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Scaffolds produced by combining porogen leaching and emulsion templating
           two length-scales: a larger bulk porosity typically in   thickness as these treatment methods have limited
           the region of 30 – 50 µm which is interconnected by   depth penetration into the material .
                                                                                                [30]
           smaller (1 – 5 µm) pores [8-18] . As the name suggests,   These limitations  can be overcome by
           polyHIPE scaffolds are initially formulated as an   introducing  another  tier  of porosity  into  the
           emulsion. These are typically created by mixing a   polyHIPE network in the form of larger (>200 μm)
           hydrophobic monomer, crosslinker, initiator, and    pores . This creates a multiscale porosity scaffold
                                                                    [8]
           a suitable surfactant to form the continuous phase   ideal for bone tissue engineering with pore sizes
           of the emulsion, then slowly adding an aqueous      over  three  length-scales:  pore  interconnects,
           internal phase. This creates a water-in-oil (W/O)   standard  polyHIPE  pores,  and  additional
           emulsion  where the  constant  mixing  breaks the   macropores. Approaches to creating larger pores
           water into isolated droplets dispersed throughout   inherent in the polyHIPE have focused on creating
           the continuous monomer phase. To form a high        large water droplets in the initial emulsion. This
           internal phase emulsion (HIPE), the internal phase   can be done using high temperatures or solvents
           volume ratio must exceed 74% of the total emulsion   to  destabilize the  emulsion  in  a  controlled  way
           as this ensures that droplets form interconnects    to cause droplets of water to coalesce into larger
           when polymerized. The continuous phase can be       ones .  However,  as  these  changes  affect  the
                                                                   [23]
           polymerized using either ultraviolet (UV) light or   entire HIPE and larger droplets are formed in lieu
           thermal curing; afterward the internal phase drains   of smaller ones, this means that a further scale of
           away leaving behind a highly porous polyHIPE .      porosity is not added. Another limitation to this
                                                        [19]
             The parameters used during the emulsification     approach  is  the  effect  on  pore  interconnectivity.
           process  directly  affect  the  structure  of  the  final   Pore interconnects  form during polymerization
           polyHIPE material. Physical actions such as the     between  adjacent  water  droplets  if  the  film
           speed of mixing  [20,21] ,  the  rate  at  which  water   of  continuous  phase  surrounding  the  droplets
           is added  and the emulsion temperature  all         is  sufficiently  thin.  Below  this  threshold,  the
                                                     [23]
                   [22]
           affect  internal  phase  dispersion,  geometry,  and   contraction  of the  material  as it  polymerizes
           the final porosity as the droplets act as a template   causes small  interconnecting  pores to form ;
                                                                                                           [31]
           for the continuous phase to polymerize  around.     hence, monomers that have high shrinkage during
           Furthermore, the type and quantity of the emulsion   polymerization create more interconnectivity in the
           constituents  also  affect  the  final  architecture,   polyHIPE scaffold . Larger water droplets have
                                                                                [25]
           including the internal phase volume , monomer       a thicker continuous phase film surrounding them
                                              [24]
           type [25,26] , solvent addition , concentration of the   which will be more resistant to these contraction
                                    [17]
           surfactant (or particles in Pickering emulsions) [21,27] ,   forces, resulting in fewer interconnects.
           initiator  solubility ,  and  the  concentration  of   An  alternative  approach  to  introduce  an
                             [28]
           electrolytes  in the aqueous phase .  All  these    additional, larger scale of porosity to the polyHIPEs
                                             [26]
           affect  porosity  and/or  pore  interconnectivity   is by 3D printing the HIPE in additive manufacture.
           of  the  polyHIPE.  The  commercial  success  of    By building structures from polyHIPE struts that
           Alvetex ,  a  polystyrene  polyHIPE,  shows  the    do  not  exceed  the  inherent  depth  limitations  of
                  ®
           suitability  of this class of materials  for 3D cell   traditionally  manufactured  polyHIPEs,  porous
           culture .  However,  these  membranes  are  only    scaffolds capable of filling larger defects can be
                 [29]
           200 μm thick as cellular penetration into the bulk   produced .  This  approach  results  in  multiscale,
                                                                       [8]
           material  is  limited,  primarily  because  of  factors   hierarchical, and interconnected porous scaffolds
           such as  diminishing mass transport and nutrient    that have superior nutrient and waste transport
           availability. Furthermore, with polyHIPE scaffolds   while  benefiting  tissue  regeneration.  They
           created  from  hydrophobic  monomers,  surface      have  smaller  (1  –  50  µm)  microscale  pores
           treatments  such as plasma  etching/coating  are    that  benefit  cellular  performance  and  larger
           necessary to overcome the inherent hydrophobicity   pores  (>300  µm)  that  facilitate  ingrowth  and
           of the material. This reduces maximum scaffold      permit  large  quantities  of extracellular  matrix

           100                         International Journal of Bioprinting (2020)–Volume 6, Issue 2
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