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RESEARCH ARTICLE

           3D Printing of Diatomite Incorporated Composite

           Scaffolds for Skin Repair of Deep Burn Wounds


           Jingge Ma , Jinfu Wu , Hongjian Zhang , Lin Du , Hui Zhuang , Zhaowenbin Zhang ,
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                     1,2
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                                                              1,2
                                 1,2
                                                    1,2
           Bing Ma , Jiang Chang , Chengtie Wu *
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                   1,2
                                  1,2
           1 State Key Laboratory of High Performance Ceramics and Superfine Microstructure, Shanghai Institute of Ceramics,
           Chinese Academy of Sciences, Shanghai 200050, P. R. China
           2 Center of Materials Science and Optoelectronics Engineering, University of Chinese Academy of Sciences, Beijing 100049,
           P. R. China
           Abstract: Deep burn injury always causes severe damage of vascular network and collagen matrix followed by delayed wound
           healing process. In this study, natural diatomite (DE) microparticles with porous nanostructure were separated based on the
           particles size through a dry sieving method and combined with gelatin methacryloyl (GelMA) hydrogel to form a bioactive
           composite ink. The DE-containing inorganic/organic composite scaffolds, which were successfully prepared through three-
           dimensional (3D) printing technology, were used as functional burn wound dressings. The scaffolds incorporated with DE are
           of great benefit to several cellular activities, including cell spreading, proliferation, and angiogenesis-related gene expression
           in vitro, which can mainly be attributed to the positive effect of bioactive silicon (Si) ions released from the embedded
           DE. Moreover, due to establishment of bioactive ionic environment, the deep burn wounds treated with 3D-printed DE
           incorporated scaffolds exhibited rapid wound healing rate, enhanced collagen deposition, and dense blood vessel formation
           in vivo. Therefore, the present study demonstrates that the cost-effective DE can be used as biocompatible Si source to
           significantly promote the bioactivities of wound dressings for effective tissue regeneration.

           Keywords: Diatomite; 3D printing; Burn wound; Skin regeneration; Tissue engineering

           *Correspondence to: Chengtie Wu, State Key Laboratory of High Performance Ceramics and Superfine Microstructure, Shanghai Institute of
           Ceramics, Chinese Academy of Sciences, Shanghai 200050, P. R. China; chengtiewu@mail.sic.ac.cn

           Received: March 22, 2022; Accepted: April 29, 2022; Published Online: June 11, 2022
           (This article belongs to the Special Issue: Composite/Multicomponent Biomaterial Inks and Bioinks)
           Citation: Ma J, Wu J, Zhang H, et al., 2022, 3D Printing of Diatomite Incorporated Composite Scaffolds for Skin Repair of
           Deep Burn Wounds. Int J Bioprint, 8(3): 580. http://doi.org/10.18063/ijb.v8i3.580

           1. Introduction                                         Research on bioactive scaffolds for the treatment of
                                                               burn wound has generated sustained interest during the
           As  the  largest  surface  barrier  of  human  body,  the   past few decades. It should not be ignored that the physical
           skin  plays  a  crucial  role  in  the  maintenance  of  body
           temperature and fluid, regulation of metabolic process,   structure and chemical composition have become the key
           and  defense  of  outside  invasion [1,2] .  However,  severe   factors  which  are  closely  related  to  the  realization  of
                                                                                               [5]
           burns  caused  by  thermal  exposure,  chemical  injury,   the multiple functions of the scaffolds . Notably, three-
           and electricity always lead to serious damage of fibrous   dimensional  (3D)  printing  technology  has  emerged  as
           matrix and blood vessels network in skin tissue . From   one of the optimal methods for the preparation of tissue-
                                                   [3]
           the perspective, the wound dressings that have capacity   engineered  scaffolds.  The  additive  manufacturing  of
           of  promoting  gas  exchange,  blood  vessel  formation,   layer-by-layer deposition allows fabricating sophisticated
           collagen  synthesis,  and  skin  tissue  regeneration  are   porous  constructs  combing  biomaterials  and  bioactive
           urgently  needed  for  efficient  treatment  of  skin  burn   molecules [6,7] .  The  previous  studies  have  suggested
           wound .                                             that  3D  scaffolds  with  accessible  porous  architecture
                [4]
           © 2022 Author(s). 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 properly cited.
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