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International Journal of Bioprinting                                        Progress in bioprinting of bone












































                                          Figure 3. Considerations for bioprinting a bone construct.

            and COL-II staining. In another work of the same group,   effect of varying materials with different concentrations
            different fiber spacings or angles of fiber deposition were   on their printability, and thus effectively bioprinted mouse
            used to fabricate heterogeneous constructs with adjustable   calvaria 3T3-E1 (MC3T3) cells within alginate-PVA-HAp
                                                        [81]
            porosity (35 – 66%) and elastic modulus (4.7 – 6.6 kPa) .   bioink, which supported 96% cell viability, indicating that
            Osteochondral constructs were bioprinted using alginate   the suspension optimized the printability and improved
            containing chondrocytes (cartilage  compartment)  and   the cellular activity. Cunniffe  et al. [111]  generated a bioink
            alginate containing MSCs and osteoinductive BCP particles   by combining an arginylglycylaspartic acid (RGD)-γ-
            (bone compartment). As a result, the cell viability of alginate   irradiated alginate and nano-HAp blended with plasmid
            constructs containing human chondrocytes and osteogenic   DNA (pDNA). The bioprinted constructs containing
            progenitors remained high (90%) during the printing   pDNA showed a higher level of mineralization than those
            process. Furthermore, chondrogenic  and  osteogenic   without pDNA. The MSC-encapsulated constructs that were
            differentiation has been demonstrated in different parts   implanted subcutaneously into nude mice demonstrated
            of the construct in vitro and  in vivo (subcutaneously in   greater levels of mineral deposition and vascularization
            immune-deficient mice).                            compared to cell-free groups.
              In a study using a pneumatic EBB system, Loozen et  al. [110]    Cidonio  et al. [112]  developed a bioink composed of
            developed  porous  or solid constructs containing  alginate   synthetic nanoclay (Laponite, LPN) and GelMA, which
            hydrogel combined with MSCs, BCP particles, and plasmid-  showed good fidelity and interlinked porosity during EBB.
            DNA-encoding bone morphogenetic protein-2. As a result of   The hBMSCs maintained good viability in the bioprinted
            plasmid DNA transfection, osteogenic differentiation of cells   construct (86 ± 10% at 21 days of culture), and cell-laden
            was observed by enhanced BMP-2 and ALP production, and   constructs cultured without dexamethasone showed areas
            porous constructs displayed superior BMP-2 production to   of mineralization, indicating the formation of osteogenic
            solid constructs. Bendtsen et al.  extensively explored the   tissue. Subsequently, the same team used human BMSCs
                                     [83]

            Volume 9 Issue 1 (2023)                         83                      https://doi.org/10.18063/ijb.v9i1.628
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