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Shuai C et al.

                   A. Powder preparation      B. 3D printing                  C. Chemical etching



















           Figure 1. The fabrication process of multi-scale porous scaffolds. (A) powder preparation, (B) porous scaffolds with macro pores by AM
           and (C) micro pores on scaffolds surface by chemical etching.

           for 2 h to ensure complete dissolution and prevent   Taiming Optical Instrument Co., Ltd., China). The
           local concentration buildup. Then the scaffolds were   indentations were made on the scaffolds at a peak load
           subjected to a chemical etching process by immersing   of 2.94 N (300 gf) and a dwell time of 15 s. H  was then
                                                                                                      V
           them in the NaOH solution under stirring at 37 °C. The   calculated from the indentation data based on Eq. 1:
           weight ratio of NaOH-to-scaffold in the solution was
           higher than 1000 (1600:1 mole ratio) to ensure a nearly
           constant pH during the etching process. As depicted in                                                            (2.1)
           Figure 1C, PLLA could be broken down into two shorter   where P is the peak load and d is the diagonal length
           soluble chains with new carboxyl groups and hydroxyl   of indentation. For both the compression and indentation
           end groups via a hydrolysis reaction with NaOH. After   tests, five replicates were carried out for each group and
           chemical etching for different time periods (0.5, 1.0,   the results were averaged.
           1.5 h), the scaffolds were rinsed with ultrapure water to   The degradation behavior of scaffolds was studied
           remove residual NaOH and PLLA fragments until the   by incubation in home-made simulated body fluid
           eluant reached a stable pH of 7.0, followed by vacuum-  (SBF) solution, which consisted of 8.035 g L  NaCl,
                                                                                                       −1
           drying at 40 °C for 24 h. For brevity, the scaffolds with   0.355 g L  NaHCO , 0.225 g L  KCl, 0.231 g L
                                                                                                             −1
                                                                                             −1
                                                                        −1
                                                                                 3
           or without GO addition were designated as GO/PLLA-x   K HPO •3H O, 0.311 g L  MgCl •6H O and 0.292 g
                                                                                     −1
                                                                         2
                                                                                                 2
                                                                                             2
                                                                2
                                                                     4
           and PLLA-x, respectively, where x corresponded to the   L  CaCl . In brief, all the scaffolds were firstly weighed
                                                                −1
                                                                      2
           etching time in NaOH solution.                      by using an electronic balance (FA1004, Changzhou
                                                               Hengzheng Electronic Instrument Co., Ltd., China)
           2.3  Characterization                               and then sterilized with 70% ethanol aqueous solution,
           The porous scaffolds were sputter coated with a thin   which also served as a pre-wetting treatment to enable
           platinum layer for imaging by using a field emission   the subsequent permeation of SBF solution into all of
           scanning electron microscope (FE-SEM, Tescan Mira/  the pores of the scaffolds. Afterwards, the scaffolds were
           LMU, Czech Republic). Phase analysis on the scaffold   immersed in SBF solution (scaffold/solution ratio of
           surfaces was performed using a Rigaku D/MAX 2550V   10 mg/mL) at 37 °C in sealed 12-well plates (LabServ,
           diffractometer with Cu-Kα radiation at a voltage of 40   Thermo Fisher Scientific, USA) under a mild shaking
           kV, a current of 250 mA, a scanning speed of 2 °•min –1   condition. To better mimic the degradation environment
           and 2θ range of 5°~65°.                             in vivo, SBF solution was collected and renewed every
            The porous scaffolds were subjected to compression   second day. At week 1, 2, 3, 4, and 5, the scaffolds were
           tests by using a universal testing machine (WD-D1,   collected, gently rinsed with ultrapure water, vacuum-
           Shanghai Zhuoji instruments Co., Ltd., China) equipped   dried at 40 °C for 24 h and then weighed. Weight loss
           with a S-beam load cell at a crosshead speed of 0.5   (ΔWt) was calculated according to Eq. 2:
           mm•min . The stress-strain curves of the scaffolds were
                  –1
           recorded until breakage to determine the compressive
           strength. Besides, the hardness (HV) of the scaffolds                                                   (2.2)
           was measured by indentation technique using a digital   where W  is the initial dry weight and Wt is the dry
                                                                        0
           microhardness tester (HXD-1000TM/LCD, Shanghai      weight at a given time point. Five scaffolds at each
                                       International Journal of Bioprinting (2018)–Volume 4, Issue 2         3
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