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International Journal of Bioprinting                                   3D cartilage induction and monitoring




            a decrease in amplitude from day 1 to day 3 was observed   seeded scaffolds to determine the capacity to record
            in both cases, only cell-loaded scaffolds exhibited an   different growth patterns. In contrast, Figure 6H displays
            appreciable increase in amplitude. Notably, there was a   the speed of sound of both cell-seeded and blank scaffolds.
            significant difference in amplitude on all days (p < 0.001)   Average values of the speed of sound are represented due to
            (Figure 6A–C). The same difference was evident for the   much lesser variation (standard deviation <1%) compared
            computed ToF signal (Figure 6D), where blank scaffold   to density. The figure demonstrated a significant difference
            signals were slower than cell-loaded ones (p < 0.001). In   between blank and cell-seeded scaffolds (p < 0.001), with
            summary, results observed in Figure 6C and D imply that   cells-loaded scaffolds exhibiting a higher c . Notably, c
                                                                                                 SD
                                                                                                           TPU
            ultrasound signals induced considerable differences in   = 1740 m·s  and  c   = 1480 m·s  from literature are
                                                                        −1
                                                                                            −1
                                                                               H2O
            cells seeded in the scaffolds.                     relatively identical to those obtained in our experiments
                                                                        52
               Raw recorded data do not comprehensively predict   and model.  For example, the porous ratio of printed
                                                                                                            −1
            the ECM synthesis rate. As explained, computational   scaffolds was 0.3, which corresponds to a c  of 1558 m·s .
                                                                                                 SD
            models  were  developed  to  describe  the  fluid  dynamics   These findings highlight the accuracy of our model and
            and P-wave propagation, such as predicting the effect of   suggest that a higher speed of sound corresponds to less
            the fluid on cells if the scaffold fibers thicken over time.   water content in the scaffold domain.
            The result is expressed in Figure 6E, where three different
            fiber diameters are proposed: an initial fiber diameter of   4. Discussion
            200 µm, an intermediate of 250 µm, and a final estimated   Osteoarthritis (OA) is a gradual and degenerative
            diameter of 300 µm (i.e., obtained from the SEM images). It   condition characterized by the loss of functionality
            is inferred that shear stress increases directly proportional   in cartilage tissue, which has a limited ability for
            to the fiber diameter:                             regeneration. Therefore, the great potential of RM
                                                               products will be advantageous to the long-term treatment
                                 ∂u                            of OA.  For RM development, the applied biomaterial
                                                                     8
                           τ =  µ                    (XVII)
                                 ∂y                            properties are significant. For instance, the stiffness of 3D
                                                               bioengineered scaffolds is essential for forming AC tissue
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               where  µ denotes the dynamic fluid viscosity and  u   due to cyclic mechanical pressures from bodily activity.
            denotes the velocity of component X. Notably, the shear   Hence, prior characteristics of scaffolds are significantly
            stress changed from an initial range of 4–7 mPa to a final   influenced by scaffold fiber geometry and PS. 54,55  Every
            range  of  8–10  mPa.  More importantly,  high  shear  stress   joint in the musculoskeletal system relies on connective
                                                                                      56
            in the orthogonal direction of fluid flow becomes evident   tissues (such as cartilage);  AC experiences baseline
            once the fiber diameter exceeds 250 µm.            amounts of mechanical strain within their constituent
                                                               fibers due to growth and swelling.  These strains impart
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               Figure 6F features the BR output flow speed, where the   biophysical signals to local cells, influencing cellular
            boundary probe recorded data as instant flow speed (at   phenotype and function.  Drawing inspiration from
                                                                                    58
            the axial origin point) and output flow velocity (similar   cartilage  ECM  and  3D  TE principles, we  developed an
            to  Figure 6E). Previous magnitudes were compared to   alternative to previous therapeutic strategies. 59
            an estimated increase in scaffold fiber diameters. Both
            magnitudes are connected and exhibit distinct patterns.   Previous works have studied the benefits of perfusion
            The output velocity decreased linearly for a fiber diameter   flows over  MSCs  and  chondrocytes. 60,61   However,
            of 360 µm, but the instantaneous speed increased from 200   there is still a lack of defined standard conditions for
            to 320 µm. For fiber diameter >320 µm, the output flow   such mechanical cues. Despite this, those studies
            speed began to decline slightly, but at fiber diameter =   have  reported  perfusion  flows  with  the  primary  cilia
                                                                        62
            360 µm, there was a sharp decrease, followed by increase   stimulation  and the intra-flagellar transport (IFT) of
                                                                                                       38
            in the output flow speed. This observation implies that   chondrocytes, involving the TRPV4 channels.  This
            fiber diameters exceeding 340 µm would decrease the   transport regulates the gene expression of collagen types
            permeability of the scaffold and redirect the fluid channel   II and IV, G proteins, Indian hedgehog homolog (Ihh),
                                                                 2+
            around the scaffold walls.                         Ca  channels, connexins, purine, cAMP, and the PKA
                                                               pathway, among others. 63,64
               Figure 6G and H presents the C  and ρ . Figure 6G
                                                SD
                                         SD
            provides two key observations: (i) no significant density   Most of the previous literature only expresses the
            variation was observed in blank scaffolds; (ii) an increase   quantities  of  flow  rates;   in  contrast,  this  article  reports
                                                                                  65
            in the scaffold domain densities over time in cells-seeded   the magnitude and exerted shear stress using FEM. Our
            scaffolds. The non-average curve was computed in cell-  estimated magnitudes  are in  concordance  with  previous
            Volume 10 Issue 4 (2024)                       380                                doi: 10.36922/ijb.3389
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