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International Journal of Bioprinting                                Immunomodulatory bone repair by MBG/PCL




            was employed to prepare MBG/PCL scaffolds. Based on   have a porous structure. In this study, all MBG/PCL
            the SEM observation and contact angle measurement,   scaffolds with different concentrations have a porosity
            the addition of MBG increased the roughness of the PCL   exceeding 70%, with little difference between groups. This
            scaffold surface and enhanced the hydrophilicity of the   further demonstrated that MBG did not significantly block
            PCL material (Figure 2). It was shown that cells can change   the original pores of the scaffolds while modifying PCL,
            the curvature of the cell membrane by contacting with   fulfilling the requirements of tissue engineering.
            the rough surface morphology of the material and cause   Overall, the  MBG/PCL  scaffolds  significantly
            a change in protein conformation, directing the expansion   upregulated  the  expression  of  osteogenesis-related  genes
            of membrane proteins toward the material surface, which   (Alp, Opn, Runx2, Bmp2, Col1), as compared to the pure
            is favorable for cell adhesion and osseointegration.  For   PCL scaffolds, and similar trend was also observed in
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            example, Wang et al. found that significantly higher ALP   ALP staining and quantification, which is consistent with
            activity and cell mineralization were detected in human   previous studies. 50,51  Specially, the 10MBG/PCL group
            bone marrow mesenchymal stem cells (hMSCs) cultured   of scaffolds had the best performance in this respect.
            on rough-surface composites compared to smooth-surface   It was shown that Si , Ca , and P  ions released from
                                                                                            5+
                                                                                2+
                                                                                     2+
            PEEK/nano-fluorinated hydroxyapatite composites.  The   BGs regulate the cell cycle and upregulate or activate
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            hydrophilic nature of the material surface synergizes the   the expression of osteogenic genes during contact with
            above changes at the cellular molecular level.  Meanwhile,   cells such as BMSCs, and that nano-sized BGs possessed
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            the compressive capacity of PCL scaffolds was enhanced   stronger bioactivity, with smaller-sized BGs contributing
            with  the  incorporation  of MBG, which was  the  most   to a greater ability to move cells from the G0/G1 to the
            pronounced with 10% MBG/PCL. The compressive       S/G2 phases, whereas larger-sized BGs allowed a greater
            capacity of 20% and 30% scaffolds even started to decline   proportion of cells to remain in the G0/G1 phase.  This
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            after reaching the peak. This is because the way PCL   may be the reason why the proliferative activity of scaffolds
            encapsulates MBG particles resembles a “sea-island”   containing 20% and 30% MBG showed lower proliferative
            structure. We hypothesize that when the content of MBG   activity (MBG agglomerates on the PCL surface). More
            (“island” component) increases further, it adversely affects   importantly, since the BGs used for composite with PCL
            the overall connectivity of PCL (“sea” component), which   in this study were of dendritic pore structure, the specific
            in turn reduces the maximum compressive strength of the   surface  area  and  pore  volume  were  significantly  larger
            scaffolds. At the same time, a larger proportion of MBG   than that of conventional mesoporous BGs, and the
            agglomerates in the PCL,  which leads to uneven force   active ions were solubilized at a faster rate, resulting in
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            during compressive deformation, resulting in the overall   stronger bioactivity. 53,54  Consequently, by adding a smaller
            collapse of the scaffolds. It was shown that bioceramic   amount of BGs with a dendritic pore structure, we could
            particles could increase the mechanical properties by   significantly enhance both the compressive strength and
            mutual bonding with polymer matrix macromolecules,   induce osteogenic activity of the composite scaffold in vitro.
            and mesoporous glass particles with higher specific
            surface area and pore space could enhance this bonding.    Inflammation is  an  important  part of  implantation
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            This may be the reason why the mechanical properties   of bone tissue-engineered scaffolds, and MPs play a key
            can be significantly enhanced by using low concentration   role in promoting the post-implantation inflammation.
            in this study. It is well known that cancellous bone is an   The polarization status of the MPs phenotype is one of
            interconnected porous structure with porosity varying   the key factors for the success or failure of implantation.
            from 30% to 95%, and the pores of the bionic scaffolds   In the present study, we found that MPs polarization was
            provide material exchange channels similar to those   strongly influenced by MBG content. MBG significantly
            of cancellous bone, which are more conducive to the   reduced the expression of low M1 phenotype genes and
            inward growth of blood vessels and new bone. 44-47  In a   promoted MPs polarization toward the M2 phenotype,
            study by Mastrogiacomo et al., it was noted that pore size   which is consistent with previous studies. 21,22  In particular,
            and interconnected pores are key to osteoconduction,   compared to the high-concentration groups such as
            providing space for cell adhesion and bone ingrowth and   20MBG/PCL  and  30MBG/PCL,  the  10MBG/PCL  group
            allowing for efficient  in vivo vascularization suitable for   of scaffolds induced the most significant performance of
            the maintenance of bone tissue regeneration and possible   MPs conversion from M1 to M2 phenotype. We speculate
            remodeling.  Similarly, in their study on the effect of   that this is related to the dose of MBG and that higher
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            scaffold shape on bone regeneration, Hayashi et al. reported   concentrations of MBG may prolong the process of MPs
            that the presence of internal pores in the scaffold is more   polarization to M1, expressing more M1 phenotype genes
            favorable for new bone deposition than a dense structure.    such as Tnfa and Il1b, posing a challenge to the resolution of
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            Therefore, an ideal bone tissue-engineered scaffold should   inflammation.  The above reasoning is equally applicable
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            Volume 10 Issue 5 (2024)                       334                                doi: 10.36922/ijb.3551
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