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3D freeform printing of nanocomposite hydrogels
             The  XRD  patterns  of  two  HAc-Alg/CaP          study  (200~350  nm),  where  the  CaP  content  of
           composite specimens prepared by  ex situ            the HAc-CaP bulk hydrogels fabricated by in situ
           incorporation and  in situ precipitation  were      precipitation was influenced by the size of the CaP
           almost  identical,  implying  that  the  existence  of   nanoparticles . Instead, the increased phosphate
                                                                           [5]
           the polymer template did not alter the CaP phases.   concentration  in the presence of excess calcium
           The dominant CaP nano-precipitates were DCPD        ions is likely to have accelerated the nucleation
           crystals. We also identified other CaP precipitates   rate  of  CaP  nanoparticles  (Supplementary
           such  as  octacalcium  phosphate  (OCP)  and  CaP   Table 2) . As the total precipitation time of our
                                                                       [23]
           hydrate with a small amount of calcite.  For a      system was limited to 20 min, the average sizes of
           clearer observation of the CaP nanoparticles        nanoparticles were almost identical regardless of
           formed on HAc-Alg, a ten-fold diluted HAc-Alg       the mineral contents in the HAc-Alg/CaP hydrogels
           ink with DAP solution (to maintain  the ionic       (Supplementary Figure 2 and Supplementary
           concentrations)  was used.  The increased pore      Table 2). Taken together, our results indicate that
           size due to the lower polymer concentration         the  mineral  content  of  HAc-Alg/CaP  hydrogels
           prevented cohesive agglomeration  of the CaP        can  be  effectively  modulated  by  varying  the
           precipitates. The TEM revealed uniform spherical    phosphate concentration in the inks.
           nanoparticles  of  ~60  nm,  which  was  consistent
           with the morphology of CaP on HAc-Alg obtained      3.3 Mechanical behavior of the composite gels
           using SEM. The selected area electron diffraction   and scaffolds
           (SAED) pattern of the CaP nanoparticles indicated
           a  characteristic  polycrystalline  ring,  which    Hydrogels are often regarded as soft materials
           correlated with the multiple characteristic peaks in   that  are not suitable for various load-bearing
           the XRD pattern. EDS mapping of the composite       conditions.  Thus, nanocomposite  biomaterials
           hydrogels confirmed that these nanoparticles were   are  more  suitable  to  be  used as various  tissue
           composed of calcium,  phosphorus, and oxygen        scaffolds or fillers that require structural integrity
           (Supplementary Figures 3-5). As  expected,          and mechanical stability during cell proliferation
           the quantitative EDS analyses indicated that the    and  differentiation [5,7,14,27] .  To compare  the
           nanocrystals contained  10 at.% Ca, 17 at.% P,      mechanical properties of the different composite
           and 73 at.% O (a Ca/P ratio of ~0.6). As the Ca/P   hydrogels and pure hydrogels, various mechanical
           ratios of OCP, DCPD, and CaP hydrate were 1.33,     tests were performed (Table  2). Rheological
           1, and 0.5, respectively, the quantified Ca/P ratio   tests on bulk hydrogels revealed that the storage
           indicated that the CaP nanocrystals were a mixture   moduli  of  the  HAc-Alg/CaP  nanocomposite
           of OCP, DCPD, and CaP hydrate.                      hydrogels were 4 times higher than those of the
             The weight fraction of inorganic nanoparticles    HAc-Alg hydrogels (Supplementary Figure
           in the printed hydrogels was determined  using      7-B).  Furthermore,  significant  differences  were
           TGA  (Supplementary  Figure  6). The TGA            found  in  all  pair-wise  comparisons  conducted
           result for the HAc-Alg scaffold indicated that the   between the HAc-Alg/30 wt% CaP generated by
           weight fraction of calcium carbonate was ~5 wt%     in-situ  precipitation  and  HAc-Alg/30  wt%  CaP
           before the decomposition  of calcium  carbonate     generated by ex situ incorporation, indicating that
           to calcium oxide above 600°C . In contrast, the     the  HAc-Alg/30  wt%  CaP  generated  by  in  situ
                                        [26]
           weight fractions of calcium carbonate and CaP for   precipitation exhibited a remarkable improvement
           HAc-Alg/CaP scaffolds were estimated to be ~4       in mechanical and swelling behaviors compared
           and  ~32  wt%,  respectively. The  desired  mineral   with  the  HAc-Alg/30  wt%  CaP  generated  by
           content could be achieved solely through in situ    ex situ incorporation. We also fabricated HAc-Alg
           precipitation during 3D printing. The size of the   and  HAc-Alg/CaP  scaffolds  using  a  3D  printer
           mineral particles observed in this study (~60 nm)   and measured their local and global mechanical
           was much smaller than that observed in our previous   properties.  In  fact,  the  composite  HAc-Alg/30

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