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International

                                                                         Journal of Bioprinting



                                        RESEARCH ARTICLE
                                        3D-printed variable stiffness tissue scaffolds for

                                        potential meniscus repair



                                        Caroline A. Murphy , Aleksandra Serafin 1,2 id , Ibrahim Fatih Cengiz 3,4 id ,
                                                        1
                                                                                                    *
                                        Rui L. Reis 3,4 id , Joaquim Miguel Oliveira 3,4 id , and Maurice N. Collins 1,2,5 id

                                        1 Stokes Laboratories, Bernal Institute, School of Engineering, University of Limerick, Limerick,
                                        Ireland
                                        2 Health Research Institute, University of Limerick, Limerick, V94 T9PX, Ireland
                                        3 3B’s Research Group, I3Bs – Research Institute on Biomaterials, Biodegradables and Biomimetics,
                                        University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering
                                        and Regenerative Medicine, Guimarães, Portugal
                                        4 ICVS/3B’s–PT Government Associate Laboratory, Guimarães, Portugal
                                        5 SFI Centre for Advanced Materials and BioEngineering Research, D02 PN40 Dublin, Ireland
                                        (This article belongs to the Special Issue: Biomimetic and Bioinspired Printed Structures)

                                        Abstract

                                        The treatment of meniscus injuries has recently shifted toward the field of tissue
                                        engineering (TE). In this work, bovine menisci were characterized, and the regionally-
                                        dependent mechanical properties were analyzed.  Three-dimensional (3D) printing
                                        technology was employed to produce a scaffold that mimicked the mechanical
                                        properties of the meniscus. A polycaprolactone (PCL) meniscus scaffold was 3D printed,
                                        allowing for the deposition of fibers mimicking the internal architecture of the native
                                        meniscus, while achieving regional and variable mechanical stiffness, varying from
                                        2.74 to 0.88 MPa. The PCL scaffold was infiltrated with extracellular matrix (ECM)-like
                                        hydrogels composed of gelatin methacrylate (GelMA) and glycosaminoglycans (GAGs),
            *Corresponding author:      such as hyaluronic acid (HA) and chondroitin sulfate (CS), and subsequently freeze-dried.
            Maurice N. Collins          Human mesenchymal stem cells were seeded onto the scaffolds, and the infiltrated
            (Maurice.Collins@ul.ie)
                                        cells were observed to produce ECM components of the native meniscus. Collagen

            Citation: Murphy CA, SerafinA,   and  GAGs  production  was  successfully  established.  The  synthesis  of  a  new  matrix

            Cengiz IF, Reis RL, Oliveira JM,



            Collins MN. 3D-printed variable   reportedly enhances the mechanical properties of the hydrogel over time. Additionally,

            stiffness tissue scaffolds for    the circumferential PCL fibers within the scaffold guided the newly synthesized matrix,
            potential meniscus repair.    facilitating replication of the native tissue structure. These results indicate that the ECM-
            Int J Bioprint. 2024;10(4):3784.
            doi: 10.36922/ijb.3784      infiltrated 3D-printed PCL scaffold is a promising solution for meniscus repair.
            Received: May 29, 2024
            Accepted: July 9, 2024      Keywords: 3D printing; Biomaterials; Biomechanics; Hydrogels; Meniscus;
            Published Online: August 12, 2024
                                        Repair; Scaffolds
            Copyright: © 2024 Author(s).
            This is an Open Access article
            distributed under the terms of the
            Creative Commons Attribution
            License, permitting distribution,   1. Introduction
            and reproduction in any medium,
            provided the original work is   The menisci are fibrocartilage structures found within the knee joint, which are
            properly cited.             susceptible to injury due to their location and the extreme forces they endure (up to
            Publisher’s Note: AccScience   24× body weight during high-impact activities), with the meniscus bearing up to 50–
            Publishing remains neutral with   70% of these joint loads.  Due to their limited vascularity and poor healing potential,
                                                            1
            regard to jurisdictional claims in                                          2
            published maps and institutional   meniscectomy is a common treatment for meniscus injury.  However, this treatment
            affiliations.               leads to a loss in chondroprotective function, which can result in articular cartilage
            Volume 10 Issue 4 (2024)                       492                                doi: 10.36922/ijb.3784
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