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International Journal of Bioprinting                           3D bioprinting techniques & hydrogels materials




                                                               bioprinting include shape-memory alloys (SMA), shape-
                                      turbinate-derived mesenchymal stem cells; PEG: Polyethylene glycol; hMSCs: Human mesenchymal stem cells; nHA: XXX; PCL: Polycaprolactone; KGN: Kartogenin; TCP: Tricalcium phosphate;
                                        DC: Diclofenac sodium; HEMA: XXX; ECM: Extracellular matrix; NIPAM: N-isopropylacrylamide; SBMA: sulfobetaine methacrylate; ASCs: Adipose-derived mesenchymal stem cells; PEGDA:
                  201   203    130                             memory ceramics (SMC), shape-memory polymers
                                            progenitor cells; UV: Ultraviolet; HA-DA: dopamine‐conjugated HA; dECM: Decellularized extracellular matrix; PNAGA: polymer (N-acryloyl glycinamide); PCEC: triblock polymer of poly(ε-
                                    Abbreviations: GelMA: Methacrylated gelatin; PRP: Platelet-rich plasma; N/A: Not mentioned; BMSCs: Bone marrow-derived mesenchymal stem cells; HA: Hyaluronic acid; hTMSCs: Human
                                                               (SMPs), and shape-memory hydrogels (SMH).  This
                                                                                                       227
                                          Polyethylene glycol diacrylate; XLG: laponite XLG nanoclay; PLA: Polylactic acid; PLGA: Polylactic-co-glycolic acid; FPSCs: Fat pad-derived stem/stromal cells; ACPCs: Articular cartilage
                                                               research area holds promise as a potential focal point for
                                                               future studies.
                 In vitro: Human BMSCs  In vivo: Rat OCDs  In vitro: MSCs  In vivo: Rabbit OCDs  In vitro: BMSCs  In vivo: Rabbit OCDs  biological materials options, selecting appropriate seed
                                                                  Equally vital are aspects such as expanding
                                                               cells,  and  adapting  bioactive  substances.   Hydrogels
                                                                                                   36
                                                               have  excellent  elastic  and  hydration  properties  that
                                                               mimic  the  crosslinked network  structure  of  the ECM,
                                                               enabling cells to survive and maintain their function.
                                                               Therefore, hydrogels are the most commonly used
                 High-strength biohybrid gradient hydrogel; promote   osteochondral regeneration Tri-layered biohybrid scaffold with zone-specific GF  delivery; promote osteochondral regeneration; the  superficial cartilage layer increases surface lubricity  In situ printing; sustained, slow release of SDF-1α;  specific recruitment of BMSCs  with different substances, such as TCP and synthetic
                                                               biomaterials in 3D printing. At present, there have been
                                                               steady changes and improvements in improving the
                                                               mechanical properties of hydrogels by crosslinking them
                                                               polymers. However, the composition and structure of the
                                                               material optimization have not been fully investigated
                                                               and  clarified.  Particularly,  developing  a  scaffold  that
                                                               enables cell infiltration while  providing mechanical
                                                               stability in the early stages of healing poses an extremely
                            and friction resistance
                                                               challenging task. The alignment of the tide line between
                                                               bone and cartilage remains unresolved when fabricating
                                                               osteochondral implants. Future efforts should focus on
                                                               further optimizing 3D-printed hydrogel scaffolds.
                                                                  In  addition  to  scaffold  materials,  the  cell  source  is
                                                               also a crucial factor affecting the treatment efficacy of
                                                               OCD with tissue engineering. Currently, most researchers
                         Chemical (UV-radiation)               progenitor cells.  The osteogenic and chondrogenic
                                                               have shifted their focus from tissue-specific cells to
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                                                               differentiation of MSCs has been extensively investigated,
                                                               but the heterogeneity in origin, separation methods,
                  Chemical      Chemical                       and differentiation mechanism of MSCs still needs to be
                                                               addressed.  Aging,  continuous passage,  and donor
                                                                                                  231
                                                                               230
                                                                       229
                                                               parameters  can also impact the regenerative potential of
                                                                        232
                                                               MSCs. For scaffold-loaded bioactive factor strategies, the
                                                               dose profiles and release curves of bioactive factors should
                         TGF-β; BMP-7; BMP-2                   be optimized and rigorously validated methodologically.
                                                                  In addition to the physical properties of bioinks,
                                                               certain effects and mechanisms should also be considered.
                  TGF-β         SDF-1α        caprolactone) and poly(ethylene glycol); HAP: Hydroxyapatite; GF: Growth factor.  Bioelectric effects in bone play a highly important role
                                                               in bone development and fracture healing, and their
                                                               endogenous electric fields contribute to cell proliferation,
                                                               differentiation, and migration.  Consequently, researchers
                                                                                       233
                                                               can attempt to construct bone tissue scaffolds with a
                                                                                                234
          Table 4. Continued  PNAGA  PCEC; PLGA microspheres;   GelMA   HAP; PLGA nanospheres;   alginate   biomimetic electric microenvironment.  Additionally,
                                                               self-healing enables hydrogels to withstand repeated
                                                               damage. Therefore, self-healing mechanisms, such as
                                                               host-guest noncovalent  interactions,  ionic  bonding,  and
                                                               hydrogen bonding, can be incorporated into hydrogels
                                                               to restore their original properties after damage. Wei  et



            Volume 10 Issue 6 (2024)                        83                                doi: 10.36922/ijb.4472
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