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Hybrid polycaprolactone/hydrogel scaffold fabrication and in-process plasma treatment using PABS
           structure with a uniform pore distribution and pore size   3.4. Biological Assessment of Full-layer Plasma
           in  the  range  of  ~500  µm  (Figure  4C). The  N   plasma   Modified Scaffold
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           treatment was conducted at a pressure of 0.689 bar and a   The adhesion and proliferation of hADSCs  cells on
           flow rate of 5 L/mm. The deposition speed of the plasma   plasma  full-layer  modified  PCL  scaffolds  were  studied
           jet  was 3 mm/s, and each  layer was subjected  to the   and  compared  with  untreated  ones.  The  biological
           plasma treatment for 1 min. The distance from the bottom   characterization was assessed using Alamar Blue Assay.
           of the jet to the surface of the PCL filaments was 10 mm.   The  fluorescence  intensity  of  cell-seeded  scaffolds
           Figure 4D presents the filament surface after N  plasma   measured at four different culture time points (Days 1,
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           modification,  where  lines  in  the  direction  of  plasma   3, 7, and 14) is shown in Figure 5A. Higher fluorescence
           movement can be observed making the surface roughness   intensity corresponds to more metabolically active cells.
           increased.                                          As observed, cell proliferation increases with time  in
                                                               all  types of scaffolds, suggesting  that  they  are  suitable
           3.3. Wettability Assessment of Full-layer Plasma    structures for cell attachment and proliferation. However,
           Modified Scaffold                                   a fast proliferation rate is observed in the case of plasma-
           WCA  measurements  were  performed  on  untreated   treated scaffolds. The different performance is statistically
           and fully treated plasma PCL scaffold surfaces to   significant after day 3.
                                                                 Confocal microscopy images (Figure 5B) present the
           determine the effect of plasma modification on the   cell attachment and distribution after cell seeding (day 1)
           surface wettability.  Table 1  highlights  the  WCA   and proliferation (day 14). It can be observed that plasma-
           results at different time points after the droplet was   treated  scaffolds presented  higher  numbers of cells
           dropped  on  the  surface  of  the  scaffolds. The  results   than untreated scaffolds. In addition, it is also possible
           show that in the case of an untreated PCL scaffold,   to observe that the plasma surface-treated  scaffolds
           there  are  no  significant  changes  in  the WCA  values   presented best cell attachment and dispersion.
           with time with values varying between 83.2±2.0° and
           80.9±2.7°.  For  treated  scaffolds,  the  WCA  value,  at   4. Discussion
           0 s, was lower (63.0±3.1°), leading to a fully wetting   The  printed  hybrid  PCL  scaffolds  filled  with  hydrogel
           value of 26.7±0.9° at 0.5 s. At 3 s, the droplet was   present the printability of PBAS, enabling the soft hard
           fully absorbed                                      material  integration.  The  photo and SEM images  of
                                                               the whole printed structure indicate  that the plasma
           A              B               C                    modification  process  does  not  affect  the  physical
                                                               appearance of the structure and potentially no effect on
                                                               the mechanical  performances . Moreover, the SEM
                                                                                         [31]
                                                               image  of  the  filament  surface  confirms  the  increased
                                                               surface roughness is due to the etching process , which
                                                                                                      [32]
           D              E                F                   results in the stripping off the topmost layer of the polymer
                                                               filament. From this study, the increase surface roughness
                                                               is  also  resulted  from  the  linear  scratches  attributed  to
                                                               the gas flow by the plasma jetting directly after the PCL
                                                               deposition when the material is still in the molten status.
           Figure 4. (A) Hybrid polycaprolactone (PCL)/hydrogel scaffold;   As the printed material is not totally cooled down, when
           (B) Scanning electron  microscopy (SEM) image of top view of   the  plasma  modification  occurs,  the  gas  flow  effect  is
           PCL/hydrogel  scaffold; (C) SEM image  of side view of PCL/
           hydrogel scaffold; (D) photo of a full-layer N  plasma-treated PCL   stronger, significantly influencing the surface topography.
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           scaffold; (E) SEM image of top view of full-layer N  plasma treated   Moreover, the increase of surface roughness is beneficial
                                               2
                                                                                             [33]
           PCL scaffold; (F) SEM image of filament surface of full-layer N    for cell colonization in the scaffolds .
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           plasma-treated PCL scaffold.                          The wettability results reveal that the hydrophilicity of
                                                               the surface is dramatically improved due to the ionizable
           Table 1. Temporal variation of WCAs for treated and untreated   groups introduced on the surface by the N  plasma, which
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           scaffolds                                           enhances the hydrogel bonding with water. Compared
                                                               with the results published in [28,34] , the absorption speed is
           Time         PCL scaffolds    N  plasma fully treated
                                          2                    dramatically increased, due to chemical heterogeneity on
           0s             83.2±2.0°           63.0±3.1°
           0.5s           82.9±1.2°           26.7±0.9°        the surface of each layer due to the plasma modification
           3s             80.9±2.7°         Fully absorbed     layer on layer. However, the effect of plasma modification
           PCL: Polycaprolactone, WCAs: Water contact angles   can last within a certain  period of time  depending
           6                           International Journal of Bioprinting (2019)–Volume 5, Issue 1
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