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3D Printable PLA/BG Composite In Vitro Evaluation
           A                                                   beneficial rheological properties structures with feature
                                                               sizes down to 100  µm, PLA can be readily  fabricated
                                                               using commercially available 3D printers. Furthermore, it
                                                               is 100% biodegradable. Unfortunately, it has low affinity
                                                               for cells such as MSC or human osteosarcoma cell line
                                                               (Saos-2) and exerts no or only little osteoconductive or
                                                               osteoinductive influence on applied cells, such as MSC
                                                               or endothelial  progenitor cells (EPCs) [1,7] . Instead, a
                                                               composite of PLA with BG showed a stimulation of EPC
                                                               differentiation and function. Apoptosis rate compared to
                                                               pure PLA was decreased [7,42] .
           B                                                       For composite preparation,  both components are
                                                               mixed and melted together. The BG component used here
                                                               is commercially available in various particle sizes. For
                                                               the filament used in this study, BG granules in the size
                                                               range of 25-42 µm were used. The integrated BG particles
                                                               require the application of a nozzle with a diameter of at
                                                               least  400  µm  for  printing  to  avoid  clogging.  Still,  fine
                                                               structures  with  a resolution  below to one-fourth  of the
                                                               nozzle diameter could successfully be printed.
                                                                   The material exhibits a homogeneous distribution of
           C                                                   BG particles, which are localized both near the surface
                                                               and  centrally  in  the  filament  (Figure  1). This  allows
                                                               the  continuous release  of bioactive  ions during the
                                                               degradation  process. The dose-dependent  accumulation
                                                               of calcium ions from the test particles in initially calcium-
                                                               free PBS could be demonstrated by us . The calcium
                                                                                                [37]
                                                               concentration  was  about  0.35  nmol/µL after 7  days of
                                                               incubation of a BG20 sample. Moreover, it is conceivable
                                                               that the BG particles alter roughness of the PLA surface,
                                                               which could facilitate the attachment of MSCs . This is
                                                                                                      [43]
                                                               clearly indicated by the SEM images with the increased
                                                               cell affinity with increasing BG content (Figure 4).
                                                                   The core property of the composite material
           Figure 6. Relative expression of osteogenic marker genes RUNX2   should be  its  use in  high-resolution  3D printing.  This
           (A), ALP (B), and COL1A (C) in MSC cultured 24, 72, and 168 h   is  mandatory  to  construct  complex  scaffold  designs
           on the test materials as indicated (n=5). *P<0.05 versus indicated   with biologically active structural elements beyond the
           group.                                              classical grid with its monotonous pore structure [1,31] . In
                                                               addition to the test specimens used for the experiments, it
           gene expression was almost completely inhibited over the   was also possible to print scaffold designs with complex
           observation period of 7 days, as well as gene expression   internal structure from the composite filaments with 20%
           of  the  MAP  kinases  JNK-1  and  p38  was  significantly   BG content (Figure 2). This clearly shows that the BG
           suppressed.  The  final  whole-blood  stimulation  assays   content also influences the print result. A high BG content
           supported  these  results,  as  the  material  did  not  lead  to   leads  to lower strand adherence.  Pores and crevices
           significant  stimulation  of  pro-inflammatory  mediators.   appear on a micrometer scale (Figure 1). Overall, there is
                                                               also a loss of stability, which is quantified by Schätzlein
           Mechanistic  analyses using  IL-6  gene  expression  as  a   et al. Furthermore, porosity slightly differs due to the fact
           readout parameter  suggest that calcium  ions released   that printed parts have slightly different surface, resulting
           from  the  BG component  are causative  for the  anti-  from the layer topography by the printing process.
           inflammatory effect of the material.
                                                               4.2. BG20: Influence on OD
           4.1. Composite material
                                                               It is well known that BG supports the differentiation of
           Pure PLA is used as the standard material in 3D printing.   various progenitor cells (MSC, EPC, and osteoblasts) .
                                                                                                            [44]
           Due  to  its  high  melting  point  around  200°C  and  its   For  example,  Aguirre  et al. showed that a composite
           74                          International Journal of Bioprinting (2022)–Volume 8, Issue 4
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