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International Journal of Bioprinting                                   3D-printed variable stiffness scaffolds




            region than in the peripheral region. However, in layer 2, it   directly into the scaffold model. With an increase in
            was found that there was no significant difference between   fiber spacing from 1 to 2 mm, the theoretical pore size
            the  peripheral  and inner  regions.  To  develop  a  scaffold   increased. As expected, as offsets are introduced to the
            with regional mechanical properties, these zones within   scaffold,  the  pore  size  decreases.  This  is  attributed  to  a
            the meniscus were subdivided into two groups depending   fiber crossing the pore when the offset layer is printed. The
            on their compressive properties. Zones with a compressive   maximum theoretical porosity of 93% was achieved at 2
            modulus between 0.5 and 1.1 MPa were categorized as   mm fiber spacing, 0 offsets, and at a pore size of 4 mm ,
                                                                                                            2
            Group A, and zones with a compressive modulus > 1.1   while a minimum porosity of 74 % was achieved at 1 mm
            MPa were categorized as shown in Figure 2A (ii).   fiber spacing, 2 offsets, and a pore size of 0.16 mm  (Figure
                                                                                                      2
               Therefore, the inner and peripheral regions of layer 1   3B and C). Porosity may also be increased by decreasing
            and the inner region of layer 3 are categorized as Group   the needle’s inner diameter; however, it was found that
            A; the inner and peripheral regions of layer 2 and the   attempts to produce thinner fibers using a 30 Ga needle
            peripheral region of layer 3 are categorized as Group B.   made inconsistent prints that were susceptible to defects.

            3.2. 3D printing parameters of PCL                 3.3 Mechanical properties of 3D-printed
            Polycaprolactone (PCL) is a promising material for   PCL scaffolds
            meniscus tissue engineering due to its semi-crystalline   For cartilage regeneration, scaffolds with porosity > 70% are
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            nature and resorbable aliphatic properties, enabling it to   deemed suitable for cell attachment and matrix deposition.
            degrade in the body through hydrolysis of its aliphatic   However, scaffold porosity affects the mechanical
            ester linkage.  Additionally, PCL retains its molecular   properties, whereby high porosity compromises the
                       31
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            weight longer than other aliphatic polyesters,  which is   structural integrity of the scaffold.  When the compressive
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            beneficial in meniscus regeneration as the scaffold can   modulus is too low, it may result in deformation and
            maintain its mechanical properties longer until tissue   failure of the implant, subsequently leading to failure of the
            ingrowth has occurred. PCL also plays an important role   regenerated tissue. The compressive modulus was found to
            in organizing the matrix and enhancing matrix content.    significantly decrease with increasing fiber spacing from 1
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            Traditionally,  synthetic  scaffolds  for  tissue  regeneration   to 2 mm as shown in Figure 2B.
            are produced using electrospinning. However, electrospun   When layers were printed in double format, i.e.,
            meshes  can  display  both mechanical  and biological   the same layer orientation printed sequentially, the
            disadvantages. For example, the fibers may slide under   compressive properties increased compared to single-
            compression loads because they are not fused together.   layer orientations. A maximum compressive modulus
            Furthermore, scaffolds formed from electrospinning   of 2.74 MPa was found for 1 mm fiber spacing, 0 offsets,
            have small pore sizes and thus may be too dense for cell   and double-layer orientations. Simply changing the fiber
            infiltration.  The key advantages of 3D printing compared   spacing to 2 mm, while maintaining 0 offsets and double-
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            to other manufacturing techniques include high resolution   layer orientations, decreased the compressive modulus
            and  good  control  of  fiber  thickness,  orientation,  and    to 1.73 MPa. Compared to the double layer, single-layer
            pore size.                                         orientations exhibited lower compressive properties: 2.63
               To achieve a scaffold with regional mechanical   MPa for 1 mm fiber spacing and 0 offsets; and 0.88 MPa for
            properties,  various  3D-printed  PCL  architectures  with   2 mm fiber spacing and 0 offsets. The significant decrease
            varying porosity were studied. Two different fiber spacings   in compressive properties is due to the increase in pore
                                                                                2
            (1 and 2 mm), three different offsets (0, 1, and 2 offsets),   size from 1 to 4 mm  and porosity from 87% to 93%. In
            and two different layer orientations (single and double)   comparison to that of the human meniscus, the results
            were investigated in this study. Each scaffold was 10 layers   are comparable at 0.2, 0.23, and 0.28 MPa in the anterior,
            high and printed in various architectures (Figure 1), with   central, and posterior parts of the meniscus, respectively.
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            controlled internal fiber deposition and pore size. The   As the meniscus is an anisotropic material, the mode or
            fabrication time for each scaffold was approximately 30   direction of the analysis and the depth of the sample tested
            min. An example of printed offsets is displayed for 1 mm   will all affect the reported properties.
            fiber spacing single-layered scaffolds in Figure 3A.  Compressive mechanical properties of PCL scaffolds

               Key considerations for tissue engineering scaffolds   manufactured with varying porosities have been previously
            include pore size, porosity, and interconnectivity, all of   reported in the literature. However, the reported porosities
            which are determined by the architecture of the scaffold.    are generally much lower than this study, corresponding to
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            3D printing offers an advantage over other production   higher compressive properties. Through fused deposition
            techniques, as pore interconnectivity can be designed   modeling (FDM), a compressive modulus of 4 and 77

            Volume 10 Issue 4 (2024)                       499                                doi: 10.36922/ijb.3784
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