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International Journal of Bioprinting                                Immunomodulatory bone repair by MBG/PCL




            to the immunomodulation of osteogenesis. In the presence   to expression of M2 phenotype genes (CD206,  ARG).
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            of an MP-conditioned medium, the 10MBG/PCL group   However, MPs polarization to M2 phenotype was more
            scaffolds upregulated M2 phenotypic genes, such as CD206   pronounced in F300 than in F800, possibly due to the fact
            and  Arg,  and  formed  an immune  microenvironment   that with the same area, F300 has more fiber crossings,
            conducive to osteogenesis, stimulating the upregulation of   which  facilitate  MPs stretching  and promote  M2
            osteogenic gene expression in BMSCs, and demonstrating   polarization. P200 and P800 were comparatively weaker
            excellent immune-coordinated osteogenic properties.  in promoting MPs polarization than P500, possibly
               Fiber diameter and pore size have a critical impact on   because the scaffold performance and cell permeation
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            the performance of the scaffolds. In terms of compressive   were not optimally balanced.  This may also be due to the
            strength, coarser fibers increased the force area of the   lack of optimal balance between scaffold performance and
            scaffolds, and thus the overall performance of the scaffolds   cell permeation. Meanwhile, the pore size of the scaffolds
                                                               had a greater effect on MPs polarization compared to
            showed that the compressive capacity of the scaffolds   fiber thickness, which is consistent with previous studies
            increased with the coarsening of the fibers.  The overall               61,62
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            compressive capacity of the scaffolds increased with the   on micro-sized scaffolds.   The present study verified
            coarsening of the fibers. Similarly, the widening of the   that MPs polarization regulates osteogenesis and that
            pore size reduces the force area of the scaffolds, which in   the microenvironment enriched with M2-type cytokines
            turn leads to the weakening of the compressive capacity.   promotes bone regeneration. In the presence of an MP-
            In terms of the porosity of the scaffolds, the amount of   conditioned medium, F500 and P500 still possessed
                                                               optimal  immune-coordinated  osteogenic  properties.
            the same material filled in the unit volume determines   In particular, the scaffold’s pore size that contributed
            the porosity of the scaffolds, specifically reflecting the
            associations among several parameters: (i) the coarser the   to  optimal  osteogenic  and  immunomodulatory
            fiber of the scaffolds, the lower the porosity; and (ii) the   potential  in this study was similar to that described in
                                                                            63,64
            larger the pore diameter, the higher the porosity. However,   previous studies.
            the difference in the hydrophilicity of the scaffolds could   In  summary,  highly  active  MBG  conferred  higher
            be due to the slight gap in MBG deposition during 3D   compressive strength and more potent osteogenic activity
            printing. In terms of promoting the proliferation of   to the scaffolds. MBG significantly inhibited the expression
            BMSCs, the finer the fiber, the higher the number of   of pro-inflammatory genes (Tnfa and Il1b) and promoted
            filament diameters per unit area, which can provide more   the polarization of MPs to the M2 phenotype, creating
            adhesion sites for cells. However, due to the relatively   an optimal microenvironment for immune-coordinated
            larger arc of F300, it is instead most unfavorable for early   osteogenesis. Meanwhile, fiber diameter and pore size had
            cell adhesion. Differences in cell proliferation were also   a significant effect on the performance of the scaffolds,
            reflected in osteogenic properties. In a comparison of pore   and the scaffolds with both fiber diameter and pore size
            sizes, the more filling material per unit area, the larger the   of 500 μm had the best performance in regulating MPs
            area to which cells could adhere. Nonetheless, the relatively   and osteogenesis. These findings offer an insight on the
            small pore size of P200 has a much lower porosity than   size of the scaffolds when conducting subsequent studies.
            that of P800, which is unfavorable for material exchange,   In addition, the high specific surface area and pore size of
            and therefore, BMSCs showed the lowest proliferative   MBG prepared in this study as drug delivery systems are
            activity. 57,58  In addition, in a study comparing the effects   also aspects worthy of future research.
            of scaffold pore size on osteogenesis, Swanson et al.
            found that smaller pore sizes were detrimental to the   5. Conclusion
            functional differentiation of osteogenic tissue phenotypes,   In this study, we synthesized highly active MBG
            and sufficiently large (>250 μm) pore sizes favored bone   to enhance the  overall  compressive  properties and
            mineralization.  In contrast, we found that F500 and P500   bioactivity of PCL scaffolds. Among them, 10MBG/
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            possessed the most significant osteogenic potential. A   PCL possessed the highest compressive strength (about
            plausible reason for this disparity is that scaffolds with a   twofold of pure PCL scaffolds) and the most excellent
            fiber diameter of 500 μm and a pore size of 500 μm are in   in vitro induced osteogenic activity. 10MBG/PCL
            the optimal balance between physicochemical properties,   scaffolds significantly inhibited the MPs M1 phenotypic
            cell adhesion, and nutrient exchange. 60           polarization process and upregulated the M2 anti-
               Upon the expression of inflammatory genes, thicker   inflammatory phenotypic genes. Further exploration
            fibers and larger pore sizes appear to be more favorable   revealed that the physicochemical properties and
            for extracellular matrix secretion and deposition, tending   osteogenic activity of the scaffolds were affected by both


            Volume 10 Issue 5 (2024)                       335                                doi: 10.36922/ijb.3551
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