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RESEARCH ARTICLE

           3D-Printed Degradable Anti-Tumor Scaffolds for

           Controllable Drug Delivery


           Yucheng Mei , Chengzu He , Chunxia Gao , Peizhi Zhu *, Guanming Lu *, Hongmian Li *
                                       2†
                                                      1
                                                                                                     4
                        1†
                                                                                    3
                                                                   1
           1 Institute of Biomedical Research and Tissue Engineering, Yangzhou University, Yangzhou 225002, PR China
           2 Department of Oncology, the People’s Hospital of Binyang County, Binyang 530405, Guangxi, China
           3 Department of Breast and Thyroid Surgery, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise
           533000, Guangxi, China
           4 Research Center of Medical Sciences, The People’s Hospital of Guangxi Zhuang Autonomous Region and Guangxi
           Academy of Medical Sciences, Nanning 530021, China
           † These authors contributed equally to this work
           Abstract: In this study, porous polylactic acid/methotrexate (PLA/MTX) scaffolds were successfully fabricated by three-
           dimensional (3D) printing technology as controllable drug delivery devices to suppress tumor growth. Scanning electron
           microscopy  and  energy-dispersive  spectrometer  confirmed  that  MTX  drug  was  successfully  incorporated  into  the  PLA
           filament. 3D-printed PLA/MTX scaffolds allow sustained release of drug molecules in vitro for more than 30 days, reducing
           systemic toxic side effects caused by injection or oral administration. In vitro cytotoxicity assay revealed that PLA/MTX
           scaffolds have a relatively high inhibitory effect on the tumor cells (MG-63, A549, MCF-7, and 4T1) and relatively low toxic
           effect on the normal MC3T3-E1 cells. Furthermore, results of in vivo experiments confirmed that PLA/MTX scaffolds highly
           suppressed tumor growth and no obvious side effects on the organs. All these results suggested that 3D-printed PLA/MTX
           scaffolds could be used as controllable drug delivery systems for tumor suppression.

           Keywords: 3D printing; Polylactic acid; Methotrexate; Anti-tumor

           *Correspondence to: Peizhi Zhu, Institute of Biomedical Research and Tissue Engineering, Yangzhou University, Yangzhou 225002,
           PR China; pzzhu@yzu.edu.cn; Guanming Lu, Department of Breast and Thyroid Surgery, Affiliated Hospital of Youjiang Medical University
           for Nationalities, Baise 533000, Guangxi, China; luguanming@ymcn.edu.cn; Hongmian Li, Medical Laboratory Center, People’s Hospital of
           Guangxi Zhuang Autonomous Region and Guangxi Academy of Medical Science, Nanning, Guangxi, 530021, China; lihongmian@gxmu.edu.cn
           Received: July 20, 2021; Accepted: September 1, 2021; Published Online: October 1, 2021

           Citation: Mei Y, He C, Gao C, et al., 2021, 3D-Printed Degradable Anti-Tumor Scaffolds for Controllable Drug Delivery. Int J Bioprint,
           7(4):418. http://doi.org/10.18063/ijb.v7i4.418

           1. Introduction                                     cancer  diseases,  such  as  head-and-neck  tumors,  breast
                                                               cancer, and lung cancer [5-8] . In spite of its wide application
           The  mainstream  treatment  strategy  for  tumor  is  to   in  clinical  practice,  the  treatment  with  MTX  through
           remove the tumor tissue, supplemented by post-operative   injection or oral administration is still accompanied by
           chemotherapy  or  radiation  therapy.  Despite  the  great   some disadvantages, including non-tissue selectivity, the
           progress  in  treatment  for  tumor,  many  adverse  post-  need for high dose, and high toxicity. In addition, MTX is
           operative side effects, including the limited distribution   resistant to bone marrow suppression and gastrointestinal
           of  chemotherapy  drugs  at  the  target  site  and  severe   cytotoxicity.
           toxicity after radiotherapy, are unavoidable [1-3] . Therefore,   To  avoid  the  shortcomings  of  injection  and  oral
           developing a new drug delivery system that can overcome   administration, it is necessary to design a drug delivery
           these limitations has become the focus of cancer research.  system to deliver MTX into the diseased area to achieve
               4-Amino-10-methylfolate  (methotrexate  [MTX]),   the optimal therapeutic effect . Various strategies have
                                                                                        [9]
           an antitumor drug ,has been widely used to treat various   been developed to control drug delivery using materials
                          [4]
           © 2021 Mei, et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, permitting distribution and
           reproduction in any medium, provided the original work is cited.
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