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Silk Fibroin and Calcium Phosphate 3D Scaffolds Promote in vitro Osteogenesis
           chemical,  and  biological  characteristics .  Biopolymers   in  terms  of  better  resorption  and  regeneration  of  bone
                                            [11]
           including proteins [12,13]  and polysaccharides [14,15]  have been   under  physiological  circumstances .  In  addition,  the
                                                                                             [37]
           used to formulate inks for extrusion printing.      introduction of minerals can improve cell adhesion and
               Silk  fibroin  (SF)  is  a  natural  protein  extracted   promote cell proliferation .
                                                                                    [25]
           from  silks,  which  can  be  processed  into  a  variety  of   Many works have explored the composites/hybrids
           morphologies  with  tunable  molecular  structures  and   from SF and calcium phosphate or precursors for bone
           mechanical properties, ranging from soft hydrogels to stiff   regeneration.  In  most  recent  research,  SF-based  hybrid
           thermoplastics [16-18] .  SF  has  been  approved  by  the  U.S.   scaffolds  were  fabricated  by  freeze-drying.  Not  many
           Food  and  Drug  Administration  for  use  as  biomaterials   works focused on the mineralization on 3D printed SF
           for decades. Many researchers have advanced the field of   scaffolds  with  highly  porous  morphologies  and  high
           using regenerated SF as biomaterials especially in tissue   β-sheet conformation content [22,38,39] .
           engineering [19-21] . These studies have indicated that SF has   In  this  study,  we  prepared  SF  scaffolds  through
           excellent  biocompatibility  with  many  tissues  including   extrusion-based printing with sodium alginate (SA) as a
           bone, low immunogenicity, and inflammation compared   thickener;  then  introduced  various  calcium  phosphates
           with other synthetic and natural polysaccharides. Moreover,   for  hybrid  scaffolds  through  post-mineralization.  The
           SF  possesses  excellent  properties  for  stimulating  bone   relationship  between  structure  and  morphology  and
           repair, because the fibrous structure of SF is mostly similar   the  mechanical  performance  SF  and  hybrid  scaffolds
           to collagen I (Col I) resulting in accelerated bone healing   was studied. Furthermore, a series of in vitro biological
           by improving local blood supply and collagen synthesis.   experiments,  including  CCK-8  cytotoxicity  test,  by
           When  supplemented  with  growth  factors,  SF  could   q-PCR alkaline phosphatase (ALP) expression test, and
           enhance mineralization, among which the effect from the   osteogenesis gene (Runx2, OPN, OCN, OSX and Col1a)
           functional amino acids with amide groups and hydroxyl   expression  test,  were  conducted  to  prove  the  excellent
           groups  and  the  conformation  effect  from  β-sheets  were   osteogenesis effect of these mineralized 3D printed SF
           believed to be the most significant in regulating mineral   scaffolds. The work would provide a convenient strategy
           nucleation and formation [22-24] . The challenge for printing   to engineer mechanically robust hybrid scaffolds for bone
           SF solution is its low viscosity and poor shape fidelity.   tissue engineering.
           Sodium alginate (SA) produces viscous aqueous solutions
           and  exhibits  shear  thinning  characteristics,  which  is   2. Materials and methods
           desirable for 3D printing. Mixture inks from SF and SA   2.1. Experimental materials
           or  alginic  acid  (ALG)  have  been  studied  to  fabricate
           scaffolds  with  good  cell  compatibility [25,26] .  The  results   Ethanol  (99.7%),  methanol  (99.5%),  and  ammonia
           also suggested although SF was expected to enhance the   solution (25 – 28%) were purchased from Modern Oriental
           stiffness and strength of hydrogel scaffolds. However, the   Technology  Development  Co.,  Ltd.  (Beijing,  China).
           lack of control over the conformational structure of SF   Glacial  acetic  acid  (99.5%)  and  sodium  bicarbonate
           could limit the reinforcement effect. The comprehensive   (analytically pure) were purchased from Beijing Chemical
           properties  of  3D-printed  SF  scaffolds  could  be   Works (Beijing, China). Lithium bromide was purchased
           conveniently  tuned  through  changing  the  porosity,  pore   from  Sigma-Aldrich  (St.  Louis,  MO).  Calcium  acetate
           size in the printing design, to match that of specific tissues.   (99%), diammonium hydrogen phosphate (99.9%), and
           At present, SF scaffolds can be fabricated to suffice most   polyethylene glycol (PEG) were obtained from Shanghai
           soft-tissue application requirements [27,28] .      Macklin  Biochemical  Co.,  Ltd.  (Shanghai,  China).  SA
               Bones  are  the  stiffest  among  all  the  human   (chemically pure) was purchased from Xilong Chemical
           anatomical tissues, which is attributed to the high mineral   Co., Ltd. (Guangdong, China).
           content and a sophisticated collagen-hydroxyapatite (HA)   2.2. Preparation of SF and SA mixture inks
           hybrid  morphology . Therefore,  minerals,  particularly
                           [29]
           various  forms  of  calcium  phosphates  including  HA ,   The preparation of SF aqueous solution was carried out
                                                        [30]
           tricalcium  phosphate [31]   (TCP),  and  monetite  (DCP)  in accordance with the protocol in ref. . 10 g Bombyx
                                                                                               [40]
             , are  often  introduced  to  reinforce  the  3D-printed
           [32]                                                mori  cocoon  silk  (Fuxiang  Pharmaceutical  Technology
           bone  scaffolds.  HA  is  the  natural  mineral  crystal  that   Co., Ltd., Shanghai, China) was boiled in 0.5% NaHCO
                                                                                                              3
           exhibits a satisfying bone induction effect. Both brushite   solution for 45 min and rinsed with distilled water to wash
           (DCPD,  CaHPO ·2H O)  and  monetite  (DCP/DCPA,     off  the  residual  sericin  before  drying  at  45°C  for  24  h.
                             2
                          4
           CaHPO ) can be converted into HA under physiological   Then, 14 g dried silk fiber was dissolved in 100 mL 9.3 M
                 4
           conditions [33,34] .  DCPD  can  be  further  converted  into   lithium bromide solution at 40°C for 3 h, and dialyzed in
           DCP in aqueous solutions or at high temperatures [35,36] . In   deionized water for 3 days using a dialysis bag (8 – 14 kDa).
           contrast to HA, DCPD and DCP have unique advantages   Subsequently, the SF solution was dialyzed in 15% PEG
           2                           International Journal of Bioprinting (2022)–Volume 8, Issue 4
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