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Hybrid polycaprolactone/hydrogel scaffold fabrication and in-process plasma treatment using PABS
                                                                  rare cell adhesion in the core region of scaffolds, is
                                                                  often caused by the tortuosity of the constructs.
                                                               •   Moreover, the synthetic biopolymers, most commonly
                                                                  used, are hydrophobic, and the cell colonization.
                                                                 Different strategies  have been explored  to solve the
                                                               above  problems.  Multi-material  has been  developed
                                                               and utilized to produce multiple-material scaffolds  [16,26] .
                                                               However, most of these systems can only form one type
                                                               of biomaterials, either soft hydrogels containing cells or
                                                               bio-signals in the scale of KPa or rigid biopolymers and
                                                               composites in the scale of MPa, which fails in the mimicry
                                                               of  natural  tissues.  In  addition,  low-temperature  plasma
                                                               modification is capable of improving the hydrophilicity
                                                               of biopolymers by  inducing  certain  functional  groups
                                                               on the surface to change the chemistry, wettability, and
                                                               energy without altering the bulk properties [27,28] . However,
          Figure 1. Scaffold-based approach for tissue engineering.  most plasma treatment can be conducted after scaffolds
                                                               printed and the penetration depth is limited, which results
           scaffolds from biodegradable  polymers. Biodegradable   in non-uniform cell distribution along the scaffold.
           polymers are attractive  candidates  for scaffolding   A novel plasma-assisted bioprinting system (PABS)
           materials  because  they degrade  as the new tissues are   has been  developed  in the  University  of Manchester,
           formed, eventually leaving nothing foreign to the body.   allowing processing soft hard biomaterial  integration
           The major challenges in scaffold manufacturing  lie in   and  plasma  surface  modification  layer  by  layer  during
           the design and fabrication of customizable biodegradable   the fabrication process in the same chamber. This paper
           constructs with properties that promote cell adhesion and   utilized the plasma-assisted bio-extrusion system (PABS)
           cell porosity, along with sufficient mechanical properties   to produce PCL/Hydrogel hybrid scaffolds and plasma
           that match the host tissue, with predictable degradation   fully treated  scaffolds.  The hydrogel is assessed with
           rate and biocompatibility [9,10] .                  the  preparation  process, functionalization  process, and
             For  the  fabrication  methods,  AM  techniques  have   rheology properties, while the PCL fully treated scaffolds
           been commonly  applied  in scaffold fabrication  due to   are both morphologically and biologically assessed.
           the superior ability in controlling pore size, pore shape,
           and pore distribution,  and thus creating  interconnected   2. Materials and Methods
           porous structures [3,11] .  When  combined  with  clinical
           imaging data, these fabrication techniques can be used   2.1. PCL
           to produce constructs that  are customized  to the shape   PCL (CAPATM6500, Mw = 50,000 g/mol),  purchased
           of the defect or injury . In terms of tissue and organ   from Perstorp (Cheshire, UK) in the  form of 3 mm
                              [12]
           manufacturing,  the additive  nature ensures minimal   pellets,  was used to produce  the  scaffolds. PCL is an
           waste of scarce and expensive building material, namely   easy-to-process semi-crystalline polymer with a density
           cells, growth factors, and biomaterials [13-15] . Among the   of 1.1 g/cm , a melting temperature between 58 and 60°C,
                                                                        3
           AM techniques, material  extrusion  has been  mostly   and a glass transition temperature of -60°C.
           applied in the bioengineering field due to the flexibility
           in material selection based on the use of pneumatic [16,17] ,   2.2. Hybrid Hydrogel Methacrylate Anhydride
           piston , and screw-assisted [19-21]  extrusion systems   (Alg-Gel) Ma Preparation
                [18]
           enabling a wider range of materials to be applied. Some
           processes operate at room temperature, thus allowing for   Hybrid hydrogel system platform was considered in this
           cell encapsulation and biomolecule incorporation without   paper, which was made of mixing alginate methacrylate
           significantly  affecting  viability.  However,  cell-seeding   and gelation methacrylate at 50:50% v/v.
           and proliferation efficiency is currently a big challenge   Functionalization process for both polymers (alginate
           due to the following limitations [22-25] :          and gelatin) is necessary to introduce the carbon-carbon
           •   Most AM techniques are limited to single-material   double  bond  into  the  polymer  chains  that  eventually
              fabrication, which is difficult to provide an appropriate   convert  the  polymer  into the  photopolymerized
              environment for cells due to the inadequate chemical,   polymer.  According  to  published  protocols ,  alginate
                                                                                                    [29]
              physical, and biological  cues provided during AM   was functionalized  with  methacrylate  groups with
              processes.                                       minor  modifications  to  be  photopolymerized.  The  2%
           •   In addition, non-uniform cell distribution, especially   wt.  powder-type  alginate  (Sigma-Aldrich,  UK) was

           2                           International Journal of Bioprinting (2019)–Volume 5, Issue 1
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