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Silk Fibroin and Calcium Phosphate 3D Scaffolds Promote in vitro Osteogenesis
           Table 1. Primer sequences of Runx2, OPN, OCN, OSX, and Col1a.
           Gene                                                   Primer sequences
           Runx2                                                  Forward: 5’-ATGCTTCATTCGCCTCACAAA-3’
                                                                  Reverse: 5’-GCACTCACTGACTCGGTTGG-3’
           OPN                                                    Forward: 5’-AGCAAGAAACTCTTCCAAGCAA-3’
                                                                  Reverse: 5’-GTGAGATTCGTCAGATTCA TCCG-3’
           OCN                                                    Forward: 5’-CGCTCTGTCTCTCTGACCTCAC-3’
                                                                  Reverse: 5’-CACTACCTTATTGCCCTCCTGC-3’
           OSX                                                    Forward: 5’-ATGGCGTCCTCTCTGC TTG-3’
                                                                  Reverse: 5’-TGAAAGGTCAGCGTATGGCTT-3’
           COL1A1                                                 Forward: 5’-GCTCCTCTTAGGGG CCACT-3’
                                                                  Reverse: 5’-CCACGTCTCACCATTGGGG-3’

           3. Results and discussion                           monofilaments  showed  a  significant  Barus  “swelling”
                                                               effect after extrusion. The diameter of the filament in SF
           3.1. Viscosity characterization of SF-based inks    scaffolds decreased from 386 ± 48 μm for Scaffold 1 to
           As  mentioned  earlier,  SF  aqueous  solutions  exhibit   293 ± 32 μm for Scaffold 3. It suggests that increasing
           low  viscosity  compared  with  other  natural  polymers,   the  SF  content  can  suppress  the  swelling  effect  due  to
           especially SA solution. Thus, SA was introduced to thicken   its less  elastic or retractable  conformations  compared
           the SF-based inks. Three formulations were prepared by   with SA. The monofilament exhibits a lamellar structure,
           carefully  mixing  the  two  solutions  of  varied  weights,   which  could  be  attributed  to  the  freezing  process  and
           pure SF solution (15 wt%) and SA solution (3 wt%). The   similar  morphologies  were  reported  in  the  literature .
                                                                                                            [44]
           three  mixture  inks  have  slightly  varied  solid  contents   The thickness of the lamella appeared to increase from
           ranging from 10.2 wt% to 11.0 wt% and SF content from   Scaffold 1 to Scaffold 3.
           9.0 wt% to 10.0 wt%. The viscosity-shear rate curves of   Printing speed is one critical parameter for extrusion
           SF solution, SA solution, and the three inks from steady-  printing.  As  shown  in  Figure  2B,  the  increase  in  the
           flow tests are shown in Figure 1B. SA solution shows   printing speed from 6 mm/s to 10 mm/s did not appear to
           stable  viscosity  of  6.5  Pa·s  at  low  shear  rate  and  an   change the mean size of the monofilaments for the Scaffold
           obvious shear-thinning behavior at shear rate >10 s . In   3, but the shape fidelity of the cross-sections became poor
                                                       -1
           contrast, SF solution shows initial shear-thinning at low   with the increasing speed. Although the micromorphology
           shear rate <1 s , which may suggest a disassociation or   of the SF scaffolds was not affected by the printing speed in
                       -1
           disentanglement process of SF chains under shear. The   this range, the mechanical tests in Figure S2 revealed that
           viscosity of SF solution was ~0.1 Pa·s across the 1–10  s    increasing the printing speed led to dramatically reduced
                                                        3
                                                          -1
           shear rate range, a typical Newtonian liquid. The mixed   compressive modulus of the scaffolds, suggesting changes
           inks exhibit intermediate viscosities between pure SF and   in  the  microstructure  or  conformation  structure  of  the
           SA solutions and also a shear-thinning behavior at both   scaffolds. Thus, the lowest speed 6 mm/s was chosen. In
           low and high shear rates, combining the characteristics of   addition, lowering the substrate temperatures from −10°C
           the two solutions. The viscosity of mixture inks falls in   to −15°C did not appear to affect the filament morphology
           a printable range, and the three inks were applied in the   (Figure 2C). Although the diameters of the filaments were
           extrusion printing for fabricating scaffolds. The properties   more  consistent  at  −15°C,  indicating  a  faster  freezing
           of ink in oscillation mode as shown in Figure S1 reveal   process  and  shape  fixation,  we  chose  −10°C  for  easier
           that the relationships between the storage modulus (G’)/  temperature control in an open-air printing environment.
           loss modulus (G”) with frequency for SA and SF inks     After  a  stabilization  treatment  of  the  frozen
           are  similar,  but  the  printable  frequency  range  of  inks   scaffolds  in  the  methanol  solution  and  rinse  out  of  the
           gradually narrows with increasing content of SF.    SA  using  citric  acid,  the  3D  SF  scaffolds  were  further

           3.2. Morphology and structure of SF scaffolds       processed  with  post-mineralization.  Methanol  and
           with or without mineralization                      ethanol  can  instantly  induce  the  β-sheetconformation
                                                               transition  in  SF  and  led  to  a  robust  physically  cross-
           Figure 2A shows the micromorphology of the extrusion-  linked  morphology [45,46] .  Moreover,  the  calcium  ions
           printed  3D  SF  scaffolds  from  the  three  mixture  inks.   can  coordinate  with  carboxylic  groups  in  SA  chains
           The  details  in  the  surface  and  the  cross-section  of  a   and could result in a crosslinking structure in SA. The
           single  filament  can  be  seen.  The  needle  with  an  inner   content of mineralized calcium phosphate in the scaffold
           diameter  of  200  μm  was  used.  However,  the  printed   can be controlled by the number of deposition cycles as

           6                           International Journal of Bioprinting (2022)–Volume 8, Issue 4
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