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3D Printing of hydrogel composite systems: Recent advances in technology for tissue engineering

           3.4 Anisotropic Filler-Reinforced Hydrogel
           Composites 3D Printing
           Nanoclay is a nanoparticle which is composed of layered
           hydrous silicate. It has been used in a wide range of
           applications such as pharmacy, paints, cosmetics as well as
           catalysis owing to their good surface properties and excellent
           rheology controllability. Depending on the type of clay, each
           layer consists of two or more sheets of either (AlO (OH) )
                                                         3 6
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           octahedra or (SiO ) -tetrahedra. Nanoclays are classified into
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           several classes such as Laponite, montmorillonite, bentonite,
           nontronite, saponite, kaolinite, hectorite, and halloysite by
           their geometrical shape and chemical composition which
           can affect biocompatibility. Rawat et al. investigated the
           cytotoxicity and antimicrobial properties of various shape   Figure 8.  (A) The structure and composition of Laponite nanoclay
           and concentration of nanoclays [100] . They prepared Laponite   as an anisotropic filler and (B) “house-of-cards” mechanism of
           with an aspect ratio of 25:1 and montmorillonite (MMT) with   self-assembling printed hydrogels including Laponite. (reproduced
                                                               with permission from [96]. Copyright 2017, ACS Publications).
           an aspect ratio of 300:1, The cytotoxicity and antimicrobial
           properties of both nanoclays with various concentration from   modified four-armed poly(ethylene glycol) (PEG-D4) Liu
           0.00005 ug/mL to 0.0125 ug/mL were assessed by eukaryotes-  et al. [103]  The introduction of Laponite did not change the
           human embryonic kidney (HEK), and cervical cancer SiHa   degradability and cytocompatibility of PEG-D4. However,
           cell and Kirbey-Bauer protocol method, respectively. Laponite   the curing time, mechanical and adhesive properties were
           exhibited good antimicrobial properties, while MMT showed   significantly increased. Consequently, PEG-D4/Laponite
           better cytotoxicity. Their explanation behind this finding is   hydrogel nanocomposites minimized inflammatory
           due to the difference in charge density and anisotropy of the   response and improved cellular infiltration in vivo as
           clays. Modification of nanoclays as organic-inorganic hybrid   compared to Laponite-free specimens.
           nanomaterials have potentials for use as rheological modifiers,   Recently, a variety of Laponite incorporated hydrogel
           gas absorbents and drug delivery carriers in customizing   composites are 3D-printed for hard tissue engineering.
           polymer composites.                                 Jin et al. proposed a direct hydrogel printing approach
            Laponite, a synthetic magnesium silicate, is well   without any supporting bath by using self-supporting
           known as a nano biofiller in cosmetics. The potential use   nanoclay [96] . Laponite RD and XLG were mixed with
           of Laponite as tissue engineering constructs has been   three types of hydrogels including poly(ethylene
           discussed because they enhance cell spreading and promote   glycol) diacrylate (PEGDA), alginate, and gelatin.
           osteogenesis. The crystal structure of Laponite is a disc-  Each prepared composites were extruded by direct
           shaped layered magnesium silicate with a particle size of   ink writing with appropriate crosslinking methods,
           approximately 25 nm in diameter and 1 nm in thickness   respectively. Laponite-incorporated hydrogels were
           as shown in (Figure 8A). These ultrathin structures with a   readily printed through a nozzle and solidified after
           high degree of anisotropy and functionality enhance their   extrusion in the air. The addition of Laponite improved
           surface interactions. In addition, Laponite is negatively   the mechanical properties of extruded scaffolds and
           charged on its face and positively on the rim thus undergoes   also adjusted the degradation rates. The elastic modulus
           self-assembly through electrostatic interactions to form a   of PEGDA-Laponite, alginate-Laponite, and gelatin-
           shear thinning gel state with a “house-of-cards structure”   Laponite scaffolds increased 1.9, 7.4 and 3.3-fold than
           (Figure 8B) [101] . Therefore, many studies have been carried   each pure hydrogels without Laponite, respectively. The
           out on blending Laponite with polymers for improving   cytocompatibility of PEGDA-Laponite was confirmed
           mechanical and biological properties. Hydrogels with   by fibroblast cell adhesion and proliferation.
           poor mechanical properties can yield these properties by   Zhai et al. reported that the physical crosslinking of
           forming strong interaction between chains of hydrogel   hydrogel chain-clay coupled with hydrogen bonding
           and monodispersed Laponite. Su et al. fabricated silk   remarkably increased the mechanical performance of
                                                                             [97]
           fibroin hydrogel composites with Laponite for bone defect   hydrogel scaffolds . N-acryloyl glycinamide (NAGA) was
           repair application [102] . As the concentration of Laponite   dissolved in deionized water with varying concentrations
           increased from 0 to 5%, rheological properties of hydrogel   from 10 to 30%, and then mixed with different quantities
           composites increased from 30 to 200 kPa. Osteoblasts cell   of Laponite XLG. The mixed solutions were extruded by
           proliferation and differentiation also increased with the   3D plotting method and printed specimens were cured in a
           addition of Laponite. Injectable hydrogel naoncomposite   cross-link oven. Fabricated PNAGA-Clay scaffolds showed
           was investigated by combining Laponite and dopamine-  homogeneous structures and the mechanical properties of

           16                          International Journal of Bioprinting (2018)–Volume 4, Issue 1
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