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RESEARCH ARTICLE

           A multi-scale porous scaffold fabricated by a combined

           additive manufacturing and chemical etching process for

           bone tissue engineering


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           Cijun Shuai , Youwen Yang , Pei Feng , Shuping Peng , Wang Guo , Anjie Min , Chengde Gao        1*
           1  State Key Laboratory of High Performance Complex Manufacturing, College of Mechanical and Electrical Engineering,
             Central South University, Changsha 410083, China
           2  Jiangxi University of Science and Technology, Ganzhou 341000, China
           3  The Key Laboratory of Carcinogenesis and Cancer Invasion of the Chinese Ministry of Education, the Key Laboratory
             of Carcinogenesis of the Chinese Ministry of Health and Cancer Research Institute, Xiangya Hospital, Central South
             University, Changsha 410078, China
           4  Department of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha 410008, China
           Abstract: It is critical to develop a fabrication technology for precisely controlling an interconnected porous structure of
           scaffolds to mimic the native bone microenvironment. In this work, a novel combined process of additive manufacturing
           (AM) and chemical etching was developed to fabricate graphene oxide/poly(L-lactic acid) (GO/PLLA) scaffolds with multi-
           scale porous structure. Specially, AM was used to fabricate an interconnected porous network with pore sizes of hundreds
           of microns. And the chemical etching in sodium hydroxide solution constructed pores with several microns or even smaller
           on scaffolds surface. The degradation period of the scaffolds was adjustable via controlling the size and quantity of pores.
           Moreover, the scaffolds exhibited surprising bioactivity after chemical etching, which was ascribed to the formed polar
           groups on scaffolds surfaces. Furthermore, GO improved the mechanical strength of the scaffolds.

           Keywords: multi-scale pores; scaffolds; additive manufacturing; chemical etching; PLLA
           *Correspondence to: Chengde Gao, State Key Laboratory of High Performance Complex Manufacturing, College of Mechanical and Electrical
           Engineering, Central South University, Changsha, 410083, China; gaochengde@csu.edu.cn
           Received: January 8, 2018; Accepted: March 2, 2018; Published Online: March 31, 2018September 25, 2017

           Citation: Shuai C, Yang Y, Feng P, et al. A multi-scale porous scaffold fabricated by a combined additive manufacturing
           and chemical etching process for bone tissue engineering. Int J Bioprint, 4(2): 133. http://dx.doi.org/10.18063/
           IJB.v4i2.133Lepowsky E and Tasoglu S, 2018, 3D printing for drug manufacturing: A perspective on the future of
           pharmaceuticals. Int J Bioprint, 4(1): 119. http://dx.doi.org/10.18063/IJB.v4i1.119
                                                               adhesion. In addition, the degradation rate of scaffolds
           1. Introduction
                                                               should be adjustable to enable synchronous replacement
           To fabricate a multi-scale and interconnected porous   of the scaffold with the cells and extracellular matrix .
                                                                                                            [8]
           structure for scaffolds is a key challenge in bone tissue   And an adequate mechanical strength is also required
           engineering [1–3] . In general, pores with hundreds of   to provide structural support for the new tissue [9,10] .
           microns (macro pores) are necessary for vascularization   Therefore, it is of great importance to develop scaffolds
           and tissue ingrowth [4–6] . On the other hand, pores with   with suitable porous structure, degradation rate and
           several microns or even smaller (micro pores) on the   mechanical strength to meet the multiple requirements.
           scaffolds surface allow facile communication between   To obtain the porous structure of scaffolds, substantial
           the cells and scaffolds, thereby promoting extracellular   efforts have been devoted to exploring scaffolds
           matrix formation . Moreover, the micro pores on     fabrication methods, including freeze-drying [11,12] , gas
                           [7]
                                                                     [13]
           surface provide more sites for apatite formation and cell   forming  and polymeric sponge [14,15] , etc. Nevertheless,
           A multi-scale porous scaffold fabricated by a combined additive manufacturing and chemical etching process for bone tissue engineering. © 2018 Shuai
           C et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://
           creativecommons.org/licenses/by-nc/4.0/), permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is
           properly cited.
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