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Chen, et al.
           spectrum of degraded HAc-Alg was in line with       pure ceramic porous scaffolds could be obtained
           that  of  Alg. In contrast,  characteristic  peaks  of   after  the removal of the Alg remnants,  with the
           CaP were observed in addition to those of Alg for   crystallization of amorphous apatite phases.
           the HAc-Alg/CaP hydrogels: The FT-IR spectrum         In  addition  to  confirming  the  improved
           exhibited strong peaks at 1000 – 1100 cm (ν3        biostability  of  HAc-Alg/CaP,  two  promising
                                                     −1
           bending) and 560 – 600 cm (ν4 bending) for the      findings  were  discovered  from  our  degradation
                                     −1
           PO  groups in addition to the bands of adsorbed     tests. First, the precipitated minerals were
              3−
              4
           water from 3600 to 2600 cm -1[34] . We also observed   well-connected with the polymer template and
           significant  discrepancies  between  the  remaining   maintained their 3D structure after template
           weight obtained  from the  TGA analysis and         removal.  Thus,  by developing an  in situ
           enzymatic degradation tests. While the remaining    precipitation method for nanoparticles, various
           weight  of  TGA analysis  accounted  for residual   minerals can be incorporated in the 3D printing
           organic  ashes and inorganic  components,  the      process to obtain porous 3D foams of metals
           remaining  weight  after  enzymatic  degradation    or ceramics. For example, gold nanoparticles
           was mainly due to swollen Alg (Alg + water) and     can be nucleated and grown on a polymer
           inorganic components such as calcium carbonate      matrix  through  the  in  situ  reaction  of  its  metal
           and CaP. Moreover, the swelling behavior of the     precursor (e.g.,  HAuCl ) and a reducing agent
                                                                                      4
           remaining  Alg hydrogels varied depending on        (e.g.,  HCOONa)  [35,36] . Second, by employing
           the mineral contents of the composite hydrogels     additional  post-treatment  processes,  3D  printed
           (Table  2) .  The  remaining  weight  difference    materials  can  be  further  modified  (e.g.,  by
                     [5]
                                                                                          [37]
           between  degraded  HAc-Alg  and  HAc-Alg/CaP        reduction of metal oxides) . Importantly, this
           scaffolds  was  ~20  wt%,  which  was  <30  wt%     freeform 3D printing allows polymer templates to
           obtained from the TGA analysis.                     be chosen based on their functional roles instead
             HAc-Alg/CaP  hydrogels  after  2  weeks  of       of their 3D printability as the gelation of the
           immersed  degradation  were also analyzed  using    polymer templates is carried out after 3D printing.
           XRD and SEM to determine the mineral phases         3.5 Biological performance of composite
           of CaP. A broad peak at 32−35° indicating apatite   hydrogels
           with low crystallinity was observed in the XRD
           pattern, while the characteristic peaks of DCPD     The  biocompatibility  and  bioactivity  of  HAc-
           or  OCP  crystallites  had  completely  disappeared   Alg/CaP were carefully evaluated and compared
           (Figure 5C). Furthermore, the morphology of the     to that of HAc-Alg to confirm its potential as a
           CaP precipitates changed from spherical to needle-  biomaterial for various medical applications. The
           like (Supplementary Figure 9). It is known that     in vitro  cellular  responses  of  fibroblast  cells  on
           DCPD, one of the CaP crystalline phases found       the bulk and 3D-printed hydrogels are shown in
           in HAc-Alg/CaP scaffolds, can be hydrolyzed in      Figure  6. None of the hydrogels displayed any
           water or a buffer solution to form hydroxyapatite   signs of cytotoxicity.  The cells attached  to the
           or anhydrous dicalcium phosphate .                  surface of HAc-Alg/CaP bulk hydrogels appeared
                                            [22]
                                                               stretched and flattened, similar to what is usually
           5CaHPO +H OHaH  (PO )  OH+2H  PO            (5)     observed in two-dimensional cell cultures. In
                   4   2      5    4 3       3    4
                                                               contrast, the cells attached to the surface of
             In this hydrolytic  reaction, the  acidic  by-    HAc-Alg hydrogels  clustered  to  form  spheroids
           product decreases the pH of the aqueous medium.     (Figure 6A). The cell densities were remarkably
           We, therefore, used a PBS buffer solution in our    higher  on  HAc-Alg/CaP  surfaces  than  on  HAc-
           degradation test to minimize the pH change of the   Alg surfaces. After a 3-day culture, 80 – 90% of
           system.  The  final  pH  of  the  enzymatic  solution   the HAc-Alg/CaP surface area was covered by the
           was around 7, which was slightly lower than         cells, whereas only ~20% of the HAc-Alg surface
           the initial pH (pH 7.4). Through heat treatment,    area was occupied by the cells (Supplementary

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