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International Journal of Bioprinting                          3D-Printed Zn/MgHA-PCL for angio/osteogenesis








































            Figure 7. (A) Hematoxylin and eosin (H&E) and (B) Masson staining of bone formation after composite scaffold implantation for 1 and 3 months. Scale
            bars: 1000 μm (2×); 400 μm (5×). Abbreviations: HA, hydroxyapatite; N, new bone; PCL, polycaprolactone; S, scaffold.





            Meanwhile, Masson staining analysis further validated   no significant differences between the scaffold groups,
            enhanced new bone formation with Zn/Mg-co-doping.   and the collagen type I content in the newly formed bone
            The 10Mg10Zn@HA-PCLs and the 15Mg10Zn@HA-PCLs      was comparable, suggesting that Mg/Zn-co-doping has a
            groups  demonstrated  the  deepest  and  broadest  staining   synergistic effect in promoting bone regeneration.
            area (the blue and red colors represent collagen synthesis   Relevant studies have demonstrated that Zn  exhibits
                                                                                                     2+
            and new bone formation, respectively), indicating more   both osteogenic and antibacterial activity.  However,
                                                                                                   43
            calcification and bone maturity.
                                                               excessive concentrations of Zn may induce toxicity  in
                                                                                                  44
               To  further  verify  the  angiogenic  and  osteogenic   vivo, which is a potential safety hazard.  High doses
            properties of the composite scaffolds, we conducted α-SMA   and concentrations of Zn ions are harmful, as their
            and CD31 immunohistochemical staining to assess their   accumulation within cells can lead to mitochondrial
            angiogenic performance (Figures 8  and  S7, Supporting   damage and disruption of cellular Zn homeostasis.  Hence,
                                                                                                      45
            Information). The α-SMA and CD31 results demonstrated   the  controlled  release of  Zn  ions not  only  reduces  their
            a significant increase in the number of blood vessels in the   cytotoxicity but also harnesses their potential to promote
            new bone areas of the Mg-doped group. During the early   osteogenic differentiation of stem cells. Additionally, Mg
            repair process (1 month), the number of vessels increased   ions have been reported to promote angiogenesis  and
                                                                                                        46
            at higher levels of Mg ion doping, indicating that Mg ions   bone repair.  Therefore, co-doping of HA with Zn and
                                                                         1,47
            have a pro-angiogenic effect. Additionally, we performed   Mg not only achieves slow and safe release of Zn ions but
            COL1A1 immunohistochemical staining to evaluate the   also synergistically enhances angiogenesis to facilitate
            osteogenic performance (Figures 8  and  S7, Supporting   bone repair. Therefore, this study employed a continuous
            Information). All groups exhibited varying degrees of   sustained release of Zn  to ensure its safe release in vivo.
                                                                                 2+
            osteogenesis. In the early stages of bone formation, Mg ion   Likewise, the addition of Mg  can synergistically promote
                                                                                      2+
            doping accelerated the process. After 3 months, there were   vascular growth and new bone generation.


            Volume 10 Issue 6 (2024)                       295                                doi: 10.36922/ijb.4243
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