions for all specimens, except for   these constructs, which support cell culture growth, as
            Oc and Os, which were found to be considerably lower.   bone tissue-engineering strategies. This may represent an
            Maximum elongation at maximum force showed similar   important progress, as we introduced for the first time the
            results in both conditions for all specimens with a lower   potential of using the oozing or stringing phenomenon to
            value in Oc and Os specimens (Figure 9C).          enhance the 3D-printed scaffolds characteristics for better
                                                               promoting cell attachment and growth, as the created fiber
            3.7. Cell culture studies                          dimensions better matched the ECM natural niche. 69,70
            To assess how the morphology or accuracy of the
            3D-printed structure could affect the cell response, SaOs-  We demonstrated that design is a fundamental tool
            2  cells  were  seeded and  cultured  within  the  scaffolds.   to  overcome  FDM  printing  limitations  when  using
            Metabolic activity was determined using a resazurin salt   conventional printing machines. Our results showed that it
            reduction assay, and cytoskeleton staining was observed   is possible to surpass the constraints of an accessible FDM
            with a confocal microscope (Figure 10A). Tissue culture   ordinary printer by using AAD to improve the architecture
            plastic (TCP) was used as a control for cell behavior while   of the scaffolds, corroborating similar algorithm-based
                                                                                                            65
            Gof, commonly used in tissue-engineering applications,   methodology previously described in the literature.
            was used as a control of the infill structure. As shown in   Moreover, our scaffolds’ design algorithms were especially
            Figure 10B, there was no difference in the initial adhesion   designed to create random distributions of the fibers,
            (day  1)  of  cells  to  the  different  scaffolds,  except  for  Or,   providing an innovative framework that enhances the
            which displayed a significantly lower  cell adhesion (p   FDM printing application to an improved biomimetic-like
                                                                                               70-72
            < 0.05). However, this lower metabolic activity was not   approach in the tissue-engineering field.
            statistically significant at days 3 and 7. Moreover, the   Our results demonstrated the oozing effect is a
            metabolic activity was gradually increased during the   repeatable technique  that can  be  controlled  considering
            culture time, being comparable to that of Gof and normal   a certain degree of tolerance within fiber geometry. An
            TCP,  and  was  significantly higher  for  Os  and  Oc  at day   accurate setting of the printing parameters, such as feeding
            7 (p < 0.05). These results correlated with higher density   speed and printing speed, among others, and other intrinsic



            Volume 10 Issue 2 (2024)                       512                                doi: 10.36922/ijb.2337
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