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International Journal of Bioprinting                                DIW of concave hydroxyapatite scaffolds




            excellent shape fidelity.  Unlike printed ceramic parts that   saline (PBS), penicillin/streptomycin (Pen/Strep), HEPES,
                              40
            require sintering, self-setting inks avoid shrinkage 32,39,41–45    sodium pyruvate, Presto Blue kit, and mammalian protein
            and produce biomimetic apatites with a composition   extraction reagent (M-PER) were purchased from Thermo
            closely resembling the mineral phase of natural bone. 46   Scientific-Gibco (USA). Lactate dehydrogenase (LDH)
            Previous studies have demonstrated that  CDHA-based   and alkaline phosphatase (ALP, SensoLyte® pNPP) kits
            ceramic printed parts have excellent biocompatibility and   were purchased from Roche (Switzerland) and Anaspec
            bioactivity, supporting bone ingrowth and functioning as   (USA), respectively. Immunocytochemistry reagents,
            bone scaffolds. 39,47  This has led to interest in incorporating   TRIT-C conjugated phalloidin (Alexa Fluor 546), and
            concavities into DIW CaP scaffolds. Various strategies   4′,6-diamidino-2-phenylindole (DAPI) were purchased
            have been explored, including modifying the nozzle   from  Invitrogen (USA)  and  Merck  (USA),  respectively.
            geometry to obtain concave channels 40,48,49  or altering the   Paraformaldehyde  was  obtained  from  Aname-
            ink formulation to introduce intra-strand porosity (e.g., by   Instrumentación Científica (Spain). Glycine was purchased
            incorporating sacrificial particles 38,50  or using emulsified   from Serva (Spain).
                         51
            or foamed pastes ). However, the filament diameter often   2.2. Scaffold design
            limits the size of the intra-strand pores, which can be   Given the aforementioned advantages, slicer programs
            insufficient.                                      for 3D printing incorporate TPMS patterns, particularly

               Hitherto, the potential of TPMS, while widely explored   the  G  type.  However,  these  3D  models  are  generated
            in other 3D printing techniques, has not been exploited   by intersecting 2D wavy lines with a defined porosity.
            using DIW. In this study, we explore the use of TPMS   This is different from generating the 3D model in a
            models to create scaffolds with controlled concavities   mathematical program (e.g., MATLAB), where  unit  cell
            busing DIW, despite the challenge of filament convexity.   numbers, dimensions, and/or volumetric fractions can
            The combination  of concave confined spaces with high   be customized. This allows us to obtain sufficient and
            permeable geometries and the enhanced bioactive and   representative porosities for each geometry type when
            osteogenic potential of reactive ceramics could produce   slicing the coded geometry for DIW, taking into account
            promising bone regenerative grafts. We used a self-  the limitations of the printer.
            setting α-TCP ink to create CDHA scaffolds with complex   Three different types of TPMS scaffolds were coded
            architectures. Three TPMS structures were selected as   with MATLAB (MathWorks, USA), as in previous work.
                                                                                                            19
            printing patterns for DIW: gyroid (G), diamond (D; also   G, D, and S lattice structures with a defined number of cells
            known as diamond Schwarz), and Schwarz (S; also called   and volume fraction were generated by determining the
            Schwarz primitive). Cylindrical scaffolds with different   isosurface (U = 0) using the following TPMS equations :
                                                                                                           22
            porosities were designed using a MATLAB code from
            previous work,  and their printability was evaluated. The          K x) (  K y) + (
                        19
            resulting CDHA scaffolds were then  evaluated  for  the      U = cos (  x  sin  y  cos  K y) sin    (I)
                                                                                                  y
                                                                        G
            effects of pore architecture on physicochemical properties,   ( Kz) + cos ( Kz)sin ( Kx) − C
            blood  permeability, mechanical  behavior, and  in  vitro    z        z       x     G G
            response of pre-osteoblastic (pre-OB) cells, compared
            to the typical orthogonal printing pattern with the same    U = sin ( K x) ( K y) sin ( K z) +
                                                                                  sin
            total porosity.                                             D       x       y       z
                                                                                   y (
                                                                      sin ( Kx)cos  Ky) cos ( Kz) + coos
                                                                           x
                                                                                            z
            2. Materials and methods                                  ( Kx) (  Ky) cos ( Kz) + cos        (II)
                                                                           sin
            2.1. Materials                                               x       y       z
                                                                                y (
                                                                        x (
                                                                                      (
            Poloxamer 407 (Kolliphor® P 407), also known as Pluronic   kx)cos  Ky)  sin Kz) − C D
                                                                                        z
            F127, was purchased from BASF Pharmaceuticals
            (Germany). Calcium phosphate dibasic (CaHPO4),          U = cos ( K x) + ( K y) + cos ( K z) − C  (III)
                                                                                  cos
            calcium carbonate (CaCO3), Triton X-100, Alizarin red    S       x         y         z    S
            staining (AR-S), and cetyl pyridinium chloride powders
            were obtained from Sigma-Aldrich (United States       where the subscripts G, S and D refer to the type of
            of  America  [USA]).  Disposable  3D  printer  cartridge   geometry; parameters K and C represent the structure’s
            (3cc Optimum® Syringe Barrels) and 250 µm tapered   periodicity and porosity, respectively. In each direction, K
            dispensing tips (Gauge 22 SmoothFlow Tapered Tips)   is defined as  2n , where n is the number of unit cells and L
            from Nordson EFD (USA) were used for printing. McCoy’s        L
            5A media, fetal bovine serum (FBS), phosphate-buffered   is the absolute size of the structure.
            Volume 10 Issue 6 (2024)                       226                                doi: 10.36922/ijb.3805
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