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3D Printed and Ion Controllable Release
           modulus of native cancellous bones was in the range of   scaffolds were determined using ICP-AES. As exhibited
           50 – 500 MPa . It could be seen that the modulus of the   in Figure 5A, the cumulative release concentration of Zn
                      [36]
           composite scaffold was close to that of native cancellous   ions for all samples increased with prolonging soaking
           bone. The probable reasons for strengthening were mainly   time. The cumulative release concentration of Zn ions
           attributed to two aspects. On the one hand, appropriate   also enhanced with increasing amount of Zn-MS. The
           amount of Zn-MS evenly distributed in the PLLA matrix,   Zn release rates for the 4Zn-MS/PLLA and 6Zn-MS/
           which played  a dispersion-strengthening  effect . On   PLLA samples were relatively high at the beginning
                                                    [35]
           the other hand, rosette-like morphology and mesoporous   of immersion (<6 days), then reached a steady phase
           structure of Zn-MS were beneficial to the penetration of   during the rest of the time. After soaking for 14 days,
           the PLLA melts into the interstices between petals and   the cumulative release concentrations of Zn ions for
           mesopores on the petals, thus forming micromechanical   2Zn-MS/PLLA, 4Zn-MS/PLLA, and 6Zn-MS/PLLA
           interlocking effect [13,37] . However, excessive Zn-MS in the   samples were 1.25, 1.76, and 2.36 mg/L. Meanwhile, the
           PLLA matrix had an adverse effect on the laser sintering   average release concentrations of Zn ions during 2 days
           property, thus generating  more defects and decreasing   for the 4Zn-MS/PLLA and 6Zn-MS/PLLA samples
           compactness of the composite scaffolds, which reduced   gradually decreased  at  the  initial  stage  (<6  days),  and
           their mechanical properties [38,39] .               then  reached  stability, suggesting that  the  composite
               Zn ions play an important role in the key enzymes   scaffolds containing different amount of Zn-MS could
           related activity with bone metabolism, mainly including   achieve sustained release of Zn ions (Figure 5B). The
           alkaline phosphatase, collagenase, and carbonic     probable reasons for sustained release of Zn ions were
           anhydrase . Meanwhile, they also directly participated   the shield effect of the PLLA matrix under Van der Waals
                   [40]
           in the metabolism of bone-related cells . In addition, Zn   forces and strong bonding of Si-O-Zn [18,44,45] . When the
                                           [41]
           ions also could promote adhesion, spread, proliferation,   soaking time was between 12 and 14 days, the average
           and osteogenic differentiation of stem cells . However,   concentrations of Zn ion released from 2Zn-MS/PLLA,
                                               [42]
           high concentration of Zn ions can induce cytotoxicity   4Zn-MS/PLLA and 6Zn-MS/PLLA were 0.15, 0.18, and
           and cell apoptosis .  Therefore, the release of Zn   0.21 mg/L, respectively.
                            [43]
           from biomaterials  needs  to  be  precisely  controlled,   The  variation  of cumulative  release  concentration
           thus ensuring their biosafety and osteogenesis.  The   of Si ions for different composite scaffolds after being
           concentrations of Zn released from the composite    soaked  in  PBS is  exhibited  in  Figure  5C.  The  Si  ion

                        A                                     B













                         C                                     D


















           Figure 5. The cumulative release concentration (A, C) and the average release concentration (B, D) of Zn (A, B) and Si (C, D) ions of the poly-L-
           lactic acid composite scaffolds with different amount of zinc-doped mesoporous silica after soaking in phosphate buffer saline for different times.

           98                          International Journal of Bioprinting (2021)–Volume 7, Issue 2
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